• 대한보건연구
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• 제44권4호
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• pp.1-13
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• 2018

연구목적: 이 연구는 문제음주자 관점에서 조기개입 프로그램의 효과를 조명함으로써 탐색적 이해를 보여주는데 있다. 연구방법: 이 연구는 질적 기술 연구 설계가 사용되었다. 프로그램에 참여한 13명의 문제음주자와 개별 면담을 통해 연구자료를 수집하였으며, 질적 내용 분석으로 분석하였다. 연구결과: 조기개입 프로그램에 참여한 문제음주자는 알코올 정보, 알코올의 효과에 대한 기대, 자기효능감과 행동 변화 측면에서 4개의 주제 및 9개의 하위주제가 도출되었다. 이들은 직장 내에서 운영된 조기개입 프로그램에 참여하였기 때문에 개인별로 동기 수준에 차이가 있었으나, 프로그램의 필요성은 대체로 수용하였다. 프로그램 진행자를 신뢰하는 참여자일수록 음주행동 변화를 긍정적으로 생각하였다. 결론: 조기개입 프로그램에 참여한 문제음주자는 충분한 정보를 습득함으로써 음주 폐해에 대한 인식과 변화 동기의 증진 및 행위기술인 자기효능감의 획득을 통하여 문제음주 행동 변화에 유용한 접근임을 보여주었다. 이러한 결과는 직장 등 다양한 일차건강관리 현장에서 알코올중독 예방을 위한 조기개입을 적용하기 위한 기초자료로 활용될 수 있을 것이다.

• 한국산학기술학회논문지
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• 제18권1호
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• pp.55-65
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• 2017

본 연구는 간호대학생의 생활스트레스와 대처가 우울 및 주관적 심리적 안녕감에 미치는 영향을 파악하고, 대처의 매개효과가 있는지 검증하기 위한 상관성 조사연구이다. 간호대학생 147명을 대상으로 자료를 수집하였고, 기술통계, 상관분석, 위계적 회귀분석, Sobel test 방법으로 분석하였다. 간호대학생의 우울은 생활스트레스, 회피중심 대처와 정적 상관관계를, 주관적 안녕감은 생활스트레스, 회피중심 대처와 부적 상관관계를 나타내었으며, 심리적 안녕감은 생활스트레스, 회피중심 대처와 부적 상관관계를, 문제해결중심 대처와 정적 상관관계를 나타내었다. 회피 중심대처는 생활스트레스와 우울 간의 관계에서 부분 매개하는 것으로 나타났고, 생활스트레스와 주관적 안녕감 및 심리적 안녕감 간의 관계에서도 부분 매개하는 것으로 나타났다. 이는 생활스트레스가 우울과 안녕감에 미치는 영향에서 회피중심 대처의 사용 정도가 핵심적 역할을 하는 것을 의미한다. 따라서 생활스트레스 수준이 높은 간호대학생들의 우울을 감소하고 안녕감을 증진시키기 위해서는 우선적으로 간호대학생들의 스트레스 정도와 사용하는 스트레스 대처 전략을 확인하는 것이 필요하며, 회피중심 대처를 감소하고 좀 더 효율적인 대처를 활용할 수 있도록 스트레스 대처 중재 프로그램을 제공하는 것이 필요하다.

• 산업융합연구
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• 제17권4호
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• pp.77-86
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• 2019

본 연구는 가정간호기반 호흡관리프로그램이 근위축성 측상경화증으로 가정에서 인공호흡기를 적용하고 있는 환자에게 미충족의료와 의료자원이용에 효과가 있는지를 확인하는 연구이다. 연구대상자는 실험군 19명, 대조군 21명으로 40명이다. Cox의 상호작용모델에 기반을 둔 가정간호기반 호흡관리프로그램은 인지적 동기로 교육, 전문간호, 사례관리, 내적 동기로 기도청결, 흉곽운동, 공기누적운동, 심리적 반응으로 명상과 적극적 경청이다. 이를 실험군은 12주 동안 제공하였고, 대조군은 통상적인 가정간호를 제공하였다. 중재관련변수는 사전, 사후 12주, 24주에 측정하였고, 의료자원이용은 24주에 측정하였다. 연구결과 호흡관리프로그램은 미충족의료정도에는 차이가 없었으나, 의료자원이용정도 중 입원횟수 감소에는 효과가 있었다. 이에 근위축성 측상경화증 환자 호흡관리프로그램은 호흡문제로 인한 의료기관 이용횟수를 감소시켜 환자의 호흡기능 향상에 기여할 수 있을 것이다.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.393-405
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• 2019

본 연구는 폭력경험으로 인한 정신과병동 간호사의 소진을 감소시키고 문제 중심의 표준화된 폭력대처 중재방안을 수립하기 위해 폭력경험, 폭력대처, 사회적지지가 소진에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 연구 대상자는 정신과 병원에서 근무하는 임상경력 1년 이상인 병동 간호사 204명이었다. 자료수집기간은 2018년 7월 1일부터 8월 31일까지 구조화된 설문지로 시행하였다. 수집된 자료는 SPSS program을 이용하여 평균, 표준편차, t-test, ANOVA, Pearson's Correlation coefficient, Multiple Regression으로 분석하였다. 연구결과는 다음과 같았다. 정신과병동 간호사는 언어적 폭력 92.2%, 신체적 위협 92.2%, 신체적 폭력 75.5%를 경험하고 있었다. 대상자의 폭력경험과 폭력대처(r=0.15. p<.027), 폭력경험과 소진(r=0.16, p<.017)은 정적 상관관계, 폭력대처와 사회적지지(r=0.30, p<.001)는 정적 상관관계, 사회적지지와 소진(r=-0.28, p<.001)은 부적 상관관계를 나타냈다. 또한 소진에 영향을 미치는 요인으로 간호직 만족도, 사회적지지, 신체적 폭력경험이 나타났다. 소진을 설명하는 회귀모형은 약 33.3%의 설명력을 나타내었다. 그러므로 정신과병동 간호사의 폭력경험을 낮출 수 있는 예방교육과 사회적지지 강화를 위한 체계마련 및 간호직 만족도를 향상시키는 환경을 조성한다면 소진을 감소시켜 양질의 간호를 제공할 수 있으리라 생각된다.

• 한국간호교육학회지
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• 제14권2호
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• pp.252-261
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• 2008

Purpose: The purpose of this study was to explore how an educator can empower students by fostering communication, problem-solving, and self-directed learning ability. Method: In order to accomplish this purpose, 136 students who were attending J University and 105 students attending M University participated in the questionnaire. The students were freshman in the nursing or social welfare departments, There were 136 in the control group and 105 in the experimental group. The control group was given an applicable class of project learning. On the other hand, the experimental group was given traditional lessons once a week for 15 weeks. The research instrument used the measuring instruments developed by KEDI for communication and problem-solving and self-directed learning ability. Data was analysed by ANCOVA with SPSS/PC. Result: The results of analysis show that communication, problem-solving, and self-directed learning ability significantly increased in the experimental group. Conclusion: Based on the research finding, project learning has an educational value. Interdisciplinary cooperation project learning is effective for communication, problem-solving, and self-directed learning ability.

• 대한간호학회지
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• 제34권7호
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• pp.1224-1233
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• 2004

Purpose: This study was to investigate the effects of problem solving group counseling on the index of obesity and health habits for obese children. Method: Forty seven obese children participated in the study(Exp.=22, Cont.=25). Children were recruited from the forth and fifth grade with higher than $20\%$ of the obesity degree. The problem solving counseling lasted for 10 weeks. In order to evaluate the effects of counseling, physical characteristics and health habits were measured three times; pretest, posttest, and at 10 weeks follow-up. The obtained data was analyzed by $x^2-test$, t-test, and repeated measures ANOVA, using the SPSS WIN 10.0program. Result: Problem solving group counseling was effective on the physical characteristics(BMI, obesity degree, body fat ratio, waist measurement) and health habits over time. Children in the experimental group controlled their body weight better and reported lower scores in the index of obesity than children in the control group at 10 weeks follow-up. Conclusion: This counseling program helped obese children modify their health habits so that they could decrease their scores in the obesity index. It can be concluded that problem-solving counseling enhanced problem-solving abilities of obese children, which could help modify their ordinary health habits.

• 대한간호학회지
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• 제35권6호
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• pp.1153-1162
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• 2005

Purpose: This study was to develop and evaluate a folk play program as a nursing intervention for the elderly with dementia. Method: First, a folk play program was developed through a careful study of literature review and field-work. Second, a nonequivalent control group pre-post test was designed. The subjects of the study were the elderly with dementia staying in nursing homes; 15 were in an experimental group adopting a folk play program developed through this study, 18 in the control group on a gymnastics and walking program which is generally used. The 40 min. intervention was conducted 5 times a week for 4 weeks. Result: The folk play program improved the cognition(t=6.12, p<.001) and ADL(t=2.92, p=.014) and diminished the frequency of problematic behaviors significantly(t=-6.39, p<.001). There was a significant difference of cognition, ADL, and problematic behaviors between the control and the experimental group before and after the experiment(t=3.38, p=.002; t=2.05, p=.046; t=-7.74, p<.001). Conclusion: Compared with the gymnastics and walking program, the folk play program proved to be much more effective in the elderly with dementia in improving their cognition and ADL, as well as in diminishing their problematic behaviors. Therefore, a folk play program should be appliedas an effective and practical Korean nursing intervention for the elderly with dementia.

• 대한간호학회지
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• 제46권4호
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• pp.475-489
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• 2016

Purpose: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. Results: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity ($I^2=62.8%$), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.

• 성인간호학회지
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• 제18권1호
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• pp.10-21
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• 2006

Purpose: The purpose of this study was to identity the effects of a health promotion program for rural elderly people on self efficacy, health problems, farmers syndrome and quality of life. Method: The study was a nonequivalent control group pre-post experimental design. The data collection was performed from April 12th, 2003 to August 2nd, 2003. The subjects were selected at Mari Myun Geochang Gun in Korea. Fortyfour elders were included in the experimental group and 45 elders were included in the control group. The 16-week health promotion program was given to the experimental group. Data were analyzed by descriptive statistics, $X^2-test$, t-test, paired t-test with SPSS/Win 10.0 program. Result: The experimental group showed a lower scores of health problems and farmers syndrome than the control group, and higher scores of quality of life than the control group. There were no significant differences in self efficacy. Conclusion: From the above results, it can be concluded that the health promotion program for rural elderly is an effective intervention for improving the rural elderly's quality of life and reducing health problems and farmer's syndrome. Therefore, development of strategy that can spread the health promotion program for rural elderly to the elderly of other rural areas are needed.

• 성인간호학회지
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• 제13권3호
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• pp.385-396
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• 2001

The purpose of this study is to present an actual example for procedures for developing a PBL package based on philosophical backgrounds derived from Problem-based learning. To perform a systemic study on the operations of an intergrated curricula under multidisciplines, a research team made up of several professors with different academic backgrounds was formed. Among the four situations for the patients with perception-adjustment disorder, especially a procedure for the development of PBL package which can be used in the emergency room situation has been proposed. The little(2000)'s PBL package model has been applied for this study. Tha package includes course objectives, learning objectives, concept map, situation scenario, tutor guide, and evaluation method. It is believed that learning objectives achievement procedures designed as a part of a problem-based learning package development procedures for the nursing of patients with perception-adjustment can be achieved at the same level as the learning objectives for the science of nursing founded by the Korean Nurses Association.