무릎관절증 후기여성노인을 위한 사회인지이론기반 신체활동 프로그램의 효과

서순림 ( Suh¸ Soon Rim ),이정화 ( Lee¸ Jeong Hwa ) 한국정신간호학회 2021 정신간호학회지 Vol.30 No.3

Purpose: This study was conducted to verify the effects of a physical activity program based on social cognitive theory for elderly women with knee osteoarthritis (KO). Methods: Ninety-two women aged over 75 with KO from one community center and five senior centers in G county participated. Groups of physical activity based on social cognitive theory (experimental, n=38), Thera-band physical activity (comparison, n=24), and no intervention (control, =30) participated in a 16-session, 8-week program. Results: Knee joint function, muscular strength, exercise self-efficacy, outcome expectations for exercise, social support, and social networks increased significantly in the experimental group compared to the other groups. Conclusion: Physical activity based on social cognitive theory most effectively increased physical function, self-efficacy, and social support of elderly women with KO.

암의 병태생리와 증상관리

서순림 ( Soon Rim Suh ) 대한운동사협회 2008 대한운동사협회 운동사대회자료집 Vol.2008 No.-

중년기 성인의 노화불안과 영향요인

서순림(Suh, Soon-Rim),최희정(Choi, Hee-Jung) 한국성인간호학회 2013 성인간호학회지 Vol.25 No.4

혈액투석 환자의 스트레스와 수용이 사회심리적 적응과 삶의 질에 미치는 영향

서순림(Soon-Rim Suh),조인희(In-Hee Cho) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.11

이 연구는 혈액투석 환자의 사회심리적 적응과 삶의 질에 미치는 영향요인을 파악하고자 시도되었다. 연구대상자는 국내 K시, P시 및 U시 소재 혈액투석센터 8곳에서 혈액투석 중인 환자 246명이었다. 자료수집을 위한 설문조사는 2014년 4월 1일부터 4월 30일까지 실시되었다. 자료분석은 SPSS/WIN 18 program을 이용하여 기술분석, 상관분석 및 단계적 회귀분석을 시행하였다. 분석결과 스트레스반응과 수용은 사회심리적 적응과 삶의 질에 있어서 유의한 상관관계가 있는 것으로 나타났다. 단계적 회귀분석결과 스트레스반응이 사회심리적 적응(β = -.443, p<.001)과 삶의 질(β =-.553, p<.001)에 가장 크게 영향을 미치는 요인으로 나타났다. 본 연구결과를 근거로 혈액투석환자의 사회심리적 적응과 삶의 질을 향상시키기 위하여 스트레스반응을 감소시킬 수 있는 중재 프로그램의 개발과 그 효과를 검정할 필요가 있다. This study was conducted to investigate the factors that influence the psychosocial adaptation and quality of life of hemodialysis patients. The study participants consisted of 246 hemodialysis patients from 8 hemodialysis centers located in 3 cities (‘K’, ‘P’, and ‘U’) in South Korea. The questionnaire used for data collection was administered between April 1 and 30 of 2014. SPSS/WIN 18 program was used to perform descriptive, correlation, and stepwise regression analyses. It was found that stress response and acceptance were significantly correlated with psychosocial adaptation and quality of life. In the stepwise regression analysis, stress response appeared to be the most important influencing factor for psychosocial adaptation (β=-.443, p<.001) and quality of life (β=-.553, p<.001). Based on the study results, it is determined that in order to improve psychosocial adaptation and quality of life among hemodialysis patients, an intervention program to reduce stress response is needed, along with evaluating its efficacy.

독거노인 건강관련 삶의 질의 영향 요인

서순림(Suh Soon Rim),김미한(Kim Mihan) 한국노년학회 2014 한국노년학 Vol.34 No.4

본 연구는 독거노인의 건강관련 삶의 질을 평가하고, 건강관련 특성, 건강행위특성, 일상생활수행능력, 수단적 일상생활수행능력, 신체허약 정도, 인지기능에 따른 건강관련 삶의 질을 확인하고자 시도되었다. 서술적 단면 조사 연구로서 2013년 2월 12일부터 3월 8일까지 5개의 시, 군에 거주하는 65세 이상 독거노인을 대상으로 주관적 건강상태, 건강 행위, 신체허약 정도, 인지기능, ADL, IADL, 건강관련 삶의 질을 측정하는 구조화된 설문지를 사용하여 일대일 면담으로 자료수집 하였다. 대상자의 건강관련 삶의 질은 일반 노인에 비하여 매우 낮았으며 주관적 건강상태, 신체허약 정도, 인지기능, ADL, IADL이 건강관련 삶의 질과 유의한 상관관계가 있었다. 건강관련 삶의 질에 영향을 미치는 요인은 주관적 건강상태, ADL, IADL, 신체허약 정도로 나타났다. 결론적으로 독거노인의 건강관련 삶의 질을 높이기 위하여 주관적 건강상태와 일상생활수행의 독립성, 신체가 동능력을 고려한 건강관리 프로그램이 필요하다. The purpose of this study was to evaluate the levels of the health-related quality of life and related factors in older adults who live alone. The subjects of this study were 266 elderly living in the K province. Data were collected through the structured questionnaires which were constructed to include the level of physical weakness and cognition, the activities of daily living(ADL), instrumental activities of daily living(IADL) and health-related quality of life from February 12 to March 3, 2013. The Collected data were analyzed by frequency, t-test, ANOVA, Pearson's correlation coefficient and hierarchial multiple regression. Compared to the ordinary elderly, the health-related quality of life for the subjects was much lower. There was a positive correlation between subjective health status, ADL, IADL, the level of physical weakness and cognition. Regression analysis indicated that the significant predictors of the health-related quality life were subjective health status, ADL, IADL, and the level of physical weakness. The factors accounted for 40.9% of variance in the health-related quality of life for the aged who live alone in the community. To conclude, It is needed to give health programs that integrate these factors for the elderly living alone.

대구시 지하철 화재사고 부상자들의 6년후 정신과적 특성

하신숙,서순림,김정범,이은정,Ha, Sook-Sin,Suh, Soon-Rin,Kim, Jung-Bum,Lee, Eun-Jeong 대한불안의학회 2009 대한불안의학회지 Vol.5 No.2

Objective : This study examined psychiatric characteristics of wounded persons of Daegu subway fire accident occurring in February 2003 after six years. Methods : 103 wounded persons completed psychometric measures at 2 months and 6 years after the accident. Changes of psychiatric symptoms were compared and factors affecting post-traumatic stress disorder (PTSD) seriousness were examined. Results : In Minnesota Multiphasic Personality Inventory, the scores of Psychopathic Deviate (Pd), Masculinity/ Femininity (Mf), Social Introversion (Si) scales were significantly changed over time. The scores of Symptoms Checklist-90-Revision subscales were mostly decreased over time, however, paranoid ideation (PAR) subsclae scores were not significantly changed over time. In all of the State-Trait Anxiety Inventory (STAI)-State, Beck Depression Inventory, Impact of Event Scale, and PTSD Checklist-Civilian, mean scores at 6 years after the accident were significantly lower than those at 2 months after the accident. However, STAI-Trait score was not significantly changed over time. Total seriousness of PTSD was found to be affected by quality of sleep. Conclusions : Psychiatric symptoms of subjects were largely improved over time, but distrust and doubt of others were continued. In addition, the wounded persons suffered from sleep problems. Therefore, early and continuous interventions of public institutions and public health specialists are needed for the wounded persons with chronic psychiatric disorders.

향기요법이 스트레스에 미치는 효과에 대한 메타 분석

김경덕,서순림,Kim, Gyung-Duck,Suh, Soon-Rim 한국호스피스완화의료학회 2008 한국호스피스.완화의료학회지 Vol.11 No.4

목적: 본 연구의 목적은 향기요법이 스트레스에 미치는 효과에 대하여 메타분석 방법을 이용하여 연구결과의 정도를 종합, 분석하기 위함이다. 방법: 2000년 1월부터 2008년 2월까지 이루어진 연구를 대상으로 하여 국내 학위논문과 주요 학술지를 중심으로 추출하였으며, 향기요법이 스트레스에 미치는 효과를 연구한 45편의 논문 중 분석대상 기준에 적합한 논문 21편을 대상으로 하였으며, 자료분석은 통계프로그램인 SAS 9.1/PC을 이용하여 분석하였다. 결과: 최종 선정된 21편의 연구물로부터 58개의 효과 크기가 산출되었으며, 58개의 효과크기를 바탕으로 전체 효과, 종속변수의 지표별 효과, 연구대상 및 중재 방법에 대한 효과, 중재시간에 따른 효과를 산출하였다. 향기요법이 스트레스에 미치는 전체 효과크기는 .593으로 보통 효과크기로 나타났다. 스트레스의 지표별 효과 크기는 생리적 지표에서 보다 심리적 지표에서 훨씬 큰효과를 보였으며, 심리적 스트레스에서는 주관적 스트레스에 효과가 가장 컸고($\bar{d}$=.983), 생리적 스트레스에서는 코티졸($\bar{d}$=.648)과 맥박($\bar{d}$=.515)에서는 중간정도의 효과크기가 나타났으나, 수축기 혈압($\bar{d}$=.490)과 이완기혈압($\bar{d}$=.401), 에피네피린($\bar{d}$=.334)에서는 중재효과가 작은 것으로 나타났다. 대상자별 효과에서는 노인집단에서 .706으로 가장 큰 효과를 나타내었고, 암환자($\bar{d}$=.337)에게 가장 작은 효과로 나타나 집단간 유의한 차를 보였다(F=2.271, P=.043). 중재방법에 대해서는 향기요법과 마사지요법을 병행한 경우($\bar{d}$=.590) 가장 큰 효과로 나타났으나 중재시간별 효과크기의 차는 없었다 (F=.495, P=.687). 중재시간에 대해서는 $20{\sim}30#분의 중재를 한 경우 .730으로 가장 높게 나타났으나, 역시 통계적 유의한 차는 없었고, 중재 회기 수와 효과크기와의 상관관계는 r=.349로 나타나 통계적으로 유의한 차를 보였다(P=.007). 결론: 본 연구 결과 향기요법은 대상자의 스트레스를 감소시키는데 효과가 있는 것으로 나타났으므로 향기요법을 이용한 간호중재 프로토콜의 개발과 그 실제 적용이 요구된다할 수 있겠으며, 프로토콜 개발 시 대상자의 특성과 중재 시간이 고려되어야 하겠다. Purpose: The purpose of this study was to analyze the effects of aromatherapy on stress using meta-analysis. Methods: Meta-analysis was done with 21 published studies, and data were analyzed with the SAS 9.1 program. Results: Fifty eight effect size was estimated with data from 21 published studies. Overall mean effect size (ES), and mean effect size of dependence variables according to the type of intervention and subject and according to the total amount of time spent in aromatherapy were estimated. Overall mean effect size of the effects of aromatherapy was .593, and the subjective stress (.983) was most effective in the physiological faculty, followed by mean effect size of cortisol (.648) and pulse (.40). On the other hand, mean effect size of systolic blood pressure (.490) was moderate, and that of diastolic blood pressure (.401) was not large. Mean effect size of elderly (.706) cancer patients was considerable(.337). There were significant differences depending on the subjects. With regards to the types of aromatherapy, the effect size of aroma massage combined with inhalation therapy was .590, and there were no significant differences between the intervention methods. With regards to the time of intervention, $20{\sim}30$ minutes spent in aromatherapy was .730, and there were no significant differences between the times of intervention. The relationship between the effect size and intervention frequency was r=.349 and showed significant difference. Conclusion: This result suggests that aromatherapy is an effective intervention to reduce stress for subjects. Nursing intervention protocol by using aromatherapy should be developed and applied in clinical and community settings. Further studies on the effects of aromatherapy on stress should be done by using meta-analysis.

간호대학생 대상 심폐소생술 교육의 지속효과

박정미,서순림,Park, Jeong-Mi,Suh, Soon-Rim 한국응급구조학회 2005 한국응급구조학회지 Vol.9 No.2

The purpose of this research was to evaluate retention of cognitive knowledge, psychomotor skills and self-confidence on CPR 3 months after CPR training program. The sample consisted of 39 nursing students. We provided one rescuer CPR training program for nursing college students on the basis of AHA. The questionnaires for knowledge of CPR were developed 50 items based on AHA guidelines. Self-confidence were checked by 11 items questionnaires. The accuracy of CPR skills were checked by Skillreporter CPR training manikin and by researcher's evaluation based on CPR skill checklist. The results were as follows ; 1. The majority of participants didn't have any previously experiences of CPR training (76.9%). Only 15.1% previously took the CPR training with CPR practice. 2. In terms of self-confidence of CPR. The score were increased for 2 days (p>.001) but retention of self confidence was significantly statistical decreased in 3 months after training (p<.001). 3. There was a statistically significant decrement in mean of knowledge of CPR between 2 days and 3 months after CPR training (p<.001). 4. There was a statistically significant decrement in cognitive knowledge of CPR based on CPR skills checklist(p<.001). 5. Retention scores of psychomotor skills of CPR 3 months after training were 42.10% in numbers of adequate ventilation, 52.81% in numbers of adequate chest compression (p<.001) respectively. 6. Retention of passing rate on chest compressions of CPR 3 months after training was 27% (p<.001), on ventilation was 2.63% (p>.001). The error items with statistically significant differences 3 months after CPR training were too little ventilation (74.36%) and too little chest compressions (92.31%). The results of the study suggest that we need further evaluation of course components which could improve retention of CPR for all trainees.

한국 성인 직장인의 걷기에 영향을 미치는 생태학적 요인

김명관(Myung-gwan Kim),서순림(Soon-Rim Suh) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.5

본 연구는 성인 직장인의 건강증진을 위하여 생태학적인 요인에서 개인 수준 요인과 지역 수준 요인이 걷기에 미치는 영향을 주었는지를 파악하여 걷기를 증가시킬 수 있는 방안모색의 기초자료를 제공하고자 한다. 지역사회건강조사 원시데이터(2011-2013)에 우리나라 지자체 통계연보(2011-2013년 기준)를 접목해 253개의 시군구 단위로 지역 수준 요인 변수를 추출하여 위계적 구조를 가진 융합 빅데이터를 생성하고 위계적 선형 모형으로 다수준 분석을 시행하였다. 개인 수준 요인의 인구·사회적 특성 및 건강행태에 따라 걷기에 유의한 차이가 있었고 이들 개인적 수준을 통제하고도 지역 수준의 사회·문화적 환경 요인 증에서의 공공질서 및 안전 세출예산의 증가, 여가 환경 요인 중의 국토 및 지역개발 세출예산의 증가, 운송환경 요인 중의 각 지자체별 공공 운송수단인 시내버스 등록대수가 걷기에 유의한 영향을 미쳤다. 이 결과로 볼 때 직장인의 걷기 향상에는 개인의 인구사회적 특성이나 행태 뿐 아니라 공공질서 및 안전 그리고 국토 및 지역개발 예산 증가를 통한 지역사회의 사회문화적 환경 개발과 시내버스 운송수단 증가가 중요함을 나타냈다. 그러므로 지역사회 주민인 직장인들의 걷기와 같은 신체활동을 자연스럽게 증가시킬 수 있는 환경조성과 공공 운송수단 개발을 강조할 필요가 있다. 이는 궁극적으로 직장인의 건강수명을 증진시킬 것으로 본다. The purpose of this study was to identify the influence of the individual-level and community-level factors in the ecological model on walking and to provide the basic data for a strategy that can increase walking for health promotion of adult workers. By combining the primary data of community health survey (CHS) (2011-2013) with the Korea national statistics annual book (2011-2013), the regional level variables were extracted from 253 municipal districts and the convergent big data with the hierarchical structure was produced. As a result, the increase in budget expenditure for public order and safety in social and cultural environment factors, the increase in budget expenditure for national and community land development in the leisure environment factors, and the number of buses in the transportation environment were increased by walking. In conclusion, walking was increased by the development of a community environment and bus transportation besides individual characteristics and behavior. Therefore, improving environment and public transportation will increase physical activity, such as walking, which will increase the healthexpectancy in community citizen workers.

종합병원에 근무하는 요통 간호사의 간호업무활동, 신체역학원리 및 직무 스트레스와의 관련성

정근자(Jung, Keunja),서순림(Suh, Soonrim) 대한근관절건강학회 2013 근관절건강학회지 Vol.20 No.2