일 도시지역 고위험가족 판별기준표 개발

안양희 한국가족치료학회 1997 가족과 가족치료 Vol.5 No.1

본 연구에서는 보건간호사가 건강위험의 가능성이 있는 가족이나 고위험 상황에 처해 있는 가족을 빠른 시간내에 판별할 수 있으며 또한 사용하기에 간편한 도구를 개발하여 통합보건사업의 실질적인 효율화에 기여하고자 한다.

일 시범 지역 의료급여수급권자 대상의 텔레케어 사례관리 효과

안양희,김의숙,고일선 지역사회간호학회 2010 지역사회간호학회지 Vol.21 No.3

Purpose: This study was done to analyze the effects of tele‐care case management services using secondary data. Methods: A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high‐risk group or the preventive group. Casemanagement services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t‐test. Results: After the case management intervention, the participants' health quality of life, self‐care competency, and reasonable medical care utilization increased significantly for the high‐risk group. However there were no significant changes in the preventive group. Conclusion: The results showed that the tele‐care case management services were effective for high‐risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.

임상실습 교육을 위한 임상실습지도자제도(preceptorship)의 모형개발

안양희,최상순,허혜경,임영미,신윤희,박소미,김대란,김기경,김기연 연세대학교 교육대학원 2002 연세교육과학 Vol.50 No.-

The purpose of this study was to construct a modified preceptorship model that could be used to improve the quality of clinical practice for student nurses in the Department of Nursing, Wonju College of Medicine, Yonsei University. Through a literature review, three workshops, and analysis of the preceptorship performance of new nurses, three findings were identified. First, based on the literature review and workshops, a modified preceptorship proposal for clinical practice for student nurses in the hospital setting was developed. It contained standard criteria outlining qualifications and rewards for preceptors, training for preceptors, and regulations concerning reciprocal relations among preceptors, head nurses, clinical instructors, and students. Second, results of the analysis of the preceptorship performance of new nurses in the hospital found implications for improvement of self-esteem and self-confidence and, for burden in overloading. Third, based on the literature review, the modified preceptorship proposal, and the results of the analysis of the preceptorship performance of new nurses, a modified preceptorship model was constructed. The modified preceptorship model for clinical practice for student nurses in both hospital and community settings contained standard criteria outlining qualifications and rewards for preceptors, training and education fur preceptors, and regulations concerning reciprocal relations. The standard criteria for qualification as a preceptor should be at least a BSN, at least two years experience, and leadership ability. Rewards for preceptors could be job conditions. For the training and education of preceptors, the difference between hospital and community settings was the content and duration of training. The common training content for preceptors were objectives, orientation to curriculum and preceptorship, clinical practice guidelines, communication channels between health teams and preceptors, nursing process, nursing interventions, and evaluation. In conclusion, the findings suggest a need fur further study on preceptorship when used to improve the quality of clinical practice for student nurses in the both hospital and community settings. The ultimate goal of the research on preceptorship was not only to help student nurses to enhance their ability in clinical practice, but also to maintain the quality of clinical practice in the professional nurses in any clinical setting.

취약계층 노인의 우울예방을 위한 지역사회기반의 통합프로그램 개발 및 효과검증

안양희 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.2

The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Sociodemographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

요보호 윤락여성을 위한 성병예방 중재프로그램 개발 및 효과검증

안양희,진기남 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.5

Factors associated with Patient Activation for Self-management among Community Residents with Osteoarthritis in Korea

안양희,김봉정,함옥경,김성훈 한국지역사회간호학회 2015 지역사회간호학회지 Vol.26 No.3

Purpose: The purpose of this study was to survey patient activation for self-management and to identify factors associated with patient activation for self- management among community residents with osteoarthritis in Korea. Methods: Cross-sectional study design was used. Survey data were collected from 270 community residents with osteoarthritis through direct interviews. Studied factors included patient activation, joint pain, physical function, depression, and general characteristics. Data were analyzed using chi-squared test, t-test and multivariate logistic regression analysis. Results: The participants’ mean score of patient activation was 56.0±16.61. The mean score of each factor was 10.6±5.89 for joint pain, 5.5±3.56 for physical function, and 19.3±10.01 for depression. The patient activation level was significantly associated with depression and general characteristics such as education, religion, comorbid hypertension, and use of medical clinics (p<.05). Conclusion: The findings suggest that depression, education, religion, comorbid hypertension, and use of medical clinics may be important factors to be considered when developing programs of patient activation for self-management. This is the first study that measured patient activation, and further studies are suggested to find factors associated with patient activation for self-management among community residents with other chronic diseases.

의료급여수급권자의 사례관리 요구측정도구의 타당도와 신뢰도 검증

안양희,김의숙,함옥경,김수현,김순옥,송명경 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.4

Purpose: The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries. Methods: Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach’s alpha, and ICC. Results: Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach’s alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82. Conclusion: This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.

고혈압관리를 위한 고혈압환자 유형별 특성

안양희 지역사회간호학회 2007 지역사회간호학회지 Vol.18 No.1

Characteristics of Subgroups on Patients with Hypertension for Hypertension Management - Based on Knowledge, Attitudes, and Behavior Related to Medication and Health Lifestyle - Ahn, Yang Heui Purpose: The purpose of this study was to identify and profile distinct subgroups of patients with hypertension based on knowledge, attitudes, and behavior regarding their medication and health lifestyle. Method: A descriptive- exploratory research design was employed. Two hundred and twenty-three patients with hypertension using W Public Health Center were randomly recruited on the basis of being over 30 of age. Upon the receipt of their written consents, direct interview with a structured questionnaire were conducted by a public health nurse. Descriptive statistics and χ²-test were utilized. Results: Three subgroups were identified. Group Ⅰ members had a low score on all three factors including knowledge, attitudes and behavior related to medication and health lifestyle. Group Ⅱ members had a low score on one or two of the factors. Group Ⅲ members had a high score on all three factors. The three subgroups were significantly associated with education level, economic status, non-smoking and non-drinking. Conclusions: Further research should be conducted to validate these findings and test tailored nursing intervention for patient compliance.

농촌가족의 고위험 특성

안양희 한국가족치료학회 1999 가족과 가족치료 Vol.7 No.2

우리나라에서 고위험가족의 특성에 대한 연구는 초보단계에 있다해도 과언이 아니다. 김의숙 등 (1995)은 1970년부터 지속적인 경험적 자료를 가지고 가족진단들에 근거한 고위험가족 요인을 25개 제시하였으며, 안냔희(19997)는 제시도니 25개 요인을 활용하여 고위험가족 판별기준표를 제시하였고, 최근에 김의숙 등 (1998)은 총 30개 요인에 대한 가중치를 주어 고위험가족 checklist를 개발하였다. 이에 본 연구에서는 김의숙 등 (1998)이 개발한 고위험 가족 checklist를 활용하여 일 농촌지역가족의 고위험 특성을 조사하고자 하였다.

간호학사학위특별과정(RN-BSN) 교육과정 평가연구 : 임상실습교육평가

안양희,최상순,허혜경,임영미 연세대학교 교육대학원 2000 연세교육과학 Vol.48 No.-