• 한국보건간호학회지
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• 제31권2호
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• pp.327-340
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• 2017

Purpose: The aim of this study was to identify the barriers to promoting physical activity among obese children from low-income families using community child care (CCC) centers. Methods: This study employed an exploratory-descriptive qualitative research using focus group interviews. The participants were recruited from CCC centers, and 4 focus group interviews were conducted with 10 overweight and obese children and 14 primary caregivers. All interviews were recorded and transcribed verbatim. The data were analyzed using content analysis. Results: The barriers to promoting physical activity were classified into three areas: 1) individual, a lack of will for physical activity; 2) interpersonal, a change in communicative mean with the peer group, absence of parental monitoring due to work-family balance, and an absence of consistent rules; and 3) organizational, lack of physical activity programs and human resources, and confined space for physical activity. Conclusion: The physical activity of children in low-income families is influenced by a range of ecological barriers. These findings can be used to develop tailored intervention to prevent and manage childhood obesity in low-income children.

• 지역사회간호학회지
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• 제28권1호
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• pp.34-43
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• 2017

Purpose: The purpose of this study is to determine factors affecting happiness of adolescents who attended community child centers. Methods: We surveyed 154 adolescents attending a community child center in P City with a structured self-report questionnaire from October 3 to October 15, 2016. Data was analyzed by SPSS 18.0 descriptive statistics, t-test, ANOVA, $Scheff\acute{e}test$, Pearson's correlation coefficients and stepwise multiple regression. Results: The mean scores of family strength, friend support, teacher support, and happiness were $3.8{\pm}0.84$, $3.8{\pm}0.98$, $3.7{\pm}0.84$ and $3.7{\pm}0.63$. There were significant differences in happiness according to the subjects' number of close friends and duration of their stay at the community child center. There were a significant positive correlations among family strength, friend support, teacher support, and happiness. The most significant factors affecting happiness included friend support (${\beta}=.40$) and peaceable family strength (${\beta}=.35$). These variables explained 44% of the total variance in happiness. Conclusion: It is desirable to prepare and support measures to increase friends' support and family strength in order to improve happiness of adolescents attending community child centers. The findings suggest that it is necessary to develop nursing intervention programs to promote friend support and family strength.

• 한국직업건강간호학회지
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• 제8권1호
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• pp.42-55
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• 1999

The purposes of this study were to understand health-promoting behavior of client visiting health-promoting center, to identify the major subscales affecting performance in health promoting behavior to facilitate nursing intervention for health promoting of this population and to test Pender's Health Promotion Model. The subjects for this study were 177 sampled among clients from health-promoting center in General Hospital at Teajon. Data was collected by self-reported questionnaires from February 11 to May 22, 1998. Analysis of the data was done by frequency, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regrssion using SPSS-PC. The results of the study were summarized as follows : 1. The mean score of performance in the health-promoting behavior was 109.22 and range was 71 to 170. The subscale of the highest mean score was self-actualization(30.77) and the subscale of the lowest mean score was exercise(10.50). 2. The most important variable in the health promoting behavior was the perceived self-efficacy. The perceived self-efficacy explained 15.8% of the variance in health promoting behavior. The combination of perceived self-efficacy, perceived barriers, religion, perceived benefits, perceived symptom, and age explained 43.5% of the variance in health promoting behavior. 3. In the relationships between individual characteristics and experience and health promoting behavior, age, religion, the significant differences in the subscale of the health promoting behavior ; sex, educational state, previous occupation, monthly income, marrital state, perceived symptom, and visiting plan of health-promoting center. 4. The health promoting behavior was statistically significant correlated with perceived benefits, perceived barriers, affect related to action, and perceived self-efficacy.

• 한국보건간호학회지
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• 제19권2호
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• pp.371-381
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• 2005

Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

• 한국보건간호학회지
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• 제29권3호
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• pp.582-593
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• 2015

Purpose: This study was conducted to examine the effectiveness of a self-management program on patients with thyroid cancer, particularly during the time of waiting for surgery after cancer diagnosis. Psychological distress, biological responses of immune cell counts, and quality of life were the variables of this study. Methods: One group pre-post test design was used with the nature of a pilot study. Ten newly diagnosed thyroid cancer patients were recruited through physicians' referrals. After drop out of 4 participants, final data were collected from six participants. Small group technique, a one and half hour-session per week for one month (total 4 sessions, 6 hours) was used. Relaxation techniques, meditation training, and strategies to reduce distress were provided by researchers. Standardized questionnaires and an established bio-assay were used for collection of data. Results: Participants showed significant lowering of psychological distress (p<.05) and improvement in global quality of life (p<.05). Biological responses of immune cell counts did not show statistical significance. Conclusion: The self-management program may reduce psychological distress and improve quality of life of patients with thyroid cancer between the time of diagnosis and surgery. The self-management program would be a valuable approach for patients with an unexpected cancer diagnosis to prepare for their disease experience in a community setting.

• 대한간호학회지
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• 제38권3호
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• pp.393-402
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• 2008

Purpose: The purpose of this study was to evaluate the effect of an On-line health promotion program connected with a hospital health examination center. Methods: Based on contents developed, the www.kmwellbeing.comhomepagewas developed. The research design was a one group pretest-posttest design. Seventy-three clients participated in this study. The data were collected from January 3 to June 30, 2005. As a way of utilizing the homepage, this paper attempted to measure the change of pre and post program health promotion behavior and health status (perceived health status, objective health index-blood pressure, pulse, total cholesterol, blood sugar, waist flexibility, grip strength and lower extremity strength). Data were analyzed by descriptive statistics and paired t-test with the SPSS/Win 12.0 program. Results: There were significant differences of perceived health status, systolic BP, waist flexibility and grip strength. However, there were no significant differences in health promotion behavior, diastolic BP, pulse, lower extremity strength, blood sugar and total cholesterol between pre program and post program. Conclusion: It is expected that an on-line health promotion program connected with a hospital health examination center will provide an effective learning media for health education and partially contribute to client's health promotion. A strategy, however, is needed to facilitate the continuous use of the on-line health promotion program for adult clients.

• 디지털융복합연구
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• 제17권10호
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• pp.339-348
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• 2019

본 연구는 노인의 기본심리욕구, 자아통합감, 문화역량이 성공적 노화에 미치는 영향을 파악하기 위한 서술적 조사연구로, 대상자는 2018년 12월부터 2019년 1월까지 J와 S시, G광역시에 소재한 16곳의 노인종합복지센터을 이용하는 60세 이상 남녀노인 187명을 대상으로 하였다. 자료 분석은 SPSS 23.0 프로그램을사용하여 기술적 통계, t-test, ANOVA, Pearson's correlation coefficients, 다중회귀분석을 시행하였다. 성공적 노화는 기본심리욕구, 자아통합감, 문화역량과 양의 상관관계가 있었다. 노인의 성공적 노화에 대하여 자아통합감(${\beta}=.372$, p<.001), 문화역량(${\beta}=.410$, p<.001), 기본심리욕구의 하위 변수인 관계성(${\beta}=.168$, p=.003)이 71.1%의 설명력을 보였다. 그러므로 노인의 성공적 노화를 위한 자아통합감, 문화역량, 관계성 증진을 위한 사회문화 심리적 프로그램 개발이 필요하다.

• Journal of Hospice and Palliative Care
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• 제21권4호
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• pp.144-151
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• 2018

목적: 말기암환자 가족의 영적요구도를 측정하기 위한 도구의 신뢰도와 타당도를 검증하기 위한 연구이다. 방법: 본 연구는 1) 예비문항의 작성 2) 내용타당도 검증 3) 신뢰도와 타당도 검증 4) 최종문항 선정 과정에 따른 방법론적 연구이다. 결과: 요인분석을 통해 '신과의 관계/죽음 수용', '관계성 회복/희망과 평화', '삶의 의미와 목적'의 3가지 요인이 추출되었다. 이 요인들은 총 변량의 61.088%를 설명하였으며, Cronbach's alpha 값은 0.944, Guttman 반분 신뢰도 계수는 0.826으로 나타났다. 결론: 본 도구는 신뢰도와 타당도를 지닌 도구임이 확인되었다. 이에 호스피스 완화의료 분야에서 말기암환자 가족의 영적요구도를 사정할 때 활용도가 높은 도구라고 본다.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.311-320
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• 2019

본 연구는 남성 간경변 환자의 성기능, 수면의 질, 우울 간의 관계를 확인하기 위한 서술적 연구이다. 대상자는 간경변을 진단 받고 외래 추적 관찰 중인 환자 144명으로, 자료 수집은 구조화된 설문지를 이용하여 2017년 8월 16일부터 2018년 1월 30일까지 실시하였다. 성기능은 Rosen 등이 개발한 International Index of Erectile Function의 한국어 번안한 것을 이용하여 측정하였고, 수면의 질은 Buysse 등이 피츠버그 수면센터에서 개발한 Pittsburgh Sleep Quality Index의 한국어 버전을 사용하여 측정하였다. 우울은 Beck Depression Inventory-II를 한국어로 번안한 한국어판 BDI-II 도구를 사용하였다. 분석은 t검정, 분산분석, 상관관계분석을 이용하였다. 연구 결과 남성 간경변 환자들의 성기능이 낮을수록 수면의 질이 낮고(r=-.232, p=.005) 우울 점수가 높았으며(r=-.381, p<.001), 수면의 질이 낮을수록 우울 점수가 높게(r=.561, p<.001) 나타났다. 대상자들의 성기능, 수면의 질, 우울은 통계적으로 유의한 상관관계가 있는 것으로 나타났다. 본 연구 결과는 남성 간경변 환자를 위한 간호 중재 개발의 기초 자료로 활용 될 수 있을 것이다.

• 디지털융복합연구
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• 제17권11호
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• pp.395-407
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• 2019

본 연구는 대학생의 스트레스, 자기효능감, 자기통제력이 스마트폰 중독에 미치는 영향에 대한 구조모형을 검증하고자 시도되었다. 연구대상은 G시와 P시에 재학중인 대학생 440명으로 자가설문지를 이용하여 자료를 수집하였다. 연구결과 첫째, 스마트폰 중독에 가장 큰 영향을 미치는 변수는 자기통제력으로 나타났고 그 다음 스트레스 순이었으며, 두 변인의 스마트폰 중독에 대한 설명력은 34% 였다. 둘째, 자기통제력에 자기효능감은 정적 영향을 미쳤고 스트레스는 부적 영향을 미쳤으며, 두 변인 모두 자기통제력을 통한 스마트폰 중독에 간접효과가 있는 것으로 나타났다. 스마트폰 4시간미만 사용집단과 4시간이상 사용집단 간의 조절효과에서 스트레스와 스마트폰 중독의 경로계수와 자기효능감과 스마트폰 중독의 경로계수에서 집단간 차이가 있어 부분조절효과가 있었다. 따라서 스마트폰 중독을 감소시키기 위해서는 스트레스를 줄이고 자기통제력과 자기효능감을 높일 수 있는 방안모색이 중요하며, 특히 개인별 상황에 맞는 다양한 프로그램 개발 및 맞춤식 교육중재방안이 필요할 것으로 사료된다.