• Child Health Nursing Research
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• 제15권4호
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• pp.343-349
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• 2009

Purpose: The purpose of this study was to identify the relationships among self-esteem, meaning in life, and spiritual well-being in middle school students. Methods: The research design was a descriptive correlational survey involving 405 middle school students in grades 1 to 3 in S city, K city, and C city. Data were collected from March to May 2008 using questionnaires. Means with standard deviation, t-test, ANOVA, Duncan post-hoc test, and Pearson correlation coefficients were used to analyze the data. Results: According to general characteristics of the students, there were statistically significant differences in self-esteem for gender, grade, and region, in meaning in life, there were significant differences for grade, gender, and region, and in spiritual well-being, there were statistically significant differences for gender, religion, and region. There were significant correlations between self-esteem and meaning in life, between self-esteem and spiritual well-being, and between meaning in life and spiritual well-being. Conclusion: Self-esteem, meaning in life, and spiritual well-being should be considered as important factors for healthy development in the middle school period. These three variables should be considered as the main content for self-development programs for middle school students.

• Journal of Hospice and Palliative Care
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• 제22권1호
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• pp.30-38
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• 2019

목적: 본 연구는 선행연구와 문헌고찰을 토대로 노인의 죽음불안을 결정짓는 요인들을 Belsky(1980)의 생태학적 이론에 근거하여 우울, 자아통합감, 영적안녕감의 개인유기체 요인과 미시체계 요인으로는 가족지지, 그리고 외체계 요인으로는 사회적연락망, 노인차별경험, 가족주의가치관의 요인들로 가설적 모형을 구축하여 죽음불안에 영향을 미치는 경로를 분석하고자 시행되었다. 방법: 연구대상자는 B광역시의 16개 구(區) 중 10개 구에 소재한 경로당을 이용하는 65세에서 85세 미만의 재가노인이었다. 연구 참여가 가능한 노인은 설문지의 내용을 읽고 이해하며 그에 응답할 수 있는 능력을 가진 자로서 본 연구의 목적을 이해하여 연구 참여에 동의한 후 설문에 참여하였다. 총 189부를 최종 자료 분석에 사용하였다. 자료는 SPSS-WIN 20.0과 AMOS 20.0 프로그램을 이용하여 분석하였으며, 통계처리에 대한 유의 수준은 P<0.05로 설정하였다. 결과: 개인유기체 요인 중 우울은 죽음불안에 직접적인 영향을 미치는 것으로 나타났다(${\beta}=0.32$, P<0.001). 미시체계 요인인 가족지지는 죽음불안에 대한 직접(${\beta}=-0.15$, P=0.026), 간접효과(${\beta}=-0.06$, P=0.022) 및 총 효과(${\beta}=-0.21$, P=0.006) 모두 통계적으로 유의하게 나타났다. 외체계 요인들 중 사회적연락망(${\beta}=0.21$, P=0.003)과 가족주의가치관(${\beta}=0.23$, P=0.009)은 죽음불안에 직접적인 영향을 미치는 것으로 나타났다. 결론: 노인의 죽음 불안에 영향을 미치는 요인으로 개인유기체 요인 중 우울, 미시체계 요인인 가족지지, 그리고 외체계 요인인 사회적 연락망 및 가족주위 가치관이 확인되었다. 비록 자아통합감, 영적 안녕감 및 노인차별경험이 죽음불안에 직접적인 영향이 없는 것으로 확인되었으나 노인의 개인유기체, 미시체계 및 외체계 요인들과 상호작용하는 것이 확인되어 노인의 죽음불안에 대한 중재개발에 있어서 개인과 가정 그리고 사회적 환경을 고려한 생태학적 접근이 필요한 것으로 여겨진다.

• 지역사회간호학회지
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• 제17권1호
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• pp.112-124
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• 2006

Purpose: This study was carried out to investigate the relationships among suicidal risk, self-esteem, and spiritual well-being of high school students, and to provide basic data for developing suicide prevention programs. Method: The subjects of this study were 1.176 high school students from six academic high schools and two technical high schools in Daegu City. Data were collected from the 13th to the 25th of September 2004. The research tools were the Suicide Probability Scale developed by Go. Kim and Lee (2000), the Self-Esteem Inventory modified by Choi and Jeon (1993), and the tool of Spiritual Well-Being modified by Yoo (2002). Data were analyzed with SPSS Windows 11.0. Result: Variables that showed statistically significant difference in suicidal risk were school type, whether to have the best friends, the number of close friends, current relationship with close friends, experience of school violation, respect for the teacher, grades, financial condition, parents marital status, father's education level, mother's education level, home atmosphere, conversation with father, conversation with mother, smoking, drinking, experience of counseling for problems, whether to have physical illnesses, experience of thinking about suicide, experience of attempting suicide. Suicidal risk was in a significantly negative correlation with self-esteem and spiritual well-being. Conclusion: The researcher identified many different variables that affect the suicidal risk of high school students. Self-esteem and spiritual well-being were found to be in a significant correlation with suicidal risk. Therefore, the results of this study can be used as basic data and information for suicidal prevention programs.

• 동서간호학연구지
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• 제20권1호
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• pp.21-28
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• 2014

Purpose: This study was to identify the extent of and the relationships among self-efficacy, spiritual well-being, and job stress in clinical nurses. Methods: The subjects were 201 clinical nurses from three different general hospitals in B city. Data were collected from May 26 to August 9, 2012 and analyzed by using descriptive statistics, independent t-test, One-way ANOVA, Sheff$\acute{e}$ test, and Partial correlation coefficients. Results: The mean scores of self-efficacy, spiritual well-being, and job stress were moderate, 3.50, 3.58, and 3.44 respectively. There were statistically significant relationships between marital status, influence of religion, the number of night shifts per month, motives for choosing nursing as a career, job satisfaction and self-efficacy. Spiritual well-being was found to be significantly related to all participants' general characteristics, and job stress was significantly related to marital status and type of religion. There was a significantly weak positive correlation between self-efficacy and spiritual well-being, and a weak negative correlation between self-efficacy and job stress. There was no significant correlation between job stress and spiritual well-being. Conclusion: This study suggests that effective strategies to foster spiritual well-being is needed to enhance clinical nurses' self-efficacy, which should equip clinical nurses to better deal with job stress in their work places.

• 한국간호교육학회지
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• 제22권3호
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• pp.366-375
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• 2016

Purpose: This study was conducted to identify factors which influence suicidal ideation in students in girls' high schools. Methods: The participants were 202 students attending a girls' high school and a specialized girls' high school in D city. Data were collected from October 8 to December 23, 2013. Research tools were suicidal ideation, existential spiritual well-being, interpersonal relations, and depression. Data were analyzed using t-test, one-way ANOVA with Scheffe-test, Pearson's correlation coefficient, and multiple regression by stepwise selection with SPSS/WIN 12.0. Results: Suicidal ideation was negatively correlated with existential spiritual well-being, interpersonal relations, and positively correlated with depression. Effective variables were depression (${\beta}=0.54$, p<.001), existential spiritual well-being (${\beta}=-0.22$, p=.001), and grades (${\beta}=-0.10$, p=.042). These variables explained 52% of the variance in suicidal ideation. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that teachers and community mental health nurses can use to increase existential spiritual well-being and decrease the depression and suicidal ideation for students in girls' high schools.

• 기본간호학회지
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• 제22권3호
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• pp.328-337
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• 2015

Purpose: This study was conducted to identify effects of self-esteem, empathy and existential well-being on spiritual care competence in nursing students. Methods: Participants were 357 nursing students from three colleges in G metropolitan city. The survey was conducted from March 11 to April 3, 2015, with a self-report questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficient and stepwise multiple regression analysis with SPSS version 21.0. Results: Differences in spiritual care competence were statistically significant according to experience in providing spiritual care and recognition of need for spiritual care. There were significant differences in self-esteem, empathy and existential well-being according to satisfaction with major, satisfaction with life and recognition of the need for spiritual care. Spiritual care competence of nursing students showed a significantly positive correlation to self-esteem, empathy and existential well-being. Factors influencing spiritual care competence were recognition of need for spiritual care, self-esteem, empathy and experience in providing spiritual care, which explained about 16% of spiritual care competence. Conclusion: Results indicate the importance of developing an intervention program for nursing students to strengthen spiritual care competence through improved recognition of needs for spiritual care, self-esteem, empathy and experience in providing spiritual care.

• 기본간호학회지
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• 제24권4호
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• pp.286-295
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• 2017

Purpose: The World Health Organization identifies spiritual care as a component of health and thus nursing care. There is a need to identify how self-esteem, communication and existential well-being affects spiritual care competence in nurses. Methods: The participants were 189 nurses in G metropolitan city. The survey was conducted from March 21 to April 8, 2016, with a self-report questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient and stepwise multiple regression analysis using SPSS version 21.0. Results: Differences in spiritual care competence were statistically significant according to education level, work department, position, having received spiritual care education, experience of providing spiritual care, experience of asking religionist to provide spiritual care for a patient and recognition of need for spiritual care. The spiritual care competence of nurses showed a significantly positive correlation with self-esteem, communication and existential well-being. Factors influencing spiritual care competence were communication, experience of providing spiritual care and existential well-being which explained about 37.5% of spiritual care competence. Conclusion: It's necessary for nurses to develop intervention programs to strengthen spiritual care competence through improving communication, providing opportunities for spiritual care and existential well-being.

• 지역사회간호학회지
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• 제24권4호
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• pp.461-470
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• 2013

Purpose: This study examined factors influencing subjective quality of life in baby boom generation men. Methods: This was a descriptive survey study. Data were collected from 279 baby boom generation men from September to October 2012. The instruments used included a subjective quality of lifescale, a self-esteem scale, a spiritual well-being scale, a communication with spouse scale, a social support scale, and a job satisfaction scale. Data were analyzed using descriptive statistics, t-test, one-way ANOVA and Scheff$\acute{e}$ test, Pearson's correlation coefficients, and Hierarchical multiple regression. Results: All variables were positively correlated with subjective quality of life. As a result, factors influencing subjective life of quality were self-esteem (${\beta}$=.21, p<.000), social support (${\beta}$=.20, p<.002), job satisfaction (${\beta}$=.19, p<.001), communication with spouse (${\beta}$=.15, p<.004), spiritual well-being( ${\beta}$=.16, p<.004), and family income (${\beta}$=.15. p<.023). These factors accounted for 61% of the total variances. Conclusion: The findings indicate a need to develop nursing intervention programs for community health nurses in consideration of these variables to improve the subjective quality of life for baby boom generation men.

• 보건의료산업학회지
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• 제8권4호
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• pp.231-241
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• 2014

The purpose of this study was to identify the factors affecting the spiritual well-being of mentally disabled residents of institutions. The data were collected from July 1 to 25 in 2014. Data were collected by questionnaire from 145 mentally disabled residents of institutions. The instruments for this study were social support, self-esteem, depression, insight, spiritual well-being. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. According to results, the degree of social support, self-esteem, insight and spiritual well-being was higher than and depression was lower. The significant factors influencing spiritual well-being were depression (${\beta}=-.32$, p<.001), insight (${\beta}=-.21$, p=.003), social support (${\beta}=-.21$, p=.006) and self-esteem (${\beta}=-.18$, p=.047). The study reveals that it is necessary to develop a program that decreases depression and increases insight, social support and self-esteem.

• Journal of Hospice and Palliative Care
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• 제8권2호
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• pp.143-151
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• 2005

목적: 가톨릭대학교 성빈센트병원 호스피스팀에서는 사별가족들에 대한 지지로서 해마다 사별가족모임 및 추모제를 실시해왔다. 호스피스 환자 및 사별가족의 어려움, 욕구, 대처양상, 품위 있는 임종에 대한 견해에 대해서는 선행연구가 진행되어 왔으나, 사별가족모임에 참석한 가족들의 태도에 대한 선행연구는 찾기가 어려웠다. 최근 1년 이내에 사별 경험이 있는 가족을 중심으로 견해조사를 실시하면서, 향후 사별가족지지프로그램에 대한 욕구와 보완점 파악, 객관적 기준을 마련하기 위해 본 연구를 시작하였다. 방법: 2003년 11월부터 2004년 10월까지 12개월 동안 성빈센트병원 호스피스 병동에서 임종한 사별가족 180가족들에게 초대장을 발송하였고, 사별가족모임에 참석한 22가족에게 설문지 조사하였고, 전화연결된 가족 18가족에 대해서는 연구자 1인이 전화설문을 시행하였다. 설문지는 일반적인 사항을 제하고는 개방형 질문으로 조사하였다. 결과: 총 응답자의 평균연령은 56세($16{\sim}79$세)였고, 남자(3명), 여자(37명)이었다. 고인과의 관계는, 아내(22명), 남편(5명), 어머니(4명), 딸(4명), 시어머니(1명), 아들(1명), 형제자매(1명), 며느리(1명), 형수(1명)이었다. 임종 후 경과기간은 $1{\sim}3$개월(17명), $4{\sim}6$개월(12명), $7{\sim}9$개월(4명), $10{\sim}12$개월(7명)이었다. 고인이 품위 있는 임종을 했다고 생각하는 가족은 36명이었고, 4명은 그렇지 않다고 생각하였다. 품위 있는 임종이라고 생각하는 이유로는 '준비된 죽음을 맞이했기 때문에'(16명)가 가장 많았고, '편안한 임종을 하셨기에'(7명)가 다음으로 많았다. 품위 있는 임종의 정의에 대한 견해는 '영적으로 안녕한 상태에서 임종하는 것'(9명), '신체적 안녕'(7명), '심리사회적안녕'(7명), 무응답자(16명)이었다. 21명의 가족들이 '아직은 슬픔을 극복하는 데 어려움이 있다.' 라고 하였고, 사별 후 가장 어려운 점은, 참석가족들은 '외로움'(7명), '우울감'(10면)이나, 비참석가족들은 '외로움(7명)', '경제적 문제/역할수행상의 어려움'(7명)의 빈도였다. 대처방법에서는, '영적 승화'(13명), '일상생활에의 몰두'(10명), '애도과정에의 몰입(계속 슬퍼함)'(3명)으로 응답하였다. 병원으로부터 사별가족모임의 초대장을 받았을 때의 느낌에 대해서는 '반가움과 고마움'(21명), '슬픔'(4명), '괴로움'(4명), 무응답(11명)이었다. 비 참석 가족들은 '반가움과 고마움'(4명)이었다. 사별가족 모임 참석에 대한 망설임의 유무와 이유에 대해서는, '망설이지 않았다'(34명)가 '망설였다'(6명)보다 높게 나타났다. 사별가족모임에 참석한 후의 소감, 개선사항, 아쉬운 점에 대한 질문에는, 대부분의 응답자들이 '의미 있는 시간이었다', '사별가족에 대한 배려와 관심에 대해 감사한다.'라는 긍정적인 응답이 있었고, '고인에 대한 회상을 할 수 있는 자리여서 좋았다.' '사별가족모임이 일년에 한 번이 아니라 계속적으로 있었으면 한다.', '한편은 슬프고 한편은 기쁘다.' 등의 의견이 있었다. 사별 후 느끼는 가장 큰 어려움에 대해 참석가족은, '우울감'(10명), '외로움'(7명)의 빈도가 높았고, '그리움'(1명), '경제적/역할상 어려움'(4명), 무응답(6명)으로, '우울감'이 가장 큰 어려움으로 나타났다. 반면에, 비참석 가족에서는, 가장 큰 어려움은 '경제적/역할상 어려움'(6명), '외로움'(5명), '우울감'(3명), '후회감'(1명), '고인에 대한 원망감'(1명), '특별히 어려움이 없다'(1명)라고 답하였다. 결론: 호스피스 서비스를 경험한 사별가족들은 고인이 품위 있는 임종을 맞이하였다고 생각하는 견해가 높았고, 그 이유가 준비된 죽음을 맞이하였기 때문이라는 견해였다. 이는 호스피스 서비스가 품위 있는 임종에 도움이 됨을 시사한다. 본 연구조사에서 임종 후 $1{\sim}3$개월 이내의 사별가족들이 사별모임에의 참석빈도가 가장 높았다. 사별 후 슬픔을 극복하기에 아직 어려움을 겪고 있는 가족들이 가장 많았다. 그들이 겪는 가장 큰 어려움은 외로움이고, 이에 대해 영적 승화, 일상생활에 몰두로 극복하고자 노력하는 경향이나, 애도과정 자체에 몰입한다는 견해도 있었고, 사별가족모임에 대한 반응은 반가움과 고마움이 높았으면서도 모임참석에 망설이지 않는 경향이 높으면서도 실제 참석도는 전체 임종자 가족에 비해 낮았다. 사별가족모임에 비참석한 가족들은 참석한 가족들보다 경제적/역할 어려움을 더 느끼는 경향이나, 응답자 전체수가 적기에 일반화를 내리기에는 한계가 있다. 따라서 향후 연구에서 사별가족 모임에의 참석에 대한 망설임 요인, 요구도에 대한 추가 조사를 통해 객관적 기준을 마련하는 것을 추후 연구 과제로 삼아야겠다.