암환자의 증상 자각 후 병원방문까지의 치료추구행위에 관한 연구

오효숙(Oh Hyo Sook),박현애(Park Hyeoun Ae) 대한종양간호학회 2004 Asian Oncology Nursing Vol.4 No.1

The purpose of this study was to determine and test treatment-seeking behavior type and decisional factors of the cancer patients after first detecting symptoms. This study used the methodological triangulation. In the first, treatment-seeking behavior type and decisional factor were described based on qualitative data collected from in-depth interviews with 29 cancer patients. Next, they were tested using quantitative data collected from a structured questionnaire involving 165 cancer patients with statistical method. As a result, treatment-seeking behavior from detecting symptoms to visiting a doctor categorized into immediate visit and delayed visit. The decisional factors on time interval between detecting symptoms and visiting a doctor was influenced by the perceived seriousness of symptoms, the experiences of visiting a doctor previously with similar symptoms, social-group influences on visiting a doctor, barriers to visiting a doctor, and health concerns. There were significant relationship between treatment-seeking time and these factors, however, there was no statistically significant relationship between treatment-seeking time and the demographic characteristics. It is expected that results of this study can be used for nursing education data of cancer patients for early diagnosis after detecting symptoms<br/>

綜合病院의 看護行爲樣相에 따른 看護原價 算定에 關한 硏究

吳孝淑(Hyo-Sook Oh) 한국보건간호학회 1989 韓國保健看護學會誌 Vol.3 No.2

간호대학생의 의사소통능력, 임상수행능력, 인수인계 경험이 인수인계 자기효능감에 미치는 영향

오효숙(Hyo-Sook Oh) 한국엔터테인먼트산업학회 2020 한국엔터테인먼트산업학회논문지 Vol.14 No.4

본 연구는 간호대학생의 의사소통능력, 임상수행능력, 인수인계 경험, 인수인계 자기효능감을 파악하고 인수인계 자기효능감에 영향을 미치는 요인을 규명하여 인수인계 교육프로그램을 개발하는데 기초자료를 제공하고자 수행되었다. 연구방법은 서술적 조사 연구로서 G시에 소재한 4년제 2개교 간호대학생 255명을 2019년 6월부터 9월까지 구조화된 설문지를 통해 자료수집하였다. 자료분석은 t-test, ANOVA, Pearson’scorrelation coefficents 그리고 단계적 다중회귀분석을 활용하였다. 연구결과, 간호대학생들의 의사소통능력은 57.3점(100점 만점에 76.4점), 임상수행능력은 69.8점(100점 만점에 73.5점), 인수인계 자기효능감은 33.8점(100점 만점에 51.2점)으로 나타났다. 간호대학생의 인수인계 자기효능감은 성(F=4.60, p<.001), 연령(F=16.72, p<.001), 학년(t=-6.39, p<.001), 임상실습 만족도(F=3.68, p=.027), 인수인계 교육 경험(t=26.44, p<.001), 인수인계 경험(t=4.84, p<.001), 인수인계에 대한 두려움(F=16.97, p<.001), 환자안전에 있어서 인수인계 중요도(F=6.42, p=.002)에 따라 유의한 차이를 보였다. 간호대학생의 의사소통능력, 임상수행능력, 인수인계 자기효능감 간의 상관관계를 분석한 결과, 인수인계 자기효능감은 의사소통능력(r=.249, p<.001) 과 임상수행능력(r=.426, p<.001) 간에 유의한 순 상관관계가 있었다. 간호대학생의 인수인계 자기효능감에 영향을 미치는 요인으로 인수인계에 대한 두려움(β=-.294, p<.001), 임상수행능력(β=.252, p<.001), 학년(β=.191, p=.001), 인수인계 경험(β=.185, p<.001), 성별(β=.150, p=.003), 인수인계 교육 경험(β=.126, p=.017) 순으로 모형의 설명력은 40.0%이었다. 결론적으로 간호대학생들의 인수인계 자기효능감을 높이기 위해서는 임상수행능력을 향상시키고 임상실습 시 인수인계 경험을 포함한 인수인계 교육을 제공하여 인수인계 두려움을 감소시키는 인수인계 교육프로그램의 개발이 필요하다. This study was conducted to investigate communication competence, clinical competence and experience of handover which influence self-efficacy of handover among nursing students. The study design was a descriptive survey. A total of 255 students were recruited from nursing departments in G-city. Structured questionnaire was self-administrated from June to September, 2019. The collected data were analyzed using t-test, ANOVA, Pearson’s coefficient and stepwise multiple regression. As results of the study, communication competence 57.3, clinical competence 69.8 and self-efficacy of handover was 33.8. Self-efficacy of handover had significant differences in gender(F=4.60, p<.001), age(F=16.72, p<.001), grade(t=-6.39, p<.001), satisfaction of clinical practice(F=3.68, p=.027), education experience about handover(t=26.44, p<.001), experience of handover(t=4.84, p<.001), fear of handover(F=16.97, p<.001), and handover importance of patient’s safety(F=6.42, p=.002). Self-efficacy of handover had significant positive correlations with communication competence(r=.249, p<.001) and clinical competence(r=.426, p<.001). In multiple regression analysis, fear of handover(β=-.294, p<.001), clinical competence(β=.252, p<.001), grade(β=.191, p=.001), experience of handover(β=.185, p<.001), gender(β=.150, p=.003), and education experience about handover(β=.126, p=.017) were significant factors of self-efficacy of handover explaining 40.0%(F=29.26, p<.001) of the variables. In conclusion, to enhance self-efficacy of handover for nursing students, it is necessary to develop educational program for increasing experiences of handover, education experience about handover, and clinical competence.

항암화학요법제 투여 중인 암환자의 대체요법 이용실태 및 의사결정요인

오효숙(Oh Hyo Sook),박현애(Park Hyeoun Ae) 대한종양간호학회 2004 Asian Oncology Nursing Vol.4 No.1

Purpose: This study was conducted to examine utilization of alternative therapies and understand decisional criteria related to use of alternative therapies among chemotherapy patients.<br/> Method: Data were collected from 165 cancer patients through the use of questionnaire and interviews at the chemotherapy treatment rooms of two general hospitals located in Seoul. Result: Sixty point six percent of subjects after cancer<br/> diagnosis have experience of using alternative therapies and 39.4% were still using alternative therapies. On the average the patients used alternative therapies for 9.4 months and they paid 483,000 Won per month for alternative therapies. Decisional criteria related to use of alternative therapy were curability, social group influence about alternative therapy, confidence in alternative therapy, present symptoms, and who decide on the use of alternative therapy. These variables in the alternative therapy group were statistically different from those of the hospital treatment only group. Conclusion: Utilization rate of alternative therapy among chemotherapy patients is high and cost burden is heavy. Thus, they need to be educated about utilization of alternative therapy by nurse and medical personnel.<br/>

농촌지역 고등학생의 정신건강, 우울정도 및 인터넷 중독과의 관계

오현이(Hyun Ei Oh),심미정(Mi Jung Sim),오효숙(Hyo Sook Oh) 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.2

본 연구는 농촌지역 고등학생 299명을 대상으로 2008년 5월에 구조화된 설문지를 이용하여 정신건강, 우울정도 및 인터넷중독 실태를 파악하고, 제변수간의 관계를 파악하여 청소년 정신건강관리 프로그램을 개발하기 위한 기초자료를 제공하기 위해 실시하였다. 그 결과는 다음과 같다. 첫째, 본 연구 대상자의 정신건강 및 문제행동검사(AMPQ) 결과는 비교적 낮은 문제행동을 나타냈으며, 학교유형별 통계적으로 유의하게 차이가 있게 나온 항목은 외재화 문제와 총문제 행동이었으며, 성별에서 남학생이, 외재화 문제군은 남학생에서 더 문제가 있는 것으로 나왔다. 둘째, 우울정도는 비교적 낮은 점수를 나타냈으며, 잠재적 우울군 5.1%, 고위험 우울군 0.3%이었다. 셋째, 인터넷중독정도는 전체적으로 정상군 96.9%, 잠재적 위험군 1.7%, 고위험군 1.4%이었으며, 제변수간에 통계적으로 유의한 차이는 없었다. 넷째, 대상자의 AMPQ와 우울정도 및 인터넷중독과는 매우 상관성이 있는 것으로 나왔다. 전반적인 정신건강 문제는 우울정도가 심할수록, 인터넷중독이 심할수록 있는 것으로 나왔다. 이상과 같은 결과에서 청소년 정신건강의 심각성을 인식하고 문제가 발생하기 전에 사전예방하고, 조기에 치료할 수 있는 프로그램의 개발과 제도적 장치 마련이 필요하다. 특히 청소년기 우울증은 성인과 달리 발견이 매우 어려우므로, 가장 중요한 것은 조기 발견하여 적절한 관리 및 치료 방향을 설정하는 것이다. Objectives: This study is to offer basic data to understand the relationships between mental health, level of depression, and internet addiction of high school students in farming communities for developing a mental health management program for adolescents. Methods: The survey was carried out on a convenience sample of 299 high school students in farming communities during May of 2008. Data analysis procedure included χ½2-test, t-test, Pearson correlation among Adolescent Mental Health & Problem-behavior Screening Questionnaire (AMPQ), Children’ Depression Inventory (CDI), and Scales of Internet addiction (K-scales). Results: First, the level of mental health according to the AMPQ for subjects from this study showed problematic behavior was lower when compared to other researches. There were statistically significant differences according to the school type for externalization problems and overall problematic behavior. Based on gender, it was even more problematic for male students in regards to externalization problems. Secondly, the level of depression was relatively low : 5.1% for potential risk and 0.3% for high risk. Thirdly, a total of 96.9% were considered normal for Internet addition levels. 1.7% for potential risk, 1.4% for high risk; however, there was no statistically significant difference between each variable. Fourthly, there was a strong relationship between subjects AMPQ, level of depression and Internet addiction. As depression worsens, Internet addiction also becomes stronger. Conclusion: There is a need for awareness of the mental health of adolescents and precautionary measures, the development of a program for early treatment, adequate management, and decisions on the direction of treatment.

중년여성의 사회적지지, 자기효능감, 지각된 건강상태가 노화불안에 미치는 영향

정영옥(Jung, Young-Ok),오효숙(Oh, Hyo-Sook) 한국보건간호학회 2016 韓國保健看護學會誌 Vol.30 No.1

Purpose: This study was conducted to determine the effects of middle-aged women’s social support, self-efficacy, and perceived health status on aging anxiety. Methods: Research subjects were 210 middle-aged women between 40 - 60 years living in G-city. Data were collected from July 21<SUP>st</SUP> 2014 to August 8th using a structured questionnaire and analyzed using t-test, One way ANOVA, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: Aging anxiety showed statistically significant differences in religion (t=2.44, p=.015), satisfaction with married life (F=4.39, p=.014), type of leisure activity (F=8.09, p<.001), and number of friends (F=3.23, p=.024). Aging anxiety showed correlation with social support (r=-.21, p=.003), self-efficacy (r=-.46, p<.001), and perceived health status (r=-.33, p<.001). Factors affecting aging anxiety were self-efficacy (β=-.33, p<.001), perceived health status (β=-.23, p<.001), leisure activity type (β=-.16, p=.010), and religious affiliation (β=-.17, p=.038). The predictive power of these variables was 25% (F=18.63, p<.001). Conclusion: Nursing intervention strategies for improving self-efficacy, perceived health status, and leisure activity are required to relieve aging anxiety of middle-aged women.

가정 호스피스케어환자 방문간호 조사분석

이소우,이은옥,박현애,오효숙,안효섭,허대석,윤영호,김달숙,노유자,Lee, So-Woo,Lee, Eun-Ok,Park, Hyun-Ae,Oh, Hyo-Sook,Ahn, Hyo-Seop,Huh, Dae-Suk,Yun, Young-Ho,Kim, Dal-Sook,Rho, Yoo-Ja 한국호스피스완화의료학회 1998 한국호스피스.완화의료학회지 Vol.1 No.1

목적 : 오늘날 호스피스 운동은 만성질환자가 급격히 증가함에 따라 인간의 삶을 추구하여 이루어낸 가장 완벽한 대답의 하나가 되고 있다. 우리의 1996년, 1997년의 연구에서 말기환자와 그 가족들에 대한 조사를 통해 한국 호스피스의 현재 상황을 파악하였다. 또한 호스피스케어 팀과 자원봉사자와 호스피스환자 관리를 위한 정보서비스 시스템을 개발하였다. 본 연구는 호스피스 정보서비스 시스템를 통한 간호사의 가정방문 호스피스케어와 그 문제점을 분석하였다. 방법 : 1997년 10월 1일부터 1998년 3월 31일까지 서울대학교병원 등에서 의뢰받은 26명의 말기암환자를 대상으로 하였다. 데이터 베이스와 홈페이지를 통해 호스피스케어에 필요한 정보를 갖춘 호스피스 정보서비스 시스템을 인터넷을 통해 방문간호사에게 제공하였고 방문간호사들은 이 시스템을 교육받고 환자 방문시 노트북 컴퓨터를 소지하여 호스피스 정보서비스 시스템을 통해 호스피스케어를 제공하였으며 첫 방문시와 호스피스케어동안에 환자들의 신체적 심리적 사회적 자료를 수집하였다. 결과 : 연구기간동안 26명중 16명이 사망하였으며 사망자의 평균 생존기간은 20.7일이었다. 첫 방문시 식욕부진(96.2%), 거동장애(88.5%), 통증(84.6%)이 주요한 증상이었으며 226개의 간호진단 중 영양부족과 통증이 가장 흔한 진단이었다. 가족은 환자보다 호스피스케어를 더 잘 이해하고 더 요구하였다. 대부분의 환자와 가족들은 간호사에게 영적 사회적 간호를 요구하지 않았다. 결론 : 시범사업을 통해 환자와 방문 호스피스 간호사에게 통증과 영양 관리에 대한 보다 많은 정보를 제공하여야 하여야 함을 알 수 있었다. 호스피스 정보서비스 시스템은 영적 사회적 케어에 대한 정보와 인력을 보안되어질 필요가 있다. Purpose : Hospice Care is considered as one of the most perfect solutions for the problems brought up as the number of chronically ill patients are increasing rapidly and most of social welfare oriented countries are seeking the quality of life. Our former studies(1996, 1997) were to find out the current status of the hospice care in Korea by surveying terminally ill patients and their family members as well as medical professionals. The former study was also to conduct the operation research by developing an information service system for training of hospice care teams and volunteers, and hospice patients management. The purpose of this study was that hospice information service system was tested by home visiting hospice care through visiting nurses. Methods : From October 1, 1997 to March 31, 1998, Twenty six terminal cancer patients were included in this study from Seoul National University Hospital and other hospital. Databases and homepage, hospice information service system were designed and developed for the information needed for the hospice care before this study by our research team and this services were available through the internet. Visiting nurses were trained about this system and they visited the patients with PC notebook and provided them hospice care with hospice information system. They collected physical, psychiatric, social data of the subjects at the first visit and during hospice care at home. Results : Sixteen subjects(61.5%) died during the study and the mean survival was 20.7 days. Anorexia(96.2%), immobility(88.5%) and pain(84.6%) were the major symptom in the 26 subjects, Altered nutrition(26.1%) and pain(12.4%) were the most frequent diagnoses in 226 nursing diagnoses of the subjects. Families understood and demanded the hospice care more than patients. And most patients and families didn't demand spiritual or social care. Conclusion : Through this demonstration study, it was found that we have to provide the information of pain management and nutritional support for patients by the nurses and visiting hospice nurse. The information service system needs to be upgraded with information and manpower of spiritual and social care according to the findings.

간호학생의 학업적 자기효능감, 학습동기 및 자기주도적 학습태도가 문제해결능력에 미치는 영향

심미정(Mi-Jung Sim),오효숙(Hyo-Sook Oh) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.6

본 연구는 간호학생들의 학업적 자기효능감, 학습동기, 자기주도적 학습태도 및 문제해결능력을 확인하고 문제해결능력에 영향을 미치는 요인을 파악하고자 수행하였다. 연구대상은 3년제 전문대학 2개교의 간호학생 217명이었고 자료수집은 구조화된 설문지를 이용하여 2012년 3월 2일부터 3월 31일까지 하였다. 연구결과, 대상자의 학업적 자기효능감은 성별, 출신학교, 성격성향에서 유의한 차이가 있었고, 학습동기는 출신학교, 졸업 후 교과목 활용도에서 유의한 차이가 있었다. 자기주도적 학습태도는 출신학교에서 유의한 차이가 있었으며 문제해결능력은 졸업 후 교과목 활용도에서 통계적인 유의한 차이를 보였다. 대상자의 문제해결능력에 영향을 미치는 요인은 자기주도적 학습태도, 학습동기, 및 학업적 자기효능감으로 문제해결능력을 37.3% 설명하였다. 결론적으로 간호학생의 문제해결능력을 높이기 위해서는 학업적 자기효능감, 학습동기 및 자기주도적 학습태도를 높이는 교육프로그램 개발이 필요하다. This study was conducted to investigate academic self-efficacy, learning motivation, and self-directed learning which influence problem-solving ability in nursing students. A total of 217 third year students were recruited from two nursing colleges in Gwangju. Structured questionnaire was self-administered from March 2 to 31, 2012. In academic self-efficacy, there were significant differences in gender, high school type, character. Problem-solving ability showed statistically significant differences in curriculum usability after graduation. In multiple regression analysis, self-efficacy, learning motivation and self-directed learning were significant factors of problem-solving ability explaining 37.3% of the variables. In conclusion, self-efficacy, learning motivation, and self-directed learning had a positive effect on problem-solving ability in nursing students. To enhance problem-solving ability for nursing students, it is necessary to develop teaching program and curriculum for increasing academic self-efficacy, learning motivation, and self-directed learning.

중년여성을 위한 건장정보 프로그램 개발과 건강교육 활용에 관한 연구

박현애 ( Hyeoun Ae Park ),박영숙 ( Young Sook Park ),오효숙 ( Hyo Sook Oh ),김후정 ( Hoo Jung Kim ) 여성건강간호학회 2002 여성건강간호학회지 Vol.8 No.2

분만유형별 산모의 산전관리 실태와 분만서비스 만족도

조동숙 ( Dong Sook Cho ),김윤미 ( Yun Mi Kim ),허명행 ( Myung Haeng Hur ),오효숙 ( Hyo Sook Oh ),김은영 ( Eun Young Kim ) 한국여성건강간호학회 2009 여성건강간호학회지 Vol.15 No.4