Comparison of Differences in Physical, Psychological, and Social State According to the Abuse Experience in Community Dwelling Elderly

황혜남,변혜선 (사)위기관리이론과실천 2022 Journal of Safety and Crisis Management Vol.12 No.12

Purpose: The purpose of this study was to compare and confirm the differences in physical, psychological, and social state according to the abuse experience of the elderly living in the community. Methods: The research design was a descriptive survey using convenience sampling. Data was collected using self-report questionnaire of 151 elderly people in D city, K province. Collected data were analyzed using independent t-test, one-way ANOVA, and Pearson's correlation. Results: Total mean scores of abuse experience was 2.05. The abuse and non-abuse group showed difference in social state. In the abuse group, the degree of abuse showed an inverse correlation with social status, the degree of physical activity showed a correlation with mental status and social status, and mental status showed a correlation with social status. In the non-abused group, the physical state showed a positive correlation with the social state. Conclusion: The problem of elder abuse is emerging as a social problem, not a problem of individuals and families, and research on the impact of elder abuse damage on health is an important part to be addressed.

신규간호사의 극복력 경험

황혜남,이윤신 한국콘텐츠학회 2021 한국콘텐츠학회논문지 Vol.21 No.10

Purpose: The purpose of this study was to explore the resilience experience and to identify in-depth the meaning of the resilience of newly graduated nurses. Methods: This study was a qualitative study using phenomenological research method and used data obtained from semi-structured in-depth interviews with 9 newly graduated nurses under 12 months of employment in tertiary general hospitals. The data were analyzed using Colaizzi's method. Results: As a result of analyzing the experiences of newly graduated nurses’ resilience, there were totally 86 meaningful statements, 13 themes were derived from them, and they were integrated into 4 theme clusters. The four theme clusters were ‘Acknowledging shortcomings and developing oneself’, ‘Enduring and tolerating’, ‘Support from people around oneself’, and ‘Freshening and sublimating oneself’. Conclusion: Understanding and enhancing the resilience of new nurses will help them improve nursing professionalism and reduce turnover due to reduced work stress. 본 연구의 목적은 신규간호사의 극복력에 대한 경험을 확인하고 그 의미를 심층적으로 이해하기 위함이다. 연구대상자는 상급종합병원에 근무하는 12개월 미만의 신규간호사 9명이었으며, 반구조화된 심층 인터뷰 자료를 이용한 현상학적 연구방법을 적용한 질적연구이다. 자료분석은 Colaizzi의 방법에 근거하여 이루어졌다. 신규간호사의 극복력 경험을 분석한 결과 의미 있는 진술은 총 86개이었으며, 이로부터 13개의 주제가 도출되었으며, 4개의 주제모음으로 통합되었다. 도출된 4개의 주제모음은 ‘부족함을 인정하고 자기개발하기’, ‘참고 견뎌보기’, ‘주변인들의 지지’, ‘환기하고 승화하기’ 이었다. 이에 신규간호사의 극복력을 이해하고 강화하여 간호전문성을 향상시키고 업무스트레스를 감소시켜 신규간호사의 이직률을 줄이는데 기초자료로 활용될 것이다.

하위목표 유형에 따른 문제간 전이효과

황혜남 이화여자대학교 사범대학 교육심리학과 1991 心理硏究 Vol.- No.29

중환자실 입원환자 가족의 경험

황혜남,김귀분 성인간호학회 2000 성인간호학회지 Vol.12 No.2

The study was done by applying a phenomenological study, which is qualitative research methods, in order to understand the meaning of the lived experiences, to confirm and describe the meaning structure, and to prepare nursing interventive strategies centering around the meanings of the inpatients' families in the intensive care units. In the study, the family members were the main important nursing providers for in the inpatients' who were admitted in the neurosurgical intensive care unit in K-university hospital and who agreed to participate in the study after being given on explanation about the purpose of the study. The data were collected from the seven participants who had feelings of trust and intimacy favorable toward the researcher as they were families of patients who had been cared for by the researcher in the ICU where the researcher has been assigned. The data were collected from April to October. 1999. The participants described their experiences as candidly as possible. The researcher described closely the lived experiences with their own words and the observations of the researcher. A tape recorder was used with the consent of the participants to prevent nursing information and communication. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi ; as an unit of description, which include the participants' expressions and the researcher's observations, the analysis was used based on the data described from the expressions of the participants and the details of observations of the researcher. The conclusions of the study were as follows : The meanings of the lived experience of the inpatients' families in the ICU was confirmed by indepth interviews and observations including these of the participatants (1) Psychological impact : confusion, impatience, surprise, insensibility ; (2) Physical suffering : fatigue, discomfort, indigestion ; (3) Psychological suffering : heartbreaking emotion, anxiety, annoyance, fear compassion, grief; (4) Economical suffering: economical difficulties; (5) Psychological disagreement: escape from reality personnel avoidance, grudge, powerlessness, carefulness, transposition of life-tract, abandonment, role-crisis, hope, lack of understanding, regret, feeling of ambivalence(progressive process, medical personnel interest); (6) Psychological dependency : self-reliance group support, family support, religious support; (7) Psychological acceptance: acquaintance, gratitude, reassurance; The study will offer better understanding of experiences therefore, based on the experiences confirmed by the study. it may facilitate more appropriate nursing interventive strategies for health maintenance and to prevent occurrence of possible problems with the inpatients' families in the ICUs.

농촌 노인의 죽음불안에 미치는 영향요인

황혜남 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.10

Influence of Social Cognitive Factors on Physical Activity among Breast Cancer Survivors

황혜남 한국성인간호학회 2019 성인간호학회지 Vol.31 No.2

Purpose: To measure the degree of physical activity among breast cancer survivors and to identify how it was influenced by social cognitive factors, as defined in Bandura’s social cognitive theory. Methods: A total of 128 breast cancer survivors were recruited for this descriptive study and answered the survey questionnaire. The collected data covered general characteristics, physical activity, and social cognitive factors, such as self-efficacy, outcome expectations, goal setting, and socio-structural factors (social support and negative impact of cancer). Data collection was conducted from July to October 2017. Results: The degree of physical activity among breast cancer survivors was moderate. The participants’ level of physical activity differed according to their Body Mass Index (BMI) and type of surgery. Physical activity was significantly correlated with exercise goal setting, exercise self-efficacy, outcome expectations, and family support. Exercise goal setting (β=.55, p<.001), BMI (kg/m2) (β=-.21, p=.003), and exercise self-efficacy (β=.15, p=.040) were identified as factors influencing physical activity. Conclusion: Intervention programs to increase the degree of physical activity among breast cancer survivors will need to consider various aspects, including goal setting, BMI regulation, and self-efficacy improvement. Repeated studies on the social recognition of breast cancer survivors and extended studies on health promotion activities are recommended.

항암화학요법을 받은 유방암 생존자의 불확실성과 사회적 지지가 삶의 질에 미치는 영향

황혜남,이윤신 대한종양간호학회 2023 Asian Oncology Nursing Vol.23 No.4

Purpose: This study aimed to determine the impact of uncertainty and social support on the quality of life of breast cancer survivors who received chemotherapy. Methods: Data was collected from 119 participants diagnosed with breast cancer who had completed chemotherapy and were active members of breast cancer self-help groups in cities D and B. Results: Factors influencing the quality of life were, in order of significance, uncertainty (β=-.58, p<.001), family history (β=-.15, p=.029), and medical staff support (β=.15, p=.043). The overall explanatory power was measured at 45.0%. It was observed that a lower level of uncertainty and a higher level of support from medical staff correlated with a better quality of life. Furthermore, participants without a family history of breast cancer were found to have a better quality of life than those with a family history of breast cancer. Conclusion: These findings suggest that enhancing the quality of life of breast cancer survivors after chemotherapy requires nursing interventions aimed at reducing uncertainty and bolstering support from medical staff.

노인요양보호사의 직무스트레스가 직무만족과 조직몰입에 미치는 영향

황혜남 ( Hyenam Hwang ) 한국보건정보통계학회(구 한국보건통계학회) 2018 보건정보통계학회지 Vol.43 No.4

Objectives: An increase in the number of caregivers is necessary to provide services to the elderly, but more importantly, it is qualitative management for them. The purpose of this study was to identify occupational stress, job satisfaction, and organizational commitment and to explore the impact of occupational stress on job satisfaction and organizational commitment among caregivers employed in health service centers for the elderly. Methods: This descriptive survey was a cross-sectional correlational design of 118 caregivers. The questionnaire included occupational stress, job satisfaction, and organizational commitment. Stepwise multiple regression was applied. Results: Job satisfaction and organization commitment of caregivers were found to be above the average. There was a high level of job stress due to lack of job autonomy, job demands, and inadequate compensation. It has been found that the inappropriate compensation, organization system, work culture, and lack of job autonomy affected job satisfaction of caregivers. The factors affecting organizational commitment were inadequate compensation, job insecurity, and work culture. Conclusions: Efforts should be made to assess and complement the appropriateness of compensation and work culture that are taken to relieve job stress to enhance the job satisfaction and organizational commitment of caregivers.

노인 대상 한국형 Templer의 죽음불안도구 신뢰도 및 타당도

황혜남 ( Hwang Hyenam ) 경희대학교 동서간호학연구소 2019 동서간호학연구지 Vol.25 No.1

Purpose: The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of Templer’s death anxiety scale among older adults. Methods: The translated Korean scale was administered to 203 older people who aged over 65 years. Exploratory factor analysis was utilized to assess the factor structure of the scale. Internal consistency of the scale was determined using Cronbach’s α and Guttman’s split-half coefficient. Results: Factor loadings of the scale ranged from .43 to .86. The scale showed good internal consistencies of both total scale (13 items, α=.83) and three sub-scales: meaning of death (6 items, α=.77), death-related event (5 items, α=.72), and time of death (2 items, α=.80). The concurrent validity compare with Fear of Death Scale was significant. The Cronbach’s alpha and Guttman’s split-half coefficient were .83 and .80, respectively. Conclusion: The findings of this study demonstrate that the Korean version of Templer’s death anxiety scale had satisfactory validity and reliability to measure death anxiety among Korean older people.

유방암 생존자의 사회인지적 요인이 식이 행위에 미치는 영향

황혜남(Hwang, Hyenam) 대한종양간호학회 2016 Asian Oncology Nursing Vol.16 No.3

Purpose: Cancer survivors have experienced a specific and unique situation. Diet plays an important role in cancer risk and it is important influences on health. The purpose of this study was to explore the impact of social cognitive constructs, which is defined in Bandura’s social cognitive theory, on dietary behaviors in breast cancer survivors. Methods: A cross-sectional correlational design was used. Social cognitive constructs included nutritional self-efficacy, dietary goal-setting, outcome expectations for nutrition, negative impact of cancer, and social support. Stepwise multiple regression was applied to examine the impact of social cognitive constructs on dietary behaviors. Results: One hundred and fifty-one breast cancer survivors completed the questionnaire. Stepwise regression analyses revealed that 19.9% of the variance in dietary behaviors was explained by these social cognitive variables. Family support, dietary goal-setting, negative impact of cancer, and nutritional self-efficacy were significant predictors of dietary behaviors. Conclusion: A lack of social cognitive understanding about cancer survivors could result in less than adequate care for their health due to inadequate advice on their lifestyle choices, which may impede their opportunities to live healthy lives after overcoming the cancer. The knowledge from this study will help guide the development of social cognitive interventions.