• 여성건강간호학회지
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• 제5권2호
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• pp.247-261
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• 1999

The purpose of this study was to figure out related factors to the self-reported climacteric symptoms and the relationship among the health promoting behaviors, climacteric symptoms and degree of Sanhujori, the Korean traditional postpartal care. A cross-sectional survey design was employed in this study. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60 years. They were selected in seoul and Kyoung-ki province, Korea, Data were collected from Oct.25 Nov. 10, 1997 by a structured questionnaire. The instruments used for this study were the revised health Promotion Lifestyle(HPLP) developed by Walker, Sechrist & Pender, and revised Climacteric Symptoms Scale developed by Chi, Sung Ai. the data were analyzed by the SPSS/$PC^+$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low($2.42{\pm}0.35$). There were statistically significant differences in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, whether or not taking a restorative food and degree of Sanhujori, especially the period (t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of score self-reported climacteric symptoms was 1.69%;99% of middle-aged women had symptoms. There were statically significant differences in the score of middle -aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormon replacement therapy (HRT) or consultation by a professional, perceived health status and self evaluation of Sanhujori(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. women's degree of Sanhujori was a positive correlation with health promoting behaviors(r=0.34, p=0.00) and negative correlation with the degree of self-reported climacteric symptoms(r=-0.19,p=0.03). 4. The influencing factors to the climacteric symptoms were self actualization, interpersonal support, and perceived health status among the health promoting behaviors with 57% of variance($R^2$=0.57). 5. The middle-aged women's type of coping pattern for the climacteric symptoms was classified as active behavioral coping, spiritual & psychological coping, and negative coping. In conclusion, to intervene the middle aged women's climacteric symptoms and develop nursing strategies for their health, health promoting behavior, especially ; self actualization, interpersonal support, and perceived health status should be considered. And, as the primary prevention strategy for women's health during the period of childbearing and also middle age, especially for the climacteric symptoms, Sanhujori should be reconsidered.

• 근관절건강학회지
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• 제7권1호
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• pp.5-24
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• 2000

Middle age for women is one of the most important stages of the whole normal life span and has unique problems concerning the psychological and physical health, specifically degenerative musculoskeletal diseases. Therefore middle age women should prepare in order to lead a healthy and fruitful life as they enter/begin old age. As the population of middle age women increase, the demands of nurses who care for this age group also continue to glow. Nurses must be interested in this middle age group of women in Korea. This study was designed to identify the extent of family support and self-esteem of the middle age women with degenerative musculoskeletal diseases and the relationship between them and nurse's contribution to middle age women's health promotion that maintain and promote qualify of her life. The population of this study was 112 women aged 40-60, attending the out patient clinic one University Hospital and one Hospital, in Pusan. The data was collected from 1st August to the 30th of September, 1998 by using 36 items questionnaire. The instrument used for measuring family support was of Chai's(1983) FSS which was modified by Kang's(1984) Family Support Scale. And that for self-esteem was Rosenberg's(1965) Self-esteem Scale. The reliability of Chai's FSS and Rosenberg's instruments were tested by Cronbach's alpha and showed that they were 0.93 and 0.89 each respectively. Data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS computer program. The results of the study were summarized as follows : 1. The mean score of the perceived family support was $39.31{\pm}9.42$. 2. The mean score of the perceived self-esteem was $33.16{\pm}6.75$. 3. Statistically significant factors influencing the family support among sociodemographic variables was satisfaction of marriage(F=-3.069, p<0.003). 4. Statistically significant factors influencing the self-esteem among sociodemographic variables were age(F=3.992, p=0.000), education(F=2.260, P=0.026), housing (F=-1.987, P=0.049) and satisfaction of marriage(F=-2.305, P=0.023). 5. There was a significant correlation between family support and self-esteem (r=.621, p<.000). In conclusion, perceived the family support was important for middle age women to increase their self-esteem. Nurses should be aware of the necessity of family support in the supportive nursing of middle age women and should be able to make a plan to educate the family about supporting the wife/mother. The continuing study of the health promotion of middle age women to find out variables influencing middle age women' health must continue.

• 재활간호학회지
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• 제1권1호
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• pp.111-123
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• 1998

The related factors of the quality of life (QOL) in stroke patients was identified empirically. The subjects were 254 stroke patients who were discharged and taken follow-up care at the outpatient department. In this model, the physical, psychological, and social status were assumed to affect the QOL. And the social support was assumed to moderate these effects. NIH stroke state, ADL, and IADL were used to measure the physical status. Using CES-D, the psychological status was measured. The social status was defined as the job change after stroke attack. The satisfaction with the care by primary caregivers, significant others, and health professionals was measured as the social support. To identify the effect of the physical, psychological, and social status on the QOL, multiple regression analysis was carried out. The psychological and social status were found to be the significant predictors of the QOL(R2=0.27, p=0.00). Next, to identify the moderating effect of the social support, the subjects were divided into two groups, that is, the low social support group and the high social support group. It is found that the predicting variance is different between these two groups. In the low social support group, the psychological, social, and physical status predicted as much as 42% of the QOL. On the contrary, the psychological status predicted only 8% of the QOL in the high social support group. So it is concluded that the social support moderates the effects of the physical, psychological, and social status on QOL. Finally, to identify the social support which moderates those effects, the social support was divided into three classes. Each social support class was divided into the low and high social support group again. In the every class of social support, the difference between two groups was also identified. So the model of the QOL is recommended for the framework of the care for the stroke patients. Also these results support the claim that the long-term facilities for stroke patients are necessary.

• 산업융합연구
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• 제20권1호
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• pp.77-86
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• 2022

본 연구는 전문 의료인인 의사와 간호사간 의사소통 인식 정도와 의사소통에 대한 세부 영역과 만족도를 파악하기 위한 서술적 조사 연구이다. 자료수집은 C시의 종합병원 의사, 간호사 372명을 대상으로 2021년 3월부터 5월까지 수집하였다. 수집된 자료는 SPSS/WIN 20.0 프로그램을 이용하여 기술통계, 평균과 표준편차, t-검정, ANOVA, Scheffe test, 상관관계 분석을 이용하여 분석하였다. 연구 결과, 의사와 간호사 간 의사소통 인식의 차이가 있었으며, 의사가 인식한 의사소통과 간호사가 인식한 의사소통 세부영역 중 개방성(t=9.91), 직종 간 상호이해(t=5.25), 만족도(t=8.13)에서 통계적으로 유의한 차이를 보였다. 의사소통 세부영역에서 간호사와 의사 그룹 모두 의사소통 세부영역과 만족도는 양의 상관관계가 있었다. 간호사는 개방성(r=.72, p<.001), 직종 간 상호이해(r=.71, p<.001)가 의사소통 만족도와 높은 양의 상관관계가 있었고, 의사는 직종 간 상호이해(r=.79, p<.001), 적시성(r=.73, p<.001)이 의사소통 만족도와 높은 양의 상관관계가 있는 것으로 나타났다. 따라서 환자안전을 보장하고 양질의 의료를 제공할 수 있도록 간호사, 의사 직종 간 상호이해, 개방성 등 취약부분을 효과적으로 개선할 수 있는 의사소통 프로그램 개발이 필요하다.

• Journal of Hospice and Palliative Care
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• 제8권1호
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• pp.8-17
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• 2005

목적: 본 연구는 암 환자를 돌보는 간호사의 부담감, 직무 만족도 및 삶의 질을 파악하고 제 변수들 간의 관계를 알아보기 위한 서술적 조사 연구이다. 방법: 연구 대상은 경기도 및 서울에 있는 500병상 이상의 4개 종합병원 종양 병동의 간호사 237명이었다. 자료 수집 기간은 2005년 2월 2일부터 3월 3일까지였다. 연구도구로 부담감은 이관희(1985), 김연희(2001)와 조계화(2002), 직무 만족도는 이상금(19%), 삶의 질은 노유자(1988)가 개발한 측정도구를 수정, 보완하여 사용하였다. 자료 분석은 SAS 통계 프로그램을 이용하여 t-test, ANOVA, Duncan test, Pearson correlation coefficient, Stepwise multiple regression을 적용하였다. 결과: 1. 부담감의 평균은 5점 만점에 2.78점, 직무 만족도는 2.93점, 삶의 질은 3.22점이었다. 2. 부담감이 가장 높았던 문항은 '환자의 고통을 덜어주기 위해 노력해도 한계를 느낀다'였다. 부담감은 35세 미만 군에서, 임상 경력과 암 환자간호 경력이 각각 $3{\sim}4$년 군에서 유의하게 높았다. 3. 직무 만족도가 가장 낮았던 문항은 직장에서의 승진 가능성 정도였다. 직무 만족도는 배우자가 있는 군, 직위는 수간호사와 책임간호사 군에서 유의하게 높았다. 4. 삶의 질이 가장 낮았던 문항은 '신체적 피로를 느낀다'였다. 삶의 질은 35세 이상 군, 배우자가 있는 군, 수입이 200만원 이상군에서 유의하게 높았다. 5. 부담감과 직무 만족도, 삶의 질은 역상관 관계가 있었다. 6. 삶의 질에 영향을 미치는 주요 요인은 부담감이었다. 결론: 암 환자를 돌보는 간호사의 부담감과 직무 만족도가 높을수록 삶의 질은 낮아지므로 삶의 질을 높일 수 있는 행정적, 제도적 지원과 부담감 감소를 위한 현실적인 대안을 마련하는 것이 필요하다.0.04{\pm}0.20$ P=0.1519), 우울 정도, 불안 정도, 스트레스 정도는 자가치료 순응도가 좋을수록 감소하는 경향을 보였으나, 통계적으로 유의하지는 않았다. 아로마 자가 치료군에서 수축기 혈압은 약간 증가하였으나 통계학적 의의는 없었다($4.53{\pm}14.43mmHg\;vs\;0.0{\pm}7.22mmHg$, P=0.152). 자가 치료군에서 환자들은 두통(20%), 감각이상(6.7%), 오심(6.7%) 등의 부작용을 호소했으나, 이들 모두 일시적인 것으로 자가치료를 중단할 정도는 아니었다. 결론: 유방암 환자들에게 아로마 손 마사지 교육을 시킨 후 자기 스스로 2주간 시행한 결과, 통증강도, 우울 및 불안 정도가 의미 있게 감소하였다.임의 유무와 이유에 대해서는, '망설이지 않았다'(34명)가 '망설였다'(6명)보다 높게 나타났다. 사별가족모임에 참석한 후의 소감, 개선사항, 아쉬운 점에 대한 질문에는, 대부분의 응답자들이 '의미 있는 시간이었다', '사별가족에 대한 배려와 관심에 대해 감사한다.'라는 긍정적인 응답이 있었고, '고인에 대한 회상을 할 수 있는 자리여서 좋았다.' '사별가족모임이 일년에 한 번이 아니라 계속적으로 있었으면 한다.', '한편은 슬프고 한편은 기쁘다.' 등의 의견이 있었다. 사별 후 느끼는 가장 큰 어려움에 대해 참석가족은, '우울감'(10명), '외로움'(7명)의 빈도가 높았고, '그리움'(1명), '경제적/역할상 어려움'(4명), 무응답(6명)으로, '우울감'이 가장 큰 어려움으로 나타났다. 반면에, 비참석 가족에서는, 가장 큰 어려움은 '경제적/역할상 어려움'(6명), '외로움'(5명), '우울감'(3명), '후회감'(1명), '고인에 대한 원망감'(1명), '특별히 어려움이 없다'(1명)라고 답하였다. 결론: 호스피스 서비스를 경험한 사별가족들은 고인이 품위 있는 임종을 맞이하였다고 생각하는 견해가 높았고,

• Journal of Hospice and Palliative Care
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• 제24권4호
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• pp.204-213
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• 2021

Purpose: At the end of life, communication is a key factor for good care. However, in clinical practice, it is difficult to adequately discuss end-of-life care. In order to understand and analyze how decision-making related to life-sustaining treatment (LST) is performed, the shared decision-making (SDM) behaviors of physicians were investigated. Methods: A questionnaire was designed after reviewing the literature on attitudes toward SDM or decision-making related to LST. A final item was added after consulting experts. The survey was completed by internal medicine residents and hematologists/medical oncologists who treat terminal cancer patients. Results: In total, 202 respondents completed the questionnaire, and 88.6% said that the decision to continue or end LST is usually a result of SDM since they believed that sufficient explanation is provided to patients and caregivers, patients and caregivers make their own decisions according to their values, and there is sufficient time for patients and caregivers to make a decision. Expected satisfaction with the decision-making process was the highest for caregivers (57.4%), followed by physicians (49.5%) and patients (41.1%). In total, 38.1% of respondents said that SDM was adequately practiced when making decisions related to LST. The most common reason for inadequate SDM was time pressure (89.6%). Conclusion: Although most physicians answered that they practiced SDM when making decisions regarding LST, satisfactory SDM is rarely practiced in the clinical field. A model for the proper implementation of SDM is needed, and additional studies must be conducted to develop an SDM model in collaboration with other academic organizations.

• 한국간호교육학회지
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• 제6권2호
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• pp.376-389
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• 2000

The Purpose of this study was to grasp the status of drug uses in college students, and to investigate the knowledge and attitude when they use it. We collected through questionnaires from Sep. 1 to Oct. 30 in 1999. The subjects were 490 college students in Seoul and northern of the Kyunggi-do. The data analysis was performed using SPSS (version 7.0) and ANOVA. The results of this study were as follows. 1. There was no correlation for all factors in the relationship between general characteristics of subjects and knowledge for drugs. On the contrary, in the relation of the general characteristics and attitude for drug of subjects, some factors are statistically significant e.g., department (F=3.049, p<.010), satisfaction for school life (F=6.167,p<.002), body shape(F=8.092, p<.000), and the relationship with ones parents (F=3.728, p<.005). 2. In the analysis of drug use status and knowledge, only in the factor of administration control was statistically significant(F=4.304, p<.014) and in the relation of attitude for drug uses, drug administration was statistically significant (F=4.521, p<.004). 3. In the mean scores for the drug knowledge analysis, the highest factor was 'A narcotic make deformed persons through poisoning of physical and mental' (M=4.14), the lowest factor was 'If catch the flu during the pregnancy, should be take drug as possible as quickly to reduce negative effect for fetal' (M=1.94). 4. In the analysis for drug attitude, the highest factor was 'A drug is alike a poison' (M=3.48), 'Should be keep the usage and dosage of drug' was the lowest (M=1.48). 5. From the investigation for status of drug use, it was revealed that the most subjects (73.6%) were purchase drugs after explain their symptoms to pharmacist. And they take drugs only when they felt painful in 43.1%. The most students (70.4%) were experienced control of drug administration. It was inquired that subjects were mainly obtained information about drugs from pharmacist and television (or radio) advertisement, 33.5% and 33.1%, respectively. In the examination for existence of long-term administrators in their family, 'none' and 'only parents' are 49.6% and 37.3%, respectively. When their parents have illness, the persons go to drugstore and hospital for heath-care, 47.8% and 44.3%, respectively. On the basis of results of this study, we suggest as follows. 1. This study was analyzed data from questionnaires for college students in a part of local areas, so we suggest that the next research should be perform for national-wide students as subjects to generalize the results. 2. It is need more intensive research methodologies such as interview and observation. 3. Additional research is required for knowledge and behaviors of drug uses that will how impact on ones health behavior.

• 한국콘텐츠학회논문지
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• 제16권7호
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• pp.640-650
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• 2016

본 연구는 문제중심학습 연계 시뮬레이션 기반 교육을 개발하고 적용하여 간호학생의 학습동기, 학습전략과 학업성취도에 미치는 효과를 검증하고자 시도하였다. 연구대상자는 간호학과 4학년 학생 69명으로 2015년 9월부터 10월까지 문제중심학습 연계 시뮬레이션 기반 교육을 개발, 적용하고 학습동기, 학습전략, 학업성취도를 설문조사하였다. 연구결과, 문제중심학습 연계 시뮬레이션 기반 교육 후 통제 동기(외재 동기)는 감소하고, 자율성 동기(확인된 동기, 내재 동기)는 증가하였으며, 자원관리전략 활용 정도가 향상되었다. 학업성취도(학업성과, 교육만족도) 모두 확인된 동기와 학습전략(인지전략, 메타인지전략, 자원관리전략)과 정상관관계가 있었다. 결론적으로 문제중심학습 연계 시뮬레이션 기반 교육은 간호대학생의 자율성 동기를 증진하고 자원관리전략의 활용 정도를 향상시키는데 효과적인 교육전략으로 볼 수 있다. 문제중심학습 연계 시뮬레이션 기반 교육을 다양한 간호 상황에서 적용하여 학습 관련 변인에 영향을 미치는 요인과 매개변수를 파악하는 연구가 필요하다.

• 한국병원경영학회지
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• 제5권1호
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• pp.232-271
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• 2000

The introduction of a team system to any organization is usually to improve that organizations dynamics, by increasing the proper adaptation to rapidly changing environments, by reducing approval procedures, and by promoting power authorization. In this regard, this study was carried out in an attempt to determine (1) whether or not the introduction of a team system can be as effective in hospital organizations as it has been in business organizations, and (2) what behavior factors influence such effectiveness. For the current study, questionnaires were distributed to the employees of a university hospital in Pusan. Four hundred eighty three of them(94.7%) were retrieved and analyzed through statistical processes. The three types of variables that were found to influence team effectiveness were: (1) independent variables of team organization characteristics, such as communication, organizational atmosphere, leadership and team knowledge, (2) intervening variables of team organization characteristics. such as job autonomy, technological variety, task subjectivity, task feedback and task importance, and(3) the dependent variables of team level effectiveness, such as job satisfaction and commitment to team organization. The gathered data were processed by using the 6.12 version of the statistical program SAS(Statistical Analysis System), and the reliance coefficient of those measured variables was then evaluated as an average of 0.78. The influence of team level effectiveness was analyzed by using multiple regression analysis. These differences in effectiveness were then analyzed on the basis of related mean values, while the differences among demo-sociological characteristics were analyzed by using the dispersion analysis(ANOVA) and the t-test. The results of the study can be summarized by the following. First, regarding the relationship between team organization characteristics and team level effectiveness, all of the factors including communication, organizational atmosphere, leadership and team knowledge were found to have a significant influence on effectiveness. Second, the factors of team job characteristics, such as technological variety, task importance and job autonomy, had significant effects on job satisfaction and organizational commitment among the teams members. Team level effectiveness was generally high, while team job satisfaction was higher the teams organizational commitment. Third, regarding the demo-sociological characteristics, team level effectiveness was found to be higher among those who were older, who had more job experience, and who had a higher position. Comparing the differences among job types, the effectiveness was relatively higher in the fields of nursing and administration/management then in other fields. Further study should be done towards the setting of variables for characteristics of hospital organization, developing suitable methods of measurement, and researching individual level effectiveness.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.325-336
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• 2018

본 연구의 목적은 간호사를 대상으로 한 경력개발 관련 국내 연구의 최신 동향을 탐색하여 향후 간호 보건 분야에서 경력관련 논문의 이론적 접근과 실천적 방향성을 제시하고자 시행하였다. 연구 대상은 2008년부터 2017년까지 10년간 국내 학술지에 실린 간호사 경력개발 관련 연구였다. 검색 데이터베이스 RISS 및 KISS등을 통해 검색어를 '간호', '간호사', '경력', '경력개발', '경력개발 프로그램', '경력관리'로 하여 검색된 논문 중 최종 29편의 논문을 분석대상으로 선정하였다. 분석은 전체적인 동향분석을 위해 연도별, 출처별, 연구설계 및 대상자 별로 살펴보았고, 주제 별 경향성을 파악하기 위해서는 내용분석방법을 채택하였다. 내용분석 결과 상위 범주로 경력개발과 경력개발결과로 나뉘었고, 경력개발의 하위범주로 조직 경력관리, 개인경력관리 경력개발결과의 하위범주로 경력성과로 나뉘었다. 하위범주인 개인경력관리는 경력탐색, 경력계획, 경력정체, 경력단절로 구성되어 있었고, 조직경력관리는 CLS개발 및 적용, CLS 인식도 조사, 경력개발 모형구축으로 구성되어 있었다. 경력성과는 경력몰입, 조직몰입, 이직의도, CLS 적용 후 변화, 경력만족, 경력변경의도 순으로 구성되어 있었다. 그리고 가장 많이 다룬 주제는 경력성과 중 경력몰입으로 나타났다. 따라서 앞으로 경력개발 관련 간호연구의 방향성은 개인 차원과 조직차원의 욕구를 부합시킨 통합적인 연구가 필요하며, 또한 대상자, 연구설계와 연구주제에 있어서의 다양성이 요구된다.