• 한국콘텐츠학회논문지
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• 제17권3호
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• pp.596-608
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• 2017

본 연구는 정신장애인들의 강점을 측정할 수 있는 한국형 강점척도-정신장애인용을 개발하기 위한 목적에서 시도되었다. 척도개발을 위해서 첫째, 문헌연구와 정신장애인들을 대상으로 한 3회의 포커스그룹면접을 통해서 예비문항을 구성하였다. 둘째, 2명의 정신보건사회복지 교수와 2명의 현장실무자들의 검토를 거쳐 예비문항의 내용타당도를 확보하였으며 최종예비문항을 선정하였다. 셋째, 전국의 사회복귀시설을 이용하고 있는 정신장애인을 대상으로 최종예비문항의 설문조사를 시행하였는데, 650부의 설문지를 배포하였고 552개를 회수하였으며 이 중 478부를 최종통계분석에 활용하였다. 탐색적 요인분석 결과, 7개의 요인구조를 확인하였으며 요인 1은 직업, 요인 2는 가족․사회적 지지, 요인 3은 낙관성, 요인 4는 자원활용, 요인 5는 대처행동, 요인 6은 여가, 요인 7은 건강으로 선정되었다. 넷째, 탐색적 요인분석의 결과를 바탕으로 확인적 요인분석을 실시한 결과, 모델의 적합도도 적절한 것으로 나타났다. 본 연구의 결과를 바탕으로 최종 40문항의 한국형 강점척도-정신장애인 용을 개발하였으며, 본 척도의 국내 정신보건사회복지이론 및 실천적 함의를 제시하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제12권1호
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• pp.115-124
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• 2001

연구목적：본 연구는 일과성 틱 장애(Transient tic disorder：TTD), 만성 틱 장애(chronic tic disoder：CTD), 뚜렛 장애(Tourette's disorder：TD) 아동의 임상 양상을 비교하고, 틱 장애의 질환 심각도와 연관된 변인을 알아보기 위해 시행되었다. 방 법：DSM-Ⅳ 진단분류에 따라 틱 장애로 진단된 69명의 아동과 대조군 43명을 대상으로 인구학적 변인 및 틱과 관련된 임상적 변인을 조사하였다. 틱 증상의 심각도를 알아보기 위해 예일 틱 증상 평가 척도(Yale Global Tic Severity Scale)을 시행하였으며 연구 대상 모두에게 동반된 정서/행동 문제를 평가하기 위해 아동 행동조사표(Child Behavior Checklist)를 시행하였다. 결 과：TTD군은 CTD 및 TD군과 비교할 때 틱 증상의 지속 기간이 짧을 뿐 아니라 틱 증상의 심각도와 장해 정도도 미약하였다. TTD군의 동반된 정서/행동 문제 역시 CTD, TD군에 비해 유의하게 적었으며 공격성 소척도 점수를 제외하고는 정상대조군과 차이가 없었다. CTD군과 TD군간에는 틱 증상의 종류, 개수와 CBCL의 사회성 문제 소척도 점수외에는 통계적으로 유의한 차이를 나타내는 변인이 없었다. 틱 증상으로 인한 장해 정도를 가장 잘 예측해 주는 변인은 운동틱의 강도와 방해도, 틱 증상의 지속기간이었으며, CBCL 총 문제행동 점수와 가장 높은 연관성이 있는 변인은 주의력결핍/과잉운동장애(Attention deficit hyperactivity disorder：ADHD)의 존재여부였다. 결 론：본 연구의 결과는 틱 증상의 심각도 외에 증상의 지속 기간이 틱 장애 아동들의 틱으로 인한 장해도에 큰 영향을 미치며, 동반된 ADHD의 존재가 이들의 임상상을 결정하는 데 있어 중요한 역할을 한다는 점을 시사한다. 또한 위와 같은 임상 변인들이 틱 장애의 진단적 분류보다도 틱 장애 아동의 질환 심각도를 판단하고 치료방침을 결정하는데 있어 더욱 중요함을 시사한다.

• 근관절건강학회지
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• 제15권1호
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• pp.33-40
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• 2008

Purpose: This study was to find out the relationships between helplessness and health behavior of patients with rheumatoid arthritis. Method: The subjects were 293 rheumatoid arthritis patients who visit 2 rheumatology outpatient clinics in G city. Data were collected by questionnaires including Arthritis helplessness index(Nicassio, Wallston, Callahan, Herbert, & Pincus, 1985)and health behavior assessment scale(Jo, Oh & Choe, 2000). The data were analyzed with Pearson correlation coefficient, t-test, ANOVA and Duncan's multiple range test. Results: The majority of the subjects were women and the mean age was 50.4years. The mean duration of illness was 8.9years. There were negative correlations between the degree of helplessness and the degree of health behavior. The degree of helplessness was significantly high in those who were older, female, less educated, out of workforce, and those who had no chances to attend any arthritis-related classes. The degree of health behavior was significantly low in those who were older, high school graduate, in higher economic status, married, and those who had chances to attend arthritis-related classes. Conclusion: To reduce the helplessness of rheumatoid arthritis patients, the nursing intervention which is to increase the health behavior should be developed and provided to the rheumatoid arthritis patients.

• 동서간호학연구지
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• 제15권2호
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• pp.71-81
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• 2009

Purpose: This study was conducted to find out interrelation of health behavior and related variables to provide basic data for an effective health promotion for the taxi-divers. Methods: 293 male taxi-drivers from 2 cities in Korea participated in this study. The data were collected using questionnaires from April 17th to Jun 3rd, 2006, and analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression. Results: There were statistically significant differences according to monthly income, past illness or surgery, current disease or medication, frequency of fright on daily driving (FFDD), driving fatigue, working style, social support in health status; current disease or medication, FFDD, driving fatigue, duty shift, social support in health perception; body mass index (BMI), FFDD, driving fatigue, intention of changing job, social support in health behavior. Social support, health status, health perception, and health behavior were significantly correlated with one another. The multiple regression analysis showed that health perception (17.8%), BMI (6.8%), intention of changing job (5.7%), and driving fatigue (4.2%) explained the 34.5% variance of health behavior. And the 22.6% of variance of health perception was explained by social support (12.2%), health status (6.9%), and duty shift (3.2%). Conclusions: To promote the taxi-drivers' health, nursing intervention strategies unique for them should consider health behavior and affecting factors.

• 기본간호학회지
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• 제9권3호
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• pp.484-500
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• 2002

Purpose: The purposes of this study were to better understand types of health behavior in middle aged women in the Korean agricultural society, understand their nursing needs, and eventually present guidelines to develop proper nursing interventions. Method: Participants for this study were 16 middle aged women from farming communities, who lived in C county and were independent and without chronic ailments. In collection and analysis of data Strauss & Cortin's (1997) research processes and methods were used. The period of data collection was between April 2001 and February 2002. Result: The results of the study showed that the core category was the family-oriented process of $yangsaeng^{1)}$, and four types of health behaviors were observed; $momboyang^{2)}$ maintenance of health through daily life, managing mental health, and managing illness. Each type was perceived to differ from the other in the terms of health behavior priority which was largely affected by the cultural surrounding, for example, degree of attention to children's education and tendency to a traditional role for women. Conclusion: In conclusion, nurses need to understand various types of health behavior in middle aged women. The findings from this study can be applied to the development of Korean nursing interventions that are based on health behavior among middle aged women in the Korean agricultural society. These interventions can then. be based upon understanding of Korean culture rather than drawn only from Western concepts of health behavior.

• 대한간호학회지
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• 제24권1호
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• pp.70-84
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• 1994

People experience health behaviors for themselves and theses have diversity according to each culture and people and further there is an inherent meaning in health behavior The purpose of this study was to explore the health cconcept of Korean people and their pattern of health behavior The research method was a questionaire including open questions and the subjests were 164 adults age from 21 to 61. The result of this study are as follows : 1. Perceived health concepts by adults were “possibility”, “responsibility”, “being free”, “happiness”, “brightness”, “power”, “life”, “importance”, “mental rest”, “state of nnonilliness”, “death” 2. Health behaviors carried out by Korean adults were “maintance of psychological comfort”, “exercise”, “work”, “maintance of balanced diet”, “having a hobby”, “eating health food”, “health check up”, “prevention of hazards”, “eating natural food”, “maintenance of personal relationships”, “rest”, “having religion”, “making contract with nature”, “relaxation”, “limit one’s tastes”. 3. The perceived purposes of health behavior by Koran adults were maintenance of a joyful life, health maintenance, health restoration, prevention of illness, achievement of reponsibility, haying a hobby, longevity, peaceful death. Korean health concepts in this study showed a trend that reflects the rule of family and forcused harmony and eating habits. Korean health behavior in this study showed a trend that forcuses on emotional comfort which reflects oriental thinking. The result of this study will contribute to build a theory of health behavior and to derive strategies of health behavior to promote health.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2002년도 제54차 추계 학술대회 연제집
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• pp.177-178
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• 2002

• 기본간호학회지
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• 제10권2호
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• pp.206-213
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• 2003

Purpose: This study was designed to explore pain and self-care behaviors and identify related variables in patients with chronic arthritis. Method: One hundred fifty patients with arthritis were recruited from two university based arthritis centers according to selection criteria. Collected data were analyzed using the SAS program to analyze the responses to the structured questionnaires of the study. Result: Most of the participants expressed pain and the intensity of the pain was moderate. There were significant differences according to age, educational level, diagnosis, duration of illness, number of affected joint, and use of complementary therapy. Self-care behavior scores were moderately high. The highest practice was for 'regular visits to the hospital', and the lowest for 'applying physical therapy at home'. The mean self-care behavior scores showed significant differences according to economic status and educational level. Pain scores showed no correlation with self-care behavior. Conclusion: Developing self-management programs for patients with chronic arthritis should focus on self-care skills which are applicable in the relief of pain and enhancement of knowledge. The skills are recommended not only for better health practices but also for enhancing the level of well-being and life satisfaction.

• 기본간호학회지
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• 제14권4호
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• pp.500-506
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• 2007

Purpose: This study was conducted to analyze the health concerns, health behavior, and related factors for elders taking part in activities at senior centers. Method: A total of 811 elders were selected through conveniently sampling. Data were collected from November 21, 2006 to December 20, 2006. Data analysis included frequency, t-test, ANOVA, Duncan test, and Stepwise Multiple Regression using SPSS Win 15.0. Results: For health concerns statistically significant differences were found for gender, age, family, pockety money, sleeping time, regular health check-ups, and exercise. For health behavior statistically significant differences were found for gender, age, family, pocket money, religion, medical insurance, perceived health status, sleeping time, regular health check-ups, chronic illness, regular breakfast, exercise, and drinking. Perceived health status was identified as a variable influencing the health behavior. Conclusion: The results suggest that perceived health status can be considered as factor for significant nursing interventions to help single elders and older elders in senior centers.

• 기본간호학회지
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• 제19권2호
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• pp.168-178
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• 2012

Purpose: The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups). Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher's exact test and ANCOVA with SPSS/WIN 12.0. Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale. Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.