• Title/Summary/Keyword: 정신간호학

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Parenting Experiences of Parents of Children with ADHD : Approaching the Normal (주의력결핍 과잉행동장애(ADHD) 아동 부모의 양육 경험: 정상에 다가가기)

  • Oh, Won-Oak;Park, Eun-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.91-104
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    • 2007
  • Purpose: The purpose of this study was to explore the experiences of parenting from the parents of children with ADHD and to develop a grounded theory about their experiences. Method: This study was a qualitative research study that used a grounded theory to understand and discuss the parenting experiences of parents of children with ADHD in a greater depth. Grounded data was collected through an in-depth interview from twelve participants with ADHD children. The data was analyzed using the grounded theory method. Results: 'Approaching the normal' emerged as the core phenomenone. Parenting experiences for parents of children with ADHD referred to a process of bringing the children, back on track of normal growth development, and their functioning in the family at a normal level and establishing a new normalcy. The process of approaching the normal involved a basic social-psychological process, such as 'living a day in hell', 'accepting', 'confronting the conflicts', 'lowering expectations', and 'making a new normalcy'. Conclusion: The outcomes of this study, which observed the parenting process of parents of children with ADHD, could enhance nurses' understanding of ADHD and help nurses become major mental health service providers for the mental health of children with ADHD and their families.

The Relationship of Health-related Variables with Regular Walking Exercise in the Elderly based on: The Korea National Health and Nutrition Examination Survey(KNHNES) (노인들의 걷기 운동과 건강관련 변인과의 관계)

  • Choi, Yeon Hee;Lee, Choon Ji
    • Journal of Korean Public Health Nursing
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    • v.27 no.1
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    • pp.5-15
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    • 2013
  • Purpose: The purpose of this study was to determine factors related to regular walking exercise in the elderly using KNHNES data. Method: The study subjects, a total of 1437 adults over age 65, were classified into two groups based on their type of walking exercise: regular walking exercise group or irregular walking exercise group. The study variables were measured using scale physiological function, mental health status, chronic disease and quality of life. Results: The data was analyzed by $x^2$-test, t-test, and logistic regression using the SPSS 18.0 program. The factors related to regular walking exercise were male (OR=0.628, 95%CI=0.503-0.783), subjective health state (OR=0.832, 95%CI=0.751-0.921), thoughts of suicide (OR=0.753, 95%CI=0.586-0.967), hypoHDL-cholesterolemia (OR=0.742, 95%CI=0.591-0.930), and stroke (OR=0.604, 95%CI=0.366-0.997). Conclusion: The findings indicate that regular walking exercise in the elderly is related to physiological function, mental health status, and chronic disease. Therefore, providing for the education and awareness of health promotion for the elderly will may improve the quality of life in old age.

Team-Spirit Experiences for New Nurses through off-the Job Training (직장 외 교육훈련을 통한 신입 간호사의 팀 정신 경험)

  • Shin, Mi-Ja;Ahn, Sung-Hee;Lee, Mi-Aie
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.108-116
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    • 2008
  • Purpose: The purpose of this study was to identify the experiences of Team-Spirit training in new nurses. Method: Data was collected through open-ended and self-reported questionnaires which were received from 47 new nurses who had finished team-spirit training for 2 days. The content analysis method was used to derive the core-category, categories and concepts of Team-Spirit training for new nurses. Result: The care category identified in new nurses trained in Team-Spirit was upgrade myself and our team. The following 4 categories also emerged; companion, interdependency, importance of community, and future growth of myself and our community. The derived 12 subcategories were intimacy, importance of companions, binding, partaking in difficulties, empowerment, observing rules, cooperation, consensus, self-pledge as a subordinator, motivating vision formation, developing professionalism, contribution and devotion. The 34 concepts were derived from the new nurses' statements. Conclusion: These results imply that Team-Spirit Training for nurses could contribute to companionship, interdependency, importance of community, and future growth of oneself and the hospital team.

Impact of Psychosocial Wellbeing Status and Self Leadership on the Job Satisfaction of Fire Officers (소방공무원의 사회심리적 건강수준과 셀프 리더십이 직무만족도에 미치는 영향)

  • Lee, Hyun-Ju;Park, Hyoung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.25 no.2
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    • pp.89-98
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    • 2018
  • Purpose: The purpose of this study was to examine the relationship of psychosocial wellbeing status and self leadership with job satisfaction of fire officers. The effects of these variables on job satisfaction were also examined. Methods: The study design was a descriptive, correlational design. For this study, data were collected from 189 fire officers in B metropolitan city, K and Y cities. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and multiple regression analysis with SPSS 21.0 program. Results: The results showed that job satisfaction had a significant correlation with psychosocial wellbeing status (r=-.38, p<.001) and self leadership (r=.26, p<.001). Psychosocial wellbeing status had a significant correlation with self leadership(r=-.47, p<.001). Multiple regression analysis for job satisfaction revealed that the most powerful predictor was psychosocial wellbeing status followed by self leadership. Pychosocial wellbeing status, self leadership, age, marital status and current job task career explained 25.0% of the variance in job satisfaction. Conclusion: Findings indicate that various factors are related to the job satisfaction of fire officers. Based on the results of this study, further development and application of programs to improve fire officers' job satisfaction are needed.

Comparison of risk factors for and experiences with falls according to sex among older adults with dementia in long-term care (노인요양원 치매노인의 성별에 따른 낙상경험 요인 비교)

  • Jung, Eun Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.34-43
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    • 2017
  • Purpose: The purpose of this study was to provide basic data to develop a Fall Prevention Education Program by comparing and analyzing fall experiences and the factors that influence elderly people with dementia suffering falls. Methods: The participants were 302 patients with dementia aged 60 years or older with nursing records of hospitalization in three nursing homes located in a metropolitan area. The SPSS/Win 21.0 package was used to analyze the collected data. A logistic regression analysis was performed to identify the influence factors related to fall experiences. Results: For men, fall experiences were more frequent given the following factors: overweight; high fall risk tendency; aged 90 and above; married; dementia duration period of 5 to 9 years; and taking medication for dementia. For women, the factors included age range of 80 to 89; overweight; obese; both low and high fall risk tendency; separation by death; and having spent less than 1 year in nursing homes. Conclusion: We anticipate positive results in fall prevention education programs for the elderly with dementia if the results of this study are used as basic data, and interventions are customized to consider the sex and the relevant influence factors as to fall experiences.

Content Analysis on Caring Experiences of Mothers of Children with Burns (화상환아 어머니의 돌봄 경험에 대한 내용분석)

  • Nam, Seon-Hi;Seo, Ji-Min
    • Women's Health Nursing
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    • v.18 no.4
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    • pp.257-267
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    • 2012
  • Purpose: This study was conducted to identify the caring experience of the mothers of childhood burn patients. Methods: Data were collected from 28 mothers of childhood burn patients, through semi-structured in-depth interviews. Data were categorized and coded by using content analysis. Results: 27 categories and 102 statements were drawn from 4 domains. The analyzed domains were psychological sufferings, confronted harsh reality, coping method, and future concerns. Psychological sufferings were categorized heartache, sense of guilt, confusion, regret, depression, sorriness, getting hurt, frustration and upset feeling. Confronted harsh nature were categorized economic difficulty, physical burn-out, lack of caring other children and family troubles. Coping method were categorized positive thinking, having hope, ventilating feelings, accepting the situations, demanding help from family members, changing patterns of the burned child rearing, collecting information for burn treatment, refusing accept the condition of burned child, avoiding personal and social relationship, and reliance on religion. Concerns were categorized concerns of growth and adaptation of the burned child, anxiety for scar, concerns of adapting school life and vague future concerns. Conclusion: The nursing interventions for early assessing psychological problems and providing social supports for caring both burn patients and other siblings should be provided to the mothers of childhood burn patients.

A Test for Psychobiologic Entropy Model on Cancer Related Fatigue among Patients with Solid Tumors (고형암 환자의 암성피로에 대한 정신생리학적 엔트로피 모델 검증)

  • Oh, Chang Hee;Park, Hyunyoung;Lee, Ji Suk;Choi, Ja Yun
    • Korean Journal of Adult Nursing
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    • v.28 no.1
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    • pp.1-12
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    • 2016
  • Purpose: The purpose of this study was to test a Winningham's psychobiologic entropy model (PEM) on cancer related fatigue (CRF) among patients with solid tumors. Methods: Participants consisted of 213 patients with solid tumors recruited from December, 2012 through June, 2013, in a university hospital, in Hwasun, South Korea. Primary symptoms, adjustment, physical activity, status of nutrition and fatigue were measured using structured questionnaires. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 programs. Results: The modified model tested provided a reasonable fit to the data ($x^2=65.80$ [df=30, p<.001], TLI=.92, CFI=.95, RMSEA=.08, SRMR=.07). Primary symptoms (dyspnea, anxiety, depression and insomnia) had direct positive effects on CRF. Adjustment and status of nutrition showed indirect negative effects on CRF. However, the impact of physical activity was not significant. These variables explained 49.2% of the variance of CRF among solid tumor patients. Conclusion: The findings demonstrate that the tested model explain some CRF among solid tumor patients and warrant future research considering the cancer-related clinical factors of the given population.

Perception of Sex Life and Sexual Desire Coping Behavior according to General Characteristics among the Spouseless Aged (무배우자 노인의 일반적 특성에 따른 성생활 인식과 성 욕구 대처행동)

  • Choi, Eun Young;Ha, Ju Young
    • Korean Journal of Adult Nursing
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    • v.26 no.1
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    • pp.58-66
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    • 2014
  • Purpose: The aim of this study was to identify factors affecting the perception of sex life and sexual desire coping behavior among the spouseless elderly. Methods: The participants were 149 elders who resided in six administrative regions of B city. Data were collected from December 1, 2012 to March 3, 2013 using a questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$ test, Pearson's correlation coefficient, and Stepwise multiple regression in a PASW 18.0 program. Results: Stepwise multiple regression analysis of data indicated that the most likely predictor is gender. Gender, sexual relation, subjective health status and parent-child relationship explained 34% of the variance of perception of sex life. Gender, dating status and age explained 44% of the variance of sexual desire coping behavior. Conclusion: Based on the study findings, gender and current dating status should be considered to conduct comprehensive sex health care education for healthy sex life of the elderly with no spouse.

A Study of the Relation Between Perceived Family Support and Social Adjustment of Discharged Patients with Chronic Mental illness (퇴원한 만성 정신 질환자가 지각한 가족지지와 사회적 적응과의 관계 연구)

  • 현명선
    • Journal of Korean Academy of Nursing
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    • v.22 no.3
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    • pp.352-361
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    • 1992
  • This study was designed to identify the relation between the perceived family support and social adjustment of discharged patients with chronic mental illnesses. The subjects for this study were 50 patients with chronic mental illnesses receiving out-patient treatment at one general hospital and one private hospital in Seoul. The data were collected during the period from April 25, 1991 to May 27, 1991. The perceived family support was measured by the Family Support Scale developed by Hyun Sook Kang. A questionnaire which was developed by Weissman was modified by the author of this study to measure the Social Adjustment. The data were analyzed by descriptive statistics and Pearson Correlation Coefficients, using the SPSS program. The results of this study can be summarized as following ; 1) For the perceived family support, the mean was 2.63 points and the source of family support was almost always the mother. 2) For the social adjustment level, the mean was 2.62 points, and the results showed the best social adjustment was in the area of parental role and family adjustment, and the poorer adjustment was in the area of work and leisure. 3) The relationship between the perceived family support and social adjustment revealed a significant correlation.(r=.38, p<.05) Therefore the hypothesis “the higher the level of perceived family support, the higher the social adjustment level” was accepted. In conclusion, the study revealed that family support is an important factor related to the social adjustment level in patients with chronic mental illnesses.

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Alternative Views on Health Care Utilization (보건사업이용에 관한 여러 가지 견해)

  • Suh, Kitack
    • Journal of Korean Academy of Nursing
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    • v.12 no.1
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    • pp.53-66
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    • 1982
  • 본문은 보건사업이용문제를 취급한 국내외의 문헌을 조사하여 사회인구학적. 경제적, 사회문화적(사회심리학적, 조직적 그리고 사회제도적)인 입장에서 보건사업이용문제를 어떻게 설명하는가를 보고저 했다. 사회인구학적 측면에서 볼 때 연령, 성별, 교육수준, 결혼관계, 직업별, 종교, 거주지, 가족의 크기 가족구성등의 요인들이 일면외 연구중에서 정도를 달리하며 보건사업이용에 영향을 미치고 있음이 밝혀지고 있다. 경제적 입장에서는 가구수입, 의료비, 의료보험비와 경제적지위에 관한 다른 여러가지 요인들이 직접적으로 보건사업활용행위에 영향을 주고 있으며 사회문화적 입장에서 생각할 때 보건사업이용행위는 사회계급과 문화적 가치, 인종적차이와 의료적 태도의 상이에 따라 크게 좌우되고 있음을 보여주고 사회심리학적으로서는 보건에 관한, 태도, 믿음 및 지식과 지병으로부터 오는 정신적 압박감과 환자와 의사간의 상호작용등의 요인들이 보건사업이용과 어떠한 상관관계를 가지느냐에 그의 초점을 두는 바 이러한 주요인들이 다소나마 보건사업이용행위에 영향을 가하고 있음을 관계문헌은 말해주고 있다. 조직적 견해로서는 보건사업구조의 어떠한 조직적 변화는 보건사업이용행위에 영향을 준다는 것을 전제하고 있으며 사회제도적 입장에서는 한 개인은 여러 요소들이 상호관계되어 있는 한 제도의 일부요소로 보고한 개인의 보건사업이용행위가 다른 관계된 요소들에 비해서 어떻게 영향을 받고 있는가를 밝히려 하고 있다. 끝으로 보건사업이용에 관한 조사연구자들은 이상에서 말한 여러가지 견해의 접근방법중 단순히 한가지 접근방법만을 접하지 않고 있으며 앞으로도 더욱 종합적인 접근방법에 의해서 보건사업이용에 관한 연구가 이루워 질 때 보다 의미 있는 결과를 얻을 수 있을 것이다.

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