• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.4
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• pp.248-259
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• 2017

This descriptive correlational study was conducted to identify the factors influencing the uncertainty of patients undergoing chemotherapy for lung neoplasms. One hundred and eleven patients were recruited from the chemotherapy clinic of a university hospital. Data were collected from July 25 to December 31, 2014, and analyzed by descriptive statistics, the t-test, ANOVA, the Scheffe test, Pearson's product moment correlation coefficients and multiple regression analysis with SPSS for Windows Version 18.0. The mean score of the uncertainty of the patients undergoing chemotherapy for lung neoplasms was 2.61(${\pm}0.46$), which was higher than that of the patients with other diseases. The uncertainty was positively correlated with the seriousness of the illness (r=.74, p<.01) and consistency of the symptoms (r=.27, p<.01). Multiple regression analysis showed that the (main) factor influencing the uncertainty was the seriousness of the illness, which explained 54% of the uncertainty of the patients undergoing chemotherapy for lung neoplasms. As a result, nursing interventions are needed to reduce the uncertainty of lung neoplasm patients who are receiving chemotherapy. The seriousness of the illness should be considered when developing nursing interventions to reduce the uncertainty of lung neoplasm patients.

• Journal of Digital Convergence
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• v.15 no.10
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• pp.281-291
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• 2017

This purpose of study was to identify variables predicting basic psychological need in hemodialysis patients. The participants were 134 patients from two major general hospitals and two dialysis center located in J city. Data were collected using self-report questionnaires and physiological index. Data analysis was done by using SPSS WIN 18.0 program for one-way ANOVA, independent t-test, Pearson correlation coefficients, and multiple regression. This study showed a negative correlation between basic psychological need and uncertainty(r=--.464, p<.001), depression(r=-.422, p<.001). In addition, relationships and physiological index were Positively correlated. The uncertainty(${\beta}=-.345$), depression(${\beta}=-.279$), physiological index(${\beta}=-.117$) have a 29% explanatory power for the basic psychological need in hemodialysis patients. Physiological index, uncertainty and depression in turn influenced the basic psychological needs of hemodialysis patients. It is necessary to develop nursing strategies and programs to reduce disease uncertainty and depression in order to increase self-deterministic health behavior through autonomy, competence and relationship satisfaction.

• The Journal of the Korea Contents Association
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• v.15 no.6
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• pp.346-357
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• 2015

Purpose: This descriptive study was to examine uncertainty and performance of infection control in the VRE patients' caregivers. Methods: The participants were 82 caregivers who involved with the VRE patients care in D tertiary hospital in D metropolitan city. Data were analyzed with number, percentage, t-test, and ANOVA using SPSS/Win 21.0. Results: The participants' uncertainty was 56.99 and performance of infection control was 35.09. Performance of infection control was significantly different by age (F=121.38, p<.001), education (F=102.77, p<.001), relationship with the patient (F=17.80, p<.001), hours of caring per day (t=3.14, p=.002), and type of family (t=-8.65, p<.001). There was a significant negative correlation between participants' uncertainty and performance of infection control (r=-.96, p<.001). Conclusion: The results of the study will be used to develop nursing intervention program and standard protocol for infection control for the VRE patients' caregivers.

• KDI Journal of Economic Policy
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• v.11 no.4
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• pp.109-125
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• 1989

사회보험(Social Insurance)은 노령(老齡) 등 미래(未來)에 확실(確實)히 발생(發生)할 사안(事案)뿐 아니라 질병 등 불확실(不確實)한 사안(事案)에 의한 소득(所得)의 상실(喪失)을 보상하기 위한 보험(保險)의 역할을 한다. 대부분의 사회보험연구는 이 불확실성(不確實性)이 배제된 모형의 분석을 하고 있는데 본고(本稿)에서는 그러한 불확실성(不確實性)이 존재(存在)할 때 사회보험이 개인의 은퇴시기 결정에 미치는 영향을 분석하였다. 사회보험은 노동기(勞動期)로부터 은퇴기(隱退期)로의 소득이전(所得移轉)일 뿐 아니라 일을 할 수 있는 상태로부터 질병 등의 불확실한 사안(事案)에 의해 초래된, 일을 할 수 없는 상태로의 소득이전(所得移轉)도 된다. 이 두 번째의 역할 때문에 사회보험은 개인(個人)의 은퇴시기(隱退時期)를 늦추는 효과를 보일 수 있다. 특히 사회적 최선적정은퇴시기(最善適正隱退時期)(first best optimum)는 사회보험이 전혀 없는 경우의 은퇴시기가 보다 늦다. 반면 어느 일정(一定)한 시점(時點) 이후에만 사회보험(社會保險)의 수혜(受惠)가 가능(可能)하다면 이는 오히려 조기은퇴(早期隱退)를 초래(招來)하게 된다는 것을 보였다.

• Korean Journal of Adult Nursing
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• v.15 no.1
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• pp.146-153
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• 2003

연구목적: 본 연구는 대표적인 중간범위 간호이론인 Mishel의 Uncertainty in Illness모델에 관한 연구문헌 고찰이다. 기존의 간호이론에 근거해서 새로운 간호연구가 시행되고 있으며, 이러한 연구들의 결과는 또한, 근거이론을 지지 및 수정보완을 통해서 간호이론의 타당성과 유용성을 강화해왔다. Mishel의 모델에 근거한 불확실감에 관한 연구의 수행에 앞서, 근거이론에 관한 현지식의 상태와 부족한 영역을 탐구하여, 이에 기여할 수 있는 연구계획을 수립하는데 문헌고찰의 주요한 목적이 있다. 연구방법: 본 문헌고찰은 중간범위 간호이론인 Mishel's Uncertainty in Illness에서의 주요 개념간의 관계에 대해서 선행연구 결과를 토대로 분석하였다. 연구결과: 불확실감의 선행요소들(antecedents)과 불확실감, 불확실감의 평가(appraisal of uncertainty), 불확실감 모델내에서 건강 통제위(health locus of control)의 역할, 및 불확실감의 결과, 적응(adaptation)에 관하여 고찰하였다. 결론: 문헌고찰 결과로서, 불확실감 이론에 관한 현지식의 상태를 확인하였고 이 이론의 타당성과 유용성을 확인하기 위한 추후연구에 대한 방향도 제언되었다.

• Journal of Digital Convergence
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• v.19 no.11
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• pp.615-623
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• 2021

The purpose of this study was to identify the factors influencing resilience of patients with systemic lupus erythematosus. The subject(N=118) was a systemic lupus erythematosus patient who visited the E hospital in D city. The collected data were analyzed by descriptive statistics, t-tset, ANOVA, pearson correlation, and multiple regression. As a result of the study, impact domain of uncertainty, fatigue, self-management domain of uncertainty, trust in doctors domain of uncertainty significant effects on resilience. Based on this study, in order to improve the resilience of patients with systemic lupus erythematosus, a multifaceted approach is needed to reduce the uncertainty perceived by the patient and control fatigue. In addition, it is required to develop an effective nursing intervention program to enhance resilience reflecting influencing factors.

• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.479-487
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• 2006

Purpose: The purposes of this study were to measure the degree of uncertainty in illness, hope, and spiritual well-being and to examine the relationship among uncertainty in illness, hope, and spiritual well-being of cancer patients. Method: The data were derived from answers to questionnaires obtained from 93 cancer patients at one general hospital in J area from April 6, 2004 to May 8, 2004. The collected data were analyzed by SSPS 10.0. Results: The mean score of uncertainty in illness of cancer patients was 55.96. The mean score of hope of cancer patients was 79.77, and spiritual well-being was 55.20. Uncertainty in illness of cancer patients was related negatively to hope(r=-.57, p=.000). Also uncertainty in illness of cancer patients was related negatively to spiritual well-being(r=-.57, p=.000). However, hope of cancer patients was related positively to spiritual well-being(r=.67, p=.000). Conclusion: Higher uncertainty in illness was related to lower hope and spiritual well-being of cancer patients. Based upon these results, nurses should help patients to improve their hope and spiritual well-being through mediation of uncertainty in illness.

• Asian Oncology Nursing
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• v.12 no.2
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• pp.139-146
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• 2012

Purpose: This study was designed to identify the impact of uncertainty degree and uncertainty appraisal on cancer patients resilience. Methods: A sample of 181 patients with cancer was recruited from a hospital in Incheon. Data were collected from May 20 to August 25, 2011. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression with the SPSS/WIN 12.0 program. Results: The resilience for cancer patients showed a significant relationship with uncertainty degree and uncertainty appraisal. The significant factors influencing resilience were uncertainty degree and uncertainty appraisal, they explained 26.5% of the variance. Conclusion: Patients with cancer were adversely affected by uncertaint which led to a negative effect on resilience. The result suggests that intervention programs to reduce the level of uncertainty among patients could improve the resilience of cancer patients.

• Korean Parent-Child Health Journal
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• v.17 no.1
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• pp.29-36
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• 2014

Purpose: Competence in parenting helps the parent to recognize the ability to resolve problems arising to children, allowing positive interactions with children through desirable child-rasing behavior and smooth communication with children. This study aims to identify the contribution of uncertainty and educational needs to the competence in parenting. Methods: Total 159 mothers responded a questionnaire developed to measure uncertainty, educational needs, and competence in parenting. t-test, ANOVA, and stepwise multiple regression with the SPSS program were used to analyze the data. Results: We found that uncertainty, nursing educational need, and mothers' age had influence to the competence in parenting. Conclusion: Nursing interventions provided to the mothers of hospitalized children for better parental competence need to include programs for alleviating uncertainty and satisfying the need for nursing education.

• 월간산업보건
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• s.69
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• pp.26-32
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• 1994

어떠한 직업성 폭로와 그리고 특정한 질병간의 원인결과 관련성이 매우 명확할 때 이러한 질병은, 의학적으로 또한 대부분의 경우에 법적으로 직업성 질환으로 규정된다. 그러나 작업과 작업조건은 이러한 명확한 원인결과관계 이외에도, 일반적인 질환의 발생에 일부분 기여할수 있는데, 이는 원인의 일부로 또는 일단 발생된 질환을 악화시키는 것으로 기여할수 있고, 근로자의 직업과 관련된 생활습관을 통하여 간접적으로 그게 되는데, 이는 반드시 원인결과의 관계이어야만 한다는 것은 아니고, 직업과 직업 또는 작업조건에 어떠한 면으로 관련되어 있으면 이러한 범주에 들게 된다. 고전적인 직업병은 이러한 관련성의 한 극단을 이루고 있으며, 직업과 관련되어서 매우 미약한 관련성을 가지는 또는 불확실한 관련을 가지는 질환들은 다른 극단을 점하고 있다. 이러한 극단들 사이에 위치한 많은 질환들은 어떠한 특정한 조건에서만 업무관련성을 지니며 그들의 원인은 항상 다원적인(multifactotial) 것이다. 이러한 관련성의 확정은 역학의 중요한 역할중의 하나이나 이 글에서는 대표적인 몇가지 질환을 대상으로 이러한 연구에서 고려하여야 할 점들을 Sven Hernberg의 "Introduction to Occupational Epidemiology"를 통하여 정리하여 보고자 하였다.