• 한국심리학회지 : 문화 및 사회문제
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• 제11권2호
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• pp.1-29
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• 2005

본 연구에서는 사회적 불안이 개인의 심리적 적응에 미치는 영향을 살펴보았다. 사회적 불안을 더 많이 느끼는 사람들이 적게 느끼는 사람들에 비하여 걱정증상과 신경증 수준이 높았고 삶의 만족도와 심리적 안녕감 수준은 낮았다. 사회적 불안의 하위 영역과 하위 차원 중 심리적 적응도를 예언하는 영역이나 차원이 무엇인지를 알아보았다. 부정적 적응은 주로 개인불안에 의해 유발되는 반면, 긍정적인 적응은 개인불안과 함께, 공정성불안과 미래불안에 의해 예측되었다. 또한 사회적 불안 하위 차원 중에서는 상황을 염려하여 사람들이 느끼는 불안인 예견불안이 긍정적, 부정적 적응도를 유의하게 예언하였다. 사회적 불안과 최근 발생한 응답자들의 행동이나 생각 변화와의 관계를 분석한 결과, 사회적 불안이 높은 응답자일수록 최근 공격반응이나 포기반응을 더 자주 하였다. 특히 공격반응의 경우 개인불안이 유의한 예측변수로 나타났으며, 포기반응의 경우에는 정치불안과 사회문제불안이 유의한 예언변수로 나타났다. 사회적 불안차원 중에서 공격과 포기반응을 예측하는 변인은 예견불안이었다. 마지막으로 사회적 불안에 대한 스트레스 대처방식을 살펴본 결과, 응답자들은 전반적으로 문제해결적 대처방식을 많이 사용하고 있었다. 그러나 사회적 불안 수준이 높은 사람들이 사회적 불안이 낮은 사람들에 비하여 소망적 사고를 많이 하고 있었고, 특히, 안전불안과 정치불안을 많이 느끼는 사람일수록 소망적 사고를 많이 하였다. 반면에 반응불안이 높은 사람은 문제 회피적인 스트레스 대처방식을 많이 사용하고 있었다.

• 대한간호학회지
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• 제45권1호
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• pp.97-106
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• 2015

Purpose: This study was done to develop and test a structural model for caregiving experience including caregiving satisfaction and caregiving strain in families providing care for family members with a mental disorder. Methods: The Stress-appraisal-coping model was used as the conceptual framework and the structural equation model to confirm the path that explains what and how variables affect caregiving experience in these families. In this hypothesis model, exogenous variables were optimism, severity of illness and uncertainty. The endogenous variables were self efficacy, social support, caregiving satisfaction and caregiving strain. Data were collected using structured questionnaires. Results: Optimism and caregiving self-efficacy had significant direct and indirect effects on caregiving satisfaction. Optimism, severity of illness and uncertainty had significant direct and indirect effects on caregiving strain. The modified path model explained effects of optimism on caregiving self-efficacy with social support in the path structure as a mediator. Also, there were direct and indirect effects of optimism and uncertainty on caregiving satisfaction with social support and caregiving self-efficacy in the path structure as a mediators. Conclusion: Results suggest the need to improve caregiving self-efficacy of these families, establish support systems such as a mental health professional support programs for caregiving self-efficacy. Optimism, severity of illness and uncertainty perceived by families need to be considered in the development of support programs in order to increase their effectiveness.

• 지역사회간호학회지
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• 제12권2호
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• pp.459-467
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• 2001

Although much has been written about the health status of adolescents, little is known about adolescents perception of their own health. family support and risk behaviors. The purpose of this study is to describe the perceived health status. family support and risk behaviors in urban high school students in Korea. and to examine the relationships between those variables. Design for the study is descriptive-correlational. The sample consisted of 600 10th-grade students who were randomly selected from 12 urban high schools located in Seoul. Data were collected on demographic characteristics, perceived health status, family support, and health risk behaviors such as tobacco use, alcohol use. eating habits, exercise, stress and coping skills. Preliminary findings of the study were as follows. In terms of perceived health status. 54.2% of the students reported that they are healthy. Students with higher socioeconomic status perceived themselves healthier than the students with lower socioeconomic status (p<.05). Overall. frequently reported health concerns were eating habits (17.2%), depression (4.8%), tobacco use(0.8%), and alcohol use (0.7%). The mean score of family support of the students was 7.67 (SD=2.43) within the range of 1-12. Gender was significantly associated with a higher level of family support among girls than boys. Data will be further analyzed in detail. The results will suggest that health promotion program should consider involving adolescents in planning. both (1) to ensure congruence of the plan of care with adolescentsconcerns and (2) to clarify the interpretation and meaning of their health risk behaviors.

• 한국간호교육학회지
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• 제8권1호
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• pp.61-71
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• 2002

purpose : The purpose of this study was to find out the influencing factors of smoking-cessation behavior of patients with coronary heart disease and to suggest the model of smoking-cessation behavior which was based on the relationship between influencing factors and then to test its fitness empirically. method : This study was based on the Theory of Reasoned Action and a hypothetical model was constructed with fifteen paths in consideration of main predictive factors of smoking-cessation behavior such as biological factor, disease-related characteristics, self-efficacy, supportive factor, environmental factor, disease-related perception factor, intention-to-quit, and psychological factor. The validity of a smoking- cessation model was tested to 264 patients with coronary heart disease by using SPSS 8.0 and Window LISREL 8.12a. results : 1. Seven of the 15 paths of smoking-cessation behavior proved to be significant. 2. The final model excluded three paths in the hypothetical model was demonstrated to be improved by $x^2$=44.31 (df=38, p=.22), Goodness of Fit Index (GFI)=.98, Adjusted Goodness of Fit Index (AGFI)=.96, Non-Normed Fit Index(NNFI)=1.00, Normed Fit Index(NFI)=1.00, and Root Mean Square Residual(RMR)=.24. 3.The smoking-cessation behavior was influenced directly by biological factor, self-efficacy, supportive factor, environmental factor, intention-to-quit, and psychological factor. The smoking-cessation behavior was accounted for 82% of variance by these factors. conclusion : although the adolescents' smoking behavior can be predicted by only smoking intention, it is hard to predict the adults' smoking-cessation behavior by only this factor. Therefore, intention-to-quit, self-efficacy, supportive factor should be improved because these are promotive factors for smoking-cessation behavior. Biological factor, environmental factor, and psychological factor are inhibitive factors, so nicotine replacement therapy is helpful to the high nicotine-dependents, and ex-smokers avoid other smokers in their environment and also patients should learn and practice the stress coping-skills.

• 한국학교보건학회지
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• 제34권1호
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• pp.76-86
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• 2021

Purpose: This study was conducted to describe the experience of school health teachers in regard to the COVID-19 pandemic in South Korea. Methods: We conducted a qualitative study using content analysis. Ten school health teachers were recruited from 6 elementary schools, 2 middle schools and 2 high schools in Seoul, using purposive sampling. They participated in semi-structured in-depth interviews in person or using an online communication system from January to February, 2021. Interviews were transcribed verbatim and analysed using qualitative content analysis. Results: Three main categories and nine generic categories emerged from the analysis. Firstly, it was discovered that school health teachers had psychological and physical stress to cope with COVID-19 due to the 1) fear of the unexpected infectious disease, 2) burden of having to deal with it alone, 3) breakdown of personal life and physical exhaustion and 4) heavy duty as a health teacher caused by the lack of an organic cooperation system with institutions related to school infectious diseases. Secondly, school health teachers had an increased sense of empowerment in regard to infectious disease management as a result of 1) feeling rewarded and appreciated and 2) gaining confidence and trust in infectious disease management. Finally, school health teachers experienced the urgent need for an effective response strategy for infection control because of the 1) confusion over infectious disease response due to lack of practical manuals applicable to the field as well as training, 2) disappointing response system without an expert response team dedicated to managing infectious diseases in schools, and 3) growing awareness of the need for change. Conclusion: It is expected that school health teachers' experience of COVID-19 will be used as important data for building effective and advanced school infectious disease response systems.

• 대한간호학회지
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• 제24권1호
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• pp.58-69
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• 1994

In order to see the development of Nursing related research activities in Korea over the last three decades, abstracts of almost all of the Master and Ph.D theses that appeared from 1961 up to August 1991 were collected. The number of theses was 2354, from which an index of key words has been constructed. Key words were defined as those terms in each thesis title that convey major objectives of the given thesis study and the important nursing concepts dealt with in the thesis. Although all the key words were picked from the thesis title only, full use was made of the abstracts in deciding the principal objectives and essential contents of the thesis studies and their important concepts as well. In total, 539 kinds of key words were identified from the 2354 titles, and the identified words were all found to be in the International Nursing Index. On an average each title has two key words. Which key words were most frequently used, how they have changed with time, what kind of concept is preferably dealt with by each graduate school, and the concepts to which a given key word is likely to be connected were examined. The results are summerized below : 1) For each decade the theses numbers were as follows : 54(2.3%) from the 60’s, 413(17.5%) from the 70’s, 1523(64.7%) from the 80’s, and 364(15.5%) from the 90’s. Master’s thesis contributed 96% (2252) of the papers and Ph. D’s theses filled the remaining 4%(102). 2) A total of 539 key words were used, averaging about 2 for each thesis. The most frequently used key words were ‘Nurse’, ‘Anxiety’, ‘Knowledge / Attitude /Practice’, ‘Stress /Stressor’, ‘Attitude’, ‘Job-Satisfaction’, ‘Mental Disorder’, ‘Operation’, ‘Elderly’, ‘Nursing Role’. 3) Each decades key words can be classified as : the 60’s : ‘Nursing Education’, ‘Pulmonary Tuberculosis’, ‘Mother-Child Health’, ‘Growth & Development’, ‘Public Facilities’, ‘Mental Disorder’ : the 70’s : ‘Nurse’, ‘Family Planning’, ‘Attitude’ / ‘Knowledge, Attitude / Practice’, ‘Curriculum in Nursing Education’, ‘Clinical Practice in Nursing’, ‘Analysis of the Work of the Nurse’, ‘Health Education of School’, : the 80’s : ‘Nurse’, ‘Anxiety’, ‘Stress /Stressor’, ‘Operation’, ‘Nursing Role’, ‘Job Satisfaction’ : the 90’s : ‘Nurse’, ‘Elderly’, ‘Family-Support’, ‘Stress /Stressor’, ‘Home Care’. Key word ‘Nurse’ appears continuously and most frequently through the years, which indicates that there has been active study of the characteristics of nurses and related fields. The concept ‘Anxiety’ has been studied steadly from the 80’s and it shows that interest in health and disease are increasing Which comes as a result of society changing to an industrial and informational community. 4) Looking into each graduate school’s study area key words ‘Anxiety’, ‘Nurse’, ‘Mental Disorder’, ‘Stress /Stressor’, ‘Operation’, ‘Attitude’, ‘Hemo-dialysis’, were studied in the regular graduate school : ‘Family Planning /Contraception’, ‘Knowledge / Attitude /Practice’, ‘Physical Health-State /Physical Health Examination’, ‘Nurse’, ‘Using Clinical Facilities’, ‘Health Education of School’, were studied in the Graduate School of Public Health’ ; ‘Nurse’, ‘Anxiety’, ‘Stress / Stressor’, ‘Job-Satisfaction’, ‘Clinical Practice Education’, ‘Nursing Education’, were studied in the Graduate School of Education : ‘Nurse’, ‘Job Satisfaction’, ‘Nursing Role’, ‘Administration - Employment /Employment Management’, ‘Leadership’, ‘Personnel Profile’, ‘Nursing Manpower / Changing Working Place’, were studied in the Graduate School of Public Administration. 5) The Connection between key words were : ‘Nurse Job Satisfaction’, ‘Stress / Stressor ⇔ Coping / Ajustment’, ‘Nurse ⇔ Nursing Role’, ‘Anxiety ⇔ Giving Information’, ‘Nurse ⇔ Stress / Stressor’, ‘Anxiety ⇔ Operation’, ‘Nurse ⇔ Burnout’, ‘Knowledge, Attitude, Practice ⇔ Family Planning’, ‘Nurse Administration ⇔ Employment’, ‘Anxiety Muscle ⇔ Relaxation Technic’, ‘Anxiety ⇔ Mental Disorder’. From the above it can be noted that many nursing concepts were handled in the thesis titles. But there were more than enough papers on the characteristics of the nurse. It is suggested that in depth research be made on ‘Nursing Accidents’, t-‘Ethics’, ‘Nurse - Patient Interactions’, ‘Spritual Care’, ‘Dying’, ‘Hospice’, ‘Resident Helper’ and that there should be in depth research relating to the physical and mental development of youth and in particular physical concepts like ‘Drug - Abuse’, ‘Child -Abuse and Teaching’.

• Nuclear Engineering and Technology
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• 제53권4호
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• pp.1236-1249
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• 2021

Although there are still controversial opinions and uncertainty on application of SiC_f/SiC composite cladding as next-generation cladding material for its great oxidation resistance in high temperature steam environment and other outstanding advantages, it cannot deny that SiC_f/SiC cladding is a potential accident tolerant fuel (ATF) cladding with high research priority and still in the engineering design stage for now. However, considering its disadvantages, such as low irradiated thermal conductivity, ductility that barely not exist, further evaluations of its in-pile behaviors are still necessary. Based on the self-developed code we recently updated, relevant thermohydraulic and mechanical models in FROBA-ATF were applied to simulate the cladding behaviors under normal and accident conditions in this paper. Even through steady-state performance analysis revealed that this kind of cladding material could greatly reduce the oxidation thickness, the thermal performance of UO₂-SiC was poor due to its low inpile thermal conductivity and creep rate. Besides, the risk of failure exists when reactor power decreased. With geometry optimization and dopant addition in pellets, the steady-state performance of UO₂-SiC was enhanced and the failure risk was reduced. The thermal and mechanical performance of the improved UO₂-SiC was further evaluated under Loss of coolant accident (LOCA) and Reactivity Initiated Accident (RIA) conditions. Transient results showed that the optimized ATF had better thermal performance, lower cladding hoop stress, and could provide more coping time under accident conditions.

• 호스피스학술지
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• 제2권1호
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• pp.21-40
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• 2002

Cancer is the second leading cause of the death in Korea. Family caregivers of dying patients manifest many psychological and physical symptoms of stress, and they often seek for informational support from health care providers. Unfortunately, however, few systematic studies identify the actual effect of such support on family caregivers. This study, thus, intends to evaluate the effect of informational support for hospice care. One group pretest-posttest design was used, employing the stress-coping model by Cohen and Wills as a conceptual framework. This research was conducted from July 1 to November 15, 1998, initially with 32 subjects sampled from hemato-oncology department of two general hospitals in Seoul, but reduced to 18 at the end due to the untimely death of patients or caregiver's refusal during the course of study. Informational supports were programmed to provide the family caregivers with 8 times of education and counseling as well as 24-hour hot-line for 4 weeks. A booklet that explains the various problems of hospice care was also prepared and distributed to all subjects. Data were collected by using self-report questionnaires and reviewing medical records. The tools used in this study were based on the Weinert's PRQ-II(scale of perceived social support), Spielberger's state anxiety inventory, and CES-D. Also included in the data collection were the general characteristics of family caregivers and patients, and the pain intensity and the performance status of patients. The data were analyzed with descriptive statistics, Wilcoxon sign rank test and paired t-test using SPSSWIN program. The results of the study were as follows: 1.The perceived social support of family caregivers was not significantly increased with informational support for hospice care(t=1.64, one tailed p=.060). 2.The anxiety of family caregivers was significantly reduced following informational support for hospice care(t=3.48, one tailed p=.002). 3.The depression of family caregivers was significantly reduced following informational support for hospice care(t=-2.18, one tailed=.022). 4.The pain intensity of patients with terminal cancer was significantly reduced following informational support for hospice care(t=-2.41, two tailed p=.027). The results suggest that the informational support provided to family caregivers of patients with terminal cancer reduced not only their anxiety and depression but also the pain intensity of patients. Further study is necessary to consolidate the conceptual framework of this study with expanded number of subjects. Nevertheless, it was certain that the informational support program for hospice care was very helpful to both caregivers and patients. Thus, the informational support program is strongly recommended for the hospitals which have no hospice unit yet.

• 한국노년학
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• 제37권3호
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• pp.601-616
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• 2017

본 연구는 노인의 자살생각에 미치는 영향요인에 대한 선행연구들의 결과를 메타분석을 통하여 종합하여 제시하며, 이를 바탕으로 자살생각 단계에서부터 자살을 효과적으로 예방하기 위한 자살예방프로그램 개발과 상담적 접근 방법을 모색하는데 실질적인 자료를 제공하고자 한다. 분석대상 자료는 2001년부터 2016년까지 국내 학술지에 게재된 선행연구들 중 노인의 자살생각에 영향을 미치는 변인들을 독립변인으로 하고 노인의 자살생각을 종속변인으로 하는 연구물 총 97편으로 하였다. 노인의 자살생각에 미치는 영향요인을 개인변인군, 가족변인군, 사회변인군으로 나누고 각각의 체계 안에서 자살생각의 유발요인과 억제요인을 살펴보았다. 분석 결과, 총 30개의 변인중 개인변인군에서 19개의 하위변인이 추출되었고 유발요인에서는 우울, 짐스러움, 스트레스가, 억제요인에서는 정신건강이 효과크기가 큰 것으로 나타났다. 가족변인군에서는 5개의 하위변인이 추출되었고, 유발요인 중 동거인 없음이 중간 효과크기를, 억제변인 중 가족결속은 큰 효과크기를 보였다. 사회변인군에서는 6개의 하위변인이 추출되었으며, 유발변인은 노인차별, 사회고립, 부정적 사회관계 순으로 효과크기가 나타났고, 억제변인은 사회관계, 사회지지, 사회환경, 사회활동 순으로 효과크기가 나타났다.

• 한국융합학회논문지
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• 제9권10호
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• pp.183-190
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• 2018

본 연구는 병원(임상) 실습 시에 응급구조학과 학생의 언어폭력 경험, 융합적 반응 및 예상되는 부정적인 영향을 파악하기 위해 253명의 응급구조학과 학생을 대상으로 설문조사를 실시하였다. 연구결과는 첫째, 언어폭력은 34%(86명)가 경험하였고, 언어폭력의 가해자는 환자와 보호자가 가장 많았다. 둘째, 환자 및 보호자, 응급구조사, 간호사 및 의사로부터의 언어폭력의 내용으로 '나에게 반말이나 막말을 한 적이 있다'가 가장 많았다. 셋째, 언어폭력 경험 시 대상자의 감정 반응으로는 '화난다'가, 대처 반응으로는 '참는다'가 가장 많았다. 넷째, 예상되는 부정적인 영향으로 '실습 생산성이 저하될 것이다'가 가장 많았다. 다섯째, 응급구조사에 의한 언어폭력 경험 시 감정반응과 상관관계를 보였으며(r=.458 p=.000), 감정반응은 스트레스와 예상되는 부정적인 영향과 상관관계를 보였다(r=.553 p=.000, r=.540 p=.000). 결론적으로 병원(임상) 실습 전 언어폭력에 대한 예방 교육과 프로토콜 화 된 적극적인 대처 방법이 필요할 것이다.