• Journal of Korean Academy of Nursing
• /
• v.31 no.1
• /
• pp.107-125
• /
• 2001

This study was designed to construct a structural model for quality of life of chronic gastric disease. The hypothetical model was developed based on the literature review and Pender's health promotion model. Data were collected by questionnaires from 459 patients with chronic gastric disease in a General Hospital from July 1999 to August 2000 in Seoul. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 Program for Covariance structural analysis. The results are as follows : 1. The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 1 path and including free parameters and 2 path to it. The modified model with path showed a good fitness to the empirical data ($\chi$2=934.87, p<.0001, GFI=0.88, AGFI=0.83, NNFI=0.86, RMSR =0.02, RMSEA=0.07). 2. The perceived barrier, health promoting behavior, self-efficacy, and self-esteem were found to have significant direct effects on the quality of life. 3. The health concept, health perception, emotional state, and social support were found to have indirect effects on quality of life of chronic gastric disease. In conclusion, the derived model in this study is considered appropriate in explaining and predicting quality of life of chronic gastric disease. Therefore it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

• Journal of Korean Academy of Nursing
• /
• v.25 no.4
• /
• pp.790-806
• /
• 1995

The present study examined the causal relationships among nurses' job environment /job characteristics(work overload, lack of autonomy, professional role conflict, interpersonal relationships), maturity, job stress, job satisfaction and turnover intention by constructing and testing a theoretial framework. Based on Katz and Kahn's (1978) theory of organizational open system and Kahn, Wolfe, Quinn, and Snoek's (1964) theory of stress, nurses' turnover intention, job satisfaction and job stress were conceived of as outcomes of the interplay between personal characteristics and work environment. Personal aspects associated with outcome variables included professional knowlege and skill, and maturity(challenge, commitment, control, responsibility). The work environment factors involved work overload, lack of autonomy, professional role conflict, and interpersonal relationships (social support). Three university hospitals located in Seoul were selected to participate. The total sample of 443 registered nurses represents a response rate of 96 percent. Linear structural relationships (LISREL) technique was used to test the fit of the proposed conceptual model to the data and to examine the causal relationships among variables. The result showed that both the proposed model and the modified model fit the data excellently, revealing considerable explanatinal power for job stress and job satisfaction. The explanatory power of turnover intention was relatively lower than those of stress and satisfaction. In predicting nurses' stress, satisfaction and turnover intention, the findings of this study clearly demonstrated that professional role conflict might be the most important variable of the all the environmental variables and personal characteristics. The results were dis-cussed, including directions for the future research and practical implications drawn from the research were suggested.

• Journal of Korean Academy of Nursing
• /
• v.45 no.3
• /
• pp.439-448
• /
• 2015

Purpose: The purpose of this study was to examine validity and reliability of Webel and colleagues'HIV Self-Management Scale when used with a Korean sample. Methods: The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients'self-rating as a "mart patient"measured using a visual analogue scale. Internal consistency was tested by Cronbach' alpha coefficients. Results: All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (${\chi}^2/df_{(164)}=1.66$, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients'self-rated smart patient (r=.41). The subscale Cronbach' alpha coefficients ranged from .78 to .81; alpha for the total scale was .89. Conclusion: The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.

• Journal of Digital Convergence
• /
• v.10 no.8
• /
• pp.275-286
• /
• 2012

The purpose of this study was to investigate stresses from job, patients and guardians experienced by general hospital nurses caring for elderly patients and their stress coping methods. For this study, data were collected from 280 nurses employed at general hospitals with the capacity of more than 400 beds which were located in Seoul. Frequency analysis, t-test and one-way ANOVA were utilized to analyze the data and Scheffe test was used to conduct post-hoc tests. This study found that, of the general hospital nurses' three types of stresses, stress from guardians was the most serious one, followed by stress from patients and stress from job; and that, of the six coping methods utilized by the general hospital nurses, social support was the most-utilized one, followed by problem-focused coping strategy, positive perspective, tension relaxation, indifference and hopeful perspective. Based on these findings, follow-up studies were suggested to develop the hospital nurses' abilities to cope with the ever-changing complex circumstances for the elderly patients.

• Journal of Digital Convergence
• /
• v.16 no.5
• /
• pp.341-349
• /
• 2018

This study was done to identify the significant convergence factors of affecting depression of elderly women in rural area. A total of 161 elderly women aged 65 and over were collected and data were analyzed using multiple logistic regression with SPSS/WIN 21.0. The result indicated that 42.9% of participants were depressed. In logistic regression, significant factors of depression were age(p<.001, OR=1.146), economic status (p=.004, OR=.123), number of family member living together (p=.013, OR=.020), number of social activities (p=.012, OR=.436), number of disease diagnosed (p<.001, OR=3.847), visual function (p=.023, OR=3.867), family support (p=.048, OR=.707), which accounted for 68.6% of the variance. The results of this study can contribute to develop various convergence strategies to prevent the prevalence of depression of elderly women in rural area. Further studies are needed to confirm the level of contribution of visual disability to depression in rural older women.

• Architectural research
• /
• v.9 no.1
• /
• pp.9-18
• /
• 2007

The objective of this research study was twofold; 1) to explore and identify health supportive design factors in Swedish elderly care homes and 2) to understand their usefulness and suggest implication in Korean elderly care settings. A descriptive and explorative method was applied using a combination of field studies and semi-structured interviews. Three study trips were carried out during Sept. $14^{th}$ and Oct. $12^{th}$ 2005; two facilities situated in Stockholm suburbs and one in the south of Sweden. According to this research, the valuable factors to support health and well-being for the elderly are as follows; 1) Community integration: These elderly care homes are generally places close to a residential area center or a city center. Services are often shared between residents and community members at large, consequently there is a flow of "visitors" of all ages connecting with the facility on a daily basis. 2) Homelike environment: A noteworthy aspect of Swedish elderly care homes is keeping the facility appearance as homelike as possible. The associations with home may be explored through the appearance and configuration of both the exterior and interior of the building. These homes seemed to be designed with a conscious aim to create a homelike setting. 3) Small scale approach: Clustering of resident rooms is one method through which the small scale approach can be achieved in larger facilities. With unit clusters, the facility can foster opportunities for social interactions among resident. 4) Accessibility to garden and nature: The courtyard is a well developed concept in planning elderly care homes in Sweden. They are generally safe and easily accessible to the residents. Studying Swedish models may provide practical knowledge of how the physical setting may improve resident's health in Korean elderly care homes.

• Korean Parent-Child Health Journal
• /
• v.7 no.1
• /
• pp.73-88
• /
• 2004

Purpose: The Purpose of this study was to analyze the trend of research related with unmarried mother. Method: 81 theses about unmarried mother from 1972 to 2003 were analyzed according to the theses' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and theme of qualitative research. Results: 1. The number of studies related with unmarried mother has progressively increased by year from 1972, and that of theses was highest during the period between 2000 to 2003. 2 As for study design, the number of quantitative studies were 73 and that of qualitative studies were 8. The majority of research design were survey and correlational studies. 3. Nursing intervention used in the experimental design were stress management program, eco-system support group, group art treatment, career education program, musical activities, prenatal education. All of experimental design were used in the after 2000. 4. The themes of qualitative studies were childbirth experience, a participatory on the life, mother's keeping a child, experience of pregnancy and delivery, the self-group program, the process and experience of becoming unmarried adolescent mother, needs of single mothers with child and policy of social welfare service, lived experience of hope. All of these were used in the after 1999. Conclusions: The summary of the above results shows a tendency that the study has increased by year. Especially, experimental study proved affirmative effect. However, for the unmarried mother, more experimental and qualitative studies are to be required.

• Korean Parent-Child Health Journal
• /
• v.7 no.1
• /
• pp.61-72
• /
• 2004

This study investigates the history and principles of Korean traditional Taekyo by literary research. Taekyo is compared with prenatal care of modern western medicine, and its principles turn out to be just as scientific. Suggestions are made for a nurse to apply Taekyo principles to nursing care. Traditional Taekyo is an antenatal training which emphasizes how an expectant mother should carry herself (behavior) and a frame of mind she should have (her attitude) in order to produce a child with sound mind and body, as well as good personality. Though Taekyo has been originated in China 2,800 years ago, it has been recorded comprehensively in Korea in a series of publications such as Taekyoshingi, and Kyuhapchongseo, and passed on in a various verbal transitions like Samtaedo, Oliltaedo, etc. Taekyo principles can be explained by yin and yang theory, quantum theory, chaos theory, fetal programming, and social support theory. Some part of Taekyo shares the same scientific ground with prenatal care advocated by modern nursing care for women, where it emphasizes the role of a father, and participation of the whole family in helping an expectant mother. Applying Taekyo principles to nursing care is being done through Taekyo programs, which combine traditional Taekyo with modern prenatal care, in classes for child birth and many pregnant women participate. On the other hand, some internet Taekyo programs appear to be rather distorted and overzealous. A nurse has a responsibility to present a guideline and to monitor internet sites, so that pregnant women can understand the correct concept of traditional Taekyo before they practice it.

• Journal of Auto-vehicle Safety Association
• /
• v.10 no.2
• /
• pp.20-28
• /
• 2018

Currently, sharp increase of car is on the rise as a serious social problem due to loss of lives from car accident and environmental pollution. There is a study on ITS (Intelligent Transportation System) to seek coping measures. As for the commercialization of ITS, we aim for occupancy of world market through ASV (Advanced Safety Vehicle) related system development and international standardization. However, the domestic environment is very insufficient. Core factor technologies of ITS are Adaptive Cruise Control, Lane Keeping Assist System, Forward Collision Warning System, AEB (Autonomous Emergency Braking) system etc. These technologies are applied to cars to support driving of a driver. AEB system is stop the car automatically based on the result decided by the relative speed and distance with obstacle detected through sensor attached on car rather than depending on the driver. The purpose of AEB system is to measure the distance and speed of car and to prevent accident. Thus, AEB will be a system useful for prevention of accident by decreasing car accident along with the development of automobile technology. This study suggests a scenario to suggest a test evaluation method that accords with domestic environment and active response of international standard regarding the test evaluation method of AEB. Also, by setting the goal with function for distance, it suggests theoretic model according to the result. And the study aims to verify the theoretic evaluation standard per proposed scenario using car which is installed with AEB device through field car driving test on test road. It will be useful to utilize the suggested scenario and theoretical model when conducting AEB test evaluation.

• Korean Journal of Childcare and Education
• /
• v.9 no.6
• /
• pp.51-72
• /
• 2013

The purpose of this study was to compare the school readiness between children in low-income families and children in non-low-income families. In particular, it examined the influence of family's income levels child's age and gender upon children's school readiness. The subjects were 184 children that were 4~5 years. The collected data were analysed using t-tests, one-way ANOVA, two-way ANOVA, and Scheffe test. The results showed that the school readiness of children from non-low-income families's was higher than children from low-income families. The school readiness was explained significantly by the interaction effect of children's age and gender. However, there was no difference in children's school readiness according to the participation in Dream Start. The findings suggest that the level of income is the key factor in differences of children's school readiness. Finally, the importance of social support of low-income children and development of effective Dream Start programs was discussed.