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      • KCI등재

        행동수정요법이 만성정신질환자의 자기간호 수행 및 대인관계 지각에 미치는 효과

        임신화,이경희 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.1

        This study was conducted to test the effects of a behavior modification program on self-care and perception of interpersonal relationships of psychiatric patients. It was also performed to help the psychiatric nursing profession improve and develop more reliable rehabilitation program for chronic psychiatric patents. A nonequivalent control group and non-synchronized research design with pre and post test results was used in this study. The subjects of this study were 27 hospitalized chronic psychiatric patients in two university hospitals and two local clinics in Taegu. An experimental group of 16 and a control group of 11 patients participated. The ages of the patients were from 18 to 50 years old. They lacked the universal self-care. The patients also showed no signs or acute symptoms of risks for violence. This study was carried out from July 3, 2000 to November 4, 2000. The behavior modification program of this study was a 7 week long program. It reinforced chronic psychiatric patients' self-care by applying a token economy reward system with self-care teachings one time a week. The self-care teaching method involved 23 items on the basis of Orem(1985)'s universal self-care demands: personal hygiene, cleaning, eating, sleeping, elimination, dressing, and leisure time and social interaction activities. This was accomplished with the aid of 25 pictures. Whenever patients carried out self-care activities, verbal reinforcements and tokens were given. Primary reinforcements were then used where patients exchanged the tokens for a variety of items after 1 week. The instrument for the changes of chronic psychiatric patients' self-care in this study was a self-care activity scale for the observer, which was composed of the same 23 items noted above. Cronbach's alpha of the scale was .95. The instrument for the perception of interpersonal relationships was made by Schlein and Guerney. It was translated by Moon, Seon Mo(1998) and modified by Cheon. Suk Kyun(1994). Data was analyzed by SPSS/PC+ 10.0 program with descriptive statistics, χ^2-test, t-test, Repeated measure ANOVA, simple main effect, and Time contrast. The results were as follows : 1. The first hypothesis, "The experimental group which received the behavior modification program would score higher from the self-care activity scale throughout this process", was supported(F=9.101, p=.006). 2. The second hypothesis, "The experimental group which received the behavior modification program would score higher from the perception of interpersonal relationships scale", was not supported(F=.523, P=.476)/ From the above results, it can be concluded that the behavior modification program is an effective intervention tool to improve the self-care of chronic psychiatric patients. This suggests that the psychiatric nursing profession need to develop and carry out rehabilitation programs for chronic psychiatric patients. It also makes a contribution to improving the quality of psychiatric nursing with systematic and identifiable procedures.

      • KCI등재후보

        꼴라쥬 기법이 주의력결핍 과잉행동 아동에게 미치는 효과에 관한 연구

        임명화,홍종관,임신화 한국정서학습장애아교육학회 2002 정서ㆍ행동장애연구 Vol.18 No.1

        This study was conducted to identify the effects of the Collage program on the behaviors and psychology of ADHD and to help more compatible application be used. The 3 subjects in this study were selected by scores of abbreviated Conners scale among children consenting to participate in the Collage program. This study was carried out from Jul. 23, 2001 to Sep. 15, 2001. The collage program was consisted of total 14 themes, that is, self-introduction, the best present for me, when I was happy most, when I was angry at home, who I like and hate among my family, the promise to keep hardest at home, the promise to keep hardest at school, when I am angry with friends, expressing self-advantages, daily life schedule, my figure in 20 years, weekly life schedule, what I want to give to my family, what I want to give to my friends, considering behaviors and psychology of ADHD. To analyse data, characteristics of subjects appearing during the process of each session were described and analysed by the differences between the pre and post behaviors and psychology. Conners teacher rating scale was used for changes of behaviors and HTP and KED was applied for changes of psychology. The results of this study were as follows. 1. In changes of behaviors and psychology according to the process of each session, participation and attention of each child with ADHD increased and hyperactivity and distraction decreased. After the Collage program, it was discovered to be able to express self-problems of mind more naturally. 2. According to the Conners teacher rating scale, problematic behaviors of each chid with ADHD diminished significantly. In case of A, distraction and companionship, in case of B, impulsion and aggression and in case of C, hyperactivity and immaturity decreased to 2 steps down. Total scores were changed from 28, 46, 56 to 19, 39, 38 respectively. 3. In psychological changes on the basis of HTP and KFD, self-confidence and positiveness of each child with ADHD were improved, open mind for external environment and perception and desire about the interaction in their family were showed, and motivation for task augmented. From the above results, it can be known that the Collage program effected reducing problematic behavior of ADHD and changing to positive psychology. Therefore, the Collage program could be used as an effective treatment and alternative method in teaching of ADHD.

      • 시설노인의 삶에 대한 간호대학생의 인식

        김명애(Kim Myung Ae),임신화(Lim Shin Hwa) 계명대학교 간호과학연구소 2003 계명간호과학 Vol.7 No.1

        This study was designed to identify the nursing students' subjective perception about the life of institutionalized elderly through Q-methodology. A Q sample was developed through a review of the literature and open questionnaire about nursing students' practical experience. Thirty-one statements made up the finalized Q-sample. The P sample consisted of 32 nursing students in faculty of nursing, K university Q statements were written on separate cards and were given to the 32 subjects to sort according to degree of agreement or disagreement. The Q-sort by each subject was coded and analyzed with QUANL PC Program. The analysis discovered three major types, namely ""type 1 : optimistic"", ""type 2 : pessimistic"" and ""type 3 sympathetic"" The results revealed three different types of the nursing students' perception about the life of institutionalized elderly 1) Optimistic: They think that the life of institutionalized elderly are not always unhappy, meaningless or inhumane and institution is new place for elderly's lives, in which they have individual feelings of joy and anger, also from which elderly look forward to positive lives and feel happy. This group is characterized by having an optimistic positiveness beyond reality. 2) Pessimistic: This group presents that the life of institutionalized elderly with disabilities and some healthy problem feel exhausted with loneliness and missing their family, so it is love and affection which they are in most need of. This group is characterized by feeling same sufferings as the institutionalized elderly do. 3) Sympathetic: They have an opinion that the life of institutionalized elderly are hungry for love and affection and are suffering emotionally, but not care about physical problems. This group is characterized by having a sympathy emotionally about the institutionalized elderly. In conclusion, this study will provide us the basic data to be able to understand them and to develop nursing intervention for institutionalized elderly.

      • 간호학생의 죽음에 대한 주관성 연구

        김명애(Kim Myung Ae),임신화(Im Sin Hwa) 계명대학교 간호과학연구소 2002 계명간호과학 Vol.6 No.1

        The main purpose of this study was to understand the characteristics and attitudinal types toward death among nursing students. Death is an extremely subjective and unique experience. So it is very important to try to understand the subjectivity of death. In this respect, Q-methodology, which explains and shows the respondent's subjectivity by objectifying his subjectivity, is employed to find the solution to the questions in this study. Sampling process consisted of P-sampling and Q-sampling. The P-sample were selected 27 nursing students of K nursing college in convenience collecting way. Forty Q statements were sorted according to degree of agreement or disagreement. The Q-sorts by each subject were coded and analysed with the QUANAL PC program. As a result, five major types could be extracted. Type 1 'the life-revered' think the life is to be dignified most of all. Type 2 'the fate-recipient' attribute all the human events to the destiny. Type 3 'the death-preparation' hope to discuss the problem of death frankly with a positive attitude toward facing death. Type 4 'the nihilists' believe in the future existence, but soak into the idea that the life is meaningless. Type 5 'the reality-oriented' do not believe in the future life and concentrate in life itself rather than thinking about death. This study discovered five topes of subjectivity of nursing students concerning death. By identifying the nature of the five types, this study suggests efficient strategies for developing educational programs in the nursing curriculum and educational programs should be employed.

      • KCI등재

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