일 요양병원 입원 노인의 수면 양상

장효열,김태임 한국간호과학회 2014 한국간호과학회 학술대회 Vol.2014 No.10

요양병원 입원 노인의 수면 양상 및 영향요인

장효열,김태임,Jang, Hyo-Yoel,Kim, Tae-Im 한국데이터정보과학회 2016 한국데이터정보과학회지 Vol.27 No.3

본 연구는 노인요양병원 입원노인의 수면양상 및 영향요인을 파악하여 이들의 수면의 질 향상을 위한 중재프로그램 개발 시 기초자료로 활용하고자 시도된 서술적 조사연구이다. G시 노인요양병원에 입원한 65세 이상의 노인환자 142명을 대상으로 구조화된 설문지와 24시간 수면기록지를 사용하여 자료 수집하였다. 요양병원 입원노인의 일일 평균 수면시간은 10.7시간이었으며 낮 수면시간은 평균 3.9시간, 밤 수면시간은 평균 6.8시간 이었다. 총 수면규칙성은 71.7%였고, 낮 수면규칙성은 평균 58.1%, 밤 수면규칙성은 평균 80.5%였다. 요양병원 입원노인의 수면시간에 영향을 주는 예측요인은 병실 내 치매환자 유무로 10.3%의 설명력을 나타냈고, 수면 규칙성에 영향을 미치는 예측요인은 통증, 병실 내 치매환자 유무, 신체기능으로 16.1%의 설명력을 나타냈다. 따라서 요양병원 입원노인의 수면양상에 영향을 미치는 추가요인 규명을 위한 후속 연구의 필요성과, 본 연구에서 확인된 요양병원 입원노인의 수면에 영향을 미치는 요인을 고려한 중재프로그램 개발 및 적용이 필요하다. This study was conducted to identify the sleep patterns and influencing factors of hospitalized elderly in a long-term care hospital. The sleep patterns of 142 subjects were recorded using Sleep Charts. The average sleep time of subjects was 10.7 hours a day (3.9 hours in daytime and 6.8 hours in nighttime). Sleep regularity among participants were 71.7% in all day (58.1% in day time and 80.5% in night time). The presence of dementia patients in the room (PDPR) has been identified to be a statistically significant predictor of all day sleep, and pain, PDPR, and physical function have been found to be a significant predictors of sleep regularity in all day among subjects. It suggested that elderly patients in a long-term care hospital do not slept well during night, which leads to increase in daytime sleep and decrease the quality of their sleep. Therefore, an intervention program should be developed to promote the quality of sleep among hospitalized elderly.

간호대학생 대상의 핵심간호술 실습교육 운영에 대한 주제범위 문헌고찰 : 국내 연구를 중심으로

장효열,염계정,박병준,최은영,조하나 한국간호연구학회 2023 한국간호연구학회지 Vol.7 No.3

Purpose : The purpose of this study was to identify the type of core nursing skills training and educational effects for Korean nursing students. Methods : The data was analyzed by scoping review, using the framework proposed by Arksey & O'Malley (2005) and supplemented by Levac et al. (2010), was conducted. RISS, NDSL, DBpia, KISS, and KCI were used to search the literature. Two independent reviewers separately selected studies by extracting characteristics of the studies using pre-tested forms. Overall, a total of 705 articles were initially identified, out of which 40 articles were ultimately included for the final analysis. Result : The scenario, video taking, and peer tutoring method were observed to be the most commonly utilized educational approach for core nursing skills. The core nursing skills most frequently addressed included indwelling catheterization, vital sign measurements, intramuscular injection, and intravenous fluid infusion. When evaluating core nursing skills, the primary measurements focused on critical thinking disposition in the cognitive domain, performance confidence in the affective domain, and clinical competence in the psycho-motor domain. Conclusion : It is necessary to develop various operation methods for effective core nursing skills training. The findings of this study offer valuable insights that can serve as basic data for establishing effective core nursing skills training for nursing students.

청소년이 지각하는 부모의 긍정적 양육태도가 청소년의 학업무기력에 미치는 영향 - 부모의 부정적 양육태도의 매개효과 -

채인석,장효열,이선미 한국자치행정학회 2022 한국자치행정학보 Vol.36 No.2

The purpose of this study was to empirically verify whether negative parenting attitudes of parents have a mediating effect in the relationship between positive parenting attitudes perceived by adolescents and the effects of adolescents' academic helplessness. For this, a total of 2,384 students in the third grade of middle school were targeted using the data of the 2020 survey (3rd year of 2018) of the Korea Youth Policy Research Institute's 'Korean Children and Youth Panel Survey', and the structure was structured using SPSS 25.0 and AMOS 22.0 programs. It was analyzed with the equation model. As a result of the analysis, first, positive parenting attitudes perceived by adolescents were negatively correlated with negative parenting attitudes and academic helplessness of parents, and negative parenting attitudes and academic helplessness of parents were positively correlated. Second, it was confirmed that the positive parenting attitude perceived by adolescents directly or indirectly affected the negative parenting attitude and academic helplessness of the parents. In other words, it was confirmed that the positive parenting attitude of parents directly affects the academic helplessness of adolescents, but it indirectly affects the adolescent's academic helplessness through the negative parenting attitude of the parents and plays a partial mediating role. Based on these analysis results, in order to lower the negative parenting attitude of parents, it is necessary to develop an intervention and intervention program for families that can increase the positive parenting attitude of parents and provide them to them. In addition, in order to lower the academic helplessness of adolescents, it is required to support a family counseling program that helps parents to change their parenting attitudes and educational programs for proper child education. 본 연구는 청소년이 지각하는 부모의 긍정적 양육태도가 청소년의 학업무기력에 미치는 영향 관계에서 부모의 부정적 양육태도가 매개효과가 있는지를 실증적으로 검증하기 위한 목적으로 수행하였다. 이를 위해 한국청소년정책연구원의 ‘한국아동ㆍ청소년 패널조사’ 2020년 조사(2018년 3차 년도) 자료를 활용하여 중학교 3학년 총 2,384명을 대상으로 하였으며, SPSS 25.0과 AMOS 22.0을 사용하여 구조방정식모형으로 분석하였다. 분석결과, 첫째, 청소년이 지각하는 부모의 긍정적 양육태도는 부모의 부정적 양육태도와 학업무기력과 부적 상관관계로 나타났으며, 부모의 부정적 양육태도와 학업무기력은 정적 상관관계로 나타났다. 둘째, 청소년이 지각하는 부모의 긍정적 양육태도는 부모의 부정적 양육태도와 학업무기력에 직ㆍ간접적인 영향을 미치는 것으로 확인되었다. 즉, 부모의 긍정적 양육태도는 청소년의 학업무기력에 직접적인 영향을 미치기도 하지만 부모의 부정적 양육태도를 통해서 청소년의 학업무기력에 간접적으로 영향을 미치고 부분매개역할을 하는 것으로 확인하였다. 이러한 분석결과를 바탕으로 부모의 부정적 양육태도를 낮추기 위해서는 부모의 긍정적 양육태도를 증가시킬 수 있는 가족을 위한 개입 및 중재프로그램을 개발하여 이들에게 제공될 필요가 있다. 또한 청소년의 학업무기력을 낮추기 위해서는 부모의 양육태도를 바람직하게 변화하도록 돕는 가족상담 프로그램, 올바른 자녀교육을 위한 교육프로그램 지원이 요구된다.

청소년의 스마트폰 의존이 공격성에 미치는 영향: 수면의 질의 매개효과

채인석,장효열,이선미 인문사회 21 2023 인문사회 21 Vol.14 No.3

The purpose of this study is to verify the mediating effect of sleep quality on the relationship between smartphone dependence and aggression in adolescents. Statistical analysis was conducted on 2,359 third-year middle school students using the data of the 2020 survey (third year) of the Children and Youth Panel Survey. The mediating effect of sleep quality on the relationship between smartphone dependence and aggression in adolescents, the higher the aggression and the lower the quality of sleep, but on the other hand, the higher the quality of sleep, the lower the aggression. These results show that aggression can be reduced through sleep management in adolescents with high smartphone dependence.

청소년의 주관적 건강상태가 행복감에 미치는 영향: 우울의 매개효과

채인석 ( Chae In-seok ),장효열 ( Jang Hyo-yeol ) 한국자치행정학회 2021 한국자치행정학보 Vol.35 No.2

본 연구는 청소년의 주관적 건강상태가 행복감에 미치는 영향에서 우울의 매개효과를 검증하고자 하였다. 이를 위하여 한국청소년정책연구원의 한국아동·청소년패널조사(KCYPS) 2018(2차년도) 데이터 공개 자료(2020.12.1.)를 활용하여 전국의 중학생 1학년 코호트 2,438명을 대상으로 SPSS 25.0과 Process Macro 3.5(Model 4)를 사용하여 분석하였다. 본 연구결과, 첫째, 청소년의 주관적 건강상태는 행복감을 정적으로 유의미하게 예측하는 것으로 나타났다. 둘째, 주관적 건강상태는 우울과 부적으로 유의미하게 예측하는 것으로 나타났다. 셋째, 우울은 행복감에 부적으로 유의미하게 예측하는 것으로 나타났다. 넷째, 우울은 주관적 건강상태와 행복감 간의 관계에서 부분 매개하는 것으로 나타났다. 즉, 주관적 건강상태는 행복감을 높이기도 하지만 우울을 통해 간접적으로 낮추기도 함을 확인하였다. 본 연구결과를 통해 청소년의 행복감을 높이기 위해 주관적 건강상태를 향상시키고 우울을 감소시킬 수 있는 정책과 프로그램을 제언하고자 하였다. This study attempted to verify the mediating effect of depression in the effect of subjective health status of adolescents on happiness. To this end, using data from the korea children and youth panel survey(KCYPS) 2018(2nd year) data disclosure date(December 1, 2020) by the korea youth policy institute, SPSS 25.0 and Process Macro 3.5 (Model 4) were used to target 2,438 first-year cohorts of middle school students nationwide. Analyzed, As a result of this study, first, it was found that the subjective health status of adolescents positively predicted happiness. Second, it was found that subjective health status was significantly predicted by depression and amulet. Third, depression was found to significantly predict happiness as a talisman. Fourth, depression was found to be partially mediated in the relationship between subjective health status and feelings of happiness. In other words, it was confirmed that the subjective health status raises the feeling of happiness, but also indirectly lowers it through depression. Through the results of this study, we tried to suggest policies and programs that can improve subjective health status and reduce depression in order to increase the happiness of adolescents.

간호대학생의 근거기반 통증간호, 욕창관리와 낙상예방간호 및 배액관리 프로토콜 개발

박선정(Sun Jung Park),임영숙(Young Sook Lim),고가연(Ga Yeon Ko),김연미(Yeun Mi Kim),박병준(Byung Jun Park),박선영(Sun Young Park),신혜선(Hye Sun Shin),장효열(Hyo Yoel Jang) 한국간호연구학회 2023 한국간호연구학회지 Vol.7 No.2

Purpose : The purpose of this study is to develop an evidence-based nursing protocol to systematically educate nursing students on pain management, pressure ulcer care and fall prevention, and drainage tube management, which are the core nursing skills newly established during the 4th cycle. Methods : This is a methodological study intended to develop a protocols for pain management, pressure ulcer care, fall prevention care, and drainage tube management of nursing students by preparing a preliminary protocol to develop systematic pain management, pressure ulcer care and fall prevention care, and drainage tube management protocol for the core nursing skills education of nursing students, and by verifying content validity and user validity to investigate clinical applicability. Result : This study developed a protocol consisted of 18 questions for pain management, 17 questions for pressure ulcer care and fall prevention care, and 25 questions for the drainage tube management protocol of newly established core nursing skills. Conclusion : In the court of developing the protocol, an expert group was included to evaluate the appropriateness and applicability of the protocol use, and hence, it is expected that it will be used effectively for the evaluation of core nursing skills.