혈액투석환자의 삶의 질 구조모형

강승자,서남숙,우상준 한국성인간호학회 2014 성인간호학회 학술대회 Vol.2014 No.6

아로마 손마사지가 혈액투석 환자의 소양증, 피로 및 스트레스에 미치는 효과

강승자,김남영,박미경,정경희 한국간호과학회 2008 한국간호과학회 학술대회 Vol.2008 No.10

아로마 손마사지가 혈액투석 환자의 소양증, 피로 및 스트레스에 미치는 효과

강승자(Kang Seoung Ja),김남영(Kim Nam Young) 한국성인간호학회 2008 성인간호학회지 Vol.20 No.6

혈액투석환자의 삶의 질 구조모형

강승자(Seung-Ja Kang),서남숙(Nam-Sook Seo) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.7

본 연구의 목적은 혈액투석환자의 삶의 질에 영향을 미치는 요인들을 직접 및 간접적으로 유의한 경로를 파악하고자 하는 구조방정식 모형구축 연구이다. 연구방법으로 대상자는 G광역시와 M시 지역에 소재한 혈액투석 전문센터에서 치료를 받고 있는 환자 230명을 선정하였고, 최종적으로 분석에 이용한 대상자 수는 201명이었다. 자료수집 기간은 2014년 2월 1일부터 3월 31일까지였으며, 자가보고식 설문지로 구성된 연구도구를 사용하여 수집하였다. 자료분석은 SPSS WIN 18.0을 이용하여 대상자의 일반적 특성, 변수에 대한 서술적 통계, 상관관계 및 연구도구의 신뢰도를 분석하였고, AMOS 18.0 프로그램을 이용하여 잠재변수의 확인적 요인분석, 가설적 모형의 적합도 및 가설을 검증하였다. 연구결과 수정모형의 적합도는 카이제곱 = 41.32, GFI = .96, AGFI = .92, RMR = .04, NFI = .96, CFI = .91, TLI = .95로 나타나 가설적 모형보다 적합도가 크게 개선되어 설정한 22개의 연구가설 중 12개가 통계적으로 유의하게 지지되었다. 본 연구에서 결론은 자기효능감, 우울, 자가간호행위가 혈액투석환자의 삶의 질에 직접적인 영향을 주었으며, 수면장애, 스트레스, 피로, 가족지지는 간접적으로 영향을 미치는 것으로 나타났다. 이들 변수들의 삶의 질에 대한 설명력은 58.6%였다. 혈액투석환자의 삶의 질을 향상시키기 위해서는 대상자의 우울을 우선적으로 관리하고 자기효능감의 증진을 통해 자가간호행위를 실천할 수 있는 간호중재가 이루어져야 할 것이다. This study was conducted to build a structural equation model explaining factors that affect hemodialysis patients’ quality of life to test the goodness of fit of the model and identify directly and indirectly significant paths. To accomplish this, 230 patients receiving hemodialysis registered at study hospitals in G Metropolitan City and M City were randomly selected, and 201 were used in the final analysis. Data were collected using a self reporting questionnaire from February 1 to March 31, 2014. SPSS WIN 18.0 was used for descriptive statistics and correlation analysis of the general characteristics and for reliability analysis of the research tools. In addition, AMOS 18.0 was used for confirmatory factor analysis of latent variables, to determine the goodness of fit of the hypothetic model, and hypotheses testing. The results of this study were as follows: the fit of the modified model was 41.32, GFI = .96, AGFI = .92, RMR = .04, NFI = .96, CFI = .91 and TLI = .95. Twelve out of the 22 research hypotheses that were improved and improved were statistically significant. The results indicated that hemodialysis patients’ quality of life was influenced directly by self-efficacy, depression, and self-care behavior, and indirectly by sleep disturbance, stress, fatigue, and family support. These variables explained 58.6% of the variation in quality of life. Overall, these findings suggest that nursing interventions for hemodialysis patients require strategies for managing patient depression and for increasing self-efficacy and self-care behavior to improve quality of life.

혈액투석환자의 피로 개념분석

서남숙,강승자,김재희,김세자 한국간호과학회 2012 한국간호과학회 학술대회 Vol.2012 No.10

혈액투석환자의 피로와 수면장애, 스트레스, 자기효능감 및 우울 관계

서남숙,강승자,김재희,김세자 병원간호사회 2013 임상간호연구 Vol.19 No.2

Purpose: This study was conducted to investigate the differences in sleep disturbance, stress, self-efficacy and depression by fatigue level and to identify the factors influencing fatigue in hemodialysis patients. Methods: This study used a cross-sectional design and the subjects were 195 patients undergoing hemodialysis in a local unit. Data were collected using a structured questionnaire and medical records from June to August 2012. The data were analyzed using descriptive statistics, independent t-test, one way ANOVA, Scheffè test, and Pearson's correlation coefficients. Also a multiple regression analysis was used to assess the independent association between fatigue status and indices of sleep disturbance, stress, self-efficacy and depression. Results: A total of 99 (50.8%) subjects experienced a high level of fatigue and 96 (49.2%) experienced a low level of fatigue. There were significant differences in the levels of sleep disturbance, stress, self-efficacy and depression between the two groups. Fatigue was significantly correlated to sleep disturbance, stress, self-efficacy and depression. The most important factor related to fatigue was stress, followed by sleep disturbance. These factors explained about 37% of fatigue of the respondents. Conclusion: The results of this study showed that sleep disturbance and stress were significant predictors of fatigue in hemodialysis patients. Possible interventions for minimizing fatigue in patients undergoing long-term hemodialysis should be aimed to manage the known contributing factors.

지역사회 당뇨병 노인의 삶의 질 관련요인

김영재,서남숙,김세자,박인순,강승자 보건의료산업학회 2014 보건의료산업학회지 Vol.8 No.1

The purpose of this study was to examine the factors affecting quality of life among elderly people with type 2 diabetes mellitus (DM) in a community. The design of this study was an exploratory survey. The subjects were 268 adults aged over 65 years with DM in a community. The data were collected from July to October, 2011 and analyzed by descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by using SPSS/WIN 20.0 program. The quality of life was positively associated with self care behavior (r=.226, p<.001), self-efficacy (r=.323, p<.001), and social support (r=.345, p<.001). However, quality of life had moderately negative correlation with depression (r=-.445, p<.001). Among the variables, depression, social support, and self-efficacy were explanatory factors accounting for 23.9% of quality of life. These findings suggest that depression and self-efficacy are important factors affecting quality of life in the elderly with DM and it can be improved by strengthening social support.

혈액투석환자의 피로에 대한 개념분석

서남숙(Nam-Sook Seo),강승자(Seung-Ja Kang),김재희(Jae-Hee Kim) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.7

본 연구는 개념분석의 혼종모형을 기반으로 혈액투석환자의 피로에 대한 개념적 정의와 특성을 확인하기 위해 수행되었다. 연구방법은 혼종모형의 3가지 단계를 적용하여 문헌고찰을 통한 이론적 단계, 개념의 주 속성과 지표를 조사하는데 사용되는데 현장 작업 단계에서 데이터는 질적 조사를 포함한 관찰 및 인터뷰를 통해 수집한 현장작업 단계, 자료들을 종합적으로 분석하는 최종분석 단계를 적용하여 개념의 주 속성과 지표를 조사하였다. 연구대상은 광주 2개 병원의 혈액투석 센터에서 혈액투석을 받고 있는 환자 10명이었다. 연구결과, 혈액투석환자의 피로 개념은 신체 활동, 정서적 기분, 사회적 역할, 인지적 반영의 네 가지 차원으로 구분되었다. 혈액투석환자의 피로에 대한 정의는 "말기신부전으로 인한 요독증과 반복적인 혈액투석으로 야기되는 에너지 수준의 감소와 제한된 기능에 대해 신체적 활동, 정서적 기분, 사회적 역할, 인지적 반영차원에서 인식하고 대처하는 과정 중에 일상적으로 경험하는 주관적인 느낌"으로 나타났다. 본 연구에서 혈액투석환자의 피로의 속성 및 정의를 규명함으로서 도출된 혈액투석환자의 피로개념의 네 가지 차원과 특성을 고려하여 효율적인 간호중재 프로그램을 개발하는데 기초자료로 사용되리라 사료된다. This study was conducted to identify the conceptual definitions and attributes of fatigue in hemodialysis patients based on the Hybrid Model of concept development. The Hybrid Model was used to investigate the main attributes and indicators of the concept by applying three stages. After a literature review, data were collected through observation and interviews including qualitative research in the field work stage. The participants included 10 patients in hemodialysis center of two hospitals in Gwang-ju, Korea. The attributes of fatigue concept in the hemodialysis patients were divided into four dimensions, physical activity, affective mood, social role, and cognitive reflection. The definition of fatigue by hemodialysis patients was defined as "subjective feeling usually experienced in four dimensions during the process to recognize and adjust energy deficiency and limited functions caused by uremia and repeated hemodialysis for chronic renal failure". Considering the dimensions and attributes derived from this study, it may be possible to develop an effective intervention program for fatigue in hemodialysis patients.

우리나라 노인이 지각한 각 유형별 사회적 지지가 주관적 건강의 변화에 미치는 영향 : 성별 차이를 중심으로

하미옥(Ha, Miok),강승자(Kang, Seungja) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.4

Purpose: This longitudinal study aimed to investigate which types of perceived social support are associated with changes in subjective health over time among Korean older adults. We further explored whether these associations vary by older adults gender. Methods: The current study examined 3,650 older adults drawn from additional survey data of the 6th and 7th waves of the Korean Retirement and Income Study (KReIS). Data were analyzed using hierarchical linear regression analyses. Results: Higher perceived instrumental and emotional supports significantly associated with less decline in subjective health over 2 years. Gender only moderated the association between emotional support and changes in subjective health. That is, higher emotional support associated with less decline in subjective health among older women, but not among older men. Conclusion: These findings suggest that instrumental support is the strongest predictor of older adults changes in health over time, indicating the need for public supports for those who lack instrumental support from their social ties. Health promotion programs for older women should aim to enhance their perceived emotional support to protect them from faster declines in subjective health over time.

아로마요법이 임상실습 중인 간호대학생의 스트레스, 피로 및 심박변이도에 미치는 효과

이하나LEE, Ha-Na,강승자(Kang, Seung-Ja) 학습자중심교과교육학회 2019 학습자중심교과교육연구 Vol.19 No.19

본 연구는 아로마요법이 임상실습 중인 간호대학생의 스트레스, 피로 및 심박변이도에 미치는 효과를 규명하기 위한 비동등성 대조군 전후설계 유사 실험 연구이다. 실험군(n=29)은 2주간의 임상실습 기간 중 아로마 에센셜오일이 든 목걸이를 착용하였고, 대조군(n=30)은 2주간의 임상실습 기간 중 생리식염수가 든 목걸이를 착용하였다. 자료 수집 기간은 2019년 4월 22일부터 6월 7일까지였다. 수집된 자료는 SPSS 23.0 프로그램을 이용하여 대상자의 특성은 실수와 백분율, 평균과 표준편차를 산출하였으며, 동질성 검증은 t-test와 χ²-test로, 가설검증은 Independent t-test를 이용하였다. 그 결과 스트레스, 피로 및 심박변이도에 있어서 두 군간에 모두 통계적으로 유의한 차이가 나타났다. 따라서 아로마요법은 임상실습 중인 간호대학생의 건강유지 및 증진을 위한 관리방법 뿐만 아니라 임상실습향상에 도움이 될 간호중재로 활용될 수 있을 것이라 사료된다. The purpose of this study was to examine the effect of aromatherapy on stress, fatigue and heart rate variability among nursing students in clinical training. The study was a nonequivalent control group pre-post test design. The intervention was conducted for 2 weeks. The experimental group(n=29) wore aroma necklaces containing essential oils and the control group(n=30) wore necklaces containing Normal saline. The Data was collected from April 22 to June 7, 2019. Collected data were calculated by using SPSS 23.0 program to calculate real and percentage, mean and standard deviation of subject s characteristics, t-test and χ²-test for homogeneity test, and Independent t-test for hypothesis test. As a results, showed statistically significant differences between the two groups in stress, fatigue and heart rate variability. Therefore, aromatherapy may be used as a nursing intervention to help improve clinical training aswell as management method for maintaining and improving the health of nursing students in clinical training.