뇌졸중 후 우울에 영향을 미치는 요인

조남옥,최희정,김금순,김인자,서문자 성인간호학회 2000 성인간호학회지 Vol.12 No.1

Predicting factors of post-stroke depression were investigated. The subjects were 254 stroke patients who had been discharged and visited regularly the outpatient clinic for follow up care. The influencing factors were classified into five categories : demographic, disease-related, current state, social support, and illness intrusiveness. Sex, age, job, and educational level were defined as the demographic factor. The disease-related factors included stroke type, illness duration, attack frequency, and NIH score. ADL, cognitive function, and social activity were considered as the current state factors. The social support was measured as the perceived amount of social support was measured as the perceived mount of social support. Illness intrusiveness means the perceived illness induced life style disruptions. Demographic, disease-related, current state, and social support were hypothesized to directly and indirectly affect post-stroke depression through illness intrusiveness. The illness intrusiveness was hypothesized to directly affect post-stoke depression. The hierarchial multiple regression was used to identify significant factors. The result showed that this model explained 43.3% of variance of post-stroke depression. And the prevalence of post-stroke depression was 38.8%. Among the demographic factors, job was identified as a main contributor to indirectly increase the post-stroke depression. Among the disease-related factors, stoke type, attack frequency, and NIH score were found to indirectly affect the post-stroke depression. Among the current state factors, ADL and social activity indirectly affected the post-stroke depression through illness intrusiveness. Social support and illness intrusiveness were identified to directly affect the post-stroke depression. This study has proved the factors likely to be implicated in the development of post-stroke depression. Based upon these results, it is recommended that the nurses who take care of post-stroke patients consider the risk factors such as social support, illness intrusiveness et al. Also programs which decrease the illness intrusiveness and increase the social support to reduce post-stoke depression recommended to be developed.

임상간호사의 전문성경험

조남옥 한국간호과학회 2004 한국간호과학회 학술대회 Vol.2004 No.5

끈 외 1편

조남옥 고요아침 2022 열린시학 Vol.27 No.4

키워드 네트워크 분석을 통한『상담학연구』의 연구동향과 지식구조 탐색

조남옥,조규락 한국상담학회 2017 상담학연구 Vol.18 No.2

The purpose of this study was to present the important key words of Korean Journal of Counselling (KJC) according to government periods and to grasp inter-relationships among the key words through conducting the analysis of the research trend and knowledge structure of KJC. For this purpose, the study analyzed the key words that showed high co-appearance frequency rate from the total of 7,448 key words from 1,708 articles published in 2000-2016 and conducted keyword network text analysis. The research results were as follows: First, studies on ‘depression’, ‘self-respect’, ‘college students’, and ‘juvenile’ were mainly composed of the research trend and knowledge structure of KJC. Specifically, many studies on ‘depression’ were found. Second, the number of research articles published in KJC were heavily increased, depending upon government changes. Government policies and social issues affected the research trend of KJC as well. Third, the sub-key words of KJC, including ‘depression’, ‘group counseling’, ‘juvenile’, ‘college students’, and ‘grounded theory’, showed frequent interactions among other sub-key words. These results of the study have following implications: it provides useful data and literature for other counseling studies using network text analysis and it also help to understand and conduct research on counseling from various perspectives. 본 연구는 키워드 네트워크 텍스트 분석을 통한 상담학의 연구동향과 지식구조를 분석하여 상담학과 정부별 핵심 주제어 및 하위 주제어를 제시하고 주제어 간의 연결 관계를 파악하는 데에 목적이 있다. 이를 위하여, 2000년부터 2016년까지 게재된 한국상담학회 학술지『상담학연구』의 총 1,708개의 논문에서 7,448개의 주제어를 대상으로 동시출현 빈도가 높은 주제어를 분석하고 키워드 네트워크 텍스트 분석을 실시하였다. 연구결과는 다음과 같다. 첫째, 우울과 자기존중감 그리고 대학생 및 청소년에 관한 주제어 연구가『상담학연구』의 주요 연구동향과 지식구조를 이루고 있었으며, 특히 우울에 관한 연구가 많았다. 둘째,『상담학연구』에 게재된 논문의 수는 정부의 변천에 따라 큰 폭으로 증가하였으며, 정부의 정책과 사회현상은『상담학연구』의 연구동향에도 영향을 미친 것으로 나타났다. 셋째,『상담학연구』의 하위 주제어인, ‘우울’, ‘집단상담’, ‘청소년’, ‘대학생’, ‘근거이론’ 등의 주제어는 다른 주제어와 빈번하게 상호작용하는 것으로 나타났다. 본 연구의 결과는 네트워크 분석을 통한 상담연구에 유용한 기초자료와 문헌을 제공할 뿐만 아니라 다양한 관점에서 상담연구를 이해하고 수행하는 데 도움이 될 것이다.

치매환자 가족부담감의 한국형 도구개발

조남옥 성인간호학회 2000 성인간호학회지 Vol.12 No.4

The Purpose of this study was to develop and validate the scale to measure dementia patient's caregiver burden of Korea. In the first Phase of the study. 15 caregivers of dementia patients were interviewed to provide narrative data from which items were developed. Initially 65 items were generates from the interview data of 15 caregivers. Content validity was judged by two separate panels of experts with 27 professionals and 30 family caregivers. These items were analyzed through the Index of Content Validity and 33 items were selected which met .80 or more of the CVI. This preliminary FCBSD-K was tested with 207 adult caregivers for reliability and construct validity including item analysis and orthogonal (Varimax) factor analysis, flight items were deleted because of high or low item-item correlation. The result of the second factor analysis produced six factors that coincided with the conceptual framework posed for the scale developed. The six factors were labeled as 'physio·social factor' 'emotional factor' 'family cultural factor' 'role obligation' 'guilt feeling' and 'financial & supportive system factor'. The alpha coefficient relating to internal consistency was .9264 for reliability. In conclusion, cultural factor is related to dementia patient's caregiver burden and FCBSD-K was useful in assessing the dementia patient's caregiver burden in Korea

휴식서비스이용 치매노인의 일상생활수행능력과 이상행동의 변화에 대한 연구

조남옥,김태선,박춘자 노인간호학회 2002 노인간호학회지 Vol.4 No.2

The purpose of this study was to examine the changes of ADL and abnormal behaviors of elderly people with dementia according to time sequencefrom admission to discharge. The participants were 55 elderly people with dementia in a respite program at the K National Mental Hospital. A prospective time series comparative design was used. Data were collected at admission, at 2 months and at 6 months after admission. The data collection period was from July, 1999 to March, 2000. Repeat measure ANOVA was used for data analysis. The results showed a statistically significant increase in ADL and decline in abnormal behaviors in the elderly people according to the time sequence. The changes in ADL and abnormal behavior were most obvious during the first 2 months. The difference between type of dementia and severity, and time sequence was analyzed. The findings showed significant difference in severity and time sequence. The results showed that the level of nursing and nursing activities were core components to improving ADL and decreasing levels of abnormal behavior in elderly people with dementia. It is suggested that various types of short and long-term respite care are necessary for functional recovery of elderly people with dementia.

뇌졸중환자의 사회적 재적응과 관련요인

조남옥,서문자,김금순,김인자,최희정,정성희 성인간호학회 2001 성인간호학회지 Vol.13 No.1

Social readjustment is very important in rehabilitation of stroke survivors. The purpose of this study was to examine the level of social readjustment and related factors in stroke survivors. Especially, to find the most useful predictor for social readjustment is a major point of this research. The study included 254 outpatients who were given follow-up care after discharge from. Occupational rehabilitation and resumption of the perceived meaningful social activity prios to the stroke were used to measure social readjustment. The resumptions of first meaningful social activity was the best predictor for life satisfaction in stroke survivors(r=.245, p<.01). The substance of perceived meaningful social activities were job, meeting with friends, hobby and activities for the family. The sum of meaningful social activities (r = 175. p<.01) and occupational rehabilitation (r= 116, p<.05) were significantly related to life satisfaction. There were significant difference in IADL, depression and life satisfaction according to resumption of meaningful social activity. But, occupational rehabilitation was not related to depression. The level of social readjustment was different between occupational rehabilitation and resumption of meaningful social activity. It was 45.7% in the first meaningful social activity and 36.6% in occupational rehabilitation. The related factors with resumption of the first meaningful social activity were that of IADL, depression, illness intrusiveness and cognitive function. And the level of IADL, illness intrusiveness, cognitive function, and age were significantly related to occupational rehabilitation. In conclusion, we suggest that the resumption of the first meaningful activity in stroke survivors is the best predictor of social rehabilitation. Thus. nurses need to work for resumption of meaningful activity as well as occupational rehabilitation.

정맥수액요법 받는 노인과 성인환자의 약물교육 후 약물지식과 수행능력에 대한 학습능력비교

조남옥 노인간호학회 2004 노인간호학회지 Vol.6 No.2

Purpose: This study done to evaluate the learning ability of hospitalized elders who had Ⅳ fluid therapy and to compare it with younger adults. Knowledge and practice were evaluated to develop effective education strategies for elders. Method: The design for this study was a comparative experimental design with 30 hospitalized elders and 30 hospitalized adults who had fluid therapy. Until the participants were familiar with the name and effects of medication and were able to practice Ⅳ medication well, medication education was given every hour. Results: The outcome of the medication education was that the adults learned and practiced better and faster than the elders. But, there was a significant difference only in knowledge of effects of medication. In knowledge of name of medication and practice, there were no significant differences between the groups. If education was given two times or more, the elders completely achieved the knowledge and practice of the education content about the Ⅳ therapy that they received. Conclusions: This study showed that elders were slow learners but learned well. If the education was given two or more times, the elders were good learners.

간호사의 인간관계 갈등과 의사소통경험에 관한 조사연구

조남옥,홍여신,김현숙 한국간호교육학회 2001 한국간호교육학회 학술대회 Vol.2001 No.11

국내 진로탐색 집단상담 프로그램에 대한 연구동향 -2004년~2013년 발표논문을 중심으로-

조남옥,박명선 한국진로교육학회 2014 진로교육연구 Vol.27 No.3

This study aims to examine a research trend on the group counseling program for the career exploration in Korea which is designed to suggest the reality situation - the entry into the society without course recognition and aptitude consideration in the rapid changing world. To achieve such objective, this study analyzed 71articles on the group counseling program for the career exploration from 2004 to 2013 focused on the students between youth and school age children. The result is the complementary points for the session, time, contents and management of this program and needs to be developed and reconstructed the program differently. Also, It shows needs for a standard of the program reflecting times and ages and for a expertise of program performers. This research will be expected to be used as preliminary data for qualitative improvement of group counseling program for the career exploration. Finally, It provides suggestions regarding meaning of research result and next development of group counseling program for the career exploration. 본 연구에서는 우리나라 진로탐색 집단상담 프로그램의 연구동향을 살펴봄으로써 급변하는 사회 속에서 직업의 세계는 빠르게 변하고 있으나 자신의 적성을 고려하여 진로를 인식하고 준비하지 못한 상태로 사회로 배출되고 있는 현실적인 상황을 제시함으로써 진로탐색 집단상담 프로그램의 개발과 질적 향상, 그리고 연구에 도움이 되고자 한다. 이러한 목적을 달성하기 위하여 2004년부터 2013년까지 발표된 진로탐색 집단상담 프로그램 가운데 청소년과 학령기에 있는 학생을 대상으로 학위논문을 포함하여 관련 논문 71건을 분석하였다. 그 결과 프로그램의 회기, 시간, 내용, 운영에 있어서 보완할 점과 더불어 프로그램을 다양하게 개발하고 재구성 할 필요성이 드러났다. 또한 교육과정이 반영된 프로그램 척도의 필요성과 프로그램 진행자의 전문성이 절실히 필요한 것으로 나타났다. 본 연구는 향후 진로탐색 집단상담 프로그램의 질적인 향상을 위한 기초자료로 활용될 수 있다는 점에서 의의를 찾을 수 있으며 마지막으로 연구결과의 의미와 차기 진로탐색 집단상담 프로그램의 발전을 위한 제언을 하였다.