• 한국의료질향상학회지
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• 제5권2호
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• pp.202-215
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• 1998

Purpose : To shorten processing time for variety of medical affairs of the patient at the outpatient clinic of a big hospital is very important to qualify medical care of the patient. Therefore, patient's waiting time for drug delivery after doctor's prescription is often utilized as a strong tool to evaluate patient satisfaction with a medical care provided. We performed this study to investigate factors influencing patient satisfaction related with waiting time for drug delivery. Methods : The data were collected from July 21 to August 12, 1998. A total 535 patients or their families who visited outpatient clinics of Inha University Hospital were subjected to evaluate the drug delivery time and the level of their satisfaction related, which were compared with those objectively evaluated by Quality Improvement Team. The reliability of the scale was tested with Cronbach's alpha, and the data were analyzed using frequency, t-test, ANOVA, correlation analysis and multiple regression. Results : The mean drug delivery time subjectively evaluated by the patient (16.1 13.0 min) was longer than that objectively evaluated (10.9 7.6 min) by 5.2 min. Drug delivery time objectively evaluated was influenced by the prescription contents, total amount or type of drug dispensed, etc, as expected. The time discrepancy between two evaluations was influenced by several causative factors. One of those proved to be a patient's late response to the information from the pharmacy which the drug is ready to deliver. Interestingly, this discrepancy was found to be more prominent especially when waiting place for drug delivery was not less crowded. Other factors, pharmaceutical counseling at the pharmacy, emotional status or behavior of a patient while he waits for the medicine, were also found to influence the time subjectively evaluated. Regarding the degree of patient satisfaction with the drug delivery, majority of patients accepted drug delivery time with less than 10 min. It was also found to be influenced by emotional status of the patient as well as kindness or activity of pharmaceutical counselor. Conclusion : The results show that, besides prescription contents, behavior pattern or emotional status of a patient, environment of the waiting place, and quality of pharmaceutical counseling at the pharmacy, may influence the patient's subjective evaluation of waiting time for drug delivery and his satisfaction related with the service in the big hospital. In order to improve patient satisfaction related with waiting time for drug delivery, it will be cost effective to qualify pharmaceutical counseling and information system at the drug delivery site or waiting place rather than to shorten the real processing time within the pharmacy.

• 여성건강간호학회지
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• 제9권2호
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• pp.189-200
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• 2003

The purpose of this comparative study is to find out women and their spouses' sexual life and the factors affecting on their sexual life after women's hysterectomy. The data were the 110 questionaires which were collected from the participants, the 55 women who had undergone a hysterectomy due to gynecologic disease or benign tumor of genital organs and their spouses from January 1, 1999 to January 30, 2002 in one general hospital located in Seoul, Korea. Questionnaires were mailed to couples, who agreed to participate on the study and self reported questionnaires returned in the pre-stamped envelopes. And personal visits were made for those couples who did not respond. Tools for Sexual life and characteristics of sexual activities were reconstituted by the author based on Kim(1996) and Chang(1988)'s tools and were reviewed by a nurse specialist. Data analysis was done by SPSS 10.0 program using frequency, percentage, mean, S.D. Pearson correlation coefficient, t-test, oneway ANOVA and multiple regression. The results of this study are as follows; 1. Of all female subjects, 80% had experienced hysterectomy below the age of 50. 2. 72.8% of female subjects and 67.3% of male subjects did not receive any sexual education & counseling before and after the surgery. More than 60% of both female and male subjects answered that it was necessary to have a sexual counseling. And 40% wanted to receive sexual counseling from a professional sexual counselor. 3. More than half of couples started their first coitus within 4 weeks after the surgery. And 88.9% of females and 85.2% of males answered that they were experiencing orgasms with their sexual relationship. 4. Influencing factors on the satisfaction level of sexual life were couple's intimacy and sexual discomfort in women and couple's intimacy and sexual knowledge in spouses. These factors explained the 33% and 24% of total variance respectively. In conclusion, the result suggests that it is necessary for couples to receive a professional sexual education and counseling to improve couples' quality of life. It is also necessary for institutions to use prepared nurses by receiving sexual counseling and education program as a professional sexual counselors or educators so as to provide individualized sexual education and counseling for their clients.

• 초등상담연구
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• 제11권2호
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• pp.219-235
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• 2012

이 연구는 암묵적 접근을 통하여 초등학생의 학교 행복감 구성요인을 확인하는 것이다. 이러한 연구목적을 달성하기 위하여 대전시와 충청남도에 소재한 초등학교 5, 6학년 95명을 대상으로 '어떤 친구가 학교에서 행복할까요?'라는 질문에 자유롭게 기술하도록 하고 이를 바탕으로 학교 행복감 구성요인 추출을 위한 192문항을 작성하였다. 이어서 교사 28명을 대상으로 작성된 문항들의 적절성을 평가하도록 하고 75문항을 요인분석을 위한 문항으로 선정하였다. 요인분석을 위하여 이 문항들로 구성된 검사를 대전시와 충청남도에 소재한 초등학교 5학년과 6학년 학생 155명에게 실시하였다. 1차 요인분석을 통하여 최종적으로 36문항이 선정되었다. 선정된 문항을 중심으로 2차 요인분석을 하여 학교 행복감 구성요인이 추출되었다. 요인분석 방법은 주축요인분석을 하였다. 연구결과, 낙천주의, 친구관계에 대한 긍정적 지각, 자기 존중감, 배려심, 그리고 교사관계에 대한 긍정적 지각의 5요인이 추출되었다. 추출된 요인으로 학교 행복감 점수의 약 68%를 설명할 수 있다. 확인적 요인분석을 통하여 모형의 적합도를 검증한 결과 모든 지수의 값들이 수용기준 충족하여 학교 행복감 구성요인을 5개의 요인으로 모형화하는 것이 적합한 것으로 나타났다. Cronbach a=.996이었다. 이 연구에서는 초등학생의 학교 행복감 구성요인과 청소년의 학교 행복감 구성요인의 부분적으로 다른 이유를 밝히기 위한 후속연구의 필요성과 일반적인 행복감뿐만 아니라 특정 상황이나 맥락에서의 행복감 구성요인을 밝히기 위한 후속연구의 필요성이 제기되었다.

• 초등상담연구
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• 제5권1호
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• pp.119-137
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• 2006

The purpose of this study is to develop a group counseling program to improve the learning habits of the elementary school children who experience difficulties learning, because of their wrong learning habits. To achieve it, the sub-elements of learning habits are set by "learning motive & attitude" and "learning technique" A group counseling program composed of the essential factors suitable for each element are srhseqrently, devised to pursue the improvement of learning habits. The study propositions are set as follows: Can the group counseling program improve the learning habits of elementary school children? 1. Can the group counseling program improve the learning motive and attitude of elementary school children? 2. Can the group counseling program improve the learning technique of elementary school children? The subject of this study is the 4th graders of W elementary school located in Gwangju Metropolitan City. After selecting 12 pupils from low scorers after a learning habits test, Each 6 of those are randomly assigned to an experimental group and a control group, respectively. In this way, they are pcrticipate in the group counseling program. The group counseling program is consisted of 10 sessions. The program is implemented for six weeks with a 50 min duration per session. As a measuring tool, a restructured test with only motive variables and technique variables, excluding remaining variables, from the Learning Habits Test by Choi Jong-Ryul (1992) is used for pre and post tests. The results of the study is acquired by integrating the statistics from the test tool. Observation of the counselor and testees' thoughts are as follows: The group counseling program affects the sub-elements of learning habits positively, namely learning motive & attitude and learning technique. The program applied in this study is effective in improving the learning habits of the pupils with lower learning habits. Accordingly, this program can be one of the methods to develop effective learning habits, set efficient strategies and exert abilities maximally for the learners, who did not adequately exert their abilities, due to wrong learning habits, while ineffectively learning without knowing effective learning habits. To improve and maintain the learning habits of the elementary school pupils, overall understanding should be backed in order to precisely analyze and identify the learning habits of the pupils. Besides, an association between schools and homes is also needed along with parents' concerns over their children's learning habits at home.

• 초등상담연구
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• 제8권1호
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• pp.67-78
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• 2009

본 연구는 진로인식 단계에 있는 초등학생 5학년 59명을 대상으로 부모의 성취 압력 및 진로지도가 아동의 진로 발달에 미치는 영향을 연구하여 초등학교 아동의 진로발달 과정을 이해하는데 그 목적이 있다. 이러한 목적에 따라 부모의 성취압력과 진로지도가 진로발달에 어떠한 설명력을 갖는지 알아보는 것을 연구문제로 설정하였다. 본 연구의 결과를 살펴보면 첫째, 부모의 성취압력, 진로지도와 아동의 진로발달 간에는 유의미한 상관이 있었다. 부모의 성취압력과 진로발달은 정적 상관관계를 보였으며, 진로발달의 하위 영역인 직업의 이해, 자기이해, 자율성과도 정적 상관이 있었다 또한, 진로지도와 아동의 진로발달역시 유의미한 상관관계가 있었다. 부모의 진로지도 하위 영역 중 정서적 지지를 제외한 영역들은 진로발 달 하위 영역과 유의미한 상관을 보였다. 둘째, 부모의 성취압력은 초등학교 아동의 진로발달을 설명하는 유의미한 변인이었다 부모의 성취압력은 직업선택의 합리성, 직업적 성 편견, 자긍심에는 의미 있는 설명력을 보이지 못했지만, 진로발달 총점, 진로지향성, 직업의 이해, 자기이해, 자율성을 유의미하게 설명하였다. 셋째, 부모의 진로지도는 초등학교 아동의 진로발달에 부모의 성취압력과 더불어 추가적인 설명력을 보였다. 하지만 진로지도의 하위 영역인 정서적 지지는 진로발달에 부적 상관을 보였다.

• 초등상담연구
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• 제6권1호
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• pp.95-116
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• 2007

This thesis is aimed to understand when and how elementary teachers scold their students and to explore any common psychological factors shown in the process. In order to produce the meaningful results of the research, applied is experience-based analysing method which expectedly leads to discovering psychological cause and effect occurring when school teachers scold students. 11 teachers of elementary school, including me the author, have joined as co-researchers to solve the next two issues and I made guidelines for the analysis. Given that co-researchers are locally scattered, they were grouped into three and in the mean time, analysis on scolding during 4 meeting sessions were made. The results of research problems are as follows. First issue: What common psychological factors exist in when and how teachers scold students? Common factors in 'when' part include three cases: teachers discovering the factors hindering student's desirable growth, noticing the class rules and peaceful communities are broken, or experiencing humiliating remarks and annoying behaviors and In "how' part, on the other hand, teachers speak up in a stronger voice or raise their tone to point out student's wrongdoing and give students a stoic and fierce look. Second issue: What psychological development takes place in scolding? Teachers who participated in this scolding experiment have experienced' feeling responsible and upset'. Feeling responsible is highly likely to be interpreted to result from the idea that teachers supposedly support students to grow into well-functional person in society. Meanwhile, feeling upset or even humiliated is caused by the frustration when they find their authority and dignity Ignored and damaged. The phases teachers go through during the scolding are: recognizing scold-inviting situation-> interpreting clues deserving enough to scold-> being aroused into the feelings-> deciding how to respond-> executing decision-> dealing with emotion. This thesis has distinctive qualities from existing ones in that the research focuses on agonies and conflicts faced with school teachers in class. On top of that, it is noted that this thesis meaningfully enables to realize teachers' psychological mechanism activated from scolding and to provide teachers with opportunities to see themselves more proper perspectives. However, there still remains some reservation since I had rather short period of time to collect data and we, co-researchers, had meeting sessions. To compensate for the possible shortcomings shown in this thesis, further research is expected to be followed to perform a practical analysis.

• 초등상담연구
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• 제6권1호
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• pp.73-93
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• 2007

Social area of children moves to school from family. Attachment to parents of children influences Adaptation of new environment. Development and adaptation of whole life are based on attachment that was formed the early days period of life. This study aims at finding out how are the factors like Relationship between Attachment to parents and Adaptation to school life of children. The targets of the study are 260 kids of the 1st grade and the 2nd grade that are collected at primary school of K city in Jeonlabuk-Do. As for measurement tool that was used for this study, it used the questionnaire for parents Attachment which OK Jeong(1997) adopted from IPPA-R that was manufactured by Armsden & Greenberg(1987), and the questionnaire on adaptation to the school life made by Byung soo, Min(1991), and it found means(M), standard deviation(SD) as for the collected data, and it practiced three way ANOVA, correlation analysis, and Multiple regression. The result of this study was as follows. First, the girls were more attached to father than Boys. According to the contents, alienation to father of boys is higher than that of girls. Also, grade of children and employment or unemployment of mothers factors mutuality effect had significant differences in the area of alienation. Second, the children's attachment to mother that the Kids perceived in total has significant differences statistically according to gender of children and employment or unemployment of mothers factors mutuality effect. Boys of unemployment of mothers and girls of employment of mothers are more attached to mother. Third, the children's attachment to parents showed significant positive correlation in the area of the adaptation to school life. The dimension of communicate, by fathers were shown to affect largely to the adaptation to school life of the kids and among the sub-areas of attachment to fathers, the dimension of confidence by parents were shown to affect largely to the adaptation to school life of the kids. As we saw the study result above, we could confirm that children's attachment to parents had significant relations with the adaptation to school life of the kid, and furthermore, those were affecting importantly to the adaptation to school life the kid. So, we could know that it is important for parents and children to attach mighty so that can be increased adaptation to school life of the kids.

• 초등상담연구
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• 제7권2호
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• pp.159-168
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• 2008

이 연구는 아동의 분노체험 속에 포함된 공통요인과 분노체험 과정에서 나타나는 심리적 과정을 찾아봄으로써 아동분노가 갖는 특성과 의미를 알아보고자 하였으며, 이를 위해 체험분석 방법을 적용하였다. 연구대상은 초등학교 5학년 학생 8명이 체험연구의 공동연구자로 참여하였고, 6회기에 걸친 연구였다. 공동연구자들은 체험분석 방법에 대해 배웠고, 자신의 분노체험 내용을 분석지에 기록하였으며, 모두 34개의 체험분석지를 연구에 적용하였다. 그 결과 첫째, 아동들은 부당하다고 느낄 때 분노체험, 어이없음을 동시에 느꼈으며 이 느낌들은 자기중심적인 사고에서 비롯되었다. 분노상황들 속에서 아동들이 체험하는 공통요인에는 기분관련 요인, 욕구관련 요인, 신체감각 관련 요인이 혼재되어 나타났으며, 욕구관련 요인들은 기분, 신체감각 관련 요인들보다 더 강하게 지각하였다. 둘째, 아동들은 분노의 외적 표출 가능성에 따라 분노의 공격적 표출과 내적억제의 방법으로 분노를 처리하였다. 그러나 강한 분노표출 충동때에는 인지적 판단과정을 거치지 못하고 폭발시키기도 하였다. 셋째, 아동이 분노를 느끼고 처리하는 심리적 과정은 상황인식 단계, 일차적 인지평가 단계, 분노 유발 단계, 이차적 인지평가 단계 또는 강한 분노표출 충동을 느끼는 단계, 분노처리 단계로 정리할 수 있었다.

• 대한간호학회지
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• 제24권3호
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• pp.389-412
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• 1994

This study was done to investigate stress and coping methods of mothers with brain disease children. The subjects for this study were obtained by taking a sample of mothers with brain disease children hospitalized in neurosurgery ward of K medical center in Seoul from Nov. 20, 1992 to Mar. 10, 1993. The collected date were analized by S.P.S.S. program(frequency, percentage, mean, t-test, ANOVA, Pearson Correlation). The results of the study were as follow. 1. The mean of the degree of mothers' stress was 3.681. Of the stress categories, illness treatment (4.216) was highest, and the next were in order of ill-ness status and prognosis(4.154) , family relation-ships and personal roles(3.202), interpersonal relationships(2.916). 2. The mean of the degree of mothers' coping method was 2.930. Of the coping method categories, communication with medical team or parents in similar situations(3.332) was highest, and the next were in or-der of family cooperation and optimistic thought about the situation(3.241), reforcement of self esteem and maintenance of psychological stability(2.538). 3. There was not seen a stastically significant correlation between stress factors and coping methods of mothers. But with categories, the higher the stress to illness status and prognosis was, the hight coping methods' degree of communication with medical team or parents in similar situations was shown a positive correlation, if not high (r=.2776, P=.046) . And the higher the stress to illness treatment was, the higher coping methods' degree of communication with medical team or parents in simial situations was shown a positive correlation, if not high (r=.2727, P=.049). 4. With the difference of stress according to mothers' general characteristics, religion and monthly income shew a statically significant difference. The mothers' group who have a religion shew the higher degree of stress(t=-3.17, P=.003), The group who get the most income shew highest degree of stress (F=.4693, P=.0156). With the difference of coping according to mothers' general characteristics, the most support-ing person, satisfaction with husbands and mothers' own health status shew a statistically significant difference. The group who get the most support from parents-in-law(F=3.7508, P=.013), the group who are much satisfied with husband(F=3.589, P=.016), and the group whose health status are good(F=3.3675, P=.046), shew the highest coping degree. 5. There were no significant difference in degree of stress and coping by children's characteristics The significance of the study will be concluded as follows. 1. Investigating the stress factors, which mothers are perceiving, it will be utilized as the basic materials of nursing plan so as to reduce the stress of mothers. 2. In searching for the ways of mothers' more helpful coping methods, it shows the necessity of the active nursing intervention for the mothers in the process of coping with their stress. That is, the nurse should serve the earnest nursing as counselor, supporter, educator, and information - provider. 3. Recogning mothers as well as children with brain disease as a client, the nurse will be able to help the mother, who is taking care of the children, cope with the stress situation well, and to make a contribution to the recovery, rehabilitation, and health of the children and to the enhancement of the family' health.

• 초등상담연구
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• 제7권1호
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• pp.37-66
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• 2008

This study has been carried out with the aims of developing a comprehensive inventory of peer relation problems, which is based on the Korean Inventory of Interpersonal Problems Circumplex scales (KIIP-C). It also aims to examine reliability and validity of the inventory, and provide a preliminary norms. For the current study, inventory items were culled from the following sources: the Korean Inventory of Interpersonal Problems Circumplex scales (KIIP-C), various current scales dealing with peer relations of children, and a survey of children's peer relation problems. The preliminary items for each scale were administered to 220 fourth through sixth graders. The resulting skewness of distribution, kurtosis, mean and standard deviation, item-total correlation, internal consistency, and meanings of the items were comprehensively considered in selecting the final 64 items. In order to check on reliability, internal consistency, convergence and discrimination reliability of the final items and scales, the data were collected from 1,046 fourth through sixth graders currently attending four elementary schools. The study results can be summarized as follows. Internal consistency of the inventory of peer relation problems showed the range between .70-.94 (median value of .75), split-half reliability between .67-.83 (median value of .75), and test-retest reliability between .69-.88 (median value of .81). Inter-correlation of 8 scale scores and factor analysis results of individual ipsative scores showed that the circumplex property of inventory of peer relation problems is appropriate. Regarding correlations between various existing indices and scales related to peer relation problems, both convergence reliability and discrimination reliability were found to be fair. When the scale scores for the inventory of peer relation problems compared according to the factors of gender and grade, the primary effects of gender and grade were statistically meaningful whereas effects of interaction between gender and grade were not. This study can be considered meaningful in that it constructed an inventory for a comprehensive evaluation of peer relation problems specific for children and provided preliminary norms.