• 대한간호학회지
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• 제47권2호
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• pp.178-187
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• 2017

Purpose: The purposes of this study were to identify the relationships among perceived parental bonding, illness perception, and anxiety and to determine the influences of perceived parental bonding and illness perception on anxiety in adult patients with congenital heart diseases. Methods: In this study a descriptive correlational design with survey method was utilized. The participants were 143 adult patients with congenital heart disease being cared for in the cardiology out-patient clinic of A medical center. Data were collected using the Parental Bonding Instrument, Illness Perception Questionnaire Revised Scale, and Cardiac Anxiety Questionnaire Scale. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis, and hierarchial regression analyses. Results: There showed significant positive relationships of anxiety with maternal overprotection, consequences, and personal control respectively. Among predictors, maternal overprotection (${\beta}=.45$), consequence (${\beta}=.26$), and personal control (${\beta}=-.03$) had statistically significant influence on anxiety. Conclusion: Nursing interventions to decrease maternal overprotection and negative consequence, and to enhance personal control are essential to decrease the anxiety of adult patients with congenital heart diseases.

• 대한간호학회지
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• 제37권5호
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• pp.635-644
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• 2007

Purpose: This study examined what characteristics and variables predict participation in support groups for women with breast cancer. Method: 282 women with breast cancer from 4 hospitals located in Busan were included in the study. Data was measured on each participant from September 2006 to February 2007. Data was collected using structured researcher-administered sheets and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. Results: The clients reported medium levels of illness perception, anxiety and depression, stress with coping, social support and self-efficacy. 48.9% of women with breast cancer participated in support groups. Significant influencing factors on the participation in support groups were 'operation time(+)', 'illness perception(+)', 'social support(-)', and 'self-efficacy(+)' Those variables explained 73.4%. Conclusion: It is necessary to develop a strategy or promoting program for promotion of illness perception and self-efficacy of women with breast cancer. Thus, it is essential to provide participation to a support group to a women with breast cancer.

• 근관절건강학회지
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• 제6권2호
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• pp.226-241
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• 1999

This study was undertaken to find out the causal perception of rheumatoid arthritis patients, and to understand the typology. The Q-population consisted of 236 statements of causal perception were collected. Thirty eight Q-samples of causal perception were selected. The P-sample for this study were made up of 28 first visiting female rheumatoid arthritis patients from a rheumatoid arthritis specialty hospital. Each respondent responded Q-set of causal perception according to 9-point scale. The result of Q-sorting were coded and analyzed using QUANL PC program. 1) Typological Observation on Causal Perception (1) Physical Fatigue Type : Type 1 perceived that the illness occurred due to excessive work requiring physical labor or strain that had occurred from not resting after excessive physical labor, therefore, thinking the origin of the illness was from physical strain. (2) Physical origin Type : Type 2 perceived that the major cause for the illness is not only excessive physical labour but also fecundity and old age. (3) Causality to Environment Type : Type 3 perceived that rheumatoid arthritis occurred from injury to the joints or bad and humid weather. (4) Conscience of Guilty Type : Type 4 consisted of people with guilty conscience for lack of religious commitment. They perceived that the illness was a punishment from God for not praying or because of bad luck. (5) Rationally Perceiving Type : People who belong in type 5 perceived the cause of illness in light of scientific facts such as genetics, unbalanced diet or lack of exercise. (6) Psychological Stress Type : People who belong in type 6 believed that excessive stress was the cause of the illness. 2) Emotions of Rheumatoid arthritis patients Rheumatoid arthritis patients' positive emotions included determination, courage, coping, acceptance, hope, and adoption ; and their negative emotions were prostration, worry, stupor, conflicts, grievance, giving-up, resignation, depression, loss, solitariness, fear, anxiety, avoidance, anger and loneliness. Rheumatoid arthritis patients experience different level of emotions from their suffering experience from the severe pains. Rheumatoid arthritis patients also experience negative emotions when they could not perform self-care and lose their self-esteem from painful suffering ; however, they regain positive emotions when they recover from pain with the use of drugs, physical therapy or exercise. Their emotional states are closely connected to level of and presence of pain.

• Asian Pacific Journal of Cancer Prevention
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• 제17권sup3호
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• pp.167-174
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• 2016

One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.

• Child Health Nursing Research
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• 제4권2호
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• pp.294-304
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• 1998

Illness is a situational crisis which affects entire family members. Children have different experiences and responses when their sibling has a cancer. there are many studies on sibling experiences to childhood cancer which have many problems in the USA. The main purpose of this study is to describe sibling experiences to childhood cancer accurately and coprehensively by collecting data from sibling to provide the data to develop nursing interventions for the families with childhood cancer. The data was collected from October 1 to November 6, 1995. A total of ten siblings with childhood cancer were interviewed. The meaningful contents were classified and categorized to four areas. Theses areas include knowledge and perception related to illness, changes in family life, changes in school life, and siblings' marturation. The results of this study were as follows 1. Knowledge and perception related to childhood cancer : Children had limited knowledge about illness and expressed the desire to tow more about sibling's illness. 2. Changes in family and school life : Children expressed loneness, emptiness, sadness, depression about seperation with the mother and sibling, family mood change, leisure activities and financial difficulites. Many children reported that their school performance had suffered since sibling's illness. 3. Maturation of children : Some positive outcoms related to having a sibling with a cancer are maturation, increased affection for the sibling, empathy for their parents. The results of this study indicate that it is important to develop comprehensive nursing intervention programs for the families with a childhood cancer.

• 한국콘텐츠학회논문지
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• 제20권4호
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• pp.464-474
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• 2020

본 연구는 혈액투석환자의 질병지각, 생리적지표, 자기관리의 관계를 확인함으로서 혈액투석환자의 자기관리를 증진시키기 위한 간호중재를 위한 기초자료를 제공하기 위함이다. 연구의 대상자는 서울소재 대학병원의 혈액투석환자 134명이다. 자료수집은 자가보고실설문지와 의무기록조회를 통해 수집되었다. 수집된 자료는 SPSS/WIN 23.0 통계프로그램을 통해 백분율, 평균 및 표준편차, independent t-test, ANOVA, Pearson correlation coefficient와 multiple regression으로 분석하였다. 분석결과 헐액투석환자의 자기관리에 유의한 차이가 있는 8개 변수가 확인되었다. 신장이식 대기등록 여부(β=-.20, p<.05)와 질병지각의 하위항목 중 결과(β=-.20, p=.031), 치료통제감(β=.19, p=.040), 이해도(β=-.18, p=.049), 생리적 지표 중 헤마토크릿(β=.38, p<.001), 헤모글로빈(β=.29, p=.005), 혈중요소질소(β=-.25, p=.010), 혈중 인(β=.22, p=.033)의 8가지 변수로 확인되었다. 이 요인들의 혈액투석환자의 자기관리에 대한 설명력은 26.3%였다. 이에 혈액투석환자의 자기관리를 증진시키기 위해서는 생리적지표에 대한 이해를 높이고 치료통제감을 높이는 질병지각중재프로그램의 개발이 마련되어야 할 것이다.

• 정신신체의학
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• 제1권1호
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• pp.45-51
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• 1993

Stress perception was investigated in 53 outpatients with extrinsic type of bronchial asthma, using GARS scale and other questionnaires. 40% of the patients were found to be psychosomatic. The patients were more likely to consider their physical symptoms as severe than the allergist Severity of symptoms rated by the allergist had significantly positive correlation with scores of stress perception related to changes in relationship. However, no significant correlation was found between severity of symptoms rated by patients and scores of stress perception. Psychosomatic group was significantly higher in scores of stress perception related to illness and injury, financial burden, and change or no change in routine than non-psychosomatic group. Female. older age, higher education. presence of religion. and presence of psychological stressors at onset and/or aggravation of the illness were found to increase stress perception. These findings indicate ant extrinsic asthmatics an less likely to perceive psychological stress than physical symptoms, and that they are less vulnerable to psychological stressors than patients with other diseases.

• 동아시아식생활학회지
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• 제27권4호
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• pp.450-458
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• 2017

The purpose of this study was to investigate the levels of risk perception characteristics for food risk elements using a psychometric paradigm from 298 university students in Yeungnam region, Korea, by a self-administered questionnaire. The respondents showed the highest level of risk concern about radioactive contaminated foods and the lowest level about GM (genetically modified) foods. In the risk perception characteristics for food risk elements, they perceived radioactive contaminated foods as a catastrophic, worried, new, and uncontrollable risk. In addition, they regarded food additives and foodborne illness as a chronic, controllable, old, and scientifically and individually known risk. According to the results of the factor analysis for risk perception characteristics, dread and unknown were categorized. In the risk perception map, mad cow disease, heavy metal contaminated foods, and radioactive contaminated foods were considered as a dreaded and unknown risk, whereas pesticide residues and GM foods were perceived as a less dreaded and unknown risk. Additionally, food additives and foodborne illness were regarded as a less dreaded and known risk and endocrine disruptors and avian influenza as a dreaded and known risk. These results imply that risk perception characteristics of consumers should be considered to establish strategies for risk communication in food science.

• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.828-843
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• 1998

To find the association of perception of health status with lifestyle of different ethnic groups living in north-eastern part of China, a cross-sectional questionnaire survey was done by 10 local health workers for 375 Korean immigrants and 217 Chinese whose age was 30 years old or more. Because Korean immigrants showed higher mortality than Chinese, we expected to find significant lifestyle related with perception of health status which was known to be a predictor of mortality by different ethnic groups. The results were as follows : 1. We found that 59.7% of Yanbian Koreans and 42.9% of Yanbian Chinese felt unhealthy (p=0.000). 2. For Yanbian Koreans, significant variables associated with perception of health status were selected through logistic regression analysis and they were sex; female to male with an OR=2.45 (95% confidence interval[CI] 1.06, 5.64), prevalence of chronic illness with an OR=5.48 (95% CI: 4.62, 15.56), mont of meal; small or moderate to full with an OR=2.67 (95% CI : 1.40, 5.09), preference of spicy food with an OR=1.78 (95% CI : 1.04, 3.04), and less amount intake of vitamin $B_2$, with an OR=2.29 (95% CI : 1.33, 3.93). 3. For Yanbian Chinese, significant variables associated with perception of health status were prevalence of chronic illness with an OR=4.97 (95% CI : 2.11, 11.68), history of taking ginseng with an OR=3.72 (95% CI : 1.33, 10.43), and less intake of vitamin C with an OR=0.18 (95% CI : 0.07, 0.46). In conclusion, sex, presence of chronic illness, dietary habit, and amount of $vitamin-B_1$ intake were associated with perception of health status in Yanbian Koreans. Presence of chronic illness, experience of ginseng intake, and amount of vitamin C intake were associated with perception of health status in Yanbian Chinese. To prove cause-effect relation between perception of health status and lifestyle, further study is needed for these different ethnic groups.

• 한국산학기술학회논문지
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• 제20권4호
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• pp.250-263
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• 2019

본 연구는 일반인들이 정신질환을 가진 사람들에 대한 인식을 개선시키기 위한 일환으로 공공 노력의 필요성을 제기하고 방안을 제시하기 위함이다. 그리고 정신질환태도에 관한 인구통계학적인 차이, 인식개선을 위한 공익광고 필요성과 매체별로 현재수준과 기대수준을 비교 분석한 후 이를 개선하기 위한 방안을 제시하였다. 이를 위해 치료를 통해 완전히 회복될 수 있는 우울증, 강박증, 공황장애를 중심을 살펴보았고 서울과 수도권에 거주하는 일반인들을 대상으로 설문조사를 실시하였다. 연구결과 응답자들의 정신질환자에 대한 태도에 대한 인식차이에서는 성별, 결혼상태, 연령대, 가족 중 정신질환 치료 경험 유무에 따라 정신질환자에 대한 태도에서 인식차이가 있음을 확인하였다. 반면 종교, 월수입, 학력에 따른 인식차이는 유의하지 않음을 확인할 수 있었다. 또한 대부분의 응답자는 인식개선을 위해 공공의 노력 즉, 대중매체를 통한 노력이 필요하다고 인식하는 것을 확인하였고 TV광고, 인터넷, 라디오, 광고탑, 운송수단의 활용을 통한 광고가 강화되어야한다고 생각하는 것을 확인할 수 있었다. 이러한 연구 결과를 통해 본 연구에서는 정신질환자의 인식 개선을 위해 대중매체를 통한 광고의 필요성을 제시하였고 이를 강화하기 위한 방안으로 사회적 차원, 조직적 차원, 개인적 차원을 중심으로 제안하였다.