• Title/Summary/Keyword: 간호문제

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Evaluation of the Interstitial Cystitis Symptom Index and Problem Index-Korean Version (한국판 간질성 방광염 증상지수/문제지수(ICSI/ICPI-K)의 평가)

  • Son, Haeng-Mi;Kim, Jeung-Im
    • Women's Health Nursing
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    • v.14 no.4
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    • pp.290-296
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    • 2008
  • Purpose: The O'Leary Symptom Index and Problem Index(ICSI/ICPI) have been used widespread in clinical studies and research. This research was aimed to determine the reliability and validity of the ICSI/ICPI-K that was translated into Korean. Methods: The research design was a methodological study to test the measurements. Subjects were 301 elderly women in Seoul, Chungnam and Gyungbuk. They were recruited through a formal announcement and they responded after informed consent. Data was analyzed with SPSS 15.0. The internal consistency was assessed by Cronbach's alpha coefficient and the criterion validity was assessed by Pearson correlation with the Geriatric Depression Scale(GDS) and inter-subscales. Results: The elderly women were on average 74.3 years old. As to the reliability of the scale, ICSI/ICPI-K had a Cronbach alpha of .832. In addition, the results showed that ICSI/ICPI-K was valid through the Pearson correlation. That is, the ICSI-K and ICPI-K had a significant relationship with GDS(r=.295; r=.374, respectively) and strong correlations of subscale to subscale(ICSI-K & ICPI-K: r=.676). The most common symptom of the lower urinary tract by the ICSI/ICPI-K was nocturia 249(83.3%) followed by frequency 187(62.8%), urgency 148(49.8%). and pelvic pain 71(23.9%) in the elderly women. Conclusion: We can conclude that the ICSI/ICPI-K is reliable and valid in Korean elderly women. It needs to be evaluated in the clinical area.

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Test of Validity and Reliability of the Adolescent Mental Problem Questionnaire for Korean High School Students (고등학생용 정신건강 및 문제행동 선별질문지(AMPQ)의 타당도 및 신뢰도 검증)

  • Kim, Soo-Jin;Lee, Chung-Sook;Kweon, Young-Ran;Oh, Mi-Ra;Kim, Bo-Young
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.700-708
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    • 2009
  • Purpose: This study was done to test the validity and reliability of the Adolescent Mental Problem Questionnaire (AMPQ) for Korean high school students. Methods: The AMPQ was designed to assess adolescents', mental health status and problem behavior (Ahn, 2006). A methodological study design was used with exploratory factor analysis, Pearson's correlation coefficients, and a fitness of the modified model for validity. Also, Cronbach's alpha coefficients and alternative-form method for reliability were used. AMPQ was tested with a sample of 36,313 high school students. The participants consisted of 18,701 males and 17,612 females. Results: Seven factors were extracted through factor analysis: 'Psychiatric problems', 'Delinquency', 'Academic troubles', 'Family problems', 'Hazardous behavior', 'Harmful circumstance', 'Eating problems'. These factors explained 51.1% of the total variance. The fitness of the modified model was good ($X^2$=38,413.76, Goodness of Fit Index [GFI]=.94, Adjusted Goodness of Fit Index [AGFI]=.93, Comparative Fit Index [CFI]=.95, Root Mean Square Error of Approximation [RMSEA]=.05), and concurrent validity with Korea-Youth Self-Report [K-YSR] was .63. Cronbach's alpha coefficient of the 31 items was .85. Conclusion: The results of present study suggest that the modified AMPQ instrument may be useful for efficiently assessing mental health status and problem behavior in late adolescent, high school students.

A Correlational Study of Adolescents Behavior and Mothers Childrearing Attitude with Child Abuse Experience of the Adolescents (청소년의 행동 및 어머니의 양육태도와 아동학대와의 관계)

  • Yi, Ggod-Me;Ahn, Hye-Young
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.786-794
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    • 2002
  • Purpose: The aim of the study was to investigate how adolescents' behavior is correlated with child abuse they experience, and how childrearing attitude of mothers perceived by the adolescents is correlated with child abuse experience by the adolescents. Method: A convenient sampling strategy was used. A total of 160 adolescents participated in this study. Of the 160 responses, 116 were used for final analysis. The data were analyzed using K-YSR program and SPSSWIN. Result: The results were as follows. Mild child abuse experiences reported by the subjects were Throwing the object at me (12.9%, N = 15), Clutching and pushing (12.9%, N = 15), and Slapping on the cheek (14.7%, N = 17)'. Severe child abuse experiences reported by the subjects were Kicking, pounding and biting (10.3%, N = 10), Rod, stick, belt, broom beating using various objects (41.4%, N = 38), and Beating all over the body (6.7%, N = 8). Very severe child abuse experiences reported by the subjects were Burning with cigarette (0.4%, N = 1), Threatening me with objects such as a knife, a hammer, an axe, or a gimlet (0.8%, N = 2). Injuring me with the objects (0.4%, N = 1), and Hospitalized by belting (0.4%, N = 1). In terms of correlations among the main study variables, physical child abuse had significant positive correlations with externalizing problem (r=.271, p=.001) and total behavioral problem (r=.288, p=.002). Physical child abuse also had a significant positive correlation with authoritarian childrearing attitude of mother (r=.363, p=.000). Physical child abuse had significant negative correlations with mothers affectionate childrearing attitude (r=-.191, p=.050) and active participative childrearing attitude (r=-.101, p=.035). Conclusion: Mothers childrearing attitude is a salient factor for preventing child abuse. In addition, child abuse is an important factor for preventing adolescent's behavioral problem.

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Factors Influencing Depression among Middle-School Girls (한국 여자 중학생의 우울에 영향을 미치는 요인)

  • Lee, Hae-Jung;Jung, Hee-Young;Yun, Eun-Young;Um, Hwa-Yun;Jee, Young-Ju
    • Journal of Korean Academy of Nursing
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    • v.41 no.4
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    • pp.550-557
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    • 2011
  • Purpose: The purpose of this study was to investigate the prevalence of depression among school girls in Korea and identify factors influencing the tendency to depression. Methods: A self-report survey was conducted with South Korean middle schoolgirls who were in the 8th and 9th grades. Four hundred and one schoolgirls were included in the study. The instruments utilized in this study were the Center for Epidemiologic Studies - Depression Scale and Social Problem Solving Inventory-Revised. Data were analyzed using descriptive statistics, Pearson correlation and multiple logistic regression with SPSS WIN 14.0 program. Results: The average depression score of the participants was 20.68, which indicates moderate levels of depression. About 35% of the schoolgirls in this study reported a tendency to depression. Significant predictors for depression were 'decreased problem-solving abilities', 'no family members with whom they can discuss their concern', 'decreased satisfaction in relationship with friends', and 'increased negative self-perception of body-image'. Conclusion: The study findings suggest that schoolgirls require special concern regarding the risk of developing depression. Regular depression screening could be beneficial for early detection of depression in schoolgirls and enhancing problem-solving ability could be considered as an effective strategy to reduce the risk of depression among schoolgirls.

The Effects of Emotional Labor, Burnout on Job Stress and Job Satisfaction of Nursing Home Workers : Focusing on Care Experience of Dementia Patients (요양원 종사자의 감정노동, 소진이 직무스트레스 및 직무만족에 미치는 영향 : 치매환자 돌봄 경험을 중심으로)

  • Lee, Deok-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.382-393
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    • 2018
  • Patients with dementia are increasing steadily and becoming a social problem. Care workers in hospitals are increasingly interested in emotional labor. Therefore, this study examines the caregiving experience of dementia patients in the nursing home. The effects of emotional labor and exhaustion of nursing home workers on job stress and satisfaction were analyzed and the moderating effect of care experience was analyzed. The results of the study are as follows. First, the caregiver experience of the nursing hospital workers showed the initial mind, the perception of the early dementia patients, the difficulties, the physical and mental limitations, the satisfaction, the experience through nursing practice, and the change of mind about life. Second, emotional labor and burnout have positive effects on job stress. Care experience reduced the impact of emotional labor and exhaustion on job stress. Finally, the relationship between job stress and job satisfaction showed positive influence.

Development and Evaluation of an 'Activity and Rest' Integrated Course (혼합학습형태의 『활동과휴식』 통합교과목 개발 및 적용)

  • Oh, Eui Gum;Hwang, Seon Young;Lee, Jae Eun;Song, Eun Kyeung;Kim, Min Jeong
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.624-633
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    • 2007
  • Purpose: This study was conducted to develop an integrated undergraduate course including a PBL based on a blended learning strategy, and evaluate learners' responses. Methods: The learning contents of cardiovascular, respiratory, and musculoskeletal medical systems, and nursing diagnoses of 'activity and rest' domain (NANADA's classification II, 2005) were analyzed. Six clinical scenarios with the clients in different life cycles were developed for PBL. Classical lecture and group presentation with on-line self learning were implemented in addition to PBL. The developed course was implemented on 84 junior nursing students in a university for 7 weeks with 5 hours per day, two days per week. Students were asked to complete structured questionnaires including problem solving, critical thinking, and nursing diagnosis differentiation abilities. Results: Learner's evaluation was positive in problem solving skills and in the differentiation ability of nursing diagnoses relevant to an 'activity and rest' functional health pattern. Conclusion: Development and implementation of integrated courses based on a blended learning method need to be continued to enhance students' thinking and self-directed learning abilities. Supporting strategies for individual learners should be added for successful blended learning such as individual on-line feedback and consideration of individual learning outcomes.

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Sexual Problem Behaviors in High School Students (일 지역 고등학생의 성문제 행동)

  • Kim, Hyeon-Ok;Park, Gwang-Sug;Jeon, Mi-Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.257-265
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    • 2007
  • Purpose: This study was done to investigate sexual problem behaviors of high school students in one province, North Cholla. Method: The participants in this research were 951 high school students, grades 1, 2 and 3, chosen at random in big cities, small towns and rural areas of North Cholla Province. Result: The routes for sexual knowledge acquisition were through a peer group or an older member(35.8%), internet(29.8%), classes and the teacher at school(18.8%), multimedia(8.4%) and parents (7.2%). The percentages for domains of sexual problem behaviors were masturbation 36.7%, sexual impulse 35.6%, voyeurism 12.6%, sexual violence 9.6%, transvestism 4.1%, prostitution 3.5%, exhibitionism 3.1%, and pregnancy of a female student 0.6%. Sexual problem behaviors experienced by 30% or more of the students were reported as the experience of the desire to embrace, the desire to kiss, the desire to touch a friend's body of the opposite sex, masturbation and the desire to sleep with a friend of the opposite sex. The biggest sexual problem behaviors for the students were sexual impulses toward friends of the opposite sex and masturbation. These experience rates were higher for boys than for girls(p<.05), higher vocationally than academicly(p<.05), and higher in the largest cities than smaller cities and rural area(p<.05). Conclusion: These findings suggest that systematic programs that focus on a problem solution method should be developed for sexual problem behavior prevention.

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Evaluation of the mental and physical health status of university woman students using the Cornell Medical Index (CMI에 의한 여대생의 건강문제 평가)

  • 모경빈
    • Journal of Korean Academy of Nursing
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    • v.12 no.2
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    • pp.45-56
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    • 1982
  • This study was carried out during the month of september 1982 to analyse and evaluate of the mental and physical health status of University woman students using the Cornell Medical index. The purpose of the study was to provide basic data required by the University health program for planning related health need of woman students. The study sample is consisted of 486 students living in the dormitory enrolled for the fall semester 1982 in a Women's University in Seoul. The instrument used for the collection of data was an abridged version of a modified Cornell Medical Index. The questionarre includes 35 items related to physical health complaints and 22 items related to mental health complaints. The data was treated by a computer(SPSS) using one way analysis, and The Fishers' ratio and Chi-square test at the 5% level were also adjusted for the test for statistical significance. The interpretation of this study is limited due to the sample which was restricted to one University and not randomly selected. The followings are the results of the foundings so far achieved. 1. More than 60% of the Woman students have physical health problems in digestive system, cardiovascular system, nervous system, respiratory system, and musculo skeletal system in the order named. 2. More than 50% of the woman students have mental problems because of anger inadequacy sensitivity tension, depression and anxiety in the order named. 3. There were no statistically significant differences among woman students in mental and physical health problems caused by year groups, major groups, growing regional groups. 4. There were significant differences caused by the number of brothers and sisters in the aspect of appealing mental and physical problems. 5. There were significant differences caused by the rate of satisfaction in the living cost, and the lower the rate of the satisfaction in the living cost goes, the higher tile frequency rate of the appealing mental and physical health problems is. 6. There were significant differences caused by the rate of satisfaction of the living in the aspect of appealing mental and physical health problems. There fore, the lower the rate of the satisfaction of the living goes, the higher the frequency rate of the appealing mental and physical health problems is, and the more the complaints are, the more frequent the appealing of the problems of digestive system, circulating system and fatigue is.

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A Study on Experiences of Health Problems and Coping in Middle-aged and Elderly Women in the Community: Focusing on Focus Group Interview Approach (지역사회 중년 및 고령여성의 건강문제와 대처경험: 포커스 그룹 인터뷰를 중심으로)

  • Jeong, Yeo Won;Kang, Kyung Im;Lee, Byeong Ju
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.119-129
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    • 2020
  • Purpose: The aim of this qualitative study is to explore the health problems and coping experiences of middle-aged and elderly women in the community. Methods: A total of five focus group interviews were conducted with three groups of middle-aged and two groups of elderly women. All interviews were recorded and transcribed. Data were analyzed using the content analysis method. Results: Health problems were categorized as confusion caused by problems that are difficult to handle alone in the middle-aged group and suffering originated by confronting changes in roles and environment in the elderly group. The health problems included stress, suffering, anxiety and social withdrawal as subcategories for the middle-aged women, and the stress, sense of loss, fear, and limited social activities caused by their life events for the elderly women. Meanwhile, the contents of categories about coping were revealed as the beginning of care for the body and mind for healthy life in the middle-aged group and active practice with insight into a healthy lifestyle in the elderly group. While the middle-aged women focused on themselves, attempted changes and started to take care of themselves, the elderly women interacted with the outside world, hardened their mind, made efforts for a dignified death, and managed health by their own methods. Conclusion: There were differences in the experiences of middle-aged and elderly women in accepting their health problems and coping. Nursing interventions reflecting these findings can help to manage and promote the health of middle-aged and elderly women based on an integrated perspective.

Relationship between Shift Work, and Sleep Problems and Fatigue Symptoms of Nurses for General Hospitals (일부 종합병원 간호사들의 교대근무와 수면문제 및 피로자각증상과의 관련성)

  • Park, Young-Nam;Yang, Hye-Kyeong;Kim, Hyunli;Cho, Young-Chae
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.1
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    • pp.37-47
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    • 2007
  • Purpose: To find out the relationship between the shift work, and disrupted sleep and consequent fatigue symptoms. Methods: The questionnaires were given to 345 nurses of 4 hospitals with over 400 beds in Daejeon. Results: The shift workers showed worse subjective quality of sleep than the daytime workers, and had significantly higher frequency of "cannot get to sleep within 30 minutes", "wake up in the middle of the night" and "wake up in the early morning". The shift workers had significantly higher scores of subjective symptoms of fatigue than the daytime workers, and the fatigue was found to be the mental type. The subjective symptoms of fatigue scores were significantly higher in the group who had "cannot get to sleep within 30 minutes", "wake up in the middle of the night" and "wake up in the early morning". Conclusion: The study results indicated that the shift workers had the higher level of subjective symptoms of physical fatigue as well as the worse quality of sleep than the daytime workers. It is speculated that the factors attributable to the poor quality of sleep or sleep induction disorders of nurses of hospitals could be due in major part to adaptational difficulties resulting from frequent night shifts.

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