Factors Affecting Clinical High Risk for Psychosis

Young Eun Jang(장영은),Kuem Sun Han(한금선) 대한스트레스학회 2021 스트레스硏究 Vol.29 No.3

조현병의 조기발견을 위해 초기 성인기 정신증 고위험군에 영향을 미치는 요인을 조사하여 회복력 모델과 스트레스 취약성 모델을 기반으로 한 구조모형으로 설명하였다. 웹 기반 설문으로 선정된 907례에서 지각된 스트레스, 가족적응력 및 응집력, 사회적 지지, 대처, 회복력, 사회적 기능 및 정신증 고위험군 등을 측정해 다음과 같은 결과를 얻었다. 총 907명 중 102명(11.3%)이 정신증 고위험군으로 분류되었고 인구통계학적 변수에 따른 차이는 없었다. 정신증 고위험군의 영향 요인은 지각된 스트레스, 회복력, 사회적 기능 등이었다. 수정모형에서 대처에 유의한 영향을 미치는 변수는 지각된 스트레스, 가족적응력 및 응집력, 사회적 지지 등이었다. 회복력에 유의한 영향을 미치는 변수는 지각된 스트레스, 가족적응력 및 응집력, 대처 등이었다. 정신증 고위험군에 유의한 영향을 미치는 변수는 지각된 스트레스, 대처, 회복력 및 사회적 기능 등이었다. 후속 연구를 위해 초기 청소년기 대상 연구 및 대면조사를 포함하는 연구를 제안하며, 각 영향 요인을 보다 명료하게 설명할 수 있는 도구의 개발 및 선정을 권장한다. Background: For early detection of schizophrenia, we investigated the factors influencing young adults at clinical high risk (CHR) of psychosis and explained the structural model based on the Adolescent Resilience Model and the Stress Vulnerability Model. Methods: Based on web-based questionnaires, we measured perceived stress, family adaptability and cohesion, social support, coping, resilience, social function, and CHR in 907 cases. Results: Among 907 subjects, 102 (11.3%) were classified as CHR, and there was no difference according to demographic variables. Influencing factors of CHR were perceived stress, resilience, and social function. In the modified model, perceived stress, family adaptability and cohesion, and social support demonstrated a significant effect on coping. Perceived stress, family adaptability, cohesion, and coping demonstrated a significant influence on resilience. Perceived stress, coping, resilience, and social function demonstrated a significant influence on CHR. Conclusions: We suggest future research on the early stages of adolescence, and research that includes face-to-face surveys. Moreover, we recommend the development and selection of tools that can explain each influencing factor more lucidly.

임상간호사의 수면의 질에 영향을 미치는 요인

한금선 ( Kuem Sun Han ),박은영 ( Eun Young Park ),박영희 ( Young Hee Park ),임희수 ( Hee Su Lim ),이은미 ( Eun Mi Lee ),김린 ( Leen Kim ),안덕선 ( Duck Sun Ahn ),강현철 ( Hyun Cheol Kang ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.2

Purpose: The purpose of this study was to identify sleep quality, job stress, symptoms of stress (SOS), and coping and to examine factors influencing sleep quality in clinical nurses. Methods: A cross-sectional study was conducted with 265 clinical nurses at three general hospitals. A self-administrated questionnaire was used for data collection, and data were analyzed using descriptive statistics. Pearson correlation coefficients, t-test, ANOVA, and backward multiple regression with the SAS statistical program. Results: Sleep quality showed significant differences according to the sociodemographic characteristics of age, length of work, education, current workplace, current job position, shift work, and marital status. Sleep quality was negatively associated with SOS and job stress. Significant factors influencing sleep quality of the clinical nurses were cognitive-behavioral SOS, physiological SOS, inappropriate rewards, physical work environment, and shift work. Conclusion: The findings indicate that cognitive-behavioral SOS, physiological SOS, job stress regarding inappropriate rewards and physical work environment, and shift work are useful to predict levels of sleep quality of clinical nurses. These factors should be considered when developing nursing interventions to improve sleep quality of clinical nurses through stress management.

관상용 고추 품종 ‘캔디팝’ 육성

양은영(Eun Young Yang),채수영(Soo Young Chae),최학순(Hak Soon Choi),이우문(Woo Moon Lee),이희주(Hee Ju Lee),허윤찬(Yun-Chan Huh),박동금(Dong Kuem Park),조명철(Myeong Cheoul Cho),노나영(Na Young Ro),윤무경(Moo Kyoung Yoon) 한국원예학회 2013 한국원예학회 학술발표요지 Vol.2013 No.5

Effectiveness of Left Infrascapular Skin Temperature Monitoring in the ICU

Young Joo Lee,Hyun Jue Gill,Kuem Hee Chung,Jeong Yeon Hong,Bong Ki Moon,Myoung Eun Kim,Min Hyup Choi,Young Seok Lee Korean Society of Critical Care Medicine 1998 Acute and Critical Care Vol.13 No.2

BACKGOUND: Many sites are used to measure the body temperature and each site has different physiologic and practical importance. Several types of skin temperature monitoring have been used as simple, inexpensive and viable alternatives in many settings. In the operating area, it is difficult to insert a temperature probe during operation. The object of this study was to compare the difference and the correlation between the temperature of the left infrascapular skin region and temperatures of axilla, nasopharynx and rectum, METHODS: Forty-two adult patients who were admitted at surgical ICU were studied. After covering the bed with insulator and sheets, patients were placed in supine position. Temperature monitoring was done at the same time using four temperature probes from two bedside patient monitors in the same patient. The temperatures were measured twice at 30 minutes after application of the temperature probe at 10 minute intervals and the average temperature was recorded. RESULTS: The differences between skin temperature and rectal, nasopharyngeal, and axillary temperatures were -0.64+/-0.21degrees C (p

퇴원한 만성 정신 질환자의 삶의 질과 영향 요인에 관한 연구

한금선,이평숙,박은영 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.3

The purpose of this study was to investigate the factors influencing quality of life of chronic mental illness. The subjects of this study were 190 patients with chronic mental illness diagnosed by physician, over the age of 20, living in Seoul, Korea, during the period from May, 2000 to December, 2000. The instruments for this study were the quality of life scale by RoYooJa(1979), the self-esteem scale by Rogenberg(1965), social support scale by ParkJiWon(1985), coping behavior scale by Shirley Zeitlin(1978)m self efficacy scale by Sherer et. al(1982), and Rand mental health inventory(1979). The data were analyzed using descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression. The results of this study are as follows: 1. The quality of life showed significant positive correlation with self-esteem(r=0.75, p=0.00), self-efficacy(r=0.53, p=0.00), social support(r=0.49, p=0.00), self-oriented coping(r=0.36, p=0.00), and environment-oriented coping (r=0.34, p=0.00). 2. The quality of life showed significant negative correlation with anxiety(r=-0.73, p=0.00), depression(r=-0.58, p=0.000), and psychological distress(r=-0.35, p=0.000). 2. Stepwise multiple regression analysis revealed that the most powerful predictor of quality of life was self esteem(36%). A combination of self esteem, social support, self efficacy, psychological distress, self oriented coping, and environment oriented coping behavior account for 55% of the variance in quality of life in chronic mental illness. From the results of this study, it is suggested to develop and apply comprehensive intervention program for improve quality of life in chronic mental illness.

노인의 건강증진 행위 및 삶의 질에 영향을 미치는 요인

박은숙,김순자,김소인,전영자,이평숙,김행자,한금선 고려대학교 1999 간호학논집 Vol.1 No.-

만성정신질환자 가족기능 예측모형

한금선 ( Kuem Sun Han ),김영자 ( Young Ja Kim ),이평숙 ( Pyoung Sook Lee ),이숙자 ( Sook Ja Lee ),박은숙 ( Eun Sook Park ),박영주 ( Young Joo Park ),유호신 ( Ho Sihn Ryu ),강현철 ( Hyun Chul Kang ) 한국정신간호학회 2004 정신간호학회지 Vol.13 No.2

N/A Purpose: This study was designed to construct a structural model for family function of the family with chronic mental disorder. Method: The hypothetical model was developed based on the literature review. Data were collected by questionnaires from 365 the family with chronic mental disorder a National Mental Health Hospital and a General Hospital. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.0 Program for Covariance structural analysis. Result: The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 6 path and including free parameters to it. The modified model with path showed a good fitness to the empirical data(x2=339.84, p=0.0, GFI=.98, AGFI=.90, NNFI=.95, RMSR=.01, RMSEA=.04). The family hardiness, sense of coherence, and the family coping were found to have significant direct effect on family function of the family with chronic mental disorder. The pile-up stress were found to have indirect effects on family function of the family with chronic mental disorder. Conclusion : The derived model in this study is considered appropriate in explaining and predicting family function of the family with chronic mental disorder. Therefore it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

의료인을 위한 직무 스트레스 관리 프로그램 개발 및 효과

한금선 ( Kuem Sun Han ),최미영 ( Mi Young Choi ),이은미 ( Eun Mi Lee ),임희수 ( Hee Su Lim ),박영희 ( Young Hee Park ),양윤경 ( Yun Kyung Yang ),차선경 ( Sun Kyung Cha ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.3

Purpose: The purpose of this study was to evaluate the effects of the Job Stress Management Program (JSMP) combined with communication skills training for health care professionals. Methods: The study design was a nonequivalent control group pre- post test design. Study participants were 42 health care professionals in the experimental group and 38 in the control group. Eight sessions of JSMP were provided over 6 weeks, through on-line and off-line education. Data were analyzed using x2-test, t-test with the SAS 9.2 program. Results: There were statistically significant differences in job satisfaction, emotional labor, symptoms of stress, interpersonal stress, and type of communication between the experimental group and the control group. Conclusion: The results of this study indicate that the JSMP based on communication skills training developed in this study has positive, effects on job stress and communication.

COVID-19 상황에서 간호대학생들의 온라인실습 경험

장영은(Young-Eun Jang),한금선(Kuem-Sun Han) 한국콘텐츠학회 2021 한국콘텐츠학회논문지 Vol.21 No.8

본 연구의 목적은 온라인실습 프로그램 개발의 기초자료를 마련하기 위해 가상시뮬레이션을 통한 간호대학생들의 온라인실습 경험을 이해하는 것이다. 간호학과에 재학중인 16명의 학생을 대상으로 질적주제분석 방법을 적용하여 분석하였다. 그 결과 온라인실습 경험의 특성은 ‘온라인실습에 대한 양가감정을 느낌’, ‘온라인실습 효과에 대한 의구심이 듦’, ‘온라인실습의 한계에 부딪힘’, ‘가상시뮬레이션을 대안으로 느낌’, ‘진정한 간호에 다가섬’ 등의 5가지 주제로 나타났다. 가상시뮬레이션은 매우 효과적인 온라인실습 프로그램으로 확인되었으나, 다양한 시나리오와 사례의 부족이 온라인실습의 한계점으로 나타나 향후 연구에서는 보다 다양하고 체계적인 실습 프로그램을 개발하여 적용할 필요가 있다. Purpose: This study aims to understand the online practice experience of nursing students through virtual simulation in order to prepare basic data for online practice program development. Methods: This study is a descriptive study that applied a qualitative thematic analysis method to explore the online practice experiences of nursing students. It was targeted to 16 students in the department of nursing at a university. Results: As a result, 5 themes such as ‘Feeling ambivalent about the online practice’, ‘Doubts about the effectiveness of online practice’, ‘Running into the limits of online practice’, ‘Feeling like a virtual simulation as an alternative’, and ‘Approaching true nursing’ Conclusion: Virtual simulation is considered a very effective online practice program. However, since the lack of various scenarios and cases is pointed out as a limitation, it is necessary to develop and apply more diverse and systematic practice programs in future research.

의사소통 유형과 성격 특성에 따른 간호사의 주관적 스트레스 반응유형

한금선(Kuem Sun Han),이은미(Eun Mi Lee),박영희(Young Hee Park),최미영(Mi Young Choi),차선경(Sun Kyung Cha),임희수(Hee Su Im),강현철(Hyun Cheol Kang),노연희(Youn Hee Roh) 대한스트레스학회 2011 스트레스硏究 Vol.19 No.4

본 연구는 간호사의 의사소통과 성격 유형에 따른 스트레스 반응의 정도와 특성을 파악하고, 구체적으로 어떠한 요인이 스트레스에 영향을 미치는지 알아보고자 한 것이다. 연구대상자는 임의로 선정한 서울과 경기도 소재 3개의 종합병원에 근무하고 있는 간호사를 대상으로 설문조사를 하여 분석한 서술적 상관관계 연구이며 SAS 9.2 프로그램을 이용하여 단계적 다중 회귀분석(Stepwise Multiple Regression)으로 분석하였다. 연구결과에 따르면 임상간호사의 주관적 스트레스 반응은 대상자의 연령과 근무기간에 따라 차이가 있었다. 주관적 스트레스 반응은 비난형, 산만형 의사소통 유형과 양의 상관관계를 보였고 일치형 의사소통 유형과 역상관관계가 있었다. 주관적 스트레스 반응은 친화성, 신경성 성격특성과 음의 상관관계가 있었다. 주관적 스트레스 반응의 하위분류를 살펴보면 생리적, 정서적, 인지 행동적 스트레스가 모두 친화성 성격특성과 음의 상관관계를 보였으며 성실성 성격 특성도 인지 행동적 스트레스와 역 상관관계였다. 신경증적 성격 특성은 생리적, 정서적, 인지 행동적 스트레스와 역상관관계가 있었다. 임상간호사의 주관적 스트레스 반응에 영향을 미치는 주요인은 성격특성 중 친화성과 신경증으로 타나났다. The purpose of this descriptive study was to identify relationship on Symptoms of Stress (SOS) and Communication Styles (CS), Type of Personality (TP) of the clinical nurses in Korea. The CS and TP among the clinical nurses has been considered as major variables to influencing factors on SOS. However, little research has been done on CS among the clinical nurses in Korean. Data were collected over 6 month period on 265 clinical nurses in three general hospital in Korea. Data were analyzed using descriptive statistics, pearson correlations. Results indicated significant positive correlation (p<.05) among blaming type of communication, physical, emotional, and cognitive-behavioral SOS. Being irrelevant type of communication showed significant positive correlation (p<.05) with physical, emotional, and cognitive-behavioral SOS. Congruence type of type of communication showed significant negative correlation (p<.05) with emotional SOS. Data from this study suggest that blaming, being super-reasonable, being irrelevant, congruence communication styles are significant influencing factors on SOS of the clinical nurses in Korea. These results have important implications for the development and testing of communication training program (CTP) for the clinical nurses. In developing CTP, the major influencing variables described above, need to be carefully evaluated. (Korean J Str Res 2011;19:397∼403)