• 제목/요약/키워드: 성인간호학

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노인 자살의도에 대한 주부양자의 인식: Q-방법론 적용 (Recognition on Suicidal Intent of the Elderly among Caregivers: A Q-Methodological Application)

  • 조준아;김분한
    • 성인간호학회지
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    • 제26권5호
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    • pp.522-532
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    • 2014
  • Purpose: This study's purpose is to classify and analyze caregivers' recognition of the elderly suicidal intents. Methods: This study uses applied Q-methodology to measure human subjectivity in depth. Concretely, 35 statements are composed in depth interviews and literature investigation. Then, Q-cards and distributive chart of Q-sampling were given to 25 caregivers randomly-selected, who were asked to arrange them on a 7-score based. After coding Q-factor analysis is carried out with the PC-QUANL program. Results: Four types of indicators of the elderly suicidal intents were identified by the caregivers. These are Knowledge-based recognition, Behavioral measure based recognition, Negative comprehension and Sympathy. Conclusion: In this study, four types of recognition were yielded among the caregivers and the characteristics of each type were analyzed. These findings may be useful in assessing suicidal potential and nursing interventions.

응급실 환자 및 보호자의 폭력행위 예측요인 (Predictors of Violent Behavior by Patient or Caregiver of Patient in the Emergency Department)

  • 박은영;이은남
    • 성인간호학회지
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    • 제26권5호
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    • pp.500-511
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    • 2014
  • Purpose: The purpose of this study was to investigate predictors of violent behavior by patient or caregiver of patient in the emergency department. Methods: Subjects of the study were 447 residents who have visited the emergency department in community P Metropolitan City during the past year. The data collecting period was from June 1, 2012 to August 31, 2012. Data was collected using self-reported questionnaires. Results: Predictors of violent behavior in the emergency department were divided into personal and institutional factors. Personal factors included relationship with patients, presence of alcohol, reports of discontent during and past treatment and responses to deterioration in patient's conditions, institution factors included perceived attitudes toward medical workers' explanations and proficiency of medical workers, and delay in medical treatment hours. Conclusion: Knowledge of personal and institutional factors may permit emergency staff to minimize or prevent potential violence in the emergency department.

임상실습 적응을 위한 e-learning 오리엔테이션 프로그램 개발 및 평가 (Development and Evaluation of the e-learning Orientation Program for Nursing Student's Adapting to Clinical Practicum)

  • 이여진
    • 성인간호학회지
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    • 제19권4호
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    • pp.593-602
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    • 2007
  • Purpose: The purpose of this study was to develop an e-learning orientation program for nursing students(junior), to evaluate the program, and to find out its effects on adapting to clinical practicum. Methods: The e-learning orientation program was developed according to ADDIE model(analysis, design, develop, implement, evaluate) using an Active Tutor Program. Twelve nursing professionals and 31 nursing students(learners) evaluated the e-learning orientation program. Thirty one nursing students participated in the e-learning orientation program both on-line and off-line. Results: The e-learning orientation program consisted of 5 parts including 'Taking a lesson in gastrointestinal tract', 'Fundamental nursing skill and reading a medical chart', 'Taking a ward orientation by head nurse', 'Clinical practice with preceptors', and 'Writing for case report'. Adapting scores to clinical practicum were significantly different between pre-test and post-test(t=-5.76, p=.000). Conclusion: The e-learning orientation program of on-line and off-line has an effect on adapting to clinical practicum for nursing students.

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노인의 민간치유관행에 나타난 질병의 의미 (Meaning of Sickness for the Elderly in a Folk Healing Practicum)

  • 조명옥
    • 성인간호학회지
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    • 제13권4호
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    • pp.539-550
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    • 2001
  • Purpose: This ethnography was conducted to describe the meaning of illness of the elderly in traditional folk healing performance. Method: This study was guided by Klienman's explanatory model of health care systems. The fieldwork was conducted in an agricultural clan of Namwon City from January of 1990 to Feburary of 2001. Research data were collected by Ehnographic interview and participant observation. Participants of this study were 10 elders aged 74 years old to 96 years old; two of them were male. The data were analysed with the techniques of taxanomy, flow and decision, and proxemics. Result: The meaning of illness was categorized with four compononts, that is, ritual for life, defeat and failure in power game, humiliating punishment for guilt, and Tal. Conculsion: These meanings were constructed on physical and socio-cultural environment of this clan. The healing strategies were determined based on the meanings of illness. These results can be used to understand the health behavior of the elderly and thus ensure the quality of nursing for the elderly.

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뇌졸중 환자를 돌보는 가족의 가족기능 영향요인 (Influencing Factors on Family Functioning of Caregivers in Families with Stroke Patients)

  • 유수정;박연환
    • 성인간호학회지
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    • 제18권3호
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    • pp.457-467
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    • 2006
  • Purpose: The purpose of this study was to identify the main factors influencing family functioning of caregivers in families with stroke. Method: A Convenient sample of 173 primary family caregivers who take care of a stroke patient at an Oriental medicine hospital in Jeonbuk. Interviews were done with a standardized questionnaire including family functioning by nurses. Results: In Pearson's correlation analysis, the influencing factors related to family functioning were ADL(p=.017), level of paralysis(p=.019) as stressors, Quality of relation(p=.000) as situational variables, and family caregivers' burden(p=.000). Stepwise multiple regression analysis showed 29.9% of the variance family functioning was significantly accounted for by the quality of relationship between stroke patient and caregiver(26.8%), and caregiver burden(3.1%). Conclusions: Findings indicate that families of stroke patients need family-focused nursing intervention as supported care to improve the relationship between patient and primary caregiver and relieve caregiver burden by culturally tailoring to Korean.

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노인의 기억수행감소와 관련 요인 (The Decline of Memory Performances of Old Adults and its Correlated Factors)

  • 민혜숙
    • 성인간호학회지
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    • 제18권3호
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    • pp.468-478
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    • 2006
  • Purpose: The purpose of this study were to find out the degree of memory decline and to confirm its correlated factors in old adults. Method: The subjects consisted of 68 old adults over the age 65 who living in Busan. Data were collected by the interview method, using a structured questionnaire and the testing method on the memory performance. Results: The old adults' memory performances declined in tasks of immediately word recall, delayed word recall, and face recognition and increased slightly in word recognition over 2 years. However, there was only significant difference in delayed word recall task. The significant variables to predict memory decline were age, literacy, depression, locus, and strategy. Conclusion: The memory decline of old adults wasn't more serious problem than the perceived one. There needs to be some intervention programs to prevent memory decline for the elderly.

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중년 여성의 삶에 대한 경험 (The Lived Experiences of the Middle-Aged Women)

  • 김분한;김윤숙;오진환;정은실
    • 성인간호학회지
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    • 제17권4호
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    • pp.521-528
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    • 2005
  • Purpose: This study was explored the experiences of the middle-aged women and tried to understand their lived experiences. Method: The data was collected from 9 participants living in Seoul from Sep. to Dec. 2003. Collection of data was by means of in-depth interviews. The analysis of the data was made the phenomenological analytic method suggested by Colaizzi(1978). Result: The 10 themes were extracted in this study ; sense of emptiness, repentance of one's past, decline of physical functions, lost one's youth, worry of children, thinking about future, importance of husband, importance of job, composure of mind, content with present life. Conclusion: Therefore, the helpful program should be developed and applied to extend positive lived experiences, and relieve or exclude negative lived experiences for the middle aged women.

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류마티스 관절염 환자의 증상에 따른 지각된 질병 영향 (Illness Intrusiveness by Symptoms in Patients with Rheumatoid Arthritis)

  • 김인자;이은옥
    • 성인간호학회지
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    • 제16권2호
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    • pp.288-296
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    • 2004
  • Purpose: Illness intrusiveness (illness induced lifestyle disruption) by symptoms was investigated in 439 patients with rheumatoid arthritis. Method: The cross-sectional and retrospective survey design was used. Fatigue, disability, pain, and depression were considered as symptoms of rheumatoid arthritis. Result: Patients were reported to perceive more illness intrusiveness than other chronic disease patients such as end stage renal disease, bipolar disorder, and peritoneal dialysis patients. They were especially intrusive into work, health, and active recreation domains. Stepwise regression analysis identified four variables counting for 26% of illness intrusiveness variances: fatigue, disability, marital status, and depression. All of the symptoms except pain were found to significantly predict illness intrusiveness. Fatigue explained 16% of illness intrusiveness variances. Conclusion: Fatigue and depression usually overlooked by health professionals must be carefully assessed and managed to reduce perceived illness for rheumatoid arthritis patients.

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조선족 근로자의 사회적 지지, 스트레스, 외로움과의 관계 (The Relationships among Social Support, Stress, and Loneliness in Migrant Yanbian Korean Workers)

  • 김옥수;백성희;김계하
    • 성인간호학회지
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    • 제15권4호
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    • pp.607-616
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    • 2003
  • Purpose: The purpose of the study was to examine the relationships among social support (network, composition, and satisfaction), stress, and loneliness in migrant Yanbian Korean workers. Method: Data were collected by using Social Support Questionnaire 6, Visual Analogue Scale, and the Revised UCLA Loneliness Scale. Result: Results indicate that means for social support were 1.52 for network size and 4.83 for satisfaction. The proportion percentage of network for kin members was 67.37. Subjects felt the moderate level of stress and loneliness. The level of loneliness was negatively related to the level of social support. Conclusion: This study showed that there is necessity to reduce stress and loneliness among migrant Yanbian Korean workers. Adequate social support satisfaction is crucial to reduce the level of loneliness in migrant Yanbian Korean workers.

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간호사의 피부소독에 대한 지식, 태도 및 수행과의 관계 (Nurse's Knowledge, Attitude and Practice of Skin Disinfection)

  • 양남영;최정실
    • 성인간호학회지
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    • 제23권3호
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    • pp.278-287
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    • 2011
  • Purpose: This study was to provide baseline data about knowledge, attitude and practice of skin disinfection and to identify the influencing factors among nurses related to skin disinfection. Methods: The subjects were 174 nurses who worked at one Hospital in A city. Data were collected by self-reported questionnaires during August, 2010. The collected data were analyzed with use of SPSS/WIN 18.0. Results: The knowledge of skin disinfection varied significantly according to unit, position and job satisfaction. Nurses' attitude towards skin disinfection differed significantly according to age, unit, career, position and job satisfaction. Nurses' practice of skin disinfection varied according to unit and position. Significant correlations were found between knowledge, attitude and practice. The attitude and knowledge were influencing factors of practice (55.6%). Conclusion: An educational program focusing on changing nurses' knowledge and attitude can be effective for the practice of skin disinfection.