항암치료 단계 유방암 환자의 대처방식, 사회적지지 및 외상 후 스트레스 장애와의 관계

양승경,김은심,Yang, Seung Kyoung,Kim, Eunshim 한국호스피스완화의료학회 2015 한국호스피스.완화의료학회지 Vol.18 No.1

목적: 본 연구는 항암치료 단계 유방암 환자의 PTSD, 대처방식, 사회적 지지의 관계를 파악하여 암환자의 PTSD에 관한 효과적인 간호중재의 기초자료를 제시하기 위함이다. 방법: J시 소재 G지역암센터 외과 외래를 방문한 만 30세 이상이며, 항암치료단계인 유방암 환자134명을 대상으로 조사하였다. 수집된 자료는 SPSS WIN 18.0프로그램을 이용하여 서술통계, ANOVA, Pearson correlation coefficients 등을 실시하였다. 결과: 항암치료 단계 유방암 환자의 외상 후 스트레스 장애는 26.9%가 PTSD 고위험군, 17.9%가 PTSD 위험군에 속하는 것으로 나타났다. 대상자의 PTSD 그룹(고위험군, 위험군, 정상)의 대처방식(적극적 대처, 소극적 대처), 사회적 지지의 상관관계는 PTSD 고위험군인 경우 적극적 대처와 소극적 대처가 유의미한 정적 상관관계를 가지는 것으로 나타났으며, PTSD 고위험군에서 사회적 지지와 적극적 대처는 유의미한 정적 상관관계를 가지고 있는 것으로 나타났다. 결론: 항암치료 단계 유방암 환자 중 26.9%가 PTSD 증상을 보이는 것으로 나타났으며, PTSD 고위험군에서 사회적 지지가 증가할수록 적극적 대처가 증가하는 것으로 나타났다. 암은 평생 자기관리가 필요한 질병임을 고려할 때 높은 사회적 지지는 자신의 건강관리 능력을 증진시킬 수 있는 계기가 될 수 있을 것이며, 더 나아가 PTSD 고위험군에게 있어 높은 사회적 지지는 환자의 스트레스를 줄이고 삶의 질을 높이는데 효과적인 역할을 할 것이라 여겨진다. Purpose: This study was conducted to examine how patients' coping style and social support affect post-traumatic stress disorder (PTSD) in breast cancer patients who are treated with chemotherapy. Methods: The sample consisted of 134 outpatients who received breast cancer treatments at the cancer clinic of a university hospital. The collected data were analyzed by frequency, percentage, t-test, ANOVA, ${\chi}^2$-test, Pearson correlation coefficients using SPSS for Windows, version 18.0. Results: Among total, 26.9% of patients were classified into a high-risk PTSD group. In the high-risk group, a positive correlation was found between active and passive coping styles and between social support and active coping styles. Conclusion: In this study, the stronger the social support was, the more active the coping style was for high-risk PTSD patients with breast cancer. Considering the fact that cancer requires life-long self-management, strong social support could improve patients' healthcare capability. Furthermore, solid social support could effectively reduce the stress level and improve the quality of life for breast cancer patients in the high-risk PTSD group.

간호대학생의 학업소진, 자기효능감, 전공만족도가 간호전문직관에 미치는 영향

양승경(Yang Seung Kyoung),정미라(Jung Mi Ra) 학습자중심교과교육학회 2016 학습자중심교과교육연구 Vol.16 No.11

본 연구목적은 간호대학생의 학업소진, 자기효능감, 전공만족도 및 간호전문직관의 정도를 파악하고 각 변수들이 간호대학생의 간호전문직관에 미치는 영향을 규명하는데 있다. 자료수집은 2016년 9월 5일부터 29일까지 Y시에 소재한 일개 대학교에서 간호대학생 145명을 대상으로 설문조사를 실시하였다. 자료분석은 SPSS Statistics 20.0 프로그램을 사용하여 기술통계, t-test, ANOVA, Scheffe’ test, 피어슨 상관관계, 위계적 다중회귀분석을 통해 분석하였다. 분석결과 간호대학생의 간호전문직관은 학업소진, 자기효능감, 전공만족도와 유의미한 상관관계가 있었다. 위계적 다중회귀분석결과 간호전문직관에 영향을 미치는 요인은 전공만족도와 자기효능감이였으며, 이들의 설명력은 29%였다. 따라서 간호대학생의 전공만족도와 자기효능감을 증진시킬 수 있는 중재프로그램 개발은 긍정적인 간호전문직관 확립과 발달에 중요한 역할을 할 것으로 예상된다. Purpose : This study was conducted to identify contributing factors of nursing professionalism of nursing students by academic-burnout, self-efficacy, major satisfaction. Methods: A total of 145 nursing students were recruited from 1 institution of college students from september 5 to 29, 2016. Self reported questionnaires consisted of item including general characteristics, academic-burnout, self-efficacy, major satisfaction, nursing professionalism. Collected data were analyzed using SPSS 20.0 program. Descriptive statistics, t-test, one-way ANOVA along with Scheffe’ test, pearson correlation coefficients, stepwise multiple regression were used for statistics. Results: The study result show that nursing professionalism was relation among academic-burnout, self-efficacy, major satisfaction. As results of stpewise multiple regression analysis, the factors affecting on nursing professionalism in nursing students were major satisfaction and self-efficacy. The explained variance for nursing professionalism 29%. Conclusion : Considering the findings from this study, there is a need to develop major satisfaction and self-efficacy for improvement program for nursing students. It is expected to important role in the development of positive nursing professionalism.

지역사회 노인의 자살생각 영향요인: 우울, 외로움, 자아존중감, 일상생활수행능력을 중심으로

양승경 ( Yang Seung Kyoung ),이수정 ( Lee Soo Jung ),이은주 ( Lee Eun Joo ) 부산대학교 간호과학연구소 2022 글로벌 건강과 간호 Vol.12 No.1

Purpose: This study aimed to identify the factors affecting the suicidal ideation among older adults in the community. Methods: Data were collected from 135 older adults living in C, S, and J cities, aged 65 years or older, from March 8 to April 30, 2021, using structured questionnaires. The data were analyzed using the SPSS 23.0 program for descriptive statistics, independent t-test, one-way ANOVA, Kruskal-Wallis, Scheffé test, Pearson’s correlation analysis, and hierarchical regression. Results: The mean score for suicidal ideation was 5.27±5.86. The significant predictors of suicidal ideation in older adults were activities of daily living (β=.28, p<.001), loneliness (β=.27, p=.003), self-rated health (β=-.23, p=.004), depression (β=.19, p=.047), and the existence of a spouse (β=.19, p=.009), with an explanatory power of 33.0%. Conclusion: Based on this study, we suggest that suicidal ideation in the elderly can be reduced by implementing a psychological program. Where there is no living spouse in the older adults’ lives, such a program would improve physical health and reduce loneliness and depression.

중년기 성인의 지각된 건강상태, 사회심리적 스트레스, 건강관리 자기효능감이 웰니스에 미치는 영향

양승경(Yang, Seung-Kyoung),이혜린(Lee, Hye-Rin),정연주(Jung, Yeon-Ju) 한국웰니스학회 2021 한국웰니스학회지 Vol.16 No.4

본 연구는 중년기 성인의 웰니스에 영향을 미치는 요인을 파악하기 위한 서술적 조사 연구이다. 자료 수집은 C시에 거주하는 40-64세의 성인 138명을 대상으로 2021년 4월 22일에서 5월 7일까지 온라인 설문조사를 실시하였다. 자료분석은 SPSS 23.0 프로그램을 활용하여 기술통계, t-test, ANOVA, Pearson’s correlation coefficient, 다중 회귀분석을 실시하였다. 연구결과 중년기 성인의 웰니스는 3.39±0.41(범위 1-5점)이였으며, 웰니스는 지각된 건강상태(r=.47, p<.001), 사회심리적 스트레스(r=-.31, p<.001), 건강관리 자기효능감(r=.57, p<.001)과 통계적으로 유의미한 상관관계를 보였다. 웰니스에 영향을 미치는 요인은 건강관리 자기효능감(β=.47, p<.001), 지각된 건강상태(β=.28, p=.001)로 이들 변수의 설명력은 38.2%였다. 따라서 중년기 성인의 웰니스 향상을 위해서는 건강관리 자기효능감과 지각된 건강상태를 증진시키기 프로그램 개발 및 적용이 필요할 것으로 생각된다. This study was a descriptive investigation study to identify factors affecting wellness in middle-aged adults. Data were collected using online survey during April 22 to May 7, 2021, targeting 138 adults aged 40 to 64 living in city C. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffѐ test, Pearson’s coefficients, and multiple regression using the SPSS 23.0 program. As a result, the mean wellness of middle-aged adults was 3.39±0.41, and wellness was correlated with perceived health status (r=.47, p<.001), psychosocial stress (r=-.31, p<.001), and health self-efficacy (r=.57, p<.001). The factors affecting wellness were health self-efficacy (β=.47, p<.001), perceived health status (β=.28, p=.001). The explanatory power of these variables was 38.2%. Based on the results of this study, it was necessary to develop and apply programs to improve health self-efficacy and perceived health status in order to promote wellness in middle-aged adults.

간호대학생의 우울, 피로, 신체존중감은 월경전 증상에 영향을 미치는가?

이은주,양승경,Lee, Eun Joo,Yang, Seung Kyoung 한국여성건강간호학회 2020 여성건강간호학회지 Vol.26 No.3

Purpose: The purpose of this study was to investigate factors affecting premenstrual symptoms among nursing students, focusing on depression, fatigue, and body esteem. Methods: The participants were 145 nursing students at a university located in Changwon, Korea. Data were collected from November 2 to November 30, 2019 using self-reported structured questionnaires, and analyzed using descriptive statistics, independent t-test, analysis of variance, Pearson correlation coefficients, and multiple regression analysis. Results: The mean item score for premenstrual symptoms was 2.52±0.92, indicating a low level. The mean score for depression was 16.05±7.72, and 15.2% of participants were found to be moderately depressed and 9.7% severely depressed. The mean item score for fatigue was 4.84±0.84, indicating a moderate level, and body esteem was 2.94±0.44, indicating a moderate level. The premenstrual symptoms of nursing students showed a statistically significant correlation with depression (r=-.58, p<.001), fatigue (r=.33, p<.001), and body esteem (r=-.28, p<.001). Factors impacting premenstrual symptoms of nursing students were depression (β=.47, p<.001), dysmenorrhea (β=-.18, p=.009), menstrual cycle irregularity (β=.17, p=.013), and body esteem (β=-.14, p=.038). The total explanatory power of these variables was 41.0%. Conclusion: Findings from this sample of nursing students suggest that intervention programs to relieve premenstrual symptoms should focus on depression, menstrual cycle irregularity, dysmenorrhea, and body esteem.

계획된 행위이론을 기반으로 노인의 정보통신 테크놀로지 사용 의도에 영향을 미치는 요인

하영미,양승경,최문종,Ha, Yeongmi,Yang, Seung-Kyoung,Choi, Moon-Jong 한국디지털정책학회 2021 디지털융복합연구 Vol.19 No.4

본 연구는 계획된 행위이론을 기반으로 지역사회 거주 노인의 정보통신 테크놀로지 사용 의도에 영향을 미치는 요인을 파악하기 위한 조사연구이다. 자료 수집은 G시와 S시에 거주하는 60세 이상 노인 99명을 대상으로 2020년 1월 한달 동안 설문조사를 실시하였으며, SPSS 23.0 프로그램을 활용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficient, 다중회귀분석을 실시하였다. 연구결과 지역사회 노인의 정보통신 테크놀로지 사용에 대한 태도는 3.79±0.74점, 주관적 규범은 3.43±0.66점, 지각된 행위통제는 3.12±0.71점, 사용의도는 3.23±0.77점이였다. 지역사회 노인의 정보통신 테크놀로지 사용 의도에 영향을 미치는 요인은 주관적 규범(β=.35, p<.001), 지각된 행위 통제(β=.35, p<.001)였으며, 이들 변수의 설명력은 48.7%였다. 따라서 지역사회 노인의 정보통신 테크놀로지 사용 의도를 촉진하기 위해서는 위의 변수를 고려한 체계적인 방안 마련이 필요할 것으로 생각된다. The purpose of this study was to identify the intention to use of information and communication technology(ICT) for the elderly residing in community based on the theory of planned behavior. The subjects were 99 elderly aged 60 or older living in G and S cities from January 1 to 31 in 2020 using questionnaire. The data was analyzed using the SPSS 23.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, multiple regression. As a result, the mean of the attitude to use of ICT for the elderly was 3.79±0.74, subjective norm was 3.43±0.66, perceived behavioral control was 3.12±0.71, behavior intention was 3.23±0.77. The intent to use of ICT for the elderly are subjective norm(β=.35, p<.001), perceived behavior control(β=.35, p<.001), had an explanatory power of 48.7%. Therefore, it is necessary that systematic program considering the above factors for elderly residing in community to promote the intent to use of ICT.

신입생 적응프로그램이 간호대학생의 자기효능감, 진로정체감, 대학생활적응에 미치는 영향

지영주(Jee Young-Ju),양승경(Yang Seung-Kyoung) 학습자중심교과교육학회 2021 학습자중심교과교육연구 Vol.21 No.16

목적 본 연구는 간호대학 신입생을 대상으로 대학생활 적응프로그램을 적용하여 자기효능감, 진로정체감, 대학생활적응 정도를 파악하고자 시도되었다. 방법 연구대상은 C시 소재 일개대학 간호학과 신입생으로 대학생활 적응프로그램에 참여한 대상자이며 최종 84명을 대상으로 하였다. 대학생활 적응프로그램은 신입생 세미나 시간을 활용하여 확장된 오리엔테이션, 전공세미나, 진로세미나 3가지 범주로 구성되었으며 총 12주 동안 운영하였다. 대학생활 적응프로그램 참여 전후 자기효능감, 진로정체감, 대학생활 적응에 관한 설문조사를 실시하였으며, 자료수집은 2019년 3월 12일 사전설문조사와 2019년 6월 4일 사후설문조사가 시행되었다. 자료처리는 SPSS/WIN 23.0프로그램을 사용하여 분석하였다. 결과 대상자의 대학생활 적응프로그램 참여 후 자기효능감(t=-2.41, p=.018)과 대학생활적응(t=-5.33, p<.001)은 유의미하게 상승하였으며, 진로정체감(t=-0.21, p=.833)은 유의미한 차이가 없는 것으로 나타났다. 결론 본 연구결과를 통해 간호대학 신입생의 대학생활 적응프로그램은 자기효능감과 대학생활 적응에 긍정적 효과가 있음을 확인하였으며, 추후 간호대학 신입생의 성공적인 대학생활 적응을 위한 프로그램 개발의 기초자료로 활용될 수 있을 것이다. Objectives The purpose of this study was to identify the effects of college adjustment program on self efficacy, career identity and adaptation to college life for freshmen of nursing students. Methods 84 first-year nursing students from one university in C city participated in the college adjustment program. This program consisted of three categories: extended orientation, major seminar, and career seminar, using freshman seminar hours, and was operated for a total of 12 weeks. A survey was conducted on self-efficacy, career identity, and adaptation to college life before and after participating in the intervention program. The collected data were analyzed using SPSS/WIN 23.0 program. Results As a result, self efficacy (t=-2.41, p=.018), adaptation to college life (t=-5.33, p<.001) were significantly increased and there was no significant difference in career identity (t=-0.21 and p=.833). Conclusions The results of this study confirmed that it has a positive effect on self efficacy and college life adaptation, and will be used as a basic data for the development of programs for successful college adaptation.

암 생존자의 질병관련 특성과 암 대처가 외상 후 성장에 미치는 영향

하영미 ( Yeong Mi Ha ),양승경 ( Seung Kyoung Yang ) 한국보건정보통계학회(구 한국보건통계학회) 2015 보건정보통계학회지 Vol.40 No.2

Objectives: This study was conducted to identify contributing factors of posttraumatic growth (PTG) of cancer survivors by examining relationships between cancer-related characteristic, cancer coping and PTG. Methods: A total of 135 cancer survivors who completed their cancer treatment were recruited. Data were collected from January 16 to February 6, 2015 and SPSS ver 20.0 program was used for the analysis. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression were used for staitstics. Results: The study results show that the mean score of interpersonal cancer coping was 1.99(±0.54), intrapersonal cancer coping 2.31(±0.53), posttraumatic growth 2.65(±0.94). As results of multiple regression analysis, the factors affecting PTG were intrapersonal cancer coping and perceived severity of cancer explained cancer survivors`` PTG with 49.3%. Conclusions: Based on the findings that intrapersonal cancer coping and perceived severity of cancer significantly influence PTG, there is a need to develope an intervention program for enhancing intrapersonal cancer coping to improve PTG of cancer survivors. However, further studies with a larger random sample and more detailed research design are necessary.

관상동맥질환자의 건강 임파워먼트, 배우자지지, 외상 후 성장이 건강증진행위에 미치는 영향

정은(Jeong, Eun),이경심(Lee, Kyung Sim),양승경(Yang, Seung Kyoung),조장현(Cho, Jang Hyun) 한국기초간호학회 2022 Journal of korean biological nursing science Vol.24 No.2

Purpose: The purpose of this study was to identify influence of health behavior in patients with coronary artery disease. Methods: A cross-sectional descriptive design included 150 patients treated with percutaneous coronary intervention in S hospital in S city. Data were collected by using self-questionnaires July 5-August 26, 2021 and were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation coefficients, and multiple regression with SPSS 23.0. Results: Factors significantly influencing health behavior in patients with coronary artery disease were health empowerment (β=.48, p<.001), and post-traumatic growth (β=.20, p=.013). The explanatory power of related variables was 39%. Conclusion: Based on the this study, it was found that health empowerment and post-traumatic growth had a significant effect on the health behavior of patients with coronary artery disease. Thus, it is necessary to promote the health behavior of patients with coronary artery disease through the development of intervention programs to improve health empowerment and post-traumatic growth.

웨어러블 웰니스 디바이스 품질, 지각된 가치, 고객만족도와의 관계

하영미(Ha, Yeong-Mi),강원석(Kang, Won-Seok),이상호(Lee, Sang-Ho),양승경(Yang, Seung-Kyoung) 한국웰니스학회 2017 한국웰니스학회지 Vol.12 No.3

본 연구는 웨어러블 웰니스 디바이스의 품질, 지각된 가치, 고객만족도와의 관계를 파악하고, 이들 요인이 고객만족도에 미치는 영향을 규명하기 위한 서술적 조사연구이다. 본 연구의 대상자는 D시에 소재한 15개의 종합사회복지관에 근무하는 사회복지사 119명에게 3개월동안 웨어러블 웰니스 디바이스를 제공한 후 설문조사를 실시하였다. 수집된 자료는 IBM SPSS 20.0 program을 이용하여 기술통계, t-test, ANOVA, Pearson’s coefficient, multiple regression의 방법으로 분석하였다. 연구결과 웨어러블 웰니스 디바이스 사용자의 고객만족도에 영향을 미치는 요인은 지각된 가치와 제품품질이였으며, 이들의 설명력은 76%(F=124.77, p<.001)인 것으로 나타났다. 따라서 웨어러블 웰니스 디바이스 사용자의 고객만족도를 향상시키기 위해서는 지각된 가치를 향상시킬 수 있는 방안 마련과 함께 소비자의 요구를 고려한 제품품질 향상에 주력하여야 할 것이다. The purpose of this descriptive correlational study was to examine relationships among wearable wellness device product quality, perceived value, customer satisfaction. The data were collected from 119 social workers working in the fifteen social welfare centers located D city. After providing wearable wellness device for 3months, we conducted a survey using self-reported questionnaires. Collected data were analyzed using IBM SPSS statistics 20.0 program. As results of multiple regression analysis, the factors affecting on customer satisfaction were perceived value and product quality. This model could explain 76%(F=124.77, p<.001). Considering the findings from this study, there is a need to improve customer satisfaction of users of wearable wellness devices, it is necessary to plan ways to improve perceived value. In addition, it should focus on product quality improvement considering consumer needs.