노년전기 여성의 악력 수준에 따른 낙상 두려움의 영향 요인

노준희,임은주,Noh, Jun Hee,Lim, Eun Ju 한국가정간호학회 2018 가정간호학회지 Vol.25 No.1

Purpose: This study compared factors related to fear of falling among women in the early phase of old age based on hand grip strength. Methods: Researchers obtained data of 1,071 women who had participated in the 4th Korean Longitudinal Study of Aging. Data were analyzed using multiple regression analysis. Results: In both groups, fear of falling was positively correlated with falling experience within two years, osteoarthritis-related leg pain, depression, and instrumental daily life abilities; however, self-rated health was negatively correlated. In the low hand grip strength group, self-rated health, osteoarthritis-related leg pain, and hand grip strength accounted for 21.3% of the variance regarding fear of falling. In the normal hand grip strength group, age, self-rated health, fall experience within two years, osteoarthritis-related leg pain, and depression significantly accounted for 16.6% of the variance regarding fear of falling. Conclusion: In applying interventions to prevent falling in women in the early phase of old age, health care workers must verify if women have low hand grip strength and determine whether to focus on fitness improvement through exercise interventions or consider psychological interventions for depression.

신규간호사의 임종경험

노준희(Noh Jun-Hee),엄지연(Eom Ji-Yon),양경순(Yang Kyung-Sun),박효선(Park Hyo-Sun) 질적연구학회 2009 질적연구 Vol.10 No.1

Purpose: The purpose of this study was to describe how new nurses coped with difficulties in dying patients care. Methods: The subjects were seven nurses who had experience of working at oncology and intensive care units of general hospitals in Seoul and Gyeonggi-do for one-year. The data analysis utilized a method of constant comparative method, while the data analysis was done, according to the procedure of the grounded theory proposed by Strauss & Corbin. Results: The core category about the new nurses' experience on care of dying patients was the process of being 'routine' when facing their patients' death. Its whole process was shown as three sequential steps; draw back, experience, and get off. Conclusion: Based on the understanding of new nurses' experience on care of dying patients, the results of this research can provide new insight for the nursing practice and education. Furthermore, it can help new nurses to get used to their patients' death by using their experience as a base.

대학생을 대상으로 한 한국어판 자살극복력 측정도구의 신뢰도와 타당도

노준희(Noh, Jun Hee),장수정(Chang, Soo Jung),김성은(Kim, Seong Eun) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.1

본 연구는 한국어판 자살극복력 측정도구의 신뢰도와 타당도를 검증하고자 수행되었다. 연구방법은 방법론적 연구로 2012년 9월부터 12월까지 전북지역 266명의 대학생을 대상으로 자료수집을 실시하였다. 준거도구로 Osman 등(2004)의 Suicide Resilience Inventory-25를 이용하였고, 확인적 요인분석과 Cronbach’s alpha 계수를 확인하였다. 확인적 요인분석결과 19문항의 요인적재량의 범위는 .442에서 .767, RMSEA<.08, CFI≥.9로 타당도를 확보하여, 최종 19문항 3개의 하위 요인으로 이루어진 한국어판 자살극복력 측정도구(SRI-K)를 최종모형으로 선택하였다. SRI-K의 Cronbach’s alpha 값은 .943이었다. SRI-K는 자살극복력을 측정하는데 신뢰도와 타당도가 있는 도구임이 검증되었다. 향후 자살극복력을 측정하는데 SRI-K가 보다 유용하게 활용될 수 있을 것을 기대한다. The aim of this study was to test the validity and reliability of the Suicide Resilience Inventory-Korean version. Data were collected from 266 university students in Jeonbuk, South Korea. The Suicide Resilience Inventory-Korean version Suicide Resilience Inventory-25 was developed, and the collected data were analyzed using confirmatory factor analysis and Cronbach's alpha. Confirmatory factor analysis showed that The Suicide Resilience Inventory-Korean version(SRI-K) had factor loadings of the 19 items on the three subscales from 0.442 to 0.767. The three subscales model was validated by confirmatory factor analysis (RMSEA<.08, CFI≥.9). The internal consistency with a Cronbach's alpha was reliable with a total scale of 0.943. These findings show that the SRI-K has satisfactory construct validity and reliability to measure the ability to effectively overcome and to flexibly cope with the suicide risk.

간호학전공 여대생의 D유형 성격에 영향을 미치는 요인

노준희(Noh, Jun Hee),임은주(Lim, Eun Ju),정용선(Jeong, Yong-Sun) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.12

본 연구의 목적은 간호학전공 여대생의 D유형 성격에 따른 생활스트레스와 자아탄력성의 차이를 알아보고, D유형 성격에 영향을 미치는 요인을 확인하기 위함이다. 연구대상자는 간호대학 여대생 353명이며, PASW 18.0 프로 그램을 이용하여 다중회귀분석을 시행하였다. 연구대상자의 D유형 성격 분포는 34.8%였으며, D유형과 non-D유형 성 격의 생활스트레스 수준은 47.03점과 36.59점이고(t=4.853, p<.001), 자아탄력성은 112.66점과 120.17점(t=-4.497, p<.001)으로 두 집단간 통계적으로 유의한 차이가 있었다. D유형 성격에 영향을 미치는 요인은 사회적지지, 전공만족 도, 자아존중감, 생활스트레스, 자아탄력성이었다. 이 중 가장 큰 영향력을 가지는 요인은 생활스트레스였으며 6개의 설명변수로 이루어진 모형의 전체설명력은 36.3%였다. 미래의 간호사로서 보다 전문성을 갖춘 태도를 갖기 위해 간 호대학생의 D유형 성격 수준 감소를 위한 중재 프로그램을 개발하고, 대학 교육현장에서 이를 적극적으로 활용하여 야 할 것이다. The aim of this study was to clarify the variables influencing the Type D personality of female university students majoring in nursing. The subjects were 353 female students attending a nursing college, and multiple regression analysis was performed using the PASW 18.0 program. The distribution of Type D personality in the subjects was 34.8%. The factors influencing the Type D personality included the support of family and friends, satisfaction with their major, self-esteem, life stress, and resilience. The factor with the greatest influence among the variables was life stress, and the explanatory power of this model was 36.3%. Intervention programs should be developed to reduce the level of Type D personality among nursing college students to provide them with the appropriate expertise as prospective nurses.

Gender Differences in Factors that Affect Health Promoting Behaviors of Adult Employees

Noh, Jun Hee(노준희),Lim, Eun Ju(임은주),Kim, Seong Eun(김성은) 한국웰니스학회 2020 한국웰니스학회지 Vol.15 No.2

본 연구는 성별 간의 건강증진행위 수준과 성별에 영향을 미치는 요인의 차이를 확인하기 위한 것이었다. 연구대상자는 20세에서 64 세 사이의 직장인 526 명이었다. 지각된 건강 상태, 우울 증상, 직업 스트레스, 사회적 지지, D유형 성격 및 건강증진 행위를 사정하였으며, 단계별 다중 회귀 분석을 이용하여 분석하였다. 우울 증상, D유형 성격, 사회적 지지, 건강증진행위(운동, 영양, 대인 지지 및 스트레스 관리)는 남성과 여성간 평균 차이가 있었다. 남성의 경우, 사회적 지지와 우울 증상은 건강증진행위에 대해 25.3 %의 설명력을 보였다 (F = 28.870, p <.001). 여성은 우울증상, 사회적 지지, 연령, D유형 성격, 교육기간 및 지각된 건강 상태는 건강증진행위에 대해 42.6 %의 설명력을 보였다 (F = 43.552, p <.001). 우울증과 사회적 지지는 남성과 여성 모두의 건강 증진 행동에 영향을 미치는 가장 중요한 요소로 확인되었다. 특히, 여성의 경우 개인의 특성도 영향이 있었다. 이는 향후 직장인의 건강관리 프로그램을 계획할 때, 성별의 차이를 고려해야 함을 의미한다. This study aimed to identify differences in the levels of health promoting behaviors between genders and the factors that influence them. Participants were 526 employees aged from 20 to 64 years. Perceived health status, depressive symptoms, occupational stress, social support, Type D personality, and health promoting behaviors were assessed. A stepwise multiple regression analysis was used. There were significant differences in depressive symptoms, Type D personality, social support, exercise, nutrition, interpersonal support, and stress management between males and females. Considering males, social support and depressive symptoms accounted for 25.3% of the variance in the final model (F = 28.870, p <.001). In females, depressive symptoms, social support, age, Type D personality, duration of education, and perceived health status accounted for 42.6% of the variance in the final model (F = 43.552, p <.001). Depression and social support were identified as the most important factors affecting health promoting behaviors in both males and females. For females in particular, personal characteristics also had an effect. This indicates that in future, public human resource managers of employers need to consider gender differences when planning health care programs.

우리나라 노인장기요양 방문간호 현황분석: 2020년 방문간호 근로실태 조사를 기반으로

김인아,노준희,박미현,유경순,이종은,임지영,전은영,Kim, In A,Noh, Jun Hee,Park, Mihyun,Yu, Kung Sun,Lee, Jong-Eun,Lim, Ji Young,Jun, Eun-Young 한국가정간호학회 2021 가정간호학회지 Vol.28 No.1

Purpose: This study was conducted to understand the operation status of visiting nursing centers nationwide and the working conditions of visiting nurses. Methods: This is a secondary data analysis study to understand the working conditions of visiting nurses working at the center. The primary study was the 'Long-Term Care Visiting Nursing Work Survey for the Elderly', jointly investigated by the Korean Home Health Care Nurses Association and the KVN Korean Visiting Nursing Association. in September 2020. Results: 74.5% of visiting nursing centers operated home-vising care, home-visting bathing, day and day and night care at the same time. On average, 4 people were working at the visiting nursing center, and 39.1% of them were regular workers. Visiting nurse safety accidents were in the order of traffic accidents, needle cuts, falls, and infections. The most frequent diseases of visiting nursing were musculoskeletal diseases, and there were various diseases. The most frequent service provision time was more than 30 minutes and less than 60 minutes. There were significant differences in the application of nursing courses according to the size of the city where visiting nurses work. Conclusion: The state should come up with various support measures for the successful transition of home-visit nursing to integrated in-home services. Academics and organizations should operate a business know-how education program that can provide competency-based job training and integrated home service for the specialization of home-visit nursing. Home-visit nursing long-term care institutions should make efforts to improve the working environment of visiting nurses and to efficiently operate the business.

아동병원 간호사의 감정노동, 자기효능감이 입원아동 부모와의 파트너십에 미치는 영향

윤수진,노준희,Youn, Su Jin,Noh, Jun Hee 한국가정간호학회 2018 가정간호학회지 Vol.25 No.1

Purpose: To identify the relationship between emotional labor, self-efficacy, and partnership with parents in nurses working at children's hospital, and to examine the factors that influence partnership of nurses with parents. Methods: Participants were 208 nurses working at nine children's hospitals in D and G metropolitan cities in J province. Data were collected using structured self-report questionnaires. Results: Partnership with parents showed a significant positive correlation with emotional labor (r=.43, p<.001) and self-efficacy (r=.47, p<.001). Furthermore, emotional labor and self-efficacy had influence on partnership with parents. The total explanatory power of this model was of 31.4%. Conclusion: Considering that children's parents and other family members usually stay with them in hospitals, a concrete system needs to be developed to manage the emotional labor of nurses. Ultimately, direct and indirect intervention programs, with emotional labor and self-efficacy at the core, should be developed and implemented to enhance the partnership of nurses and parents.

중년후기 성인의 건강증진행위 관련요인

임은주(Lim, Eun Ju),노준희(Noh, Jun Hee) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.10

본 연구는 중년후기 성인의 건강증진행위, 과거 건강관련 행위, 지각된 유익성 및 장애성, 자기효능감, 사회 적 지지의 수준을 파악하고, 건강증진행위 및 제 변수들 간의 관련성을 확인하기 위한 목적으로 시도된 서술적 조사 연구이다. 연구대상자는 도시지역에 거주하는 55∼64세 중년후기 성인 311명이며, 자료 조사는 구조화된 설문지를 이 용한 자가보고식으로 이루어졌다. 연구결과에 따르면, 중년후기 성인의 건강증진행위 수준은 평균 2.64점이며, 건강증 진행위 관련 변인 중 지각된 유익성이 3.07점으로 가장 높았고, 지각된 장애성이 2.08점으로 가장 낮았다. 건강증진행 위와 관련 변인들간의 관계를 살펴보면, 건강증진행위와 과거 건강관련 행위, 사회적 지지, 지각된 유익성, 자기효능 감은 유의한 순상관관계를 보였고, 지각된 장애성은 미약한 역상관관계가 있는 것으로 나타났다. 또한 건강증진행위 에 영향을 미치는 요인은 과거 건강관련 행위(β=.35, p<.001), 지각된 유익성(β=.32, p<.001), 사회적 지지(β=.28, p<.001), 생활만족도(β=.13, p<.001) 순으로 나타났으며, 전체 모형의 설명력은 68.8%였다(F=166.71, p<.001). 본 연구 결과를 바탕으로 중년후기 성인이 건강한 노년기를 보내기 위해서는 운동과 스트레스 관리를 포함한 건강증진 교육 프로그램을 제공하고, 동년배간 네트워크를 구축하여 유용한 정보를 공유하며 서로 지지할 수 있도록 지원해야 할 것 이다. The purpose of this study was a descriptive research that identified the levels of health- promoting behaviors, previous related behavior, perceived benefits/barriers, self-efficacy, and social support. In addition, it was to establish the relations among the variables, and determine the factors affecting the health-promoting behaviors. Study participants were 311 middle aged between 55-64 in urban areas, and the data were collected through self-reported structured questionnair. According to the results, the mean score for the levels of health-promoting behaviors of the late middle aged was 2.64. Also, among the variables related to health-promoting behaviors, perceived benefits were the highest score (30.7), and perceived barriers were the lowest one (2.08). Meaningful positive correlations were found among health-promoting behaviors and previous related behavior, social support, perceived benefits, and self-efficacy, but perceived barriers showed weakly negative correlations. In addition, the factors affecting health promoting behaviors were revealed in order as following: Previous health related behavior(β=.35, p<.001), perceived benefits(β=.32, p<.001), social support(β =.28, p<.001), and life satisfaction(β=.13, p<.001), and this model's explanatory power was 68.8%(F=166.71, p<.001). Based on the findings from the study, in order for the late middle aged to have a well-being old age, an health promoting education program including exercises and stress management should be provided to maintain and improve proper health promoting behaviors. The network with the same age groups also should be supported to share useful information and back up one another.

DNA 마이크로어레이 시스템 분석을 통한 S. lividans 유래 항생제 조절유전자 afsR 2 기능 분석

김창영(Chang-Young Kim),노준희(Jun-Hee Noh),이한나(Han-Na Lee),김응수(Eung-Soo Kim) 한국생물공학회 2009 KSBB Journal Vol.24 No.3

AfsR2 과발현 S. lividans TK21을 이용하여 DNA microarray를 수행하였다. 그 결과, phosphate starvation과 관련 있는 42개의 유전자들이 up-regulated 되었으며, 특히 SCO4139 (pstB, phosphate ABC transport system ATPbinding protein)와 SCO4142 (pstS, phosphate-binding protein precursor)는 afsR2가 phosphate와 같은 nutrient starvation에 적극적으로 관여한다는 것을 나타내며, SCO4228 (putative phosphate transport system regulatory protein)은 기존에 수행되었던 2D-electrophoresis 연구나 afsS null S. coelicolor를 이용한 DNA microarray 연구에서도 공통 적으로 보고되었던 유전자로서 phosphate lilitation에 대한 afsR2의 효과가 지속적으로 검증되고 있음을 뜻한다. 또한 afsR2 과발현을 통해서 sigma factor인 SCO2954 (sigL)과 SCO5147 (sigE)의 발현이 유도되었으며 두 유전자의 구조적인 특징을 고려해 보았을 때 afsR2가 RNA polymerase 와의 linker로서의 역할을 추측해 볼 수 있다. 뿐만 아니라 whi 관련 유전자들의 발현 또한 afsR2에 의해 증가되었다. 이는 afsR2가 단순히 2차 대사물질 생합성 조절에만 관여하는 것이 아니라 형태적 분화에 작용함으로써 최종적으로 여러 2차 대사물질의 합성을 유도한다고 말할 수 있다. 이러한 결과들을 토대로 afsR2가 기존에 항생제 생합성에만 관여하는 global regulatory 조절인자가 아닌 방선균이 stationary phase로 전환되는 시점에서 형태적 분화에 영향을 미치고 phosphate limitation stress를 줄여주는 2차 대사의 key-factor regulatory 유전자임을 알 수 있다. AfsR2 in Streptomyces lividans, a 63-amino acid protein with limited sequence homology to Streptomyces sigma factors, has been known for a global regulatory protein stimulating multiple antibiotic biosynthetic pathways. Although the detailed regulatory mechanism of AfsK-AfsR-AfsR2 system has been well characterized, very little information about the AfsR2-dependent down-stream regulatory genes were characterized. Recently, the null mutant of afsS in S. coelicolor (the identical ortholog of afsR2) has been characterized through DNA zicroarray system, revealing that afsS deletion regulated several genes involved in antibiotic biosynthesis as well as phosphate-starvation. Through comparative DNA microarray analysis of afsR2-overexpressed S. lividans, here we also identify several afsR2-dependent genes involved in phosphate starvation, morphological differentiation, and antibiotic regulation in S. lividans, confirming that the AfsR2 plays an important pleiotrophic regulatory role in Streptomyces species.