• 대한간호학회지
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• 제44권6호
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• pp.726-734
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• 2014

Purpose: The purpose of this study was to evaluate the effects of the Spirituality Promotion Program(SPP) for young nurses working in the stressful university hospital environment. Methods: The study included 41 nurses in the experimental group, nurses who had worked less than 5 years and completed 8 weeks of SPP between June and July in 2011. The control group, 44 nurses, also received the same program after the study was completed. For the study, a survey was conducted of all participants concerning spirituality, perceived stress, positive and negative affect, empathy, job satisfaction, and leadership practice. Results: No significant difference was found between the two groups on study variables. Perceived stress decreased significantly in the experimental group (p=.012). Spirituality (p=.019), positive affect (p=.014), empathy (p=.004), job satisfaction (p=.016), and leadership practice (p=.021) increased significantly in the experimental group. Conclusion: The results show that the Spirituality Promotion Program has positive effects on the spiritual and psychosocial aspect of young nurses. Continuation of this program for nurses is recommended in order to help them develop their self-care ability and improve nursing competency.

• 한국산림과학회지
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• 제104권2호
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• pp.277-284
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• 2015

본 연구는 산림치유가 청소년 인터넷 중독 위험군의 신경인지, 심리사회, 생리적 측면에 어떤 영향을 주는지 알아보고자 진행되었다. 이를 위해 2013년 5월부터 7월까지 서울시 지역사회 및 상담센터, 병원에 왕래하는 청소년들을 대상으로 한국형 인터넷 중독 자가진단척도를 실시하였고, 본 척도의 기준에 따라 고위험 사용자군, 잠재적 위험 사용자군, 일반 사용자군으로 분류하였다. 이후 고위험 사용자군과 잠재적 위험 사용자군을 인터넷 중독 위험군으로 정의하였고, 본 연구의 대상자로 포함하였다. 산림치유캠프 참여와 대조군 검사는 서면으로 본인과 부모의 동의 및 참여의사를 밝힌 총 25명으로 진행되었으며, 무작위 배정을 통해 산림치유캠프 참여 13명, 대조군 검사 12명으로 분류하였다. 이들을 대상으로 신경인지적 측면은 Continuous Performance Task(CPT), 심리사회적 측면은 Kimberly S. Young Scale(KYS), Connor-Davidson Resilience Scale(RSC), Relationship Change Scale(RCS), 생리학적 측면은 Heart Rate Variability(HRV)와 Cortisol 검사를 실시하였고, 최종적으로 산림치유는 인터넷 중독 위험군의 신경인지적, 심리사회적 측면에 영향을 주는 것을 확인할 수 있었다. 신경인지적 측면의 경우 산림치유캠프에 참여한 집단은 산림치유캠프에 참여하지 않은 집단에 비해 지속수행검사(CPT)의 주의력 결핍(AQ), 청각주의력 결핍(AAQ)에서 감소효과를, 청각조심성(AP)에서는 향상 효과를 보였다. 심리사회적 측면에서는 대인관계 변화척도(RCS)에서 산림치유캠프 집단이 통계적으로 유의미하게 증가되었으며, 인터넷 중독(KYS)과 회복탄력성(RSC)에서는 통계적으로 완화 및 향상되는 경향성을 보였다. 생물학적인 측면에서는 심박수(HR)의 증가를 제외하고 통계적으로 유의미한 결과는 나타나지 않았다.

• 농촌의학ㆍ지역보건
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• 제42권3호
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• pp.132-144
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• 2017

본 연구는 장애인 보조기기 렌탈서비스를 이용하는 뇌병변 및 지체 장애아의 보조공학기기 사용 만족도와 심리사회적 영향과의 관련성을 알아보고자 수행하였다. 연구의 대상은 광주광역시와 전라남도 지역에서 2011년부터 2015년 5월까지 장애인 보조기기 렌탈서비스를 이용하고 있는 뇌병변 및 지체 장애아 120명을 대상으로 자기기입식 설문조사를 통해 이용 장애아의 일반적 특성, 보조공학기기 사용실태와 만족도, 심리사회적인 영향 정도를 조사하였다. 분석방법으로 빈도와 백분율, 평균과 표준편차를 이용하여 결과를 제시하였으며, 대상자의 특성에 따른 보조공학기기 사용 만족도와 심리사회적인 영향 비교는 t-검정과 분산분석을 이용하여 알아보았고, 보조공학기기 사용 만족도와 심리사회적인 영향과의 관련성은 피어슨 상관관계 분석을 실시하여 파악하였다. 연구결과 보조 공학기기 전체 만족도 점수는 $4.08{\pm}0.66$점이었고, 하위영역인 보조기기 만족도 점수는 $4.01{\pm}0.70$점, 서비스 만족도 점수는 $4.14{\pm}0.90$이었다. 장애아의 심리사회적인 영향은 하위영역인 자기욕구 실현능력 $0.99{\pm}0.78$점, 적응력 $1.04{\pm}0.86$점, 자존감 $0.99{\pm}0.74$점이었고, 전체 점수 평균은 $1.00{\pm}0.75$점이었다. 보조공학기기 사용 만족도는 장애아의 건강상태, 주양육자의 학력과 보조공학기기 사용시간에 따라 통계적으로 유의한 차이가 있었으며, 장애아의 심리사회적 영향은 보조공학기기 사용시간에 따라 유의한 차이가 있었다. 보조공학기기 사용 만족도와 심리사회적인 영향은 통계적으로 유의한 양의 상관관계가 있었다(단순상관; r=.503, p<.001 vs. 편상관; r=.440, p<0.001). 결론적으로 본 연구에서는 뇌병변 및 지체 장애인에게 보조공학기기 사용 만족도와 심리사회적인 영향과는 상관성이 있음을 알 수 있었다. 향후 국내 보조공학기기의 효과적인 보급과 활성화를 위해 더 광범위한 장애유형과 서비스 영역을 대상으로 한 연구가 지속적으로 이루어져야 할 것으로 생각된다.

• 부모자녀건강학회지
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• 제18권2호
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• pp.47-57
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• 2015

Purpose: The purpose of this study is to discover the nature from the life experience of a person with unilateral acquired blindness and his/her family after losing the eyesight and adapting in the environment and to find the meaning of life and how to solve the problem in psychosocial aspect. Methods: This study uses one of the qualitative research methods which explains how families with the unilateral acquired blind perceive blindness after experiencing it and observes how they signify it. starts with interest in lifestyles of individuals and their families and tries to understand the subjective existences of participants in accessible ways and draw the experiences after becoming one-side blind. It cyclically uses deductive verification process through inductive method and establishing hypothesis using materials. Results: According to the results of this study, unilateral acquired blindness studies, due to shattered life, they did not know what to do. Also, discomfort from struggling in a big tunnel and even will to live were found. trying to go out to the world, seeing the new world, and trying to encourage myself, strong attachment to life was shown to by saying, appeared. Each includes sub-topics such as feeling abandoned after confirmed the blindness, feeling disappointed to doctors, family, and friends, trying to live with hope, struggling in a tunnel with thinking how to live, closing the mind from the world, seeing outside the world in the midst of struggling, trying to forget the past with the will of life, having hope to live with care of family, and trying to keep the rest vision. Conclusion: Firstly, in nursing aspect for their adaptation, programs for disable people and nursing intervention focused on their families should be developed. Secondly, since it can be economic and psychological burden for their families and acquaintances, it is necessary to support the blind so that they can find fitted rehabilitation programs and come back to society. Thirdly, active participation of health care providers may influence social interest the improvement of national welfare policy for the unilateral acquired blind.

• 대한간호학회지
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• 제37권6호
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• pp.1003-1012
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• 2007

Purpose: The role of sex role identity types and health promoting behaviors in relation to premenstrual symptoms and interrelatedness among the three variables were examined. Methods: A cross sectional descriptive study was employed with 327 female university students. KSRI, HPLP, and MDQ were used as measurement tools. Results: Four types of sex role identities were classified; undifferentiated(33.7%), androgyny (32.7%), masculinity(16.8%), and femininity(16.8%) in order. Premenstrual symptoms(F=3.11, p= .027) and health promoting behaviors(F=12.74, p= .000) were significantly different by sex role identity types. As determinants of premenstrual symptoms, health promoting behaviors for all subjects, stress coping for the feminine type, and interpersonal relationships for the undifferentiated type were identified. In discriminating between the feminine type and undifferentiated type, premenstrual symptoms and self responsibility were shown as significant factors. Conclusion: Interrelatedness among sex role identity, health promoting behaviors and premenstrual symptoms imply the importance of a psychosocial aspect in premenstrual symptoms. Therefore, these three variables should be applied more specifically for nursing assessment and management of women having premenstrual symptoms.

• 성인간호학회지
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• 제19권2호
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• pp.248-259
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• 2007

Purpose: The purpose of this study was to explore the experiences of young adults with hypertension, using phenomenology in order to describe the essence of such experiences and to understand them from the patients' point of view. Methods: Participants in this study were 4 hypertension patients with ages ranging from 20 to 35 years old, living in Seoul city. Data were collected from in-depth interviews done from October to November in 2005. Colazzi method(1978) was used to analyze the data. Results: The 12 themes were extracted in this study ; 'Discovery by accident', 'Denial of the diagnosis', 'A disease unworthy of the young men', 'Guilty feeling toward their parents', 'Fear of death', 'Unconvinced reason', 'Worry about the future', 'Attribute all symptoms to the disease', 'Will of not life-long medication', 'Concern for fertility problem', 'Not convinced with current treatment method', 'Becoming unimportant'. Conclusion: The results of this study show that the young adult with hypertension will be in a high risk group of non compliance, so helpful program for them should be developed and the nurses need to pay more attention to the psychosocial aspect of nursing.

• 호스피스학술지
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• 제3권1호
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• pp.31-41
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• 2003

Background: The purpose of this study is to assess the effectiveness of family support on the quality of life in patients admitted to the hospice facility at Saemmul Hospice. Method: The subjects of this study were 152 terminal cancer patients that were admitted to the hospice facility at Saemmul hospice between January 2002 and February 2003. Their each quality of life were assessed at admission, one, three, five and seven weeks at Saemmul Hospice using a questionnaire prepared by the Saemmul hospice and were anlalyzed by means of T-test. Result: There was no difference in the quality of life score between patients with family support and patients without family support in terms of physical, psychosocial, and spiritual aspects in the admission. There was no difference in the quality of life score between the patients with frequent family member's visit(>=8) and less frequent family visit(<=7), and between the patients whose family members stayed at the facility for 24hrs and the patients without staying family members. There was no difference in the quality of life score between the patients in low-middle and low-high class among 9 classes of familial economic status(high-high, high-middle, high-low, middle-high, middle-middle, middle-low, low-high, low-middle, low-low). There was no difference in the quality of life score between the patients whose familial religion were Christianity and the patients with other religions. After 1, 3, 5, 7 weeks assessment, the scores in the physical, psychosocial, spiritual aspect of quality of life were increased. Conclusion: The results suggest that family support is important to improve the quality of life in hospice patients and hospice care team is needed to replace 24 hours of family care. There is a urgent need of trained hospice care teams, so training programs for physicians, nurses, clergies, social workers, and volunteers are necessary.

• 한국사회복지학
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• 제65권2호
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• pp.231-254
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• 2013

불법도박의 확산은 물론 도박의 합법화 및 사행산업 규모의 증가로 인해 우리 국민의 도박에의 접근성은 매우 용이하다. 실제로 한국인의 문제도박율은 높은 수준이며, 도박으로 인한 개인적, 가족적, 사회경제적 폐해 또한 심각하다. 선행연구에서는 심리사회적 발달단계의 특성 등으로 인해 대학생 집단이 청소년과 성인에 비해 도박참여 및 문제도박율이 높다고 보고한다. 본 연구에서는 대학생의 문제도박 발달경로를 탐색하려는 목적으로 Jacob의 중독의 일반이론을 적용하여 연구모형을 설정한 후, 변인간의 관계를 구조방정식 방법으로 분석하였다. 연구대상자는 전국 5개 권역에서 조사한 대학생 870명 중 도박경험이 있다고 응답한 남학생 366명이었다. 주요 발견으로는 첫째, 남자 대학생의 문제도 박률은 14%로 나타나 동일척도를 사용한 기존 연구와 유사하거나 더 높았다. 둘째, 구조분석 결과 남자 대학생의 심리적 취약성은 현재 상태에서 벗어나고자 하는 탈출욕구를 증진시켜 문제도박을 초래하는 경로가 유의미한 반면, 신체적 취약성이 탈출욕구를 통해 문제도박에 이르는 경로는 유의미하지 않았다. 연구결과를 바탕으로 대학생 문제도박의 예방 및 치유재활과 관련된 사회복지 개입전략이 논의 되었다.

• 대한간호학회지
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• 제29권2호
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• pp.314-327
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• 1999

In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior. and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program According to the study results. target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior. and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical. psychological. and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management. skill for problem solving, skill for setting goals. skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as “joint protection, and maintenance of pain management behavior”, “maintenance of regular exercise”, and “promotion of coping skill in psychosocial dimension” are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives. the final objectives such as “minimization of physical symptoms and signs”, “maximization of psychological function”, and “maximazation of role performance in social domain” could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.

• 보건교육건강증진학회지
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• 제23권3호
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• pp.99-119
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• 2006

Objectives: This study intends to understand the difference within group of social support level and the effect of social support to health behaviors and health status of the elderly by selecting the old of local society as target. Methods: Data were obtained from self-administered questionnaire of 8,688 persons, older than 65 years, living in a community. We measured the sociodemographic characteristics, social support(family support, other support, quality of support), physical health state(subjective health status, number of chronic disease), physical function state(activities of daily living; ADL, instrumental activities of daily living; IADL), cognition state(mini-mental state examination-Korean; MMSE-K) and depression state(short form of geriatric depression scale; SGDS), health behaviors(smoking, drinking, exercise, eating habit). Univariate, multinominal logistic regression and covariance structure analysis were employed to analyze factors affecting on the social support of the elderly. Results: When considering the degree of social support by the sociodemographic characteristics of the older adults, the family support, other support and quality of support is better when the old is male, young, high education and self-reported living status is good and it has significance statistically. When considering the relation between social support and health status, the family support, other support and quality of support is better when the old's subjective and objective physical health status is good. The family support, other support and quality of support is better when the old's subjective health status is better. The other support and quality of support is better when the old's ADL(activities of daily living) and IADL(instrumental activities of daily living) are good. The family support, other support and quality of support is better when the old's cognitive function and depression state is better. When considering the relation between social support and health behaviors, in case of smoking and drinking, the quality of support, family support and other support is better when the old smokes and drinks rather than the old does not. In case of exercise and eating habit, the family support, other support and quality of support is better when the old exercises and eats regularly rather than the old does not. It has significance statistically. From the result of performing covariance structure analysis by structural equation modeling(SEM) with two endogenous variable(health behaviors and health status) and one exogenous variable(social support), factor loading of health status is 0.74 and factor loading of health behaviors is 0.05. The social support explains health status of 55.4% and health behaviors of 2.9%. Conclusions: This study has the meaning that it finds the difference of social support generating from inside of the group for the old residing in city and country and specifies the effect that the difference of social support influences to health status and health behaviors. From now on, in the development of health improvement strategy of the olds, it is necessary to approach from inclusive aspect while considering psychosocial factor such as social support and social economical factor as well as health status.