• 성인간호학회지
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• 제16권3호
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• pp.409-420
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• 2004

Purpose: This study aims to analyze the effectiveness of Tai chi exercise for improving balance and its tendency and helps to identify directions for future research. Method: 19 articles from Medline search of foreign journals(1981-2003) and 5 from Korean nursing journals (1981-2003) were surveyed. The contents analyses were focused on outcome measures and relative factors regarding balance. Result: Variable measures for balance were used in Tai Chi studies relating to balance. They included the functional measures such as 14 single-leg stance, 7 walking in physiological measures and 7 laboratory-based balance measures were done with platform stability test. The measure of effective Tai Chi exercise depended on the health status of subjects and the methods. Health status of subjects were only on physically inactive older adults in 17 articles and arthritis patients in 7 articles in the Tai Chi study. The significant effects of Tai Chi exercise on balance was revealed after 10weeks duration. Conclusion: Considering the results, Tai Chi exercise is more effective than any other studies for walking balance. But the reports on the outcome are inconsistent with wide variations in the choice of balance measures. It is suggested that future studies analyze systemic change through meta analysis and have a wide variety of subjects who need postural control and balance control. The methods of measures should be distinct from the balance state of subjects for the effectiveness of Tai chi exercise.

• 한국노년학
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• 제38권3호
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• pp.435-452
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• 2018

본 연구는 체계적 리뷰 및 메타분석 방법을 활용하여 한국에서 발행된 노인 자원봉사활동에 대한 다양한 연구 결과를 체계적으로 수집하여 노인의 심리사회적 건강에 미치는 자원봉사활동의 효과를 계량적이고 종합적인 결과로 제시하는 데 그 목적이 있다. 6개의 데이터베이스와 3개의 홈페이지에서 발견한 연구 중 포함조건을 충족한 총 47편의 연구가 분석에 활용되었고, 추출된 데이터의 수는 53개였다. R 프로그램을 활용하여 평균 효과 크기를 산출한 결과, 생활만족도에 대한 노인 자원봉사활동의 평균 효과 크기는 r=0.340이었으며, 우울은 r=-0.310이었다. 이러한 결과는 노인의 심리사회적 건강을 위해 자원봉사활동이 효과적임을 보여주며, 정책과 실천영역에서 자원봉사활동 제공의 근거가 된다.

• 한국노년학
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• 제29권3호
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• pp.1141-1158
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• 2009

본 연구에서는 한국 문화 속의 노인들이 경험하는 행복 요인을 알아보고자 하였다. 이를 위해 연구 1에서는 서울과 지방에 거주하는 노인 105명으로부터 그들을 행복하게 하는 요인이 무엇인지 그리고 그 요인이 왜 그들의 행복요인이라고 생각하는지를 개방형 질문을 이용하여 알아보았다. 연구 2에서는 행복을 측정하는 양적 척도를 개발하기 위해서, 우선 연구 1에서 얻은 내용을 기초로 70개의 문항을 구성하였다. 이것을 서울과 지방에 거주하는 노인에게 설문을 실시하였고 최종 200명의 응답을 이용하여 요인분석을 실시하였다. 그 결과, 최종 8요인 33문항으로 요약되었다. 8개의 요인은 ①가족관계, ②종교, ③경제, ④건강, ⑤일과 직장, ⑥심리적 안정감, ⑦여가, ⑧복지 순으로 명명하였다. 또한 요인분석에서 얻어진 최종 33문항들을 삶의 만족도 척도와 정서 경험 빈도 척도, 그리고 자아 존중감 척도를 사용해 수렴타당도를 알아 본 결과 수용할만한 수준의 타당도와 신뢰도를 나타내었다. 본 연구의 의의와 제한점, 그리고 후속연구에 대한 제언에 대해 논의하였다.

• 한국보건간호학회지
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• 제4권1호
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• pp.75-82
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• 1990

This study was to examine the effects of group reminiscence on depression of the elderly and to identify the possible use of the independent nursing intervention for reminiscence. The subjects, consisting of 46 elderly residents at D-ku, in Seoul, were divided into experimental and control group. The research was done by non-equivalent control group quasi-experimental design. Data were gathered from Oct. 4th to Dec. 2nd, 1989 through interview by questionnaire and measure the degree of depression by Zung's scale. Group reminiscence, was defined as independent nursing intervention belong to cognitive intervention by nurse. The schedule and content of reminiscence were developed by investigator. Analysis of data were done by frequency, mean, t-test, and Pearsons's correlations. The results were as follows: $\cdot$ There was no significant difference between experimental and control group after pre & post group reminiscence. $\cdot$ The mean depression score was 43.4 all subjects. In addition to, the result of added analysis were as follows; $\cdot$ There was significant difference in the depression score between healthy and unhealthy group according to perception by subjects (P<05). $\cdot$ There was significant difference between above average economic status and poor status according to perception by subjects (p<.05). $\cdot$ Depression of the subjects was related to the duration of widowhood(r=.3980, p=.015). Further research needs to be done on the effects of group reminiscence as independent nursing intervention. This study needs to be replicated in different settings, studied on the assess of psychological well being for the elderly with the exception of depression and to be identified psychological chacaracteristics of the elderly.

• 근관절건강학회지
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• 제12권2호
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• pp.132-142
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• 2005

Purpose: The purpose of this study is to analyze the effect of Tai Chi exercise on Cardiorespiratory function and to identify directions for future research. Method: 19 articles from Medline search of english journals(1981-2004) and 2 from Korean nursing journals were surveyed. The contents analysis were focused on outcome measures and relative factors regarding cardiopulmonary function. Results: There are 21 articles including 8 articles with quasi experimental design, 7 articles with randomized controlled design and 6 articles with comparative non experimental research design. The major subjects of research were older adults, but hypertensive patients, cardiac rehabilitative patient, and osteoarthritic patient also included. The major style of Tai Chi was Yang style with 108-form. The duration of Tai Chi exercise was from 12weeks to 13.2 years in comparative non experimental studies, but 6 weeks to 16weeks in randomized controlled experimental studies. The most effective duration for cardiopulmonary function was over 16weeks. The variables for cardiopulmonary function were blood pressure, heart rate and cardiopulmonary function via $VO_2$ max(ml/kg/min). To reduce the blood pressure in the result was found in 2 articles, to reduce the heart beat was found in 1 article, to improve the cardiopulmonary function via $VO_2$ max in results were found in 7 articles(73%) among 11 articles. Conclusion: The Tai Chi exercise over 16weeks improves the cardiopulmonary function. It is suggested that to verify the effect of Tai Chi on cardiopulmonary function, the difference of gender, age, health status will be identified through repeated experiments.

• 성인간호학회지
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• 제15권1호
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• pp.126-136
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• 2003

Purpose: The purpose of this study was to analyze related factors for major nursing diagnoses used in caring for institutionalized elders. Method: This study was a descriptive study. The participants were 92 residents in a long-term care facility in Wonju, selected by convenience sampling. The instrument was a checklist designed on the basis of the related factors suggested by NANDA (1997) and a literature review. Data was collected by chart review, observation, and interviews with the participants. Data was analyzed using descriptive statistics with the SPSS WIN program. Result: The most frequent nursing diagnosis was 'risk for injury', 'self-esteem disturbance', 'activity intolerance', 'impaired phyical mobility', and 'powerlessness'. The most frequent component for related factors for the five component for each nursing diagnosis was the physical component, followed by the social component. Common related factors for the nursing diagnoses were 'pain', 'change of emotional state/disorder', 'cognitive disorder', 'change of physical structure and function', and 'physical impairment', and 'immobility'. Conclusion: The results of this study can contribute to the development of appropriate nursing intervention programs for elders (eg. 'Injury Prevention Programs', 'Self-esteem Improvement Programs' etc.). Clinical guidelines that gerontological nurses can use to accurately assess health problems and select appropriate nursing interventions may be developed.

• 한국직업건강간호학회지
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• 제26권3호
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• pp.142-150
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• 2017

Purpose: The purpose of this descriptive, cross-sectional study was to identify the factors affecting health-related quality of life by examining the relationships among posttraumatic stress, health-related work limitations, and family support in firefighters. Methods: The data were collected from 390 firefighters working in four fire stations located in the G district using self-report questionnaires. The collected data were analyzed using descriptive statistics, t-test, one-way ANOVA along with the $Scheff{\acute{e}}$ test, and multiple regression. Results: As per the results of multiple regression analysis, the factors affecting health-related quality of life in firefighters were posttraumatic stress, health-related work limitations, and family support. This model explained 31% of the variance in health-related quality of life (F=30.03, p<.001). Conclusion: Considering the findings of this study, there is a need to reduce posttraumatic stress and health-related work limitations and develop family support toward firefighters.

• 대한간호학회지
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• 제48권5호
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• pp.622-635
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• 2018

Purpose: This study aimed to develop and test a structural model for sleep quality in female shift work nurses. The hypothetical model was constructed on the basis of Spielman's 3P model of insomnia and previous research related to the sleep quality of shift nurses. Methods: This cross-sectional study used structural equation modeling and recruited 285 female shift work nurses from four general and university hospitals with over 300 beds located in C and J cities in Gyeongsangnamdo. Data were collected from September 27 to October 20, 2016, and then analyzed using descriptive statistics, Pearson's correlation, and structural equation modeling. The study used SPSS/Win 18.0 and AMOS 18.0 in processing the data. Results: The final model showed good fit to the empirical data: ${\chi}^2/df=2.19$, SRMR=.07, RMSEA=.07, AGFI=.85, TLI=.91, GFI=.93, GFI=.89, NFI=.87. The factors that influenced sleep quality were sleep hygiene (${\beta}=.32$), perceived shift work status (${\beta}=-.16$), stress response (${\beta}=.16$), shift work experience (${\beta}=.15$), perceived health status (${\beta}=-.14)$, and circadian rhythm (${\beta}=-.13$) explaining 36.0% of the variance. Conclusion: The model of sleep quality of the shift work nurses constructed in this study is recommended as a model to understand and predict the sleep quality of shift work nurses. The results suggest that strategies for improving the sleep quality of shift work nurses should focus on sleep hygiene, perceived health status, stress response, circadian rhythm, perceived shift work status, and shift work experience.

• 성인간호학회지
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• 제15권4호
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• pp.573-584
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• 2003

Purpose: This study was conducted to investigate the level of nausea & vomiting, anorexia and food intake during the periods of chemotherapy and 14 days after discharge. Method: The subjects were 40 cancer patients(cervix cancer : 20 patients, stomach cancer: 20 patients) who had chemotherapy with Cisplatin & 5-Fu. Data were analyzed by mean & standard deviation, ANCOVA. Result: 1. The severity of nausea & vomiting with anorexia in cancer patients receiving chemotherapy was the highest at the 3rd day and then it gradually decreased. At the 14th day after discharge, nausea & vomiting with anorexia still remained with very low levels. 2. The amount of food intake was the lowest on the 3rd day and then gradually increased. However, it was 53.3-72.5% of the ordinary food intake on the 14th day after discharge. Calorie intake was 625.31 Kcal on the 3rd day and 1130.92 Kcal on the 7th day after discharge. 3. There were no significant differences in nausea & vomiting, anorexia, food intake, calory intake between those with cervix cancer and stomach cancer. Conclusion: In cancer patients nausea & vomiting and anorexia were severe and food intake was very poor during chemotherapy but afterwards they were gradually improved, but were not completely recovered on the 14th day after discharge. Therefore the nursing intervention regarding the increase of food intake was necessary during chemotherapy and after discharge.

• 대한간호학회지
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• 제35권4호
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• pp.745-753
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• 2005

Purpose. The purposes of this study were to 1) describe the type and frequency of aggressive behavior of cognitively impaired nursing home resident, 2) develop a caregiver training program on prevention and management of aggressive behavior, 3) examine the effects of caregiver training program on the incidence of aggressive behavior of cognitively impaired nursing home resident, and 4) examine the effects of caregiver training program on nursing staff's aggressive behavior management skills. Methods. One-group, time series, quasi-experimental design with a pre-test and two post- tests was used. Data were collected from cognitively impaired home residents (N = 32) and nursing staff (N = 36) in a proprietary nursing home using Ryden Aggression Scale I, II, and Aggressive Behavior Management Scale. Data were entered and analyzed by descriptive statistics and repeated measures ANOVA. Results. Incidence of aggressive behavior was high with a mean score of 3.09 (SD = 3.11) at baseline. Caregiver training program was developed based on Progressively Lowered Stress Threshold (PLST) model and gerontological and psychiatric literature. The mean scores of aggressive behavior at baseline, Post I, and II did not differ significantly although the difference approached to the significant level (F = 2.925, p = .066). Nursing staff's aggressive behavior management skills increased at Post I, and at Post II when compared to baseline, and the difference was significant (F=12.736, p=<.00l). Conclusion. Caregiver training program showed potential impact on reduction of aggressive behavior in elders with cognitive impairment and was effective in increasing nursing staff's aggressive behavior management skills.