• 성인간호학회지
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• 제28권1호
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• pp.30-42
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• 2016

Purpose: This study aimed to examine the relationships among social support(family support, medical team support), hope, anxiety, and depression in patients with hematologic cancers before they received hematopoietic stem cell transplantation (HSCT) to obtain baseline data for developing a nursing intervention. Methods: The participants were 70 adult patients expecting to receive HSCT from 5 university hospitals in Seoul, Gyeonggi-do, and Jeollanam-do regions. A cross-sectional survey was done using standardized instruments for social support (Tae's Family Support Scale and Professional Medical Support Scale), hope (Kim & Lee Hope Scale), anxiety and depression (Hospital Anxiety and Depression Scale). The data were analyzed by SPSS/WIN 19.0 program using frequency, percentage, item mean and standard deviation, t-test, ANOVA, and Pearson's correlation coefficient. Results: Hope was significantly correlated with social support (r=.40, p=.001), anxiety (r=-.40, p<.001) and depression (r=-.58, p<.001). Anxiety was correlated with depression (r=.54, p<.001). Conclusion: The findings of this study show greater social support for patients who expect to receive HSCT is significantly correlated to a higher level of hope, as well as low levels of anxiety and depression. In nursing practice, clinical nurses may develop a nursing intervention to reinforce social support and hope, as well as reduce anxiety and depression for patients preparing for HSCT.

• 종양간호연구
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• 제9권2호
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• pp.114-121
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• 2009

Purpose: This study was to explore the hope structures of the newly diagnosed cancer patients by examining the relationships between hope and the three concepts of 'Personal Spirit', 'Risk' and 'Authentic Caring' which composed the multidimensions of the Nekolaichuk and Bruera's hope model. Methods: Data was collected via survey from 32 newly diagnosed cancer patients. The perceived meaning of life (PML) for 'personal spirit', perceived confidence in cure (PCC) for 'risk', and perceived family support (PFS) and perceived support from medical team (PSM) for 'authentic caring' were adapted from the definitions of the concepts in the model. Hope, PML, and PCC were measured with VAS. PFS and PSM were measured with Korean version of 'Cobb's family support scale', which was modified by Kang. Pearson correlation coefficients were used to identify the relationships among the concepts. Results: The significant relationships were revealed between hope and PCC (p<.001), hope and PML (p<.001), PML and PCC (p<.001), PFS and PML (p=.030), and PSM and PML (p=.047). Conclusion: The newly diagnosed cancer patients experience hope in different ways. The cancer patients' hope immediate after diagnosis, however, is most likely to be experienced as seeking balance between uncertainty about cancer treatment and the meaning of life.

• 대한간호학회지
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• 제29권4호
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• pp.817-828
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• 1999

This is a descriptive study on quality of life(QOL) and related factors of ostomates to provide a basic data for development of nursing interventions. The subjects were 110 ostomates who were members of the Daegu or Daejon branches of the Korean Ostomy Association. Data collection was performed between March 1st and April 6th, 1998. Measurements of QOL, self-care, family support, self-esteem, and hope were used as the study tools. Data were analyzed with the SAS program by using t-test, ANOVA Pearson correlation and stepwise multiple regression. The results are as follows : 1) The score on the QOL scale ranged from 97 to 226 with a mean of 164.53($\pm$28.29). 2) The score of QOL on the general and ostomate-related characteristics showed significant differences according to monthly income, monthly participation in ostomate meetings, combined treatments after operation, types of evacuation management, problems of ostomy, help in caring for the ostomy, length of time since ostomate surgery, and presence or absence of readmission after discharge. 3) There were significant positive correlations between quality of life and other factors : self-esteem(r＝0.7107, P＜0.001), hope(r＝0.6584, P＜0.001) family support(r＝0.6191, P＜0.001), perception of health condition(r＝0.6017, P＜0.001), and self-care (r＝0.2286, P＜0.05). 4) The variables that affected the quality of life of the subjects were self-esteem, level of family support, perception of health condition, monthly participation in ostomate meetings, combined treatments after operation, monthly income, level of hope, and age in that order. The variance of quality of life was $R^2$＝77.20 percent by calculating the sum of those variables. In conclusion, it is necessary for nursing intervention to promote self-esteem, family support, and hope in the care of ostomates in order to improve QOL.

• 한국노년학
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• 제31권4호
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• pp.1029-1045
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• 2011

이 연구는 여성결혼이민자를 대상으로 이들의 특성에 따른 부모 부양의식의 차이와 이에 영향을 주는 변인을 파악하고자 하였다. 여성결혼이민자 592명을 대상으로 설문을 통하여 중다회귀분석을 실시하였다. 연구의 결론은 다음과 같다. 첫째, 여성결혼이민자의 신체적 및 경제적 부양의식은 거주지, 소득수준, 모국 부모 부양 희망, 모국 가족연락, 그리고 자조모임 참여에 따라 차이가 있었다. 반면 정서적 부양의식은 거주지, 소득수준, 부모동거, 모국 부모 부양희망, 자조모임 참여에 따라 차이를 보였다. 둘째, 중다회귀분석 결과 신체적 부양의식은 연령, 거주지, 가정소득, 모국 부모 부양희망, 모국가족과의 연락이 영향을 주는 변인이었으며, 경제적 부양의식은 연령, 거주지, 출신국, 배우자와의 연령차, 가정소득, 모국 부모 부양희망, 가족과의 연락이 영향하는 변인이었다. 정서적 부양의식은 거주지, 가정소득, 모국 부모 부양희망이 영향을 주는 변인으로 나타났다. 본 연구에서 투입한 9개의 변인 중 모국 부모부양 희망이 3개의 종속변인 신체적, 경제적 및 정서적 부양의식 모두에 가장 영향력 있는 변인으로 나타났다.

• 임상간호연구
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• 제22권1호
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• pp.78-87
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• 2016

Purpose: This study was conducted to investigate the factors that influence the psychosocial adjustment of organ transplant recipients. Methods: Participants were 132 organ transplant recipients who received follow-up more than 3 months after the organ transplantation at one general hospital in Seoul. A questionnaire survey was done from November 3 to December 3, 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression. Results: Family support, medical staff support and hope were significantly correlated with psychosocial adjustment. In the hierarchical multiple regression analysis, hope appeared to be the most important factor influencing psychosocial adjustment (${\beta}=.39$, p<.001). Conclusion: The findings show that hope had an influence on the psychosocial adjustment of organ transplant recipients. Thus, to improve psychosocial adjustment it is important for nurses to develop interventions to increase hope in organ transplant recipients.

• 가정∙방문간호학회지
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• 제12권2호
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• pp.87-101
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• 2005

Purpose: The purpose this study was to investigate the relationship between self-care performance and influential factors in hemodialysis patients. Method: The subjects of this study were 102 hemodialysis outpatients who had been visiting C University Hospital in Seoul. The data were collected through the scale of self care, self efficacy family support, daily living activity and hope from the 1st to 31st of December 2004. The collected data were analysed using SPSS PC Win 10.0. Result: The average score of self-care performance of subjects was $3.2\pm0.4$ points(4points scale) and significantly different among groups according to age and duration of dialysis. Self care performance of subjects was in a significant positive correlation with family support and hope. Factors affecting self care performance of subjects were family support, duration of hemodialysis, age and daily living function, and the explanatory power of these factors was 31.4%. Conclusion: These findings indicate that is necessary to enhance family support, to develope and apply self-care education programs in consideration of duration of dialysis and age, to have hope-giving communication with patients and their families, and to provide nursing interventions for maintaining patients' daily living function in order to improve the self care performance of hemodialysis patients

• Asian Pacific Journal of Cancer Prevention
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• 제15권21호
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• pp.9307-9312
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• 2014

Background: Hope is an important coping resource for cancer patients. Types and sources of hope and hope-inspiring strategies are not well investigated among Iranian cancer patients. The aims of present study were therefore to investigate the nature of hope and some demographic predictors of hope among Iranian cancer patients. Materials and Methods: This descriptive-correlational study was undertaken among 200 cancer patients admitted to an educational center affiliated to Ardabil University of Medical Sciences, Iran. Participants were selected using a convenience sampling method. The Herth Hope Index and other validated questionnaires were used to investigate level of hope and types and sources of hope, as well as hope-inspiring strategies. Data were analyzed using SPSS statistical software. Results: The overall score for hope was 31 from total scores ranging between 12 and 48. Some 94% of patients mentioned 'return to normal life' and 'complete healing of disease by drugs and physicians' as their main hopes. The most important sources of hope reported by patients include spiritual resources, family members, healthcare workers, and medicines and treatments available for the disease. Relationship with God, praying/blessing, controlling the signs and symptoms of the disease, and family/health care workers' support were the main hope-inspiring strategies. Patients who had a history of metastasis, or who were older, illiterate, divorced/widowed and lived with their children reported lower levels of hope. On the other hand, employed patients and those with good support from their families had higher levels of hope. Conclusions: The study findings showed moderate to high levels of hope among Iranian cancer patients. Accordingly, the role of spiritual/religion, family members and health care workers should be considered in developing care plans for these patients.

• 한국융합학회논문지
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• 제10권6호
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• pp.381-391
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• 2019

본 연구는 불쾌증상이론을 기반으로 한 혈액투석 환자의 자가간호 수행에 영향을 미치는 요인을 파악하고자 하였다. 2018는 3월부터 4월까지 혈액투석 환자를 대상으로 5개의 병원에서 237명의 환자의 자료를 SPSS WIN 21.0 프로그램을 이용하여 분석하였다. 자가간호 수행은 희망, 가족지지, 의료인 지지와 양의 상관관계가 있었으며, 신체적 증상경험과 정서적 증상경험은 음의 상관관계가 있었다. 단계적 다중회귀분석을 실시한 결과 가족지지, 정서적 증상, 희망은 자가간호 수행에 33.2%의 설명력을 보였다. 자가간호 수행은 가족지지, 정서적 증상과 희망이 관련 요인이었으므로 대상자와 가족에게 희망증진 프로그램을 개발하여 적용한다면 자가간호 수행을 증진시킬 수 있을 것이다.

• Child Health Nursing Research
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• 제7권1호
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• pp.74-84
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• 2001

This study is the descriptive survey for the purpose of providing the basic data that establishes the strategy to promote adolescent's hope by the examining of self-esteem, academic achievement, family functioning and hope of adolescents and the investigating of the factors influencing the hope in adolescents. The subjects for this study were 456 students of the first and second year of man's senior high school that located in Seoul. The data were gathered from 16th to 31st of the October 2000. For the survey tool, it was used that the Family Assessment Device(FAD) of Epstein, Baldwin & Bishop(1983), the Self-Esteem Inventory(SEI) of Coopersmith(1975), the class record order and Hinds & Gatusso(1991)'s Hopefulness Scale for Adolescents(HSA). The collected data was analyzed by statistics methods as the descriptive and frequency analysis, t-test, ANOVA, Pearson and Spearman correlation coefficients and Stepwise multiple regression of SAS program. The results of this study were following : 1. The mean score of self-esteem of young people was 51.06±6.83 and the mean grade was 2.04. The high academic achievement was 29.2％, middle grade was 52.7％, and low grade was 18.1％. The mean score of the family functioning was 38.30±6.98 and the mean grade was 2.25. The mean score of hope was 84.26±16.45 and the mean grade was 3.51. 2. The hope in adolescents was significantly different according to their father's school career. The mean score of the group that the father's school career was below junior high school was 77.32. That was significantly lower than the mean score 84.59 of the group that the father's school career was above college and the mean score 85.18 of senior high school group(F=4.04, P= 0.0183). 3. The self-esteem was represented the positive correlation with family functioning(r=0.43) and the all of the 4 subscales(r=0.31, 0.41, 0.39, 0.30). And, it was highly ranked as much as family functioning was good. The academic achievement was represented the positive correlation with self-esteem(r= 0.15). Also, the positive correlation was shown between the affective responsiveness, role recognition and emotional support as the subscales of family functioning and academic achievement(r=0.11, 0.12). And so, academic achievement was high as much as self-esteem was high and affective responsiveness and role recognition and emotional support were good. The hope was represented positive correlation with self-esteem and academic achievement(r=0.42, 0.26), and with the whole of family functioning(r=0.15) and the 4 subscales(r=0.13, 0.16, 0.11, 0.13). So, hope was high as much as self-esteem was high, academic achievement was high and family functioning was good. 4. The influencing factors on the hope of adolescents were self-esteem(17.63％), academic achievement(3.41％), father's school career(0.84％). These factors made it possible to explain 21.88％ of hope.

• 한국사회복지학
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• 제66권2호
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• pp.127-157
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• 2014

이 연구는 여성결혼이민자의 한국사회 정착과 결혼생활 적응을 돕기 위해 실시되고 있는 다문화가족 지원사업의 이용이 실제로 이 여성들의 긍정적 변화를 도와 부부갈등인식 감소와 결혼의 안녕 및 희망에 기여하는지를 조사하였다. 이를 위해 문화상대주의와 강점 관점에 기반 한 지원사업을 수행해 온 전국의 36개 기관들을 통해 수집된 여성결혼이민자 558명의 설문조사 자료가 이용되었다. 구조방정 식모형 분석결과, 예측대로, 지원사업 이용기간, 서비스 이용 빈도 및 이용서비스의 수로 측정된 지원사업 이용은 여성결혼이민자들이 보고한 긍정적 변화와 정적으로 연관되었고, 그런 변화는 이어서 부부갈등인식과 부적인 관계를 보였으며 결혼만족과 결혼안정으로 측정된 결혼의 안녕 및 희망에 정적인 기여를 하였다. 또 긍정적 변화는 결혼의 안녕을 저해하는 부부갈등인식을 낮추어 결혼안녕을 강화하고, 이어 결혼안녕은 희망에 기여하여 이러한 간접경로로 희망을 도왔다. 이 변인들 간의 관계구조는 국내거주기간 및 한국어 능력이 지원사업 이용과 긍정적 변화에 미치는 효과를 통제했을 때 지지되었지만, 아울러 지원사업 이용이 부부갈등에 미치는 직접효과가 정적으로 유의하게 나타났다. 이 결과들은 다문화가족지원사업의 이용이 여성결혼이민자의 긍정적 변화를 도와 희망을 키우며 성공적인 결혼 생활을 촉진할 수 있지만 한편으로 부부갈등을 야기할 수 있는 요소들을 내포하고 있음을 시사하였다. 따라서 지원사업 이용의 순기능을 강화하면서 부부갈등을 초래할 수 있는 역기능적 요소들에 대처할 수 있는 구체적인 방안들이 끝으로 논의되었다.