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재가치매 환자의 미충족요구와 가족부양자의 돌봄경험 예측모형
최소라(Choi, Sora),박명화(Park, Myonghwa) 한국간호과학회 2016 Journal of Korean Academy of Nursing Vol.46 No.5
Purpose: The purposes of this study were to develop and test a prediction model for caregiving experiences including caregiving satisfaction and burden in dementia family caregivers. Methods: The stress process model and a two factor model were used as the conceptual frameworks. Secondary data analysis was done with 320 family caregivers who were selected from the Seoul Dementia Management Survey (2014) data set. In the hypothesis model, the exogenous variable was patient symptomatology which included cognitive impairment, behavioral problems, dependency in activity of daily living and in instrumental activity of daily living. Endogenous variables were caregiver’s perception of dementia patient’s unmet needs, caregiving satisfaction and caregiving burden. Data were analysed using SPSS/WINdows and AMOS program. Results: Caregiving burden was explained by patient symptomatology and caregiving satisfaction indicating significant direct effects and significant indirect effect from unmet needs. The proposed model explained 37.8% of the variance. Caregiving satisfaction was explained by patient symptomatology and unmet needs. Mediating effect of unmet needs was significant in the relationship between patient symptomatology and caregiving satisfaction. Conclusion: Results indicate that interventions focusing on relieving caregiving burden and enhancing caregiver satisfaction should be provided to caregivers with high levels of dementia patients’ unmet needs and low level of caregiving satisfaction.
최소라(Sora Choi) 한국콘텐츠학회 2022 한국콘텐츠학회논문지 Vol.22 No.6
본 연구는 치매환자 가족돌봄자의 돌봄만족감에 대한 개념적 정의와 속성을 확인하기 위해 수행되었다. 연구방법은 혼종모형을 이용하였으며, 이론적 고찰과 7명의 대상자로부터 수집된 현장조사 결과는 최종 단계에서 통합하여 분석하였다. 연구결과로 돌봄만족감은 3개의 차원과 7개의 속성으로 도출되었다. 돌봄만족감의 정의는 가족돌봄자가 경험하는 돌봄에 대한 긍정적인 측면으로서, 관계 차원에서 돌봄의 의무 실천과 상호호혜적 관계로 여기고, 환자와 가족간 관계에서 유대감 강화, 역할수행 차원에서는 성취감, 정서적 보상감, 심리적 안정감을 느끼고, 역할 의미 차원에서 긍정적 의미부여를 하는 것으로 나타났다. 본 연구를 기초로 하여 한국의 치매환자 가족돌봄자의 돌봄만족감 측정도구와 돌봄만족감 증진을 위한 효율적인 간호중재 프로그램 개발을 제언한다. The study was conducted to identify and clarify the conceptual definitions and attributes of caregiving satisfaction in family caregivers of patients with dementia. The hybird model was used to perform the concept analysis of caregiving satisfaction. Results from both the theoretical review and a field study including 7 participants were included in final process. The concept of caregiving satisfaction was found to have three dimensions with seven attributes. Caregiving satisfaction by family caregivers of patients with dementia was defined as positive of aspects of caregiving usually experienced in three dimensions such as interpersonal dimensions (accomplishing a duty, reciprocity, strengthening of the relationship), role performance dimensions (feeling of accomplishment, emotional reward, emotional comfort) and meaning of role dimensions (positive meaning-making). Based on the results, a tool for measuring caregiving satisfaction among Koreans family caregivers of patients with dementia and effective programs for enhancing caregiving satisfaction should be developed in future studies.
개념도를 활용한 문제중심학습이 간호대학생의 비판적 사고 성향과 간호과정 자신감에 미치는 효과
최소라(Choi sora) 학습자중심교과교육학회 2020 학습자중심교과교육연구 Vol.20 No.9
본 연구는 개념도를 활용한 문제중심학습이 간호대학생의 비판적 사고 성향과 간호과정 자신감에 미치는 효과를 확인하고자 수행되었다. 연구설계는 단일집단 사전사후설계에 의한 실험 연구로 연구 대상은 일개 대학 간호학과 2학년 학생 77명이었으며, 연구기간은 2018년 9월 3일부터 2018년 12월 14일까지 한 학기동안 진행되었다. 자료분석은 SPSS/WIN 22.0 프로그램을 이용하여 분석하였다. 연구 결과 간호과정 수업에서 개념도를 활용한 문제중심학습 수업운영 후 비판적 사고 성향(t=-3.73, p<.001), 간호과정 자신감(t=-10.71, p<.001)의 점수가 모두 사전에 비해 사후에 통계적으로 유의하게 증가하였다. 따라서 개념도를 활용한 문제중심학습이 간호대학생의 비판적 사고 성향과 간호과정 자신감 향상에 효과가 있음을 확인하였다. 추후 문제중심학습에서 개념도 활용의 효과를 확인하는 대조군을 포함한 반복 연구할 필요가 있다. This study aimed to investigate the effects of problem-based Learning(PBL) using concept mapping according to critical thinking disposition and nursing process confidence of nursing students learning the nursing process. The research was a one-group, pretest-posttest design. The participants in this study were 77 nursing students enrolled in 2nd year of a BSN program in a city, Korea. The data were collected on September 3 and December 14, 2018, using a structured questionnaires. Data were analysed using SPSS/WIN 22.0 program. After the course, there was a significant increase in critical thinking disposition (t=-3.73, p<.001) and nursing process confidence (t=-10.71, p<.001). The findings indicate that PBL using concept mapping is effective in improving critical thinking disposition and nursing process confidence of nursing students. PBL using concept mapping could be an adjust educational strategy for undergraduate nursing education. In further research, it is necessary to have a repeat study that evaluate the effectiveness of using concept mapping in PBL including a control group.
박명화(Park, Myonghwa),최소라(Choi, Sora),신아미(Shin, A Mi),구철회(Koo, Chul Hoi) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.1
Purpose: The purpose of this study was to develop a prediction model for the characteristics of older adults with depression using the decision tree method. Methods: A large dataset from the 2008 Korean Elderly Survey was used and data of 14,970 elderly people were analyzed. Target variable was depression and 53 input variables were general characteristics, family & social relationship, economic status, health status, health behavior, functional status, leisure & social activity, quality of life, and living environment. Data were analyzed by decision tree analysis, a data mining technique using SPSS Window 19.0 and Clementine 12.0 programs. Results: The decision trees were classified into five different rules to define the characteristics of older adults with depression. Classification & Regression Tree (C&RT) showed the best prediction with an accuracy of 80.81% among data mining models. Factors in the rules were life satisfaction, nutritional status, daily activity difficulty due to pain, functional limitation for basic or instrumental daily activities, number of chronic diseases and daily activity difficulty due to disease. Conclusion: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to these individual characteristics.