발달장애 아동 어머니의 양육 경험

여형남(Yeong-Nam-Yeo),박혜인(Hae In Park),신정순(Jeoung-Soon-Shin) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.8

본 연구의 목적은 현상학적인 방법을 통해 발달장애 아동이 있는 어머니의 양육 경험의 의미가 무엇인지 이해하여 본질을 추구하고 그 현상의 의미를 심층적으로 기술하고자 함이다. 본 연구의 대상자는 C 시에 있는 장애인복지관에서 치료를 받고 있는 발달장애 아동을 돌보고 있는 어머니 11명을 편의표본 추출하여 선정하였다. 연구방법은 심층 인터뷰와 녹음테이프를 사용하여 2018년 2월에서 2018년 4월까지 자료를 수집하였다. 인터뷰 자료는 Giorgi의 현상학적 분석방법으로 분석하였다. 분석결과는 다음과 같은 일곱 가지 구성요소가 도출되었다: 장애진단이 늦어짐을 후회함, 장애자녀 수용이 어려움, 주변의 참기 어려운 시선, 장애자녀로 인한 가족 간의 불화, 장애자녀 양육을 수용하고 전념함, 장애자녀 양육에 지쳐감, 장애자녀를 받아들임. 결론으로 발달장애 아동 어머니의 양육태도는 발달장애 아동뿐만 아니라 어머니의 정서적 안정을 포함한 일상생활과 대인관계의 사회적 접촉기회, 사회적 고립 여부까지도 영향을 줄 수 있기 때문에 발달장애자녀를 돌보는 어머니들을 위한 신체적, 심리적, 정서적인 지원을 위한 의료나 복지가 체계적으로 도입되어야 할 것으로 사료된다. The purpose of this study is to understand and describe in depth the meaning of parenting experiences of mothers with children with developmental disabilities through phenomenological methods. Participants of this study were selected by convenience sampling 11 mothers who were taking care of children with developmental disabilities who were being treated at the Welfare Center for the Disabled in C city. Data were collected from February to April, 2018 by using in-depth interview and tape-recording. The interview data were analyzed by the phenomenological analysis method of Giorgi. As the result of analysis, the following seven constituents were emerged; Regreting to delay the uncertain diagnosis, Difficulty in accommodating children with disabilities, Unbearable gaze around, Family disagreements due to children with disabilities, Adopting and dedicated to child care for disabled childre, Tiring of raising children with disabilities, Accepting children with disabilities. In conclusion, the parenting attitude of mother with developmental disability is influenced not only by the children with developmental disabilities but also by the social contact opportunities of daily life and interpersonal relationship including mothers" emotional stability and social isolation, It is considered that medical and welfare should be systematically introduced for physical, psychological and emotional support for mothers.

간호학과 편입생의 대학생활 경험

여형남(Yeong-Nam-Yeo) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.8

본 연구의 목적은 현상학적인 방법을 통해 간호학과 편입생의 대학생활 경험의 의미가 무엇인지 이해하여 본질을 추구하고 그 현상의 의미를 심층적으로 기술하고자 함이다. 본 연구의 대상자는 C시에 있는 C 대학교에 재학 중인 4년제 대학교를 졸업하고 학사학위를 소지한 자가 다시 4년제 대학교의 3학년으로 편입한 학사편입 학생 8명을 선정하였다. 연구 방법은 심층 인터뷰로 녹음테이프를 사용하여 2018년 10월부터 2019년 1월까지 자료를 수집하였다. 인터뷰 자료는 Giorgi의 현상학적 분석 방법으로 분석하였다. 분석 결과는 다음과 같은 4가지 구성요소가 도출되었다. 이질감을 느끼게 됨, 부담감 체험, 학과에 적응됨, 선택에 대한 책임. 결론으로 간호학과에 편입한 편입생들이 기존 재학생들과 이질감을 느끼지 않도록 함께 할 수 있는 해당 학과 차원의 프로그램 마련이 필요하고 편입생들이 학과 공부에 대한 부담감을 들어주기 위해 편입 초기에 선수과목 수강이나 보충지도 등을 통해 전공지식을 효율적으로 습득할 수 있는 바탕을 마련해주는 등 편입생들의 적응을 도울 수 있는 중재 프로그램이 개발되어야 할 것으로 사료된다. This study was conducted to understand and describe in depth the university life experience and the feelings of nursing students who transferred to a new nursing school, and the data was obtained through phenomenological methods. The participants of this study were 8 graduate transfer students who graduated from a 4 year university at C university and had a bachelor degree, and they then transferred into the third year of another 4 year university to study nursing. The data was collected from October 2018 to January 2019 by using in-depth interviews and tape-recording. The interview data was analyzed by the phenomenological analysis method of Giorgi. The analysis revealed the following factors: a feeling of heterogeneity, a feeling of burden, a need for adaption to the department and the responsibility for the choice of transferring schools. In conclusion, it is necessary for the transfer students who have transferred to a nursing department to prepare a plan while still in their first school and that can be done together with their fellow future transferees so that they do not feel a sense of heterogeneity with the existing students. In order for transfer students to bear the burden of studying in the new department, it is suggested that an intervention program should be developed to help transfer students adapt to their major, such as providing a base for efficiently acquiring the major knowledge of the nursing profession.

발달장애 성인자녀를 돌보는 어머니의 경험 과정

여형남(Yeo, Hyeong-Nam),김영경(Kim, Yeong-Kyeong) 질적연구학회 2018 질적연구 Vol.19 No.2

Purpose: This study was to investigate how mothers who were caring for adults with developmental disabilities experience changes. Methods: This study was qualitative research applying grounded theory methodology. The participants were 17 mothers who cared for adult children with developmental disabilities in C city. The data was analyzed by Strauss & Corbin (1998) in the grounded theory. Results: Data analysis resulted in 41 concepts, 16 subcategories, and 6 categories; The casual condition was ‘recognizing separation of life from their child’, Central phenomenon was to ‘recover self.’ Contextual condition was ‘recognizing the barriers to self-recovery’, Intervening condition was ‘forming and using a support base’. Action/interaction strategy was ‘seeking a way to expand the redeemed self’, The result of utilizing this action/interaction strategy was ‘reestablishing your own life’. Conclusion: The core categorization of mothers who care for children with developmental disabilities was the process of living in a meaningful existence together with child ". The process of living with a child in a meaningful being is the process of establishing a mother"s identity and living a self-esteem life changes the center of life into oneself.

탄성밴드운동이 슬관절전치환술 환자의 통증, 관절가동범위, 낙상두려움에 미치는 효과

여형남 ( Hyung Nam Yeo ),김영경 ( Yeong Kyeong Kim ),강미애 ( Mi Ae Kang ),신정순 ( Jung Sun Shin ) 병원간호사회 2015 임상간호연구 Vol.21 No.2

Purpose: The objective of this study was to verify the effects of elastic-band exercise on pain, range of motion, and fear of falling in patients with total knee replacement. Methods: The study design was a nonequivalent control group non-synchronized quasi-experimental design. Data were collected from December 10, 2014 to January 10, 2015 in an orthopedic specialty hospital located in the C city. Forty-eight patients participated in the study, and each twenty-four were assigned to the experimental group and the control group. The elastic-band exercise was used with the experimental group for 10 days. The numeric rating scale was used to measure pain, goniometer to measure range of motion, and a questionnaire to measure fear of falling. The data were analyzed using x2-test, Fisher`s exact, t-test and paired t-test. Results: Compared to the control group, pain in the experimental group decreased (t=-2.89, p=.006), range of motion increased (t=2.98, p=.005), and fear of falling decreased (t=-4.63 p<.001). Conclusion: The elastic-band exercise for total knee replacement patients is considered to be an effective nursing intervention to decrease pain and fear of falling, and to increase range of motion.

초기 노인의 은퇴 후 재취업 경험

여형남(Hyeong-Nam Yeo),김영경(Yeong-Kyeong Kim) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.1

본 연구의 목적은 초기 노인의 은퇴 후 재취업 경험의 본질과 의미 구조를 규명함으로써 지지적 간호중재 방안을 찾기 위함이다. 본 연구의 대상자는 C 시에 거주하고 있으며 은퇴한 후 재취업 경험이 있는 60세에서 74세 사이의 한국인 노인 7명을 편의표본 추출하여 선정하였다. 연구방법은 심층 인터뷰와 테이프 녹음을 사용하여 2016 년 6월에서 8월까지 자료를 수집했다. 인터뷰 자료는 Giorgi의 현상학적 분석 방법으로 분석하였다. 분석 결과 다음과 같은 네 가지 구성 요소가 도출되었다; 삶의 변화에 혼란스러움, 다시 일하기가 쉽지 않다는 것을 인식함. 새로운 변화에 적응함, 새로운 인생이 열림. 결론으로 평균수명의 증가와 노인인구의 증가로 인해 노인 간호에 있어서 핵심적인 역할을 수행해 왔던 간호사는 임상에 국한된 업무에서 벗어나 사회 전반에 걸친 확장된 업무를 담당해야 한다는 중요성이 점점 주목받고 있다. 따라서 초기 노인은퇴자를 포함하여 노인을 대상으로 하는 간호 시 은퇴 이후 노인의 삶에 대한 만족도를 높일 수 있고 건강한 노년기를 보낼 수 있도록 사회적 지원 시스템과 지속적인 간호중재에 필요한 간호지침이 제공되어야 하므로 생각한다. This study was conducted to develop a supportive nursing intervention plan for the young-old by identifying the essence and meaning structure of re-employment experience after retirement. Participants of this study were selected by convenience sampling of seven Korean young-old individuals from 60 to 74 years of age who had re-employment experience after retirement in C city. Data were collected from June to August of 2016 based on an in-depth interview and tape-recording. The interview data were analyzed by the phenomenological analysis method developed by Giorgi. The analysis revealed the following constituents; confusion in response to the change of life, recognizing that it is not easy to work again, adaption to new changes, opening a new life. It is becoming increasingly important that nurses, who have played an important role in elderly nursing because of the increase in average life expectancy and overall elderly population, take care of extended tasks throughout the society, away from clinical work. Therefore, a social support system and nursing guidelines necessary for continuous nursing intervention should be provided so that the elderly, including those at early retirement age, can be satisfied with their life after retirement.

백개자 경혈 지압이 항암화학요법을 받는 유방암 환자의 피로 및 수면에 미치는 효과

강미애 ( Mi Ae Kang ),김영경 ( Yeong Kyeong Kim ),신정순 ( Jung Soon Shin ),여형남 ( Hyung Nam Yeo ) 병원간호사회 2015 임상간호연구 Vol.21 No.2

This study was done to identify the effects of semen sinapsis albae acupressure on fatigue and sleep among patients undergoing chemotherapy for breast neoplasms. Methods: The design was a nonequivalent control group nonsynchronized design. Participants were 46 hospitalized patients (23 in the experimental group and 23 in the control group) who were undergoing chemotherapy during November and December 2014. The experimental group underwent routine chemotherapy nursing care and at the same time received acupressure on the spots of Zoksamli, Samumgyo and Shinmun. The control group underwent routine chemotherapy nursing care. The data were analyzed using test and t-test with the SPSS 21.0 program. Results: The level of fatigue in the experimental group was lower than in the control group (t=5.82, p<.001). The level of sleep in the experimental group was higher than in the control group (t=-5.16, p<.001). Conclusion: The findings of the study indicate that acupressure is an effective nursing intervention to decrease fatigue and increase sleep in patients with breast neoplasm undergoing chemotherapy.