치료 중인 암환아와 치료 종료 암환아의 사회심리적 적응에 관한 비교 연구

심미경,손선영 한국아동간호학회 2003 Child Health Nursing Research Vol.9 No.1

Purpose: The purpose of this study was to compare psychosocial adjustment in children aged 4-11 years with cancer between on and off treatment. Method: The data was collected from parents of children with cancer through interviews with structured questionnaire at the pediatric outpatient department and inpatient ward of one university hospital located in Seoul. The instrument were the Child Behavior Check List(CBCL) developed by Achenbach(1991) and revised to standardize for Korean children by Oh et al(1997). Result: Total behavior problem score for children on treatment was greater than the score off treatment but there was no significant difference.Children on treatment reported higher levels of depression/anxiety, withdrawal, internalizing scores than children off treatment. Social competence score of children off treatment was greater than the score on treatment and the difference of school performance score of children between on and off treatment was not significant. The scores on the withdrawal, somatic complaints, social immaturity, internalizing scales in the cancer group including both on and off treatment was greater than normative findings in the general population. The scores on the school competence of children off treatment were lower than the norms for healthy children. Conclusion: Findings from this study support the importance of nursing interventions to facilitate the adjustment of children with cancer both on and off therapy.

Sean O'Casey의 The Plough and the Stars 연구

심미경 단국대학교 인문과학대학 영어영문학과 1992 Lucifer Vol.- No.9

ADHD 아동의 사회성 증진에 전통놀이가 미치는 영향

심미경,장덕돌 한국정서학습장애아교육학회 2000 정서ㆍ행동장애연구 Vol.16 No.2

The study aimed at finding the effect of tranditional game play on aggressive and prosocial behavior of ADHD children. As the tranditional game play, Gonu, String game, flagpole falling game were applied. Beating, teasing and using bad language were the target behaviors related to the aggressive. Communicating, helping and playing with peers were to the prosocial. The subject was a 9 years old boy screened as ADHD on the basis of DSM-IV and ADHD rating scale. The intervention was carried out for 6 weeks, 5 times a week, and 30 minutes a time. The target behaviors were directly observed by the event recording method. There were two observers, observed 30 minutes per a time. The frequencies of the targer behaviors were compared between baseline, intervention, and follow-up period. The play seems to have more effect on the decrease of physical aggressive behavior rather than verbal, and on the prosocial behavior than aggressive. The results were discussed in aspects of game play's activation.

EBD와 가정 및 교실내의 심리사회적 기능간의 관계 연구

심미경 한국인간발달학회 1995 人間發達硏究 Vol.- No.2

본 연구에서는 아동 행동에 대한 부모와 교사간 낮은 일치도와 연관하여 EBD와 가정 및 교실 내의 심리사회적 기능간의 관계를 조사해 보고자 한다. 연구 대상은 12세 아동448명이었다. 아동에 대한 행동 평가는 부모용 및 교사용 CBQ로, 가정 내의 심리사회적 기능에 대한 평가는 아동용 및 부모용 FACESIII로, 교실 내의 심리사회적 기능에 대한 평가는 단축형 CES로 측정하였다. EBD는 가족의 응집력 및 적응력과 교실 내의 결속력이 낮을수록 높았다. 그러나, 교실 내의 통제력과는 유의한 상관이 없었다. EBD는 성인보다 아동의 심리사회적 기능에 대한 지각과 보다 일관적으로 더 높은 상관이 있었다. 또한 어머니의 평가와 비교할 때 교사의 행동 평가가 교실 뿐 아니라 가정 내의 심리사회적 기능과 보다 일관적으로 더 높은 상관이 있었다. 이러한 결과는 사회생태학의 "열린 체계(open systems)" 개념, 여러 상황에서의 아동 행동의 동질성, 평가 도구의 타당성 측면에서 논의되었다.

소아암 환아 가족의 회복력 모형 검증 연구

심미경 한국간호과학회 2004 한국간호과학회 학술대회 Vol.2004 No.5

소아암 환아 가족의 적응에 영향을 미치는 회복력요인

심미경 한국아동간호학회 2004 Child Health Nursing Research Vol.10 No.4

Purpose: This study was conducted to identify resiliency factor, to test causal relationship and effect of resiliency factors on adaptation in families of children with cancer. A conceptual framework was constructed based on McCubbin's resiliency model. Hypotheses were tested with empirical data. Method: Data were collected using self-report questionnaire from 232 families of children with cancer. The collected data were analyzed using the SAS program and LISREL program for covariance structural analysis. Result: Family hardiness and problem-solving coping had significant direct effects on adaptation in families of children with cancer. Social support had significant indirect and total effect on adaptation. Family Schema had significant direct effect on family hardiness and problem-solving coping. Problem-solving communication had a significant direct effect on family hardiness and an indirect effect on family functioning and problem-solving coping. Among the resiliency factors, family hardiness had the greatest effect on adaptation in family of children with cancer. Conclusion: The findings suggest that nursing interventions to enhance family hardiness, problem-solving coping and social support would result in an increase in adaptation in families of children with cancer. An integrated intervention that emphasizes and promotes resiliency factors should be developed and established for families of children with cancer.

소집단 미술활동이 고립 유아의 또래간 상호작용 증진에 미치는 영향

심미경,허혜선 한국정서.행동장애아교육학회(구.한국정서학습장애아교육학회) 2003 정서ㆍ행동장애연구 Vol.19 No.2

This research was attempted to verify that small group art activities make an effect on the social interaction of children isolated from their peer groups. Using a sociometric test, 5 children aged 4 to 6 were identified, 3 with externalized problem behavior and 2 with internalized, 4 boys and 1 girl. The intervention was administrated through two stages, 10 sessions in the first intervention, 6 in the second, one hour per session. The children's social behavior was recorded weekly for 20 minutes during a free time section and analyzed with the Social Interaction Behavior Checklist. The children's social interaction was improved, i.e, positive interactions were increased and negative decreased. The improvement was shown more in the externalized group than internalized, which was discussed in terms of higher relationship of externalized behavior to social interaction as social skills.

아동이 인지하는 사회적 지지에 관한 연구 : 정상아와 지체부자유아를 대상으로

심미경 한국간호과학회 1987 Journal of Korean Academy of Nursing Vol.17 No.1

중소병원 간호사의 의료관련 감염관리를 위한 표준주의 지식, 인지도, 안전환경과 수행도

심미경 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.11

The purpose of this study was to examine the knowledge, awareness, safety-climate and performance of standard precautions for healthcare-associated infection control and to identify the factors that influence the performance of standard precautions among nurses in small- and medium-sized hospitals. The subjects of this study were 151 nurses who worked for more than 1 year in 6 small to medium-sized hospitals (less than 300 beds). The data was collected using self-report questionnaires from January 15 to February 15, 2018. The collected data was analyzed using the SPSS Statistics 22.0 program. The mean score for safety climate and performance of standard precautions showed significant differences according to the working department. There were significant positive correlations among knowledge, awareness, safety climate, and performance of standard precautions. The factors influencing the performance of standard precautions were safety climate and awareness. The explanatory power of the performance of the two variables was 23.3%. Based on the findings, it is necessary to improve the safety-climate and continuous educational program, and administrative support should be provided to improve nurses' performance of standard precautions for healthcare-associated infection control in small- and medium-sized hospitals. 본 연구의 목적은 중소병원에 근무하는 간호사의 표준주의에 대한 지식, 인지도, 안전환경 및 수행도를 조사하고 의료관련 감염관리 표준주의에 대한 수행도에 미치는 영향요인을 확인하여 중소병원의 표준주의 수행도를 증진시킬 수 있는 방안을 모색하기 위함이다. 본 연구의 대상자는 경기도와 충남에 소재하는 300병상 미만의 6개 중소종합병원에 1년 이상 근무한 간호사 총 151명을 대상으로 하였다. 자료수집은 2018년 1월 15일부터 2월 15일까지 연구의 목적을 이해하고 참여에 서면 동의한 간호사에 한해 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과 안전환경과 표준주의 수행도는 근무부서에 따라 유의한 차이를 보였으며 표준주의 수행도는 표준주의 지식(r=.19, p=.025), 표준주의 인지도(r=.27, p=.001), 표준주의 안전환경(r=.48, p=.000)과 유의한 양의 상관관계를 보였다. 표준주의 수행도에 영향을 미치는 주요 요인은 안전환경과 표준주의 인지도로 나타났으며 안전환경의 설명력은 21.6%였고 이 두 변수의 수행도에 대한 설명력은 23.3%였다. 이상의 연구결과로 볼 때 중소병원에서 간호사의 의료관련 감염관리를 위한 표준주의 수행도를 증진시키기 위해서는 안전환경의 개선 외에도 지속적인 교육프로그램과 행정적지지가 제공되어야 할 것이다.

노인의 신체적 건강상태, 우울, 건강행위에 관한 연구

심미경,박정모 지역사회간호학회 2004 지역사회간호학회지 Vol.15 No.3

Purpose: The purpose of this study was to examine the levels of and relationships between physical health status, depression and health behaviors and the factors affecting health behavior in the elderly. Method: The subjects of this study were 118 elderly people aged over 60 living in urban and rural areas. The data were collected by interview through questionnaires from December 1, 2003 to January 30, 2004. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: The results of the study are as follows. 1. The mean score of the physical health status was 63.88 out of a total of 78 and the mean score of depression 42.71 out of 80. The mean score of health behaviors was 126 out of 165 and 3.83 point out of 5. In terms of sub-domains of health behaviors, emotional areas showed the highest mean score (3.98). 2. There was a significant positive correlation between health behaviors and the physical health status (r=.491, P<.001), while there was a significant negative correlation between depression and physical health status(r=.626, P<.001), and depression and health behavior(r=.784,P<.001). 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health behaviors was psychological health, namely depression. A combination of depression, perceived health status and religion accounted for 65% of the variance in health behaviors of the elderly. Conclusion: From the results of the study, we recommend that the developmen of a nursing intervention program for the health behaviors including the factors affecting the elderly. It suggests the need to focus more on psychological and spiritual health and the development of nursing interventions for health promotion among older adults.