• 산업진흥연구
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• 제5권1호
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• pp.63-72
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• 2020

본 연구는 다문화가정 아동이 성장과정에서 필요한 심리적 적응에 집단미술치료가 필요하다고 보며, 집단미술치료를 연구하여 그 효과를 논의하고자 한다. 연구 결과는 다음과 같다. 첫째, 다문화가정 아동은 미술작업경험과 연구자와의 상호작용을 통해 점차 자유롭게 자신을 표현할 수 있었으며, 자신의 감정과 생각 그리고 내면의 욕구를 미술적 표현을 통해 객관화하고 수용 및 해소하는 경험을 하였다. 둘째, 다문화가정 아동은 능동적인 자기표현, 자발성, 정서표현을 촉진하는 비구조적인 집단미술치료 환경가운데 자신에 대해 새롭게 인식할 수 있었으며, 점차 능동적인 태도 즉, 자발성을 회복하는 경험을 하였다. 셋째, 다문화가정 아동은 집단미술치료 경험의 과정에서 긍정적인 자아개념을 키울 수 있었다. 결론적으로 집단미술치료 프로그램을 적용하여 미술치료가 갖고 있는 고유의 독특한 측면들을 통해 다문화가정 아동의 심리적 적응에 어려움을 경험하고 있는 아동에게 서로 언어만으로는 할 수 없었던 방식으로 이야기를 나누는 장을 마련해 줄 수 있다.

• 재활간호학회지
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• 제12권2호
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• pp.81-91
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• 2009

Purpose: This study is aimed at life adaptation process of women with the spinal cord injury. Method: The subjects were 6 women in Kyeonggi and they had interview individually. The study was conducted during June to November in 2009 and developed substantial theory in women's life adaptation process by applying ground research methodology. Result: Motivation for such a change was their psychological pain, which is the central phenomenon. Social activities sustained them during such a process, while social support and experience of achievement acted as an intervention condition. During the initial period, they had a vague expectation that the condition of their accidental spinal cord injury would be improved. Then the expectation had failed, they experienced psychological pain, finding out the reality about the disabled and social difficulties awaiting them. Since then they began to love themselves, pursuing a changed life of hope, achievement and serving. Conclusion: Its result is expected to serve as a basic data for rehabilitation nursing, so that they may conduct independent lives, with a love toward themselves. Repetitive research would be necessary concerning the adaptation process of women in order for the criteria presented to become richer, and for the relations among the criteria to become more refined.

• 한국심리학회지 : 문화 및 사회문제
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• 제27권4호
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• pp.351-389
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• 2021

이 연구는 코로나19 팬데믹에 처한 사람들이 심리적 수준에서 어떻게 적응하고, 결과적으로 어떤 심리적 변화를 겪고 있는지를 이해하고 설명하는 구조적 틀을 도출하고자 하였다. 팬데믹 경험에 관한 선행 연구를 고찰하여 잠정적인 분석의 틀을 설정한 후, 이를 확인하고 수정하는 방향의 질적 연구를 수행하였다. 일반 성인 6명으로부터 인터뷰 자료를 구하였고, 근거이론의 절차를 부분적으로 차용한 내용분석 방법으로 자료를 해석하고 정리하였다. 최종적으로 코로나19 팬데믹에 대한 심리적 적응과 변화 과정의 패러다임 구조 모형을 확장, 도출하였다. 이 패러다임 구조 틀은 '원인적 조건 ⇨ 중심 현상 ⇨ 연쇄적 결과'로 이어지는 심리학적 인과 과정을 중심으로 하고, 개인의 심리적 특성 범주를 '중개 조건'으로 추가한 패러다임 형태로 묘사되었다. 팬데믹 위기와 사회적 거리두기 및 결정적 사건 등이 '원인적 조건' 범주에 해당되고, '중심 현상' 범주는 긍정/부정/복합적 심리 경험을 포함하고, '연쇄적 결과' 범주에는 가치관/행동양식 변화 등이 분류되었다. 중개조건 중 '맥락조건'으로서 직장과 가족관계 특성이 확인되었고, '조절적 중개 조건'으로서 공동체책임의식, 여가능력 및 긍정심리자본 등 다양한 심리적 특성이 확인되었다. 논의 및 결론에서는 분석 결과의 의미를 해석하고, 연구 결과의 이론적, 실무적 시사점과 향후 연구 과제 등을 제시하였다.

• Child Health Nursing Research
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• 제7권2호
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• pp.149-160
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• 2001

The purpose of this study was to explore the health and illness concepts of hospitalized children. The subjects were 129 hospitalized children from 3 to 12 years old in one general hospital. Data were collected through semistructured interviews by authors. This study was conducted from Jun. 1, 2000 to Dec. 31, 2000. Data were coded and categorized by content analysis. The results were as follows : 1. Perceived health concept were physical well-being, food, exercise, powerfulness, emotional stability, obeidence, cleanliness, sleep and ability of social adaptation. 2. Perceived health behavior to maintain health were food, treatment, exercise, cleanliness, obeidence, sleep, emotional stability, power-fulness and psychological stability, physical well-being. 3. Perceived prevention of illness were food, cleanliness, treatment, exercise, obedience, sleep, powerfulness, psychological stability, emotional stability, recreation and ability of social adaptation. 4. Perceived causes of illness were illness, trauma and food. 5. Perceived treatment of illness were treatment, sleep, rest, food, obedience, emotional stability, psychological stability, cleanliness, exercise and powerfulness.

• 여성건강간호학회지
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• 제28권3호
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• pp.210-221
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• 2022

Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women's menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results: The model fit indices were considered acceptable: 𝛘²/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths-from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life-were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.

• 정보관리학회지
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• 제39권3호
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• pp.241-261
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• 2022

본 연구는 Chatman(1996)의 정보빈곤이론(Theory of Information Poverty)을 바탕으로 정보 빈곤이 북한이탈주민의 한국사회적응에 미치는 영향을 알아보고자 하였다. 연구를 위해 정보빈곤이론을 기반으로 정보빈곤의 개념을 은폐(Secrecy), 기만(Deception), 위험감수(Risk-taking), 상황적 관련성(Situational relevance)에 따른 정보 수용이라는 네 가지 변인으로 구성하였고, 선행연구 분석 결과를 바탕으로 한국사회적응을 사회적 적응과 심리적 적응으로 구분하였다. 또한 생명윤리위원회(IRB)의 승인을 거쳐 2021년 8월 4일부터 8월 30일까지 북한이탈주민 지원 단체 <우리온>을 통해 국내 입국 후 최소 1년이 경과한 민법상 성년인 만 19세 이상의 북한이탈주민을 대상으로 설문조사를 실시하였다. 수집된 100개의 유효한 데이터를 빈도 분석, 신뢰도 분석, 상관관계 분석, 다중회귀분석을 통해 분석한 결과, 정보빈곤은 북한이탈주민의 사회적 적응과 심리적 적응에 유의한 영향을 미치는 것으로 나타났다. 특히, "기만" 변수는 북한이탈주민의 사회적 적응과 심리적 적응에 유의한 부(-)의 영향을 미치는 것으로 나타났다. 본 연구는 북한이탈주민을 정보빈곤층으로 정의하고, 그들의 한국사회적응을 Chatman의 정보빈곤이론을 기반으로 설명하였다는 점에서 학문적 의의가 있다. 무엇보다도, 질적 연구를 수행한 선행연구들과 달리 변수의 조작화를 통해 양적 연구를 시도하였다는 점에서 의미가 있다.

• 여성건강간호학회지
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• 제18권4호
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• pp.257-267
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• 2012

Purpose: This study was conducted to identify the caring experience of the mothers of childhood burn patients. Methods: Data were collected from 28 mothers of childhood burn patients, through semi-structured in-depth interviews. Data were categorized and coded by using content analysis. Results: 27 categories and 102 statements were drawn from 4 domains. The analyzed domains were psychological sufferings, confronted harsh reality, coping method, and future concerns. Psychological sufferings were categorized heartache, sense of guilt, confusion, regret, depression, sorriness, getting hurt, frustration and upset feeling. Confronted harsh nature were categorized economic difficulty, physical burn-out, lack of caring other children and family troubles. Coping method were categorized positive thinking, having hope, ventilating feelings, accepting the situations, demanding help from family members, changing patterns of the burned child rearing, collecting information for burn treatment, refusing accept the condition of burned child, avoiding personal and social relationship, and reliance on religion. Concerns were categorized concerns of growth and adaptation of the burned child, anxiety for scar, concerns of adapting school life and vague future concerns. Conclusion: The nursing interventions for early assessing psychological problems and providing social supports for caring both burn patients and other siblings should be provided to the mothers of childhood burn patients.

• 대한간호학회지
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• 제20권1호
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• pp.88-117
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• 1990

The purposes of this study are to delineate a profile of the state of a stroke patient's adaptation at 3 months after hospitalization and to explore the relationship between the level of adaptation and the variables which influence the adaptation of hemiplegic patients. To these ends, theoretical framework was derived basically from the stress adaptation model. The basic assumption underlying the level of adaptation is influenced by the presenting focal, contextual and residual stimuli. This group of stimuli is further operationalized and represented by a perception of stress. which is the perceived effect of the disability and by the mediating variables such as sociodemographic factors as an external conditioning variables and perceived social support and hardiness personality characteristics as an internal intervening variables. The dependent varibales in this study is the level of physical, psychological and social adaptation and is hypothesized to be a function of the interaction between 3 sets of variables namely, the perceived disability effect, external conditioning variables and internal intevening varibles. A total of fourty three subjects from 3 general hospitals in Seoul were observed and interviewed with the aid of 7 structured instruments. The data were collected twice on each subject : first at the pre-discharge period arid at 3 months post-discharge from hospital for the second time. The study was carried out for the period from February to August, 1988. The instruments used for the study include 4 existing scales and 3 scales developed by the researcher for this study. They are : 1) The ADL dependency scale and the scale of the clinical physical functions for the assessment of physical adaptation. 2) the SDS(self report of depression) to measure the level of psychological adaptation. 3) The scale for the amount of social activities for the measurement of the level of social adaptation. 4) The scale for the perceived effect of disability for the measurement of the focal stimuli. 5) The health related hardiness scale and the perceived interpersonal support self evaluation list(ISEL) for the measurement of the hardiness personality character and the perceived social support. The data obtained were analyzed using percentage, oneway ANOVA, Pearson coefficients correlation and stepwise multiple regression. The findings provide valuable information about the present level of physical adaptation at 3 months after discharge. The patient revealed a decreased ADL dependency and lowered limitation of physical function as compared with pre - discharge state. Psycholcgically, the average degree of depression at follow up was within normal range of depression. Socially, the amount of social activities was very low. The one way ANOVA and the correlational analysis revealed the relationship between the 3 sets of variables and the adaptation level as follows : 1) The perceived disability effect was related to the degree of the depression and the amount of social activities but was not related to the physical adaptation. 2) Among the sociodemographic variables, sex and education were related to the difference of ADL dependency and the change of physical function. These factors indicate that women more than men and educated more than the less educated were found more independent. The education was also related to the degree of depression suggesting that the higher the educational level, the more well adapted the patients were both physically and psychologically. Age, marital status and job state were not found to be related to the patient's adaptation level. 3) Among the internal intervening variables, the health related hardiness characteristic was related to the differences of ADL dependency, physical functions and the social activities, indicating that the higher the hardiness character the higher the level of physical and social adaptation. 4) The perceived social support, another internal intervening variable, was related to the degree of depression and the social activities. This data suggest that the higher the perception of social support, the better adapted the patients were psychogically and socially. In summarizing the results of the correlational analysis, the level of physical adaptation was influenced by sex, the years of education and the hardiness character. The level of psychological adaptation was influenced by the years of education, the perceived disability effect and the perceived social support. And the level of social adaptation was influenced by the perceived disability effect, the hardiness character and the perceived social support. The stepwise multiple regression analysis shows findings as follows : 1) The most important factor to explain the difference of ADL dependency was sex, indicating females were more independent than males. 2) The most important factor to explain the difference of physical function and the degree of depression was the patient's education level. 3) The strongest explaining factor for the amount of social activities was perceived self esteem(one of the subconcepts of perceived social support). Thus the most important factors influencing the level of adaptation were found to be sex, education, the hardiness character and self esteem. From the above findings, the significance of this study can be delineated as follows : 1) Corroboration of the assumed relationship between the various variables and the adaptation level as suggested in the conceptual model. 2) Support for the feasibility of the cognitive approach for nursing intervention such as hardness character training, counselling and teaching for self-care in the chronic patients.

• 한국보건간호학회지
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• 제34권3호
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• pp.325-340
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• 2020

Purpose: This study was undertaken to identify the effects of a camp-type group counseling program based on the self-determination theory, for controlling smartphone usage amongst university students. The program consisted of smartphone overdependence, basic psychological needs, and adaptation to college life. Method: This was a quasi-experimental research with a non-equivalent control group design (pre-test and post-test design). A total of 38 freshmen (17 experimental and 21 control) participated in the study. Experimental subjects attended a two nights and three days camp, where the group counseling program included meetings for basic psychological needs (eg., autonomy, competence, and relatedness). Results: This study showed significant differences in basic psychological needs (Z=-2.91, p=.003) and adaptation to college life (Z=-3.47, p<.001). Although no significant difference was obtained in the degree of smartphone overdependence (p=.194), mean score of the experimental group pre-test and post-test changed from the level of potential risk users to general users. Conclusion: The current findings indicate that by considering the basic psychological needs and adaptation to college life, our program could be an effective intervention for controlling smartphone usage amongst college students. Therefore, we propose that a camp-type counseling program could be considered for application as group therapy for programs associated with preventing smartphone overdependence.

• 여성건강간호학회지
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• 제26권4호
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• pp.346-357
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• 2020

Purpose: This descriptive phenomenological study aimed to explore the lived experience and meaning of pregnant women's adaptation. Methods: Ten pregnant women from an ongoing Pregnant Couples' Cohort Study agreed to participate in this study. The data were collected through telephone in-depth interviews regarding what they experienced and felt about pregnancy adaptation. The qualitative data were analyzed using Giorgi's method of descriptive phenomenology. Results: Five core situation components were extracted from the raw data, along with 12 themes and 33 focal meanings. The five core situations were 1) first recognizing the pregnancy, 2) pregnancy-related changes, (3) the upcoming birth, 4) the postpartum period, and 5) parenting. The 12 themes were as follows: "anxiety, pressure, and embarrassment due to pregnancy," "efforts to adapt to physical changes," "efforts to adapt to the psychological difficulties of pregnancy," "efforts to adapt to the financial burden and role changes caused by pregnancy," "connecting with the fetus," "adapting to a new marital relationship centering on the baby," "the frustration of childbirth," "fear of childbirth," "postpartum care, need help with lactation planning," "parenting beyond what I imagined," "dad's willingness to participate in parenting," and "career disconnect and consideration of workplace needs." Conclusion: We identified that pregnant women experience adaptation in physical, psychological, relational, and social aspects. The thematic clusters identified can be used to develop nursing interventions to promote women's adaptation to pregnancy.