• 성인간호학회지
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• 제25권3호
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• pp.263-274
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• 2013

Purpose: Clinical nurses are at high risk of incurring hospital violence during their working life. Hospital violence and its outcomes have an impact on the job satisfaction, the recruitment and retention of nurses as well as the quality of care delivered to patients. The purpose of this study was to identify coping styles toward hospital violence in clinical nurses using Q-methodology. Methods: Q-methodology, which analyzes the subjectivity of each type of attitude, and coping styles was used. The 40 selected Q-statements from each of 35 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the pc-QUANAL program. Results: The results revealed four discrete groups of clinical nurses toward hospital violence: take strong action and promote the recurrence prevention, appear psychosomatic symptoms, investigate the cause and focus on prevention, and request hospital assistance and keep up my duty. Conclusion: The findings indicate that development of nursing intervention program based on the four types could beneficially contribute to the violence prevention in hospital.

• 한국융합학회논문지
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• 제8권10호
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• pp.115-124
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• 2017

본 연구는 여성생식기 암 생존자들의 외상 후 성장과 관련한 영향요인을 파악하고자 시도되었다. 여성생식기 암 환자들 가운데 치료가 성공적으로 종결되고 인터넷 카페 활동을 하는 암 환자 자조모임의 141명을 대상으로 하였으며, 2016년 9월부터 10월까지 외상 후 성장, 질병으로 인한 영향, 대처, 가족응집력 그리고 사회적 지지를 이메일을 이용하여 측정한 후 일원변량분석, 피어슨 상관관계 그리고 다중회귀분석을 실시하였다. 외상 후 성장은 평균 84.13점 이었으며, 나이, 종교, 결혼상태에 따라 유의미한 차이를 보였고, 대처, 가족응집력, 사회적 지지와는 정적 상관관계를 나타냈다. 외상 후 성장에 영향을 미치는 주요 변수는 종교(${\beta}=.127$), 결혼상태(${\beta}=.081$), 대처(${\beta}=.232$) 그리고 가족응집력(${\beta}=.415$)으로 설명력은 44.7%였다. 본 연구는 여성생식기 암 생존자의 외상 후 성장을 위하여 개인의 일반적인 특성에 대한 이해와 사회심리적 요인을 파악할 필요가 있음을 제시하고 있다. 나아가 여성 생식기 암 대상자의 외상 후 성장을 촉진할 수 있는 의료 및 지역사회 기관의 융합적인 접근이 필요함을 시사한다.

• 한국콘텐츠학회논문지
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• 제12권10호
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• pp.254-279
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• 2012

본 연구의 목적은 가정폭력 피해 이주 여성들의 대처과정에 관한 실체이론(Substantive theory)을 개발하여, 그들이 폭력에서 벗어나 자립할 있는 실천적 방안을 제시하는데 있다. 연구문제는 '가정폭력에 대한 결혼이주여성의 대처하는 과정은 어떠한가?' 이다. 본 연구는 근거이론 방법을 적용하였으며, 가정폭력을 경험한 11명의 결혼 이주여성들이 참여하였다. 패러다임 모형 분석 결과, 중심현상은 '심신의 황폐화'로 나타났고, 인과조건은 '고통의 수레바퀴', '속수무책 당하는 폭력'으로 나타났다. 또한 맥락적 조건은 '외로운 성장기', '부조리한 결혼', '냉담한 현실'로 나타났다. 중심현상 '심신의 황폐화'는 중재조건의 영향을 받으면서 작용/상호작용을 하는데, 이때 중재조건은 '사회적 도움', '문화차이', '무력감'이었으며, 작용/상호작용은 '순응하기', '저항하기', '자기보호', '자기강화' 등으로 나타났다. 연구결과, '현실유지하기', '결단하기', '새로운 삶 시작하기'가 도출되었다. 핵심범주로는 '심신의 황폐화를 딛고 다시 일어서기'를 상정하였다. 참여자들의 가정폭력 대처과정은 충격의 단계 ${\rightarrow}$ 인고의 단계 ${\rightarrow}$ 회한의 단계 ${\rightarrow}$ 재기의 단계이며, 참여자들의 대처유형은 "현실지탱형","회귀형","미래모색형" 등 세 가지로 구분되었다.

• 대한간호학회지
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• 제47권2호
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• pp.143-163
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• 2017

Purpose: This study was a systematic review and meta-analysis designed to investigate effects of psychoeducational intervention for cancer survivors. Methods: Ten databases were searched. Two reviewers independently performed the selection of the studies, data extraction and assessment. The risk of bias was assessed using Cochrane Collaboration's tool. To estimate the effect size, meta-analysis of the studies was performed using Comprehensive Meta-Analysis and RevMan programs. Results: Of 18,781 publications identified, 35 met inclusion criteria, and 25 studies were used to estimate effect size of psychoeducational intervention. Effect sizes (standardized mean difference [SMD]) were heterogeneous and random effects models were used in the analyses. Psychoeducational intervention was effective for quality of life (n=2,410, ES=0.23; 95% CI: 0.09~0.37), coping and self-efficacy (n=179, ES=0.68; 95% CI: 0.26~1.11), anxiety (n=1,786, ES=-0.26; 95% CI: -0.37~-0.15), depression (n=1,910, ES=-0.28; 95% CI: -0.37~-0.18), and psychological distress (n=2,242, ES=-0.31; 95% CI: -0.46~-0.17). Subgroup analysis showed that counseling was the most effective intervention for quality of life, and behavioral therapy was an effective intervention for all positive and negative outcomes. Publication bias was not detected except for psychological distress. Conclusion: Psychoeducational intervention appears to be effective in improving quality of life and coping and self-efficacy, and it is effective in reducing psychological symptoms in cancer survivors. Behavioral therapy, especially, is commonly effective in improving psychosocial outcomes. However, low-quality evidence, variability in the designs of existing studies, and publication bias suggest that additional high-quality trials should be conducted in the future.

• Perspectives in Nursing Science
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• 제15권1호
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• pp.29-40
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• 2018

Purpose: The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs. Methods: We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected. Results: Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation. Conclusion: CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

• 정신신체의학
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• 제10권2호
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• pp.101-109
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• 2002

연구목적: 통증환자의 인지적 특정은 통증에 대한 지각이나 치료에 대한 반응에서 중요한 역할을 한다. 지각된 통제소재와 같은 인지적 특정이 통증환자의 정서장애나 대처방식과 어떤 관련이 있는지 알아보고자 하였다. 방법: 통증클리닉을 내원하여 치료를 받고 있는 환자 96명을 대상으로 지각된 통제소재를 알아보는 질문지와 미네소타 다면적 인성검사 (MMPI), 대처방식질문지, 주관적으로 통증의 정도와 시간, 괴로움정도, 통제정도를 평정하도록 하여 이 자료를 토대로 분석하였다. 결과: 자료분석결과 환자가 지각하는 통제소재가 내부에 있다고 믿을수록 통증에 대한 통제감이나 통증을 감소시키려는 노력을 했을 때 감소정도가 높은 것으로 보고하였다. 반면 외부통제감이나 우연에 의한 통제감이 높을수록 지각된 통증정도나 통증경험시간, 일상생활 장애정도가 높았다. 또한 내부통제감은 MMPI척도중 자아방어관련척도와 유의한 정적상관을 보였으며, 우울, 불안, 정서억압과 같은 척도와는 부적상관을 보였다. 대처방식 중에서 자기진술 및 감각의 재해석과 같은 방식은 내부통제감를 유의한 정도로 설명하였고 외부통제감과 우연에 의한 통제는 재앙화에 의한 설명변량이 유의한 수준에 이르렀다. 결론: 통증은 비록 신체적 장애이지만 주관적 통증지각이나 일상생활기능정도, 정서적 어려움에는 지각된 통제감과 같은 인지적 요인이 영향을 미친다. 따라서 환자가 통증에 효율적으로 대처하도록 하기 위해서는 내부통제감을 증가시키고 보다 효율적인 대처방식을 사용하도록 인지들 수정해수는 것이 필요하다.

• 임상간호연구
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• 제22권3호
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• pp.359-367
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• 2016

Purpose: The purpose of this study was to examine the effects of physical, psychological, and social factors on the health status of patients undergoing hemodialysis using longitudinal data. Methods: Two surveys were conducted within a period of two-year. A total of 75 patients participated in both surveys. Eight variables including symptoms, treatment belief, hope, meaning-focused coping, family support, friend/peer support, healthcare provider support, and health status were measured. Data were analyzed by paired t-test, Pearson's correlation coefficients, and hierarchical multiple regressions. Results: The mean age of the participants was 47.31 and the average duration of dialysis was 8.27 years. There was no difference in scores on perceived health status between the two year-interval surveys. The two-year follow-up on perceived health status was correlated with baseline perceived health status, friend/peer support, meaning-focused coping, hope, and symptoms. As the result of the regression analysis, friends/peer support (${\beta}=.31$, p=.013) and baseline perceived health status (${\beta}=.30$, p=.020) were found to be significant predictors of subsequent health status which explained 39.0% of the variance. Conclusion: This study suggests the importance of psychosocial resources for positive health outcomes in patients with a chronic illness. Nursing interventions aimed to provide renal peer support need to be developed and tested.

• International Journal of Advanced Culture Technology
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• 제10권3호
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• pp.164-173
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• 2022

This study aimed to explore the themes and parameters of environmental health behaviors based on Rogers' protection motivation theory through a systematic mapping review. Using a systematic approach, a literature review was conducted of articles that adopted Rogers' protection motivation theory. A total of 11 articles on protection motivation theory using participants and environmental health as outcomes were identified in a search of CINAHL, Cochrane Library, EMBASE, Eric, PsycARTICLES, PubMed, and RISS between September 1 and September 8, 2021. Themes related to the environment and personal behaviors between 2002 and 2021 were extracted. The parameters based on protection motivation theory were identified through systematic mapping as fear appraisal, rewards of maladaptive response, severity, vulnerability, costs of adaptive response, response efficacy, self-efficacy, and intention. Self-efficacy and response efficacy considerably affected environmental health behaviors. Emotional fear appeal related to environmental hazards motivates an internal process that alters the threat appraisal and their coping appraisal. Environmental behavior perception and intention influenced on environmental health behaviors with small effect sizes. Therefore, a deeper understanding of the severity of environmental health issues could lead to the development of helpful, effective, and intensive interventions to promote healthcare among the vulnerable population.

• 한국보건간호학회지
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• 제28권2호
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• pp.347-358
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• 2014

Purpose: The purpose of this study was to identify the factors influencing suicidal ideation in male baby boomers. Methods: This was a descriptive survey study. Data were collected from December, 2012 to June, 2013 from 194 participants. The instruments used included a suicidal ideation questionnaire, somatic symptoms scale, spiritual well-being scale, communication with spouse scale, and social support scale. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: Suicidal ideation was influenced by learning needs on psychological coping, somatic symptoms, existential spiritual well-being, and communication with spouse. Somatic symptoms (${\beta}$=.39, p<.001), existential spiritual well-being (${\beta}$=-.20, p=.009), learning needs on psychological coping (${\beta}$=.16, p=.008), and communication with spouse (${\beta}$=-.15, p=.031) accounted for 37% regarding suicidal ideation in male baby boomers. Conclusion: We found an association of lower levels of existential spiritual well-being and communication with spouse, higher suicidal ideation. Higher suicidal ideation was also observed in people who had no learning needs on psychological coping compared with those who had. Based on the outcomes of this study, design of an intervention program that emphasizes existential spiritual well-being and communication with spouse is necessary in order to decrease suicidal ideation in male baby boomers.

• Safety and Health at Work
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• 제9권4호
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• pp.381-387
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• 2018

Background: Physician behaviors that undermine a culture of safety have gained increasing attention as health-care organizations strive to create a culture of safety and reduce medical errors. We developed, implemented, and assessed a course to teach physicians skills regarding effective coping and interpersonal communication skills and present our results regarding outcomes. Methods: We examined a professional development program specifically designed to address unprofessional or distressed behaviors of physicians, and we evaluated the impact on burnout, quality of life, and emotional flooding scores of the physicians. Assessments of burnout, quality of life, and emotional flooding were assessed preintervention and postintervention. Results: Results demonstrated statistically significant reductions over time in physicians' emotional flooding and emotional exhaustion (EE). Specifically, using a Wilcoxon Signed-Rank test, results revealed that flooding scores at follow-up were statistically significantly lower than at baseline, V = 590, p < 0.05, and EE and personal accomplishment distributions were found to significantly deviate from normal as indicated by Shapiroe-Wilks tests (p < 0.05). A Wilcoxon signed-rank test indicated that EE scores were significantly higher at baseline compared to follow-up 1, V = 285, p < 0.05. Conclusion: We conclude that the physician participants who enrolled in the educational skills training program improved scores on emotional flooding and EE and that this may be indicative of improved skills related to their experiences and learning in the program. These improved skills in physicians may have a positive impact on the overall culture of safety in the health system setting.