중년여성의 건강증진 생활양식에 관한 연구

윤은자 韓國保健敎育.健康增進學會 2000 보건교육건강증진학회지 Vol.17 No.1

The purpose of this study was to examine the relationship among psychosocial well-being, perceived health status and health promoting lifestyle practices. Data has been collected from November 1, 1998 to April 30, 1979. One hundred and ninety eight middle-aged women completed a multiple self-reported questionnaire on psychosocial well-being, perceived health status and health promoting lifestyle profile. Collected data were analyzed with SPSS 7.5 for Windows using Pearson Correlation Coefficients, t-test, ANOVA, Scheffe test. The Major results of this study were as follows: 1. The average item score for psychosocial well-being was low at 54.49, the level of perceived health status was moderate at 5.74, and health promoting lifestyle practices were low at 112.05. Among the subscales of the health promoting lifestyle profile, self-actualization(3.08) and nutrition(2.92) were scored higher than exercise(1.81) and health responsibility(1.79). 2. The performance of health promoting lifestyle was positively correlated with perceived health status(r= .190) and psychosocial well-being(r= .497). Also, positive correlations were observed between perceived health status and psychosocial well-being(r= .181). 3. There were statistically significant differences for health promoting lifestyle, psychosocial well-being and perceived health status according to sociodemographic variables; the performance of health promoting lifestyle was significantly different according to education, economic status, exercise and smoking. Psychosocial well-being was also significantly different according to education, exercise and drinking. Perceived health status was significantly different according to religion, education, occupation and supporter. These findings help to understand relationships among psychosocial well-being, perceived health status, and health promoting lifestyle practices in middle-aged women in Korea. Therefore, the result of this study provide clues for encouraging people to adopt healthier lifestyles and constructing alternative strategies for promoting health practices.

간호의 마케팅 전략

윤은자 대한간호협회 1995 대한간호 Vol.34 No.3

간호사의 역할개념지각과 간호수행과의 관계 연구

윤은자 중앙대부설한국의과학연구소 1991 한국의과학 Vol.23 No.1

재가노인의 건강지각에 영향을 미치는 요인

윤은자,권영미,이영분 한국자료분석학회 2007 Journal of the Korean Data Analysis Society Vol.9 No.2

Objectives: To identify the level of health perception and health promoting behaviors, and it's contributing factors among the elderly. Methods: A cross-sectional study was performed from 2004 to 2005 on 239 study subjects in community-dwelling elders by convenience sample method. An obtained data was analyzed by frequencies, percentages, t-test, ANOVA, post hoc scheffe test, and logistic regression. Results: The average age of the subjects was 72.1 years old with 9.63% considering themselves as healthy. The mean score of health perception was 2.79 of total 5, health promoting behaviors was 2.29 of total 4, and the order of its subcategories was nutrition, interpersonal relations, stress management, spiritual growth, health responsibility, and physical activity. The contributing factors of health perception in the logistic regression analysis were age, ADL, present disease, and physical activity. Conclusion: These results suggest that efforts to strengthen the competence of the elderly, to support them keep their health promoting behaviors can improve their health perception. 본 연구는 지역사회 재가노인을 대상으로 그들의 건강지각과 건강증진행위를 파악하고 건강지각의 관련요인을 분석하여 성공적인 노화를 위한 노인 건강증진 프로그램의 기초 자료를 제공하고자 수행되었다. 본 연구의 결과를 요약하면 다음과 같다. 연구대상자의 평균연령은 72.1세 이었다. 노인의 건강지각은 2.79점(5점 만점)이었고 스스로 건강상태가 '좋다'고 지각하는 노인이 9.63%로 매우 낮은 분포를 보였으며 인구사회학적 특성에서 종교, 교육수준, 주거상황, 월수입, 현재질환 유무, 사회활동 유무, 일상생활정도, 주당 외출 횟수에 따라 건강지각에 통계적으로 유의한 차이가 있었다. 노인의 건강증진행위 수행정도는 2.29점(4점 만점)을 보였고 6개 하위영역 중 영양영역이 2.57점으로 가장 높았으며 신체활동영역이 1.99점으로 가장 낮았다. 노인의 건강지각에 대한 영향요인을 규명하기 위하여 다중 로지스틱 회귀분석을 실시한 결과 나이가 많은 노인, 일상생활이 가능한 노인, 현재 질환이 없는 노인, 수입원이 안정적인 노인, 건강증진행위 하위영역 중 신체활동 정도가 많은 노인이 자신을 건강하다고 지각하는 건강지각력이 증가하는 것으로 나타났다.

중년기의 사회심리적 건강과 지각된 건강상태, 건강증진 생활양식 이행과의 관계 연구

윤은자 한국보건교육건강증진학회 1999 한국보건교육·건강증진학회 학술대회 발표논문집 Vol.- No.-

노인의 우울, 기분상태와 생활만족도

윤은자,권영미,윤미선 한국자료분석학회 2008 Journal of the Korean Data Analysis Society Vol.10 No.6

Purpose: The study was done to identify the depression, mood states and life-satisfaction of the elderly people in Korea. Method: A cross-sectional descriptive study was performed from July to October 2005 on 239 subjects(mean age=72.1) in community-dwelling elder by convenience sample method. Data was analyzed by frequencies, percentages, t-test, ANOVA, post hoc scheffe test and multiple regressions. Result: The mean score of depression was 2.54 of total 5, mood states was 1.38 of total 4, and life-satisfaction was 3.0 of total 5, and there was a significant difference according to socio-demographic status and significant relationship among three variables. The contributing factors of life-satisfaction in the multiple regression analysis were depression and mood states (Adj R2= .597). Conclusion: These results suggest that strategies for nursing intervention program on depression and mood states of the elderly are lead to improve their life-satisfaction and quality of life. 본 연구는 65세 이상 노인을 대상으로 우울, 기분상태, 생활만족정도와 이의 상관관계를 파악하고, 생활만족도의 영향요인을 분석하여, 노년기 삶의 질 향상을 위한 간호중재 프로그램 개발에 기여하기 위한 서술적 상관관계연구이다. 연구대상은 239명의 평균 연령 72.1세 노인이었다. 노인의 우울은 평균 2.54점(5점 만점), 기분상태는 평균 1.38점(4점 만점)을 보였고, 생활만족도는 평균 3.00점(5점 만점)이었으며, 이들 요인은 각기 노인의 사회경제적 특성에 따라 유의한 차이가 있었다. 노인의 우울, 기분상태, 생활만족도는 유의한 상관관계를 나타냈으며, 생활만족도는 우울이 낮을수록(r=.668, p<.001), 기분상태가 좋을수록(r=-.452, p<.001) 높았으며, 우울이 심할수록 기분상태도 더 저조하게(r=-.452, p<.001) 나타났다. 다중 회귀분석을 실시한 결과 노인의 생활만족도에 영향을 미치는 요인으로 우울, 기분상태, 일상생활정도, 거주지와 학력이 59.7%의 설명력을 보여 중요한 요인임을 알 수 있었으며 본 연구결과를 바탕으로 노인의 우울감소와 생활만족도를 높일 수 있는 실질적인 간호중재의 개발 및 적용방안 마련이 요구된다.

중년기의 사회심리적 건강과 지각된 건강상태, 건강증진 생활양식 이행과의 관계 연구

윤은자 한국간호과학회 1999 Journal of Korean Academy of Nursing Vol.12 No.1

This study was done to examine the relationship among psychosocial well-being, perceived health status and health promoting lifestyle practices, and to Identify those variables affecting a health promoting lifestyle. Three hundred and forty five ruddle-aged adults completed a multiple self-reported questionnaire on psychosocial well-being, perceived health status and health promoting lifestyle profile. Data analysis were conducted by using Pearson correlation coefficients, t-test, ANOVA, Scheffe test and stepwise multiple regression nth SAS program. The results are as follows : 1. The average item score for psychosocial well-being was low at 55.98, the level of perceived health status was moderate at 5.76, and health promoting lifestyle practices were low at 110.09. Among the subscales of the health promoting lifestyle profile, stress management and self-actualization were scored higher than exercise and health responsibility. 2. Performance of health promoting lifestyle was positively correlated with perceived health status and negatively correlated with psychosocial well-being. Also, negative correlations were observed between perceived health status and psychosocial well-being. 3. There were statistically significant differences for health promoting lifestyle, psychosocial well-being and perceived health status according to sociodemographic variables. The performance of health promoting lifestyle was significantly different according to education, economic status and marriage satisfaction. Psychosocial well-being was also significantly different according to education, marriage satisfaction, and exercise. Perceived health status was significantly different according to education, occupation, and economic status. 4. Perceived health status, psychosocial well-being, marriage satisfaction and level of education together explained 21.62% of varience in the performance of health promoting lifestyle. These findings help to clarify relationships among psychosocial well-being, perceived health status, and health promoting lifestyle practices in middle-aged adults. Therefore, the result of study provide clues for encouraging people to adopt healthier lifestyles and constructing alternative strategies for promoting health practices.

의료인의 죽음에 대한 주관성 연구 : A Q-methodological Approach Q-방법론적 연구

윤은자 성인간호학회 1999 성인간호학회지 Vol.11 No.2

Since 'purpose' and 'aim' are present in all human behaviors, if it is the subject of the research, it must be different from a retributive explanation which focuses on the cause and effect. Since death is an extremely subjective and unique experience, if we take into account the lack of understanding about death due to the difficulty in methodology, it is very important to try to understand the subjectivity of death. In this respect, Q-methodology, which explains and shows the respondent's subjectivity by objectifying his subjectivity, is employed to find the solution to the questions in this study. Therefore the reason this study was initiated was to understand the characteristics and attitudinal types toward death among health care personnel. The results of this study are as follows: The First type, the Fate-receipient, consisted of 17 subjects. The main characteristics of the people in Type 1 are : a)They can talk openly about death, so as to prepare themselves for it. b)They strongly agree with the statements that the spirit does not die. c)They don't want to be put in intensive care when they're in coma. d)A person's death is part of his destiny. To these people, suicide is the most cowardly behavior, and their view of life after death is based on their religion. The Second type, the Reality-oriented, consisted of Ⅱ subjects. These people in Type 2 think that the existence of the spirit or the next world was created by human beings for religious reasons and strongly deny the effect that religion has on our everyday life. So while they're still alive, they concentrate on life itself rather than thinking about death. In conclusion, this study discovered two types of subjectivity of health care personnel concerning death and their relationship to it. By identifying the nature of the two types, this study suggests efficient strategies for developing educational programs in the university curriculum and continuing educational programs should be employed.

대학생의 건강증진 생활양식 이행

윤은자 성인간호학회 1997 성인간호학회지 Vol.9 No.2

The purpose of this study was to identify the degree of Health promoting Lifestyle Practices among university students. The survey data used in this study were collected from 282 students of one university in Chungju city. The instruments of this study was a structured questionnare included health promoting lifestyle scale developed Walker, et al., and sociodemographic characteristics. Analysis of data was done by use of mean, percentage, t-test, ANOVA, DUNCAN's multiple-range test and Pearson's correlation coefficients with SAS/pc program. Major findings are as follows : 1. The average score for the health promoting lifestyle practices was low at 103.5. In the subcategories, the highest degree of performance was interpersonal support(2.77), and the lowest degree was health responsibility(1.49). 2. There was a statistically significant difference in the degree of health promoting lifestyle practices according to sex(t=1.6997, p=.000), grade (F=8.82, p=.000). 3. There was a statistically significant difference in the degree of self-actualization according to grade(F=6.48, p=.002), college(F=2.58, p=.038). There was a statistically significant difference in the degree of health responsibility, exercise, stress management according to sex(t=4.3155, p=.000 : t=6.2652, p=.000 : t=1.7244, p=.0012), grade(F=4.28, p=.0018 : F=4.64, p=.011 : F=5.76, p=.004). There was a statistically significant difference in the degree of nutrition according to grade(F=5.80, p=.003). 4. Significant correleations were found between most of the subcategories and total health promoting lifestyle. Therefore, the findings of research can serve as the basis for developing health-promoting programs in General Education Courses among university students.

Literature-based Instruction: A Case Study of an Elementary ESL Classroom in the US

윤은자 팬코리아영어교육학회 2008 영어교육연구 Vol.20 No.3

This case study of eight ESL second graders looks into how children in an elementary ESL classroom in the US develop their language and literacies in a literature-based classroom. Drawn upon the key notions of literature as play (Hade, 1991), the role of play as a Zone of Proximal Development (ZPD) (Vygotsky, 1978), and Bruner’s (1986) ‘social reality’ in literary narratives, the author explores how children’s literature plays a crucial role in ESL children’s learning of a new language under four different types of play such as dramatic play, language play, pretend/make believe, and play in arts and crafts. This study also looks at how literary narratives inspire children to engage in social realities on their own through play with literature, traversing the emotional and aesthetic realm as well as cognitive and social matters.