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.

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.

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.

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

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.

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.

내 · 외과계 입원환자의 병원선택요인 및 만족도

김순애 ( Soon Ae Kim ),서순림 ( Soon Rim Suh ) 경북대학교 간호과학연구소 2009 경북간호과학지 Vol.13 No.2

Purpose : this study was to investigate factors of hospital choice and patient's satisfactions of inpatients in medicine and surgery and how much their satisfactions have an effect on revisit intension, and recommendation intension. Methods : The subjects of this study were 137 medical inpatients and 135 surgical inpatients from 26th, March. to 24th, April, 2007. The data were analysed through frequency, percentile, mean, standard deviation, pearson's correlation coefficient, t-test, ANOVA, and logistic regression analysis. Results : Surgical inpatients had higher scores on hospital reputation, doctor of fame, visited hospital among factors of hospital choice than medical inpatients. Medical inpatients had different scores of hospital choices according to gender and hospitalized experience. Surgical inpatients had different score of hospital choice according to hospitalized experience. Patient satisfaction scores were different according to the subjects' age, education level, monthly income, living area, and hospitalized experience. Doctor of fame and patient satisfaction on executive process were correlated with .56. and doctor of fame and patient satisfaction on nurse were correlated with .51 among medicine inpatients. The correlation between doctor of fame and patient satisfaction on doctor was .39 and the correlation between hospital reputation and patient satisfaction on executive process was . 38 among surgery inpatients. Total patient satisfactions including doctors, nurses, and executive processes affected significantly on revisit intention and recommendation intention. Conclusion : it suggests that hospital should provide it's image management, induction strategy for revisit of the first admitted patients, and tailored client service.

폐렴구균 예방백신 권장대상 성인의 예방접종 수행률과 관련요인

이순영 ( Soon Young Lee ),서순림 ( Soon Rim Suh ) 한국보건정보통계학회(구 한국보건통계학회) 2016 보건정보통계학회지 Vol.41 No.2

Objectives: The purpose of this study was to measure the rate of pneumococcal vaccination and vaccination-related factors and to identify the predictors of vaccine uptake behavior among the adults recommended for the immunization. Methods: Cross-sectional survey was performed with questionnaires provided to 205 adults who recommended for the immunization among inpatients and outpatients admitted to a single metropolitan hospital in the February and March of 2015. Collected data were analyzed by descriptive statistics, χ2-test, t-test, and multiple logistic regression analyses using IBM SPSS WIN 22.0 program. Results: Vaccination rate of the participants was 23.9%. Their knowledge for the vaccination and pneumonia-preventive behavior were at intermediate levels, scoring 5.85/10 and 6.47/10 points, respectively. Their health beliefs that include susceptibility, seriousness, benefits, barriers and cues to action scored 69.18/100. Vaccinees scored significantly higher than the non-vaccinee controls in the knowledge for vaccination and also in the susceptibility and severity of health belief. Vaccine receipt rate differed significantly in univariate analysis by general characteristics such as age, education, marital status but not by gender and comorbidity. Further analyses of multiple logistic regression indicated that the vaccine receipt rate appeared to increase with age, experience of pneumonia and perceived susceptibility. Conclusions: The pneumococcal vaccination rate was generally low. To increase the rate, it is desirable to develop an organized program to educate vaccine recommended adults and enhance their perception of the risk of pneumococcal infection and the benefit of vaccination.

간호대학생의 건강정보 이해능력과 자가간호역량이 건강증진 행위에 미치는 영향

이순영 ( Soon Young Lee ),서순림 ( Soon Rim Suh ) 한국보건정보통계학회(구 한국보건통계학회) 2018 보건정보통계학회지 Vol.43 No.2

Objectives: This study is a descriptive study to survey the nursing college students for their health literacy, self-care agency, and health promoting behavior and to analyze their related factors. Methods: The questionnaire was administered to 228 students in two nursing colleges. Collected data were analyzed using t-test, ANOVA with scheff’e test, and stepwise multiple regression. Results: In this study, nursing students health literacy 14.37±2.00, self-care agency was 158.10±26.62 points, health promotion behavior were 145.67±35.10 points. This result was higher than the previous study. The subjects’ health literacy had a significant positive correlation with self-care agency (r=0.60, p<0.001), a significant positive correlation with health promoting behavior (r=0.25, p<0.001), and self-care agency had a significant positive correlation with health promoting behavior (r=0.39, p<0.001). Regression analysis to identify factors affecting the health promoting behavior showed that self-care agency was the most significant factor (p=0.001), followed by health literacy (p=0.048). In the regression analysis, self-care agency and health literacy were significant predictors and explained 23.0% (p<0.001) of health promoting behavior. Conclusions: Results of this study have suggested that self-care agency and health literacy were significantly related to health promoting behavior in nursing college students. Therefore, in order to improve the health promoting behaviors of nursing college students, it is necessary to improve the health literacy and self-care agency, and the systematic education strategy and education program should be developed and applied.