암질병에 따른 암환자의 불편감과 고통에 관한 연구

권미형(Kwon Mi Hyoung),김분한(Kim Boon Han) 대한종양간호학회 2003 Asian Oncology Nursing Vol.3 No.2

Purpose: The study was to furnish basic raw materials that evaluate the efficacy of meatal care according to the form and the relative<br/> importance of symptom distress which most of cancer sufferers have been experienced. For that, an investigation of five diverse major<br/> cancer symptom distress made a comparison between symptom distress and degree of suffering. Method: Study subjects were 138 inpatients with stomach cancer, lung cancer, hepatocellular carcinoma(HCC), large intestine cancer and breast cancer, except those in the<br/> terminal-stage, in 'H' university hospital in Seoul and 'K' center in Ilsan gathered from November 20, 2002 to February 20, 2003.<br/> To measure the correlation between feeling of discomfort and agony caused by cancer, 5 point scale (from zero to four), stood on the basis of Symptom Distress Scale (SDS, Rodes & Watson, 1987), was used for this study and the Cronbach's coefficient alpha was 0.95.<br/> Accumulated data was analyzed with SPSS 10.0 for window, also used by ANOVA and Duncan's Multiple Range Test, Pearson's Correlation<br/> Analysis. Results:<br/> 1. Symptom distress of cancer patients was noted and defined in their severity-fatigue, anorexia, pain, depression, dyspepsia, changing appearance and nausea. The degree of symptom distress was fatigue, dyspepsia, depression, anorexia, pain, changing appearance and the degree of suffering was nausea, pain, anorexia, dyspepsia, vomiting, breathing difficulty, changing appearance and fatigue.<br/> 2. Examining the difference of degree of symptom distress in each cancer cases, it takes the precedence of them. First, in case of<br/> stomach cancer, depression, pain, vomiting and nausea were shown in sequence. In case of lung cancer depression, pain, sleeping problem, anxiety, changing appearance, inattentiveness and vomiting were showed in sequence, depression, changing appearance, sleeping<br/> problem, pain in case of HCC, depression, pain in case of large intestine cancer and lastly in case of breast cancer changing appearance, depression, pain and anxiety were shown in sequence.<br/> The category of the degree of symptom distress that has a signifiant difference was anorexia, activity discomfort, fatigue,<br/> constipation or diarrhea, breathing difficulty, dyspepsia, caughing, fever or chillness, scotoma and urinary disorder. Verifying the highest degree of symptom distress in each cancer<br/> cases, anorexia was 1.94(F=4.00, p<.01) in stomach cancer, activity discomfort was 0.97(F=3.08, p<.01) in lung cancer and HCC, fatigue was 2.32(F=4.64, p<.01) in HCC, constipation or diarrhea was 3(F=22.31,p<.001) in large intestine cancer, breathing difficulty was 1.83(F=4.00, p<.01) in lung cancer, dyspepsia was 2.69(F=9.98, p<.001) in stomach cancer, coughing was 1.53(F=20.49, p<.001) in lung cancer, fever or chillness was 1.23(F=6.88, p<.001) in lung cancer, scotoma was 1.20(F=3.02, p<.05) in lung cancer and urinary disorder was 1.54(F=11.56, p<.001) in HCC.<br/> 3. Examining the difference degree of suffering on cancer cases, the result was as follows; depression of lung cancer was 1.17(F=3.76, p<.01), anorexia of stomach cancer was 1.61(F=3.89, p<.01), constipation or diarrhea of large intestine cancer was<br/> 1.42(F=10.43, p<.001), changing appearance of breast cancer was 1.65(F=5.43, p<.001), breathing difficulty of lung cancer was<br/> 2.27(F=18.57, p<.001), dyspepsia of stomach cancer was 1.97(F=13.56, p<.001), coughing of lung cancer was 1.70(F=22.07, p<.001), fever or chillness of lung cancer was 1.13(F=4.41,<br/> p<.01), scotoma of lung cancer was 0.87(F=3.34, p<.05), anxiety of lung cancer was 0.87(F=4.50, p<.001) and urinary disorder of HCC was 1.43(F=16.71, p<.001).<br/> 4. In consequence, comparing between symptom distress and degree of suffering on cancer patients undergoing chemotherapy, lung cancer patients showed the highest feeling of discomfort following stomach cancer, HCC, breast cancer and large intestine cancer(F=2.88,

메르스 사태를 경험한 보건소 공무원의 감염병 대처에 대한 주관적 인식

권미형 ( Mi Hyoung Kwon ),진영란 ( Young Ran Chin ) 한국주관성연구학회 2018 주관성연구 Vol.- No.40

본 연구는 2015년 엄청난 사회경제적 손실을 가져왔던 메르스 사태를 겪은 보건소 공무원의 감염병 대처에 대한 주관적 인식 유형과 유형별 특성을 분석하였다. 분석한 결과, 메르스 사태를 경험한 보건소 직원의 감염병 대처에 대한 주관적 인식구조는 제1유형 ‘적극협조적 사명중시형’, 제2유형 ‘자기방어적 성과보상 추구형’, 제3유형 ‘소통중시적 정부비판형’ 3가지로 유형화할 수 있었다. 보건소 공무원이 메르스와 같은 감염성질환에 보다 적극적이고 효율적으로 대응하도록 하기 위해 첫째, 복지부, 질병관리본부, 시도 등은 감염병 대응의 일관성을 유지하고, 정부의 중장기적 대처 계획을 충분히 안내해야 할 것이다. 둘째, 감염성질환에 대처하는 공무원에 대한 안전대책이 철저히 마련되어야 할 것이다. 셋째, 감염성질환에 대처하는 과정에서 발생한 문제나 한계를 투명하게 공개하여 초기의 불가피한 혼란이 정부에 대한 비판으로 이어지지 않게 해야 할 것이다. The purpose of this study is to find the types of the Public health worker’s infectious disease coping experienced the MERS outbreak. Thirty-seven Public health workers classified 36 selected Q statements into 9 points standard. The obtained data were analyzed by using a PC-QUANL program. Principal Component Analysis identified 3 types of coping style, and named by researcher. The significant differences were found in the subjective structure of Public health worker’s coping style. TypeⅠ is ‘The actively cooperate and abide by their mission’. TypeⅡ is ‘The self-defensive and performance compensation’. TypeⅢ is ‘Critically carring out the work’. In order for the government to respond positively and efficiently to infectious diseases such as MERS, first, the Ministry of Health and Welfare, the Disease Control Headquarters, and the Ministry of Health and Human Resources should maintain consistency in response to infectious diseases and fully guide the government’s mid- to long- will be action plan. Second, safety measures for public officials to cope with infectious diseases should be thoroughly prepared. Third, the problems and limitations that occurred in the process of coping with infectious diseases should be disclosed in a transparent manner, so that the initial inevitable confusion should not lead to criticism of the government.

직장중년남성의 주관적 건강상태, 직무스트레스와 갱년기 증상

권미형(Mi-Hyoung Kwon),오지현(Ji-Hyun Oh) 한국컴퓨터정보학회 2020 韓國컴퓨터情報學會論文誌 Vol.25 No.9

본 연구는 직장을 다니는 중년 남성의 주관적 건강상태와 직무스트레스 및 갱년기 증상의 관계를 파악하기 위한 연구이다. S시, C도의 3개 시의 40~59세 직장인 중년 남성을 대상으로 하였으며 154명의 설문지를 분석에 사용하였다. 갱년기 증상에 차이를 보인 일반적 특성은 결혼상태, 직업만족도였다. 대상자의 68.83%가 갱년기 증상을 경험하고 있었으며, 주관적 건강상태는 직무스트레스(r=-.204, p=.011) 및 갱년기 증상(r=-.248, p=.002)과 음의 상관관계를 보였고 직무스트레스와 갱년기 증상과(r=.341, p=<.001)는 유의한 양의 상관관계를 나타냈다. 갱년기 증상에 영향을 미치는 요인은 직무스트레스, 주관적 건강상태였으며, 이 변인에 의한 설명력은 13.8%였다. 따라서 직장을 다니는 중년 남성의 갱년기 증상을 관리하고 적절하게 대처하기 위해 직무스트레스를 감소시키고 주관적 건강상태를 향상시키는 간호중재 프로그램 개발 및 적용이 필요할 것으로 사료된다. In this study, we tried to identify the relationship between subjective health Status and job stress and andropause symptoms of middle-aged male who work.. The data was based on a survey of male aged 40 to 59 in four cities and collected by surveying 154 people with jobs. The general characteristics of the difference in andropause symptoms were marital status and job satisfaction. 68.83 percent of the subjects experienced andropause symptoms. There was a negative correlation between subjective health status and job stress(r=-.204, p=.011). The correlated factors of andropause symptoms included subjective health status(r=-.248, p=.002) and job stress(r=.341, p=<.001). Factors influencing andropause symptoms are job stress, subjective health status. There is a need to develop and apply nursing intervention programs that can reduce job stress and improve subjective health status in order to effectively manage menopause symptoms of middle-aged male who work.

독거노인돌보미의 고독사 인식에 관한 주관성 연구

권미형(Kwon, Mi Hyoung),권영은(Kwon, Young Eun) 한국성인간호학회 2012 성인간호학회지 Vol.24 No.6

임상실습을 경험한 간호학생의 간호사 이미지에 대한 주관성 연구

권미형 ( Mi Hyoung Kwon ),권영은 ( Young Eun Kwon ) 한국주관성연구학회 2014 주관성연구 Vol.- No.29

간호대학생의 문제음주와 음주갈망, 충동성, 전공만족도의 관계

진영란(Youngran Chin),권미형(Mihyoung Kwon) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.8

목적 본 연구에서는 간호대학생의 문제음주와 전공만족도, 음주갈망, 충동성의 관계를 분석하였다. 방법 이를 위하여 연구목적을 이해하고 참여에 동의한 간호학과 학생 183명을 대상으로 구조화된 설문지를 이용하여 편의표집하였다. 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, Scheffé test, Pearson’s correlation coefficient, Logistic regression을 실시하여 분석하였다. 결과 대상자의 전공만족도는 평균 58.97±11.31점(Range:18.00~85.00), 음주갈망은 평균 7.11±6.59점(Range:0.00~39.00), 충동성은 평균 64.70±8.27점(Range:42.00~86.00), 문제음주는 평균 9.07±7.53점(Range:0.00~37.00)이었다. 연구 대상자 전체가 음주경험이 있었고, 그 중 48.6%가 문제음주가 있는 것으로 나타났다. 대상자의 전공만족도는 음주갈망, 충동성, 문제음주와 유의한 음의 상관관계가 있는 것으로 나타났다. 음주갈망은 충동성, 문제음주와 유의한 양의 상관관계가 있는 것으로 나타났다. 충동성은 문제음주와 유의한 양의 상관관계가 있는 것으로 나타났다. 문제음주군과 일반음주군을 비교한 결과 간호학과 입학동기, 수업만족도, 음주빈도, 1회 음주량에 유의한 차이가 있었다. 대상자의 문제음주 여부에 영향을 미치는 요인은 음주갈망이었고, 일반음주군에 비해 문제음주군의 음주갈망이 2.043배 높은 것으로 확인되었다. 결론 미래의 보건의료인력으로서 성장해야 할 간호대학생의 문제음주를 조기에 개입하여 예방하기 위하여 전공만족도와 수업만족도가 낮은 학생, 음주빈도가 높고 1회 음주량이 많은 학생을 대상으로 음주갈망과 충동성을 낮추기 위한 노력이 필요할 것으로 사료된다. Objectives The purpose of this study is to understand the relationship between major satisfaction, alcohol craving, impulsiveness, and problem drinking of nursing college students. Methods The study subjects were 183 people who understood the purpose of the study and agreed to participate in the study for nursing students, and data were collected using structured questionnaires. The data were analyzed by performing t-test, ANOVA, Scheffé test, Pearson s correlation coefficient, and logical regression using the SPSS 22.0 program. Results As a result of the study, the average major satisfaction of the subjects was 58.97±11.31(Range:18.00~85.00), the average alcohol craving was 7.11±6.59(Range:0.00~39.00), the average impulse was 64.70±8.27(Range: 42.00~86.00), and the average drinking problem was 9.07±7.53(Range:0.00~37.00) points. It was found that all of the study subjects had drinking experience, and 48.6% of the subjects had problem drinking. It was found that the subject s major satisfaction had a significant negative correlation with alcohol craving, impulsiveness, and problem drinking. Alcohol craving was found to have a significant positive correlation with impulsiveness and problem drinking. Impulsiveness was found to have a significant positive correlation with problem drinking. As a result of comparing the group without problem drinking and the group with problem drinking, there was a significant difference in admission motivation, class satisfaction, frequency of drinking, and amount of one-time drinking. The factor influencing the subject s problem drinking status was alcohol craving, and it was confirmed that the subject with problem drinking was 2.043 times higher than the subject without problem drinking. Conclusions In order to intervene and prevent problem drinking in nursing college students early, efforts should be made to lower the craving and impulsiveness for drinking for students with low major satisfaction and class satisfaction, and students with high drinking frequency and high one-time drinking.

여성노인의 우울, 죽음불안, 삶의 질의 관계

박경은(Park, Kyung-Eun),권미형(Kwon, Mi-Hyoung),권영은(Kwon, Young-Eun) 한국보건간호학회 2013 韓國保健看護學會誌 Vol.27 No.3

Purpose: This study was conducted in order to provide basic data for development of a nursing intervention program needed in living successfully in elderly women"s later years by examining the relationship among depression, death anxiety, and quality of life of elderly women. Methods: Subjects were 115 elderly women over 65 years old who were capable of verbal/nonverbal communication and could understand/answer the questionnaire in H region. Data collection was conducted after receiving written consent using a structured questionnaire. The data analysis was performed using descriptive statistics, t-test, ANOVA, Duncan"s multiple range test and Pearson"s Correlation Coefficient using the SPSS 12.0/WIN program. Results: Results of this study showed that the degree of depression in elderly women was 4.14±3.22 on average and the degrees of death anxiety and quality of life were 2.41±0.55 and 3.72±0.59 on average, respectively. No significant correlation was observed between depression and death anxiety however, depression showed negative correlation (r=-.448, p<.001) with quality of life and death anxiety also showed negative correlation (r=-.219, p<.05) with quality of life. Conclusion: We can predict that depression and death anxiety negatively affect quality of life of elderly women.

한국 간호사 근무환경에 관한 미디어 내용 분석

진영란(Young-Ran Chin),권미형(Mi-Hyoung Kwon) 한국컴퓨터정보학회 2021 韓國컴퓨터情報學會論文誌 Vol.26 No.2

본 연구의 목적은 미디어의 언론매체에 보도된 한국 간호사의 근무환경과 관련된 연관 주요 키워드를 확인함으로써 간호사의 근무환경을 파악하고 문제점 개선을 위한 시사점을 제시하기 위함이다. ‘간호 NOT(간호사) or 간호사’를 BIG KINDS에서 검색하여 간호사의 부당한 처우와 관련된 기사를 선별, 최종 309건을 추출한 후 내용 분석을 통하여 기사가 보도된 시기, 기사에 나타난 병원급, 지역, 키워드, 통합키워드의 6개 항목으로 분류하였다. 관련 기사가 가장 많이 발표된 시기, 기관, 지역은 각각 2015년 11월~2016년 10월 31일 79건(22.56%), 3차 의료기관 92건(29.77%), 전국 121건(39.1%)으로 나타났다. 통합 키워드는 총 14개로 정리되었으며, 성폭행/성희롱(14.88%), 간호사 인력부족(11.65%), 간호사 태움(11.0%), 부당해고(10.67%), 신체적 폭행(10.35%) 등의 순이었다. 연구결과는 간호사의 긍정적인 근무환경을 구축하기 위한 기초자료로 활용될 수 있을 것이다. This study was attempted to identify the working environment of nurses by identifying the key keywords associated with the unfair working conditions of Korean nurses reported in various media outlets in the media. “Nurse NOT (nurse) or nurse” was searched on BIG KINDS, selected articles related to the unfair treatment of nurses, extracted the final 309 cases, and classified into six categories of hospital-level, regional, keyword, and integrated keywords in the article using Excel2007. Of the 309 articles, 79 (22.56 percent) were published from November 2015 to October 31, 2016, 92 (29.77 percent) from third medical institutions, and 121 (39.1 percent) from across the country. The integrated keywords were summarized into a total of 14, followed by sexual assault/sexual harassment (14.88%), shortage of nurses (11.65%), burning nurses (11.0%), unfair dismissal (10.67%) and physical assault (10.35%). The findings could be used as basic data for establishing a positive working environment for nurses and improving positive image awareness of nursing professionals.

간경변증 환자의 경험

김분한(Kim Boon-Han),김윤숙(Kim Yoon-Sook),김혜란(Kim Hye-Ran),전미선(Cho Mi-Sun),권미형(Kwon Mi-Hyoung) 한국성인간호학회 2004 성인간호학회지 Vol.16 No.4