• 간호행정학회지
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• 제4권2호
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• pp.405-418
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• 1998

The purpose of this study was to describe patients satisfaction with nursing care in the emergency department and factors influencing satisfaction rates. 1. The mean score of patient satisfaction with nursing care in the emergency departments was 2.70. The mean scores of patient satisfaction with different aspects of nursing care services were 3.05 for nursing services for psychological safety: 2.67 for technical competence: 2.49 for information giving: and 1.35 for discharge teaching. 2. Patient satisfaction with nursing care services provided. according to the general characteristics of the patients. was revealed as being significantly high for the groups of patients made up of those who were male. those over 51years of age. married subjects. those with an education level of high school or below level. housewives. Buddhists. and those in the middle economic level. Patient satisfaction with nursing care according to their service utilization in the emergency departments revealed that satisfaction was significantly high for patients who were in internal medicine. neurology or psychiatry. those admitted for the first time. those for whom the distance from the department to home was less than 30 minutes. patients who visited between monday and Friday and between 8AM and 4PM. patients who did not have to wait to be seen and those who stayed in the department less than 24 hours. 3. The correlation between the patients' general characteristics. nursing service utilization of the patients in the department and their satisfaction with nursing care showed that patients with longer waiting time had lower satisfactory scores for nursing service. 4. The registered nurses working in the emergency department reported that the main reasons for low satisfaction rates included 'over worked nurses' and 'too many patients' in the emergency department. In conclusion. the results of this study suggest the necessity of developing relevant nursing interventions for discharge teaching to increase patient satisfaction with nursing care services in emergency departments: and the need for adequate support from hospital administrators to improve patients' service utilization.

• 가정∙방문간호학회지
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• 제26권1호
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• pp.27-35
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• 2019

Purpose: This study investigated sleep satisfaction and influencing factors in Korean adolescents with atopic dermatitis. Methods: Data were obtained from 4,570 subjects who completed the 2017 13th Korea Youth Risk Behavior Web-based Survey. For data analysis, descriptive statistics and multiple-sample logistic regression were used. Results: The results of this study were as follows. Gender, academic achievement, economic status, perceived stress, happiness, health status, and depression in the subjects showed a significant difference in terms of sleep satisfaction in atopic adolescents. Multiple-sample logistic regression analysis showed that male adolescents (odds ratio (OR)=0.48), academic achievement (low OR=0.67, middle OR=0.78), economic status (low OR=0.50, middle OR=0.64), lack of depression (OR=0.63), perceived stress (very OR=4.65, a little OR=2.25), perceived happiness (unhappy OR=1.99, moderate OR=1.22), perceived health status (unhealthy OR=2.17, ordinary OR=1.35), alcohol nondrinking (OR=0.75), and nonsmoking (OR=0.73) were not associated with sleep satisfaction. Conclusion: It is necessary to develop interventions that can relieve stress management and depression and develop positive emotions in atopic adolescents. In addition, there is a need to improve the environment to avoid health risks such as alcohol consumption and smoking and to minimize the effects of passive smoking.

• 가정∙방문간호학회지
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• 제29권2호
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• pp.194-203
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• 2022

Purpose: This study investigated the factors influencing the risk of relapse in community-dwelling adults with alcohol use disorder. Methods: This study included 122 community-dwelling individuals with alcohol use disorder who were receiving outpatient treatment at a mental health treatment hospital or were enrolled in a treatment program at the Community Addition Management Center in Gyeonggi Province. Data were collected using self-administered questionnaires from July to August 2020. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 25.0. Results: Abstinence self-efficacy (𝛽=-.56, p<.001), social support (𝛽=-.35, p=.009), female sex (𝛽=11.29, p=.015), and a family history of alcoholism (𝛽=9.41, p=.026) were significant predictors of relapse risk, accounting for 56% of the variance (F=12.68, p<.001). Conclusion: The findings of this study suggest that abstinence self-efficacy and social support are pivotal in reducing risk of relapse in individuals with alcohol use disorder. Therefore, relevant and effective interventions focusing on enhancing abstinence self-efficacy and social support are required.

• 가정∙방문간호학회지
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• 제31권2호
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• pp.156-165
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• 2024

Purpose: This study aimed to identify the factors influencing job satisfaction among peer support workers who assist individuals with mental disorders. Methods: A descriptive cross-sectional study design was used. The participants included 134 peer support workers who were active in the community. Data were collected using self-administered questionnaires between April 22 and June 5, 2024. Data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 26.0. Results: The results indicated that psychological empowerment (β=.62; p<.001) and perceived stigma (β=-.17; p=.011) were significant influencing factors influencing job satisfaction. The regression model accounted for 53.6% of the variance in job satisfaction (F=52.17; p<.001). Conclusion: The findings of this study suggest that psychological empowerment and perceived stigma are important determinants of job satisfaction among peer support workers for individuals with mental illness. Therefore, interventions that enhance psychological empowerment and reduce perceived stigma are essential to improving job satisfaction for these peer support workers.

• 한국노년학
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• 제25권2호
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• pp.127-141
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• 2005

치매노인을 부양하는 배우자와 성인자녀가 접하는 어려움이 다름에도 불구하고, 선행 연구들은 이들을 한 집단으로 묶어 요양시설로의 입소에 미치는 요소를 분석하였다. 미국 뉴저지(New Jersey)와 오하이오(Ohio)주에 거주하는 치매 노인 부양자 456명을 대상으로 사건사 분석(Event History Analysis)을 실시한 결과, 배우자 부양자가 성인자녀 부양자에 비해 치매노인을 더 빨리 요양시설로 보내는 경향을 보여주었다. 치매노인의 연령과 역할 구속감(Role Captivity)은 두 집단 모두에게 유의미한 변수였는데, 치매노인의 연령과 부양자의 역할 구속감(Role Captivity)이 높을수록 요양시설로의 입소가 빨라지는 경향을 보였다. 교육수준과 소득은 성인자녀 부양자에게만 유의미한 변수로, 교육수준이 높을수록 시설로의 입소가 지연되었던 반면, 소득이 높을수록 시설로의 입소는 빨라지는 경향을 보였다. 한편 탁노소(Adult Day Care) 이용과 피부양자의 문제행동(Behavioral Problems)은 배우자 부양자에게만 유의미한 변수였으며, 탁노소를 이용할 경우와 피부양자의 문제행동이 증가할수록 요양시설로의 입소가 빨라지는 경향을 보였다.

• 가정∙방문간호학회지
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• 제24권3호
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• pp.255-263
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• 2017

Purpose: This study was conducted to assess the incidence and characteristics of pressure ulcer in relation to the type of equipment and supplies(EnS) in intensive care unit(ICU). Method: By using secondary data analysis and descriptive investigation, 29 patients of pressure ulcers caused by EnS were examined from January 2013 to December 2015, at the advanced general hospital located in Gyeongsangnam-do. The subjects were aged 19 years and above and had been in the ICU for more than 3 days. The data were analyzed using the SPSS WIN 23.0 with frequency, percentage, and mean and standard deviation. Result: The incidence of EnS-related pressure ulcers was 3.71%. The EnS-related causes for pressure ulcers were endotracheal tube(31.03%), restraint(20.69%), and neck brace(10.34%). The longest use of EnS was oxygen tube(29 days). EnS that were possibly causing pressure ulcer for one day were restraint(upper extremities), endotracheal tube(oral and face), and oxygen mask(ear and nose). Conclusion: This study has been limited to secondary data analysis that may result in missing records of pressure ulcers related to EnS in ICU. However, the analysis of this research is expected to contribute to the development of nursing interventions to clarify the guidelines for the prevention of pressure ulcers related to EnS in ICUs.

• Perspectives in Nursing Science
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• 제8권1호
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• pp.32-41
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• 2011

Purpose: This study sought to determine the possibility of developing the data-sharing infrastructure of an integrated information system to improve the quality of home and visit-based healthcare services. Methods: The articles of study here were the forms used by a visiting healthcare agency, a home healthcare system of a home healthcare agency, and those used in long-term care insurance for elderly. We visited a visit-based healthcare agency and a home healthcare agency to survey their forms and interviewed relevant practitioners, and we searched for forms associated with long-term care insurance for the elderly on the Internet. We then organized the terms in each form and mapped them among the form after analyzing the concepts as a whole to inquiry into the possibility of integration. Results: The mapping procedure divided the terms into those related to personal information, problems and interventions. Mapping between the standard system (Omaha system) and the type of form was also done. Conclusion: In this study, we found that programs were configured differently depending on the objectives of the service. It is necessary to develop the program with an integrated information system by comparing the three services in terms of their distinct advantages, after which such a service should be utilized. The results of this study can serve as a database for the creation of a new integrated system.

• 가정∙방문간호학회지
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• 제28권3호
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• pp.266-275
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• 2021

Purpose: This study was conducted to explore the mediating effect of menopausal symptoms in the relationship between occupational stress and quality of Life in middle-aged working women Method: Data collection was conducted from May 2019 to July 2019. A sample of 130 middle-aged working women was recruited from three cities in Korea. The collected data were analyzed using descriptive statistics, t-tset, ANOVA, Scheffé test, pearson correlation, and a three step regression analysis. The mediating effect was analyzed using PROCESS macro with a 95.0% bias corrected bootstrap confidence interval (5,000 bootstraps resampling). Results: Quality of life had a negative correlation with occupational stress and menopausal symptoms, while there was a positive correlation between occupational stress and menopausal symptoms. Menopausal symptoms showed a direct effect on quality of life through occupational stress as a mediating variable. Conclusion: These results suggest that menopausal symptoms should be considered when developing interventions to improve quality of life through occupational stress control of middle-aged working women

• 가정∙방문간호학회지
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• 제27권3호
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• pp.284-293
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• 2020

Purpose: Based on Anderson's model of health service utilization, we investigated the factors that affect the influenza vaccination status in Korean adults aged 50-64 years, who live alone. Methods: Data of 194 Korean adults aged 50-64 years, who live alone were obtained from the Korea National Health and Nutrition Examination Survey 7th Edition (2016-2018). Descriptive statistics and a multiple logistic regression model were used for statistical analysis. Results: The influenza vaccination rate in the study population was 39.3%. Educational status and health behaviors such as smoking habits and regular medical check-up were associated with the influenza vaccination rate in Korean adults aged 50-64 years, who live alone. Multiple logistic regression analysis showed that educational level lower than middle school graduation (odds ratio [OR] 2.02), non-smoking status (OR 1.98), and lack of regular medical check-up (OR 0.62) were significantly associated with the influenza vaccination rate in Korean adults aged 50-64 years, who live alone. Conclusion: The influenza vaccination rate in Korean adults aged 50-64 years, who live alone, is relatively low; therefore, policies should be implemented to improve the influenza vaccination rate in this population. Influenza vaccination in single households was affected by health promotion activities; therefore, interventions are warranted to encourage overall health promotion activities.

• 가정∙방문간호학회지
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• 제22권2호
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• pp.206-215
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• 2015

Purpose: This study aimed to provide basic data to enhance self-nursing ability by investigating the symptoms of autonomic neuropathy and self-management activities in patients with diabetes accompanying hypertension. Methods: Subjects were 113 type-2 diabetic patients who were diagnosed as hypertensive in two primary medical institutions and taking anti-hypertensive treatments. The existence of postural hypotension was evaluated by blood pressure and pulse rate, and the subjective symptoms of autonomic neuropathy and self-management activities were checked by structured questionnaires. The collected data were analyzed by chi-square test, Fisher's exact test, t-test, Wilcoxon rank sum test and analysis of covariance. Results: Postural hypotension occurred in 4.4% of the subjects. Urinary frequency and dizziness during postural changes were the most frequent symptoms of autonomic neuropathy, and 57.5% of the subjects complained of symptoms in two or more domains. The group with autonomic neuropathy symptoms showed higher age, higher living stress, and fewer self-management activities in the diet and foot management domains as compared to the group without autonomic neuropathy symptoms. Conclusion: From these results, we learned that strengthening education on self-management for diet and foot management and customized interventions considering age and living stress are required through early identification of the symptoms of autonomic neuropathy in patients with diabetes accompanying hypertension.