한국 간호저널에서 여성건강 연구경향 분석: 최근 6년간의 논문분석[2010~2015]

안숙희 ( Ahn Sukhee ),이은주 ( Lee Eun-joo ),전은미 ( Jun Eun Mi ),김명희 ( Kim Myounghee ),김수 ( Kim Sue ),송주은 ( Song Ju-eun ),천숙희 ( Cheon Suk-hee ),김문정 ( Kim Moon Jeong ),문소현 ( Moon So-hyun ) 여성건강간호학회 2018 여성건강간호학회지 Vol.24 No.3

Purpose: To explore trends of women’s health in nursing research by analyzing articles on women aged 13 years or older that were published in Korean Journal for Women Health Nursing from 2010 to 2015. Methods: Seven focus areas were identified and modified to reflect integrative conceptual models of women's health: maternity care, menstrual concerns, health problems in women, gender influences on health risks, social influences on women’s health, women and health care policy, and sexual health and violence against women. A total of 383 studies were analyzed according to these seven focus areas. Results: Health problems in women, maternity care, and societal influences on women’s health were the most widely studied topics in Korean women's health. There was increased attention to societal influences on women's health and gender influences on health risk. However, these areas are still limited in nursing research. Only 1% of these studies were in area of women’s health policy. Conclusion: More studies in area of sexual health and violence against women are needed. Studies in area of women and health care policy are also needed to improve women's health in Korea.

일 지역 여성의 임신기와 수유기 칼슘섭취 양상

안숙희(Ahn Sukhee),김진희(Kim Jinhee) 대한근관절건강학회 2011 근관절건강학회지 Vol.18 No.1

Purpose: The purpose of the study was to identify the amount of calcium intake during late pregnancy and breastfeeding and compare the differences in the amount of calcium by subjects’ characteristics. Methods: With a descriptive survey design, 121 Korean breastfeeding women were recruited in a community setting. The list of foods and drinks with calcium extracted from the study of Song and So (2007) was used to measure the amount of calcium intake during pregnancy and lactation. The subjects’ characteristics were collected to identify differences in the amount of calcium intake. Results: Mean age of the women was 31 years old. Amount of calcium intake was 568㎎ per day during late pregnancy and 431㎎ per day during breastfeeding. These amounts were quite lower than a recommended dose that adult women should consume a daily minimum of 1,000㎎ of calcium. Women who had higher household income and attending experience for nutritional education took more calcium during breastfeeding and late pregnancy, respectively. Conclusion: More than a half of the breastfeeding women do not consume the recommended dose of calcium. Education for proper calcium consumption during pregnancy and lactation should be an additional subject in the prenatal and breastfeeding education program for women’s bone health.

중년 이후 여성에서 삶의 질 저하에 영향을 미치는 요인: 폐경 형태와 대사증후군 위험요인을 중심으로

김지순 ( Kim Jisoon ),안숙희 ( Ahn Sukhee ) 여성건강간호학회 2016 여성건강간호학회지 Vol.22 No.4

Purpose: This study explored influencing factors on quality of life (QoL) above middle-aged women in relation to demographic factors, health-related factors, menopausal status, metabolic syndrome (MS) and its risk factors. Methods: This study was secondary data analysis from the Sixth Korea National Health and Nutrition Examination Survey 2013~2015 that utilized a complex, multi-stage probability sample design. Study sample of 2,310 was inclusive of (28.8%) of women who were over 40. To evaluate the factors that would influence an impaired quality of life, x² test, GLM, and logistic regression analysis were done. Results: Level of quality of life was lower in women with late post-menopause(over 10 years since menopause) than women with pre-menopause. Factors influencing impaired QoL were as follows: graduated middle school and elementary school or less (OR=2.43, 4.42, respectively, p<.05), no job (OR=1.92, p<.001), stress (OR=1.92, p=.001), depression (OR=1.93, p=.001), insufficient sleep (OR=1.64, p=.003), late post-menopause (OR=2.61, p=.044) and over 85cm of waist circumference (OR=1.76, p=.01). Conclusion: These results suggest that late post-menopause may be an independent factor influencing an impaired QoL. To promote post-menopausal womens` health, a nursing strategy is required to teach women how to manage levels of stress, depression, insufficient sleep, and abdominal obesity through health education, nutritional counselling, and physical activity program.

중환자실 노인 환자에서 주관적 · 객관적 섬망 평가의 불일치에 영향을 미치는 요인: 환자와 간호사 특성과 섬망지식

송은숙 ( Song Eun-suk ),안숙희 ( Ahn Sukhee ) 부산대학교 간호과학연구소 2018 글로벌 건강과 간호 Vol.8 No.2

Purpose: The purpose of this study was to identify the rate of discrepancy between nurses’ subjective and objective assessment of delirium in elderly patients in intensive care units (ICUs) and to explore factors influencing the discrepancy. Methods: Using a survey design, a total of 91 elderly patients and 47 nurses were recruited from three ICUs in C Hospital. While ICU nurses subjectively assessed prevalence of delirium in their patients, the researcher used the Confusion Assessment Method in the ICU (CAM-ICU) tool at the same time. Medical records were reviewed for participants’ demographic and disease-related characteristics. The nurses’ level of knowledge about delirium assessment was examined. Results: Twenty-seven percent of patients had delirium according to CAM-ICU assessment and the discrepancy rate between CAM-ICU and subjective assessments was 18.7% (x²=21.648, p<.001): 2.2% for false positives, and 16.5% for false negatives. Patient factors influencing the discrepancy between delirium assessment methods were using restraints, as well as lower Glasgow Coma Scale (GCS) scores and Richmond Agitation and Sedation Scale (RASS) scores, while a nurse factor was shorter length of time working in an ICU. Conclusion: The discrepancy rate was 18.7% with 16.5% for false negatives. An education program is necessary for nurses to improve their knowledge of symptom assessment for delirium and to receive training in the use of objective tools for delirium assessment.

유방울혈이 있는 제왕절개분만 산모를 위한 모유수유 증진 프로그램의 개발 및 평가

조정숙(Cho, Jeongsug),안숙희(Ahn, Sukhee) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.2

Purpose: This study was to develop a breastfeeding promotion program and to test effects of the program on levels of breast discomfort, breast size, sodium in breast milk, and type of feeding in mothers with breast engorgement following cesarean birth. Methods: A non-synchronized non-equivalent control group pretest-posttest design was used in this study. The participants were 70 postpartum mothers who were admitted to a postpartum care center and experienced breast engorgement following cesarean birth. The planned nursing intervention was the breastfeeding promotion program consisting of breast massage and 1:1 breastfeeding education, counseling, and support focusing on individualized problem solving provided for 10 days. Fifty-three women completed the program (experimental group 26, control group, 27). Measurements were level of breast discomfort, breast size, sodium in breast milk and type of feeding at pre and posttest. Results: Women who participated in the program experienced lower scores for breast discomfort, greater decrease in breast size, lower levels of sodium in breast milk, and practiced breastfeeding more than those in the control group. Conclusion: Results indicate that this breastfeeding promotion program is effective in reducing breast engorgement and improving breastfeeding practices, and is therefore recommended to enhance breastfeeding promotion practice in postpartum care centers.

임부의 분만 자신감, 산전 우울, 분만 지식과 배우자 지지는 분만 두려움에 영향을 미치는가?

조현진 ( Hyunjin Cho ),안숙희 ( Sukhee Ahn ) 한국여성건강간호학회 (구 여성건강간호학회) 2020 여성건강간호학회지 Vol.26 No.4

Purpose: This study investigated levels of childbirth fear and related prenatal factors (self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support) among pregnant women in South Korea. Methods: A correlational study design was used to explore levels of childbirth fear and related prenatal factors in 200 pregnant women over 28 weeks of gestation. A self-administered questionnaire was used to measure fear of childbirth and related factors, such as self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support. Results: One-third of the pregnant women were aged 35 years and older. Sixty-one percent of women were nulliparae, but only 26.0% had experienced prenatal education. The mean score for fear of childbirth was 66.99 out of 165. The prevalence of fear of childbirth was 72.0%, and childbirth fear was severe in 26.5% of the participants and moderate in 45.5%. Fear of childbirth was negatively related to self-confidence (r=-.45, p<.001), but positively related to prenatal depression (r=.21, p=.002). Two significant predictors were found to explain the fear of childbirth. Higher self-confidence for childbirth was associated with less severe fear of childbirth (β=-.44, p<.001), while higher prenatal depression was associated with more severe fear of childbirth (β=.13, p=.038). Conclusion: The level of fear of childbirth was higher among pregnant women with lower self-confidence and higher prenatal depression. Reasonable evidence should be provided for implementing prenatal and childbirth classes to reduce pregnant women’s depression and to increase their confidence.

간호사의 수분 섭취배설량 측정에 대한 인식도와 수행도

강남이(Kang, Nam-Yi),안숙희(Ahn, Sukhee) 대한근관절건강학회 2016 근관절건강학회지 Vol.23 No.2

Purpose: This research aimed to identify levels of nurses’ perception and practice of fluid intake and output (I & O) measurement and to explore the relationship between perception and practice of it. Methods: Using a cross-sectional survey design, 195 nurses who practiced fluid I & O measurement were recruited from a general hospital. Nurses who agreed to participate in this study completed a structured study questionnaire to assess their levels of perception and practice of fluid I & O measurement. Results: A level of perception of I & O measurement was high (3.46 points out of 5), and scores for 3 subdomains of I & O (importance, accuracy, and efficacy) were evenly high. The level of practice of I & O was fairly high (3.76 points out of 5). Perception and practice of I & O were highly correlated (r=.73, p<.001). Conclusion: Nurses seem to have higher levels of perception and do practice fluid I & O measurement correctly. In order to have reliable and valid I & O measures, nurses need to have continuous education on I & O measurement based on clinical guideline to utilize it as an invaluable clinical instrument.

여자고등학생의 월경기 자가관리 교육 프로그램의 효과

민정혜 ( Min Jeonghye ),안숙희 ( Ahn Sukhee ) 여성건강간호학회 2018 여성건강간호학회지 Vol.24 No.3

Purpose: To examine the effect of menstrual self-management education program on knowledge and behavior of menstrual self-management in high school girls. Methods: With a randomized controlled trial, 100 high school girl students were randomly assigned into experimental group and control group. Menstruation self-management program was consisted of a total of four sessions of education program (1 hour of education per session). Control group only received the first class of education. Measurement tools were 20-item menstrual knowledge scale and 12-item women’s genito-urinary hygiene scale. Pretest and post-test questionnaires were administered. Results: There were significant differences in menstrual knowledge as well as menstrual self-management behavior between the two groups. The experimental group showed significant improvement in both menstrual knowledge score (t=13.37, p<.001) and menstrual self-management behavior score (t=8.38, p<.001) than the control group. Conclusion: Results of this study suggest that the monthly self-management education program is effective in increasing the knowledge of menstruation of female high school students and enhancing their performance. This program needs to be implemented as a part of high school’s standard sex education. Further study is needed to analyze follow-up effects of the program on self-management behavior of students after at least one menstrual cycle.

간호대학생 대상 한국판 의료계열 학생용 제퍼슨 공감 척도의 신뢰도 및 타당도 검증

김지순(Kim, Jisoon),안숙희(Ahn, Sukhee) 한국간호교육학회 2018 한국간호교육학회지 Vol.24 No.3

Purpose: This study was to validate the Korean version of the Jefferson Scale of Empathy-Health Professions Students (K-JSE-HPS) in undergraduate nursing students. Methods: With a survey design, a total of 293 junior and senior nursing students were recruited and data were collected using a self-administered study questionnaire to measure their levels of empathy use the K-JSE-HPS. Using SPSS/WIN 22.0 and AMOS 22.0, data analysis was conducted with confirmatory factor analysis, criterion validity, and reliability. Results: For construct validity, confirmatory factor analysis showed an acceptable model fit (Goodness of Fit Index was 0.88) along with confirming convergent and discriminant validity (construct reliability was 0.70). For criterion validity, the scale was significantly related with the Interpersonal Reaction Index. For reliability, Cronbach’s α coefficient for the scale was 0.87 and for the subscales were 0.84, 0.78, and 0.69, respectively. Conclusion: The findings show satisfactory construct and criterion validity and reliability of the Korean version of the JSE-HPS for measuring empathy in undergraduate nursing students.

응급실 간호사의 직무 스트레스가 이직의도에 미치는 영향

이유림(Lee, Yu-Lim),안숙희(Ahn, Sukhee) 대한근관절건강학회 2015 근관절건강학회지 Vol.22 No.1

Purpose: This study was to identify the level of job stress and turnover intention and to explore the impact of job stress on turnover intention among emergency room (ER) nurses. Methods: With a correlational survey design, 155 emergency room nurses were recruited in D metropolitan city. Data were collected using a structured questionnaire including ER-related job stress, turnover intention, and subjects’ characteristics from March 18 to March 26, 2013. Results: Overall mean score of job stress was 284.34±40.60, indicating higher level of job stress. The highest job stress category was conflict related inside the hospital and transportation team, and followed by matters related the patient and the guardian, conflicts with doctors, and heavy workload. The average score of turnover intention was 15.41±3.68, indicating higher intention to quit their jobs. There was a moderate level of positive correlation between job stress and turnover intention (r=.44, p<.001). Turnover intention was high when ER nurses had higher job stress (β=.38), were female (β=.22), and wished to move to another department (β=.17). Conclusion: The most important factor of turnover intention was job stress among ER nurses. Strategies to lower turnover rate for ER nurses should be focused on seeking ways to reduce their job stress.