• 대한간호학회지
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• 제46권1호
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• pp.19-28
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• 2016

Purpose: The purpose of this study was to test the mediating effect of psychological distress in the relationship between chemotherapy related cognitive impairment (CRCI) and quality of life (QOL) in people with cancer. Methods: A purposive sample of 130 patients undergoing chemotherapy was recruited for the cross-sectional survey design. Data were collected from November 2014 to June 2015. The instruments were K-MMSE (Korean Mini-Mental State Examination), Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for objective cognitive function was 27.95 and 69.32 for perceived cognitive decline. Overall quality of life was 91.74. The mean score was 17.52 for psychological distress. The prevalence was 56.2% for anxiety and 63.1% for depression, and 20.0% for CRCI. There were significant correlations among the variables, objective cognitive function and self-reported cognitive decline, psychological distress, and quality of life. Psychological distress was directly affected by CRCI. ($R^2=29%$). QOL was directly affected by CRCI. Psychological distress and CRCI effected QOL ($R^2=43%$). Psychological distress had a partial mediating effect (${\beta}=-.56$, p <.001) in the relationship between self-reported cognitive decline and quality of life (Sobel test: Z= -5.08, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline, and decreasing psychological distress are highly recommended to improve quality of life in cancer patients.

• 대한간호학회지
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• 제49권4호
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• pp.386-397
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• 2019

Purpose: This study examined the effect of hospitals' family-friendly management on married female nurses' retention intention. The focus was the mediating effects of the work-family interface (work-family conflict, work-family enrichment and work-family balance). Methods: This study was a cross-sectional study. The participants were 307 nurses working at five public and five private hospitals with more than 200 beds in Seoul. Data were collected using structured questionnaires from September 10 to September 17, 2018 and analyzed with SPSS 24.0. Data were analyzed using an independent t-test, a one-way ANOVA, Pearson's correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results: There were significant correlations among family-friendly management, the work-family interface, and retention intention. Work-family conflict showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family enrichment showed a partial mediating effect on the relationship between family-friendly management and retention intention. Work-family balance showed a partial mediating effect on the relationship between family-friendly management and retention intention. Conclusion: These findings indicate that both hospitals' family-friendly management and nurses' work-family interface are important factors associated with nurses' retention intention. Therefore, hospitals should actively implement family-friendly management for nurses and establish strategies to enhance nurses' work-family interface for effective human resource management.

• 대한간호학회지
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• 제49권2호
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• pp.181-190
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• 2019

Purpose: This study aimed to confirm the mediating effect of job involvement in the relationship between grit and turnover intention among nurses working at university hospitals. Methods: Participants included 437 nurses from university hospitals located in C city, Gyeongnam. Data were collected from January 8 to 19, 2018, using self-report questionnaires. Data were analyzed using the t-test, analysis of variance, Scheffe's test, Pearson's correlation coefficient, and multiple regression, with the SPSS/22.0 program. A mediation analysis was performed according to the Baron and Kenny, and bootstrapping methods. Results: There were significant relationships between grit and job involvement (r=.40, p<.001), grit and turnover intention (r=-.29, p<.001), and turnover intention and job involvement (r=-.52, p<.001). Job involvement showed partial mediating effects in the relationship between grit and turnover intention. Conclusion: Grit increased job involvement and lowered turnover intention. Therefore, to reduce nurses' turnover intention, it is necessary to develop a program and strategies to increase their grit.

• 한국직업건강간호학회지
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• 제31권1호
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• pp.11-21
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• 2022

Purpose: This study aimed to identify the relationship among musculoskeletal problems, sleep problems, and self-rated mental health of home-care workers. Methods: Data were collected from 447 home-care workers spanning three occupation types: life supporters for the elderly, home-visit caregivers, and life supporters for the disabled. Musculoskeletal problems, sleep problems, and self-rated mental health were assessed using structured questionnaires. Factors affecting self-rated mental health were analyzed using multiple regression. SPSS was used to test the mediating effects of sleep problems on musculoskeletal problems and self-rated mental health. Results: Among the general characteristics, the variables that showed significant differences in musculoskeletal problems were monthly income level, caring-related career duration, weekly working hours, and occupation type; and the variable that showed significant differences in self-rated mental health was occupation type. Among the occupation types, supporters for the disabled had the most musculoskeletal problems and the lowest self-rated mental health. Musculoskeletal problems among home-care workers had a direct negative effect on self-rated mental health and indirect negative effects on sleep problems. Conclusion: Measures are needed to reduce the differences in working conditions and health status among the occupation types of home-care workers. Considering the relevance between the health issues of home-care workers, the development of a carefully designed health promotion strategy is required.

• 한국간호교육학회지
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• 제28권2호
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• pp.193-203
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• 2022

Purpose: This study explored the mediating role of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic. Methods: The data were collected from 193 nurses working at a hospital in Daegu from October 16 to 30, 2020, in the middle of the COVID-19 pandemic. Participants conducted self-reported surveys of post-traumatic stress (Impact of Event Scale-Revised Korean version), emotional exhaustion (Maslach Burnout Inventory), and resilience (Korean Resilience Quotient Test). The data were analyzed using descriptive statistics, frequency, t-tests, Mann-Whitney U tests, Kruskal-Wallis tests, Pearson correlation coefficients, and multiple regression. Mediation analysis was performed using the Baron and Kenny method and Sobel test. Results: The mean scores for post-traumatic stress, resilience, and emotional exhaustion were 16.18±16.18, 183.41±18.29, and 32.64±9.66, respectively. A higher level of post-traumatic stress was associated with lower resilience (r=-.20, p=.004) and with higher emotional exhaustion (r=.33, p<.001). A higher level of resilience was associated with lower emotional exhaustion (r=-.35, p<.001). The resilience was confirmed to have a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion, verified by the Sobel test (Z=2.31, p=.02). Conclusion: Resilience had a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion. Thus, nurses should develop individual strengths to reduce emotional exhaustion, and managers should also make efforts to increase the nurses' resilience. It is also necessary to develop and apply a program to strengthen nurses' resilience.

• 근관절건강학회지
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• 제29권3호
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• pp.205-217
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• 2022

Purpose: This study aimed to investigate the factors affecting the subjective health status (SHS) of low-income older adults living alone. Methods: This is a cross-sectional correlational study using secondary data analysis. Sociodemographic and health-related characteristics were included in this analysis. The health-related characteristics were categorized into three domains: physical, characterized by the number of chronic diseases and fall-related factors, timed up and go, and grip strength; psychological, in terms of depression and loneliness; and social, in terms of social support. Data were analyzed using descriptive analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results: The mean SHS score was 2.46 out of five. Several factors influenced the SHS of low-income older adults living alone, including sex, age, level of education, monthly income, and the three domains. Four significant predictive factors of SHS in low-income older adults living alone were identified (42.5%): the number of chronic diseases, fear of falling, depression, and social support. Conclusion: SHS is a critical factor for older adults living alone on a low-income. Hence, evaluating SHS and developing interventions to improve it periodically is necessay. Such interventions should consider chronic disease management, screening and mediation for depression and fear of falling, and strengthening their social support systems.

• 디지털융복합연구
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• 제15권10호
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• pp.367-376
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• 2017

본 연구는 간호 대학생을 대상으로 팀 학습 환경에서 개인의 심리적 임파워먼트가 과제성취도에 미치는 영향과 협력적 자기조절의 매개효과를 확인하기 위한 연구이다. 연구 대상자는 G광역시 4년제 대학에 재학 중인 243명의 간호대학생이었으며, 2017년 5월 23일부터 5월 30일까지 자료를 수집하였다. 자료는 SPSS 21.0을 이용하여 기술통계, t-test, ANOVA, Pearson's Correlation, Multiple regression으로 분석하였다. 연구결과 심리적 임파워먼트는 협력적 자기조절과 과제성취도, 협력적 자기조절은 과제성취도와 양의 상관관계가 있었다. 과제성취도에 영향을 미치는 요인은 협력적 자기조절, 심리적 임파워먼트, 협력과 조정 향상, 학년으로 나타났으며, 설명력은 57.2%이었다. 심리적 임파워먼트와 과제성 취도간의 관계에서 협력적 자기조절의 매개효과를 검정한 결과 부분 매개효과가 있는 것으로 나타났다. 본 연구는 과제성 취도를 높이기 위한 간호교육 프로그램을 개발하는데 필요한 기초자료를 제공하였으며, 추후 과제성취도와 관련된 다양한 변수를 포함한 반복연구가 필요하다 하겠다.

• 한국콘텐츠학회논문지
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• 제21권7호
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• pp.567-574
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• 2021

본 연구는 여자 대학생이 긍정적인 성의식을 가지고 안전한 성행위 및 성건강 증진을 도모할 수 있는 주체로써의 성장을 돕는 간호중재의 기틀을 마련하기 위해 자아존중감과 성의식을 제 변수로 하여 성적자율성에 영향을 미치는 요인을 확인하였다. 3개 대학의 139명을 대상으로 2021년 2월 15일부터 22일까지 자기기입식의 온라인 설문조사를 통해 자료수집하였으며, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients 및 hierarchial multiple regression을 이용하여 자료분석하였다. 분석 결과, 여자 대학생의 성적자율성에 영향을 미치는 요인은 자아존중감(𝛽=0.393, p<.001), 이성교제 경험(𝛽=0.213, p=.008), 성의식(𝛽=0.175, p=.028)이었고, 설명력은 22.1%이었다. 여자 대학생이 성적 주체로써 자율성을 가지기 위해서는 스스로를 소중하게 생각하는 자아존중감의 증진과 긍정적인 성의식이 전제되어야 하며, 이성과의 긍정적인 교제 경험을 가질 수 있어야 한다. 따라서 자아존중감 증진을 위한 다각적인 지지가 요구되며, 긍정적인 성의식을 가지고 이성간의 효율적인 의사소통을 통해 성적자율성 증진에 기여하는 교육중재가 필요하겠다.

• 한국산학기술학회논문지
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• 제20권8호
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• pp.352-361
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• 2019

본 연구에는 초등학교 고학년 여학생의 사회불안이 관계적 공격성에 미치는 영향에서 정서조절능력이 매개하는지 검증해보고자 하였다. 이를 위해 인천지역 초등학교 4, 5, 6학년 여학생 177명을 대상으로 사회불안척도, 정서조절능력척도, 관계적 공격성 척도를 사용하였다. 자료 분석은 다중회귀분석을 실시하였으며 매개효과의 유의성을 검증하였다. 연구 결과 첫째, 초등학교 고학년 여학생의 사회불안은 관계적 공격성과 정적 상관을, 정서조절능력 전체 및 하위요인인 문제 중심적 대처 지지추구의 긍정적 절서조절과는 부적 상관을 감정발산, 공격적 표현, 회피와 같은 부정적 절서조절과는 정적 상관을, 정서조절능력은 관계적 공격성과 부적상관이 있는 것으로 나타났다. 둘째, 초등학교 고학년 여학생의 사회불안이 관계적 공격성에 미치는 영향에서 정서조절능력이 완전매개 하였다. 셋째, 사회불안이 관계적 공격성에 미치는 영향에서 정서조절능력의 하위요인별 매개효과를 검증한 결과, 문제 중심적 대처 지지 추구와 같은 긍정적 정서조절은 부분 매개를, 감정발산, 공격적 표현과 회피와 같은 부정적 정서조절은 완전 매개하는 것으로 나타났다. 마지막으로 본 연구의 이론적 함의와 초등상담의 실천적 함의 및 한계점과 추후 연구방향을 제시하였다.

• 가족자원경영과 정책
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• 제28권1호
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• pp.1-11
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• 2024

본 연구는 취업 장애인 1인 가구의 지역사회 적응에 필요한 대인관계능력과 개인적 요인인 자아존중감이 생활만족도에 어떠한 영향을 미치는지 분석하여 장애인 1인가구가 행복한 생활을 유지하는 데 도움이 되는 기초자료를 제공하는 데 목적이 있다. 한국장애인고용공단 고용개발원에서 조사한 장애인고용패널조사 7차년도 2차 웨이브 자료(2022) 중 1인가구 828명의 자료를 활용하여 SPSS Process Macro 4.3으로 매개효과를 검증하였다. 대인관계능력과 자아존중감이 생활만족도에 미치는 영향을 살펴보기 위해 다중회귀분석을 실시한 결과, 자아존중감이 높을수록 생활만족도가 높은 것으로 나타났으나 대인관계능력은 유의미한 영향이 나타나지 않았다. 대인관계능력이 자아존중감을 경유하여 생활만족도에 이르는 경로는 정적으로 유의한 것으로 나타나, 대인관계능력과 생활만족도의 관계에서 자아존중감이 매개효과를 갖는 것을 알 수 있다. 본 연구는 1인가구의 사회적 고립 문제가 대두되는 현대 사회에서 취업장애인 1인가구를 대상으로 생활만족도와 관련하여 대인관계의 중요성을 강조하고 장애인 1인가구 스스로 자신의 삶에 주체가 될 수 있는 방향을 제시하였다는 데 의의를 둘 수 있다.