• 종양간호연구
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• 제12권3호
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• pp.237-245
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• 2012

Purpose: The purpose of this study was to identify attributes of the concept of cancer survivorship. Methods: Walker & Avant's concept analysis framework (2005) was used to review the medical & nursing text books, medical and nursing research articles related to cancer survivorship and published from 1985 to 2011. Results: There were nine aspects of the concept of cancer survivorship: A process, liminality, uncertainty, life-changing experience, complexity, unique experience, duality of positive and negative aspects, partnership, and need for support. Antecedents of cancer survivorship were cancer diagnosis and perception as a cancer survivor. Empirical referents of cancer survivorship were survival rate, quality of life, adaptation to the survivorship experience, and health-related hardiness, social support, spirituality, and health behavior. The consequences of cancer survivorship were effects on the physical, psychosocial, spiritual and socio-economic well-being of the patients. Conclusion: This concept analysis of cancer survivorship is expected to contribute to promotion of survivorship care in the clinical field by removing conceptual ambiguity and confirming the true meaning of survivorship care.

• 대한간호학회지
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• 제29권4호
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• pp.790-801
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• 1999

The purpose of this study was to generate a grounded theory of how families with kidney donor or recipient coped with kidney transplantations. Interview data from twelve families involved in kidney transplants was analyzed using the grounded theory method. Data analysis revealed that “protecting the family” was the main theme that represented family member experiences. In order to maintain family function and to protect the family from breaking up, family members had to adjust the family structure from the traditional style of a husband-centered family, to one that was patient health -centered. The process of this adjustment was a very long and difficult one, taking several years from the recognition of the kidney disease to the kidney transplants. Family members, especially spouses, employed nine different strategies to deal with various problems and conflicts which occurred during the process : 1) paying attention to the patient's illness and complications ; 2) accepting the patient's illness as the family's illness as well ; 3) managing the patient's illness and complications that occured ; 4) being thrifty ; 5)supporting the kidney donor ; 6) accepting and replacing the lost roles of the patient ; 7) keeping composure and encouraging the patient ; 8) sustaining the patient's independence ; 9) self-restraining sexual desires. These findings suggest that there is a developmental process where family members adjust to a kidney transplant over time. There is also a need for increased social and psychological health services for all family members over the course of kidney transplants.

• 지역사회간호학회지
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• 제16권4호
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• pp.508-516
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• 2005

Purpose: This study was conducted to analyze industrial workers' stresses from physical symptoms, PWI, JCQ and tasks in classification of Sasang constitutions. Method: Data were collected from industrial workers in J Province from May 2003 to June 2003. Questionnaires were distributed and collected on the day of their physical examination. Collected data were analysed through $x^2-test$. Result: Health-related characteristics showed that most of smokers and drinkers were Taeumins and this result was statistically significant. Physical symptoms related to constitutions indicated that GI and neurologic symptoms are significantly more frequent in Soeumin. The percentage of subjects with moderate risk was high in order of Soyangin, Taeumin and Soeumin while the percentage of subjects with high risk was high in order of Soeumin, Taeumin and Soyangin. Conclusion: Through this study, Lee Jae Ma's theory was be confirmed compatible with disease characteristics. However, research with more various subjects and variables needs to be made.

• 한국보건간호학회지
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• 제34권3호
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• pp.355-367
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• 2020

Purpose: This study aims to identify factors influencing the health-related quality of life among women merchants at traditional markets. Methods: Participants in this cross-sectional descriptive study included 121 women merchants. Data were collected from May 01 to June 30, 2019 using the patient health questionnaire-9 (PHQ-9), psychosocial well-being index-short form (PWI-SF), subjective health status, and HRQoL. Selected data were analyzed using descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by applying the SPSS/WIN program 22.0. Results: The HRQoL was significantly different by age (F=5.87, p=.001), education (F=2.98, p=.022), working period (F=4.70, p=.004), exercise (t=2.20, p=.030), chronic disease (t=-2.57, p=.011), BMI (F=5.04, p=.008), depression (F=4.70, p=.004), stress (F=7.82, p<.001), and subjective health status (F=7.91, p=.001). Factors influencing the HRQoL for women merchants included BMI (β=-.35, p<.001), subjective health status (β=.33, p<.001), and stress (β=-.18, p=.021). The explanation power of this regression model was 29.8% (F=5.51, p<.021). Conclusion: BMI, subjective health status, and stress affect the HRQoL of the subjects evaluated. Therefore, there is a need for health management programs that may decrease stress, control the BMI, and improve the subjective health status of women merchants at traditional markets.

• Journal of Sport and Applied Science
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• 제6권2호
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• pp.19-25
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• 2022

Purpose: This study attempts to investigate causal and intervening conditions for sport participation of Korean immigrants in the United States. Research design, data, and methodology: Grounded theory approach was used to develop a conceptual framework that presents the psychosocial processes that occur in immigrants' experience of sport participation. Participants were selected purposefully for information-rich cases. Korean immigrants with current experience of having periodically participated in sports were the criterion for sample selection. Based on selection criteria, 9 Korean immigrants took part in interview. The interview discussions were taped and transcribed verbatim into a Word file. The process for data analysis included four grounded theory approaches of purposive and theoretical sampling, an open and axial coding, memo writing, and finally the development of the conceptual framework. Results: Six concepts were revealed in the causal conditions that facilitate the process of immigrants' sport participation in the states: Personal experience, significant others, personality, physical environment, psychological well-being, and social connection. Three concepts were revealed as the intervening conditions that block the process of immigrants' sport participation in the states: Conflict with cultural change of organization, Pressure at workplace, and Economic constraints. Conclusions: Conceptual model presents causal and intervening factors. Further implications were discussed.

• Journal of Korean Biological Nursing Science
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• 제24권4호
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• pp.227-234
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• 2022

Purpose: Smoking is a way of coping with anxiety and stress. This study aimed to identify the effects of forest-thermal combined therapy on anxiety and depression in smokers who desire to quit smoking. Methods: Thirty participants were included in the study, 15 in the experimental group and 15 in the control group. Those in the experimental group participated in a three-day forest-thermal combined therapy program. The program includes forest walks, meditation and thermal therapy in the charcoal kiln. Results: Before and after the program, physiological indicators such as cortisol, heart rate variability, and serotonin anxiety level using the state-trait anxiety inventory (STAI), and stress level using the psychosocial well-being index (PWI) were measured in both groups. The differences in STAI (p=.012) and PWI (p=.006) scores between the experimental and control groups were statistically significant. However, cortisol, heart rate variability, and serotonin were not significantly different between the two groups after the program. Conclusion: These results show that forest-thermal combination therapy effectively reduces anxiety and stress in smokers. It suggests that forest-thermal therapy can potentially increase smoking cessation rates.

• 한국환경생태학회지
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• 제30권3호
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• pp.434-442
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• 2016

스트레스 수준에 따라 산림치유 프로그램의 선호도에 차이가 있는지를 살펴 보았다. 편의표본추출(convenience sampling)방법을 이용하여 성인 남 여를 대상으로 산림치유 프로그램 선호도와 사회 심리적 스트레스 척도에 관한 설문을 실시하였다. 사회 심리적 스트레스 척도(PWI-SF: Psycho social Well-being Index Short Form)를 근거로 성인 620명을 건강군, 잠재적 스트레스군, 고위험군으로 분류하였다. 자료분석은 SPSS 21.0 프로그램을 사용하였다. 스트레스 수준에 따른 세 군 사이의 산림치유 프로그램 선호도 차이를 알아보기 위해 일원 분산분석(one-way ANOVA)을 이용하였다. 스트레스 수준에 따라 산림치유 프로그램 선호도(호흡법 호흡체조, 자유롭게 숲속걷기, 물 흐르는 소리 듣기, 카운슬링 상담 등 전문가 코칭, 스트레스 관련 강의, 대인관계 커뮤니케이션 강의, 경관보기, 숲 해설 듣기, 삼림욕 풍욕 일광욕)에 있어서 차이가 있었다. 고위험 스트레스군은 카운슬링 상담 등 전문가 코칭, 스트레스 관련 강의, 대인관계 커뮤니케이션 강의 등의 인지적인 접근의 프로그램을, 건강군은 호흡법 호흡체조, 자유롭게 숲속걷기(신발착용), 물 흐르는 소리 듣기, 경관보기, 삼림욕 풍욕 일광욕 등의 오감을 활용하는 감성적인 접근의 프로그램을 각각 상대적으로 높게 선호하는 것으로 나타났다. 잠재적 스트레스군에 있어서는 두드러진 선호도가 발견되지 않았다. 본 연구 결과가 스트레스 정도에 따른 산림치유 프로그램을 개발을 위한 기초자료로 활용되기를 기대한다.

• 한국심리학회지 : 문화 및 사회문제
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• 제12권5호_spc
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• pp.133-147
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• 2006

한국 사회가 빠르게 고령화 사회가 되고 있다. 한국인들은 자신의 부모들 세대보다 더 오래 살아야 한다. 기대 여명이 증가하고 사회구조가 변하면서 사람들은 삶의 질에 관심을 가지게 되었고, 한국 사회에는 웰빙 붐이 일었다, 그리고 한국인들에게 질 높은 삶을 위해서는 건강이 필수라는 인식이 자리 잡았다. 이런 건강에 대한 관심은 건강행동들로 이어진다. 한국인들의 건강관련지출은 다른 선진국들보다 훨씬 적지만 계속 증가추세에 있고, 앞으로의 초과 지출에 많은 부분이 질병예방과 장기요양시설의 확충에 투자될 것이다. 서양과는 다른 문화권에서는 사는 한국인의 삶의 질의 구성요인과 건강행동은 서양인과 다른 점이 있을 것이다 선행연구들에서 삶의 질에 대한 중요도로 건강이 최우선 순위로 나타나지 않은 것이 건강이 삶의 질에 결정적인 요인이 아니라는 것을 의미하지는 않는다. 건강은 삶의 질에 있어서 기본이다 .각종 질병에 의해 낮아진 삶의 질과 그것을 개선하기 위한 방법에 관한 다양한 연구들이 그것을 반증하고 있다. 건강 행동을 설명하는 모형들에서는 건강과 관련된 신념이나 태도 혹은 의도, 지각된 행동 통제력, 그리고 자기효능감 등이 중요한 요인으로 제시되었다. 나이가 들수록 신체적이고 생리적인 기능이 쇠퇴하고 만성질병에 걸릴 가능성이 높아지지만, 삶의 질은 그런 변화에 어떻게 반응하고 적응하느냐에 달려있다. 다른 어느 시기보다 노년기에서는 사회적 지원이 삶의 질을 위해 결정적인데, 특히 자녀로부터 지원이 중요하다. 자녀로부터의 지원은 한국 노인 개인의 자존감에 영향을 미치기 때문에 가정에서의 불화를 타인에게 노출하기 꺼려할 수 있다. 자기노출을 꺼리는 것은 다른 사회적 지원의 통로를 차단하기도 하고 그 자체가 건강을 해칠 수 있기 때문에 심리적 개입이 요구된다. 한국인의 기대 여명이 크게 증가하였기 때문에 정책적으로는 장기요양시설이 확충되어야 하겠지만 심리적 사회적 지원이 필요할 수밖에 없다. 그러나 한국에서는 개인 혹은 사회의 건강을 도모하고 삶의 질을 개선하는데 심리학자들이 크게 기여할 수 있다는 것이 국민들에게 충분히 알려져 있지 않다. 앞으로 심리학자들도 관심을 가지고 삶의 질과 관련하여 한국인의 건강에 적극적으로 개입할 수 있기를 기대한다.

• 한국콘텐츠학회논문지
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• 제14권8호
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• pp.266-276
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• 2014

본 연구는 사과, 배 작목 농업인을 위해 개발한 근골격계질환 예방운동프로그램이 농업인의 신체적 능력 및 삶의 질에 미치는 영향을 알아보고자 하였다. 근골격계 자각증상(NIOSH 기준1)이 있는 농업인 25명을 대상으로 2011년 4월 7일부터 7월 1일까지 12주간 예방운동프로그램을 실시하였다. 그 결과 과수재배 농업인들을 위해 실시한 근골격계질환 예방운동프로그램은 농업인들의 신체적인 능력(상지지구력, 하지지구력, 평형성, 민첩성)을 향상시키고 삶의 질을 개선하는 데 효과적이었다. 또한 삶의 질은 요통장애지수, 심리사회적 스트레스와도 유의한 상관성을 보였다. 향후 연구에서는 농작업의 특성을 고려한 운동프로그램의 개발 및 적용을 위해 다양한 연구가 시도되기를 기대한다.

• 임상간호연구
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• 제14권3호
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• pp.99-115
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• 2008

Purpose: The purpose for this study was to identify the present state of Clinical Nurses with Expanded Role (CNERs) and provide basic data to refine the roles of CNERs. In this study, CNREs refers to nurses who perform techniques traditionally done by doctors and use titles such as clinical nursing specialist, educator with consultation, research assistant, coordinator, physician assistant and special examiner. Method: This study was conducted from September 1 to November 12, 2007. Data from 684 nurses from 38 hospitals who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 14.0 program. Results: The mean percentage of time spent was, for direct practice, 41.1%, for education and counseling, 22.8%, for consultation and coordination, 10.4%, for research, 6.8%, for administration, 8.9% and for other activities, 10.0%. The most frequently implemented CNERs, activities included consultation and education for patients and their families, counseling by telephone, history taking, physical examination, reading examination results, psychosocial assessment, managing treatment, input of prescriptions, and writing up patient records, Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medication and laboratory tests. Conclusion: Although the number of hospital CNERs are rapidly increasing, there is still confusion about the title and framework as well as standards. Furthermore, because some nurses are prescribing medication and laboratory tests as well as performing techniques not traditionally done by nurses, there is an absolute need for a legalized system and systematic education system for the safety of patients who are being cared by all CNERs.