• Title/Summary/Keyword: Hypothetical causal model

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중년기 기혼 성인의 가족건강 구조모형 (A Structural Model of Family Health in Married Middle-aged)

  • 김희숙;신동수;전성주;이성희
    • 성인간호학회지
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    • 제20권4호
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    • pp.641-651
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    • 2008
  • Purpose: this study was to develop and test the structural model that explains husband and wife compatibility and family health of married middle-aged. A hypothetical model explaining husband and wife compatibility and family health based on literature reviews. There were three theoretical variables and twelve observed variables in hypothetical model. Methods: Data collection was carried out May through July 2005. Data were collected by self-reporting questionnaires from 854 married middle-aged who lived in Seoul, Busan, Daegu, Kyungnam, Kyungpook. Collected data was analyzed using SPSS/WIN 12.0 for descriptive statistics, Pearson Correlation coefficient, and Kolmogorov-Smirnov analysis. Results: LISREL program was used to find the best fit normal which assumes causal relationship among variables. This model was to be good fitting and parsimonious to measure husband and wife compatibility and family health of married middle-aged. Conclusion: Differentiation of self and husband and wife compatibility predicted level of family health. Therefore, a family health improvement program needs to include these two variables.

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사춘기 여성의 우울 예측모형 (The Predictive Model of Adolescent Women측s Depression)

  • 박영주;김희경;손정남;천숙희;신현정;정영남
    • 대한간호학회지
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    • 제29권4호
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    • pp.829-840
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    • 1999
  • This study was conducted to construct a hypothetical model of depression in Korean adolescent women and validate the fit of the model to the empirical data. The data were collected from 345 high school girls in Seoul, from May 1 to June 30, 1998. The instruments were the Body Mass Index, Physical Satisfaction Scale, Family Adaptatibility and Cohesion Evaluation Scale III, Family Satisfaction Scale, CES-D and School Adptation Scale. The data were analyzed using descriptive statistics with the pc -SAS program. The Linear Structural Relationship(LISREL) modeling process was used to find the best fit model which would predict the causal relationships among the variables. The overall fit of the hypothetical model to the data was moderate [X$^2$=69.6(df=17, p=.000), GFI =0.95, AGFI=0.90, RMR=0.087, NNFI=0.86, NFI=0.90]. The predictable variables, especially menstrual symptoms, physical symptoms and family function, had a significant direct effect on depression. but school life adaptation did not have a significant direct effect. These variables explained 18.1% of the total variance.

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고등학생들의 생태 인식에 관한 두 가지 모델 검증: 친숙함의 효과와 생태-자연적 관점 경로 (Examining Two Causal Models Regarding High School Students' Ecological Perspective: The Role of Familiarity and Ecologistic-Naturalistic Path)

  • 하민수;이준기
    • 한국과학교육학회지
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    • 제33권5호
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    • pp.981-994
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    • 2013
  • 이 연구는 학생들의 생태 태도에 관한 두 가지 가설적 모델을 통계적으로 검증하였다. 첫 번째 연구 모델은 생물의 심미적인 관점이 부정적 관점으로 이어지는 경로에서 인식과 친숙함의 매개 효과이다. 두 번째 연구 모델은 인간적 관점에서 지배적 관점으로 이어지는 두 가지 차별적인 경로이다. 이 연구를 위하여 고등학교 1학년 학생 104명이 참여하였다. 상관관계, 편상관관계, 경로분석을 활용하여 모델의 적합도를 확인하였다. 연구 결과는 생물에 대한 인지와 친숙함이 심미적인 관점과 부정적 관점을 조절하고 있음을 보여주고 있다. 심미적인 관점에서 발생하는 학생들의 선입견이 학습으로 조절될 수 있음을 보여주고 있다. 두 번째, 인간적 관점과 지배적 관점 경로에서 생태-자연적 관점 경로와 과학-이용적 관점 경로는 독립적이다. 과학-이용적 관점은 지배적 관점에 정적인 영향력이 있다. 학생들의 자연에 대한 지배적 관점을 줄이기 위해서는 생태-자연적 관점을 이해할 필요가 있을 것이다.

소방대원의 이차 외상성 스트레스, 소진 및 신체적 증상의 영향요인 분석 (Analysis of Factors Influencing Secondary Traumatic Stress, Burnout, and Physical Symptoms in Firefighters)

  • 오진환;임난영
    • 기본간호학회지
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    • 제13권1호
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    • pp.96-106
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    • 2006
  • Purpose: This study was dont: to evaluate the factors that influence secondary traumatic stress, burnout, and physical symptoms experienced by firefighters. In addition, a hypothetical model was developed. Method: The data were collected using self-reported questionnaires from 410 field service firefighters. Data analysis was done with the SPSSWIN 10.0 program for descriptive statistics and Windows LISREL program to determine the causal relationship between the measurement variables. Results: The hypothetical model which was developed fits well with actual data(${\chi}^2$=3.16, p=0.99, GFI=1.00, AGFI=0.99, NFI=0.99, and NNFI=1.06). The variable, personality type, social support, and impact mobilization frequency had a significant effect and accounted for 7% of the secondary traumatic stress in firefighters. The variables, career, social support, and secondary traumatic stress had a significant effect and accounted for 24% of the burnout in firefighters. Social support, impact mobilization frequency, and secondary traumatic stress were important variables and accounted for 31% of the physical symptoms in firefighters. Conclusion: It is necessary for firefighters to manage themselves according to their personality types. Strategies that can increase the firefighters' social support and decrease their perceived secondary traumatic stress also need to be developed to minimize or prevent a negative effect on their health.

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한국노인의 건강행위 예측모형구축 (A Prediction Model for Health Promoting Behavior of The Korean Elderly)

  • 박영주;이숙자;박은숙;장성옥
    • 대한간호학회지
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    • 제29권2호
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    • pp.281-292
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    • 1999
  • This study was designed to construct a model that predicts the health promoting behavior of the Korean elderly. Data were collected by self-reported questionaires from 254 Korean elderly in seoul, from June 1 to July 15, 1998. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which predicts causal relationships of variables. The overall fit of the hypothetical model to the data was moderate[X$^2$=249.83(df=83, p=.00), RMR=.07, GFI=.90, NNFI=.92, NFI =.91]. The predictable variables of health promoting behavior of the Korean elderly were social activity. social support. self-integrity and helplessness except the perceived health status. These variables explained 17.1% of health promoting behavior of the Korean elderly.

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상급종합병원 간호사의 환자중심간호 예측모형 (A Predictive Model on Patient-Centered Care of Hospital Nurses in Korea)

  • 정현;박명화
    • 대한간호학회지
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    • 제49권2호
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    • pp.191-202
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    • 2019
  • Purpose: Patient-centered care is a widely utilized concept in nursing and health care. However, the key components of patient-centered nursing have not yet been reported. Moreover, previous studies on patient-centered care have mostly focused on components of nursing rather than organizational factors. Therefore, a comprehensive understanding of influential factors of patient-centered care is required. Methods: The purpose of this study was to develop a theoretical model based on person-centered care theory, and the relevant literature and to test the developed model with covariance structure analysis in order to determine the causal paths among the variables. Results: The model fit indices for the hypothetical model were suitable for the recommended level (goodness of fit index=.87, standardized root mean residual=.01, root mean square error of approximation=.06, Tucker-Lewis index=.90, comparative fit index=.92, parsimonious normed fit index=.75). In this study, five of the six paths established in the initial hypothetical model were supported. The variables of teamwork, self-leadership, and empathy accounted for 56.4% of hospital nurses' patient-centered care. Among these, empathy was the strongest predictor of patient-centered care. Conclusion: These results suggest that it is necessary to use strategies to improve self-leadership and empathy. In addition to enhancing the personal factors of nurses, nursing organizations should strive for effective multidisciplinary cooperation with active support for patient-centered care and openness to change.

보안 및 통제와 정보기술 사용자의 성격의 관계 (Relationship of Information Technology User Personality, Security and Control)

  • 이장형;김종원
    • 한국정보시스템학회지:정보시스템연구
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    • 제19권3호
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    • pp.1-12
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    • 2010
  • Personality is comprehensive nature of the mood and attitude of people, most clearly revealed in the interaction with other people. This study is a analysis on personality type to information system security and control from financial institute employee. Based on 'The Big Five' personality model, this study develops hypothetical causal relationships of potential organization member's personality and their information system security and control. Research hypotheses are empirically tested with data collected from 901 employees. Results show that employees of high level security mind are the owner of conscientious and emotional stable personality and the employees of high level control mind are the owner of agreeable and emotional stable personality. Therefore the owner of agreeable and stable personality is higher security and control than others.

노인의 신체증상귀인, 피로, 만성통증, 우울의 관계연구 (Study on Relations of Variables; Attributions of Somatic Symptoms, Fatigue, Chronic Pain and Depression in the Elderly)

  • 장성옥;박영주;윤지원
    • 대한간호학회지
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    • 제33권1호
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    • pp.26-33
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    • 2003
  • Purpose: The purpose of this study was to investigate the relationships among variables of somatic attribution, chronic pain, depression and chronic fatigue in the elderly. Methods: Empirical data for testing hypothetical models was collected from 311 people over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explained causal relationship of variables. Result: According to Accepted model, the relation of variables is that the somatic attribution is the influencing variable to chronic pain and depression and chronic pain and depression is the influencing variable to chronic fatigue. Conclusion: The findings of this study give useful information to construct intervention program relating chronic pain, depression and chronic fatigue for the elderly.

건강증진과 삶의 질 구조모형 II-암환자 중심- (A Structural Model for Health Promotion and Quality of Life in People with Cancer)

  • 오복자
    • 대한간호학회지
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    • 제26권3호
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    • pp.632-652
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    • 1996
  • It has been noted that a genetic alteration of cells influenced by unhealthy lifestyle in addition to a series of other carcinogens increases the incidence of various neoplasmic diseases. Therefore the importance of a lifestyle that minimizes such an impact on health should be emphasized. Since stomach cancer, the most common neoplasmic disease in Korea, is related to personal lifestyle and as there is a possibility of its recurrence, patients with stomach cancer need to lead a healthy lifestyle. Also the quality of life which patients experience is negatively affected by the side effects of treatments and the possibility of recurrence. Therefore an effective nursing intervention to enhance quality of life and encourage healthy lifestyle is needed. The purpose of this study is to provide a basis for nursing intervention strategies to promote health and thus enhance quality of life. A hypothetical model for this purpose was constructed based on Pender's Health Promotion Model and Becker's Health Belief Model, with the inclusion of some influential factors such as hope for quality of life and health promoting behavior. The aims of study were to : 1) evaluate the effectiveness of patient's cognitive-perceptual factors on health promoting behaviors and quality of life ; 2) examine the causal relationships among perceived benefit, perceived barrier, perceived susceptibility and severity, internal locus of control, perceived health status, hope, health concept, self efficacy, self esteem health promoting behaviors & quality of life ; 3) build and test a global hypothetical model. The subjects for this study were 164 patients who were being treated for stomach cancer were approached in the outpatient clinic on a University Hospital. The data from the completed questionnaires were analyzed using Linear Structural Relationships (LISREL). The results of research are as follows : 1) Hypothetical model and the modified model showed a good fit to the empirical data, revealing considerable explanational power for health promoting behaviors(54.9%) and quality of life(87.6%) 2) Self efficacy and hope had significant effects on health promoting behaviors. Of these, hope was affected indirectly through self efficacy and self esteem. 3) Perceived health status, hope and self esteem had significant direct effect on the quality of life. Of these variables, perceived health status was the most essential factor affecting general satisfaction in life. 4) Self-efficacy, as a mediating variable, was positively affected by perceived benefit and hope. 5) Self-esteem, as a mediating variable, was positively affected by perceived health status and hope. 6) Hope was the main variable affecting self efficacy, self esteem, health promoting behaviors and quality of life. The derived model in this study could effectively be used as a reference model for further study and could suggests a direction for nursing practices

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강직성 척추염 환자의 운동정도 예측모형 (A Prediction Model of Exercise Level in Patients with Ankylosing Spondylitis)

  • 김문자;이은남
    • 대한간호학회지
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    • 제52권2호
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    • pp.157-172
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    • 2022
  • Purpose: This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by health care providers would satisfy the three basic psychological needs of patients, which would increase their autonomous motivation for exercise, resulting in its initiation and continuation. Methods: This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level were used to collect data. Results: The fitness of the hypothetical model met the recommended level (𝛘2/df ≤ 3, SRMR ≤ .08, RMSEA ≤ .08, GFI ≥ .90, AGFI ≥ .85, NFI ≥ .90, TLI ≥ .90, CFI ≥ .90). The model effect analysis revealed that autonomy support by health care providers had a positive effect on patients' autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and relatedness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on exercise level. Conclusion: The predictive factors of exercise level in patients with ankylosing spondylitis were autonomous motivation, health care providers' autonomy support, competence, and relatedness. Considering these factors, we recommend the development of an effective program for improving exercise levels in these patients.