• 제목/요약/키워드: 자아통합

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노인의 자아통합감 개념 분석 (The Concept Analysis of Ego-integrity in the Elderly)

  • 장성옥;공은숙;김귀분;김남초;김주희;김춘길;김희경;송미순;안수연;이경자;이영휘;전시자;조남옥
    • 대한간호학회지
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    • 제34권7호
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    • pp.1172-1183
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    • 2004
  • Purpose: Ego-integrity in Erikson's stage theory is used frequently among health team members related to the care of the elderly and has specific meanings within the context of quality of life in later life. However, the concept of ego-integrity in the elderly has not been well articulated in the literature. This study was conducted clarify and conceptualize the phenomena of ego-integrity in the elderly. Method: A Hybrid Model of concept development was applied to develop a concept of ego-integrity, which included a field study carried out in Seoul, South Korea using in-depth interviews with old adults who were admitted as a right person for research subject according to attributes of ego-integrity analysed in the theoretical phase. Results: The concept of ego-integrity emerged as a complex phenomenon having meanings in several different dimensions which encompassed several attributes. Conclusions: Ego-integrity is a concept having needs that should be treated in a specific way and it is possible to enrich the meaning and methods to manage ego-integrity in nursing interventions for promoting quality of life so that its application may have effects that have positive impacts on the elderly's well being.

생애회고적 이야기치료 집단프로그램이 노인의 자아통합감 증진에 미치는 효과 (Effects of Life Review-Narrative Group Therapy Program to Increase Ego-Integrity in the Elderly)

  • 여인숙;김춘경
    • 대한가정학회지
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    • 제44권5호
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    • pp.157-169
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    • 2006
  • The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.

노년기 여성의 자아통합감과 인구통계적 특성, 건강 및 외모행동과의 관련 연구 (Ego Integrity, Appearance Behavior, Health, and Demographic Variables of Elderly Women)

  • 이은실;안성아
    • 대한가정학회지
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    • 제43권12호
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    • pp.153-163
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    • 2005
  • The purposes of this study were to investigate the differences of appearance behavior and ego integrity of elderly women according to demographic variables, and health, and to examine how the ego integrity of elderly women was influenced by appearance behavior, health, and demographic variables. The subjects were 117 elderly women(aged 60 to 70) in Jinju, Korea who were interviewed face-to face with a survey questionnaire. The results of the study were as follows. There were significant differences in appearance adornment and ego integrity (wise living and attitude toward life) according to age. After controlling for age, there were significant differences in appearance interest, makeup, and ego integrity according to education. There was a significant difference in ego integrity (attitude toward life) according to the presence of a spouse or mate. There were significant differences in appearance interest, makeup, and ego integrity according to health. Health and education had a significant effect on satisfaction with the present living. Health, age(-), and appearance behavior had a significant effect on wise living. Health, age(-), and education had a significant effect on attitude toward life. Education and health had a significant effect on appearance behavior. The present findings indicate that health state and appearance behavior, such as appearance interest and makeup, had a significant effect on the ego integrity of elderly women. On the whole, the ego integrity of elderly women was positively correlated with the level of health state, education, and appearance behavior.

우울한 여성독거노인의 자아통합감 증진을 위한 인지행동치료 프로그램 개발 및 효과 (The effectiveness of cognitive behavioral therapy for ego-integrity of depressed elderly women living alone)

  • 김지현;정효운;김정민
    • 한국가족관계학회지
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    • 제21권3호
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    • pp.49-72
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    • 2016
  • Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.

한국 재가노인의 신체활동과 신체활동 자기효능감, 주관적 건강상태, 노화태도, 자아통합감의 관계 (Correlations between Self-efficacy for Physical Activity, Perceived Health Status, Attitudes toward Aging, Ego-integrity and Overall Physical Activity in Community-dwelling Older Koreans)

  • 김세민;임경춘;이주현
    • 근관절건강학회지
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    • 제29권3호
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    • pp.218-227
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    • 2022
  • Purpose: This study aimed to describe the current level of physical activity (PA) and to explore the relationships between self-efficacy for PA, perceived health status (PHS), attitudes toward aging, ego-integrity and PA in community-dwelling older Koreans. Methods: A total of 164 participants were recruited from community centers, churches, and senior welfare centers in Korea. With questionnaires, a survey was conducted from June 3rd to 22th, 2016. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA and Pearson's correlation coefficient using SPSS/WIN 22.0 program. Results: The mean amount of total PA was 5,295.33±6,272.38 MET/min/week. The number of subjects engaged in vigorous, moderate, and low-intensity activities were 87 (53.0%), 45 (27.4%), and 32 (19.5%), respectively. Overall, physical activities were different according to the presence of spouse (t=-2.79, p=.006) and the presence of housemate (t=2.03, p=.044). The mean scores of self-efficacy for PA, PHS, attitudes towards aging, and ego-integrity were 17.16±4.45, 9.00±2.41, 68.12±9.28 and 51.62±7.59, respectively. There were significant positive correlations between overall PA and self-efficacy for PA (r=.34, p<.001), PHS (r=.23, p=.003), attitudes towards aging (r=.26, p=.001). Conclusion: Specific programs to promote physical activities in addition to continuous education for improving self-efficacy for PA, PHS, and attitudes towards aging in community-dwelling older adults are needed.

재가 노인의 자아통합감에 영향을 미치는 요인 (Factors Influencing Ego-Integrity in Community Dwelling Elders)

  • 장혜경;오원옥
    • 기본간호학회지
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    • 제18권4호
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    • pp.529-537
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    • 2011
  • Purpose: This study was done to identify the relationship of perceived health status, depression, meaning of life, and family function and to ego integrity, and to investigate the main factors influencing ego-integrity in community dwelling elders. Method: The research design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 157 community dwelling elders located in 3 cities, Seoul, Seosan and Gyungju. Data analysis was done using SPSS 15.0 pc+ program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences between ego-integrity according to gender, religion, economic level and amount of spending money. Ego-integrity had significant positive correlations with perceived health status, meaning of life, family function and a negative correlations with depression. The major factors that affect ego-integrity in community dwelling elders were self-awareness and acceptance, contentedness with past and present, gender and family function, which explained 62.7% of ego-integrity. Conclusion: Findings from this study provide a comprehensive understanding of ego-integrity and related factors for community dwelling elders.

사할린 영주귀국 노인의 건강상태와 자아통합감 (Health Status and Ego-Integrity of the Permanent Elderly Returnees from Sakhalin)

  • 이영수;송경애
    • 한국보건간호학회지
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    • 제30권1호
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    • pp.5-16
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    • 2016
  • Purpose: This correlational study was conducted to determine the relationship between health status and ego integrity of permanent elderly returnees from Sakhalin. Methods: We surveyed 94 permanent elderly returnees from Sakhalin, living in Gimpo, Korea. Data were analyzed using the SPSS/WIN 18.0 program for descriptive statistics, t-test, $Scheff{\acute{e}}$ test, ANOVA, and Pearson correlation coefficient. Results: The mean score of total health status was 3.7 on a 5 point Likert scale. The mean score of ego integrity was 3.6 on a 5 point Likert scale. The health status showed significant correlation with the ego integrity of the permanent elderly returnees from Sakhalin. Conclusion: In the present study, although the health status of the permanent elderly returnees from Sakhalin appeared to be good, the lack of awareness about health care and the need for ego integrity, is in itself the actual suffering. Thus by providing health education along with medical information can enhance the health management. And, this practice can be self regulating for the society and can provide institutional support for the permanent elderly returnees from Sakhalin, which they require.

온라인대학 노인학습자들의 삶의 경험 (Lived Experience of Older Learners in an Online University)

  • 이은주
    • 한국콘텐츠학회논문지
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    • 제10권8호
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    • pp.433-450
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    • 2010
  • 이 연구의 목적은 정규학위 과정의 온라인대학에 다니는 노인학습자들의 삶의 경험을 묘사하고 이해하는 것으로 질적 연구방법론을 적용하여 노인학습자들이 대학에서의 학업에 대해 해석하고 의미하는 바를 고찰하였다. 자료는 사이버대학에 입학하여 학업을 수행하고 있는 서울과 수도권 지역에 거주하는 10명의 노인들과의 심층면접을 통해 수집되었다. 사이버대학에서의 노인학습자들의 학업경험에 대한 분석 결과 과거의 자아, 관행 깨뜨리기, 새롭게 도전하기, 자기실현을 얻기, 새로운 정체성으로 통합됨, 미래지향적 자아라는 6개의 중심주제가 파악되었다. 결론적으로 참여자들은 온라인대학에서의 학업의 경험을 통해 과거지향적인 자아감에서 더욱 긍정적이고 미래지형적인 자아감으로 변화한 것으로 나타났다.

노인의 연령집단별 자아통합감에 대한 관련요인 비교 (A Comparative Study on Related Variables of Ego-Integrity in Elderly by Age Groups)

  • 김희경
    • 성인간호학회지
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    • 제19권5호
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    • pp.12-26
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    • 2007
  • The purpose of this study was to examine what types of customized nursing intervention for the elderly were most effective by looking at age group difference and other factors related to ego integrity. Methods: A secondary analysis was used with 104 elderly people. The data were analyzed using $\chi^2$-test, Fisher's exact test, ANCOVA, Pearson's correlation analysis and multiple regression. Results: For those 80 and older, powerlessness was higher than for those in their 60s and 70s. The factors influencing ego integrity for those in their 60s were powerlessness, economic condition, source of discretionary money, and health condition; for those in their 70s - life satisfaction, self-esteem, and health condition; and for those 80 and older - life satisfaction and source of discretionary money. Conclusion: In nursing for the elderly, age differences should be taken into consideration. The study suggests that for people in their 60s, the creation of jobs that allow them to earn money is important. For people in their 70s over, offering of health care and self-esteem programs through community health centers are equally important. For people in their 80s over, nursing programs for advocacy, support, and psychological care are needed in order to elevate their life satisfaction.

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임신에 대한 자아통제감 향상하기: 임신부의 정보추구 경험 유형 (Increasing Sense of Self-Control over Pregnancy: Information Seeking Patterns of Pregnant Women's)

  • 김갑선
    • 한국도서관정보학회지
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    • 제44권3호
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    • pp.125-152
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    • 2013
  • 본 연구는 근거이론 방법을 적용하여 임신부들이 경험하는 정보추구의 독특함을 총체적으로 반영한 정보추구의 실체이론을 개발하였다. 이론적 표집에 의하여 산전진료에 참여하고 있는 16명의 임신부를 대상으로 심층적인 면담을 수행하였다. 자료 분석은 근거이론 절차에 따라 자료수집과 자료 분석을 동시에 수행하였고, 지속적인 비교분석을 하였다. 임신기의 정보추구의 맥락, 구조, 과정의 분석 결과, 임신부의 정보추구 경험을 통합하는 핵심범주는 '임신에 대한 자아통제감 향상하기'로 도출하였다. 즉, 임신의 과정동안 임신부들의 의도적이고 일상적인 정보추구행위는 합맥락적이고 합리적으로 임신상황에 대처해 나갈 수 있는 능력을 향상해 나가는 과정이라는 것이다. '임신에 대한 자아통제감 향상하기'의 경험 유형은 '필사적 추구형', '적극적 추구형', '무관심 추구형', '체념적 추구형'으로 나타났다. 또한, 본 연구결과의 특징 및 선행 정보추구 모형과의 비교 및 임신부들을 위한 정보서비스 개발을 논하였다.