• 한국학교ㆍ지역보건교육학회지
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• 제15권2호
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• pp.63-76
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• 2014

Objectives: The purpose of this study was to explore the effects of 'affirmative language' experiment upon freshmen nursing students' negative affect, self-efficacy and stress coping style. Methods: A nonequivalent control quasi-experiment was conducted on the subjects of 55 freshmen nursing students for 26(experimental group) and 29(control group). Data were analyzed using x2-test and t-test for participants' homogeneity test and conducted content analysis of process diary record and personal impressions. Results: As for negative affect, in case of the experimental group, depression(t=-2.384, p=.022) and anxiety(t=-2.243, p=.025) were significantly low with no difference for the control group. As for self-efficacy, both experimental and control groups showed significance and as for stress coping style, the control group used sub-categorized strategies better than the experimental group. There were 4 topics and subsequent 15 topics derived from the content analysis. 'Affirmative language' experiment showed alleviation of depression and anxiety helpful for study participants in self-reporting measurement, and helpful for stress self-management competence. Conclusion: It is necessary to connect the curriculum operation with interest of competence and practice of students stress self-management through the participating experiment experience.

• 한국학교ㆍ지역보건교육학회지
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• 제14권2호
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• pp.75-83
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• 2013

Objective: The purpose of this study was to obtain the basic data for the establishment of the curriculum from the analysis of knowledge about hepatitis B among dental hygiene students. Methods: Data was collected from the students of two colleges majoring in dental hygiene in Daegu, using questionnaire. They were the students of the 1st, 2nd, and 3 grade, in total 390 student. The analysis was made using t-test, (one-way ANOVA), and multiple linear regression analysis. These were conducted using spss 14.0 version Results: Hepatitis B in the theoretical knowledge 'yes' if the answer 'When one of the family member is contaminated with Hepatitis the other members have to take the physical examination and vaccination against Hepatitis' to 86.7 % was the highest. The educational experience(p<0.01) and hepatitis B vaccination(p<0.001) of the mean difference between the groups investigated were statistically significant. Third grade, the higher the knowledge of hepatitis B was found to be lower relationship showed a statistically significant negative(p<0.05), clinical experience, the more experience, the more hepatitis B vaccinations were higher statistical knowledge relationship showed a significant positive(p<0.01). Conclusion: Currently dental hygiene curriculum is offered as a regular dental infection control subject, but more specific and systematic infection prevention subjects are required through continuing education program. In addition, for the admission of the students majoring in dental hygiene hepatitis B vaccination plan should be mandatory.

• 대한간호학회지
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• 제36권2호
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• pp.403-414
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• 2006

Purpose: The purpose of this study was to investigate the effects of constraint-induced (CI) movement using self-efficacy on U/E function of chronic hemiplegic patients. CI movement discourages the use of the unaffected U/E, combined with intensive training of the affected U/E. Method: A non-equivalent pretest-posttest design was used. Study subjects were 40 hemiplegic patients conveniently selected from 2 different community health centers. The experimental subjects participated in the CI movement program for 6 hours daily over a period of two weeks. The exercises for affected U/E consisted of warming up, main exercise and ADL practice. To encourage the participants' behaviors self-efficacy enhancing strategies were used, which included performance accomplishment, vicarious experience, verbal persuasion and emotional arousal. Result: After 2 weeks of treatment, the grip power, pinch power, wrist flexion/extension, elbow flexion, and shoulder flexion/extension were significantly higher in the experimental subjects than in the control subjects. However, there was no significant difference in hand functions of the two groups. Conclusion: The above results show that the constraint-induced movement using self-efficacy could be an effective nursing intervention for improving U/E function of chronic hemiplegic patients. Long term studies are needed to determine the lasting effects of constraint-induced movement.

• 가정∙방문간호학회지
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• 제22권1호
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• pp.22-37
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• 2015

Purpose: This study aimed to compare the health service delivery level and educational needs by work experiences and types of public health center among the nurses who work as visiting health services workers at public health centers. Methods: Data collected from 484 nursing staff for 2 weeks, was analyzed using the SPSS program t-test, ANOVA, and Spearman Rank-Order Correlation. Nurses with more than 2 years experience were 79.1%; and 43.6% of the subjects worked within Gun type public health centers. Results: The health service performance frequency of metropolitan city type public health centers was significantly high in the areas of education, behavior pattern, chronic disease, pregnant women & infants, and multi-cultural family. The health service performance frequency of Gun type public health centers was significantly high in the areas of type of test, fundamental nursing, and basic rehabilitation. In addition, the correlation between the performance frequency and educational needs was positively correlated, and the subjects with greater educational needs performed more. Conclusion: Educational programs should be designed according to the types of public health centers rather than work experiences, especially in systematic training for frequently performed items after reviewing the practice precisely.

• 지역사회간호학회지
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• 제15권1호
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• pp.155-164
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• 2004

Purpose: The purpose of this study was to identify factors affecting early detection behaviors of breast cancer such as breast self examination(BSE), breast physical examination, mammography. Method: The subjects were 141 women on an island and materials were collected through an organized questionnaire from March, to August 2002. The data were analyzed by using descriptive statistics, $x^2$ and logistic analysis by SAS program. Results: 52.7% of the subjects performed breast self examination, 67.2% did breast physical examination and 67.7% did mammography. That is, about 60% of the subjects performed early detection behavior to find the breast cancer. Practice of breast self examination was significantly correlated with experience of physician examination and mammography. The most significant factor on BSE was a normal salted diet, and the most significant factor on physical examination and mammography was the high education level of subjects. Conclusions: According to the results of this study, it suggests that intensive education and information strategies for breast cancer early detection need to be developed. In particular, early detection programs for lower educated women should be activated.

• 지역사회간호학회지
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• 제14권2호
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• pp.351-361
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• 2003

Purpose: The purposes of this study were to understand the types of coping strategies that family caregivers experience during the process of caring demented elderly: to grasp the coping strategies used for resolving this problem: and to develop a substantive theory by analyzing the coping types of the family caregivers of demented elderly. Method: The methodology of data collection and analysis used in this study was grounded theory proposed by Strauss and Corbin (1990). The data was collected through in-depth interviews with participants using open-ended and descriptive questions about their coping experiences. All data were were audio-taped and transcribed. The data were collected from February, 2000 to February, 2001. The participants of this study were 17 women. Results: Caregiver's coping types varied according to 'family's support', 'the condition of caregiver's health', 'the relationship with dementia elderly', 'family perception of dementia', 'fixed idea of traditional female role' and 'economic state'. In this study, five types of coping strategies were emerged: active role allotment tyle, meaning grant tyle, devotion tyle, duty defense type, and pessimism type. Among these, those who belong to the types of active role allotment, meaning grant, and devotion, including caregiver's good health were found to adapt themselves to caregiver roles. Conclusion: The results of this study may be helpful for developing effective and individualized nursing strategies suitable for individual caregivers coping types. It is suggested to practice nursing mediation and to analyze the changes in nursing effect and family members' adaptation based on coping types of the well-adapted caregivers as we as on their affirmative coping strategy.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.662-672
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• 2016

본 연구의 목적은 간호 대학생을 대상으로 표준화환자를 활용한 통합시뮬레이션실습프로그램을 개발 및 적용하여 그 효과를 평가하기 위함이다. 본 연구는 일 종합대학 간호학과 4학년 30명을 대상으로 한 단일군 사전사후설계로 지역사회에 거주하는 당뇨를 동반한 만성알코올중독대상자 간호를 위한 시나리오를 개발하였다. 연구결과 통합시뮬레이션실습프로그램 후 의사소통 능력은 프로그램 실시 전보다 유의하게 향상하였으나(t=4.24, p<.001) 전이동기와 학습 자기효능감은 프로그램 전과 후를 비교하였을 때 통계적으로 유의한 향상을 나타내지 못하였다. 또한 의사소통능력과 학습자기효능감, 의사소통능력과 전이동기 사이의 상관관계는 유의하지 않았으나, 학습효능감과 전이동기 사이에는 양적 상관관계가 측정되었다(r=.758, p<.01). 이는 학생들의 학년과 실습경험을 바탕으로 한 적절한 사례를 개발하여 적용함으로서 전이동기를 높이고 문제해결을 통한 학습자기효능감을 증가시키는 것을 알 수 있었다. 본 연구를 통해 표준화환자를 활용한 시뮬레이션학습은 의사소통 능력과 같은 대상자중심의 간호능력을 향상시킬 수 있는 통합실습프로그램으로서 유용함을 확인하였으며, 향후 의사소통능력 뿐 아니라 학습 자기효능감과 전이동기의 향상을 위한 다양한 통합시뮬레이션학습 시나리오개발에 관한 연구가 필요하다.

• 치위생과학회지
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• 제21권4호
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• pp.267-274
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• 2021

Background: Although the orofacial-function improvement exercise (OFIE; oral exercise) was first introduced in Korea 10 years prior, it is still not covered by medical insurance, and no detailed survey on the dissemination of related programs has been conducted. Therefore, this study investigated the actual status of the education and practice of OFIE among the elderly and at elderly welfare institutions in the Seoul and Gyeonggi Provinces. Methods: Senior citizens aged more than 65 years old, public health centers (total of 69) and elderly welfare institutions (including nursing homes and elderly welfare centers, total of 56) per administrative area in the Seoul and Gyeonggi Provinces were targeted. We analyzed 200 elderly people and 93 institutions who agreed to participate in the survey. For the elderly, general characteristics, experience and route, current practice, and necessity regarding OFIE were investigated. For institutions, the history and plan of education programs on OFIE were investigated. Results: Regardless of the general characteristics, both the rate of experience and practice for OFIE were low overall; moreover, although they felt it was necessary, they had insufficient motivation for its implementation. Moreover, only a few institutions which were operating the education about OFIE regardless of the COVID-19 situation. Conclusion: Although OFIE is necessary for the elderly, its distribution remains insufficient. Therefore, further efforts are needed to expand the education and raise the awareness of oral exercise among elderly individuals and senior welfare institutions.

• 대한간호학회지
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• 제5권1호
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• pp.17-30
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• 1975

The concept and definition of nursing and her role have been changing in accordance with the socio-cultural factors of the initial society. At present, nursing is conceptualized as a health care profession assisting man to restore, maintain and promote health by providing knowledge, wilt strength and resources through various processes of interaction. Man′s behavior, of individual and group activities for health inclusive, is driven by the initial man′s value orientation. The purpose of this study is to investigate the value orientation regarding health of rural health center milieu in order to give data for; 1. the planning for the delivery of community nursing service, 2. the health education plan at all level of nursing care activities, and 3. the planning of curriculum for nursing education. A hundred opinion leaders among the labor population residing in rural areas (P-group), hundred and six professional nurses at rural health centers (N-group) were indirectly interviewed through questionaries. And ninety five of N-group were interviewed likewise of their perceptions of P-group (NP-group) from July 15, to October 15, 1974. The result is as follows: 1. Maintenance of health is revealed to be the most valued component for man′s happiness in all the three groups. (P-group: 7.30 S. D.=1.31), (N-group :7.84 S. D. =49), and (NP-group : 5.93 S. D. =2.28) 2. The average value score of the maintenance of health revealed significant difference by P〈.001 level between each of the three groups. (Between N-group and P-group : T= -4.07 P and NP ; T=-6.93, N and NP: T=-9.35) 3. Basic health maintenance activities necessary for maintenance and promotion of personal health were moderately valued by all the three groups, P-group ; 3.74 (S. D. =.43) , N-group: 3.52 (S. D. =.34), NP-group: 3.07 (S. D. :.55) Among the 8 categories of basic health maintenance activities, "food intake" was highly valued by P-group (mean value score; 4.00 S. D=.51) , "exercise and rest" and "personal cleanliness" was highly valued by both P-group (4.02, 4.08) and N-group (4.08, 4.22). 4. The mean value score of basic health maintenance activities revealed significant difference by P〈.001 level between each of the three groups (between P-group and N-group: T=-4, 07, N-and NP: T=-6.93, P and NP T=-9.35) 5. Among the 30 questionaries, dynamic activities for health maintenance were more valued in comparison to passive activities in an tile three groups. 6. In N-group, correlation between the value of basic health maintenance activities and the personal health status personal revealed moderate significance. Correlation between the value of basic health maintenance activities and the age revealed low significance. 7. In group, correlation between the value of basic health maintenance activities and; perception of personal health status revealed non significance, between the age and sex revealed low sign affiance, and between the educational status revealed moderate significance. Recommendations are as follows ; 1. The efforts towards alteration of value orientation concerning health in general in community nursing practice de focussed be that of family Planning. 2. In order to prepare professional nurses competent in understanding individual and group, social science and behavioral science be strength ended in planning nursing curriculum. 3. Milieu of nursing experience during nursing education be Planned to begin at simple nursing problem and move towards complex, f. e. home care towards health crisis situation in order to achieve dynamic role mastery.

• 대한간호학회지
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• 제29권4호
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• pp.929-939
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• 1999

The purpose of this study was to identify knowledge of universal precautions and its performance in practice. The research was conducted from November 2 to 30, 1998. A total 515 student nurses ; 249 from a baccalaureate nursing college and 266 from second and third year of a 3-year community nursing college were surveyed. The results are as following : 1. The average score for universal precautions knowledge was 270.41$\pm$19.43/300(range 150-300). The results showed that 99.2% of students avoid injury from used needles, 98.6% answered that they always wash their hands if they had contact with the patient's blood and they always dispose of used needles in special collectors (97.7%) for needles. But, 39.2% responsed that they dispose of used needles after recapping them. 2. The average score for universal precautions knowledge of the senior students in the 4-year college was the highest (277.65$\pm$13.99). 3. The average score for the performance of universal precautions knowledge was 53.18 $\pm$5.91(range 14-70). The items : ‘I cautiously avoid injury from the used needles’(4.92$\pm$0.33), ‘I always wash my hands if there has been contact with the patient's blood’(4.91$\pm$0.34), and ‘I always disposed of used needles in the appropriate collector’(4.89$\pm$0.42) showed the highest performance. However ‘I always dispose of used needles after recapping them’(2.19$\pm$1.39) and ‘I always use protection goggles when in danger of contamination’(2.19$\pm$1.20) showed low performance level. 4. The highest average score for universal precautions performance was shown among the second year students in 3-year nursing college (54.19$\pm$6.92) between the groups. It showed that the level of the universal precautions performance was higher for those who had education on university precautions prior to performance of the universal precautions than for those without any prior education. 5. The percentage of students who reported the experience of direct contact with patients' blood and/or body fluids was 42.30%. The experience of direct contact with blood and/or body fluids of the educational group was significantly higher than those were not educated. 6. The most frequent cause of the direct contact was ‘needle pricking and/or skin cut’(63.04%). The most frequent substance with which the students contact was ‘blood’(59.85%). The majority of the sample had answered that the mode of contamination was ‘unknown’(63.54%). The majority of the sample answered that strategies used after contamination included ‘washing with soap’(33.61%). Reviewing the chart of patients or asking other health professionals(28.85%). 7. The number of students who had the experience of a needle stick and/or skin cut was 145(28.16%). The clinical practice places where the incidents occurred were mainly in the internal medicine unit (45.07%) and the surgical unit (31.92%) followed by the intensive care unit and the emergency unit in order. The experience of a needle stick and/or skin cut happened during on intra-muscular injection 47.34% and intravenous injection 21.81%. The causes of the needle stick and/or skin cut were ‘putting the needle cap back on 77(35.81%)’. The number of students who took an appropriate post management blood test and/or vaccination was 27(18.62%). 8. The Pearson Correlation Coefficient between the knowledge of universal precautions and performance of universal precautions in practice showed a positive correlation.