• 한국임상보건과학회지
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• 제6권2호
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• pp.1097-1105
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• 2018

Purpose: Loneliness is an extremely subjective experience that is influenced by life experiences and circumstances. This study attempted to provide basic data for the development of nursing intervention strategies to understand the concept of loneliness and to reduce loneliness on various topics. Methods: The research analysis method is based on the framework of concept analysis proposed by Walker and Avant (1988). Results: The results of this study are as follows: 1) Self-alienation 2) Isolation of human beings 3) Psychological damage reaction 4) Pain 5) Loneliness is the loss of a comfortable "frame". The prerequisites can be divided into personal characteristics and situational characteristics. Empirical criteria include intimate others, lack of social relationships or problems, family and friendship, belonging, recognition or expression of loneliness, emotional state changes and changes in health behavior, and physical symptoms. Conclusions: Loneliness is an important indicator of well-being and a cause of physical and mental illnesses, so nurses facing various subjects should be able to recognize the signs and symptoms of loneliness. By promoting and sustaining their interest, they should be able to enjoy lonely people.

• Asian Journal for Public Opinion Research
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• 제2권2호
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• pp.121-139
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• 2015

"Living in the present moment," a Buddhist concept, was applied in this research. This concept urges the patients to cling neither to the past nor the future as well as being mindful of their body, feelings, mind, and mental qualities. The purpose of the study was to develop a "living in the present moment" model and to evaluate the power of "living in the present moment" in terms of physical and mental results. The study used non-participatory action research with quasi-experimental research design that included 3 camps composed of 6 main activities. The percentages, SD, and paired t-test statistics were used to analyze and compare 17 purposively selected diabetic patients from Pak Thong Chai Hospital before and after they attended the 3 camps. The patients improved significantly in terms of waistline, body weight, body mass index (BMI) and blood pressure (SBP and DBP). The mean of fasting plasma glucose (FPG) level was also changed considerably. The results revealed that the treatment helped the patients to gain self-awareness and self-realization (Yonisomanasikara), as well as knowledge and increased support from friends (Kalyanamitta). They also let go of their attachment to their physical and mental oppressions. This helped the patients to relieve their daily pain, fatigue, insomnia, and diabetes-related complications. About 75% of all patients were able to achieve lifestyle modifications. Therefore, implementation of the model should be expanded and utilized in other diabetic centers. The model might also be expanded to pre-diabetes.

• Physical Therapy Rehabilitation Science
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• 제3권1호
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• pp.27-32
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• 2014

Objective: The aim of this study was to compare the radial bone strength, sitting balance ability and global self-esteem of wheelchair martial arts practitioners and healthy control participants. Design: Cross-sectional study. Methods: Nine wheelchair martial art practitioners with physical disabilities and 28 able-bodied healthy individuals participated in the study. The bone strength of the distal radius was assessed using the Sunlight Mini-Omni Ultrasound Bone Sonometer; sitting balance was quantified using the modified functional reach test (with reference to a scale marked on the wall); and the self-administered Rosenberg self-esteem (RSE) scale was used to measure the global self-esteem of the participants. The velocity of the ultrasound wave (speed of sound, m/s) traveling through the outer surface of the radial bone was measured and was then converted into a T-score and a Z-score. These ultrasound T-score and Z-score that represent bone strength; the maximum forward reaching distance in sitting (cm) that represents sitting balance; and the RSE total self-esteem score that indicates global self-esteem were used for analysis. Results: The results revealed that there were no statistically significant between-group differences for radial bone-strength, maximum forward reaching distance, or self-esteem outcomes. Conclusions: The wheelchair martial arts practitioners had similar radial bone strength, sitting balance performance and self-esteem to able-bodied healthy persons. Our results imply that wheelchair martial arts might improve bone strength, postural control and self-esteem in adult wheelchair users. This new sport-wheelchair martial arts-might be an exercise option for people with physical disabilities.

• 여성건강간호학회지
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• 제16권1호
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• pp.1-9
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• 2010

Purpose: The study addressed the adaption of middle- aged Korean women to menopause, including the use of Yangsaeng, a traditional health care regimen that incorporates specific principles and methods to promote health and prevent illness, with the aim of improving health and longevity of life. Methods: Middle-aged women (40~59 years, n=171) residing in Seoul and Gyeong-Gi Province. Data was collected by using a self-reported questionnaire. Menopausal period adaptation was measured by 29 items in four categories (physical, self-concept, role function, and inter-dependent). Yangsaeng was measured by 31 questionnaire items in eight categories (morality, mind, diet, activity and rest, exercise, sleep, seasonal, and sexuality). Results: Significant differences in menopausal adaptation were evident on the basis of participant education and income. There were significant differences in Yangsaeng in terms of participant education, nature of employment, and income. Menopausal adaptation positively correlated to use of Yangsaeng. Physical adaptation, self-concept adaptation, role function adaptation, and inter-dependent adaptation positively correlated to morality Yangsaeng, mind Yangsaeng, and activity and rest Yangsaeng. Conclusion: Middle-aged Korean women who practice Yangsaeng may be better positioned to adapt to menopause. Yangsaeng may be an advantageous nursing intervention in this population.

• 대한간호학회지
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• 제29권4호
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• pp.951-962
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• 1999

Today human needs for health promotion and maintenance are increasing. The nursing profession as a great responsibility to develop the knowledge for helping clients to practice good health behavior under self-control. But there are few studies about the concept of self-control, or the operational definition of self-control. The purpose of this study was to analyze and clarify the meaning of the concept of self-control. This study used Walker and Avant's process of concept analysis. Antecedents of self control consist of 1) perception of the conflict situation to change his or her behavior ; 2) perception of self as the causes of the barrier for a certain behavior ; 3) internal standard or belief such as self-efficacy and learned resourcefulness ; 4) internal motivation for change of behavior. Critical attributes of self-control were 1) goal-orientation ; 2) self-decision ; 3) time sequence ; 4) effort ; 5) possibility of being learned ; 6) individuality ; 7) social desirability. Consequences occurring as a results of self-control consist of 1) achievement of the controlled behavior whose purposes were planned ; 2) enhancement of the internal standard such as self-efficacy and learned resourcefulness ; 3) eventual elevation of physical and emotional wellness. Therefore, this concept is defined as a cognitive behavior which is attempted by his or her decision when one is confronted with the conflict situation, which is characterized by being changed by time, learned by effort and individual characteristics. One is taking such behavior with the perception of self as the causative barrier for a certain behavior, planning a specific objective for a certain behavior which demands self sacrifice, supplies the internal reward, is socially desirable with the internal standard of self-efficacy and learned resourcefulness and environmental factors.

• 한국보육지원학회지
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• 제7권1호
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• pp.1-22
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• 2011

본 연구의 목적은 초등학생의 성에 따른 자아개념과 진로발달 간 차이, 관계, 및 영향력을 비교하는 것이다. 본 연구의 대상은 초등학생 259명(남학생 133명과 여학생 126명)이다. 본 연구를 위해 활용한 측정도구는 정종진(1996)의 자아개념 검사도구와 안창규 안현의(2006)의 Holland 진로발달 검사도구이다. 수집된 자료는 SPSS 12.0 통계 프로그램을 활용하여 분석하였다. 본 연구 결과를 분석하면: (1) 정서적 자아에서 남학생(M=54.857, SD=7.593)이 여학생(M=52.302, SD=8.908)보다 높았다. (2) (1) 직업적성평견에서 여학생(M=42.200, SD=5.918)이 남학생(M=37.372, SD=7.600)보다 높았다. (2) 자율성에서 남학생(M=36.544, SD=5.544)이 여학생(M=35.008, SD=5.118) 보다 높았다. (3) 자아개념은 남학생(r=.175~.761)과 여학생(r=.199~.667)의 진로발달과 정적상관관계를 가졌다. (4) (1) 학업적 자아는 남학생(5.6%~56.3%)과 여학생(8.4%~48.7%)의 진로발달에 영향을 미쳤다. (2) 사회적 자아는 남학생(2.6%~5.9%)과 여학생(2.7%~4.3%)의 진로발달에 영향을 미쳤다. (3) 정서적 자아는 남학생(1.9%~37.0%)과 여학생의(11.2%) 진로발달에 영향을 미쳤다. (4) 신체적 자아는 남 여학생의 진로발달에 영향을 미치지 않았다. 이상의 결과를 통해 초등학생의 자아개념이 진로발달에 영향을 미친다는 것을 알 수 있었다.

• 여성건강간호학회지
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• 제7권3호
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• pp.284-292
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• 2001

This study is an attempt to analyze concept of pain and to do it according to a series of concept development processes described by Walker and Avant. Based on the results of the study, the attributes, scope, precedences and consequences of pain were identified : 1. The attributes of pain were subjectivity, unpleasantness, expression, experience, response, and sensitivity. 2. The scope of pain were physical, psychological, and socio-cultural. 3. The following were precedences of pain : 1) Internal or external noxious stimuli 2) actual or potential injury or damage to body and/or mind 3) noxious stimulation or aversive sensation is perceived as pain 4. The following were consequences of pain : 1) physical, psychological, socio-cultural response 2) verbal and/or non-verbal communication 3) coping and self-preservation.

• 한국가정과교육학회지
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• 제23권3호
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• pp.185-200
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• 2011

본 연구의 목적은 초 중등 여학생의 외모관심도와 외모관리행동이 성 성숙, 자기개념과 어떠한 상관관계를 갖는지 파악하는데 있다. 이를 위하여 서울지역의 초 중등 여학생을 대상으로 설문조사를 실시하였다. 연구의 결과는 다음과 같다. 첫째, 외모관심도와 외모관리행동 모두 중학생이 초등학생보다 높게 나타났다. 둘째, 초등학생이 중학생보다 전체적으로 긍정적인 자기개념을 가지고 있었고 특히 가정자기가 유의하게 높았다. 셋째, Tanner Stage가 초등학생은 2,3단계로서 사춘기 초기 상태, 중학생은 3,4단계로서 성장 발육의 진행 상태에 있는 것으로 나타났다. 월경을 하는 학생의 비율이 초등학생은 33%에 불과한 반면, 중학생은 90%로 대부분이 월경을 하는 것으로 나타났다. 성 성숙에 대한 주관적인 느낌 역시 차이를 보여, 초등학생은 자신의 성 성숙 속도가 또래보다 빠르다고 느낄 때, 중학생은 느리다고 느낄 때 부정적인 느낌을 가졌다. 넷째, 초 중등 여학생의 외모관심도에 자기개념과 성 성숙이 미치는 영향을 살펴본 결과, 초등학생은 가정적 자기개념이 낮을수록, 사회적 자기개념이 높을수록 외모에 대한 관심이 높았다. 중학생은 사회적 자기개념이 높을수록, 가정적 자기개념이 낮을수록, 성숙에 대한 느낌이 부정적일수록, 신체적 자기개념이 높을수록 외모에 대한 관심이 높았다. 또한 초 중등 여학생의 외모관리행동에 외모관심도와 자기개념 및 성 성숙이 미치는 영향을 살펴본 결과, 초등학생은 외모관심이 높을수록 외모관리행동에 적극적이었다. 중학생의 외모관리행동은 외모에 대한 관심이 높을수록, 가정적 자기개념이 낮을수록, 사회적 자기개념이 높을수록 많이 하는 것으로 나타났다.

• 성인간호학회지
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• 제19권2호
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• pp.167-177
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• 2007

Purpose: This cross-sectional survey research was undertaken to identify the factors influencing time from onset to hospital arrival of stroke patients and to provide basic information for the development of intervention programs for stroke patients. Methods: The data were collected using a convenient sampling method from three hospitals in Inchon. The subjects were 78 patients who were diagnosed as stroke by doctor and they voluntarily participated in the study. Results: On the average, subjects arrived at the hospitals by 16.72 hours after the onset of stroke events with the range from 0.17 hours to 72 hours. Thirty-four(43.6%) subjects arrived within 3 hours which can maximize treatment effects. There was significant difference in hospital presentation time according to the level of knowledge(${\chi}^2=18.629$, p=.0003). A negative correlation was found between the hospital presentation time and self-efficacy (r= -.320, p=.004). Stepwise multiple regression analysis revealed that the most powerful predictor was self-efficacy. Self-efficacy, the level of knowledge and physical symptoms were significant factors and accounted for 21.7% of the variance of hospital presentation time in stroke patients. Conclusion: According to the results, self-efficacy is a useful concept for reducing the hospital presentation time from onset of attack in stroke patients. Therefore, nurses should consider educational programs which include not only a knowledge of stroke and recurrence prevention but also the concept of self-efficacy.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제12권1호
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• pp.125-137
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• 2001

학습장애를 가진 86명의 초등학교 남학생과 52명의 정상적인 초등학교 남학생의 자아상과 우울, 그리고 상태-특성 불안에 관하여 피어스-해리스 자아상 척도, 소아우울척도(이하 CDI), 상태-특성불안 척도(이하 STAI)를 이용하여 조사하였다. 피어스-해리스 자아상 척도의 총점에서는 두 군 사이에 차이가 발견되지 않았으나, 지적 및 학업 상태 항목과 신체적 외모, 행복과 만족 소척도에서는 두 군 사이에 의미 있는 차이가 관찰되었다. 소아우울척도의 총점과 그 소척도 중 부적합함, 무쾌감증, 부정적인 자기 존중 항목에서 학습장애 아동이 정상 아동보다 더 높은 점수를 나타내었다. 상태불안은 정상 아동보다 학습장애 아동에서 높게 보고되었으나 특성 불안에 대해서는 차이를 보이지 않았다. 정상 아동에서는 나이에 따른 자아상과 우울척도, 불안 척도의 의미 있는 변화가 관찰되지 않았으나, 학습장애 아동에서는 피어스-해리스 자아상 척도와 그 소척도의 대부분이 통계적으로 의미 있게 감소하였고, 소아우울척도의 부정적 감정과 무쾌감증, 부정적 자기 평가, 상태 불안, 특성 불안 등은 연령과 의미 있는 양의 상관관계를 나타내어서 학년이 올라갈수록 자아상은 저하되고 우울과 불안을 느끼는 강도와 범위가 증가하는 양상을 보였다. 두 군 모두에서 소아우울척도는 피어스-해리스 자아상 척도의 총점과 그 소척도들과 의미 있는 역의 상관관계를 나타내었고, 상태불안과 특성불안과는 정의 상관관계를 나타내었다. 조사 결과 학업과 관련된 자아상의 문제와 자신이 남들과 당당히 맞설 수 있는 자신감의 문제가 학습장애에서 더 많이 나타났고, 나이가 들수록 자아상이 저하되며 불안과 우울은 증가하는 것으로 나타났다. 회귀분석 결과 학습장애 아동의 자아상을 설명하는 변수들로는 나이와 자아상 척도의 행동문제, 지적 및 학업상태, 불안, 인기도, 행복과 만족, 그리고 소아우울척도의 부적합함, 대인관계문제, 부정적 자기-존중 및 상태 불안인 것으로 드러나서 학습 장애 아동의 자아상은 학업 문제와 자신을 또래와 비교하여 겪는 스트레스로 인해 부정적인 영향을 받는다는 것이 확인되었다. 결론적으로 학습장애를 가진 초등학교 남학생은 정상 초등학교 남학생보다 자아상이 낮고 우울과 불안을 더 많이 느끼며, 이런 차이는 학년이 올라갈수록 커졌다. 학습장애에서 우울증과 불안 장애가 많이 동반되기 때문에 임상에서 학습장애 아동을 치료할 때 정서 장애의 동반 여부를 확인하고 이를 적극적으로 치료하는 것이 중요한 과제이다.