모유수유 영아모가 인지한 영아기질과 모아애착 정도

장군자 ( Gun Ja Jang ),정귀애 ( Kwi Ae Chung ) 한국여성건강간호학회 2009 여성건강간호학회지 Vol.15 No.3

심정지 시뮬레이션을 활용한 팀 기반 수업과 간호대학생의 학업역량과의 관계: 자기효능감 수준을 중심으로

장군자 ( Gun Ja Jang ),이은영 ( Eun Young Lee ),김혜숙 ( Hye Sook Kim ) 한국보건정보통계학회(구 한국보건통계학회) 2020 보건정보통계학회지 Vol.45 No.2

Objectives: The purpose of this study was to investigate the relationship of a team based learning and learning competencies in junior nursing students according to the level of self-efficacy. Methods: This was a comparative study. Subjects were a total of 80 junior nursing students and divided into two groups (high self-efficacy vs. low self-efficacy). Students were assigned to teams of five or six individuals before the beginning of the course and remained in these teams for the end of course. The data were collected from August 5 to September 13, 2019 through online survey program. Team based learning was a 4-session simulation education related to cardiac arrest scenarios and consisted of one lecture session about cardiac arrest and three simulation practice sessions. Data of 50 subjects were analyzed by chi-square test and t-test to compare demographic characteristics and outcome variables using SPSS win 25.0 program. Results: There were significant differences in self-efficacy (t=3.16, p=0.003), team efficacy (t=3.13, p=0.003), and self-directed leaning (t=2.64, p=0.011) between the two groups. However, critical thinking was showed no significant difference (t=1.69, p=0.098). Conclusions: This results showed that a team based learning was more helpful for nursing students with low self-efficacy than for those with high self-efficacy. It is necessary to consider the level of self-efficacy of students to design the team based learning class.

모아 상호작용 증진 프로그램이 모유수유 실천율, 영아기질 및 모성자존감에 미치는 효과

장군자(Gun Ja Jang),장순양(Soon Yang Jang),홍연란(Yeon Ran Hong) 한국데이터정보과학회 2018 한국데이터정보과학회지 Vol.29 No.1

본 연구는 정상아를 분만한 산모를 대상으로 모아 상호작용 증진 프로그램이 모유수유 실천율, 영아기질 및 모성자존감에 미치는 효과를 분석한 비동등성 대조군 시계열 설계에 의한 유사실험연구이다. 연구 기간은 2010년 2월부터 2012년 5월까지였고, 연구 대상은 D시에 소재한 일개 대학병원 분만실에서 정상아를 분만한 산모 40명으로 실험군 20명, 대조군 20명이었다. 실험군에게 제공한 모아 상호작용 증진 프로그램은 분만 전에 산모가 진통이 없는 시간에 교육용 리플렛을 제공하고, 분만 후 모유수유 교육을 제공할 때 모아 상호작용 증진 교육을 같이 제공하였다. 퇴원 후에는 주 1회 전화방문을 통해 교육하였고, 대조군에는 같은 기간 동안 모유수유 교육만 제공하였다. 두 집단간 모유수유 실천율은 분만 후 1개월 (x² =10.26, p = .004), 3개월 (x²= 12.53, p =.002), 6개월(x² = 12.53, p = .002)에 실험군의 모유수유 실천율이 대조군보다 유의하게 높았다. 하지만 두 집단 간 영아기질은 유의한 차이가 없는 것으로 나타났고 (F = 0.32, p = .576), 모성자존감도 두 집단 간에 유의한 차이가 없었다 (F = 0.61, p = .440). 모아 상하작용 증진 프로그램은 산후 6개월까지 완전 모유수유 실천율을 향상시킬 수 있는 간호중재 방안으로 임상에서 적극 활용되길 기대하는 바이다. The purpose of this study was to determine the effects of mother-infant interaction program on the breast-feeding rate, infant temperament and maternal self-esteem. A non-equivalent control group post-test and time-series study design was used. The data were gathered from February, 2010 through May, 2012. The participants were forty mothers who delivered a healthy term infant in a university hospital. Twenty mothers were assigned to the experimental group and twenty mothers to the control group. The mother-infant interaction program was educational intervention focused on the mothers’ responses toward their infants’ cues. For the mothers in the experimental group, that program was provided prior to the delivery and reinforced once a week for one month postpartum by researchers. The rates of breast-feeding in experimental group were significantly higher than that of the control group at 1 (χ² = 10.26, p = .004), 3 (χ² = 12.53, p = .002) and 6 months (χ² = 12.53, p = .002) postpartum. However, there were no significant differences of infant temperament (F = 0.32, p = .576) and maternal self-esteem (F = 0.61, p = .440). The results show that a mother-infant interaction program is helpful to enhance breast-feeding until 6 months postpartum.

고혈압이 있는 재가노인의 낙상발생의 차이 및 영향요인

장군자(Jang, Gun Ja),전은영(Jeon, Eun Young),권병현(Kwon, Byung Hyun) 한국보건간호학회 2010 韓國保健看護學會誌 Vol.24 No.2

Purpose: A comprehensive analysis of demographical, disease, functional status and fall risk related factors identified factors associated with falls in elderly hypertensive. Method: A descriptive research design was used. The participants were 124 persons aged 65 years or older registered at the community center in Daegu city. The data were collected from October, 2008 to February, 2009. Frequency, Fisher"s exact test, χ²-test, t-test, and logistic regression were done using the SPSS V17.0. Results: Ninety (72.6%) subjects had experienced falls. The occurrence differed according to number of medications, activities of daily living and competence of vision. Logistic analysis revealed number of medication and impaired vision as independent risk factors for subsequent falls. Conclusion: Supportive nursing for the elderly needs to focus on dizziness and impaired vision to prevent falls in community-dwelling elderly with hypertension.

음악요법이 치매노인의 인지, 문제행동, 수면에 미치는 효과

전은영,장군자,유현숙,이희완,Jeon, Eun-Young,Jang, Gun-Ja,Yoo, Hyun-Suk,Lee, Hi-Wan 대한예방한의학회 2011 대한예방한의학회지 Vol.15 No.2

Objective : The purpose of this study was to determine the effects of the music therapy on cognition, problematic behavior, and sleep disturbance in elderly with dementia. Method : The study was designed using a nonequivalent control group pretest-posttest design. The subjects comprised of 39 elders (Experimental group : 19, Control group : 20) who living in D city. The instruments used for this study were the MMSE, problematic behavior assessment tool, and sleep assessment instrument. The data were analyzed using SPSS 17.0 program. Results : The repeated measure ANOVA revealed that the music therapy had the effect on the problematic behavior and sleep. There were statistically significant differences in problematic behavior between the pretest and posttest in the experimental group. Conclusion : The study suggests that the music therapy can be applied for the aged with dementia to improve the problematic behaviors.

뇌졸중환자의 일상생활 수행능력에 따른 가족의 부담감

김현미,박점희,장군자,Kim, Hyun-Mi,Park, Jum-Hee,Jang, Gun-Ja 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

This study was designed and undertaken to identify the degree of burden of family caregivers for patients who had a stroke as the burden is related to the ADL of the patients. The data were collected from October 3rd, 1997 to March 20th, 1998. The subjects in this study were 126 caregivers as family members and 126 patients with strokes who were hospitalized in two oriental medicine hospitals and four general hospitals located in Taegue and Pusan City. The questionnaires consisted of questions regarding burden(25 items) of caregivers and ADL (25 items) of patients with strokes. Data were analyzed using percentages, mean, t - test and ANOV A done with the SPSS program. The results of this study were as follows: 1. The score for family caregiver's burden was higher than the middle score. 2. The family caregivers' age had statistically significant differences in the degree of burden. 3. The age and sex of patients affected the burden of caregivers significantly. That is, caregivers felt more of a burden when caring for the patient group in their sixties than in any other age group and female patients created more of a burden than male patients. 4. There was a statistically significant difference in the degree of caregiver burden according to the level of patient ADL.

간호대학생의 그릿과 문제해결능력의 관계에서 고통감내력과 자기주도성의 매개효과

김수진 ( Su Jin Kim ),장군자 ( Gun Ja Jang ) 한국보건정보통계학회 2022 보건정보통계학회지 Vol.47 No.2

목적: 본 연구는 간호대학생의 그릿과 문제해결능력과의 관계에서 고통감내력과 자기주도성의 매개효과를 규명하기 위함이다. 방법: 간호대학생 335명을 대상으로 일반적 특성과 측정변수들은 기술통계를 이용하였고, 변수 간 상관관계는 Pearson 상관계수로, 그 릿과 문제해결능력의 매개효과는 Baron and Kenny가 제안한 3단계 회귀분석 매개효과 검정방법을 이용하였다. 결과: 그릿, 고통감내력, 자기주도성, 문제해결능력은 서로 양의 상관관계를 보였고, 간호대학생의 그릿과 문제해결능력의 관계에 고통 감내력과 자기주도성의 매개효과가 있는 것으로 나타났다. 결론: 간호대학생의 문제해결능력 향상을 위해 고통감내력과 자기주도성을 향상시킬 수 있는 프로그램 개발이 필요함을 밝히는 바이다. Objectives: This study aimed to identify the mediating effects of distress tolerance and self-directedness on the relationship between grit and problem-solving ability in nursing students. Methods: Participants were 335 nursing students in two universities between September to December 2018. The data were analyzed using a t-test, one-way ANOVA, and Person’s correlation coefficients. In addition, Baron and Kenny’s method was used to analyze mediating effects of distress tolerance and self-directedness between grit and problem-solving ability. Results: Significant correlations were found between grit and problem-solving ability (r=0.57, p<0.001), between grit and distress tolerance (r=0.38, p<0.001), and grit and self-directedness (r=0.46, p<0.001). There were the mediating effects of distress tolerance (z=5.37, p<0.001) and self-directedness (z=7.25, p<0.001) on the relationship between grit and problem-solving ability. Conclusions: It is necessary to develop and apply the programs that strengthen distress tolerance and self-directedness to improve nursing students’ problem-solving ability.

코로나19 감염병 전담병원 간호사의 근무실태, 지원체계의 적절성 및 간호 전문직 자부심

정다혜 ( Da Hye Jung ),장군자 ( Gun Ja Jang ),이혜숙 ( Hye Sook Lee ),이현진 ( Hyunjin Lee ),고상진 ( Sangjin Ko ) 한국보건정보통계학회 2022 보건정보통계학회지 Vol.47 No.2

목적: 본 연구는 코로나 감염병 대유행 상황에서 코로나전담병원에 근무하는 간호사들의 근무현황, 국가 및 지방자치단체의 지원체계 적정성 및 간호전문직 자부심을 조사하기 위하여 시도되었다. 방법: 대구에 소재한 코로나전담병원에 근무하는 첫 대유행 기간 동안 근무한 간호사 157명을 대상으로 2021년 1월 15일부터 2월 15일 까지 조사한 서술적 횡단연구이다. 설문지를 통해 근무현황, 국가 및 지방자치단체의 지원체계 적정성 및 간호전문직 자부심에 대하여 조사하였으며, 자료는 기술통계로 분석하였다. 결과: 간호사는 인력부족으로 월 7-8일, 하루 2.06시간 초과근무를 하였으며, 간호사의 97.5%가 전염에 대하여 두려움을 나타내었다. 또한 간호직무의 감염위험성에도 불구하고 국가 및 지방자치단체의 지원이 부족하다고 응답하였다. 간호전문직 자부심은 평균 3.44점으로 90% 이상의 간호사가 간호사의 전문성 향상을 인지하였다. 결론: 과중된 업무에도 일선의 간호사들이 제대로 보상받고 있지 못함을 시사하며, 이를 개선하기 위한 정책이 수립되어야 한다. Objectives: The purpose of this study was to investigate experiences such as working status, adequacy of support system from the nation and local government, and nursing professional pride of nurses working at a Coronavirus disease-2019 (COVID-19) designated hospital during the early COVID-19 pandemic in Daegu Metropolitan City, South Korea. Methods: This study was a cross-sectional study. Participants were 157 nurses who cared for 851 patients with coronavirus infectious disease during the initial pandemic from February 18 to May 18, 2020. Work-related characteristics, national/local government/institutional support provided for risky nursing care, and nursing professional pride (Korean-Nursing Professional Pride) were surveyed from January 15 to February 15, 2020. Data were analyzed by descriptive statistics. Results: Nurses worked 21 to 22 days with 7 to 8 days of overtime working a month and 2.06 hours of overtime working a day due to a shortage of nursing staff. Of them, 97.5% of nurses demonstrated concern about the transmission of COVID-19. Despite the working conditions, many participants perceived national and local government support systems for challenging works as insufficient. However, the nursing professional pride was 3.44, and more than 90% of nurses perceived increased professional awareness of nurses. Conclusions: This study suggested that frontline nurses were overworked due to the explosive increase of patients and inadequately compensated, and policies should be established to improve these issues.

임상간호사의 전문직 자아개념

김현미,황미혜,전성주,장군자,Kim, Hyun-Mi,Hwang, Mi-Hye,Jeon, Sung-Ju,Jang, Gun-Ja 한국지역사회간호학회 1997 지역사회간호학회지 Vol.8 No.2

The major purpose of this study was to survey the professional self concept of clinical nurses. The subjects consisted of 894 nurses who are working at 10 general hospital in Daegu, Pusan, and Kyungsang-do. The nurses were surveyed from November 22, 1996 to March 7, 1997. The data were analyzed using an SPSS/PC program. The results were as follows: 1. The average score of PSCNI was 72.11 points. And average item score was 2.67 points, this score means mid level in professional self concept. 2. A comparison of the scores for the dimensions of the PSCNI were as follows: the mean item score of professional practice, 2.76 points; satisfaction, 2.39 points; communication, 2.83 points. Thus, the score for communication was highest. 3. The relationship between general characteristics and the PSCNI showed a significant difference in regard to age(P=.000), religion (P=.012), educational level(P=.001), marital status(P=.000), period of nursing career(P=.000) and position(P=.002). But, there were no significant differences with regard to the field of work. In conclusion, this study suggests that we need to develop a program for improving professional self concept of clinical nurses.

뇌졸중 환자가족이 인지한 부담감 및 삶의 질에 관한 연구

김현미(Kim, Hyun Mi),장군자(Jang, Gun Ja) 한국간호교육학회 1998 한국간호교육학회지 Vol.4 No.1