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      • KCI우수등재

        비만중년여성의 건강증진행위 예측모형

        배노연,김옥수 기본간호학회 2022 기본간호학회지 Vol.29 No.1

        Purpose: This study was conducted to identify influencing factors in a health promotion model that explains andpredicts health promoting behavior in obese middle-aged women. Methods: Based on Pender’s health promotionmodel, a hypothetical model was constructed with nine factors (emotional eating, obesity stress, perceived benefitsof action, perceived barriers to action, perceived self-efficacy, activity-related affect, social support, commitmentto a plan of action, and health promoting behavior). The participants were 215 obese middle-aged women whovisited one of three health check-up centers in Seoul, Incheon, or Gyeonggi Province to receive health check-upsthrough the National Health Insurance Corporation. Data were collected using a structured questionnaire. Results:In the final research model, the factors that had a direct impact on health promoting behavior of obese middle-agedwomen were obesity stress (β=-.17, p=.001), perceived self-efficacy (β=.34, p<.001), activity-related affect (β=.22,p<.001), commitment to a plan of action (β=.34, p<.001). The explanatory power was 51.3%. Conclusion: Thisstudy found that a higher level of engagement in health promoting behavior was associated with lower obesity stress,higher perceived self-efficacy, better activity-related affect, and a higher commitment to a plan of action. Theseresults may be used as a basis for the development of a nursing intervention program to improve health promotingbehavior in obese middle-aged women.

      • KCI우수등재

        간호대생의 스마트폰 중독과 신체증상 및 정신건강 : 인터넷 윤리의식의 매개효과

        배노연,구종모,오향화,김미영,단현주 한국간호과학회 간호행정학회 2015 간호행정학회지 Vol.21 No.3

        목적: 본 연구는 간호대생의 스마트폰 중독 상태를 확인하고 스마트폰 중독과 신체증상 및 정신건강의 관계에서 인터넷 윤리의식의 매개효과를 파악하는 것이다. 방법: 자료수집은 2014년 5월 20일부터 6월 23일까지 서울의 일개 대학교 간호대생 214명을 대상으로 편의추출하였다. 구조화된 설문지로 신체증상과 정신건강, 스마트폰 중독 및 인터넷 윤리가 측정되었다. 자료분석은 t-test, ANOVA, Pearson 상관계수, 위계적 회귀분석을 이용하여 수행되었다. 결과: 간호대생의 스마트폰 중독의 잠재적 위험 고위험의 비율은 각각 14.5%, 16.8%를 차지하였다. 신체증상의 빈도가 높고 인터넷 윤리의식이 낮을수록 스마트폰 중독 점수는 높은 것으로 나타났다. 인터넷 윤리 중 자율통제는 신체증상과 스마트폰 중독의 관계에서 부분매개효과를 갖는 것으로 나타났다. 결론: 본 연구의 결과는 간호대생의 스마트폰 중독 수준이 인터넷 윤리의 자율통제를 통해 낮아질 수 있음을 제시한다. 이런 결과를 토대로 간호대생의 효과적인 스마트폰 사용을 촉진하기 위해 윤리 프로그램이 개발되어야 한다. Purpose: This study was done to identify the status of smartphone addiction among nursing students and to examine the mediating effects of Internet ethics on the relationship between smartphone addiction, physical symptoms and psychological well-being. Methods: Data were collected between May 20 and June 23, 2014. Participants were a convenience sample of 214 nursing students of one university in Seoul. Structured questionnaires were used to measure degree of smartphone addiction, physical symptoms, psychological well-being and Internet ethics. Data was analyzed using t-test, ANOVA, Pearson correlation coefficient, multiple hierarchical regression. Results: Of the nursing students, 14.5% had high level of risk of smartphone addiction and 16.8% had potential risk. Higher frequency of physical symptoms and lower level of Internet ethics were related to the higher level of smartphone addiction. Voluntary-control in Internet ethics had mediating effects on the relationship between smartphone addiction and physical symptoms. Conclusion: The results suggest that the level of smartphone addiction may lowered in nursing students by intensifying Internet ethics especially voluntary-control. Based on these findings, Internet ethics program for nursing students should be developed to facilitate the effective use of smartphones.

      • KCI등재

        냉요법 적용 부위에 따른 심부온도 및 피부온도의 변화

        장보경,최혜린,강미옥,정선영,김은경,손수진,조용순,배노연,정안숙,김명희,이성미,김혜영 병원간호사회 2000 임상간호연구 Vol.6 No.1

        Cold therapy has been used in nursing practice for a long time. Although it is perceived that cold therapy is an effective method, there are different points of view with respect to where treatment is applied and how long it is applied. Therefore, the purpose of this study is to determine the most effective site of cold therapy on the middle back, groin, and lateral chest and the appropriate time for application of cold therapy via quasi-experimental research design and to investigate the relationship between core temperature and skin temperature when cold therapy is applied to the patient. The subjects of the study were unconscious adult patients at the I.C.U and C.V.A in E University hospital, Seoul. All subjects had axillary temperature above 37.5℃ and were febrile patients who were not given medication for fever. The sample is 30 patients and they were randomly allocated into three groups according to their application area of cold therapy. The method of the study was that after an ice bag was applied to the patient's middle back, groin, or lateral chest, core and skin temperatures were measured with an electrical thermometer before the cold application was given, during the 90 minutes of cold application, and 60 minutes after the application was removed. For each patient, 14 temperature readings were made. The period of data collection and analysis was about 3 months from Aug. 1, 1999 to Oct. 31, 1999. A paired t-test was used to test the difference of temperature over time. ANCOVA was used to test the differences in temperature according to application sites and a Pearson correlation was computed to examine the relationship between core temperature and skin temperature. The results of the study are as follows. 1) With respect to change of core temperature over time, there was a statistically significant difference for lateral chest in decreasing from 5 minutes to 90 minutes. However, there was a statistically significant difference in decreasing temperature for the middle back after the 90 minutes of cold application. For both sites, core temperature appeared to gradually decrease after application was removed and showed a 0.06℃ decrease for the middle back and 0.31℃ decrease for the lateral chest during the 60 minutes after application was removed. However, core temperature for the groin was increased 0.03℃. 2) With respect to core temperature according to application site of cold therapy, there were significant differences among the 5 minute, 10 minute, and 20 minute time intervals after cold therapy was applied. In other words, core temperatures in the middle back and groin temporarily increased, while the lateral chest gradually decreased. Ten minutes after the application was removed, the core temperature of groin increased, but for the lateral chest and middle back, temperature gradually decreased 0.05℃ and 0.2℃, respectively, during the 60 minutes after the application was removed. 3) With respect to skin temperature over length of application, the mean temperature for the groin dropped 16.05℃, 15.53℃ for the middle back, and 9.93℃ for the lateral chest. The decrease in skin temperature was statistically significant on all three sites. 4) With respect to change in skin temperature according to cold application sites, there was statistically significant difference among the middle back, groin, and lateral chest. The change in the groin skin temperature was found to be the largest. 5) The relationship between the core temperature and skin temperature during the cold therapy application was the middle back, r=0.804, P=0.000, for groin, r=0.759, P=0.000, and for lateral chest, r=0.868, P=0.000. All are high positive correlations. After removal of the cold therapy, the middle back and groin had negative correlations (r=-0.966, P=0.000, r=-0.724, P=0.008, respectively). For the groin, there was no correlation (r=0.226, P=0.480). In summary, the skin temperature of the groin and the core temperature of the middle back showed the largest decreases. In addition, application time of cold therapy was statistically significant on all three sites during the 90 minutes, but during this time, skin temperature dropped 15℃-16℃. Thus, cold therapy application time in excess the 90 minutes can produce a skin damage due to low skin temperature. In order to reapply cold therapy on the groin or lateral chest, the 20-30 minutes interval is necessary so that skin temperature can recover to the normal range. However, for the middle back, a 60- minute interval for re-application is necessary. Based on the results of the study, two suggestions are made. First, replication of the study on the change in core temperature should be done using febrile patients. Second, in the replication of the study, selection variables, such as gender, patients' condition, or diseases should also be controlled.

      • 20대여성의 유방자가검진에 대한 지식과 자기효능감의 관계연구

        강지혜,유리나,박민아,박신영,양은주,이주은,전시은,정윤혜,최연아,홍재하,이자형,정덕유,배노연 이화여자대학교 간호과학대학 2009 이화간호학회지 Vol.- No.43

        The purpose of this study was to know relationship between important variables which influence lifestyle in college women`s health promotion, prove adjustable factors and provide basic data which develops nursing intervention health promotion program. The method of this study was descriptive correlational study. The convenience sample was 206 college woman who live alone in lodgings, dormitory, a reading room or off-campus housing. Research instruments were the Multidimensional Health Locus of Control(MHLC) developed by Wallston, Wallston & Devellis(1978), Interpersonal Support Evaluation List developed by Cohern, Hoberman(1983) and The Health Promotion Lifestyle Profile(HPLP) developed by Walker, Pender & Sechrist(1978) and the data was used after Factor Analysis. The result of this study was follows. 1. It can be found that the level of the college woman`s health promotion lifestyle was 2.46±.33 with higher fulfilling level: According to general characteristic, the level of health promotion lifestyle was 5% significant statistical differences by age and period of menstruation. 2. The level of health locus of control was 3.25±.31 with higher fulfilling level. 3. The interpersonal support level was 3.05±.44 with higher fulfilling level. 4. The level of interpersonal support turned out most convincing factor in health promotion lifestyle (9%). In addition to age factor, two factors was 10% power of explanation in whole health promotion.

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