• 제목/요약/키워드: Nursing counseling

검색결과 656건 처리시간 0.023초

중도시각장애인 부인의 위기 직면 및 극복 경험에 관한 내러티브 연구 (A Narrative Study on the Experiences of Facing and Coping the Crisis in the Wives of Men Having Visual Impairment)

  • 권진숙;박시현
    • 한국보건간호학회지
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    • 제33권2호
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    • pp.242-257
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    • 2019
  • Purpose: This study examined the life experiences of the wives of men who were born with normal vision but gradually developed a visual impairment, with particular focus on their way of facing and coping with their life crisis. Method: A narrative approach was used to not only understand women's experiences within sociocultural contexts, but also reveal the subjective meaning of their personal life stories through their own voices. A purposive sample of three participants having husbands unexpectedly diagnosed with visual impairment during their marriage was recruited. The data were analyzed using the narrative analysis methods suggested by Clandinin and Connelly. Results: The wives took the crisis of their husbands' visual impairment as an economic crisis of the family. They faced a variety of difficulties, including extreme despair, role changes, and economic burdens. On the other hand, they tried to keep the family secure through a range of coping strategies that were motivated by compassion toward the husbands, maternal affection for the children, and a sense of responsibility for their families. Conclusion: This study revealed the need for financial support for temporarily disadvantaged families. In addition, various nursing and counseling programs for the family members will also be needed to help recover the family functions.

입원환아 부모의 간호요구 (Nursing Needs of Parents with Hospitalized Child)

  • 서영미;권인수;조명옥;최운주
    • Child Health Nursing Research
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    • 제5권1호
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    • pp.59-69
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    • 1999
  • The main purpose of this study is to identify nursing needs of parents who have hospitalized child. Research design is a descriptive survey. The subjects for the study were 79 parents who have hospitalized child at a pediatric ward of one of the general hospital attached to a university in J city. The data was collected by researchers using a structured questionnaire. The questionnaire was Likert type 5 point scale, composed of 5 categories with 61 items. The data was analyzed by SPSS/PC. The results of the study were as follows ; 1) Mean score of nursing needs of subjects were 3.93 at 2nd day of admission and 3.99 at 7th day of admission. 2) Among the categories, the highest nursing need at the End day and 7th day of admission was ‘dilect nursing’, in desending order, ‘facilities and environment’, ‘education and counseling’, ‘nursing assessment’. The lowest nursing need was ‘reference’. 3) Differences between the nursing needs of subjects at 2nd day and 7th day were as follows : (1) By categories, there was a significant difference only in the ‘reference’ categoly(t=2.74, P=.008). (2) By items, there were significant differences in items of ‘to check necessary materials(t=2.31, P=.024)’, ‘to understand family function and family relationship(t=2.12, P=.041)’, ‘to set up study room(t=2.22, P=.030)’, and ‘to mediate parent's meeting group(t=3.89, P=.000)’. The above result indicated that nursing needs of parents with hospitalized child were above average, especially very high in items about disease process, and items directly associated with treatment and nursing care. So, nurses have to focus on information about the patient's state of disease, treatment, test and procedure, and in efficiently giving direct nursing care to implement mure effective care for the hospitalized children and their parents. And some future researche is needed to identify the difference of degree of nursing needs of parents with hospitalized child according to admission duration using a different sample and a longer sampling interval.

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중환자실 내 지속적 신대체 요법과 관련된 간호업무 분석 (Nursing Activities on Continuous Renal Replacement Therapy in the Intensive Care Units)

  • 윤선영;이영옥;강지연;윤미정;원윤희;이미영
    • 중환자간호학회지
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    • 제6권2호
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    • pp.65-77
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    • 2013
  • Purpose: The purpose of the study was to analyze the nursing activities related to continuous renal replacement therapy (CRRT) in the intensive care units (ICU). Methods: We developed a list of 31 CRRT related nursing activities based on literature review and reviewed by expert group. A total of 109 direct time measurement records by 43 ICU nurses were collected and analyzed in terms of total time per shift, frequency, standard time, difficulty and performance levels of each CRRT nursing activity. Results: The mean time for CRRT nursing activity was 85.60 minutes per 8 hour shift. Nurses have spent average $9.46{\pm}6.98$ minutes in a shift for "waste fluid bag change" activity. In addition, "check catheter location" was the most time consuming single activity. The most difficult activity was "counseling-answer" and the most competent one was "dialysis solutions change". Conclusion: The CRRT nursing activities accounted for a significant portion of total nursing workload. Practical allocation of nursing staff for CRRT patient along with development of a new nursing cost system need to be considered. Continuous nursing educational and training programs on CRRT should be developed.

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Disease Prevention Knowledge, Anxiety, and Professional Identity during COVID-19 Pandemic in Nursing Students in Zhengzhou, China

  • Sun, Yuyan;Wang, Dongyang;Han, Ziting;Gao, Jie;Zhu, Shanshan;Zhang, Huimin
    • 대한간호학회지
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    • 제50권4호
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    • pp.533-540
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    • 2020
  • Purpose: This study aimed to evaluate nursing students' understanding of the prevention of COVID-19, as well as their anxiety towards the disease and their perception of their professional identity in the wake of the pandemic, in Zhengzhou, China. Methods: A cross-sectional study was designed to investigate 474 nursing students by cluster sampling using a stratified questionnaire from February 15 to March 31, 2020. Multiple linear regression was used to identify the factors affecting professional identity. Binary and multiple logistic regression were used to identify the factors affecting anxiety. Results: Responders with a high level of understanding of COVID-19 and frequent use of behavioral strategies for its prevention comprised 93.2% and 30.0% of the cohort, respectively. Professional identity was significantly associated with gender and anxiety (p < .050). The prevalence of anxiety among nursing students was 12.4%. Male (odds ratio [OR] = 2.39; 95% confidence interval [CI] = 1.26~4.52), sophomores (OR = 5.30; 95% CI = 1.61~7.45), and infrequent use of prevention measures (OR = 3.49; 95% CI = 1.16~5.19) had a significant effect on anxiety. Conclusion: Anxiety during the COVID-19 epidemic gives an adverse effect on the professional identity of nursing in students. Nursing education institutions need to provide psychological counseling services for nursing students, in addition to improving their teaching of COVID-19 prevention strategies.

취업모와 미취업모의 양육태도, 양육부담감 및 학령전기 자녀의 기질과 건강관련 변인 비교 (Childrearing Attitude and Burden of Employed and Unemployed Mothers and Temperament and Health Related Variables of Their Preschool Children)

  • 방경숙
    • Child Health Nursing Research
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    • 제10권2호
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    • pp.217-224
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    • 2004
  • Purpose: This comparative descriptive study was conducted to determine the effects of maternal employment on the maternal child-rearing attitude, child-rearing burden, and temperament and health related variables of their preschool children. Method: Samples were recruited in child care centers in Seoul, Daejeon, and Suwon. 209 mothers with children age of three to six participated. Result: Employed mothers showed more positive child-rearing attitude, but there was no significant difference in child-rearing burden, Also, maternal attitude and child-rearing burden were influenced by satisfaction on the employment state. Children's temperament subscales were not different in two groups. Breast feeding and compliance on vaccination were done better by unemployed mothers. However, home safety, experience of accident and hospitalization of children were not affected by maternal employment. Conclusion: Maternal employment has positive influence in some aspects. This study provides basic data for parent counseling and anticipatory guidance for employed mothers.

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만성질환자의 보완대체요법 이용에 영향을 미치는 요인 (Factors Influencing on Use of Complementary.Alternative Therapy on Chronic Patients)

  • 박현신;현경선
    • 동서간호학연구지
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    • 제17권1호
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    • pp.1-8
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    • 2011
  • Purpose: The purpose of this study was to identify influencing factors of using numbers and period of complementary and alternative therapy (CAT) among chronic patients. Methods: The study employed a descriptive design. The participants were 221 chronic patients. Data were collected in a pharmacy near a general hospital from April to July, 2008. Results: Influencing factors on using number of CAT were age, numbers of disease, period of used CAT and monthly expenses on CAT (the ability to explain, 79.9%). Influencing factors on using period of CAT were the period of illness and using number of CAT (the ability to explain, 44.9%). Conclusion: The results of this study suggest that chronic patients need counseling and guides about using CAT especially for those are older and have many kinds and longer period of diseases.

자아존중감, 성격 및 이성교제 요인이 여대생의 정적 정서에 미치는 영향 (Self-esteem, Personality and Dating Factors Influencing Positive Affect of Female College Students)

  • 김은주
    • 한국보건간호학회지
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    • 제29권2호
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    • pp.354-364
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    • 2015
  • Purpose: This study was conducted to determine factors related to self-esteem, personality, general characteristics and dating affecting positive affect in female college students. Methods: The subjects were 335 female students attending the three colleges in Chungnam Province. Data were collected using PANAS, Self-esteem, and DISC questionnaires. Hierarchical Multiple Regression Analysis was mainly used. Results: The factors affecting positive affect were self-esteem, personality-dominance type, personality -consciousness type, economic status and boyfriend presence in female college students. These 5 factors accounted for 30.3% of positive affect of female students. In cases of having a boyfriend, factors affecting positive affect were self-esteem, economic status, boyfriend's height, and boyfriend's economic status. These 4 factors accounted for 30.5% of positive affect of female students who have a boyfriend. Conclusion: The positive affect levels of female students should be raised in practice through intervention such as a self-esteem improvement program, personality traits intervention program, and counseling on dating.

노인의 성행동과 성병인지도 (Sexual Behavior and Awareness on STD in the Elderly)

  • 박효정
    • 성인간호학회지
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    • 제25권1호
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    • pp.83-94
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    • 2013
  • Purpose: The purpose of the study was to examine the sexual behavior and awareness of sexually transmitted diseases (STD) among the elderly. Methods: Subjects were 599 elderly living in a metropolitan area who completed a structured questionnaire. Data collection was from September 6, 2011 to January 17, 2012. The data were analyzed by using percentage and ${\chi}^2$-test. Results: Approximately 25% of the subjects reported a sexual life. Age, gender, education, family type, presence and health of spouse, health state of the subject, past occupation, dwelling pattern, and economic state made statistically significant difference in sexual behavior. Fifty five percent of the respondents reported no knowledge of STD. Factors such as age, gender, education, presence of spouse, and past occupation were statistically significant in terms of awareness of STD. Conclusion: Age, education, and presence of spouse should be factored in to understand the sexuality of the elderly as well as to develop sexuality counseling programs that provide adequate information for each individual.

남녀 고등학생의 신체적 자아개념에 관한 연구 (A Study on Physical Self Concept Between Boys' and Girls' High School Students)

  • 최선하
    • 한국보건간호학회지
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    • 제4권2호
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    • pp.5-13
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    • 1990
  • The purpose of this study was to investigate physical self concept between high school boys and girls and to find various factors affecting them. For the Survey, 331 respondents for boys and 347 for girls were randomly selected from one coeducational high school in Seoul, from May 16 to May 19, 1990. The instrument used in this questionaire survey method was a part of Won Shik Jung's Physical Self Concept Scale for measuring Self Concept, it's reliability was' Cronbach a = 0.718. For the analysis. descriptive statistics were used by calculating frequencies, percentages and mean scores. $X^2-test$, t-test, and analysis of variance were employed to test the differences and statistical significance. The relationship between physical self concept and area variables was analysed by use of Pearson's correlation coiefficients. For the examine of various factors affecting physical self concept, multiple stepwise regression method was employed. The results of this study are summarized as follows: 1. There was no significant difference in physical self concept between male and female students. 2. The scores of physical self concept among the students were negatively correlated with their academic year, even though statistical signification was not found. 3. Physical self concept was classified into two areas; health area and appearance area. There was no significant difference in health area between boys and girls. But, the difference of health area was significant in accordance with the academic years. That, the scores of the health area are dropped as academic year going up. 4. Significant relationship was revealed among health area, appearance area, and physical self concept. The correlation between health area and physical self concept was the highest relationship (r = 0.71) The main factors affecting the physical self concept were (1) father's educational background (2) year (3) number of brother (4) religion (5) father's age. 5. As academic year going up, the rate of counseling with parents are dropped. In conclusion, the result of the study indicate that, a person managed the school health and parents can help students to promote their physical, mental, and emotional health by means of health education and counseling.

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보건소 금연클리닉 활성화를 위한 방문자 이용현황과 금연성공 및 만족도 조사 (Implementing a Smoking Cessation Clinic at a Public Health Center in Korea: Evaluating the Outcomes and the Smokers' Perceptions)

  • 유혜라
    • 한국보건간호학회지
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    • 제22권1호
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    • pp.62-73
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    • 2008
  • Purpose: To examine the outcomes of a smoking cessation clinic at a public health center, in Hwasung city in 2006 and to examine the perceptions of the users regarding the clinic services. Method: 620 smokers who visited the smoking cessation clinic from January, 2006 to November, 2006 were enrolled. An instrument developed by the researcher was used to collect their perceptions. The instrument comprised 24 questions, on a 5-point Likert scale investigating the clinic services in terms of counseling time, environment, readiness of the counselors, counseling information, campaign method, medication use, and follow-up services. The general characteristics of the participants were collected from the database developed by the Ministry of Health & Welfare. The data were analyzed with frequencies, percentage, mean and standard deviation methods. Results: The outcomes of the smoking cessation clinic in Hwasung city in 2006 showed some limitations in terms of low-income group, female smokers, and young adult smokers. Conclusion: Strategies for solving these limitations were necessary to increase the effectiveness of the smoking cessation clinic. Clinic services focused on cognitive-behavioral therapy needed to be developed in accordance with chemotherapy. More effective publicizing campaigns of the clinic services also needed to be developed for more people to know about the clinic. Strategies to increase the accessibility for the people living far from the clinic were also necessary. Assessment of the smokers who did not visit clinic was also recommended in order to determine their intentions, or barriers to visit the clinic.

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