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초기 청소년의 체질량지수, 자아존중감과 정신건강과의 관계에서 신체상 불만족의 매개역할에 대한 성별차이
장미희(Jang, Mi Heui),이경주(Lee, Gyungjoo) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.2
Purpose: This study was done to examine not only the relationships between body mass index (BMI), self-esteem, body image dissatisfaction (BID) and mental health, according to gender, but the mediating role of BID on mental health in relation to BMI and self-esteem among early adolescents. Methods: Data from 576 (296 boys and 280 girls) elementary school students in grades 5 to 6 were collected. A multiple-group path analysis was utilized to examine the relationships between BMI, selfesteem, BID and mental health by gender. Results: In the path analysis for all students, poor mental health was related directly to BID, while it was indirectly related to BMI and self-esteem. In the multiple-group path analysis of both genders, BID was found to have a significant direct and indirect effect on mental health for girls alone. Conclusion: The findings suggested that BID should be examined early to prevent poor mental health in early adolescent girls. This study helps to elucidate the role of early adolescent BID on mental health and provides insight for further prevention and intervention programs in school and community mental health settings.
영과잉 가산자료(Zero-inflated Count Data) 분석 방법을 이용한 지역사회 거주 노인의 노인학대 발생과 심각성에 미치는 위험요인 분석
장미희(Jang, Mi Heui),박창기(Park, Chang Gi) 한국간호과학회 2012 Journal of Korean Academy of Nursing Vol.42 No.6
Purpose: This study was conducted to identify risk factors that influence the probability and severity of elder abuse in community-dwelling older adults. Methods: This study was a cross-sectional descriptive study. Self-report questionnaires were used to collect data from community-dwelling Koreans, 65 and older (N=416). Logistic regression, negative binomial regression and zero-inflated negative binomial regression model for abuse count data were utilized to determine risk factors for elder abuse. Results: The rate of older adults who experienced any one category of abuse was 32.5%. By zero-inflated negative binomial regression analysis, the experience of verbal-psychological abuse was associated with marital status and family support, while the experience of physical abuse was associated with self-esteem, perceived economic stress and family support. Family support was found to be a salient risk factor of probability of abuse in both verbal-psychological and physical abuse. Self-esteem was found to be a salient risk factor of probability and severity of abuse in physical abuse alone. Conclusion: The findings suggest that tailored prevention and intervention considering both types of elder abuse and target populations might be beneficial for preventative efficiency of elder abuse.
지역사회 재가노인의 우울과 건강행위와의 관계에서 분노표현 방식의 매개효과에 대한 성별차이
장미희 ( Mi Heui Jang ),이지아 ( Jia Lee ),김애실 ( Ae Sil Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2014 정신간호학회지 Vol.23 No.1
Purpose: The purpose of this study was to identify the total, direct, and indirect influence of depression on health behavior (HB); to determine relative magnitudes of specific mediating effects of anger expression in gender specific subgroup among elders. Methods: A cross-sectional correlational survey was conducted in S and G cities with 333 community-dwe1ling elders (male=170, female=163). Data were collected from September 7 to November 7, 2013. Kee`s GDSSF-K for depression, Spielberger`s STAXI for anger expression and Choi & Kim’s health behavior assessment tool were used. Multiple-mediation analyses using Indirect SPSS macros were performed. Results: Depression had a significant total, direct and indirect effect on HB in both male and female. In women, direct and indirect effect of depression on HB were higher than in men. Specific indirect effects of depression on HB were evidenced via anger-control and anger-out for men and via anger-control and anger-in for women. Among anger expression, anger-control was a more salient mediator for both male and female. Conclusion: Findings suggest that depression and anger-control should be addressed in tandem for promotion of HB for elders. Tailored interventions for the promotion of HB should be developed considering gender of target population.
간호학생의 비판적 사고능력, 의사소통능력, 리더십, 전문직관이 임상실무능력에 미치는 영향
이지아,장미희,Lee, Jia,Jang, Mi Heui 경희대학교 동서간호학연구소 2017 동서간호학연구지 Vol.23 No.2
Purpose: The purpose of this study was to identify factors that affect nursing students' clinical practice ability. Methods: The data were collected from 303 nursing students who had more than 500 hours of experience in clinical practicum at 4 universities in Seoul and the metropolitan area. The instruments consisted of 27 items of critical thinking, 19 items of professionalism, 40 items of self reported leadership, 20 items of communication evaluation tool, and 61 items of nursing practice performance evaluation. Results: For the clinical practicum, most difficult for nursing students were cardiopulmonary resuscitation, fecal enema, stoma care, and blood transfusion. Clinical practice abilities were positively correlated with nursing professionalism(r=.26, p<.001), leadership (r=.16, p=.007) and critical thinking(r=.12, p=.031). Professionalism(${\beta}=.32$, p=.001) was the most significant factor influencing the clinical practice ability of nursing students. Critical thinking was the second largest factor but not significant(${\beta}=.16$, p=.058). Conclusion: The findings suggest that the nursing curriculum should include nursing knowledge and nursing skills as well as various case-based or field-based decision making training programs to cultivate professionalism, critical thinking and other abilities for clinical practice.
정지혜 ( Jeong Ji Hye ),장미희 ( Jang Mi Heui ) 경희대학교 동서간호학연구소 2019 동서간호학연구지 Vol.25 No.1
Purpose: The purpose of this study was to examine the factors influencing intention of intervening towards elder abuse among nurses in the emergency department. Methods: A cross-sectional descriptive design was used. A convenience sample of 209 emergency room nurses working in university hospitals and general hospitals completed the questionnaires. Multiple regression analysis was performed to examine predictors of intention of intervening towards elder abuse. Result: Awareness of elder abuse, legal and institutional knowledge, attitude, subjective norm, and self-efficacy were positively correlated to the intention of intervening towards elder abuse. Factors of the intention of intervening towards elder abuse in emergency room nurses were awareness of elder abuse, followed by subjective norm and attitude. Conclusion: The findings suggest that it is necessary to educate emergency room nurses in order to improve awareness and knowledge of elder abuse. From the nursing practice and hospital organization level, specific interventions and strategies to increase the assessment and intervention of elder abuse are needed.
정연희 ( Jeong Younhee ),장미희 ( Jang Mi Heui ),윤은경 ( Yun Eun Kyoung ),정은숙 ( Jeong Eun Sook ),박준희 ( Park Jun Hee ) 경희대학교 동서간호학연구소 2017 동서간호학연구지 Vol.23 No.1
Aims: This study aimed to analyze the tasks of Korean Medicine (KM) nurses. Methods: The definition and job description of KM nurses were developed through a “developing a curriculum” (DACUM) workshop. DACUM committee consisted of nine nurses from eleven Korean medicine hospitals, two DACUM facilitators and four DACUM coordinators. Twenty five nurses from nine Korean medicine hospitals validated job description established through the workshop. 235 KM nurses from 9 traditional Korean medicine hospitals participated in evaluating frequency, importance and difficulty of the duties and tasks. Questionnaires were sent to those nurses and 225 responses were included for final analysis due to missing data. The data were analyzed using descriptive statistics. Results: The jobs of a KM nurse were analyzed into 11 duties and 86 tasks on the DACUM chart. The 11 duties were KM nursing assessment, KM nursing intervention, fundamental nursing intervention, KM therapy management, support for KM therapy, KM nursing education, nursing administration, material management, environment management, professional development, and collaborative role between Korean medicine and Western medicine. Conclusion: We identified various roles of KM nurses and developed a DACUM chart based on their duties and tasks. Phased education programs for KM nurses should be developed by considering frequency, importance and difficulty. In addition, it is necessary to promote unique KM nursing interventions for expanding the roles of KM nurses in the future.