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고등학교 여학생이 지각한 가족의 기능적 특성과 정신건강과의 관계 -3 Dimensional Circumplex Model을 이용하여-
안양희,Ahn, Yang-Heui 한국지역사회간호학회 1996 지역사회간호학회지 Vol.7 No.2
A cross-sectional, descriptive-correlational design was employed in this study. The main purpose of this study was to identify the relationship between female adolescents' mental health and their perception of family characteristics, such as family adaptability, family cohesion, family type, and family satisfaction, The theoretical rationale for this study is the 3-Dimensionl Circumplex Model that was formulated by Olson, et al. With respect to method, a structured questionnaire was employed to obtain the data. A total of 199 female students(high school second year) were recruited by convenience sampling. Data for this study were collected in October 1994 after a pilot study and pretest of the tools. The research tool used the following four self-report research types : Youth Self-Report (YSR) developed by Achenbach and Edelbrock, Family Adaptability & Cohesion Evaluation Scales (FACES) III, Family Satisfaction(FS) developed by Olson, et al. and a Demographic Data Sheet. The resulting data were processed using an SPSS PC for a Pearson prod uct-moment correlation coefficient, ANOVA. A linear relationship were found between female students' mental health and their perceived family cohesion(r=-.2237, p<.001), and family satisfaction(r=-.3951, p<.001), but no significant correlations was found between female students' mental health and their perceived adaptability. These findings demonstrated that family cohesion, family type, and family satisfaction were more powerful predictors than family adaptability. This study contributes to nursing practice by demonstrating the usefulness of YSR to differentiate deviant behavior in youth and also by providing nursing interventions designed to promote female mental health.
안양희(Ahn, Yang Heui),권은경(Kweon, Eun Kyung),최은성(Choi, Eun Seong),구은진(Gu, Eun Jin) 한국보건간호학회 2011 韓國保健看護學會誌 Vol.25 No.2
Purpose: The study was done to describe competency level in communication and professional competence of Public Health Nurses and to test effect of competency level in communication on professional competence of Public Health Nurses (PHNs). Methods: A correlational research design was used and 153 PHNs working at nine Public Health Centers (PHCs) in four Metropolitan cities agreed to participate. Participants completed a structured questionnaire measuring the study variables with socio-demographic characteristics. Data were analyzed using descriptive statistics and multiple regression analysis with the PAWS Statistics 18. Results: The mean of competency level for communication and professional competence were above average for the test instruments utilized (90.3 and 68.4 respectively). The level of communication competency differed by age and location of PHCs, and professional competence differed by location of the PHCs. The level of communication competency was the most important affecting professional competence and explained 32.9% of the professional competence. Conclusion: Nurses with better communication competency had more professional competence. In the future, repeated study is needed, and communication program is needed to develop and train PHNs to improve their professional competence.
일 지역 저소득층 여성가구주를 위한 임파워링 프로그램이 건강 삶의 질, 의사결정 자기효능, 자가관리 능력 및 합리적 의료이용에 미치는 효과
안양희(Ahn, Yang Heui),김기경(Kim, Ki Kyong),김기연(Kim, Gi Yon),송희영(Song, Hee-Young) 한국보건간호학회 2010 韓國保健看護學會誌 Vol.24 No.2
Purpose: The study assessed the effects of a 12-session empowering program to promote health quality of life, decision making self-efficacy, self-care competency, and reasonable medical care utilization among low income women households in one rural area. Methods: A quasi-experimental, one-group pre-posttest design was employed. A total of 28 women enrolled as medicaid recipients in the Public Health Center of W city agreed to participate. The empowering program consisted of 12 sessions addressing health education for self-care of disease, medication management, and counseling for psycho-social support. The intervention was delivered by five nurses and one social worker. Women completed a structured questionnaire measuring the study variables with demographic characteristic before and after the intervention. Data were analyzed by PAWS Statistics 17 utilizing descriptive statistics and paired t-test. Results: After the intervention, significant increases were evident in participant health quality of life (t=-5.83, p<.001), decision making self-efficacy (t=-4.86, p<.001), self-care competency (t=-8.16, p<.001), and reasonable medical care utilization (t=-3.97, p<.001). Conclusion: The 12-session empowering program on health quality of life as well as self-care competency was effective when delivered to low income women households. Further studies with larger numbers of participants and a control group are necessary to validate the results.
지역사회기반의 자기관리지지중재가 골관절염 의료급여수급자의 환자활력, 관절유연성 및 건강 관련 삶의질에 미치는 단기효과
안양희(Ahn, Yang Heui),허재복(Hur, Jae Bock),최은희(Choi, Eun Hee) 한국노년학회 2016 한국노년학 Vol.36 No.3
이 연구의 목적은 지역사회기반의 자기관리지지중재가 골관절염 의료급여수급자의 환자활력, 관절유연성 및 건강 관련 삶의 질에 미치는 단기효과를 확인하기 위함이었다. 연구 설계는 자기관리지지중재의 효과를 검증하기 위하여 무작위 대조군 전후설계를 활용하였으며, 이 연구는 자기주도적 관절염질병관리 역량강화연구의 일부이다. 연구대상은 일 지역 고위험군 의료급여수급자 중에서 60명의 골관절염환자를 대상으로 실험군(n=30)과 대조군(n=30)에 무작위 할당하였다. 8회기로 구성된 자기관리지지중재는 대상자 중심의 케어를 전략으로 인지 정서 행위기술을 활용하였으며, 교육 훈련된 의료급여관리사에 의하여 제공되었다. 연구도구는 구조화된 설문지, 관절각도기 및 줄자를 활용하였다. 자료 분석방법은 기술적 통계와 χ²-test, Fisher’s exact test, t-test, ANCOVA를 활용하였다. 실험군은 대조군에 비하여 자기관리를 위한 환자활력, 관절유연성이 유의하게 증가되었으나 건강 관련 삶의 질 수준은 유의한 차이가 없었다. 향후에는 자기관리지지중재에 대한 장기(9 and 12-month follow up) 효과가 제시될 필요가 있다. The purpose of this study was to test the effectiveness of an eight session self-management support program for improvement of patient activation, joint flexibility and health-related quality of life among medical aid beneficiaries with osteoarthritis. This study was part of a randomized and controlled research of a self-management support intervention. Participants were 60 medical aid beneficiaries who agreed to participate in this study, and were assigned to an experimental group (n=30) or control group (n=30). The 8-session and tailored program led by a trained case manager with the patient-centered approaches and cognitive-emotional-behavioral skills. Analysis included change in scores, χ²-test, Fisher’s exact test, t-test and ANCOVA. The results showed significant increase in patient activation, joint flexibility (shoulder and right knee) except health-related quality of life in the experimental group compared to the control group. The self-management support program indicated an effect on patient activation and joint flexibility. Further research is needed to examine the outcome in the long term(9 and 12-month follow up).
범이론 모형에 근거한 재가 고혈압 노인환자의 자기관리 행위 실천 영향요인
안양희(Ahn, Yang Heui),임영미(Lim, Young Mi),김기연(Kim, KiYon),김기경(Kim, Ki-Kyoung),송희영(Song, Hee-Young) 한국보건간호학회 2016 韓國保健看護學會誌 Vol.30 No.1
Purpose: This study examined the influencing factors from the Transtheoretical Model on the stage of change in the self-management behaviors, i.e. regular physical activity and diet, among community-residing adults with hypertension in a rural area. Methods: With a cross-sectional descriptive design, 134 adults who had registered and received a prescription for hypertension medication from a public health center in W city were recruited using convenient sampling. The instrument was an interviewer-administered questionnaire on the stage of change, process of change, self-efficacy, and decisional balance of physical activity and diet. The data were analyzed using descriptive statistics, 2-sample t-test, χ2 test, and logistic regression. Results: The results revealed significant differences in the process of change, self-efficacy, and decisional balance of physical activity and diet between those who were in the pre-execution stage (precontemplation, contemplation, preparation) and those who were in the execution stage (action and maintenance). Logistic regression showed that consciousness raising and self-efficacy were significant predictors of the execution stage in physical activity, and self-reevaluation, social liberation and self-efficacy were significant predictors in the diet. Conclusion: The relevant processes of change, differentiated according to the stage of change, along with self-efficacy, should be addressed to enhance the execution of self-management behaviors among hypertensive adults residing in the community.
가족탄력성(Family Resilience): 간호임상에의 활용
안양희 ( Yang Heui Ahn ) 연세대학교 간호정책연구소 2006 간호학탐구 Vol.15 No.1
Family resilience is becoming an increasingly visible concept in the field of family studies, however there is a few research on this concept in Korean nursing. Family resilience is the ability to withstand and grow under stressful conditions, an emphasis on strengths and resources, the importance of positive perceptions about adversity, and a focus on the family as a functioning unit. This article discusses resilience as a family level construct and offers several ideas for nursing practice on assessing and intervening families utilizing a framework of family resilience. These ideas include a focus on strengths, recognizing of resilience as a process, identifying and developing useful family schema. Using family resilience approach is a promising way to strengthen families facing serious life challenges, and to improve the health and wellness of the family.