정서행동문제를 가진 학령기 아동을 위한 학교적응 프로그램 개발 및 평가

조해련,김신정,권명순,오진아,한우재 한국아동간호학회 2015 Child Health Nursing Research Vol.21 No.2

Purpose: The purpose of this study was to develop and evaluate a school adaptation program (SAP) for school-age children with emotional and behavioral problems who attended public elementary schools. Methods: SAP, developed by the authors, addresses school adaptation and academic efficacy and consists of 10 sessions based on five categories (i.e., school life, classroom activity, relationship with friends, relationship with teacher, and school environment). Sixteen children with emotional and behavior problems answered questionnaires before and after participation in the program. Results: The results showed that there was a significant difference between pre and post-test on school adaptation (t=-2.78, p=.015) and academic efficacy (t=-4.62, p<.001) after the 10 sessions of SAP. Conclusion: The results indicate that SAP can could serve as a practical program for school nurses and teachers. Further studies based on SAP in various school settings are recommended.

입원한 아동에게 제공되는 환자의 눈을 통한 간호의 질 측정도구 개발

조해련,오진아,정덕유 한국아동간호학회 2015 Child Health Nursing Research Vol.21 No.2

Purpose: The purpose of this study was to develop an instrument that evaluated QUality Of care Through patients’ Eyes for hospitalized child (QUOTE-Child), and examine the validity and reliability. Methods: Preliminary items were reviewed through expert content validity and face validity. To test the validity and reliability of the instrument, the data were collected from 221 care givers of hospitalized children. Data were analyzed using exploratory factor analysis, Pearson correlation coefficient, Cronbach’s alpha and Spearman-Brown coefficient. Results: Factor analysis yielded 19 items in four factors including 1) respect, 2) explanation, 3) kindness, and 4) skillfulness, with a cumulative explanatory variance of 70.68%. For criterion-related validity, a significant positive relationship was found between quality of care and pediatric family satisfaction. For internal consistency reliability, the Cronbach’s α was .93 (importance) and .95 (performance) for the overall instrument. The half split reliabilities were .86, .95 (importance) and .92, .97 (performance). The Cronbach’s α of 110 data was .92 (importance) and .94 (performance). Conclusion: Researchers and practitioners can use this instrument to systematically assess quality of care for hospitalized children and identify areas of support for hospitalized children and their family.

영유아 구강건강에 대한 부모의 지식, 태도 및 실천

조해련 한국아동간호학회 2014 Child Health Nursing Research Vol.20 No.3

목적 본 연구의 목적은 영유아의 구강건강 관리 실태를 파악하기 위해구강건강에 대한 부모의 지식, 태도 및 실천을 분석하여 영유아 구강건강 유지 및 증진을 위한 프로그램의 기초자료를 마련하기 위함이다. 방법 본 연구는 서술적 조사연구로, 서울시의 행정 5개 권역별 1세 아동의 수에 따라 비례표집하여 5개 소아청소년과와 2개 보건소에 방문한생후 11개월부터 16개월 사이의 영유아 부모 380명을 대상으로 한국영유아 구강건강 평가도구를 사용하여 설문조사하였다. 2010년 10월11일부터 29일까지 자료수집을 하였고, 수집된 자료는 SPSS WIN 17.0program을 이용하여 분석하였다. 결과 영유아 부모는 주로 인터넷, 육아서적, 지인을 통해 자녀의 구강 건강에 대한 정보를 얻었다. 영유아 부모는 자녀의 구강건강에 대해 올바른 태도를 가지고 있지만 구강건강에 대한 지식이 부족하고 실천 정도가 낮았다. 영유아 구강건강 지식과 태도는 정적상관관계가 있었다. 영유아 구강건강 지식은 부모의 연령, 학력, 수입, 영유아 월령에 따라 차이가 있었고, 태도는 부모의 학력과 수입에 따라 차이가 있었다. 실천은 부모의 나이, 수입, 주 돌봄자, 영유아 월령에 따라 차이가 있었다. 결론 영유아 구강건강 유지 및 증진을 위해서 영유아 부모와 주 돌봄자를대상으로 지식 함양과 자신감을 향상시키고 구강건강 실천을 효과적으로 할 수 있도록 영유아 구강건강에 대해 정확한 정보를 제공하고 구강 건강관리 방법에 대해 구체적인 방법을 교육하는 중재가 필요하다.

신생아집중치료실에 입원한 고위험신생아 보호자를 위한 교육 자료 개발

조해련,이자형 이화여자대학교 간호과학연구소 2010 Health & Nursing Vol.22 No.1

아동 어머니의 감염예방에 대한 지식, 태도 및 실천

조해련,민혜영,김신정,Cho, Haeryun,Min, Hye Young,Kim, Shin-Jeong 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.2

Purpose: The purpose of this study was to investigate mothers' knowledge, attitudes, and practices of infection prevention for their children. Methods: In this descriptive study, data were collected using a questionnaire. A total 157 mothers of young children were surveyed regarding their knowledge, attitudes, and practices of infection prevention. Results: The mean score of knowledge, attitudes, and practices of infection prevention in mothers was found to be above average. There were significant differences in knowledge according to whether the mother was employed (t=2.82, p=.005) and in attitudes according to the mother's age (t=2.13, p=.035). In addition, a significant correlation was found between knowledge and attitudes (r=.16, p=.014), and between attitudes and practices (r=.50, p<.001). Conclusion: This research provides baseline information to understand mothers' approaches to infection prevention for their children, and it may serve as a basis for providing educational programs that help infection prevention.

입원 아동 대상 통증 완화 중재에 대한 통합적 고찰

조해련,이정민,김신정 한국아동간호학회 2020 Child Health Nursing Research Vol.26 No.2

Purpose: The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba’s Theory of Comfort. Methods: Whittemore and Knafl’s integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed. Results: Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child’s response to pain, effective strategies for pain relief, and nurses’ competence in pain management. Conclusion: The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

간호 대학생 부모의 헬리콥터 양육과 간호대학생의 비판적 사고 성향, 학습역량의 융합연구

조해련,임소연 한국융합학회 2018 한국융합학회논문지 Vol.9 No.11

본 연구는 간호 대학생 부모의 헬리콥터 양육과 간호 대학생의 비판적 사고성향, 학습역량의 상관관계를 파악하기 위해 시행되었다. 본 연구는 2017년 4월 3일부터 4월 14일까지 C와 I시에 위치한 2개의 간호 대학생 208명을 대상으로 자가 기입식 설문지를 시행한 서술적 조사연구이다. 간호 대학생 부모의 헬리콥터 양육 정도는 평균 73.94±13.88점이었고, 비판적 사고 성향 점수는 113.30±12.33점 이었다. 간호대학생의 학습역량을 학습동기, 인지능력, 학습행동영역으로 구분하였고, 학업 성적에 따라 인지능력(F=3.62, p=.014), 학습행동(F=4.07, p=.008)에 유의한 차이가 있었다. 간호 대학생 부모의 헬리콥터 양 육 정도와 비판적 사고 성향이 유의한 부적 상관관계를 보였고(r=-.14, p=.043), 비판적 사고 성향과 인지 능력(r=.43, p<.001), 비판적 사고 성향과 학습행동 영역(r=.4, p<.001)이 유의한 상관관계를 보였다. 본 연구결과를 토대로, 간호 대학생 부모를 대상으로 학생의 비판적 사고를 높일 수 있는 부모양육 교육프로그램 개발 과 추후 간호역량 강화프로그램 개발을 위한 융 복합적 기초자료로 활용함을 기대한다. This study was conducted to identify a relationship between Helicopter Parenting, Critical thinking disposition, and Learning Competences of Nursing students. This was a descriptive analyzed study, data were collected from April 3 to 14, 2017, study subjects were 208 nursing students in nursing colleges located C and I city, using self-reported questionnaires. The results of the study showed the mean scores of Helicopter parenting and critical thinking were 73.94±13.88, 113.30±12.33. And learning motivation, cognition, behavior were consisted in learning competence, learning cognition (F=3.62, p=.014) and learning behavior (F=4.07, p=.008) were statistically significant differences in school score. Helicopter parenting and critical thinking were a significant negative relationship (r=-.14, p=.043), according to critical thinking of learning cognition (r=.43, p<.001) and behavior (r=.42, p<.001) were a significant positive relationship. Based on the results, they were taken a baseline data for developing a Parent-Parenting Education Program to enhance on critical thinking and learning competence of nursing students and a Clinical Nursing Empowerment Program.

미혼 여성의 자궁경부암 예방활동 유형에 따른 자궁경부암 지식과 자궁경부암 예방행위 의도의 융합적 연구

임영숙,조해련 한국융합학회 2017 한국융합학회논문지 Vol.8 No.10

본 연구의 목적은 미혼여성의 자궁경부암 예방활동에 따른 자궁경부암 지식과 자궁경부암 예방행위 의도 를 융합적으로 파악하기 위함이다. 216명의 여성을 대상으로 자가보고 설문지를 통해 수집한 자료는 SPSS 프로그 램을 사용하여 분석하였다. 연구 결과, 미혼여성의 33.9%가 HPV 예방접종을 시행하였고 7.9%가 Pap test를 시행 하였다. Pap test와 HPV 예방접종을 모두 시행한 그룹은 6.7%, Pap test 또는 HPV 예방접종을 시행한 그룹은 28.5%이었다. 자궁경부암 예방활동에 따라 자궁경부암 가족력, 자궁경부암 예방행위에 대한 주관적 규범, 지각된 행위통제, 행위의도의 차이가 있었다. 따라서 미혼 여성의 자궁경부암 예방활동에 대한 감수성을 높이는 것이 중요 하며, 미혼 여성의 자궁경부암 예방을 위해 건강 전문가가 가장 의미 있는 지원시스템을 수행하는 것이 중요하다. 또한 미혼 여성이 자궁경부암 예방에 보다 적극적으로 참여할 수 있도록 다양한 정책을 적극적으로 홍보하고 지원 해야 한다. The purpose of this convergence study is to understand the knowledge of cervical cancer and its prevention of cervical cancer in unmarried women. 216 women were collected through self-report questionnaires and analyzed by SPSS program. In result, human papilomavirus vaccination was performed in 33.9%, pap test was performed in 7.9%. The human papilomavirus vaccination and pap test group were 6.7% and human papilomavirus vaccination or pap test group were 28.5%. According to the cervical cancer prevention activities, several differences were detected in the family history of cervical cancer, subjective norms of cervical cancer prevention, perceived behavioral control, and behavioral intention. Therefore, it is important to increase susceptibility of the prevention of cervical cancer in unmarried women, and it is important for the health professionals to perform the most meaningful support system preventing cervical cancer in unmarried women. In addition, various policies should be actively promoted that unmarried women participate in the prevention of cervical cancer actively.

청소년의 성경험 유무에 따른 건강행태 차이에 대한 융복합 연구

이한나,조해련 한국융합학회 2020 한국융합학회논문지 Vol.11 No.3

본 연구의 목적은 우리나라 청소년의 성경험 유무에 따른 건강행태의 차이를 파악하기 위한 융복합 연구이다. 본 연구는 2017년 청소년건강행태온라인 조사의 원시자료를 이용한 이차 분석 연구로, 총 61,861명의 자료를 분석하 였다. 연구결과 성경험이 있는 청소년에서 남학생, 고등학생, 남학교, 낮은 학업성적, 부모와 따로 거주, 높거나 낮은 경제 상태를 가지는 것으로 나타났다. 건강행태에 있어서는 성경험이 있는 청소년이 신체활동을 더 많이 하고 스트레스, 슬픔·절망감 경험, 자살생각, 자살계획, 자살시도, 음주, 흡연을 더 많이 하는 것으로 나타났다. 성경험이 있는 청소년 중에서 피임을 하지 않는 청소년은 48.9%로 나타났고, 주로 콘돔을 이용하였다. 청소년의 성 건강을 위하여 본 연구에 서 도출된 요인을 고려하여 중재하는 것이 필요하다. 따라서 본 연구는 청소년의 특성을 반영한 성교육 프로그램을 개발 하는 데에 기여할 수 있을 것이다. This study investigated the differences in health behaviors of adolescents depending on their sexual experiences. Secondary data analysis was conducted using the data of 61,861 respondents from the 2017 adolescents’ health behavior online survey in Korea. Adolescents with sexual experience were typically male, in high school, from a boy’s school, had low academic performance, lived apart from their parents, and of either high or low economic status; their health behaviors were characterized by more physical activity, stress, sadness and hopelessness, thought/planned/attempted suicide, drinking, and smoking. Almost half of adolescents with sexual experience (48.9%) did not use contraception. The results of this study are significant and can contribute to the development of sex education programs when considering the characteristics of Korean adolescents and their sexual health

초등학생의 공감 정도와 폭력에 대한 인식 및 태도

강소라,조해련,김신정 한국아동간호학회 2020 Child Health Nursing Research Vol.26 No.2

Purpose: The purpose of this study was to investigate empathy, awareness, and attitudes toward violence among elementary school students. Methods: The participants were 195 fifth and sixth grade students in Y elementary school. The data collection period was from June 24 to July 4, 2019. Results: Empathy scores significantly differed according to participants' gender and need for education on violence prevention. Attitudes towards violence (permissive and neglectful) significantly differed according to students' grade and need for education on violence prevention. Empathy was negatively correlated with permissive attitudes toward violence (r=-.26, p<.001) and neglectful attitudes toward violence (r=-.24, p=.001). Conclusion: The results of this study are expected to be utilized as basic data for education on violence prevention through empathy.