비침습적 인공호흡기 적용 환자의 불편감 연구

신현자,Shin, Hyun-Ja 한국중환자간호학회 2009 중환자간호학회지 Vol.2 No.1

Purpose: The purpose of this preliminary study was to describe the physical and psychosocial distress of critically ill patients undergoing noninvasive ventilation(NIV). Method: Open-ended question interviews were conducted with four patients using NIV. Considering the outcomes of the interviews, literature, and experts'opinions, a survey questionnaire was developed. Twenty patients in medical and surgical intensive care units answered the questions. Results: Through open-ended question interviews and survey, the patients using NIV reported feeling heavy, impotent feeling, pain, loss in feeling, loss in communication, and lack of sleep as physical distress and a loss in sense of time, pain, anxiety, mind of desiring to die, worry about family, and a sense of burden for medical-cure expenses as psychosocial distress. Conclusion: Critically ill patients undergoing NIV experience physical and psychosocial distress to artificial respiratory ventilation treatment. Further research should be performed with a large sample for generalization of the study result.

家政敎科 學習을 통한 男中生의 家庭生活에 대한 인식 및 태도에 관한 조사연구

신현자(Shin, Hyun-Ja),김기남(Kim, Ki-Nam) 한국가정과교육학회 1991 한국가정과교육학회지 Vol.3 No.-

The purpose of this study is to find out the influence of Home Economics learning on the recognition and attitude of middle school boy s home life and to suggest the basic materials for the development of the Home Economics education through students opinion of Home Economics. For this purpose, a survey was conducted in Cheong-ju area using questionaire. The subjects were 487boys who studied Home Economics (HE group) and 480boys who studied Technique (T group) in middle school. The statistics used for data analysis were t-test and x²-test. The results of this study were as follows: 1. The recognition and attitude to home life on the base of the general characteristics of home life; In urban area, the interests in bealth and the role of the consumers were higher than those of rural areas-on the bases of the standard of life, hte middle class students had a higher interest in nutrition and food habits, the students whose father were engaged in special job had a higher interest in health and nutrition. 2. The difference of the recognition and attitude between HE & groups; In the field of food life, HE s knowlege about the six nutrients and the basic food groups and attitude toward buying food were higher than T s. In the field of family life and resources, HE and T accepted the importance of family life and the role of home as importanct, hoped to get psychological relax from home and to take the right sexual education. In the field of clothes life, HE and T had the general tendency to have their clothes in proper manner and to select their clothes for themselves, but HE took a higher interest in clothes mending and the role of clothes. 3. The opinions on Home Economics; HE answered that Home Economics was useful to them (more than 90% of HE) and that 57.1% of HE were interested in Home Economics. The order of interest among three fields were as following: food life, clothes life, family life and resources. 71.9% of T hoped to take Home Economics course.

사진치료 연구의 효과 분석

신현자(Shin, HyunJa),원혜숙(Won, HyeSook),정광조(Jung, KwangJo),박춘성(Park, ChoonSung) 숭실대학교 영재교육연구소 2021 Global Creative Leader Vol.11 No.3

본 연구의 목적은 최근 부각 되기 시작한 국내 사진치료 연구들의 효과를 분석하는 것이다. 연구대상은 2004년부터 2020년까지 사진치료를 주제로 한 국내 학술지와 석⦁박사 학위 연구 중에서 선정 기준에 적합한 양적 연구 총 16편으로 이들의 종속 변인을 대상으로 메타분석을 실시하였다. 연구결과, 국내 사진치료 전체 연구물들의 평균효과 크기는 .95로 큰 크기의 효과가 있는 것으로 나타났으며 종속 변인별로 나누어 분석한 결과, 자아존중감에 대한 평균효과의 크기는 .89 그리고 효능감에 대한 평균효과의 크기는 1.07, 마지막으로 자기의식, 자아 탄력성, 자기지각, 자기조절에 미치는 평균효과 크기도 1.29로 나타나 큰 크기의 효과가 있는 것으로 나타났다. 하지만 이질성 정도에서는 자아존중감이 이질성의 크기가 작아(Q = 15.50, df = 14, I²= 9.7%, p=.001) 자아존중감의 효과가 일관적인 것으로 나타났다. 이와 같은 결과는 사진치료가 증거-기반의 실제로 상담기법의 하나로 적용될 수 있음을 보여 준다. 본 연구의 제한점은 국내 사진치료 연구의 종속 변인 효과성 크기만을 분석하였고 독립변인의 분석이 이루어지지 않았다는 점과 출간오류가 있다는 점이다. 후속 연구에서는 본 연구에서 다루지 않았던 독립변인에 대한 메타분석 및 출간오류를 수정할 수 있는 다양한 메타분석 연구가 이루어질 필요가 있다. The purpose of this study was to analyze the effects of phototherapy studies in Korea that have recently begun to emerge. The subjects of the study conducted a meta-analysis on their subordinate variables from 2004 to 2020 with a total of 16 quantitative studies that conformed to the selection criteria among domestic academic journals, master s and doctorate studies on phototherapy. Studies show that the average effect size of all domestic phototherapy studies is 0.95, which is high the average effect size for self-respect is 0.89, the average effect size for efficacy is 1.07, and the average effect size for self-consciousness self-awareness and self-control is 1.29, which is large. However, at the degree of heterogeneity, self-esteem is small (Q=15.50, df=14, I==9.7%, p=.001) The effect of self-respect was consistent. These results show that phototherapy can be applied as one of the evidence-based counseling techniques. The limitation of this study is that only the size of the effectiveness of the dependent variable of domestic phototherapy studies was analyzed and there was no analysis of independent variables and publication errors. In subsequent studies, various meta-analysis studies need to be conducted that can correct meta-analysis and publication errors for independent variables that have not been addressed in this study.

원가족 건강성과 부부갈등의 관계에서 성인애착과 정서조절곤란의 매개효과

신현자(Hyun-ja Shin) 영곡사회심리발달학회 2022 사회심리발달연구 Vol.3 No.2

본 연구는 원가족 건강성과 부부갈등의 관계에서 성인애착과 정서조절곤란의 매개효과를 검증하고자 하였다. 이를 위해 서울, 경기, 강원지역에 거주하고 있는 기혼남녀 316명을 대상으로 원가족 건강성, 부부갈등, 성인애착, 그리고 정서조절곤란을 측정하여 상관분석과 회귀분석을 실시하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 원가족 건강성은 부부갈등, 성인애착과 정서조절곤란에 유의한 영향을 주는 것으로 나타났다. 둘째, 성인애착과 정서조절 곤란은 부부갈등에 유의한 영향을 주는 것으로 나타났다. 셋째, 원가족건강성과 부부갈등의 관계에서 성인애착과 정서조절의 매개 효과가 유의하게 나타났다. 이러한 본 결과의 의의를 선행연구의 결과에 비교하여 검토하고 추후 연구를 위한 논의를 제시하였다. The purpose of this study is to examine the mediating effects of adult attachment and emotional dysregulation in the relationship between family-of-origin health and marital conflict. For this purpose, 316 married males and females aged 30 to 60 living in Seoul, Gyeonggi Province, and Gangwon Province were surveyed on family-of-origin health, marital conflict, adult attachment and emotional dysregulation, upon which correlation and regression analyses were performed. The results of this study are summarized as follows. Firstly, family-of-origin health was correlated with marital conflict, adult attachment, and emotional dysregulation. Secondly, adult attachment and emotional dysregulation were correlated with marital conflict. Thirdly, adult attachment and emotional dysregulation showed a significant mediating effect on the relationship between family-of-origin health and marital conflict. Based these results, the significance and meaning of this study were compared with the results of previous studies and potential subsequent research was proposed.

유아기 모가 지각하는 부부갈등과 학령 초기 ADHD와의 관계에서 관련변인의 구조관계분석 : 온정적양육, 학습준비도, 사회적유능감

원혜숙(Won, Hye Sook),신현자(Shin, Hyeon ja),박춘성(Park, Chun seong) 한국홀리스틱융합교육학회 2021 홀리스틱융합교육연구 Vol.25 No.3

이 연구는 학령초기 아동의 ADHD 증상에 대해 어머니가 지각한 부부갈등 온정적양육, 아동의 학습준비도 사회적유능감이 어떠한 영향을 미치는지 살펴보았다. 이러한 연구 목적을 달성하기 위하여 한국아동패널 자료를 활용하였다. 그 결과 첫째, 유아기 어머니가 지각한 부부갈등은 학령초기 ADHD와 정적상관을 보이고 온정적양육, 학습준비도, 사회적유능감과는 부적상관을 보였다. 유아기 온정적양육, 학습준비도, 사회적유능감은 학령초기 ADHD와 부적상관을 보였다. 둘째, 유아기 부부갈등은 유아기 온정적양육, 학습준비도, 사회적유능감, 학령초기 ADHD에 직접적인 영향을 미치는 한편, 여러 경로를 통해 학령초기 ADHD에 간접적인 영향도 미쳤다. 셋째, 가장 효과적인 경로는 부부갈등이 온정적양육, 사회적유능감, 학습준비도의 순서를 통해 학령초기ADHD로 가는 경로인 것으로 밝혀졌다. 이 연구를 통해 높은 부부갈등은 낮은 온정적양육, 학습준비도, 사회적유능감을 통해 학령초기 ADHD에 영향을 미치는 것을 알수 있다. This study investigated the effects of marital conflict, warm caregiving, and children s learning readiness and social competence perceived by mothers to ADHD symptoms of early school-age children. In order to achieve the purpose of this study, the data from the Korean Children s Panel were used. As a result, first, the marital conflict perceived by mothers in early childhood had a positive correlation with ADHD in the early years of school age, and had negative correlations with the warm caregiving, the learning readiness, and the social competence. The warm caregiving, the learning readiness, and the social competence in early childhood were negatively correlated with early school-age ADHD. Secondly, the marital conflict in early childhood had a direct effect on the warm caregiving, the learning readiness, the social competence, and the early school-age ADHD, but also had an indirect effect on early school-age ADHD through a number of different routes. Thirdly, as the most effective route, the marital conflict was found to be the path leading to early school-age ADHD through the order of warm caregiving, social competence, and learning readiness. Through this study, it can be seen that high marital conflict has an effect on early school-age ADHD through low warm caregiving, learning readiness, and social competence.

위 및 담낭의 체형학적 유사성

신현자,박용휘,김정자 대한의학협회 1974 대한의학협회지 Vol.17 No.2

Hourglsaa 형 담낭에 발생한 석희유 담즙 1 예

두창준,변종훈,신현자,송국진,전인석,김웅봉,최병수 대한내과학회 1988 대한내과학회지 Vol.35 No.4

Milk of calcium bile or limy bile is a rare condition in which the gallbladder is filled with a thick, pastelike, radiopaque material. It is almost entirely composed of calcium carbonate. The mechanism by which bile turns into limy bile is not well understood, Hewever, complete cystic duct obstruction by gallstones is believed to be a prerequisite for the development of limy bile. Hourglass gallbladder is a deformity of the gallbladder with a constriction or midtransverse septum between the infundibulum and body. Stasis proximal to the constriction probably contributes to calculous formation and may provoke cancerous alternations. This is the account of a case of Hourglass gallbladder associated with limy bile at the fundal compartment in a 43-year-old man who had vague abdominal pain in the right upper quadrant and indigestion for two years. The literature on this subject is briefly reviewed.

99mTc-DISIDA 간담도 스캔으로 발견된 총담관낭종 1예

김동우,박성기,변종훈,어호용,신현자 대한핵의학회 1986 핵의학 분자영상 Vol.20 No.2

It is well known that $quot;Tc-DISIDA hepatobilliary scan is a noninvasive and accurate method for detecting choledochal cyst. In the case we are reporting, (99m)^Tc-DISIDA scan of a 17 year old female patient showed the characteristic pattern of a choledochal cyst, confirmed by surgery.