• 근관절건강학회지
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• 제8권2호
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• pp.230-249
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• 2001

This study was conducted to investigate the affecting factors on the adaptation to uncertainty in patients having rheumatoid arthritis. Subjects of the study constituted 222 patients who visited outpatient of rheumatic center in Seoul. Self report questionnaires were used to measure the variables affecting the adaptation to uncertainty. The variables affecting the adaptation to uncertainty were uncertainty, mastery, appraisal of danger, appraisal of opportunity, emotion focused coping, problem focused coping, pain, depression and activity of daily life(ADL). Reliability coefficients of these instruments were found Cronbach's $Alpha\;=\;.70{\sim}.94$. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics, Pearson's correlation, and multiple regression analysis. The results were as follows. 1) The range of total pain scores was from 0 to 147 and the mean score of the pain in rheumatoid arthritis patients was 72.64. 2) The range of total depression scores was from 20 to 72 and the mean score of the depression in rheumatoid arthritis patients was 39.86. 3) The range of total ADL scores was from 22 to 80 and the mean score of the ADL in rheumatoid arthritis patients was 72.56. 4) Among the independent variables, significant factors to explain the adaptation to pain in patients were danger appraisal of uncertainty(p<.05) and emotion focused coping(p<.05). 5) Among the independent variables, significant factors to explain the adaptation to depression in patients were danger appraisal of uncertainty(p<.001), opportunity appraisal of uncertainty(p<.001) and mastery(p<.005). 6) Among the independent variables, significant factors to explain the adaptation to ADL in patients were mastery(p<.001) and danger appraisal of uncertainty(p<.05).

• 여성건강간호학회지
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• 제23권4호
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• pp.233-242
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• 2017

Purpose: This study investigated the relationships among parenting stress, husband's support, and breastfeeding adaptation in mothers. Methods: A correlational survey design was utilized in this study. Data were collected from 181 breastfeeding mothers with infants under 12 months of age. Participants were recruited from the outpatient clinic, a child photo studio, or from the kid's cafe from July 22 to September 13, 2016. Instruments for collecting data included Childcare Stress Inventory (CSI), Husband's Support scale, and the Breastfeeding Adaptation scale. Data were analyzed using SPSS 21.0 by frequency, descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression. Results: Of the 181 subjects, 54.7% responded they only breastfed with 75.7% who received breastfeeding education. Seventy-two percent of mothers made a decision to breastfeed by themselves. The mean score was $2.39{\pm}0.53$ for parenting stress, $3.07{\pm}0.43$ for husband's support, and $3.85{\pm}0.49$ for breastfeeding adaptation. Factors influencing breastfeeding adaptation were identified as lower parenting stress (${\beta}=-.54$), greater husband's support (${\beta}=.31$), breastfeeding (${\beta}=.31$), and older age of baby (${\beta}=.14$), with 56.0% that explained variance. Conclusion: This study reports that parenting stress has negative effect on breastfeeding adaptation, while husband's support has positive effect. Results may be useful in developing new strategies for enhancing breastfeeding adaptation.

• 임상간호연구
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• 제20권3호
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• pp.337-347
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• 2014

Purpose: Deep Vein Thrombosis (DVT) is the cause of fatal diseases such as pulmonary embolism, due to a prolonged immobility, surgery, paralysis, and injuries. This study aimed to develop an evidence-based practice guideline for DVT prevention and apply it to patients with surgery in diverse nursing sites in South Korea. Methods: A 24-staged processes of adaptation was carried out on the basis of "adaptation of nursing practical guidelines" developed by Gu et al., in 2012. Results: Developed nursing guidelines of DVT prevention are composed of 79 recommendations in 8 domains. The extent and ratings of each recommendation with its evidence were addressed along with the background information. Conclusion: The developed DVT prevention guideline is necessary to be added to the evidence-based practice guidelines for the fundamentals of nursing practice. The developed guideline is needed to be disseminated to diverse nursing clinical settings in order to prevent DVT and enhance the quality nursing care.

• 디지털융복합연구
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• 제18권6호
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• pp.379-388
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• 2020

본 연구의 목적은 영유아 자녀를 둔 취업모의 모성역할적응에 영향을 미치는 요인을 확인함으로써 취업모의 모성역할적응 강화에 필요한 정보를 제공하는 것이다. 연구대상은 경기도 소재 H시 거주 24개월 이하 영아를 둔 취업모 137명으로 편의추출하였다. 자료는 기술통계와 t-test, ANOVA, 상관관계, 단계적 회귀분석을 이용하였다. 연구결과, 모성역할적응은 모아애착(r=.488, p<.001), 사회적지지(r=.718, p<.001)와 정적 상관관계가 있었다. 취업모의 모성역할적응에는 사회적지지(β=.616), 출생 시 아기상태(β=.123), 현재 모유수유 여부(β=.127) 및 모아애착정도(β=.141)가 영향을 미치는 것으로 나타났으며, 회귀분석의 설명력은 55.5%(F=43.487, p<.001)이었다. 연구결과 사회적 지지가 취업모의 모성역할적응에 영향을 미치는 가장 중요한 요인으로 밝혀진바 취업모의 모성역할적응을 위해 가족, 직장 및 지역사회에서의 사회적지지 강화를 위한 다양한 중재 전략이 요구된다.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.364-374
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• 2020

본 연구의 목적은 말기신부전증으로 복막투석을 받는 환자의 식이적응 경험의 의미와 구조를 규명하고 기술하는 것이다. 연구 방법으로 Colaizzi의 현상학적 연구방법을 적용한 질적 연구로서, 자료는 G광역시 일개 대학병원을 다니고 있는 복막투석 6개월 이상 된 9명의 환자를 대상으로 심층면담을 통해 수집되었다. 자료 분석을 위해 모든 면담은 녹취되고 필사되었고, Colaizzi의 현상학적 방법을 이용하여 분석하였다. 본 연구결과, 복막투석환자의 식이적응 경험은 네개의 주제모음과 15개의 주제로 구조화되었다. 네 개의 주제모음은 '복막투석과 식이적응의 이중적 고통', '막막하고 답답한 식이조절', '체험하면서 느끼게 된 식이조절의 고됨', '투석과 식이조절 병행의 중요성을 깨닫고 삶의 목표 재설정'이었다. 결론적으로 본 연구를 통해 복막투석환자들이 겪는 현실적인 식이적응과정은 복막투석과 식이요법적응의 이중적 고통으로 삶이 고되었지만, 순응하고 더 나은 삶을 위해 나아가는 과정이었다. 이를 바탕으로 복막투석환자 식이적응의 어려움에 대해 깊이 있게 이해하고, 식이관련 맞춤형 중재연구 개발에 필요한 기초자료로 활용하고자 한다.

• Restorative Dentistry and Endodontics
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• 제19권1호
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• pp.148-158
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• 1994

The purpose of this study was to compare the adaptation to tooth structure of light - cured glass ionomer cement with that of self -cured glass ionomer cement. In this study, class V cavities were prepared on the buccal surfaces of 10 extracted human premolar teeth, and teeth were randomly assigned 2 groups of 5 teeth each. The cavities of self-curing glass ionomer cement group were restored with the Fuji n. and the cavities of lightcuring glass ionomer cement group were restored with the Fuji II LC. The surfaces of glass ionomer cements were applied with All-Bond 2 adhesive, and cured with visible light. The restored teeth were stored in 100% relative humidity at $37^{\circ}C$ for 24 hours. And then. the roots of the teeth were removed with the tapered fissure bur and the remaining crowns were sectioned occlusogingivally through the center of glass ionomer restorations. Adaptation at tooth-restoration interface was assessed occlusally. axially, and gingivally by scanning electron microscope. The results were as follows : 1. On the occlusal margin, the group of self - curing glass ionomer cement showed closer adaptation to both enamel and dentin than the group of light-curing glass ionomer cement showing 5/lm gap between cement and tooth structure. 2. On the axial wall. the group of light-curing glass ionomer cement showing 5-$7{\mu}m$ gap between cement and dentin showed closer adaptation to dentin than the group of self -curing glass ionomer cement showing 10-$15{\mu}m$ gap between cement and dentin. 3. On the gingival margin, the group of light-curing glass ionomer cement showing 2-$5{\mu}m$ gap between cement and dentin(X 1200) showed closer adaptation to dentin than the group of self-curing glass ionomer cement showing 20pm gap between cement and dentin(X 600). 4. The group of self -curing glass ionomer cement showed closer adaptation on the occlusal margin than on the gingival margin, and the group of light-curing glass ionomer cement showed similar adaptation on both occlusal and gingival margins.

• 지역사회간호학회지
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• 제13권4호
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• pp.743-756
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• 2002

Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.

• 디지털융복합연구
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• 제18권6호
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• pp.363-371
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• 2020

본 연구는 간호대학생의 그릿과 회복탄력성이 임상실습 적응에 미치는 효과를 보기 위한 조사연구이다. 일개 대학 간호학과 학생 131명을 대상으로 하였고, 자료수집은 2019년 8월 19일부터 9월 30일까지 수행하였다. 수집된 자료의 분석은 SPSS 22.0 프로그램을 사용하여 기술통계, t-test, 상관관계 및 다중회귀분석으로 분석하였다. 그 결과 그릿(r=.22, p=.012)과 회복탄력성(r=.56, p=<.001)은 임상실습 적응과 유의한 양의 상관관계를 나타내었다. 그릿과 회복탄력성은 간호대학생의 임상실습 적응에 영향을 미치는 요인으로 나타났으며, 그릿과 회복탄력성은 임상실습 적응을 32.0%(F=31.567, p=<.001) 설명하였다. 그러므로 간호대학생의 임상실습 적응을 높이기 위해서는 그릿과 회복탄력성을 향상시키기 위한 노력과 이를 적용한 임상실습 교육과정 개발이 필요하다.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.6895-6904
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• 2015

본 연구는 부정적 평가의 두려움, 인지적 정서조절이 신규간호사의 현장적응에 미치는 영향을 조사하고, 인지적 정서조절이 조절효과로 작용하는지를 알아보고자 시도하였다. 연구대상은 1년 미만의 신규간호사 181명을 대상으로 자가보고 설문지를 실시하여 자료를 수집하였다. 부정적 평가에 대한 두려움 점수 3.25점, 인지적 정서조절 점수 3.18점, 현장적응 점수는 2.92점이었다. 부정적 평가에 대한 두려움이 클수록 부적응적 인지조절의 사용이 많았고 현장적응은 낮았다. 또한 부정적평가에 대한 두려움과 현장적응 사이에 인지적 정서조절효과는 나타나지 않았다. 이 결과로, 신규간호사들이 새로운 환경에 적응하도록 돕기 위해 자신감 증진 프로그램과 적응적 인지적 정서조절 사용을 위한 중재 프로그램이 필요하다.

• 한국간호교육학회지
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• 제21권1호
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• pp.46-53
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• 2015

Purpose: This study was performed to identify the effect of admission type on college adaptation and academic achievement in one nursing school in order to refine the entrance selection system. Methods: Subjects were 405 nursing students (female : male = 385 : 20, first grade = 155, second grade = 138, third grade = 112). They were given the Student Adaptation to College Questionnaire (SACQ) purchased from Western Psychological Service. SACQ is composed of 67 questions and subdivided into 4 subcategories: academic adjustment, social adjustment, personal-emotional adjustment, and attachment. Student college adaptation scores and academic achievements were analyzed with reference to the entrance selection system (rolling admission vs. regular admission) by SPSS 22.0. The rolling admission system recruited students based on high school records only while the regular admission system was based on both high school records and the College Scholastic Ability Test (CSAT). Results: Total College adaptation score, personal-emotional adjustment score, and academic achievement were higher in regular-admission students than in those admitted through rolling admission. Academic achievement for first-grade students was higher in regular-admission students than for those admitted through rolling admission, But the difference in academic achievement became null as students were promoted to the second and third grades. Conclusion: Students recruited using both high school records and the CSAT showed better college adaptation and higher academic achievement.