• 가정간호학회지
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• 제27권1호
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• pp.92-101
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• 2020

Purpose: This study aimed to identify the influence of social pressure related to appearance and body image dissatisfaction on mental health in adolescents. Methods: Participants included 293 high school students. The data were collected from March 4 to 29, 2019, and were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression with SPSS ver. 21. Results: Mental health was positively correlated with social pressure related to appearance and body image dissatisfaction. Factors influencing mental health were peer pressure (β=.28, p<.001) and parental pressure (β=.22, p<.001) related to appearance; body image dissatisfaction (β =.11, p=.034); "high" (β=-.18, p=.004) and "moderate" (β=-.22, p<.001) perceived school achievement; and "satisfied" response to school satisfaction (β=-.27, p=.028). These factors explained 32% of the variance in mental health. Conclusion: These results imply the need to develop effective intervention programs that enhance body image satisfaction to prevent poor mental health in adolescents.

• 가정간호학회지
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• 제27권2호
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• pp.189-197
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• 2020

Purpose: The purpose of this study was to examine the relationship between sleep duration, quality of sleep and depression, and to identify the factors associated with depression in middle school students. Methods: This study used a cross-sectional design with secondary data, middle school student panel data from the Korean Children and Youth Panel Survey (2018), and data from a total of 2,590 students was used for analysis. For the statistical analysis, t-test, ANOVA, and hierarchical multiple regression were performed using SPSS ver. 26. Results: The mean depression score in adolescents was 17.99±6.38. Depression had significant differences according to sleep duration and quality. Adolescents with less than eight hours of sleep showed the highest depression, and poor sleepers showed higher depression scores than good sleepers. Gender, school achievement, school satisfaction, economic status, and exercise time were found to significantly relate to depression. After controlling for general characteristics, depression explained 17.2% of the variance in quality of sleep (β=-.15, p<.001) and sleep duration (β=-.04, p=.022). Conclusion: These findings indicate that it is necessary to develop intervention strategies to enhance the quality of sleep and appropriate sleep duration for preventing depression in adolescents.

• 한국과학교육학회지
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• 제42권3호
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• pp.325-340
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• 2022

본 연구에서는 우리나라 초·중·고등학생들이 과학의 정의적 영역에서 성취가 낮은 원인을 분석하고자 하였다. 이를 위하여 초등학교 4학년부터 고등학교 1학년까지 학년별 3~4명, 총 27명의 학생을 대상으로 학년별로 면담을 하였고, 초등학교 교사 3명, 중학교 교사 3명, 고등학교 교사 3명, 총 9명의 교사를 대상으로 학교급별로 면담을 하였다. 면담에서는 과학긍정경험 지표의 5가지 하위 영역인 '과학학습정서', '과학관련 자아개념', '과학학습동기', '과학관련 진로포부', '과학관련 태도'로 나눠 관련된 질문을 하였다. 면담 내용을 녹음하고 전사하여 범주화하였다. 과학 정의적 성취가 낮은 원인을 살펴 본 결과, 학생들은 실험·실습이 제대로 이루어지지 못할 때, 과학이론과 용어가 어려워서, 탐구 결과에 대한 기록 부담 등으로 부정적인 정서를 경험하는 것으로 나타났다. 그리고 학생들은 과학 성적이 좋지 않아서, 과학 용어가 어려워서, 학습량이 많아서 등의 이유로 과학관련 자아개념이 부정적으로 변한다고 응답하였다. 또 과학학습 동기가 낮아지는 원인으로 과학 수업 내용과 일상생활이나 자신과의 관련성에 대한 인식 부족, 과학 수업내용의 어려움, 좋지 않은 과학 성적, 자신의 흥미나 진로와의 관련성 부족 등으로 나타났고, 과학 관련 진로포부가 낮아지는 주요한 원인으로 자신의 진로가 과학과 관계없는 분야이기 때문에, 과학 성적이 좋지 않아서 등으로 나타났다. 과학 수업이 어려워지거나 과학 수업에 대한 부정적인 느낌으로 인해 과학관련 태도가 부정적으로 변화하였고, 고등학생들은 과학이 사회에 끼치는 양면성을 인식하였다. 면담 결과에 근거하여 과학 수업개선을 위해 실험 및 실습을 위한 지원, 과학 기초학력 지원, 초등학교 '실험관찰'의 개선, 교수학습 자료의 개발, 과학 관련 진로 관련 정보의 제공 방안 등을 제안하였다.

• 사회복지연구
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• 제43권1호
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• pp.5-29
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• 2012

비행경험이 많을수록 자신을 비행청소년으로 인식할 것으로 예상되지만, 청소년들의 일탈적 자아개념의 변량 중 비행경험으로 인해 설명되는 변량은 비교적 작은 수준에 불과하다. 본 연구의 목적은 비행경험을 통제한 후에도, 또는 비행경험이 없음에도 불구하고 자신을 문제아 또는 비행청소년으로 인식하게 만드는 요인이 무엇인지 규명하는데 있었다. 특히 비행경험 이외에 청소년기 중요한 발달과업(성취와 관계)에서의 실패가 일탈적 자아개념과 어떠한 관계에 있는지, 더 나아가 이러한 관계에 내재한 성별 차이를 규명하는데 목적을 두었다. 한국청소년패널조사의 중2에서 고3까지 5년 종단자료에 대해 잠재 상태-특성 자기회귀 모델(latent state-trait autoregressive model)을 적용하여 일탈적 자아개념에 내포된 변동적 상태요인을 통제한 후 청소년기에 걸쳐 안정적인 특성적 일탈자아를 설명하는 예측요인이 무엇인지 알아보았다. 연구결과, 비행경험 이외에 학업성취, 친구관계 및 부모관계가 청소년기 일탈적 자아개념의 특성적 요인을 유의미하게 설명하는 것으로 나타났다. 비행경험의 효과에 유의미한 성별 차이가 나타난 바, 남자청소년에 비해 여자청소년이 비행경험으로 인해 자신을 문제아로 인식하였다. 비행경험을 통제한 후에도 학업성취 및 관계에서의 실패와 유능감 부족은 청소년기 일탈적 자아개념의 형성에 영향을 미치는 것으로 나타났다. 특히 친구관계에서의 실패는 남자보다 여자에게 더 중요한 예측요인인 반면, 학업성취에서의 실패는 남녀에게 모두 유의미한 일탈적 자아개념의 예측요인으로 나타나 한국사회의 성취지향적 가치체계와 문화가 청소년기 일탈적 자아개념에 반영되고 있음이 검증되었다

• 한국콘텐츠학회논문지
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• 제22권2호
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• pp.390-399
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• 2022

본 연구는 간호대학생의 스트레스와 학업열의 및 극복력의 정도와 그 관계를 확인하고, 스트레스와 학업열의가 극복력에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상자는 G시 1개 대학 간호대학생 192명이었고, 자료수집기간은 2019년 12월 23일에서 26일까지이었다. 자료분석은 SPSS 22.0 program으로 기술통계, t-test, ANOVA, Sheffé test, Pearson's correlation coefficients, 다중회귀분석으로 실시하였다. 간호대학생의 극복력은 제 특성에서 성별, 학년, 대인관계, 지원동기, 전공만족도, 학점평균 평점에 따라 유의한 차이가 있었고, 극복력과 학업열의는 정상관관계, 스트레스와는 역상관관계로 나타났다. 다중회귀모형분석에서는 학업열의가 가장 영향을 미치는 요인으로 나타났고, 주관적 건강상태 중 나쁨, 여성, 3학년 순으로 영향을 미치는 것으로 나타났으며, 모형의 설명력은 33.0%이었다. 결론적으로 간호대학생의 극복력을 강화시키기 위해 정기수업시간에서부터 내재적 동기부여를 통한 학습이 권장되는 지지적인 분위기 조성과 학업에 대한 긍정적인 생각과 성취감을 가질 수 있는 다양한 학업열의 향상 교육프로그램이 제공되어야 할 것으로 생각된다. 또한, 학업열의를 향상시킬 수 있는 PBL 등 교수법 활용을 통하여 극복력을 강화하여야 할 것으로 생각된다.

• Child Health Nursing Research
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• 제27권3호
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• pp.276-285
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• 2021

Purpose: This study investigated the factors that influence depression in adolescents diagnosed with asthma in South Korea, providing basic data supporting efforts to improve adolescents' mental health. Methods: Multiple regression analysis was conducted on 4,020 subjects who had been diagnosed with lifelong asthma among the 57,303 respondents to the 15th Korea Youth Risk Behaviour Web-Based Survey from 2019. Results: The participants were more likely to have depression if they were female, in middle school, their academic achievement was poor, they were drinkers or smokers, if they felt a very high amount of stress, and if they experienced very inadequate recovery from fatigue. Adolescents with asthma were 9.00 times more likely to experience depression when they felt a very high amount of stress (95% confidence interval [CI]=5.51-14.69, p<.001) than when they felt no stress. Conclusion: Given these factors, measures to improve the mental health of adolescents should be developed and expanded, especially to decrease their stress levels. A separate program that is different from the school's regular health curriculum should be developed to manage the stress levels of adolescents with asthma, such as an after-school program or a program conducted at a local community centre.

• Clinical and Experimental Pediatrics
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• 제53권10호
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• pp.863-871
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• 2010

The prevalence of pediatric obstructive sleep apnea syndrome (OSAS) is approximately 3% in children. Adenotonsillar hypertrophy is the most common cause of OSAS in children, and obesity, hypotonic neuromuscular diseases, and craniofacial anomalies are other major risk factors. Snoring is the most common presenting complaint in children with OSAS, but the clinical presentation varies according to age. Agitated sleep with frequent postural changes, excessive sweating, or abnormal sleep positions such as hyperextension of neck or abnormal prone position may suggest a sleep-disordered breathing. Night terror, sleepwalking, and enuresis are frequently associated, during slow-wave sleep, with sleep-disordered breathing. Excessive daytime sleepiness becomes apparent in older children, whereas hyperactivity or inattention is usually predominant in younger children. Morning headache and poor appetite may also be present. As the cortical arousal threshold is higher in children, arousals are not easily developed and their sleep architectures are usually more conserved than those of adults. Untreated OSAS in children may result in various problems such as cognitive deficits, attention deficit/hyperactivity disorder, poor academic achievement, and emotional instability. Mild pulmonary hypertension is not uncommon. Rarely, cardiovascular complications such as cor pulmonale, heart failure, and systemic hypertension may develop in untreated cases. Failure to thrive and delayed development are serious problems in younger children with OSAS. Diagnosis of pediatric OSAS should be based on snoring, relevant history of sleep disruption, findings of any narrow or collapsible portions of upper airway, and confirmed by polysomnography. Early diagnosis of pediatric OSAS is critical to prevent complications with appropriate interventions.

• 지역사회간호학회지
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• 제14권4호
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• pp.707-716
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• 2003

Purpose: This study was to examine estimation variables and predicted probability for school-aged children's school adaptation. Methods: The subjects of this study consisted of 614 children. Data were analyzed by logistic regression using SPSS Windows 11.0. Results: 1. Girls adjusted themselves 1.65 times easier than boys, and 5th-and 6th-graders adjusted themselves slightly easier than 4th-graders. Children with monthly pocket money lower than 10,000 won adjust adjusted 2.92 times easier than those with a larger amount of pocket money, unhealthy children adjusted themselves 2.44 times easier than healthy ones, and children with low academic achievement adjusted themselves 2.68 times easier than those with high academic achievements. 2. As for family economic status, children who thought the economic condition of their family poor adjusted themselves 2.41 times easier than those who thought the economic condition of their family fine. As for conversation with people, children conversing with families and relatives adjusted themselves 2.69 times easier and those conversing with friends and others adjusted themselves 2.71 times easier than those conversing with none. Children from normal families adjusted themselves 3.44 times easier than those from deficiency families. 4. The overall prediction rate was 73.9%. Conclusions: It is concluded that nurses, teachers and parents are important in improving school-aged children's adaptation to school life.

• 한국보건간호학회지
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• 제15권2호
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• pp.225-238
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• 2001

The purpose of this study is to examine public health nurses for their morale, test the effect of each factor on the morale, determine the variables affecting the morale, and thereby, provide for some basic data useful to the development of personnel affair administration for nurses. The survey on the nurses for public health centers was conducted for 10 days from April 23 to May 2, 2001; 96 nurses from Pusan, 101 from Kyonggi-do and 108 from Kangwon-do. The results of the study are as follows; 1. For the demographic variables, those aged between 31 and 39 accounted for the majority $(50.2\%)$ of the sample. $90.8\%$ was married, and $67.9\%$ of the sample graduated from junior colleges. $29.6\%$ of them had worked for 10-14 years and $62.5\%$ was of the seventh rank. $62.3\%$ of the nurses was recruited, and $59.4\%$ had chosen the public job for its guaranteed status. Half the nurses were working for the county population of which was more than 260 thousands, and $53\%$ of the nurses was serving the public health centers with 11-15 members. $47.3\%$ of them perceived that their living standard is middle or lower. 2. The degree of the moral was found as mean score. 2.65, which is interpreted as low. It has 11 factors. The rank of mean score of the factors is job satisfaction (3.36), sense of belonging (3.36), sense of recognition (3.30), stress due to supervision (3.13), degree of participation (3.05) and self-achievement (3.04), while those scoring lower points were assurance of status (2.58), pay level (2.53), working conditions (2.35) and promotion opportunity (2.31). 3. The degree of moral depending on the demographic variables was significantly affected by such variables as age. academic background, career, rank, employment method, motive for the job, size of the population served and living standards. 4. The result of the Stepwise multiple regression analysis for the morale factors, it was found that self-achievement accounted for $61\%$ of the total variance of the degree of morale, followed by stable status $(18\%)$, working conditions $(8\%)$, job requirements $(4\%)$ and promotion opportunities $(2\%)$; these five factors explained about $94.6\%$ of total variance of the degree of nurses' morale. On the other hand. age $(8\%)$ and academic background $(2\%)$ accounted for $10\%$ of the total variance of the degree of morale. 5. The factors affecting nurses' job life was economic need $(26.7\%)$, personnel management $(17.5\%)$, sense of recognition $(13.2\%)$, human relationship $(11.0\%)$, stable status and personal development in rank. On the other hand, the factors influencing on their possible resignation were children's bringing-up $(27.8\%)$, poor personnel management and promotion $(13.3\%)$, workload $(11.1\%)$ and little personal development $(8.9\%)$, Since such morale factors as promotion opportunity, working condition. pay level and stable status scored lower, it is required to reconsider those factors to improve nurses' morale.

• 한국학교보건학회지
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• 제10권2호
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• pp.213-239
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• 1997

In recent years, adolescent issues including smoking, drinking, drug abuse, juvenile delinquency, deviant sexual behavior, mental health problems, high suicide rate, misconducts and absence without due notice, etc are emerging as serious social problems and the debate on these controversial issues is heating up. Accordingly, the purpose of this study is to analyze factors which are changeable and fixable among the factors influencing the adolescent's health behavior and misconducts and, eventually influencing factors which can be used as the basis to establish health policies and health promotion program to reduce the health risk behavior and misconducts of adolescents. The smoking rates are 34.1% for male students of prep schools and 13.8% for females students of the same school and 55.7% for males, 31.8% for females of the vocational schools and 58.3% for males and 48.8% for females of social institutional schools, which showed the great diffence among the different types of schools and between sex. In particular, male students of social institutional school showed 1.7 times higher smoking rate than those of prep schools and in case of female students, 3.5 times higher rate. The time of initial smoking was most frequently during the middle school days for both males and females. In case of drug abuse, 5.4% of males and 2.7% females of general schools were using adhesives and inhalants which was 2.5 times higher for males and 6.3 times higher for females of social institutional schools. 41.8% of males and 30.3% of females of prep schools, 41.8% of males and 59.4% of females of vocational schools and 55.1% of males and 36.6% of females of social institutional schools have experienced kissing. Regarding the health promoting behavior and misconducts, female students practiced the health promoting behavior more than male students while male students showed higher rate of health risk behavior and misconducts than female students, which was statistically significant. The group of students who have not attended the health education class, in comparison to those who have attended, were more likely to practice health risk behavior and misconducts. Those with higher academic achievement was more likely to practice the health promoting behavior while those with poor academic achievement were more likely to practice health risk behavior and misconducts. As the perceived health status was higher and as students experienced less illness, the health promoting behavior was higher.