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김현례 ( Hyun Lye Kim ),김선아 ( Sun Ah Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1
Purpose: The purpose of this study was to explore the factors that influence risk-taking behavior in middle school students. Methods: The participants in this study were 544 students from 4 middle schools in Seoul or Gyeonggi Province. From July 16, to September 9, 2008, data were collected using self-report questionnaires. Demographic, individual, socio-economic characteristics of risk-taking behavior were examined. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, zero-inflated negative binomial regression as count model using SAS 9.1 and Stata 10.0 program were used for the analysis. Results: The score for risk-taking behavior of the middle school students tended to be low with thrill-seeking behavior being the highest. Risk-taking behavior was higher for boys and for students not living with parents. Stress coping ability, family risk factors, family functioning, peer`s risk-taking behavior, and harmful environment were correlated with risk-taking behavior. On zero-inflated negative binomial regression analysis, the factor significantly influencing risk-taking behavior were self-esteem and for increased risk-taking behavior, family functioning, and peer`s risk-taking behavior. Conclusion: A risk-taking behavior approach that considers developmental needs is useful in understanding the behavior of early adolescents. Development of effective guidance and interventions considering factors influencing risk-taking behavior as identified in this study is recommended.
김현례 ( Hyun Lye Kim ),금란 ( Ran Keum ),김선아 ( Sun Ah Kim ),박수인 ( Su In Park ),박진영 ( Jin Young Park ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.4
Purpose: The purpose of this study was to explore the level of military stress, stress coping, and mental health status and to identify the relationships among these variables in soldiers who need intensive care. Methods: The participants were 113 perceived maladjusted soldiers who participated in Green-camp from one army base in Gyeong-gi Province. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Military Stress Inventory, Ways of Coping Checklist, and Symptoms Checklist- 90-Revision (SCL-90-R). Results: The level of stress was 3.6±0.70, overall stress coping was 1.1±0.41, and mental health status was 1.5±0.93. There were significant differences in stress, stress coping, and mental health status according religion, economic status of family, prospects for the future, persons with whom one could talk about troubles. The group with higher emotion focused coping had significantly higher scores on mental health status. There were significant positive correlations among major variables. Military stress was a significant predictor of mental health status (Adjusted R2 21.0%). Conclusion: Based on the findings of this study, stress management and intervention programs focusing on depression are highly recommended to manage maladaptive problems in soldiers.
간호실무 : 정신장애인을 위한 권익옹호 프로그램이 인권인식 수준과 자아존중감에 미치는 영향
김영희 ( Young Hee Kim ),김현례 ( Hyun Lye Kim ),김유라 ( Yu Ra Kim ),임정희 ( Jung Hee Lim ),현명선 ( Myung Sun Hyun ) 서울대학교 간호과학연구소 2012 간호학의 지평 Vol.9 No.1
Purpose: The purpose of this study was to examine the effects of a program for rights advocacy on the level of human rights perception and self-esteem for those who are mentally ill. Methods: A quasi-experimental study using a nonequivalent control group pre-post test design was used. The data were collected from January 20 to March. 17, 2010. Forty one (23 in the experimental group and 19 in the control group) individuals participated in this study. The program was developed based on the education program for human rights developed by the Gyeonggi-do community mental health center in 2009. The program consisted of 8 sessions lasting 8 weeks. Results: There were no statistically significant differences in the demographic variables or the outcome variables between the two groups before the intervention. The level of human rights perception and self-esteem increased after the program in the experimental group but not significantly (t=1.87, p= .07; t=0.88, p= .384). Conclusion: Despite the fact that the program was not effective in increasing the level of human rights perception and self-esteem, the study was timely in that it suggests directions for those who develop rights advocacy programs for the mentally ill.
우주현,김현례,현명선,Woo, Ju-Hyun,Kim, Hyun-Lye,Hyun, Myung-Sun 한국가정간호학회 2012 가정간호학회지 Vol.19 No.2
Purpose: The purpose of this study is to explore the subjective experiences of relapse and treatment among the alcoholics. Methods: Phenomenological methodology was used for the study. Participants were seven people with inpatient alcoholics at the alcohol treatment center at K hospital in K province. Data were collected via in-depth interviews from March to September, 2012 and analyzed using Colazzi's framework. Results: Six themes and seventeen meanings were formulated for the relapse and treatment experiences of participants with alcoholism. Six themes were 'Lack of true insight', 'Lack of strength to live a life', 'Unable to overcome an urge to drink', 'Being drawn away from others', 'Falling into the powerlessness and despair', and 'Being foothold of self-growth'. Conclusion: The results from this study revealed the relapse experiences among alcoholic patients. Therefore, the findings can provide the framework and direction for developing the relapse prevention program for alcoholic patients. In addition, practitioners in the treatment center or hospital need to consider their relapse and treatment experience.
현명선 ( Myung Sun Hyun ),우주현 ( Ju Hyun Woo ),김현례 ( Hyun Lye Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.3
Purpose: This study was conducted to investigate the related factors of insight, self-esteem, and coping skills and the relationships among them in patients with alcohol addiction. Methods: The participants enrolled in this study were 106 patients from two alcohol treatment hospitals in Gyeonggi Province. Data were collected from May, 12 to 20, 2010 using self-report questionnaires. The instruments were the Hanil Alcohol Insight Scale, Rosenberg Self-esteem Scale, and the Ways of Coping Checklist. Data were analyzed using the SPSS-Win 12.0 program. Results: Among the participants, 24.5% had poor insight, 45.3% fair insight, and 30.2% good insight. Insights of participants who had experienced withdrawal symptoms (t=-3.79, p<.001) and of those not living with family (t=-2.07, p=.041) were higher than those who had not experienced the symptoms and who were not living with family. Self-esteem of participants living with family (F=3.60, p<.001) and of those with better academic backgrounds (F=3.39, p=.021) were higher than those of the other groups. Also, self-esteem showed a positive relation with active coping (r=.34, p<.001). Conclusion: The results of the present study suggest that mental health practitioners need to focus on insight and self-esteem enhancement, coping skill development when treating patients with alcohol addiction.
김선아 ( Sun Ah Kim ),김현례 ( Hyun Lye Kim ),금란 ( Ran Keum ),노다복 ( Da Bok Noh ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.2
Purpose: The purpose of this study was to explore levels of depression, anxiety, suicidal ideation in maladjusted Korean soldiers and identify factors that influence suicidal ideation. Methods: Instruments were the CES-D (Center for Epidemiologic Studies-Depression Scale), STAI (State Trait Anxiety Inventory), and SSI (Scale for Suicidal Ideation). The participants were 94 maladjusted soldiers from one army base in Gyeong-gi Province. Data were collected using self-report questionnaires, and analyzed with the SPSS/WIN 20.0 program. Results: Mean scores were; for CES-D, 42.1±13.10, for STAI-I (state-anxiety) and STAI-II (trait-anxiety), 60.3±15.05 and 61.9 12.14 respectfully, and for SSI, 23.1±9.52. There were significant differences in suicidal ideation according the general characteristics of education, prospects for the future, and having someone to talk about troubles. Major variables showing significant correlations were prospects for the future, depression, trait anxiety, state anxiety, and suicidal ideation. Depression and prospect for future were significant predictors of suicidal ideation (Adjusted R2 65%). Conclusion: Based on the findings of this study, it is important to assess significant mental health problems at the clinical level and provide suicidal ideation prevention in maladjusted soldiers. Active input from experts such as nursing officers and intervention programs that focus on depression are needed.
일 지역 육군 군인들의 의사소통능력, 대인관계수준, 불안, 우울
김선아 ( Sun Ah Kim ),김현례 ( Hyun Lye Kim ),우정희 ( Chung Hee Woo ),박수인 ( Su In Park ),금란 ( Ran Keum ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1
Purpose: The purpose of this study was to explore status and level of communication ability, interpersonal relationships, anxiety, and depression in Korean soldiers and identify factors that influence depression. Methods: A cross sectional study design was employed. The instruments were PCI (Primary Communication Inventory), RCS (Relationship Change Scale), STAI (State-Trait Anxiety Inventory), and CES-D (The Center for Epidemiologic Studies-Depression Scale). Data were collected from 961 soldiers from Gyeong-gi Province and analyzed using SPSS/WIN 17.0 program. Results: The mean score for PCS, RCS were 87.0±11.43; and 98.8±14.17 respectfully and for STAI-I (state-anxiety), and STAI-II (trait-anxiety), 34.7±10.36; and 36.6±9.64 respectfully, and for CES-D, 11.2±7.0. Of the participants 22.2% were in the clinical group for depression. Major variables showing significant correlations were family intimacy, intimacy with friends or colleague, and inconvenience in not being able to use computer or internet. STAI-II, intimacy with friends or colleague, STAI-I accounted for 44.2% of the variance in depression. Conclusion: The study results suggest that a systemic approach needed to relieve soldiers` anxiety and depression. Development of program for communication training, activities for leisure and interpersonal relationship during military life could contribute to lessening depression and anxiety in solder.