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      • SCOPUSKCI등재

        스폰지 목욕에 대한 미숙아의 생리적상태 및 행동반응

        이혜경,홍경자,남은숙,이영희,정은자,Lee Hae Kyung,Hong Kyung Ja,Nam Eun Sook,Lee Young Hee,Jung Eun Ja 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.1

        A descriptive exploratory design was used in this study to evaluate the effects of sponge bathing on physiological(heart rate, heart period, vagal tone, oxygen saturation, respiration) and behavioral responses in newly born 40 preterm infants from intensive care unit of S University Hospital in Seoul. Data has been collected from October, 1997 to March, 1999. The infants were between 27-33 weeks gestational age at birth, and were free of congenital defects. The subjects entered the protocol when they were medically stable (determined by initiation of feeding and discontinuation of all respiratory support) but still receiving neonatal intensive care. The infants' physiologic parameters were recorded a 10 - minute before, during, and after bathing. Continuous heart rate data were recorded on a notebook computer from the infant's EKG monitor. The data were digitized off-line on software(developed by Lee and Chang in Wavelet program) which detected the peak of the R wave for each heart beat and quantified sequential R-R intervals in msec(i.e. heart periods). Heart period data were edited to remove movement artifact. Heart period data were quantified as : 1) mean heart period; 2) vagal tone. Vagal tone was quantitfied with a noninvasive measure developed by Porges(1985) in Mxedit software. To determine behavioral status, tools were developed by Scafidi et al(1990) were used. Collected data were analyzed with the SPSS program using paried t-test, ANOVA, and Pearson correlation. The result were as follow. 1. The results of the ANOVAs indicated that vagal tone were signifcantly lower during bathing than baseline and post-bathing. There were significant differences in heart period and heart rate levels across the bathing. But the mean oxygen saturations and respirations were no differences. Also, there were no significant differences on behavioral sign, motor activity, behavioral distress, weight changes, morbidity, and hospitalization period. 2. To evaluate the relation between vagal tone and subsequent parameters, the two groups (the high group had 19 subjects and low group had 21subjects) were divided by the mean baseline vagal tone. Vagal tone measured prior to bathing were significantly associated with respiration before bathing, vagal tone during bathing, and the magnitude of change in both vagal tone. But, other subsequent reactivities were no differences in two groups. 3. Correlations were also calculated between vagal tone and the subsequent physiological reactivities from baseline through after- bathing. Correlations were significant between baseline vagal tone and baseline heart rate, between baseline vagal tone and baseline heart period, between baseline vagal tone and oxygen saturation after bathing. In summary, the bathing in this study showed a stressful stimulus on premature infants through there was significance in the physiological parameters. In addition, our study represents the documentation that vagal tone reactivity in response to clearly defined external stimulation provides an index of infant's status.

      • KCI등재후보

        지역사회 노인의 심리사회적 스트레스, 기억과 성공적 노화

        이혜경(Lee Hae Kyung),이계희(Lee Kye Hee) 한국농촌의학 지역보건학회 2021 농촌의학·지역보건 Vol.46 No.2

        대상자의 인구사회학적 특성에 따른 성공적 노화의 차이는 나이에 따라서 차이가 있었고, 대상자의 성공적 노화는 기억과 정적관계가 있고, 심리사회적 스트레스와 부적관계가 있었다. 심리사회적 스트레스와 기억 간에 부적 관계가 있었다. 성공적 노화에 영향을 주는 요인은 심리사회적 스트레스로 나타났다. 따라서 본 연구의 결과는 지역사회 노인의 심리사회적 스트레스가 성공적 노화를 예측하는 중요한 변인임을 입증했다는 점에서 의미가 있다. 따라서 노인의 성공적 노화를 위한 스트레스 개입 프로그램의 경험적 근거자료가 될 수 있다. Objectives: The purpose of this study is to identify the relationship among psychosocial stress, memory, and successful aging of the community-residing elderly. Methods: 152 people over 65 years old living in D area were interviewed, from August 1st, 2020 to October 30th, 2020. The outcomes were measured by Psychosocial Well-being Index (PWI), Mini-Memory Test (MiMeT) and successful aging. Data were analyzed using Pearson correlation coefficients and stepwise multiple regression. Results: There was a positive correlation between successful aging and memory. There was a negative correlation between psychosocial stress and successful aging, and between psychosocial stress and memory. Psychosocial stress was identified as a predictor of successful aging, which explained 26.4% of total variance of successful aging. Conclusions: When we prepare intervention programs which improve successful aging for community-residing older adults, we need to consider psychosocial stress. In addition, stress management programs for successful aging should be developed to improve current successful aging.

      • KCI등재

        직장인의 직무스트레스, 우울, 심리적 행복감이 직무만족도에 미치는 영향

        이혜경(Lee, Hae-Kyung),남춘연(Nam, Chun-Youn) 한국간호교육학회 2015 한국간호교육학회지 Vol.21 No.4

        Purpose: The purpose of this study is to identify factors that predict job satisfaction in office workers. Participants were recruited from eight industries in B Ku in D city, and the research was carried out from February 10 until October 10, 2014. Job satisfaction was assessed using the Minnesota Satisfaction Questionnaire (MSQ). Methods: Data was analyzed using Pearson correlation coefficients and a stepwise multiple regression analysis with SPSS/WIN 18.0. There was a negative correlation between job satisfaction and job stress. Results: Job stress (lack of reward, occupational climate, job demand, job insecurity) and psychological happiness were identified as determinants of job satisfaction, which explained 43.6% of the total variance of job satisfaction. Conclusion: The findings provide empirical evidence to help nurses prepare effective interventions related to the mental health promotion of office workers.

      • KCI등재
      • KCI등재
      • SSCISCIESCOPUSKCI등재
      • KCI등재
      • KCI등재
      • KCI등재

        심상치료 프로그램이 알코올중독 환자의 금주가능성, 불안, 우울에 미치는 효과

        이혜경 ( Hae Kyung Lee ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2000 정신간호학회지 Vol.9 No.3

        본 연구는 개인 심상치료가 알코올중독 환자의 금주가능성, 불안, 우울에 미치는 효과를 검정하여 재활 및 재발 예방 프로그램을 제시하고자 시도하였다. 연구기간은 1998년 11월 30일부터 99년 8월 2일까지이며 연구대상은 T시에 소재하는 T정신병원에 입원중인 알코올중독환자로서 실험군 24명, 대조군 36명, 총 60명이었다. 연구설계는 비동등성 대조군 전후시차설계를 사용한 유사실험 연구이다. 이론적 개념틀은 심상치료의 치료이론으로서 심층심리학적 정신역동이론에 근거하였다. 자료분석은 SAS+/PC로 전산처리하였으며 χ2-test, t- test로 동질성 검정을 하였고, ANCOVA로 가설검정을 하였다. 심상치료 회기별 심상현상의 특징 변화 과정을 분석하였다. 본 연구의 결과를 요약하면 다음과 같다. 1) 대상자의 기질불안의 평균점수는 48.47이었고 상태 불안의 평균점수는 45.40으로 나타났다.. 2) 대상자의 우울의 평균점수는 20.63으로서 정상집단의 우울정도 13.01에 비해 매우 높게 나타났다. 3) 심상치료 프로그램을 경험한 알코올중독 환자와 경험하지 않은 환자간의 금주가능성 정도에는 차이가 없었다. 4) 심상치료 프로그램을 경험한 알코올중독 환자는 경험하지 않은 환자보다 기질불안정도가 더 높았다. 5) 심상치료 프로그램을 경험한 알코올중독 환자와 경험하지 않은 환자간에 상태불안정도에는 차이가 없었다. 6) 심상치료 프로그램을 경험한 알코올중독 환자와 경험하지 않은 환자간에 우울정도는 차이가 없었다. 7) 심상치료 초기 과정동안 심상현상 특징은 한가지 주제에 직면하지 못하고 구조적으로 산만하고 진정한 느낌을 인지하지 못하였으나 회기가 진행되면서 한가지 주제에 집중하고 자신의 진솔한 느낌을 체험하며 슬픔, 분노, 증오 등 강렬한 정서체험을 하고 술이 통제되지 않는 진정한 이유를 점차 인지하였다. 본 연구의 결과를 근거로 하여 다음과 같은 제언을 하고자 한다. · 심상체험 치료방법을 외래환자에게 적용할 것을 제안한다. · 심상치료의 회기를 늘려서 총 20회이상이 되도록 하여 치료효과를 검증해 볼 것을 제안한다. · 대상을 달리한 반복연구를 통해서 개인 심상치료가 전문적인 간호중재 영역으로 활용될 수 있는 기반을 마련할 것을 제안한다. The purpose of this study is to explore the effects of imago psychotherapy on Abstinence Likelihood Inventory, Anxiety and Depression of alcoholics who are hospitalized. The period of this research was from November 30, 1998 to August 2, 1999. The subjects were male alcoholics who were hospitalized and those who were appropriate to the standard of this study in T mental hospital located in Taegu City. There were 60 subjects : 24 were placed in the experimental group and 36 in the control group. The research design was a nonequivalent control group with a non-synchronized design and the theoretical framework was psychodynamic theory. The experimental group was treated by the researcher who leads imago psychotherapy, and the program consisted of six sessions, 90 minutes per session,twice a week. Collected data was analyzed using the chi - square test, paired t-test, ANCOVA with SAS program and the analysis of image process was done. The result of this research was as follows: 1. Mean score of trait anxiety was 48.47 and mean score of state anxiety was 45.40. Mean score of depression was very high with 20.63 compared with degree of depression (13.01) in normal group. 2. There were no significant differences of abstinence likelihood inventory scores between the experimental and the control group, but the score of the experimental group was greater than that of the control group. 3. There were significant differences of trait anxiety scores between the experimental and the control group. Trait anxiety score showed increases in the experimental group, but decreases in control group. 4. There were no significant differences of state anxiety scores between the experimental and the control group. 5. There were no significant differences of depression scores between the experimental and the control group. Results of this study show the differences of the existing research result. It is a novel attempt to try individual imago psychotherapy with alcoholics. In the beginning of imago psychotheraphy, distinctive feature of image is that patients could not concentrate on one theme, were not systematically organized and did not have pure feeling. But as time passed by, patients could concentrate on one theme and experience his candid anger, sorrow, anxiety, and feeling. Patients would gradually realized the real causes of why he could not control himself. I would like to make following suggestions with the results of this study. Imago psychotherapy should be applied to outpatients too. The number of the session of imago psychotherapy should be at least 20, and then the effect of the therapy can be verifed. With repeated studies with different subjects, individual imago psychotherapy should be a professional nursing intervention area.

      • KCI등재

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