• 한국보육지원학회지
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• 제11권2호
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• pp.311-329
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• 2015

본 연구는 유아의 놀이성과 교사-유아 상호작용이 또래상호작용에 미치는 영향을 밝히고, 놀이성과 또래상호작용 간의 관계가 교사-유아 상호작용에 따라 조절되는지를 검증하였다. 연구대상은 만 4세 유아 240명과 그들의 담임교사 24명이었다. 놀이성과 또래상호작용은 교사에게 의뢰한 평정척도를 이용하여 측정하였고, 교사-유아 상호작용은 자유놀이시간의 관찰을 통해 수집되었다. 이러한 자료는 연구문제에 근거하여 상관분석 및 위계적 회귀분석을 실시하였다. 그 결과, 유아의 놀이성, 교사-유아 상호작용, 또래상호작용은 관련이 있는 것으로 나타났다. 특히, 놀이성 및 교사-유아 상호작용이 또래상호작용에 미치는 영향을 살펴본 결과, 또래상호작용의 하위영역인 놀이방해, 놀이상호작용, 놀이단절에 유아의 놀이성 일부 요인과 교사-유아 상호작용이 영향을 미치는 것으로 나타났다. 한편, 상호작용효과의 검증 결과, 유아의 놀이성 하위요인인 사회적 자발성과 교사-유아 상호작용의 효과가 유의하였다. 구체적으로 교사-유아 상호작용의 점수가 낮은 집단보다 교사-유아 상호작용의 점수가 높은 집단에서 유아의 사회적 자발성에 따른 놀이단절 수준의 차이가 적게 나타났다. 즉, 교사-유아 상호작용의 수준이 높은 경우에는 유아의 낮은 자발성 수준이 놀이단절에 미치는 부정적 영향력이 완화됨을 알 수 있었다. 이러한 결과는 유아의 또래상호작용에서 개인이 가진 취약한 특성의 부정적 영향을 예방하기 위한 교사역할의 중요성을 함의하고 있다.

• Journal of Hospice and Palliative Care
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• 제20권3호
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• pp.188-193
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• 2017

목적: 완화적 시기에 말기 암환자의 증상과 가족간병인의 우울 간의 관계에 대한 연구는 매우 드물다. 본 단면연구에서는 말기 암환자의 증상특징과 그들의 가족간병인의 우울 간의 관계에 대해 살펴보고자 하였다. 방법: MD Anderson Symptom Inventory와 Hospital Anxiety and Depression Scale을 이용한 다기관 조사연구가 진행되었다. 총 293쌍의 말기 암환자와 가족간병인이 7개 기관에서 등록되었다. 가족간병인의 우울과 관련된 요인을 추출하고, 보정된 우울점수를 추정하기 위해 다변량 회귀분석이 사용되었다. 결과: 다양한 심리사회적 요인들 중, 가족간병인의 낮은 삶의 질, 낮은 사회적 지지, 배우자 관계, 그리고 더 많은 간병시간 등이 가족간병인의 우울과 유의한 관련성을 보였다. 가족 간병인의 우울여부에 따라, 환자의 몇 가지 증상에서 유의한 차이가 관찰되었다. 관련된 혼란변수를 보정한 이후에도, 음성증상이 없는 환자를 돌보고 있는 가족간병인보다 음성증상을 가진 환자를 돌보고 있는 가족간병인에서 우울점수가 유의하게 낮았다(식욕소실, P=0.005; 졸음, P=0.024; 그리고 입마름, P=0.043). 중증의 식욕소실을 가진 환자를 돌보고 있는 가족간병인의 우울점수는 비중증의 식욕소실을 가진 환자를 돌보고 있는 가족간병인의 우울점수보다 낮았다(P=0.039). 결론: 본 연구결과는 가족간병인의 우울을 평가할 때 환자의 증상 특징이 도움이 될 수 있음을 시사한다.

• Child Health Nursing Research
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• 제20권4호
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• pp.255-263
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• 2014

목적 본 연구는 학령전기 동안의 모아상호작용과 아동의 사회적 발달, 건강 및 건강관련 삶의 질 간의 관련성을 살펴보고 향후 모아상호작용 중재 프로그램 개발 시에 기초자료를 제공하기 위하여 시도되었다. 방법 본 연구는 서술적 조사연구이며, 전북 지역에 거주하는 학령전기 아동과 어머니 230명을 편의 표출하여 자료 수집을 하였으며, 응답이 불충분한 설문지를 제외하고 최종 분석에 이용된 설문지는 총 209부였다. 수집된 자료는 SPSS 18.0 프로그램을 이용하여 분석하였다. 결과 학령전기 아동과 어머니의 상호작용은 5점 만점에 $3.96{\pm}0.55$점으로 나타났고, 하부 영역 중 아동 영역 점수가 가장 낮고 양자적 영역 점수가 높게 나타났다. 아동의 건강 상태는 5점 만점에 $3.75{\pm}0.62$점으로 나타났으며, 아동의 건강관련 삶의 질은 100점 만점에 $83.89{\pm}10.20$점으로 나타났다. 하부 영역 중 운동 기능, 긍정적 기분, 활력 영역에서 높게 나타났고, 문제 행동, 식욕 문제, 수면 문제 영역에서 낮게 나타났다. 아동의 사회적 발달은 24점 만점에 $19.66{\pm}3.57$점으로 나타났다. 모아상호작용, 아동 건강상태, 건강관련 삶의 질과 사회적 발달 간에는 모두 긍정적 상관관계가 나타났다. 결론 학령전기 아동의 건강한 성장과 발달을 위해서, 아동의 주양육자인 어머니와 아동 간의 관계의 질이 무엇보다 중요함을 인식하였고, 이에 대한 적극적 관심과 중재 프로그램 개발이 필요할 것으로 생각된다.

• 여성건강간호학회지
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• 제4권2호
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• pp.145-161
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• 1998

This correlational study sought to find the relationship among women's health status and the level of importance & performance of postpartal care. One hundred thirty three women who live in Seoul and rural area including hospitalized in a general hospital and midwifery clinic were studied from 1st April, 1998 to 25th April, 1998 for 25 days. Data analysis consisted of frequency, percentage, Pearson Correlation Coefficiency, t-test, ANOVA and Sheffe test as a post hoc, using SPSS. The results of analysis were as follows ; mean age of respondents was 31.9 years and mean number of children was 1.8. The most of family type was nuclear family and lived int apartment. Mean frequency of pregnancy was 2.7 times and most women delivered at local clinic, general or University hospital. Mean period of after delivery was 53.7 month. The level of importance and performance of traditional postpartal care (Sanhujori) was more higher than hospital postpartal care. The level of importance, performance of postpartum care and health status had significant relationship. The higher level of importance was, & the higher level of performance was higher, and the higher degree of health status. The factors related to health status were postabortal sahujori period after abortion, nuclear family, the evaluation of sahujori, whether women and followed the caregiver's advice well or not and whether they have physical symptoms or not, at the level of $5{\sim}0.1%$ of significance statistically. The factors related to the level of importance of postpartal care were the number of child, present health status and health status of pre-post of delivery, deliver place and the opinion of effective postpartum care method at the level of $5{\sim}0.1%$ of significance statistically. The factors related to the level of performance of postpartal care were delivery place, the opinion of whether they can do at the hospital or not and whether they have physical symptom or not at the level of $1{\sim}0.1%$ of significance statistically. In conclusion, this finding reconfirmed the relationship among women's health status and the postpartal care. It provides a challenge to the health professional caregivers to research continually and repeatedly and confirm the conceptual model of Sanhujori, reestablish effective and integrative postpartal caring system which contains oriental and western paradigm for women's life long health toward the 21C.

• International Journal of Human Ecology
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• 제13권2호
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• pp.87-100
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• 2012

Smart wear integrates computing technology into fabric or a garment for additional functionality. This research explored the attitudes and opinions of the use of smart wear from the viewpoint of caregivers. Thirty two individuals including care providers of children and adult family members with health problems participated in focus group interviews. Participants reported being interested in smart wear because of the potential to detect the location (GPS) of a dependent (e.g., child, elderly) and to monitor vital signs. Participants indicated perceived advantages of smart wear such as identifying geographical location and effectiveness. Perceived concerns mentioned were privacy/security issues and accuracy of data. Participants taking care of dependents without a specific disease were hesitant to adopt and pay for smart wear. However, caregivers of elderly individuals expressed positive adoption intentions and willingness to reasonably pay for smart wear. They indicated expectations that potential insurance would provide coverage for cost savings. Caregivers expressed the need of specific requirements for future adoption such as customizability, and comfort/safety. Specific to smart wear clothing, most respondents preferred it be an undershirt or a jacket with a sensor located in the shoulder area. The findings from this study can be used in product development, promotion and marketing of smart wear.

• 임상간호연구
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• 제20권3호
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• pp.395-405
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• 2014

Purpose: This study was a descriptive correlation research designed to provide basic data on family nursing interventions by examining burden, social support and quality of life for family caregivers of patients on hemodialysis. Methods: Data were collected from 132 family caregivers of patients on hemodialysis and analyzed using frequency analysis, correlation analysis, independent samples t-test method, one-way ANOVA and post-hoc analysis of $Scheff{\grave{e}}$, and multiple regression analysis. Results: Burden for family caregivers of patients on hemodialysis was 3.03, social support, 4.77, and quality of life, 3.26. Burden showed a negative correlation with social support (r=-.34, p<.001), and with quality of life (r=-.54, p<.001). There was a positive correlation between social support and quality of life (r=.54, p<.001). Factors predicting quality of life for family caregivers, were a significant and positive effect from social support (t=5.72, p<.001) and a negative effect from family burden (t=-5.62, p<.001). Conclusion: Results of the study indicate that burden of these family caregivers can be reduced by social support which plays an important role in improving quality of life. A nursing intervention program which goes beyond simply caring for patients and includes assessment of family burden and support for overall family caretaking needs to be developed.

• 혜화의학회지
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• 제21권2호
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• pp.127-132
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• 2013

Background: Nowadays, increasing women's socio-economic activities increased the grandmothers raising grandchildren. Because of the contemporary situation, the health problems of the care giving grandparents is becoming an issue. Purpose: The purpose of this study was to examine correlationship between the incidence of stroke and raising grandchildren. Methode: This article contrasts the ratio of recent experience of raising grandchildren of 195 normal and 323 stroke patients, especially women. Result: There were 43.08% of women raising their grandchildren in the normal group while 13.31% of women of stroke patients group were raising their grandchildren before the onset of stroke. Conclusion: The finding suggests the positive effect of raising grandchildren on reducing the risk for stroke.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.6913-6917
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• 2015

Background: Due to the rapid progress of industrialization, the expansion of the nuclear family, and an increase in women's social activities, the burden of care of cancer patients has increased, so that all family members are now involved in care. We compared the health-related quality of life (HRQOL) between members of families of cancer patients (hereafter, cancer families) and members of cancer-free families (non-cancer families). Materials and Methods: The data were from the Community Health Survey (2012). The study population included respondents at least 30 years of age. Data were adjusted for the following covariates: sex, age, education, marital status, household income, economic activity, household type, chronic disease, and perceived health status. Frequency analysis, analyses of variance, and multiple linear regression analysis were performed. Results: Among 163,495 respondents, 3,406 (2.1%) were part of a cancer family and 160,089 (97.9%) were part of a non-cancer family. Cancer families had lower EQ-5D scores than non-cancer families. However, by subgroup, the scores had significant association between cancer and non-cancer families only for females and for those who worked. Conclusions: There was a significant relationship between HRQOL scores and being a family member of a cancer patient. This indicates that the responsibility for care has been extended to the entire family, not only the primary caregiver.

• 대한통합의학회지
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• 제5권4호
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• pp.57-66
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• 2017

Purpose : The current study objective was to determine the attitudes of nursing students to death, perception of end-of life care, and perceptions of educational training needs in relation to the provision of end-of life care, and to apply the results to the development of an efficient and effective education program in this regard. Method : Data collection was carried out between March and April 2017, and was achieved through the administration of a questionnaire to 124 caregivers working in a nursing home in C. A self-report instrument was used to measure nursing attitudes to death, perceptions of end-of-life care, and perceptions of educational training needs in relation to the provision of end-of-life care. The collected data were analyzed using SPSS(R) Statistics for Windows(R)(version 21.0), and were calculated was whole numbers, percentages, $mean{\pm}standard$ deviation, and Pearson's correlation coefficient. Results : The average scores obtained were 2.85 out of a maximum of 4.00, 2.14 out of 4.00, and 2.42 out of 4.00, for attitudes to death, perceptions of end-of-life, and perceptions of educational training needs in relation to the provision of end-of-life care, respectively. A positive correlation was found between attitudes to death and perceptions of end-of-life care, and a negative correlation was found between perceptions of end-of-life care and educational training needs in relation to the provision of end-of-life care. Conclusion : The development and implementation of an educational program is necessary to ensure positive attitudes to death in nursing students and improve their perceptions about end-of-life care. Further research is also warranted to determine the impact of such a program in this regard.

• 임상간호연구
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• 제19권1호
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• pp.81-95
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• 2013

Purpose: The purpose of this study was to identify the frequency and severity of role conflict experienced by nurses in the hospital. Methods: For this survey a self-report questionnaire on nurses' role conflict was used for data collection. Participants were 472 nurses in hospitals with over 500 beds. The questionnaire had 82 items classified into five categories (role activity, relationships between: nurse-nurse, nurse-patient/caregiver, nurse-doctor, and nurse-other department staff). The questionnaire was developed through focus group interviews with nurses according on their work experiences and literature reviews that were validated by the researchers. Data were analyzed using descriptive statistics for frequency and severity of nurses' role conflict. Cronbach's ${\alpha}$ for the questionnaire was .95 (frequency), .97 (severity). Results: Mean score for nurses' role conflict was 1.64. The highest frequency for nurses' role conflict was in the category, relationship between nurse and patients or their families ($2.00{\pm}0.46$). The highest severity for nurses' role conflict was in the category; relationship between nurses and doctors ($1.96{\pm}0.56$). Conflict about nurses' role activity showed both high frequency ($1.99{\pm}0.39$) and severity ($1.95{\pm}0.43$). Conclusion: Results indicate a need to develop programs to improve interpersonal relationship so as to reduce role conflict and encourage nurses' professional satisfaction and achievement.