• 한국산학기술학회논문지
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• 제14권8호
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• pp.3866-3875
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• 2013

본 연구는 간호대학생의 정신건강 정도와 이에 영향하는 요인을 규명하기 위해 실시되었다. 자기보고형 설문지를 이용하였으며, 19-23세의 간호대학생 269명이 참여하였다. 사용되어진 도구로는 간이 정신진단검사, 다차원적 대처척도, 간호대학생의 스트레스가 사용되었다. SPSS WIN 20.0을 사용하여 대상자의 빈도분석, 피어슨 상관관계, 회귀분석법을 실시하였다. 간호대학생의 정신건강 수준은 고민을 나눌 수 있는 가족, 친구, 그 외 주위 사람, 건강상태, 학과만족도, 소극적 철수, 정서표출, 적극적 망각, 자제, 고집, 긍정적 비교, 동화 또는 양보, 체념, 자기비판, 문제해결적 지원추구, 정서적 지원추구, 종교적 추구, 대학차원 스트레스, 임상차원 스트레스와 유의한 상관관계가 있었다. 이들 변수 중에서 간호대학생의 정신건강은 대학차원 스트레스, 자기비판, 소극적 철수, 학과만족도, 건강상태에 의해 44.9% 설명되어졌다. 본 연구 결과를 근거로 간호대학생의 정신건강향상을 위해서는 이들 요인들이 모두 고려된 다 학제적 접근법이 적합함을 알았으며, 차후 중재를 통한 효과 검증 연구를 제안하는 바이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6331-6334
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• 2015

Background: The main purpose of this study was to survey the education and training of certified gynecologic oncologists and fellows in Thailand. A secondary objective was to study the problems in fellowship training regarding palliative care for gynecologic cancer patients. Materials and Methods: A descriptive study was conducted by sending a questionnaire regarding palliative care education to all certified gynecologic oncologists and gynecologic oncology fellows in Thailand. The contents of the survey included fellowship training experience, caring for the dying, patient preparation, attitudes and respondent characteristics. Statistics were analyzed by percentage, mean and standard deviation and chi-square. Results: One hundred seventy completed questionnaires were returned; the response rate was 66%. Most certified gynecologic oncologists and fellows in gynecologic oncology have a positive attitude towards palliative care education, and agree that "psychological distress can result in severe physical suffering". It was found that the curriculum of gynecologic oncology fellowship training equally emphasizes three aspects, namely managing post-operative complications, managing a patient at the end of life and managing a patient with gynecologic oncology. As for experiential training during the fellowship of gynecologic oncology, education regarding breaking bad news, discussion about goals of care and procedures for symptoms control were mostly on-the-job training without explicit teaching. In addition, only 42.9 % of respondents were explicitly taught the coping skill for managing their own stress when caring for palliative patients during fellowship training. Most of respondents rated their clinical competency for palliative care in the "moderately well prepared" level, and the lowest score of the competency was the issue of spiritual care. Conclusions: Almost all certified gynecologic oncologists and fellows in gynecologic oncology have a positive attitude towards learning and teaching in palliative care. In this study, some issues were identified for improving palliative care education such as proper training under the supervision of a mentor, teaching how to deal with work stress, competency in spiritual care and attitudes on responsibility for bereavement care.

• Human Ecology Research
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• 제60권2호
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• pp.243-256
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• 2022

Undergraduate freshmen are currently encountering numerous difficulties in adapting to college life due to the outbreak of the COVID-19 pandemic. Thus, several studies have underlined the need to develop interventions focused on undergraduate students' resilience during this situation. We adopted the service design method in identifying the difficulties faced by undergraduate freshmen during this pandemic, and also developed interventions for raising their resilience. The service design method is a person-centered approach which adopts the user's viewpoint in developing solutions, thereby enabling their requirements to be satisfied. Surveys and in-depth interviews revealed that undergraduate freshmen were experiencing psycho-emotional problems which were derived from schoolwork and college life. This is particularly the case with students who are experiencing greater levels of academic difficulty, and were insufficiently equipped with resources such as stress-coping strategies and social support. Four undergraduate freshmen were recruited online to test the effectiveness of a resource promotion program aimed at enhancing their resilience. This program has proved to be helpful in relieving daily/academic stress and in building relationships among freshmen, regarding which the participants showed a high level of satisfaction. The results were discussed by focusing on psycho-emotional difficulties and resources of college freshmen, as well as the effectiveness of the resource promotion program. Further research is required in order to verify the efficiency of the program and to confirm conclusions.

• 한국심리학회지 : 문화 및 사회문제
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• 제19권3호
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• pp.409-433
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• 2013

여가에 대한 연구는 최근 활발히 이뤄지고 있지만 여가의 심리적 과정에 대한 연구는 부족하였다. 이에 본 연구는 여가경험이 정서적 소진에 미치는 영향에 대해서 살펴보고, 일과의 심리적 분리가 두 변인 간의 관계에서 매개효과를 보이는지를 검증하였다. 다양한 직종의 근로자 215명을 대상으로 인구통계학적 변인, 여가경험, 심리적 분리, 그리고 정서적 소진을 측정하였다. 여가경험은 요인분석 결과를 바탕으로 유능감, 사회교류감, 자연교류감, 그리고 자연통제감으로 구분하였다. 연구결과, 여가경험 중 유능감이 정서적 소진에 부적인 영향을 미치는 것으로 나타났다. 그리고 일과의 심리적 분리가 여가경험의 하위 요인 중 유능감과 정서적 소진 간의 관계에서 부분매개 하는 것으로 나타났다. 정리하면 개인이 여가를 통하여 유능감을 느낄 수 있게 되면 일과의 심리적 분리가 활발히 진행되고 이에 따라 정서적 소진이 감소하는 것으로 나타났다. 이러한 연구결과를 바탕으로 개인은 유능감을 느낄 수 있는 여가계획을 통해 스트레스로 인한 소진에서 회복할 수 있도록 해야 하며 조직도 이러한 여가를 경험할 수 있도록 지원이 이뤄져야할 것이다.

• Child Health Nursing Research
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• 제9권1호
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• pp.9-17
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• 2003

Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part-Ⅱ developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with β=.43, p<.01. In the group of family of child with leukemia, social support as general has effect on adaptation (β=.40, p<.01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(β=.46, p<.01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

• 한국보건간호학회:학술대회논문집
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• 한국보건간호학회 2002년도 제27회 보건종합학술대회
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• pp.224-227
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• 2002

Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

• 지역사회간호학회지
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• 제9권2호
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• pp.410-424
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• 1998

The purpose of this study was to determine the relationship between social support and health behavior in girl high school students in all girl schools. The subjects were 190 girls in 2 Kunsan schools. The instruments used for this study were the social support scale developed by Park(1985) and the health behavior scale developed by Walker etc(1987). As modified by Lee & Han(1996). The data were analysed by correlation coefficient, regression coefficient using an SAS program. The results of this study were as follows: 1. The mean score of social support was 3.96 and the mean score of health behavior was 3.33. 2. 1) General characteristics were related to the degree of social support: personality, spending money, friend number, exercise(p<0.05). 2) General characteristics were related to the degree of health behavior: personality, spending money, friend number, exercise, stress(p<0.05). 3. The hypothesis of this study, 'The higher the degree of social support perceived by the student, the higher the degree of health behavior' was supported(r=0.5730, p=0.0001). For these subjects, there was a significant relationship between social support and the degree of health behavior. Nurses should plan interventions in promotion health behavior with social support as a significant factor in adolescents. If so, their coping ability and well- being may be promoted.

• 대한간호학회지
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• 제37권6호
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• pp.1003-1012
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• 2007

Purpose: The role of sex role identity types and health promoting behaviors in relation to premenstrual symptoms and interrelatedness among the three variables were examined. Methods: A cross sectional descriptive study was employed with 327 female university students. KSRI, HPLP, and MDQ were used as measurement tools. Results: Four types of sex role identities were classified; undifferentiated(33.7%), androgyny (32.7%), masculinity(16.8%), and femininity(16.8%) in order. Premenstrual symptoms(F=3.11, p= .027) and health promoting behaviors(F=12.74, p= .000) were significantly different by sex role identity types. As determinants of premenstrual symptoms, health promoting behaviors for all subjects, stress coping for the feminine type, and interpersonal relationships for the undifferentiated type were identified. In discriminating between the feminine type and undifferentiated type, premenstrual symptoms and self responsibility were shown as significant factors. Conclusion: Interrelatedness among sex role identity, health promoting behaviors and premenstrual symptoms imply the importance of a psychosocial aspect in premenstrual symptoms. Therefore, these three variables should be applied more specifically for nursing assessment and management of women having premenstrual symptoms.

• 정신신체의학
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• 제4권1호
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• pp.44-53
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• 1996

The present experiment was designed to investigate the effects of behavioral, response to immune function in response to electric footshock in mice. Mice were subjected to electric footshock for 3 days(two sessions a day, 11 times of shock for about 31 minutes a session). The humoral immune response was measured using mice immunized with rat RBC. The cell-mediated immune responses were evaluated by contact hypersensitivity to 2, 4-dinitrofluorobenzene(DNFB) and by phytohemagglutin(PHA)-stimulated splenocytes proliferation assay. In stressed group, electric footshock suppressed significantly anti-rat RBC antibody production(p<0.05), but enhanced significantly $T_{48}$ relative to $T_{24}$ in contact hypersenstivry (P<.01) and T-cell proliferation response(P<.05) by PHA stimulation elative to control group. T-cell proliferation response by PHA stimulation was significantly correlated to the movement than the sensitivity and coping behavior in the mouse, in response to the electric footshock. These data supper the importance of behavioral response in stress-induced changes of immune functions.

• 대한간호학회지
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• 제26권1호
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• pp.177-193
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• 1996

For the purpose of integrating nursing diagnosis into the nursing curriculum, a descriptive survey research was done using the inductive method with questionnaires and a literature review. Research subjects included nurse educators, textbooks of adult nursing published in Korea, and the course outline for adult nursing used in one college of nursing. The Results show that there was common agreement on 39 nursing diagnosis which should be in cluded in the adult nursing curriculum, textbooks of adult nursing, and patient care on the medical-surgical units. The two existing nursing diagnosis classification systems(NANDA and Gordon's Human Response Patterns) show different basic frameworks and difficulties were discovered in integration of nursing diagnosis into the curriculum. To develop a conceptual framework for a nursing diagnosis classification system, diagnosis were classified into three categories ; health promotion, high risk problem, and actual problem on the basis of the framework used in adult nursing textbooks and Gordon's 11 Functional Health Patterns. Subconcepts for actual problems were classified as ; activity and rest, nutrition and elimination, perception and coordination, stress and coping. Progress in this study supports further development of a conceptual framework of nursing based on a nursing diagnosis classification system, from which improvement in nursing education and clinical practice can be expected.