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김현례 ( Hyun Lye Kim ),금란 ( Ran Keum ),김선아 ( Sun Ah Kim ),박수인 ( Su In Park ),박진영 ( Jin Young Park ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.4
Purpose: The purpose of this study was to explore the level of military stress, stress coping, and mental health status and to identify the relationships among these variables in soldiers who need intensive care. Methods: The participants were 113 perceived maladjusted soldiers who participated in Green-camp from one army base in Gyeong-gi Province. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Military Stress Inventory, Ways of Coping Checklist, and Symptoms Checklist- 90-Revision (SCL-90-R). Results: The level of stress was 3.6±0.70, overall stress coping was 1.1±0.41, and mental health status was 1.5±0.93. There were significant differences in stress, stress coping, and mental health status according religion, economic status of family, prospects for the future, persons with whom one could talk about troubles. The group with higher emotion focused coping had significantly higher scores on mental health status. There were significant positive correlations among major variables. Military stress was a significant predictor of mental health status (Adjusted R2 21.0%). Conclusion: Based on the findings of this study, stress management and intervention programs focusing on depression are highly recommended to manage maladaptive problems in soldiers.
김현례 ( Hyun Lye Kim ),김선아 ( Sun Ah Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1
Purpose: The purpose of this study was to explore the factors that influence risk-taking behavior in middle school students. Methods: The participants in this study were 544 students from 4 middle schools in Seoul or Gyeonggi Province. From July 16, to September 9, 2008, data were collected using self-report questionnaires. Demographic, individual, socio-economic characteristics of risk-taking behavior were examined. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, zero-inflated negative binomial regression as count model using SAS 9.1 and Stata 10.0 program were used for the analysis. Results: The score for risk-taking behavior of the middle school students tended to be low with thrill-seeking behavior being the highest. Risk-taking behavior was higher for boys and for students not living with parents. Stress coping ability, family risk factors, family functioning, peer`s risk-taking behavior, and harmful environment were correlated with risk-taking behavior. On zero-inflated negative binomial regression analysis, the factor significantly influencing risk-taking behavior were self-esteem and for increased risk-taking behavior, family functioning, and peer`s risk-taking behavior. Conclusion: A risk-taking behavior approach that considers developmental needs is useful in understanding the behavior of early adolescents. Development of effective guidance and interventions considering factors influencing risk-taking behavior as identified in this study is recommended.
Public Health Center Service Experiences and Needs among Immigrant Women in South Korea
채덕희,김현례,서민정,ASAMIKEIKO,Doorenbos, Ardith 한국지역사회간호학회 2022 지역사회간호학회지 Vol.33 No.4
Purpose: To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose. Methods: This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis. Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language. Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.
초등학교 저학년 부모를 위한 자녀성교육프로그램의 개발 및 효과
이은미,김현례 한국간호과학회 2017 Journal of Korean Academy of Nursing Vol.47 No.2
Purpose: This study was done to develop a children’s sex education program for the parents of lower elementary grade students and to evaluateits effects on sexual knowledge, gender role attitude, parent efficacy for child’s sex education, and marital consistency. Methods: A quasi-experimentalwith a non-equivalent control group pretest-posttest design was used. The participants were 29 couples (58 parents, experimentalgroup=28, control group=30) from G city. The 5-week (5-session) program was developed based on ‘A theory of protection: parents as sex educators’and used the case-based small group learning method. Data were collected during July and August 2015. The characteristics of the programdeveloped in the present study were a theoretical-based, client-centered, multi-method. Results: After the intervention, the experimentalgroup showed a significant improvement in sexual knowledge, gender role attitudes, parent efficacy for child’s sex education, and marital consistency,compared to the control group. The effect sizes of the program were .64 (knowledge), .65 (gender role attitudes), and .68 (parent efficacy). Conclusion: The results of this study provided implications for the parents as effective sex educator and the role expansion of schoolhealth nurses.
서미아,김현례 한국간호과학회 2010 Asian Nursing Research Vol.4 No.2
Purpose The purpose of this study was to develop an educational program to reduce negative attitudes toward persons with mental illness (PMIs) using online media and to test its effectiveness. Methods A nonequivalent control group with a pre-posttest was employed in this study. A total of 143lay people were enrolled. The study variables were knowledge and attitudes about mental illness, and social distance. The four domains of attitudes were authoritarianism, benevolence, social restrictiveness and community mental health ideology. Results Phase 1: In an attempt to develop an educational program, the researcher conducted interviews with lay people and families of PMIs, and reviewed the pertinent literature. Three mental health professionals were consulted after developing the program. The program consisted of eight sessions. Phase 2:Community mental health ideology differed significantly between groups after the experiment. Knowledge tended to increase in the experimental group, while social restrictiveness showed a tendency to decrease. However, the changes were not significant in either case. Authoritarianism, benevolence, and social distance were not significantly different between groups. There was a significant difference in the pattern of change over time for both groups regarding authoritarianism, benevolence, and social restrictiveness. Conclusions The program developed here was partially effective at changing negative attitudes. The online video program can be used by community mental health nurses to enhance general knowledge and help reduce stigma. [Asian Nursing Research 2010;4(2):90–101]
‘온라인 교육 컨텐츠를 활용한 통합적 약물순응도 강화 프로그램’이 정신분열병 환자의 약물순응도에 미치는 영향
서미아,김현례 대한정신약물학회 2009 대한정신약물학회지 Vol.20 No.1
Objective:Schizophrenia seriously degrades the ability to function normally in those who suffer from this disease. The purpose of this study was to develop a comprehensive online medication adherence enhancement program and to test its effectiveness among schizophrenia patients who live in community relatively neglected with few inputs or oversights from community mental health centers. Methods:A nonequivalent control group with prepost test was employed during the study. Participants included fifty-two chronic schizophrenia patients, twentysix experimental, and a control group of twenty-six. The study variables were medication knowledge, perceived benefits, self efficacy, social support and medication compliance. Results:There were significant differences between two groups in perceived benefits (F=5.67, p=0.02), self-efficacy (F=6.38, p=0.01), social support (F=14.63, p=0.000) but no significant differences in medication knowledge (F=0.82, p=0.37), and medication compliance (F=0.89, p=0.35) when the program was completed. However, medication knowledge in posttest Ⅰ and posttest Ⅱ which was taken after 3 months of the program were significantly increased in the experimental group (F=8.88, p=0.00). Medication adherencein posttest Ⅱ was significantly increased in the experimental group (F= 6.10, p=0.00). Conclusion:The online medication adherence enhancement program for persons with schizophrenia was effective at increasing psychosocial variables such as perceived benefits, self efficacy, and social support. This program can be used for schizophrenic persons in community mental health centers, patients’ homes, hospitals, and community centers. 실험군과 대조군간의 동질성을 검증한 결과 대상자의 일반적 특성과 약물지식, 지각된 유익성, 자기효능감, 사회적 지지, 약물순응도는 모두 실험군과 대조군간에 유의한 차이가 없이 동질한 집단으로 확인되었다. 집단간 차이를 규명한 결과 프로그램 제공 후 실험군에서 대조군에 비해 지각된 유익성, 자기 효능감, 사회적지지가 유의하게 높았다. 약물지식과 약물순응도는 비록 집단간 차이는 없었으나 실험군의 경우 측정시점에 따라 효과가 있는 것으로 나타났다. 약물지식은 사후조사 Ⅰ에서 유의하게 증가하였고, 3개월 후에 측정한 사후조사 Ⅱ에서도 사전조사에 비해 유의하게 증가하였다. 약물순응도는 사후조사 Ⅰ에서는 유의한 차이를 보이지 않았으나 사후조사 Ⅱ에서는 사전조사에 비해 유의하게 증가하였다. 이러한 결과를 통해 볼 때 본 프로그램은 정신보건 전문기관에 참여하지 않고 가정에만 거주하는 고립형 정신분열병 환자들의 사회심리적 변인을 강화시키고 약물지식을 증진시키며 나아가 약물순응도 강화시키는 효율적인 프로그램으로 활용될 수 있을 것으로 사료된다
우주현,김현례,현명선,Woo, Ju-Hyun,Kim, Hyun-Lye,Hyun, Myung-Sun 한국가정간호학회 2012 가정간호학회지 Vol.19 No.2
Purpose: The purpose of this study is to explore the subjective experiences of relapse and treatment among the alcoholics. Methods: Phenomenological methodology was used for the study. Participants were seven people with inpatient alcoholics at the alcohol treatment center at K hospital in K province. Data were collected via in-depth interviews from March to September, 2012 and analyzed using Colazzi's framework. Results: Six themes and seventeen meanings were formulated for the relapse and treatment experiences of participants with alcoholism. Six themes were 'Lack of true insight', 'Lack of strength to live a life', 'Unable to overcome an urge to drink', 'Being drawn away from others', 'Falling into the powerlessness and despair', and 'Being foothold of self-growth'. Conclusion: The results from this study revealed the relapse experiences among alcoholic patients. Therefore, the findings can provide the framework and direction for developing the relapse prevention program for alcoholic patients. In addition, practitioners in the treatment center or hospital need to consider their relapse and treatment experience.