• 대한간호학회지
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• 제33권8호
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• pp.1171-1177
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• 2003

Purpose. Despite many smoking cessation programs, many patients with CAD continue to smoke or re-smoke. The processes of change and self-change for smoking cessation is emphasized. The purpose of present study was to investigate decisional balances and processes of change according to stages of change for smoking cessation in the patients with CAD. Methods. This descriptive study was performed using the self-reported questionnaires from 157 male patients with CAD who have smoking experiences. The questionnaires consisted of decisional balances toward smoking (pros/cons) and processes of change including 7 factors. Results. 45.2% of the subjects had myocardial infarction and 54.8% for angina pectoris. Major stages of change were maintenance, contemplation, and precontemplation in 62%, 14%, and 18% respectively. The mean score of pros smoking was 31.07 and cons smoking was 32.52. The mean scores of processes of change were high in all 7 factors, especially in self determination. The pros smoking in precontemplation stage was significantly higher than those in other stages. Between contemplation and precontemplation stages, processes of change showed significant differences in stimulus control, self determination, information management, and dramatic relief. Conclusion. This study suggests that decisional balances and processes of change are stage-specific. As this study, smoking cessation program in the patients with CAD must put priority on the patients group in pre-contemplation and contemplation stages, and stress self determination and dramatic relief.

• 한국콘텐츠학회논문지
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• 제15권1호
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• pp.140-151
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• 2015

본 연구는 정신장애인을 대상으로 이루어지는 프로그램에 클라이언트 참여와 자기결정의 가치를 실현하기 위하여 컨셉트 맵핑을 적용한 것이다. 컨셉트 맵핑이 적용되는 프로그램은 A광역시의 B사회복귀시설에서 시행되는 것으로, 정신장애인들이 독거노인과 함께 음식을 교류하며 소통하는 사업이였다. 컨셉트 맵핑을 통해서 정신장애인과 사회복귀시설 종사자가 기대하고 있는 프로그램의 성과가 무엇인지 서로 확인하고, 합의해 나가게 되었다. 정신장애인과 사회복귀시설 종사자 총 24명이 참여하였으며, 총 여섯단계를 거쳤다. 42개의 서술문이 수집되었으며, 분류화 결과, 정신장애인은 6개의 군집, 사회복귀시설 종사자는 3개의 군집이 도출되었다. 사회복귀시설 종사자보다 정신장애인들이 기대성과를 더 세분화시켜 분류하였다. 서로가 기대하는 성과의 차이를 확인하고 기대성과의 중요성을 측정하여 최종적으로 합의된 3가지의 기대성과를 도출하였다. 이번 연구를 통해서 정신장애인들의 프로그램 참여와 그에 따른 자기결정의 가치를 실현하는데 컨셉트 맵핑이 가지는 유용성을 경험적으로 확인할 수 있게 되었다.

• Journal of Korean Biological Nursing Science
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• 제22권2호
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• pp.148-156
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• 2020

Purpose: The purpose of this study was to develop a motivation-enhanced self-management (MESM) intervention for irritable bowel syndrome (IBS) and to evaluate its effects on female college students with IBS. Methods: The program was constructed to reflect the conceptual framework of the self-determination theory including autonomous motivation enhancement strategy through the satisfaction of psychological needs. The experimental group (n= 24) participated in the all eight weekly MESM sessions, and the control group (n= 25) received one hour education of IBS. Primary outcome measures were the IBS symptom severity scale (IBS-SSS) and the IBS specific quality of life (IBS-QOL), and assessed at the baseline and at eight and 16 weeks after the allocation. Others were autonomous motivation, self-determined behavior, and psychological distress assessed at the baseline and at eight weeks. Results: The experimental group showed improvement in the IBS-SSS (p< .001) at 16 weeks compared to the control group. They showed markedly more improvement in the IBS QOL (p= .008), but the magnitude of this difference decreased at 16 weeks. The experimental group showed improvements in autonomous motivation (p= .035), self-determined behavior (p= .023), and psychological distress (p= .044) compared to the control group. Conclusion: Study results suggest that the MESM intervention for female college students may effectively improve the IBS-SSS and the QOL.

• 여성건강간호학회지
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• 제18권2호
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• pp.108-116
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• 2012

Purpose: The purpose of this study was to evaluate the effect of the sexual education program on female college students' sexual knowledge and sexual autonomy. Methods: The integrative 5-week (15 hour) sexual education program reflecting control and coping aspects of sexual autonomy was developed based on self-determination theory. 59 female students were assigned to the experimental (n=29) and the control group (n=30). Students completed the sexual knowledge and the sexual autonomy questionnaires at prior to the program, right after and 10 weeks after the completion of the program. Independent t-test were used to test the effectiveness of the program. Results: Significant group differences were found on sexual autonomy score right after and 10 weeks after the completion of the program. No significant group differences were found on sexual knowledge at any time after the program completion. Conclusion: The results indicate that the 5-week Sexual Education Program was effective in increasing female college students' sexual autonomy. Nursing professors majoring women's health nursing may contribute to improving college students' sexual autonomy by opening the sexual education program as a general elective curriculum. Strategies to improve sexual knowledge need to be considered for better effectiveness of the program.

• 대한간호학회지
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• 제40권4호
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• pp.463-472
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• 2010

Purpose: This study was done to develop a web-based education program for nurses working in nursing homes. The focus was on the rights of older adults. Methods: The program was designed based on the Network-Based Instructional System Design (NBISD) model and was operated and evaluated between July 2007 and June 2008. Results: Out of nursing records of 40 residents from a nursing home, the final 7 cases were deducted through classification using the Resource Utilization Group (RUG)-III. The data on needs for education was collected from 28 nurses working in 15 nursing homes located in Seoul and Gyeonggi Province, who agreed to complete a self-report questionnaire. A comprehensive review of the literature and two focus groups interviews were used to search for risk factors and guidelines for protection of human rights. The education program was developed based on Kolb's experiential learning model and composed of 5 units, which included content on types of human rights and rights to death with dignity, elder abuse, physical liberty, and self-determination. The program was positively evaluated showing a score of 3.35 (SD=0.37) out of 4. Conclusion: The educational program developed in this study should promote nurses' sensitivity to the rights of elders and improve nurses' behaviors in protecting the rights of elders residing in nursing homes.

• 과학교육연구지
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• 제42권2호
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• pp.148-164
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• 2018

본 연구는 중학교 3학년 남학생들을 대상으로 성교육 프로그램을 개발 적용하여 그 효과성을 살펴보았다. 성교육 프로그램은 중학교 3학년 과학 '생식과 발생' 단원과 연계하여 생식기관의 구조와 기능, 수정과 생명의 소중함, 낙태, 사람의 발생 과정, 성병과 에이즈, 성적 행동에 있어 자기결정의 중요성과 그 책임을 주제로 총 7차시로 개발되었다. 총 90명의 학생들이 참여하였으며, 실험집단에게는 성교육 프로그램을 적용하였고 통제집단에게는 교과서의 탐구와 읽기자료를 활용하여 강의를 통한 전통적 수업을 실시하였다. 연구결과, 사후검사에서 실험집단 학생들은 통제집단에 비해 성지식에 대한 점수가 통계적으로 유의미하게 높았다. 특히 실험집단 학생들은 성지식 검사도구의 하위 영역 중 임신 및 출산, 성건강 영역에서 통제집단에 비해 높은 점수를 나타냈다. 반면, 수업처치 후 사후검사에서 실험집단과 통제집단의 성태도에는 차이가 없었다. 그럼에도 불구하고 실험집단 학생들은 성태도 하위 영역 중 '자기결정과 선택', '이성과 사랑'에서 통제집단에 비해 높은 점수를 나타냈다. 또한, 피어슨 상관관계 조사 결과, 성태도는 성지식과 정적 상관관계를 나타냈으며, 성태도와 가장 강한 상관관계를 나타낸 것은 '자기결정과 선택'이었다. 중학교 과학의 생식과 발생 단원과 연계한 성교육 프로그램을 통해 중학생들이 올바른 성지식과 성태도를 함양할 수 있을 것이다.

• Bulletin of the Korean Chemical Society
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• 제34권1호
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• pp.179-187
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• 2013

We describe newly developed software named KPACK for relativistic electronic structure computation of molecules containing heavy elements that enables the two-component ab initio calculations in Kramers restricted and unrestricted formalisms in the framework of the relativistic effective core potential (RECP). The spin-orbit coupling as relativistic effect enters into the calculation at the Hartree-Fock (HF) stage and hence, is treated in a variational manner to generate two-component molecular spinors as one-electron wavefunctions for use in the correlated methods. As correlated methods, KPACK currently provides the two-component second-order M${\o}$ller-Plesset perturbation theory (MP2), configuration interaction (CI) and complete-active-space self-consistent field (CASSCF) methods. Test calculations were performed for the ground states of group-14 elements, for which the spin-orbit coupling greatly influences the determination of term symbols. A categorization of three procedures is suggested for the two-component methods on the basis of spin-orbit coupling manifested in the HF level.

• 한국보건간호학회지
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• 제34권3호
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• pp.325-340
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• 2020

Purpose: This study was undertaken to identify the effects of a camp-type group counseling program based on the self-determination theory, for controlling smartphone usage amongst university students. The program consisted of smartphone overdependence, basic psychological needs, and adaptation to college life. Method: This was a quasi-experimental research with a non-equivalent control group design (pre-test and post-test design). A total of 38 freshmen (17 experimental and 21 control) participated in the study. Experimental subjects attended a two nights and three days camp, where the group counseling program included meetings for basic psychological needs (eg., autonomy, competence, and relatedness). Results: This study showed significant differences in basic psychological needs (Z=-2.91, p=.003) and adaptation to college life (Z=-3.47, p<.001). Although no significant difference was obtained in the degree of smartphone overdependence (p=.194), mean score of the experimental group pre-test and post-test changed from the level of potential risk users to general users. Conclusion: The current findings indicate that by considering the basic psychological needs and adaptation to college life, our program could be an effective intervention for controlling smartphone usage amongst college students. Therefore, we propose that a camp-type counseling program could be considered for application as group therapy for programs associated with preventing smartphone overdependence.

• 대한간호학회지
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• 제42권7호
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• pp.1009-1018
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• 2012

Purpose: This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries. Methods: A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels. Results: The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004). Conclusion: Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.

• 인간행동과 음악연구
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• 제11권1호
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• pp.63-82
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• 2014

본 연구는 학교폭력 가해로 인해 조건부 기소유예 판결을 받은 청소년이 음악치료 프로그램에 참여한 경험을 자기결정성 이론을 중심으로 살펴보고자 하였다. 이를 위해 음악치료에 참여한 6명을 대상으로 심층 면접을 실시하여 변형된(modified) 근거이론 방식으로 연구를 수행하였다. 연구결과, 85개의 개념, 21개의 하위범주, 7개의 범주가 도출되었으며 이를 자기결정성 이론의 기본 심리욕구인 자율성, 유능성, 관계성 및 추가적으로 치료경험이 어떻게 치료외적 환경으로 전이와 확장 되었는지 분석하였다. 자율성은 음악선곡, 악기선택, 연주방식의 선택과 음악에 대한 의사표현의 다양한 속성으로 나타났다. 유능성은 악기연주 기법을 익히고, 자신의 생각대로 음악작업을 완성하고 몰입하며 자신의 능력을 발휘함으로써 나타났다. 이 과정에서 음악적 난이도가 유능성 경험에 영향을 미치는 것으로 나타났다. 관계성은 그룹공동의 음악작업 안에서 의견을 교류하고 각자 음악적 역할을 담당함으로써 나타났다. 이 때 참여자는 음악 안에서 의식과 행동의 변화 및 내적인 통찰을 경험할 수 있음을 깨닫고 그룹원간의 상호교류와 지지를 경험하는 것으로 나타났다. 또한 음악활동에서 경험한 긍정적 정서 및 적극적인 행동 양식이 학교생활에서도 이어지는 경험을 하는 것으로 나타났다. 이 결과를 바탕으로 추후의 음악치료 프로그램의 개발과 적용에 대한 제언과 연구의 방향성을 제시하였다.