• 지역사회간호학회지
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• 제14권4호
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• pp.568-578
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• 2003

본태성 고혈압 환자를 대상으로 고혈압 자가관리를 증진시키고 생리적 지표인 혈압, 총콜레스테롤치를 감소시키기 위한 자가관리프로그램의 효과를 검증하기 위해 2001년 9월 15일부터 2002년 4월 30일 까지 상주적십자병원에 등록된 본태성 고혈압환자로서 혈압이 140/90mmHg 이상이거나 항고혈압제를 복용 중인 35세이상 75세 미만 남 여 70명을 대상으로 한 유사실험 연구이다. 식습관 변화에서 저염분섭취정도와 고칼슘 칼륨섭취 정도가 1차 사후 검사와 2차 사후 검사시 실험군에서 유의하게 높아졌고, 두 군 간에도 유의한 차이가 있었다(p<0.05, p<0.01). 그러나 동물성 지방섭취정도에는 1차 사후 검사와 2차 사후 검사시 실험군과 대조군 모두 유의한 차이가 없었으며 두 군간에도 유의한 차이가 없었다. 생활습관의 프로그램 중재 효과지수는 흡연이 1차 사후 검사시 0.797, 2차 사후 검사시 0.601, 운동이 1차 사후 검사시 0.600, 2차 사후 검사시 0.849이었다. 그리고 음주정도의 변화는 거의 없었다. 규칙적 항고혈압제 복용의 프로그램 중재 효과지수는 0.715이었다. 생리적 지표 중 수축기 혈압은 실험군과 대조군 모두 1차 사후 검사와 2차 사후 검사시 낮아졌으나 2차 사후 검사시 두 군 간에 유의한 차이가 있었다(p<0.05). 이완기 혈압은 실험군과 대조군 모두 1차 사후 검사와 2차 사후 검사시 낮아졌으나 (p<0.05), 두 군 간의 유의한 차이는 없었다. 총콜레스테롤치는 실험군이 2차 사후 검사시 낮아졌으나 유의한 차이는 없었고 두 군 간에도 유의 한 차이는 없었다. 이러한 결과를 바탕으로 고혈압자가관리증진프로그램이 식습관과 생활습관의 개선, 그리고 규칙적인 항고혈압제 복용을 포함하는 자가관리를 증진시키고, 수축기 혈압 감소에 영향을 미치는 것을 확인하였으며 장기적으로는 이완기혈압, 총콜레스테롤치 조절에 영향을 미치는 결과를 가져올 수 있을 것으로 본다.

• Journal of Korean Biological Nursing Science
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• 제17권3호
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• pp.253-261
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• 2015

Purpose: The purpose of this study was to identify the effects of the patient controlled analgesics (PCA) education program (including practicum) on post-op pain suffered by patients who have undergone gynecologic laparoscopic surgery. Methods: The research was designed for a nonequivalent control group before and after the test design. The subjects of this study were 54 in all and were divided into an experimental group and a control group. The program consisted of a brochure for PCA use and a practicum with an actual PCA instrument. Data were collected with questionnaires and observations and were analyzed on the basis of frequency, percentage, mean, standard deviation, ${\chi}^2$ and t-test. Results: Complaints regarding pain by the experimental group were significantly less than those of the control group in both post-op 24-hour and post-op 48-hour reporting. The experimental group pressed the PCA button much less frequently than the control group in post-op 24 hours. However, there were no significant differences in side effects between the two groups. Conclusion: Based on the results of this study, this PCA education program can be useful in the clinical nursing field and helpful for patients who use PCA.

• 한국융합학회논문지
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• 제7권6호
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• pp.55-65
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• 2016

이 연구의 목적은 한국 간호학생의 임상실습만족도에 미치는 융복합적 영향요인을 확인하기 위해 조사되었다. 자료수집은 자가보고기입식 형태로 수집기간은 2015년 4월 1일부터 5월 15일까지였으며, 연구대상자는 일개 중소규모의 4년제 대학의 간호학생 83명이었다. 자료분석은 SPSS 22.0 프로그램을 이용하였으며, 서술적 통계, T-test, 분산분석(ANOVA), 피어슨 상관관계 및 단계적 다중회귀분석 방법을 사용하였다. 전공만족도는 대상자의 연령에 따라 유의한 차이를 보였다. 임상실습만족도는 전공만족도와 임상역량 모두 유의한 순상관관계를 나타냈다. 임상실습만족도에 유의하게 영향을 미치는 요인은 전공만족도와 임상역량이었으며, 두 요인이 전체 변량의 26%를 나타내었다. 따라서 한국 간호학생의 전공만족도와 임상역량을 증진시키기 위해서는 간호학생에게 임상적응프로그램과 프리셉터 교육을 제공하는 것이 필요하다.

• 한국콘텐츠학회논문지
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• 제15권10호
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• pp.280-291
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• 2015

본 연구는 간호대학생의 자아탄력성, 감성지능, 스트레스 대처방식이 대학생활 적응에 미치는 영향을 확인하고자 시도되었다. 연구대상자는 서울과 경기 지역에 소재한 3개의 4년제 간호대학 1, 2학년 학생이며, 자료수집은 자가보고식 설문지를 사용하여 2014년 10월 27일부터 11월 7일까지 시행하였다. 자료는 SPSS/WIN 21.0 프로그램을 이용하여 t-test, ANOVA, Pearson correlation, multiple regression으로 분석하였다. 간호대학생의 대학생활 적응은 자아탄력성, 감성지능, 스트레스 대처방식과 양의 상관관계를 보였다. 대학생활 적응에 영향을 미치는 요인은 감성지능(${\beta}=.431$, p<.001), 자아탄력성(${\beta}=.225$, p<.001), 전공만족도(${\beta}=-.178$, p=.002), 학교성적(${\beta}=.170$ p=.002), 대인관계(${\beta}=.167$, p=.003), 성별(${\beta}=-.167$ p=.003)로 53.9%의 설명력을 보였고, 감성지능이 가장 영향력 있는 요인으로 나타났다. 그러므로 간호대학생의 대학생활적응을 돕기 위해 감성지능과 자아탄력성를 향상시킬 수 있는 교육 커리큘럼과 함께 전공만족도를 증진시킬 수 있는 교과외 활동을 통합하는 프로그램을 개발하고 체계적으로 운영할 방안을 모색해야 할 것이다.

• 디지털융복합연구
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• 제17권12호
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• pp.413-425
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• 2019

본 연구는 저학년 간호대학생의 우울 영향 요인을 탐색하기 위한 서술적 조사연구이다. 본 연구를 위해 S와 G지역의 종합대학 저학년 간호대학생 144명에게 신체증상, 수면의 질, 스트레스, 대학생활 적응, 우울로 구성된 자가보고식 설문지로 자료를 수집하였다. 저학년 간호대학생의 우울은 평균 18.89점이며, 58.3%가 임상치료가 필요한 우울증상을 경험하고 있었다. 우울 영향 요인으로 대학생활 적응(β=-.503, p=.000), 신체증상(β=.263, p=.000)순으로 나타났고, 우울의 설명력은 58.9%로 나타났다. 이에 저학년 간호대학생의 우울을 조절하기 위해서 입학초기부터 기초학습 능력을 진단하고, 학습능력향상을 위한 수준별 맞춤형 프로그램 제공을 통해 학문적 적응을 돕는 지도관리 방안이 마련되어야 할 것이다. 또한 다빈도로 경험하는 피로감/기운없음과 같은 신체증상을 완화하기 위한 다양한 중재프로그램의 개발 및 적용이 필요하다.

• 가정간호학회지
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• 제27권3호
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• pp.294-305
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• 2020

Purpose: The aim of this study was to examine the preliminary effects of applying a developed web-based video education program in patients with cancer receiving chemotherapy. Methods: A one-group pre-post test design was used. The web-based video education program to prevent infection consisted of 5 subjects. The program was confirmed to be valid by an expert group of doctors and nurses. Convenience sampling of 23 subjects was performed to evaluate the effectiveness of the web-based video education program. Data were analyzed based on nonparametric statistics using SPSS 25.0 software. Results: Per the results of the study, knowledge and self-management behavior of infection prevention significantly improved after application of the program; however, there was no significant difference in self-efficacy. Conclusion: It was confirmed that the web-based video education program is effective to improve the knowledge and self-management behavior of infection prevention. However, as a preliminary study, this study did not have external validity. Therefore, it is necessary to verify the effectiveness of the program through randomized controlled trials and confirm the true infection prevention effect that was not considered in this research design.

• 성인간호학회지
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• 제15권4호
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• pp.660-669
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• 2003

Purpose: The purpose of this study was to identify the effects of self-efficacy promoting program on self-efficacy, self-care, and anxiety in cancer patients receiving chemotherapy. Method: A quasi-experimental nonequivalent control group pre and post design was used. Subjects were 52 cancer patients who received chemotherapy in a hospital. Twenty-six patients were assigned to the experimental and the control groups, respectively. For the experimental group, the CD image for fifteen minutes and two consultations for about ten minutes each were applied. For the control group, ordinary hospital care was applied. The data was collected before and 2 weeks after chemotherapy. Result: The scores of self-efficacy and self-care of the experimental group was higher than those of the control group while the state of anxiety of the experimental group was not lower than that of the control group at posttest. Conclusion: The self-efficacy promoting program about prevention of infection and hemorrhage increased cancer patients' self-efficacy and self-care but did not decrease anxiety. Further study is needed to find other factors to decrease anxiety and nurses need to consider the concept of self-efficacy in cancer patients receiving chemotherapy when they plan to increase cancer patients' self-care.

• 한국농촌간호학회지
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• 제5권1호
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• pp.5-15
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• 2010

Purpose: This study was conducted to examine the effects of a self-control promotion program on self-efficacy, self-care and physiological indicators of patients with diabetes who live in local communities. Method: This research was designed using a nonequivalent control group pre, posttest study. Data were collected from December, 2008 through March, 2009. The participants of the study consisted of 93 patients with diabetes who live in a local community. A self-control promotion program was provided for the experimental group for 12 weeks. Data were collected through self-report questionnaires and direct measurements, and analyzed using descriptive statistics, $X^2$-test, and repeated measures ANOVA. Results: There were significant differences in self-efficacy and self-care between the experimental and control groups. However, there were no significant differences in physiological indicators such as fasting blood sugar, HbA1C, BMI, and BP between the two groups. Conclusion: The results indicate that the self-control promotion program was effective in promoting self-efficacy and self-care, which are crucial factors in controlling diabetes mellitus. However, a longitudinal study needs to be done to confirm the effects of self-control promotion programs on long-term glucose control.

• 임상간호연구
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• 제30권1호
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• pp.45-53
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• 2024

Purpose: This study aimed to investigate the effectiveness of preoperative patient-controlled analgesia(PCA) education program on older patients with spine surgery. Methods: A quasi-experimental research with a non-equivalent control group pretest-posttest design was conducted to investigate the impact of a PCA education program before surgery on postoperative pain, pain knowledge and attitudes, and frequency of additional analgesic use. The sample size for experimental and control group was 55 respectively. Results: The experimental group, which underwent the PCA education program, had lower postoperative pain scores compared to the control group. Furthermore, the experimental group exhibited a higher level of knowledge on PCA (p<.001) and more positive attitudes toward analgesic use (p<.001). While there was a significant difference in the use of opioid analgesics for additional pain relief between two groups (p<.001), there was no significant difference in the use of non-opioid analgesics. Conclusion: The implementation of the PCA education program was found to increase knowledge and positive attitudes on the use of PCA. Moreover, it significantly alleviated pain, particularly during physical activity, within initial 48 hours after spinal surgey in older patients. Therefore, the findings of this study supported that the PCA education program could be used as a preoperative intervention to alleviate postoperative pain for older patients with spinal surgery.

• 한국보건간호학회지
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• 제34권3호
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• pp.457-472
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• 2020

Purpose: This study examined how a pair-work based health coaching program for the self-care of elderly diabetic patients effects the patients' diabetes self-management knowledge, perceived social support, diabetes self-efficacy, and diabetes self-management behaviors in patients with diabetes. Method: The participants of this study were 55 elderly diabetic patients aged 65 years or older enrolled at elderly welfare centers in U city;26 patients in the experimental group and 29 in the control group. The program consisted of eight group coaching sessions and four sessions of phone-based individual interviews and coaching, that were implemented once a week for 12 weeks. Results: Compared to the control groups, the experimental group showed significant improvement in self-care knowledge, social support, diabetes self-efficacy, self-management behavior, fasting blood sugar and glycated hemoglobin level. Conclusion: The health coaching program is an effective intervention for the self-management of elderly diabetics.