• 대한간호학회지
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• 제47권6호
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• pp.756-769
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• 2017

Purpose: To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. Methods: A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, $x^2$ test, and t-test. Results: After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, p<.001), regular exercise (Z=-4.47, p<.001), and quality of life-MCS (t=3.04, p=.004) and showed lower levels of stress (Z=-3.53, p<.001) and sodium intake (t=-4.43, p<.001) than those in the control group. There were no significant group differences in medication adherence and food intake in total energy, lipids, and cholesterol. Conclusion: The suggested SP-PCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI.

• 지역사회간호학회지
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• 제23권3호
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• pp.276-285
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• 2012

Purpose: The purpose of this study was to understand levels of both mental health literacy of depression and intention of help-seeking, and then to identify the relationship of them in Korean older adults. Methods: Participants in this cross-sectional survey were 395 persons over 65 years old receiving customized home visiting health care services at Chungnam province. Data were collected through interviews by visiting nurses in 2011. Results: The proportion of participants with depression was 61.8% ($6.7{\pm}3.6$). 78.2% of subjects appeared to have help-seeking intention for solving depression. The proportions of participants with ability to recognize depression was 69.1%. Although the level about knowledge and belief in self-help interventions were varied according to questionnaires, subjects understood self-help intervention of smoking accurately (86.3%) and physical activity (85.5%). Ability to recognize depression, knowledge and belief about self-help managements, and opinion of medication for treatment among health literacy variables measured in this study were related to help-seeking intention. In addition, women, visual impairment, and lower depression scores were related to help-seeking intention. Conclusion: Results demonstrate that it is necessary to improve depression health literacy to manage effectively depression of vulnerable elderly in communities. These results could be used in developing mental health literacy programs.

• 대한간호학회지
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• 제49권1호
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• pp.104-112
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• 2019

Purpose: This study aimed to identify types of quality of life (QoL) based on the 5 dimensions of EQ-5D and predict factors affecting types of QoL. Methods: This study was a secondary analysis using data from the Korean Health Panel Survey-II(2012). Participants were 2,071 middle-aged men who had completed the additional survey in 2012 and the data were analyzed using SPSS 20.0 and Mplus 5.21 for latent analysis. Results: Three latent classes of QoL were identified: serious (2.4% of the sample), threatened (15.5%), and stable types (82.0%). The types and characteristics of QoL among the latent classes differed. On comparing latent type 1 with latent type 2, the socioeconomic status (p<.05), employment status (p<.05), and subjective health status (p<.001) were found to be significant. On comparing latent type 1 with latent type 3, the socioeconomic status (p<.05), current smoking status (p<.001), and subjective health status (p<.001) were found to be significant. On comparing latent type 2 with latent type 3, the socioeconomic status (p<.05), subjective health status (p<.001), stress (p<.001) were found to be significant. Conclusion: The results showed significant heterogeneity in types of QoL and the predictors of QoL by types were different. These findings provide basic information for developing nursing interventions to improve QoL. Specific characteristics depending on the subtypes should be considered during the development of interventions.

• 대한간호학회지
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• 제51권3호
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• pp.265-279
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• 2021

Purpose: This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits. Methods: This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0. Results: The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.

• 임상간호연구
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• 제15권3호
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• pp.85-94
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• 2009

Purpose: The purpose of this study was to identify the relationship of influenza A (H1N1) knowledge, attitude and practice for nurses. Methods: Data were collected by self-report questionnaires from a total of 325 nurses working in an Influenza A (H1N1) base-zone hospital in C city during September, 2009. The collected data were analyzed using of SPSS/WIN 17.0. Results: The knowledge of influenza A (H1N1) was not statistically different for gender, age, education, work unit, clinical experience, position, or previous education of Influenza A (H1N1). The attitude to influenza A (H1N1) was statistically significant according to age or clinical experience. Practice related to influenza A (H1N1) was statistically different for education, clinical experience or previous education of influenza A (H1N1). Knowledge of influenza A (H1N1) was lowest for etiology and definition compared to other subcategories. Attitude and practice were significantly different for all items. The biggest difference in items was for 'use of physical barriers (protective goggles, face masks and gowns) during procedures that may involve contact with aerosol'. There was a positive association between attitude and practice. Conclusion: An educational program focusing on strategy to change nurses's knowledge, attitude and practice can be effective for infection control in an influenza A (H1N1) base-zone hospital.

• 대한간호학회지
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• 제30권6호
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• pp.1488-1502
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• 2000

This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

• 대한간호학회지
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• 제30권4호
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• pp.880-892
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• 2000

The purpose of this study was to investigate the factors influencing health perception in the elderly, to provide the basic data for health behavior program and nursing intervention. The subjects of this study were 240 elderly person over the age 60, living in Seoul and Kangnung. They were conveniently sampled for this study and the data was collected from June 1999 to September 1999. The instruments for this study were the Health Perception Questionaire developed by Ware(1979), the OARS Functional Assessment Questionaire (Duke University 1978), and Multidimensional Health Locus of Control by Wallston, Wallston, and De Vills(1978). The data were analyzed by using SPSS Win computer Program. The results are as follows; 1. The total mean score of the health perception was 52.02(S.D=${\pm}$7.07) in a range of 33 to 69, and the mean score of the functional status was 27.02 (SD=${\pm}$2.75) in a range of zero to 28 and the mean score of the health locus of control was 65.66(S.D=${\pm}$8.68) in a range of 43 to 90. And The mean scores on the HLOC subscales were HLOC-I: 23.73${\pm}$4.56 (range: 6-30), HLOC-P: 23.07${\pm}$4.74 (range: 6-30), HLOC-C: 18.55${\pm}$4.03 (range: 11-30). 2. There was a significant positive correlation between health perception and functional status(r=.216, p=.001), and health perception and the health locus of control(HLOC) were not correlated at the level of statistical significance. However, the HLOC-I and health perception were correlated positively(r=.328, p=.000), and the HLOC-P were correlated negatively (r=-.129, p=.046). 3. There was a significant difference statistically in the degree of health perception according to the age(F=3.351, p=.002), spouse(t=2.232, p=.021), education level(F=7.373, p=.001), disease(t=3.639, p=.000), group activity (t=2.458, p=.015). drink(t=2.327, p=.021). 4. Stepwise multiple regression analysis revealed that the most powerful predictor of health perception was internal health locus of control. A combination of HOLC-I, functional status, HLOC-P, group activity explained 17.9% of the variance for health perception in the elderly. In conclusion, the results of this study show that internal health locus of control factor is very important in explaining the health perception for the elderly. Therefore, it will be considered internal health locus of control factor in nursing intervention and program in order to enforce the health behavior for elderly people .

• 한국응용과학기술학회지
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• 제35권3호
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• pp.768-777
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• 2018

본 연구는 대학생의 양성평등 의식과 자아존중감이 데이트 폭력 인식에 미치는 영향을 연구하여 대학생의 데이트 폭력 인식을 높이는 것에 기여할 수 있는 교육프로그램을 위한 자료와 데이트 폭력 예방 및 데이트 폭력에 대한 피해를 최소화 할 수 있는 방안을 찾기 위한 자료를 제공하고자 실시하였다. 본 연구의 대상자는 충청지역 대학생을 대상으로 편의표집한 200명으로, 조사기간은 2018년 4월 28일부터 5월 12일까지였고, 배부된 225부 중 200부를 최종 분석하였다. 수집된 자료는 SPSS 21.0 통계프로그램을 이용하였다. 연구결과, 변수간의 상관관계를 보였고, 대학생의 데이트 폭력 의식을 설명하는 선형회귀모형은 통계적으로 유의하였다(F=9.41, p<.001). 회귀모형의 설명력을 나타내는 수정된 결정계수 R2(adj.R2)=.36(.32)으로 회귀모형은 대학생활 적응 총 변화량의 36%를 설명하고 있으며, 그중에서도 폭력유무가 가장 영향력이 컸다. 대학생의 건전한 이성교제 및 올바른 남녀 성역할 인식을 통한 건강한 대학생활적응을 위해 프로그램 개발 및 상담이 필요하다.

• 한국산학기술학회논문지
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• 제14권11호
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• pp.5672-5681
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• 2013

본 연구의 목적은 일개 대학 간호대학생의 생명의료윤리의식 정도를 검증하기 위한 연구이다. 연구대상은 간호학생 총 266명이며, 자료수집은 2012년 9월 10일부터 10월 5일까지였다. 생명의료윤리의식의 총점 평균은 4점 만점을 기준으로 2.98(${\pm}0.2$)점이었으며, '태아생명권' 점수가 3.27(${\pm}0.5$)로 가장 높은 점수를, '장기이식'에서 2.70(${\pm}0.4$)로 가장 낮은 점수를 보였다. 윤리적 가치관이 매우 확고한 경우 3.06점으로 가장 높았으며(F=3.936, p=.021), 인공임신이 3.21점으로 가장 높은 점수를 나타냈다(F=5.001, p=.007). 성별과 생명의료윤리의식 점수(r=0.180, p=.003), 윤리적 가치관은 정적 상관관계를 보였다(r=0.170, p=.005). 간호대학생의 생명의료윤리의식에 대한 예측 요인은 성별(${\beta}$=0.205, t=3.399, p=<.001)생명과학 발달에 따른 윤리적문제점 증가에 대한 우려(${\beta}$=0.142, t=2.261, p=0.025)와 윤리적 가치관 (${\beta}$=0.189, t=3.119, p=0.002)이었다. 본 연구결과를 토대로 간호학생들의 생명의료윤리의식을 높이기 위한 교육 프로그램을 마련하는 데 기초자료가 될 수 있을 것으로 기대된다.

• 대한간호학회지
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• 제23권4호
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• pp.664-677
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• 1993

The purpose of this study was to provide basic data for the development of educational material in Korean for patient3 being discharge after open heart surgery. The subjects were 45 adult patients who were seen in the out -patient department of the thoracic surgery unit of P University hospital between February 1993 and May 1993. The data were collected through a chart review and interview. Nursing needs, and the patients status related to diet, activity, medication, physical and psychoemotional limitations were analyzed. The results are summarized as follows ; 1. Mitral valve replacement was the most frequent type of surgery(91.2%). In most cases, a mechanical valve was used (91.0%) . The duration of admission after the operation was two to four weeks for most of the patients(48.9%). The follow-up period was between one and two years for 28.9% of the patients and below 6 years for all of the patients. 2. Many Patients didn’t know the importance of a low salt diet(57.8%), and did not get any education on low salt diet (66.7%). Gimchi was included as one of the most commonly ingested foods (77.8%). All of the patients indicated nursing needs related to education about low salt diets and further they indicated a major interest in foods that are harmful (57.7%) or foods that are safe(51.1% ). 3. Most patients did not recognize the need for limitations on physical activity(84.4%). Further, 31.1％ of them could not return to work at the time of the study. All patients had nursing needs related to physical activity, with the most frequent questions being about the permissble degree of activity and special cautions dictated by their illness (60.0%). 4. Many patients were ignorant of the necessity of medication(55.6%) . Forty percent of the patients were taking additional drugs, usually herb drugs. The time and duration of medication and the side effects of drugs were common concerns (57.7%) related to nursing. needs about medication and were mentioned by all of the patients. 5. All of the patients complained of physical discomfort including the following : memory disturbance(62.2%), weight gain(60.0%), chest tightness (55.6%), hair loss(51.1%), sleep disturbance(46.7%) and other symptoms in that order of frequency. Nursing needs related to physical condition were a concern for all of them. The viability and function of the replaced valve(53.3%) and weight gain(60.0%) were mal or concerns. 6. Looking at their psychoemotional condition it was found that 36 patients(80.0%) were emotionally unstable. The causes were physical discomfort(17 patients), insufficient knowlege of open heart surgery(6 patients), fear of death(6 patients), familial over protection(2 patients ) and lack of support (5 patients).