• 모자간호학회지
• /
• 제3권2호
• /
• pp.102-113
• /
• 1993

• 문화기술의 융합
• /
• 제8권5호
• /
• pp.81-86
• /
• 2022

본 연구는 청소년들이 경험하는 월경곤란과 월경 불편 시 대처유형을 조사하고, 월경곤란증에 미치는 영향요인을 확인하기 위한 서술적 조사연구이다. 대상자들의 건강통제위는 내적통제위, 타인의존통제위, 우연통제위 순으로 나타났으며, 대처유형으로는 적극적 행위대처, 적극적 인지 대처, 회피적 대처 순으로 나타났다. 월경곤란시 대처유형에 영향을 미치는 요인으로 내적통제위, 월경불편감, 병원 방문 순으로 나타났으며, 이에 대한 설명력은 11.7%이며, 회피적 대처에 대한 모형설명력은 9.6%로 월경불편감, 병원 방문 순으로 나타났다. 앞으로 학생들의 생활 양식을 고려한 추가 연구가 필요하다.

• 대한간호학회지
• /
• 제29권3호
• /
• pp.625-638
• /
• 1999

The purpose of this study was to identify the relationships among health promoting behaviors, Health Locus of Control(HLOC), and response patterns to HLOC in Korean elderly. The sample was composed of 162 healthy elderly ranging in age from sixties to eighties. The instruments for this study were modified Health Promoting Lifestyle Profile (45 items, 4 scales), and Multidimensional Health Locus of Control (18 items). For the in data analysis, SPSS PC$^{＋}$ program was uilized for descriptive statistics, Pearson correlation, t-test, ANOVA and Stepwise multiple regression. The results of the study are as follows : 1. The total mean score for the HPLP was 2.411 (range 1-4), and the mean scores on the subscales were 3.324 for nutition, 2.709 for interpersonal support, 2.495 for exercise,2.225 for health responsibility, 2.205 for self actualization, 2.026 for stress management. 2. The mean scores for the HLOC in the elderly were HLOC-I : 23.531, HLOC-P : 21.914, HLOC-C : 18.667. 3. The response patterns of the HLOC identified eight types, pure internal, pure powerful others, pure chance, double external, believers in control, yea sayer, nay sayer and complex control. The “believers in control” was the largest group (22.8%), and “yea sayer” was the next largest group(17.9%). The “nay sayer”(5%) was the smallest group. 4. Demographic variables, such as education, economic status, religion and the perception of the health status showed strong connections to health promoting behaviors. 5. The HLOC-I and health promoting behavior were correlated positively(r＝.165, P＝.017), but the HLOC-P, the HLOC-C and the health promoting behavior were not correlated at the level of statistical significance. 6. There was not significant difference in health promoting behavior depending on the response patterns of the HLOC(F=1.171, P=.108). But, there were significant differences in two subscales of health promoting behavior exercise (F=3.279, P=.002), and stress management (F=3.165, P＝.003). 7. Education, the perception of the health and economic status explained 21.0% of the variance for health promoting behaviors. These results suggest that several demographic factors are important factors in predicting the level of health promoting behaviors in elderly. So to enhance the health promoting behavior, nurses should use the different nursing strategies depending on the demographic characters of the elderly.

• 한국간호교육학회지
• /
• 제8권1호
• /
• pp.38-50
• /
• 2002

The purpose of this study is to identify the relationship among injury prevention practices, health locus of control, and response patterns to HLOC of the elderly. Subjects were 121 healthy elderly. The data had been collected from November 5 to 18 in 2001 and analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression. Health locus of control and injury prevention practices were measured by using MHLC scale and an instrument created by the researcher on the basis of the results of literature review respectively. The results of this study were as follows: The mean score of injury prevention practices was 2.80 and the mean scores for the health locus of control were internal health locus of control : 17.25, external health locus of control : 16.09, and chance health locus of control : 14.26. The response patterns of the HLOC identified were six types; pure internal, pure powerful others, pure chance, double external, believers in control, and complex control. The 'pure internal' was the largest group(35.5%), and the 'believers in control' was the next(31.4%). The relationship between internal health locus of control and the injury prevention practices of the elderly revealed a significant correlation(r=.215, p=.018). The relationship between external health locus of control and the injury prevention practices of the elderly revealed a significant correlation (r= .208, p=.022). There was significant difference between response patterns of the health locus of control and injury prevention practices(F=2.393, p=.042). There were significant differences between injury prevention practices and general characteristic factors, which were education, family type, administration of medication, injury experience, ADL, and self-directed search for health information. Self-directed search for health information, injury experience, and education explained 16.7% of the variance for injury prevention practices. The above results may be used as the basic data for seeking more efficient way of improving safety of the elderly.

• 한국산학기술학회논문지
• /
• 제15권9호
• /
• pp.5610-5620
• /
• 2014

본 연구는 일부 사무직 행정공무원들의 직무스트레스 수준을 파악하고 사회심리적 요인(A형 행동유형, 통제신념, 자기존중감)과 직무스트레스와의 관련성을 규명하고자 시도하였다. 연구대상은 C도청에 근무하고 있는 공무원 634명(남자 505명, 여자 129명)이었으며, 자료 수집은 2013년 2월 18일부터 3월 10일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 조사대상자의 직무스트레스 수준은 성별, 연령, 학력, 결혼상태, 직급, 근무경력, 공무원생활에 대한 만족도, 흡연상태, 음주상태, 수면시간, A형행동유형, 통제신념 및 자기존중감에 따라서 유의한 차이를 보였다. 사회심리적 요인과 직무스트레스 수준과의 상관관계를 보면, 업무요구도는 내적 통제신념과 유의한 음의 상관관계를 보였으며, 업무의 자율성은 A형행동유형, 내적 통제신념 및 자기존중감과 유의한 음의 상관관계를 보였다. 상사의 지지도는 외적 통제신념과 유의한 음의 상관관계를 보였다. 위계적다중회귀분석 결과 직무스트레스 수준에 영향을 미치는 요인으로는 연령, 주관적인 건강상태, 직위, 잔업시간, 질병으로 인한 결근, 업무에 대한 만족도, 수면시간, 여가시간, 외래진료경험유무, A형행동유형, 통제신념 및 자기존중감이 선정되었으며 이들의 설명력은 32.1%이었다. 위의 모델에서 보면 A형행동유형, 통제신념 및 자기존중감 등의 사회심리적 요인이 추가됨으로 해서 15.0%의 설명력을 증가시켜 직무스트레스에 사회심리적 요인이 큰 영향을 미치고 있음을 알 수 있었다.

• 대한간호학회지
• /
• 제28권3호
• /
• pp.739-750
• /
• 1998

The purpose of this study was to identify the response patterns of Health Locus of Control (HLOC) and to analysis of the health promoting behaviors depending on the response patterns of HLOC in Korean adults. The sample was composed of 300 healthy adults ranged from twenties to seventies. In data analysis, SPSS PC/sup +/ program was utilized for descriptive statistics, pearson correlation, ANOVA and cluster analysis. The results of the study were as follows : 1. The average scores of HLOC in Korean were HLOC-I : 24.12(range 6-30), HLOC-P : .21.72, HLOC-C : 17.46. 2. The total mean score of the health promoting behavior scale was 2.50 (range 1-4), and the mean scores on the subscales were ; self actualization 2.60, health responsibility 2.14, exercise 2.28, nutrition 3.16, interpersonal support 2.74, stress management 2.15. 3. The HLOC-I and health promoting behavior were correlated positively(r =0.184, p=0.001), and the HLO-C and the health promoting behavior were correlated negatively(r=-0.102, p=0.039). The HLOC-P and the health promoting behavior weren't correlated in the level of statistical significance. 4. The response patterns of HLOC in Korean adults were identified 6 types, such as pure internal, pure chance, believers in control, yea sayer, nay sayer, and complex control. The type of believers in control and the type of yea sayer were subdivided in two different types. The believers in control was the largest group(33.67%), and yea sayer was the next large group(26.33%). The pure chance and the complex control type was the smallest groups. 5. There was a significant difference in health promoting behavior depending on the response patterns of HLOC(F=2.67, p=0.010). There were also significant differences in 4 subscales of health promoting behavior : self actualization(F=3.12, P=0.003), health responsibility(F=2.15, P=0.038), nutrition(F=5.08, p=0.000), and interpersonal support(F=2.26,p=0.029). These results suggest that the response patterns of HLOC is the important factor to predict the level of health promoting behavior in Korean adults.

• 여성건강간호학회지
• /
• 제3권2호
• /
• pp.208-223
• /
• 1997

This study was made to suggest the nursing strategies for promoting the behaviors about bone mass health behaviors in order to prevent middle aged women's osteoporosis. This study was a descriptive-correlational design that also concerned to the types which improve bone mass promoting behaviors by inspecting patterns of health locus of control method out of recognizable variables of health improving models influencing on these bone mass promoting behaviors. For these purpose, data were collected by self reported questionnaire in middle school, from 158 women living in Seoul. The measuring tools used in this study about bone mass promoting behaviors and multidimensional health locus of control, were developed by author on the basis of literature review and analyzed by SPSS-PC window, into pearson's correlation, ANOVA, multiple regression, cluster analysis. Data was analyzed as follows. 1. 6 Multidimensional health locus of control scale clusters were existed. : a)cluster I (pure internal), b)cluster II(pure chance), c) cluster III(Believer in control), d), cluster IV(Type VI), e)cluster V(yea sayer), f) cluster VI(nay sayer). There were no findings of the powerful others external cluster and double external cluster. 2. The higher the value of internal health locus of control was, the better the bone mass promoting behaviors were(r=.2891, $p=.00^{**}$). The higher the value of chance external health locus of control was, the worse the bone mass promoting behaviors were(r=-.1367, $p=.00^{**}$). 3. On the basis of these relationships, 6 clusters were significantly different in the bone mass promoting behaviors(F=2.27, $p=.05^*$). The value of bone mass promoting behaviors was ranked the order of type VI>believer in control>pure internal>yea sayer>nay sayer>pure chance external highly. 4. Bone mass promoting behaviors were not significantly different as to age. Suggestion. Based on the results from the study, I would like to make some suggestions as follows. 1) To delay the loss of bone mass in middle aged women, the study on the cluster of the multidimensional health locus of control should be conducted repeatedly. 2) The tool of multidimensional health locus of control should be developed through a qualitative method adjusted on Korean' health culture.

• 한국노년학
• /
• 제30권4호
• /
• pp.1311-1327
• /
• 2010

본 연구는 노인의 우울과 주관적 및 객관적 건강수준, 건강수준유형과의 관련성을 파악하는데 목적을 두고 있다. 연구대상과 자료분석은 2007년 국민건강영양조사(4기) 1차년도 원시자료 중 건강설문조사를 이용한 60세 이상의 노인 총939명의 확률추출표본자료로 모든 분석은 SAS(version 9.1)소프트웨어를 이용하여 χ²-test, t-test, 다중로지스틱회귀분석을 하였다. 연구결과에서 우리나라 노인의 우울인지율은 20.3%였으며 노인우울에 대한 인구사회적 요인은 '성(OR=2.04)', '고졸학력군(OR=0.27)', '중하위소득수준(OR=2.83)'이 유의한 관련요인이었고(p<0.05), 인구사회적 요인을 통제한 후 객관적인 건강수준에서는 '고혈압(OR=1.93)', '천식(OR=3.32)'이, 주관적 건강수준에서는 '스트레스(OR=7.27)', '골절 및 관절손상으로 인한 활동제한(OR=6.59)', '주관적 건강인식(OR=1.64)'이, 상대적인 크기로 보면 '스트레스', '골절 및 관절손상으로 인한 활동제한', '천식', '고혈압' '주관적 건강인식'의 순으로 노인우울과 유의미하게 관련되었다(p<0.05). 건강수준유형별로는 유형1(비질병군, 주관적건강양호군)에 비해 유형4(질병군, 주관적건강불량군)가 노인우울성향을 가질 위험도는 5.94배로 매우 유의하였다(p=0.001). 이러한 연구결과를 통해 노인의 만성질환 자체보다 노인이 스스로 지각하는 '스트레스', '활동제한'이 상대적으로 노인우울의 위험도가 큰 관련요인임을 알 수 있었다. 노인의 우울 인지율을 감소시키기 위해 특히 고혈압, 천식, 골절 및 관절손상에 대한 예방적 관리가 절실하게 요구된다.

• 근관절건강학회지
• /
• 제2권1호
• /
• pp.1-16
• /
• 1995

Coping patterns were investigated in a sample of 126 patients with chronic low back pain by means of self-reported questionnaire. Based on the previous researches, coping pat terns were divided into the active cognitive coping, the active behavioral coping, the passive cognitive coping, and the passive behavioral coping. While all the above coping patterns were used, the passive behavioral coping was found to be used most frequently. Six subgroups were identified by cluster analytic procedure using their scores of the coping scale : active cognitive coper, general active coper, passive behavioral coper, general passive coper, multidimensional coper, and multi dimensional non-coper. Six subgroups were compared regarding locus of control, self-efficacy, pain and demographic variables. Distinct differences appeared among subgroups in internal locus of control, self-efficacy, and pain. General active coper and active cognitive coper had higher internal locus of control, higher self-efficacy, and lower pain. General passive coper and multidimensional non-coper had lower internal locus of control, lower self-efficacy, and higher pain. Passive behavioral coper had higher internal locus of control, lower self-efficacy, and higher pain. It supports the concept of learned helplessness due to prior experiences. Multi dimensional coper had higher internal, higher powerful others, and higher self-efficacy. So it corresponds to 'believer in control' group Identified by Wallston et at(1982). Unexpectedly this group also complained more pain. It could be interpreted in two ways. The more coping methods they use, the more they complain pain ; which is the result of Folkman et al (1986). Or they might be typical 'yea sayers'. These unique groups-passive behavioral coper and multidimensional coper-identified by this study supports the suggestion of Wallston et al(1982), about locus of control : individual's pattern of responses across the three scales may be more predictive than his or her scores on each of the scale seperately. The fact that passive coping was used more than active coping also suggests that self controlled active co ping is encouraged to chronic patients as well as acute patients. And it is necessary to articulate the coping scale and self-efficacy scale. It is also necessary to study the relationship of coping and adjustment by experimental design.

• 한국연초학회:학술대회논문집
• /
• 한국연초학회 2001년도 제45회 학술발표회 및 심포지움:담배산업의 환경변화와 최근의 연구동향
• /
• pp.44-54
• /
• 2001

담배는 오랜 과거부터 규제의 주요 대상이 되어 왔다. 1950년대 이전까지만 해도 담배관련 규제는 담배의 생산 및 제조활동과 함께 윤리 또는 규범적 차원에서 주로 이루어져 왔으나, 1950년대 초 이후부터 흡연의 건강 위해성에 관한 연구가 본격화되고 건강에 대한 공중의 관심이 확산되면서 담배와 흡연에 대한 사회적·법적 규제가 크게 강화되어 왔다고 할 수 있다. 담배산업이 그 동안 지속적인 성장을 하는 가운데에서도 담배와 흡연에 대해 강도 높은 규제가 가해져 온 이유는 담배가 성인들의 기호품으로써 보편화 된데 반해 건강 위해적 요소들을 내재하고 있고, 담배의 높은 수익가치로 인해 담배의 생산 및 판매가 정부의 재정사업으로 관할됨에 따라 정보에 의한 강력한 통제가 불가피했기 때문이라 할 수 있다. 세계 각 국에서 적용되고 있는 담배에 대한 일반적인 규제유형으로는 크게 흡연(smoking) 규제와 판매 및 촉진활동(sales & promotion) 규제, 경고문 부착(labeling)에 관한 규제, 그리고 진입 및 무역(entry & trade) 규제 등으로 구분될 수 있다. 한국의 경우는 전통적으로 흡연에 대해 매우 관대한 태도가 유지되어 왔으나, 95년도 중반 이후 국민건강 증진법 등의 규제법률이 제정·시행되면서 제도적·정책적 규제가 크게 강화되어 현재는 세계 최상위 수준을 유지하고 있다고 할 수 있다. 이러한 가운데 99년 5월 이후, 담배에 대한 표준화된 규제지침의 설정과 강화를 통해 궁극적으로 세상에서 담배를 근절시키고자 하는 목적 하에서 세계보건기구(WHO)의 주 역점사업으로서 추진되고 있는 담배규제협약(FCTC)은 담배에 대한 규제가 초국가적 차원으로 발전되는 계기를 제공하고 있다. 향후, 담배규제협약안의 세부사안들에 대한 합의과정에서 각 국별로 상당한 이견과 반발이 예상되고 있지만, 협약안의 전체 회원국 투표에서 승인될 경우 각 국가들뿐만 아니라 담배산업과 담배기업들에게 미치는 파급효과가 매우 클 것으로 예상된다. 대부분의 국제협약들이 그러하듯이, 담배규제협약도 그 적용 범위와 수준이 어느 정도로 결정되는지에 따라 각 국가와 기업별 이해관계가 크게 달라지게 되기 때문에 신중한 대응전략이 요구된다고 하겠다.