• Child Health Nursing Research
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• 제10권1호
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• pp.117-125
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• 2004

Purpose: The research was conducted to investigate the experience of maternal role attainment of mothers of premature infants admitted in NICU and to conceptualize the phenomena. Method: The grounded theory method was utilized for data collection and analysis. 8 mothers of premature infants were selected and in-depth interview was performed. Paradigm model was utilized for data analysis and presentation. Result: The central category was 'unstable maternal identity'. The properties of the core phenomena was 'ambivalent feeling to baby' 'negative emotion' 'commitment to baby'. The loss of control due to premature delivery was the causal condition. contextual condition was the 'perceived threats' due to severity of the premature infant and uncerainty of the baby's life. The mother's health status, economic status, and familial and social support was recognized as intervening conditions during the process of maternal role attainment. The strategic action/interactions were emotion-focused coping, reappraisal of the situation, problem-focused coping, and information seeking. The consequence was the maternal role attainment with competence and expectation. Conclusion: The process of maternal role attainment was affected by threats due to severity of the baby and intervening factors and interaction strategy. Further research is recommended to develop adequate intervention method during the process of maternal role attainment.

• 대한간호학회지
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• 제26권3호
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• pp.632-652
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• 1996

It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle in addition to a series of other carcinogens increases the incidence of various neoplasmic diseases. Therefore the importance of a lifestyle that minimizes such an impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is related to personal lifestyle and as there is a possibility of its recurrence, patients with stomach cancer need to lead a healthy lifestyle. Also the quality of life which patients experience is negatively affected by the side effects of treatments and the possibility of recurrence. Therefore an effective nursing intervention to enhance quality of life and encourage healthy lifestyle is needed. The purpose of this study is to provide a basis for nursing intervention strategies to promote health and thus enhance quality of life. A hypothetical model for this purpose was constructed based on Pender's Health Promotion Model and Becker's Health Belief Model, with the inclusion of some influential factors such as hope for quality of life and health promoting behavior. The aims of study were to : 1) evaluate the effectiveness of patient's cognitive-perceptual factors on health promoting behaviors and quality of life ; 2) examine the causal relationships among perceived benefit, perceived barrier, perceived susceptibility and severity, internal locus of control, perceived health status, hope, health concept, self efficacy, self esteem health promoting behaviors & quality of life ; 3) build and test a global hypothetical model. The subjects for this study were 164 patients who were being treated for stomach cancer were approached in the outpatient clinic on a University Hospital. The data from the completed questionnaires were analyzed using Linear Structural Relationships (LISREL). The results of research are as follows : 1) Hypothetical model and the modified model showed a good fit to the empirical data, revealing considerable explanational power for health promoting behaviors(54.9%) and quality of life(87.6%) 2) Self efficacy and hope had significant effects on health promoting behaviors. Of these, hope was affected indirectly through self efficacy and self esteem. 3) Perceived health status, hope and self esteem had significant direct effect on the quality of life. Of these variables, perceived health status was the most essential factor affecting general satisfaction in life. 4) Self-efficacy, as a mediating variable, was positively affected by perceived benefit and hope. 5) Self-esteem, as a mediating variable, was positively affected by perceived health status and hope. 6) Hope was the main variable affecting self efficacy, self esteem, health promoting behaviors and quality of life. The derived model in this study could effectively be used as a reference model for further study and could suggests a direction for nursing practices

• 정보관리학회지
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• 제41권1호
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• pp.389-409
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• 2024

본 연구의 목적은 여대생들의 생식건강정보 탐색행위에 영향을 미치는 요인을 살펴보고 그 관계성을 살펴보는 것이다. 건강신념모델(HBM)과 계획된행동이론(TPB)을 기반으로 지각된 민감성, 지각된 심각성, 지각된 이익, 지각된 장애, 주관적 규범, 지각된 행동통제, 감정적 평가를 주요 요인으로 정의하고 연구를 설계하였다. 대학생 온라인 커뮤니티인 '에브리타임'을 통해 서울 소재 4년제 대학교의 여대생을 대상으로 온라인 설문을 실시하여 데이터를 수집하였다. 연구결과, 여대생들은 지각된 민감성, 지각된 이익, 주관적 규범이 높을수록, 반면에 지각된 장애는 낮을수록, 인터넷을 통해 생식건강정보를 탐색할 의도가 높은 것으로 나타났다. 또한 여대생들의 인터넷 생식건강 탐색에 영향을 미치는 요인들은 여대생들의 성경험 유무, 생식기계 질환 경험 유무, 건강관심도 등에 따른 그룹 간의 차이를 보이기도 했다. 본 연구결과는 여대생들을 대상으로 하는 대학도서관이나 보건기관 등이 온라인 건강정보 문해교육이나 관련 서비스 프로그램을 개발하는데 있어 여대생들의 생식건강 인식 정도를 파악하는데 기여할 수 있을 것으로 기대한다.

• 정보보호학회논문지
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• 제26권6호
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• pp.1619-1637
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• 2016

스마트폰의 보급과 모바일 네트워크 발달로 인해 소셜네트워크서비스(Social Network Service, SNS)는 급격한 성장세를 보이고 있다. 서로의 관심 분야를 공유함으로써 새로운 사회적 관계를 형성하고 소통의 장을 확대할 수 있다는 장점과 휴대의 용이성의 특징을 가진 스마트폰 보급과 맞물려 급격히 성장하고 있다. 본 연구는 국내 이용자들의 SNS영향요인들에 대해 파악하고 이들 요인이 자기효능감과 프라이버시 보호를 통해 개인정보행위에 영향을 미치는 요인들에 대한 인과관계를 실증 연구하고자 한다. 이를 위해 헬스커뮤니케이션 분야에서 개인의 질병을 인지하고 예방할 수 있는 행동을 예측하는 건강신념모델(HBM : Health Belief Model) 이론의 주요 변수들을 적용한 연구모형을 제시하였다. 본 연구의 연구모형을 실증적으로 검증하기 위해 SNS를 이용한 경험이 있는 충남 소재의 N대학과 지방소재 K대학의 대학생들을 대상으로 설문조사를 실시하였다. 설문조사를 통해 총 186부의 표본을 수집하였으며, 요인들 간의 관계를 분석하기 위해 경로분석을 실시하였다. 경로분석결과, 첫째, SNS상에서의 개인정보보호 행위의 주요 영향요인인 건강신념 모델의 모든 변인들 중 지각된 개연성, 지각된 심각성, 지각된 장애는 자기효능감과 부적인 관계를 보였고, 지각된 개연성, 지각된 이익, 지각된 장애는 프라이버시보호에 부적인 관계를 보이는 것으로 나타났다. 하지만, 지각된 심각성은 프라이버시보호와 정적인 관계를 보였고, 지각된 이익과 자기효능감 역시 정적인 관계를 보였다. 둘째, 매개변수인 자기효능감은 프라이버시보호와 정적인 관계를 보였지만 개인정보보호행위와는 부적인 관계를 보였다. 마지막으로 프라이버시보호는 개인정보보호행위와 정적인 관계를 보였다. 이러한 연구 결과를 통해 기존의 개인정보 위협 기술을 활용한 개인정보보호 연구와는 달리 예방에 대한 특성을 반영한 이론적 모델을 제시함으로써 향후 SNS상에서의 개인정보보호행위를 예측할 수 있는 설명을 제시할 수 있는 이론적 실무적 기반이 될 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제8권1호
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• pp.83-91
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• 1997

본 연구의 목적은 품행장애를 보이는 청소년에서 우울및 불안의 정도를 알아보고 또한 자신의 부모가 보이는 자녀 양육 방식에 대해 그들이 어떠한 지각을 하고 있는가를 살펴봄으로써, 품행장애 환아들에서 흔히 동반되는 우울, 불안 증상과 부모양육방식 사이에는 어떤 상호관련이 있으며 이는 또한 품행장애의 임상경과와 어떤 관련이 있는지를 알아보는데 있다. 이러한 목적하에 저자들은 DSM-Ⅳ의 진단기준에 부합되는 품행장애 입원환아 30명과 정상대조군으로 30명의 중학생을 선정하였으며, 이들에게 소아우울척도(CDI), 소아 상태-특성 불안척도(STAI), 부모-자녀 결합형태 검사(PBI)를 시행한 바 다음과 같은 결과를 얻었다. 1) 품행장애 환아들은 정상대조군에 비해 증상면에서 상태불안(state anxiety)이 높았으나 우울과 특성불안(trait anxiety)은 의미있는 차이를 보여주지 않았다. 2) 품행장애 환아들은 부모의 양육태도에 있어서 아버지와 어머니 모두에 대해 돌봄이 적고 과보호가 많다는 부정적인 인식을 가지고 있는 것으로 나타났다. 3) 어머니의 돌봄은 우울 및 품행문제의 심각도와 부적 상관관계를 보였다. 4) 어머니의 과보호는 특성불안과 정적 상관관계를 보였다. 품행장애 환아에 있어 아버지 양육태도의 특성은 그다지 의미있는 결과를 보여주지 않아 아버지보다는 어머니의 부정적인 양육 방식이 품행장애 소아청소년의 우울, 불안 및 품행문제의 심각도등의 임상경과와 보다 밀접한 관련성을 갖는 것으로 보인다.

• 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.

• 대한간호학회지
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• 제42권6호
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• pp.819-832
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• 2012

Purpose: This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults. Methods: This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse. Results: The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone. Conclusion: The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.

• 한국언론정보학보
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• 제51권
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• pp.5-25
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• 2010

본 연구는 신종플루 관련 뉴스 이용 정도가 개인 및 공중에 대한 건강보호 행위의도에 미치는 영향을 보호동기이론(protection motivation theory)을 통해 살펴보았다. 구체적으로 신종플루 뉴스 이용 정도를 독립변인으로, 심리적 보호동기요인(신종플루에 대한 인지된 심각성, 취약성, 대처효능감, 자기효능감)을 매개변인으로 그리고 개인과 공중에 대한 건강보호 행위의도를 종속변인으로 설정하였다. 대학생 460명을 대상으로 설문조사를 실시하여 각 구성요인 간의 인과관계를 연구모형으로 설정하고 구조방정식모델(SEM)로 분석하였다. 연구결과에 의하면, 첫째 '개인 건강보호 행위의도' 연구모형에서 신종플루 뉴스 이용 정도는 신종플루 관련 보호동기 요인들에 유의미한 인과관계를 나타냈으나 '대처효능감'은 제외되었다. 또한 세 가지 보호동기 요인(지각된 심각성, 지각된 취약성, 자기효능감)들은 개인 건강보호 행위의도에 유의미한 정적 인과관계를 나타냈다. 둘째 '공중 건강보호 행위의도' 연구모형에서 신종플루 뉴스 이용 정도는 '대처효능감'을 제외한 모든 보호동기 요인에 유의미한 관계를 나타냈으며 보호동기 요인들 중에 '인지된 취약성'과 '대처효능감'만이 공중 건강보호 행위의도에 유의미한 정적 인과관계를 나타냈다. 두 연구모형의 공통점으로는 신종플루 뉴스이용 정도가 개인 또는 공중 건강보호 행위의도에 직접적인 영향을 미치지 않은 것으로 나타났다. 특정 질병에 대한 건강보호 행위의도에 있어서 건강보호 대상(자신 혹은 타인)이 누구인가에 따라 심리적 보호동기들은 다르게 작동하는 것으로 추정된다.

• Asia pacific journal of information systems
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• 제18권4호
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• pp.1-26
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• 2008

Rapid progress of information technology and widespread use of the personal computers have brought various conveniences in our life. But this also provoked a series of problems such as hacking, malicious programs, illegal exposure of personal information etc. Information security threats are becoming more and more serious due to enhanced connectivity of information systems. Nevertheless, users are not much aware of the severity of the problems. Using appropriate password is supposed to bring out security effects such as preventing misuses and banning illegal users. The purpose of this research is to empirically analyze a research model which includes a series of factors influencing the effectiveness of passwords. The research model incorporates the concept of risk based on information systems risk analysis framework as the core element affecting the selection of passwords by users. The perceived risk is a main factor that influences user's attitude on password security, security awareness, and intention of security behavior. To validate the research model this study relied on questionnaire survey targeted on evening class MBA students. The data was analyzed by AMOS 7.0 which is one of popular tools based on covariance-based structural equation modeling. According to the results of this study, while threat is not related to the risk, information assets and vulnerability are related to the user's awareness of risk. The relationships between the risk, users security awareness, password selection and security effectiveness are all significant. Password exposure may lead to intrusion by hackers, data exposure and destruction. The insignificant relationship between security threat and perceived risk can be explained by user's indetermination of risk exposed due to weak passwords. In other words, information systems users do not consider password exposure as a severe security threat as well as indirect loss caused by inappropriate password. Another plausible explanation is that severity of threat perceived by users may be influenced by individual difference of risk propensity. This study confirms that security vulnerability is positively related to security risk which in turn increases risk of information loss. As the security risk increases so does user's security awareness. Security policies also have positive impact on security awareness. Higher security awareness leads to selection of safer passwords. If users are aware of responsibility of security problems and how to respond to password exposure and to solve security problems of computers, users choose better passwords. All these antecedents influence the effectiveness of passwords. Several implications can be derived from this study. First, this study empirically investigated the effect of user's security awareness on security effectiveness from a point of view based on good password selection practice. Second, information security risk analysis framework is used as a core element of the research model in this study. Risk analysis framework has been used very widely in practice, but very few studies incorporated the framework in the research model and empirically investigated. Third, the research model proposed in this study also focuses on impact of security awareness of information systems users on effectiveness of password from cognitive aspect of information systems users.

• 대한간호학회지
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• 제15권1호
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• pp.30-43
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• 1985

Liver cirrhosis is the common cause of death in Korea today. But, if liver cirrhosis Patients were treated in the early stage of the disease Process, they can have a chance to carry their daily lives with prescribed medical and nursing regimens. Each patient has different health beliefs that there is a different Sick Role Behavior in the process of treatment. In order to increase and control the desired patient's Sick Role Behavior, it is important for nurses to understand the health beliefs influencing Sick Role Behavior. The purpose of this study was to determine factors influencing Sick Role Behavior and provide objective and scientific data to health education, treatment and nursing care. The subjects for this study were 80 Liver Cirrhosis patients selected from in and out patients of the medical department of four University Hospitals in Seoul, Won Joo and Mok Po city. Data was collected from Sep. 18, to Oct. 15, 1984. The measurement tool was the questionaire that developed by the investigator from the literature review based on Health Belief Model. The data Collection was done by interview. Analysis of data was done by use Mean, S.D., ANOVA, Pearson Correlation Coefficient and Stepwise Multiple Regression. The result of study were as follows: 1. The significant influencing variables on the Liver Cirrhosis Patient's Sick Role Behavior in general characteristics were Sex, Marital Status, Educational levels, Family's income and Duration after diagnosis. 2. Between the Sick Role Behavior and Health Belief Model, a) The first hypothesis that the stronger degree of Health Motivation, the higher degree of Liver Cirrhosis Patient's Sick Hole Behavior was supported (r=0.7892, p=0.0000). b) The second hypothesis that the higher degree of perceived susceptibility, the higher degree of Liver Cirrhosis Patients' Sick Role Behavior was supported (r=0.6383, p=0.0000) c) The third hypothesis that the higher degree of perceived severity, the higher degree of Liver Cirrhosis Patients' Sick Role Behavior was supported (r=0.5869, p=0.0000). d) The fourth hypothesis that the higher degree of perceived benefit, the higher degree of Liver Cirrhosis patient's Sick Role Behavior was supported (r=0.7535, p=0.0000). e) The fifth hypothesis that the lower degree of perceived barrier, the higher degree of Liver Cirrhosis Patient's Sick Role Behavior was supported(r=-9.7709, p=0.0000) f) The sixth hypothesis that the higher degree of knowledge in Disease, the higher degree of Liver Cirrhosis patients'lck Role Behavior was supported (r=0.7538, p=0.0000), g) In the correlation among variables, it was found positive correlation except that perceived barrier was negatively correlated. In the Stepwise Multiple Regression and Independent Variables, the factor“Health Motivation”could account for Sick Role Behavior in 62.28% of the Sample (F=128. 786, p<0.01). When the factor“perceived barrier”is added to this, it account for 70.38% of Sick Role Behavior (F=93.479, p <0.01) and the factor“knowledge in disease”is also included, it account for 74.78% of Sick Role Behavior (F=75.131, p <0.01). Finally, when the factor“perceived susceptibility”is included, it account for 75.03% of Sick Role Behavior (F=56.329, p <0.01).