• 제목/요약/키워드: Nursing approach

검색결과 947건 처리시간 0.021초

대학생의 정신건강에 영향을 주는 요인 - 사상체질과 자아상태를 중심으로 - (Factors Affecting Mental Health among College Students - Sassang Constitution and Ego State centered Approach-)

  • 김명희
    • 한국보건간호학회지
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    • 제27권3호
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    • pp.564-577
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    • 2013
  • Purpose: The purpose of this study was to address differences between mental health according to sasang constitution and ego state among college students. Methods: Data for this cross-sectional study were collected by administration of questionnaires eliciting Woo's ego state scale, QSCC II for the sasang constitution classification, and SCL-90-R for mental health to 393 college students. Analysis was performed using IBM SPSS (version 19.0). Results: The Free Child ego and Adapted Child ego differed significantly among sasang types. The ego-gram pattern of So-eum type exhibited the N pattern (Nurturing Parent (NP)>Adapted Child (AC)>Adult (A)>Free Child (FC)>Critical Parent (CP), AC-high type), however, the ego-gram pattern of other constitution types showed the M pattern (NP>FC>A>AC>CP). No statistically significant differences in mental health were observed among sasang types, however, among ego states, AC and CP showed negative correlation with mental health status. Between So-eum type and So-yang type, AC was the factor predicting mental health. Between Tae-eum type and undefined type, AC and CP were factors predicting mental health. Conclusion: These findings suggest that sasang constitution could be an important factor in understanding the ego state and mental health status. We conclude that sasang constitution should be considered in interpretation of mental health status presentation in clients.

노인의 스트레스 대처과정에 대한 근거 이론적 접근 (Stress Coping Process in Elderly People: Grounded Theory Approach)

  • 김애경
    • 기본간호학회지
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    • 제10권3호
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    • pp.345-353
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    • 2003
  • Purpose: The purpose of this study was to explore the stress-coping process used by elderly people. Method: This study was based on the grounded theory methodology of Strauss & Corbin. The participants were 15 elders selected by theoretical sampling. Over a period of 3 months, in-depth interviews using audiotape recording were used to collect the data. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded in categories and properties according to Strauss and Corbin's methodology, Result: Stress in elderly people is caused by illness, family conflict, and loss of economic power. Stress occurred in connection with aging and limitation of social activity. The central incidents for stress were fear, alienation and anxiety. It was found that action/interactional strategies of stress-coping behavior were related to social support and mobility disorders. Action/interactional strategies to stress-coping in elderly people were dependent on medical treatment, mind control, participation of social activity, and renunciation of offensive behavior. Stress-coping in elderly people resulted in stability or instability in body and mind. Conclusion: It is suggested that the results of this study may contribute to the development stress-coping strategies for elderly people. There is need to develop social support systems and a positive environment to avoid negative coping strategies.

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행복에 관한 대학생의 주관성 연구 - Q 방법론적 접근 - (A Study of Subjectivity about Happiness among Undergraduate Students - Q methodological approach -)

  • 심형화
    • 한국간호교육학회지
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    • 제23권3호
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    • pp.268-278
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    • 2017
  • Purpose: The purpose of this study was to investigate the subjectivity of undergraduate students about happiness. Methods: Q methodology, which scientifically measures individual subjectivity, was used. Thirty-four Q-statements selected from 40 participants were classified into a shape of normal distribution using a nine-point scale. The collected data were analyzed using a PQMethod PC program. Results: Type I: Self-directed, growth-seeking type. This group of people searches for their objectives and direction in life while consistently making efforts to realize their goals. Type II: Oriental and wealth-seeking type. This group of people sympathizes with the oriental worldview and believes in having luck such as wealth or health. Type III: Realistic and pleasure-seeking type. This group of people tries to think positively but while rooted in reality, searches for pleasure and satisfaction in their surroundings. Type IV: Altruistic and relationship-seeking type. This group of people stresses the importance of religious life, small happiness in life, and relationship with friends or neighbors. Conclusion: The results of this study provide the foundation for understanding college students' perception about their happiness. Furthermore, these results suggest the necessity of specific and integrated education to improve happiness.

남성 당뇨병환자의 음주 및 흡연에 관한 연구 (Alcohol Consumption and Cigarette Smoking in Men with Diabetes Mellitus)

  • 정진희;김옥수
    • 성인간호학회지
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    • 제17권1호
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    • pp.68-76
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    • 2005
  • Purpose: The purpose of the study was to investigate the level of cigarette smoking and alcohol consumption in men with Diabetes Mellitus and to examine the relationships among those variables. Method: The subject consisted of 152 adult men with diabetes mellitus. Q-F methods and FTQ was used to measure the level of alcohol consumption and nicotine dependency. The amount of smoking was measured by the number of cigarette packs used per week. Results: Prevalence of drinking was 63.6% and in the current drinkers, 34.4% were heavy drinkers. The prevalence of cigarette smoking was 36.2% with a mean of 6.03 packs per week. Twenty percent of the smokers were dependent on nicotine. Subjects who had complications or other diseases drank alcohol more than who had not. There was a positive relationship between the level of smoking and nicotine dependency. Conclusion: Alcohol drinking and cigarette smoking is a serious health problem in men with diabetes. It is necessary to have an educational approach for controlling drinking and smoking in diabetes patients.

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희망과 설명 요인과의 함수적 관계에 대한 메타 분석 (Meta-Analysis of the Research Findings Concerning Functional Relationships of Explanatory Variables to Hope)

  • 김달숙;문원희;안성윤;오현숙;권경희;박문경;최현숙;이미옥;김영주
    • 대한간호학회지
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    • 제34권5호
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    • pp.673-684
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    • 2004
  • Purpose: The purpose of the study was to meta-analyze the relationships of major concepts, which were made by synthesizing similar explanatory variables into more comprehensive concepts, to hope. Method: The relevant researches from Jan 1980 to Dec 2003, performed in adults or adult patients, were collected. Using the SAS program, meta-analysis were done with the input data of the number of subjects, the correlation coefficients provided from most of the studies or a few transformed correlation coefficients from F value. In order to get the analysis to be done in homogeneous status of the data regarding each relationship of each major concept to hope(p> 0.05), heterogeneous data were eliminated in repeating Q-test. Result: The major variable regarding relationship to self/transcendental being/life(spiritual wellbeing & self esteem) and social support(social support & family support) have very large positive effects on hope(D=l.72, D=l.27). The negative effect of the variable regarding captive state(uncertainty in illness, perceived unhealthiness status, & fatigue) and positive effect of coping(approach coping) on hope are in the level between moderate to large(D=-0.61, D=0.78). All the effects of the major concepts on hope were verified as significant statistically(p=.000). The Fail -Safe numbers showed the significant effects of the three major concepts except coping on hope were reliable. Conclusion: The results can be a guide to advance hope theory for nursing.

새터민의 내일을 향한 삶의 체험 - Parse의 인간되어감 연구방법론 적용 - (Lived Experience of Considering Tomorrow among North Korean Refugees)

  • 이옥자;김현경
    • 대한간호학회지
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    • 제37권7호
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    • pp.1212-1222
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    • 2007
  • Purpose: The present study was done to discover the structure of universal actual experiences 'Considering tomorrow' of health and quality of life among North Korean refugees in terms of the socio-cultural context of South Korea. Method: The research question was 'what is the structure of the actual experience of 'Considering tomorrow?', which was examined based on the Parse's human becoming research method. Five North Korean adult refugees were recruited from a National Reconciliation Committee in Seoul/Incheon. The data was gathered from dialogues and collected from February, 2006 to November, 2006. Results: The structures found in this study were: 'hope for future life by taking responsibility and having harmony with South Koreans, by forming an integrated identification; having a chance for positive engagement, by attaining human freedom and hope; feeling respected, by assimilating self to the new world; getting freedom back, by facing a new challenge and preparing self for a new social role; overcoming cultural differences with fortified hardiness for survival, by making a decision for a life course with individual growth. In addition, conceptual integration was that 'Considering tomorrow is transforming the enabling-limiting values'. Conclusion: Health professionals need to know North Korean refugees' psychological difficulties, expectations of treatment, help seeking behavior, and expectations from mainstream culture. Additionally, understanding North Korean refugees' needs for reality, health education and a multi-disciplinary team approach are necessary to improve their health.

2007~2018 보건의료산업학회지 게재논문 분석: 연구방법론 중심으로 (Analysis of Published Articles in the Korean Journal of Health Service Management (2007-2018): Centered on Research Methodology)

  • 문정은;장금성
    • 보건의료산업학회지
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    • 제14권1호
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    • pp.195-209
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    • 2020
  • Objectives: This study aimed to analyze the papers in the Korean Journal of Health Service Management (KJHSM) (2007-2018) in order to identify the research trends and aid the future development of healthcare-related research. Methods: Data collection was conducted from September 1-30, 2019. The KSHSM website and Lorea Citatin Index (KCI) electronic database provided 605 copies of original text. Results: Of these, 538 studies are original articles and 7 studies are review articles; 23.7% of the studies presented conceptual framework, 58.4% implemented convenience extraction, and 64.7% collected data using questionnaires. 29.3% of key words were included in the healthcare service, and 48.5% were excluded from the submission field. Conclusions: For the qualitative improvement and development of the journal, it is necessary to consider the relevance of refinement of the methodological approach, segmentation in the field of submission, and selection of keywords.

중환자실 입원환자 가족 유형 (Patterns of Impatient's Families In the Intensive Care Units)

  • 김경선
    • 한국보건간호학회지
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    • 제16권1호
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    • pp.1-12
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    • 2002
  • This study, aimed to categorize pattern of impatient's families in the ICU and to provide useful data for development of family-supportive program was conducted from June, 12 to Aug., 28, using Q-method. After reviewing the literature the researcher proceeded to interview 4 impatient's families in the ICU, developed the statement from consisting of 38 items, and then 30 impatient's families in the ICU were sampled. The collected data were coded after having been scaled from 1 to 9 points, and analyzed using the PC QUANL program. Three types were identified; The first type focused on self-regret about the impatient, the second type of families had some concerns for their health, and the third type was thinking of preparing for their future-lives, such as insurance and savings. It was common to feel powerlessness, regret, compassion, grief and anxiety in all types. They wanted to be given some information, the prognosis of patient and the way to overcome. The study will offer better understanding for family-centered approach and be useful for the system of orientation about impatients and their families.

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보건소 고혈압관리 교육사업의 평가적 연구 (An Evaluative Study of Health Education Programs for Community-based Hypertension Control in Public Health Centers)

  • 이인숙
    • 지역사회간호학회지
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    • 제15권4호
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    • pp.517-527
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    • 2004
  • Purpose: This research is to find a solution for educational work on high blood pressure control in public health centers by analyzing their current status. Method: It analyzed data from 133 public health centers that had been doing educational work on high blood pressure, through a questionnaire. Also, it developed recommendations by converging opinions from an expert group made of 25 people with nominal group technique. Result: The educational methods of public health centers did not make any approach to get to the goal of the work. The mass media education and campaign activities for the general public had just temporary and passive propensities. In education for patients, it did not use appropriate methods to present management techniques for diagnosis process of patients, medication management, self monitoring BP, and risk factors. Pocket book for monitoring high blood pressure was not focused on self-recording for self-management. The expert group recommended that educational materials for adults should be developed focusing on treatments and observance of risk factors through daily living, and those for children should be focused on basic understanding about diseases, and life style. Conclusion: Presenting direction and strategy of fundamental education work is needed for public health centers by giving them standard educational guidelines of managing high blood pressure nationally, and it is desirable that fundamental frameworks of educational materials should be developed and distributed by professional groups nationally.

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영과잉 음이항 회귀모형을 적용한 농촌지역 성인 신체활동의 지역사회환경 요인 분석 (Neighborhood Environment Associated with Physical Activity among Rural Adults: Applying Zero-Inflated Negative Binominal Regression Modeling)

  • 김봉정
    • 한국보건간호학회지
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    • 제29권3호
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    • pp.488-502
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    • 2015
  • Purpose: This study was conducted to determine the neighborhood environmental factors associated with physical activity among adults living in rural communities. Methods: A cross-sectional descriptive survey was conducted with a convenience sample of 201 adults living in three Ri in Y-city, Gyeonggi-do. Data were collected from face-to-face interview by trained interviewers and were analyzed using a zero-inflated negative binominal regression model. Results: Participants reported engaged in moderate or vigorous physical activity was 76.1%; 10.5% of participants reported that they met moderate physical activity recommendations and 14.5% of participants reported that they met vigorous physical activity recommendations. Zero-inflated negative binominal regression analysis showed association of increasing days of physical activity with social cohesion (${\beta}=.130$, p=.005), social network (${\beta}=-.096$, p=.003), and safety for crime (${\beta}=-.151$, p=.036), and no days of physical activity was associated with no attainment of education and marginally associated with increasing BMI. Conclusion: Neighborhood environmental factors including social cohesion, social network, and crime for safety were significantly associated with physical activity of rural adults. Community health nurses should expand an approach for individual behavior change to incorporate rural adults' specific neighborhood environmental factors into physical activity interventions.