• 대한간호학회지
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• 제22권4호
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• pp.569-588
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• 1992

This study examined the relationship between the experience of stressful life events and somatic symptoms of urban women. Data were collected by interviewing 200 women from June to July 1, 1991. Vsable data work obtained from 162 of the women. Modified version of a stressful life events measurement tool developed p.5. Lee (1984) and the Somatic Discomfort Inventory by Wittenborn were used to measure the variables. Data were processed by an 5.p.5.5. program and analyzed. statistically for percentage, T-test, ANOYA and Pearson Correlation coefficient. Result of the Study are as follows : 1) The group total mean score of stressful life events was 92.66 $\pm$ 10.41. The higher scores in the $\boxDr$Test and school$\boxUl$ of the Extrapersonal factor, in the $\boxDr$Health problems$\boxUl$ of the Intrapersonal factor and $\boxDr$Conflict and differences within the family$\boxUl$ of the Interpersonal factor, factors. which a suggested by Neuman's model. 2) The group total mean score for somatic symptoms was 100.41$\pm$9.74. The higher scores were for the factors of $\boxDr$Fatigue (1.94)$\boxUl$, $\boxDr$Menopause (1.74)$\boxUl$, $\boxDr$Muscular system(1.67)$\boxUl$ and $\boxDr$Sleeping (1.67)$\boxUl$ 3) The mean scores of stressful life events were higher in the 40~60 age group, for middle school graduates(P＜.05), career women and those in nuclear families (P＞.05). 4) The mean scores of somatic symptoms were higher in the 45~60 age group, for middle school graduates, non career women and women with 5 or more children(P＜.05). 5) There was a positive correlation between the scores of stressful life events and somatic symptoms (r＝.585 P＜.05). The higher the level of stressful life events the higher the score of somatic symptoms, the results were consistent with the Extrapersonal, Intrapersonal and Interpersonal stress factors of Neuman's Health Care Systems. This research assessed the stressful life events of women, who play the most important role in the family for illness prevention and health promotion and suggested the importance of programs in the Primary Health Services to build basic coping resources.

• 대한간호학회지
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• 제24권4호
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• pp.568-583
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• 1994

In the changing social and economic conditions, reorientation of the health care system is a process of rearranging health care resources keeping in mind the appropriativeness, relevancy, and efficacy of health care programs. Also it has been recognized recently that the CHP program is in need of review for the same reasons, that is to say, the ease in which health care facilities are available, the high rate of coverage with insurance and the development of an effective transportation system. Therefore there is a social inclination to think that there are no remote areas and to question the roles of public health facilities, health centers, health sub centers and CHP posts. This paper was done to review problems and to propose new directions for the CHP system. The findings of this study are as follows ; 1) It is necessary that primary health care should be simplified into three parts, medical treatment, preventive care services and the organization of administration and logistics. Also each department should be supplemented with the appropriate professional personnel in order to develop a task oriented system. The reorientation of the CHP system should be managed in keeping with that of other public health care systems. Therefore it is necessary to look at the CHP system problems as one aspect of the reorientation process of public health care systems, and to work to find new ways to address these problems. 2) The location of the CHP post should be decided by the needs of the community in both the medical and preventive areas. If the people have a minimum need, the location of the CHP post should be altered and the existing roles of the CHP should be modified to allow for flexibility according to the community needs. 3) Use of the problem solving method in regular team meetings will prove to be as efficient as continuing education programs in improving job competancy. 4) The supervision of CHP's activities should be made by the same type professional personnel, that is, senior CHPs or charge nurses in the public health center at the county level. 5) The operational expensies of CHP post should be supported by the administrative department of the public health center and should create working conditions that will allow the CHP to concentrate on community health service programs. 6) The organizations for community participation, working committees, community health workers and a number of the local assembly, should be activated to provide for participation in finding solutions to health related problems in the com-munity.

• 근관절건강학회지
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• 제6권2호
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• pp.226-241
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• 1999

This study was undertaken to find out the causal perception of rheumatoid arthritis patients, and to understand the typology. The Q-population consisted of 236 statements of causal perception were collected. Thirty eight Q-samples of causal perception were selected. The P-sample for this study were made up of 28 first visiting female rheumatoid arthritis patients from a rheumatoid arthritis specialty hospital. Each respondent responded Q-set of causal perception according to 9-point scale. The result of Q-sorting were coded and analyzed using QUANL PC program. 1) Typological Observation on Causal Perception (1) Physical Fatigue Type : Type 1 perceived that the illness occurred due to excessive work requiring physical labor or strain that had occurred from not resting after excessive physical labor, therefore, thinking the origin of the illness was from physical strain. (2) Physical origin Type : Type 2 perceived that the major cause for the illness is not only excessive physical labour but also fecundity and old age. (3) Causality to Environment Type : Type 3 perceived that rheumatoid arthritis occurred from injury to the joints or bad and humid weather. (4) Conscience of Guilty Type : Type 4 consisted of people with guilty conscience for lack of religious commitment. They perceived that the illness was a punishment from God for not praying or because of bad luck. (5) Rationally Perceiving Type : People who belong in type 5 perceived the cause of illness in light of scientific facts such as genetics, unbalanced diet or lack of exercise. (6) Psychological Stress Type : People who belong in type 6 believed that excessive stress was the cause of the illness. 2) Emotions of Rheumatoid arthritis patients Rheumatoid arthritis patients' positive emotions included determination, courage, coping, acceptance, hope, and adoption ; and their negative emotions were prostration, worry, stupor, conflicts, grievance, giving-up, resignation, depression, loss, solitariness, fear, anxiety, avoidance, anger and loneliness. Rheumatoid arthritis patients experience different level of emotions from their suffering experience from the severe pains. Rheumatoid arthritis patients also experience negative emotions when they could not perform self-care and lose their self-esteem from painful suffering ; however, they regain positive emotions when they recover from pain with the use of drugs, physical therapy or exercise. Their emotional states are closely connected to level of and presence of pain.

• 한국융합학회논문지
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• 제9권9호
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• pp.431-440
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• 2018

본 연구에서는 인공지능 기술 중 구글에서 개발하여 오픈소스로 제공하고 있는 텐서플로우(Tensorflow) 활용하여 신규간호사 이직률을 예측해 보았고, 이를 통해 전략적 인적자원관리 방안을 제시하였다. 부산지역 한 대학병원의 2010년에서 2017년 사이 퇴직한 간호사 데이터 1,018건을 수집하였다. 학습에 사용된 자료는 순서를 임의로 재배열 한 뒤 전체 데이터의 80%를 학습에, 나머지 20%를 테스트에 이용하였다. 활용된 알고리즘은 다중신경망회로(multiple neural network)로서 입력층과 출력층, 3개 층의 은닉층을 가지도록 설계 되었다. 본 연구의 결과 텐서플로우 플랫폼을 활용하여 1년 이내 이직률을 88.7%, 3년 이내 조기 이직률은 79.8%의 정확도로 예측하였고, 대상자들의 퇴직 시 연령은 20대 후반부터 30대에 집중되어 있었다. 가장 높은 빈도를 차지한 이직 사유로는 '결혼, 출산, 육아, 가정 및 개인사정'이었으나, 근무기간 1년 이하 대상자 들의 가장 높은 이직사유는 '업무 부적응 및 대인관계 문제'로 나타났다.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.212-223
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• 2019

본 연구는 계획된 행위이론에 근거하여 태도, 주관적 규범, 지각된 행위통제가 종합병원 간호사의 욕창예방 행위에 미치는 영향을 규명하기 위하여 수행되었다. 서울과 경기도의 4개 종합병원에서 총 111명의 간호사가 연구에 참여하여 욕창예방에 대한 태도, 주관적 규범, 지각된 행위통제 및 욕창예방 행위와 관련된 설문조사에 응답하였다. 수집된 자료는 전체 대상자뿐만 아니라 대상자를 각각 학력수준, 근무병동 및 병원규모로 나누어 집단별 다중 회귀분석을 시행하여 분석하였다. 전체 대상자에 대한 연구결과에서는 욕창예방에 대한 태도가 긍정적이고 주관적 규범에 대한 인식이 높을수록 간호사의 욕창예방 행위의 수준이 높았다. 반면에 집단별 분석 결과에서는 '학사이상'이거나 '3차 종합병원'에 근무하는 간호사는 임상경험이 많을수록 행위 수준이 높았고, '외과병동 및 중환자실'에 근무하는 간호사는 태도 점수가 높을수록 욕창예방 행위의 수준이 높았다. 또한 '학사이상'인 간호사는 주관적 규범에 대한 인식이 높을수록 욕창예방 행위의 수준이 높았다. 따라서 간호사의 욕창예방에 대한 태도, 주관적 규범의 수준을 개선함으로써 욕창예방 행위를 증진하기 위해서는 간호사의 교육수준, 근무부서, 병원규모를 고려한 개별화된 맞춤형 중재가 제공되어야 한다.

• Journal of Hospice and Palliative Care
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• 제19권2호
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• pp.136-144
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• 2016

목적: 본 연구는 간호사들을 대상으로 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도수준과 변인 간의 관련성을 확인하여 생명윤리교육의 근거를 마련하는데 실제적인 자료로 활용하고자 이루어졌다. 방법: 연구 대상은 서울, 부산경남, 및 경북지역에 소재한 500병상 이상의 6개 종합병원에서 6개월 이상 근무한 간호사 중 본 연구의 목적을 이해하고 연구 참여를 허락한 자 218명을 대상으로 편의표집 하였다. 연구도구는 좋은 죽음 인식 측정도구(The Concept of Good Death Measure), 연명치료 중단 측정도구와 안락사 측정도구(Attitudes toward Euthanasia)를 사용하였다. 수집된 자료는 SPSS 21 WIN 프로그램을 이용 서술통계, Independent t-test와 one-way ANOVA 및 Pearson's correlation coefficient로 분석하였다. 결과: 간호사의 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도는 보통 수준이었다. 간호사의 일반적 특성에 따른 좋은 죽음에 대한 인식, 연명치료 중단과 안락사에 대한 태도차이는 교육수준, 근무경력 및 신앙의 중요성에서 유의하게 나타났다. 좋은 죽음과 연명치료 중단에 대한 태도는 역 상관관계가 있었고, 연명치료 중단과 안락사에 대한 태도는 순 상관관계가 있었다. 결론: 말기환자를 돌보는 과정에서 발생하는 윤리적 문제를 다루는데 간호사들은 숙련되어야 한다. 좋은 죽음에 대한 간호사의 인식확립과 연명치료 중단과 안락사와 같은 존엄사와 관련된 개념에 대한 이해와 윤리적 갈등 상황에서의 판단과 해결능력에 관한 생명윤리교육의 활성화가 필요하다고 본다.

• 동서간호학연구지
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• 제10권1호
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• pp.27-40
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• 2004

Relapse is one of the most series problems in alcoholics treatment. Previous studies have shown that significant proportions of treated alcoholics show an early relapse and go through a chronic phase. It is necessity to find more effective relapse prevention program. The Purpose of this study was to develop a relapse prevention program that emphasis on group activities using various action methods. Previous studies revealed that there was no effective therapeutic strategy to prevent relapse and proposed that action methods were more practical ways to be able ti cope with high-risk situation than verbal methods such as discussions and lectures. The special attempt of this program was the application of various actions methods and the integration of many psychosocial therapeutic strategies as compared with many relapse prevention programs. The theoretical framework of this relapse prevention program was based on mainly the Marlatt's Relapse Prevention model and Prochescha and DiClemente's Transtheoretical model. This Program consists of eight structure sessions. Every session has three phase: Warm-up phase, action phase, and sharing phase as sociodrama structure. Sociodrama is based on many of the principles of adult learning. And sociodrama looks at how groups work through an understanding of systems and role theory. Therefore, in working with a group a therapist might explore with them the roles that people play, roles that are missing at present such a visionary and how people can develop new roles or new ways of playing existing roles. The researchers explained the purpose of this study to all participants after their agreement to participate. Voluntary informed consent was obtained from all participants. Every session allows participants to recognize personal specific high-risk situation and to examine possible coping behaviors creatively. Multiple solutions can be proposed, tested and evaluated dramatically, giving new insights or breakthroughs in thinking. This is vital for the initiation of change, and if appropriate, expanding new role development. The first two sessions aim at understanding of relapse process and recognize of high-risk situations focused on orientation about action methods. The next four sessions deal with high-risk situations. The last two sessions give participants opportunities to venture new life-styles. The methods and approaches used in this program utilized as a tool to explore and practice possible coping strategies. and this program can contribute to prevent relapse episode if tune with the particular high-risk situation by using active practices in safe environment.

• 여성건강간호학회지
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• 제7권3호
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• pp.271-283
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• 2001

The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

• 융합정보논문지
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• 제10권8호
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• pp.87-98
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• 2020

본 연구는 코로나19 확산에 따른 대중의 불안, 지식, 감염 가능성, 감염예방 가능성, 감염예방행위 수행도 수준을 파악하기 위해 시도되었다. 2020년 4월 6일부터 4월 10일까지 20~50대 성인 208명을 대상으로 자료수집을 하였다. 대상자의 일반적 특성과 코로나19 관련 불안, 지식, 감염 가능성, 감염예방 가능성, 감염예방행위 수행도 수준을 설문조사하였고, 수집된 자료는 SPSS 23.0을 이용하여 기술통계, t-test, ANOVA, 상관관계 분석을 실시하였다. 본 연구결과에서 나타난 불안 점수는 성별, 연령, 결혼여부, 동거가족 유형에 따라 통계적으로 유의미한 차이가 나타났으며, 지식 점수는 연령, 결혼여부에 따라, 감염 가능성은 연령과 지역에 따라, 감염예방행위 수행도는 성별, 연령, 결혼여부, 동거가족 형태에 따라 통계적으로 유의한 차이가 나타났다. 하지만 감염예방 가능성의 경우 대상자 특성에 따른 차이는 없는 것으로 나타났다. 이상의 연구결과는 개인과 지역사회의 감염병 예방을 위한 적절한 보건 정책을 마련하는데 필요한 기초 자료로 사용될 수 있을 것이다. 추후 감염병 유행 시기별로 응답자의 반응을 비교하는 연구가 필요하며 지역 범위와 대상자 규모를 확대한 반복 연구를 제언한다.

• 간호행정학회지
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• 제10권4호
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• pp.495-513
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• 2004

As this study is the descriptive research study that tries to present the basic data aiming to establish a role of nurses for the Community Welfare Center, by surveying the role expectation and the degree of role performance towards nurses for the Community Welfare Center that nurses for the Community Welfare Center and social workers recognize, it carried out the Questionnaire research targeting nurses who are working for the Community Welfare Center located in Seoul and social workers of institutions where nurses are working, and then analyzed the results, and the study results are as follows. Both the group of nurses and the group of social workers were highly recognizing the necessity and the importance of nurses for the Community Welfare Center, and expected that more effective services will be possible to be offered by means of that nurses do work for the Community Welfare Center. However, compared to the degree that social workers recognize a nurses specialty, the nurses thought that their specialty is not acknowledged in the Community Welfare Center, and even in case of duty friction between groups being felt while social workers and nurses are working together, nurses were experiencing further friction of duties. While nurses are well recognizing their roles, they are statistically and significantly recognizing the degree of role performance lower than expected, thus the difference between the role expectation and the role performance could be seen. Also, the group of nurses showed the higher role expectation towards nurses than the group of social workers, and in relation to roles of a counselor, referral resource, an advocator, an educator, a case manager, a and a coordinator, the degree of role expectation by the group of nurses is statistically and significantly higher than the group of social workers, thus it could be seen that there is difference in the expectation degree between both groups, as to a role of nurses for the Community Welfare Center. In particular, as to a role of universally medical services, the expectations between nurses and social workers showed mutual agreement, but in relation to a role of nurses for community in the more expanded sphere, social workers did not show a receptive attitude, thus it was indicating that there exists an element of role conflict. In relation to the role performance of nurses for the Community Welfare Center, nurses were feeling the disorder degree more than social workers, in all items of disorder factors, and there was difference in recognition between nurses and social workers, as to the priority of disorder factors. Because of, through this study, having been found the difference in recognition of role expectation, the degree of role performance, and a disorder factor between nurses and social workers, as to the nurses for the Community Welfare Center, it is required a study with a more diversified method on a role of nurses for the Community Welfare Center.