• 대한간호학회지
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• 제16권2호
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• pp.36-43
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• 1986

The main purpose of this study was to explore the effect of the stress of hospitalization on the sleep pattern. Additionaly, this study was also to demonstrate how Johnson's nursing model may be applied to as nursing process. 104 hospitalized patients on surgical and medical wards were asked to rate 49 stress producing events associated with experience of hospitalization and sleep pattern scale. Five university hospitals were used as the setting for this study. Data for the study were collected by patient interview during hospitalization, self-reports and review of charts. For the analysis of the data, the pearson's correlation analysis of covariance and regression analysis were used. The results of this study were stated as follows; 1. The mean of the hospital stress scores was 111.261(S.D.=26.160). This means that the level of the hospitalization stress is high. The mean of the sleep pattern scores was 12.204(S.D. =2.615) This means that the characteristic's of the sleep pattern is poor. 2. The relationship between the hospitalization stress and sleep pattern was statistically significant at .01 level. 3. The effect of the hospitalization stress influenced strongly on the sleep pattern after sex, trait anxiety as covariates controlled. 4. The hospitalization stress revealed a 12% pre-diction as an influenced factor for the sleep pattern. Therefore, It can he said that the hospital stress did contribute significantly to the characteristics of the sleep pattern. Johnson's model can he also said that it is useful for the the assessment and diagnosis in nursing process.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.188-201
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• 2016

본 연구의 목적은 재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인을 파악하기 위하여 시도된 설명적 상관관계 연구이다. B시에 소재한 3개의 재활전문병원 주 돌봄 제공자 200명에 대한 자료를 2015년 9월 1일부터 9월 30일까지 수집하여 SPSS Win 18.0 프로그램을 이용하여 분석하였다. 연구도구는 Connor-Davidson Resilience Scale, Caregiving Mastery Subscale, MOS(Medical Outcomes Study), Burden Interview(BI)를 사용하여 측정하였다. 스트레스에 가장 큰 영향을 미치는 요인은 사회적지지로 전체의 9.3%의 설명력을 보였고, 다음으로 환자를 돌봄 기간, 종교 유무, 경제적 상태, 주 돌봄 제공자 연령, 회복 탄력성, 주 돌봄 제공자 건강상태, 환자 의식상태, 환자연령을 포함하여 주 돌봄 제공자의 스트레스는 총 30%의 설명력을 나타냈다. 따라서 이러한 결과를 바탕으로 재활전문병원에 입원중인 주 돌봄 제공자의 스트레스를 감소시킬 수 있는 사회적지지 프로그램의 개발이 필요하며, 스트레스에 영향을 준 제 특성요인들을 고려하여 스트레스 중재프로그램을 개발할 필요가 있을 것이다.

• 대한간호학회지
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• 제19권1호
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• pp.99-107
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• 1989

This study explored differences in how medical and surgical patients compare on the degree of hospital stress and their subjective physical status. Subjects were 343 medical and surgical patients in five university hospitals in Seoul and Taegu. They responded to the Hospital Stress Rating Scale and a self-report on physical status. The controlled variables were age, education, number of previous hospitalizations and seriousness of the illness. Medical and surgical patient differences on nine factors of the hospital stres scale and nine areas of physical conditions were reported as follows edplored : 1. 1) There was not a statistically significant difference at the .05 level in the total mean score for hospital stress between medical patients and surgical patients. 2) The mean score of the factor lack of information (M＝2.308) for medical patients was higher than the mean score (M＝2.064) of the surgical patients. 3) The mean scores of the factor of discomfort (M＝2.130), loss of independence (M＝1.889) for surgical patients were higher than for medical patients. 2. 1) There was a statistically significant difference at the .05 level in the total mean score for physical status between medical patients and surgical patients. 2) The mean scores were lower in subjective physical status for surgical patients(S) than for medical patients (M) ; stomach condition (S : M＝2.8433, M : M＝3.0-000), self-assistance(S : M＝3.0373, M : M＝3.4498), movement (S : M＝2.6716, M : M＝3.2392), interest in your surroundings (S : M＝3.0522, M : M＝3.2632). 3. Patients scoring high on the subjective physical status such as sleep, appetite, stomach condition bowel condition and urination states had higher scores in hospital stress than with patients scoring low on those subjective Physical status. The results suggest that subjective physical status might be on expression of hospital stress. Also patients with high scores in subjective physical statas might be predicted have a high level of stress on admission. And surgical patients had a higher level of hospital stress than medical patients.

• 동서간호학연구지
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• 제24권1호
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• pp.70-80
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• 2018

Purpose: This study was conducted to explore the mediating effects of internalized stigma on the relationship between hospitalization stress and quality of life among patients with mental illness in closed wards. Methods: A cross-sectional study design was employed. The participants were 141 hospitalized patients with mental illness in the closed wards of K university hospital and Y psychiatric hospital in Korea. Data were collected using self-report questionnaires including hospitalization stress, internalized stigma and quality of life. Data were analyzed using SPSS 21.0 and AMOS 21.0 programs and the mediating effects were examined by the method suggested by Baron and Kenny. Results: There was a significant correlation between hospitalization stress, internalized stigma and quality of life of psychiatric patients. In addition, internalized stigma was found to have a partial mediating effect on the relationship between hospitalization stress and quality of life. Conclusion: The results suggest that the internalized stigma plays an important role in improving the quality of life of the people with mental illness in a closed unit. Therefore, it is necessary to develop a program focusing on internalized stigma for improving the quality of life in hospitalized patients in a closed unit.

• Journal of Hospice and Palliative Care
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• 제15권2호
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• pp.77-87
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• 2012

목적: 이 연구는 선호 음악 감상이 말기암환자의 통증 정도에 따른 정서 및 스트레스에 미치는 효과를 파악하고자 함이다. 방법: 이 연구에 참여한 대상자는 경상북도 선린병원의 호스피스 완화의료 병동에 입원한 18세 이상의 말기암환자 20명이었으며, 대상자들에게 자신이 선호하는 음악을 선택하도록 하여 각 회기 당 30분씩 총 6회 제공하였으며, 실험 전후, 사전사후 조사를 하였다. 연구 도구로는 통증 자각 척도 중 숫자 통증 등급(Numerical rating scale, NRS), 정서상태 측정 설문지, 스트레스 설문지를 사용하였다. 통증인식 수준에 따른 집단 간 차이를 비교하기 위해 실험 전 자가 통증 척도에 따라 두 집단(통증 점수가 5점 이하인 집단과 통증 점수가 6점 이상인 집단)으로 나눈 후, 주 2회로 매 1회 당 30분씩 총 6회 실험하였다. 매 회기 사전사후 정서 변화를 측정하였고, 1회기 전과 6회 후 스트레스를 측정하였다. 정서 변화와 스트레스는 대응 2-표본 비모수 통계 처리하였고, 추가 분석으로 정서 변화 검사에서 1회기 전과 매회기 후를 반복 측정 분산 분석으로 처리하였다. 결과: 정서상태 변화를 위한 사전사후 검증에서 유의한 차이가 나타났고(P<0.001), 스트레스도 감소된 것으로 나타났다(P=0.001). 두 집단은 통증 인식 수준이 달랐지만 음악치료중재를 통해 모든 대상자들은 정서상태 변화와 스트레스 감소 효과를 나타냈다. 결론: 본 연구 결과들은 선호 음악 감상이 호스피스 완화의료 병동에 입원한 말기암환자들의 통증인식 정도 차이에도 불구하고 두 집단 모두에게 정서와 스트레스를 긍정적으로 전환하기 위한 효과적이고 적절한 중재임을 보여준다.

• 동서간호학연구지
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• 제23권1호
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• pp.86-95
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• 2017

Purpose: This study was conducted to investigate the effects of forest walking program on stress and recovery among schizophrenic patients in a closed ward. Methods: A non-equivalent control group pre-posttest design was used. The participants were composed of 36 patients with schizophrenia admitted in two psychiatric hospitals. The experimental group (n = 18) received the forest walking program twice a week with a total of 6 weeks. Results: The study results revealed that the forest walking program was effective on stress(${\chi}^2=34.11$, p<.001), subjective recovery(${\chi}^2=22.40$, p<.001) and clinical recovery(F=28.34, p<.001) of hospitalized patients with schizophrenia. Conclusion: The findings indicate that the forest walking program for schizophrenic patients in the closed ward can be an effective nursing intervention to reduce stress and improve recovery ability. We suggest that mental health nurses may adapt this program to help patients with schizophrenia in a closed ward.

• 대한간호학회지
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• 제44권3호
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• pp.339-349
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• 2014

Purpose: This study was done to develop a measurement for stress experienced by patients with schizophrenia during hospitalization. Methods: The preliminary tool was developed through in-depth interviews and a validity verification test of content. For data collection, 15 inpatients with schizophrenia were selected as participants for in-depth interviews and 195 patients admitted to one of eight psychiatric hospitals in four provinces were recruited as participants to test reliability and validity of the preliminary tool. Results: The questionnaire was developed as a four-point Likert-type scale in a self-report form with 28 items. Factor analysis showed 28 items in six factors. Factors were named 'Unjust human rights infringement', 'Futureless life', 'Alienation from other family members', 'Infringement of basic needs', 'Infringement of personal preference' and 'Inconvenience of shared living'. The six factors explained 63.5% of the total variance. Cronbach's alpha for the total items was .93 and for the factors ranged from .65 to .87. Conclusion: A tool to measure stress in patients hospitalized with schizophrenic was developed based on identified hospitalization stress experiences. Study results indicate that this tool can be used to evaluate hospitalization stress in these patients and will contribute to establishing nursing interventions for relief of hospitalization stress.

• 기본간호학회지
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• 제18권4호
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• pp.480-487
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• 2011

Purpose: This study was done to examine the effects of aroma hand massage on stress response and sleep in hospitalized elderly patients. Methods: A non-equivalent pre-and post-test design was used. Sixty-six hospitalized patients were recruited using a convenience sampling method and assigned to the experimental (n=34) or the control group (n=32). For the experiment, bergamot, lavender, and roman camomile oil were mixed in 2:1:1 ratio to provide aroma hand massage to both hands of each patient in the experimental group for 5 minutes per hand, for 3 days. Post-test data collection was conducted three days after completion of the hand massage. Results: The experimental group had significantly lower stress score (t=-2.648, p=.010, and anxiety scores (t=-4.166, p=.000), and higher sleep measurement scores (t=2.328, p=.023) than those in the control group. Conclusion: These results indicate that short-term application of aroma hand massage for hospitalized elderly patients has a positive effect on hospitalization stress, anxiety, and sleep. Therefore, aroma hand massage should be applied as a nursing intervention to reduce stress response and enhance sleep in elderly hospitalized patients.

• 한국실내디자인학회논문집
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• 제25권5호
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• pp.148-156
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• 2016

This study proposes the structural model of inpatient's satisfaction with their room. Relationship among patients' privacy, patients' stress, and patients' satisfaction were evaluated and were discussed. Survey research followed the literature review, in which the subjects answered questions of the 12 items for the patients' privacy requirements, 10 items selected from the HSRS, and an item of patients' satisfaction. A total of 120 copies were analyzed through the statistical process using the SPSS Win Program 20.0 and SEM by the AMOS 20.0. Results and conclusions are as follows: (1) the inpatients' privacy requirements was subdivided into 'the reserve factor', 'the territoriality factor', and 'the solitude factor'. (2) The inpatients' stress level was subdivided into 'the relationship factor', 'the unfamiliarity factor', and 'the control factor'. (3) The model of relationship among the subjects' privacy requirements, stress level and their satisfaction with the patients' room showed that the subjects' stress level affected their satisfaction with the patients' room directly and the subjects' privacy requirements gave an direct and indirect effect on their' stress level and an indirect effect on their satisfaction with patients' room.

• 대한간호학회지
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• 제48권4호
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• pp.443-453
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• 2018

Purpose: The purpose of this study was to construct an acceptance-commitment therapy (ACT)-based stress management program for inpatients with schizophrenia and to examine its effects on hospitalization stress, self-efficacy, and psychological well-being. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 44 inpatients with a diagnosis of schizophrenia. The experimental group (n=22) received the ACT-based stress management program twice a week for a total of four weeks. The control group (n=22) received the usual care from their primary health care providers. The study was carried out from August 7 to September 1, 2017, and data were analyzed using IBM SPSS/WIN 22.0 with a Chi-square test, Fisher's exact test, and an independent t-test. Results: The experimental group showed a significant decrease in hospitalization stress (t=5.09, p<.001) and an increase in self-efficacy (t=2.44, p=.019). However, there was no significant difference in psychological well-being between the two groups (t=0.13, p=.894). Conclusion: The results of this study suggest that the ACT-based stress management program can be used as an effective mental health nursing intervention for hospitalization stress and self-efficacy for inpatients with schizophrenia.