한국어판 종교성 및 영적경험 측정도구의 타당도와 신뢰도 검증

김석선 ( Kim Suk-sun ),김다은 ( Kim Daeun ),문난영 ( Moon Nan Young ),서아영 ( Seo Ahyoung ),길민지 ( Gil Minji ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2021 정신간호학회지 Vol.30 No.2

Purpose: The purpose of this study was to translate Duke University Religion Index (DUREL) and the Daily Spiritual Experience Scale (DSES) into Korean and test the validity and reliability of the instruments. Methods: Korean version of DUREL and DSES were translated and back-translated by 6 bilingual experts and group discussions. Data analyses were performed using SPSS 26.0 and AMOS 22.0. Both exploratory and confirmatory factor analyses were conducted with two data sets of secondary analysis study to examine the factor structure and construct validity. Correlations with other variables were used to test validity and reliability. Results: For K-DUREL, the final evaluation yielded two factors with 5 items: intrinsic religiosity and institutional religious activity. K-DSES had two factors with 16 items: transpersonal spiritual experience, and interpersonal & environmental spiritual experience. Cronbach’s α of K-DUREL and K-DSES were .67 and .96, respectively. Both instruments showed good reliability and validity for the translated Korean versions. Conclusion: Applying K-DUREL and K-DSES in theory-based research may contribute to knowledge about the religious activity and spiritual experiences in the health and well-being of a Korean. Also, two instruments have the potential to measure changes in religion and spirituality after spiritual or holistic nursing interventions.

치매예방프로그램에 대한 체계적 문헌고찰

김석선(Suk-Sun Kim),조현미(Hyun-Mi Jo) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.4

알츠하이머와 같은 치매 유병률의 세계적인 증가추세로 치매예방에 대한 정부의 관심이 증가하고 있다. 본 연구의 목적은 최근 국내에서 발표된 치매예방프로그램 논문을 수집, 분석, 종합하여 체계적으로 문헌고찰하기 위한 것이다. 체계적인 문헌고찰을 위하여, 자료검색은 KoreaMed, Riss4u 및 9개의 간호학회지에 게재된 논문을 대상으로 하였고 ‘치매예방’과 ‘인지기능’을 키워드로 전체검색 하였다. 2000년부터 2014년 사이에 게재된 치매예방 연구논문을 대상으로 하였다. 총 250편의 연구 논문이 검색되었고 자료선정기준에 따라 최종 29편의 논문이 선별되었다. 치매예방프로그램의 종류를 분석한 결과, 운동프로그램이 전체 29편중 11편(37.9%), 통합프로그램 9편(31.0%), 그리고 인지강화프로그램 4편(13.8%)이었다. 대부분의 연구(19편, 65.5%)는 65세 이상 노인을 대상으로 하였고 75세 이상 노인을 대상으로 한 연구는 2편이었다. 본 연구결과를 토대로 후기노인에 대한 효과적인 치매예방과 적절한 중재를 제공하기 위한 치매예방프로그램의 개발이 필요하다. Due to the increasing global prevalence of dementia, such as Alzheimer disease, there is a growing public health concern about its prevention. The purpose of this study was to conduct a systematic review for a narrative synthesis and critical appraisal of current published research related to dementia prevention programs among Koreans. To conduct a systematic review, the data bases KoreaMed, Riss4u and 9 Nursing Journals were searched using the key words dementia prevention and cognitive function. Articles published between 2000~2014 and related to dementia prevention programs were reviewed. Two hundred-fifty references were searched but only 29 studies met our inclusion criteria to review. We found that dementia prevention programs focused on: exercise, 11 studies (37.9%); multi-therapy, 9 studies (31.0%); and cognitive enhancement activity, 4 studies(13.8%). The majority of studies (n=19, 65.5%) included adults over 65 while two studies targeted adults over 75. The current literature indicates that future research is needed to develop and provide appropriate and effective dementia prevention programs among Korean older adults.

한국어판 부부 만족도 측정도구 및 단축형의 타당도와 신뢰도

김석선(Kim, Suk-Sun),길민지(Gil, Minji),김다은(Kim, Daeun),김선해(Kim, Sunhai),허다연(Heo, Dayeon),문난영(Moon, Nan Young) 한국간호과학회 2022 Journal of Korean Academy of Nursing Vol.52 No.2

Purpose: The study aimed to translate the Couple Satisfaction Index (CSI 32) into Korean, to evaluate the reliability and validity of CSI 32 and short-form (CSI 16, 4) in the Korean context, and to determine a cut-off score for Korean couples. Methods: Korean Versions of the Couple Satisfaction Index (K-CSI) 32 was translated, back-translated, and reviewed by five bilingual experts. Confirmatory factor analysis (CFA) was conducted with data from a sample of 218 couples (N = 436) to test construct validity. Validity and reliability were evaluated. The receiver’s operating characteristics curve analysis was used to obtain the cut-off score. Results: The construct validities of K-CSI 32, 16, and 4 were verified using one-factor structures. The results of CFA showed a slightly better fit for K-CSI 16 and 4 than for K-CSI 32. Convergent validity was supported by significant positive correlations of K-CSI with Kansas Marital Satisfaction Scale, Dyadic Adjustment Scale, and Family Relationship Assessment Scale. Moreover, the significant differences in K-CSI between normal and depressive group demonstrated known-group validity. Cut-off scores of 105.5 on K-CSI 32, 50.25 on K-CSI 16, and 13.25 on K-CSI 4 were validated to identify distressed couple relationships. Conclusion: For clinical practice, the reliable and valid K-CSI 32 has the potential to measure changes in couple satisfaction after couple therapy or interventions. Applying K-CSI 32 may facilitate research on couple and family relationships in nursing and contribute to the discussion on the role of couple satisfaction in mental health.

개인과 가족의 성격특성이 가족 구성원의 우울에 미치는 영향: 다층모형분석 적용

김석선 ( Kim Suk-sun ),길민지 ( Gil Minji ) 한국보건사회연구원 2016 保健社會硏究 Vol.36 No.3

본 연구는 대학생 자녀를 둔 가족을 대상으로 우울에 영향을 미치는 개인과 가족성격특성을 탐색하는 것을 목적으로, 가족구성원(아버지, 어머니, 자녀) 모두의 자료 수집 가능여부와 다층모형분석의 적용 가능성을 확인한 예비 조사 연구이다. 연구대상은 아버지, 어머니, 대학생 자녀가 모두 연구에 동의한 65가족으로, 총 195명(아버지 65명, 어머니 65명, 자녀 65명)의 응답을 분석에 사용하였다. 서울, 경기 지역의 4개 대학의 동아리방과 학생관을 방문하여 대상자를 모집하고, 우편조사 방식으로 자료를 수집하였다. 자료분석 방법으로는 Multilevel modeling 다층모형을 사용하여, 독립변수로 1차수준인 개인의 성격특성과 2차 수준인 가족의 성격특성이 종속변수인 가족구성원 개개인의 우울 정도에 미치는 영향을 분석하였다. 다층모형 분석결과, 1차 수준인 개인의 성격특성에서 신경증은 우울을 증가시키고, 성실성은 우울을 감소시키는 것으로 나타났다. 2차 수준인 가족의 성격특성에서는 성실성이 우울을 증가시키고, 친화성은 우울을 감소시키는 것으로 나타났다. 본 연구결과를 바탕으로 가족 수준의 성격특성은 개인수준의 성격특성과 함께 가족구성원 개개인의 우울에 영향을 미칠 수 있으므로 개인의 성격 특성과 가족 수준의 성격특성을 함께 고려한 우울 예방 프로그램 개발이 필요하다고 제언한다. The purpose of this study was to examine associations between individual and family personality and depressive symptoms in Korean families with college students. This pilot study was conducted to evaluate the feasibility and acceptability of recruiting and collecting data from families and to analyze data using Multilevel Modeling. A total of 195 family members (65 fathers, 65 mothers, and 65 college-student children) participated in this study. The collected data were analyzed using Multilevel modeling. Our analysis revealed that individual-level neuroticism was positively related to depressive symptoms and conscientiousness was negatively related to depressive symptoms. Also, family-level agreeableness was related to lower depressive symptoms, whereas family conscientiousness was related to higher depressive symptom levels. These results suggested that personality factors could be used to identify individuals and families at risk for depression and to develop tailored intervention for both individuals and families.

방문간호사의 자살예방 역량강화를 위한 프로그램 개발 및 평가

김정은(Kim, Jung Eun),김석선(Kim, Suk-Sun) 한국간호과학회 2020 Journal of Korean Academy of Nursing Vol.50 No.1

Purpose: The purpose of this study was to develop a suicide prevention nursing competency program for visiting nurses, and to examine the effect of this program on suicide prevention-related knowledge, attitudes, and behaviors. Methods: A total of 66 visiting nurses were recruited from 10 public health centers and divided equally into the experimental and control group. For the experimental group, the suicide prevention nursing competency program was provided twice a week for 120 minutes across 3 weeks. Participants were asked questions related to suicide prevention knowledge, attitudes, and behaviors at pre, post, and 1 month after the intervention. Data were analyzed using descriptive statistics, a t-test, repeated measure ANOVA, and Friedman test. Results: There were significant differences in knowledge and behaviors at the measured time periods, and significant differences in attitudes and behaviors between the two groups. There were also significant interactions between groups and times in attitudes and behaviors. These results suggest that the effects of the program were persistent until the 1-month follow-up. Conclusion: The developed suicide prevention nursing competency program is effective in evidence-based education for visiting nurses to increase suicide prevention-related knowledge, attitudes, and behaviors.

방문간호사의 자살예방 역량강화 교육에 대한 요구도

김정은 ( Kim Jung Eun ),김석선 ( Kim Suk-sun ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2018 정신간호학회지 Vol.27 No.2

Purpose: This study was done to identify and prioritize educational needs for suicide prevention competencies among 212 visiting nurses from 33 public health centers. Methods: Data were collected from August to October 2017 through self-administered questionnaires consisting of measures of suicide prevention competencies. Data were analyzed using descriptive statistics, paired t-test, and Borich's needs assessment model to determine the priority of educational needs. Results: Visiting nurses reported that enhancing skills in suicide prevention were more significant than improving knowledge. The highest priority need was “utilizing counseling skills.” In addition, other educational needs were prioritized as followed by; “a strategic planning approach to suicide prevention”, “applying therapeutic communication”, “showing empathy”, and “using resources in the community.” Conclusion: The findings suggest that developing intervention programs to enhance counseling and strategic planning skills are needed to improve suicide prevention competencies among visiting nurses.

약물중독자를 위한 자기초월증진 프로그램의 효과: 혼합설계연구 적용

김연실 ( Kim Younsil ),김석선 ( Kim Suk-sun ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2017 정신간호학회지 Vol.26 No.1

Purpose: The purpose of this mixed method study was to examine effects of the self-transcendence enhancement program among patients with drug addiction, and to explore their experiences through the program. Methods: For the quantitative study, a non-equivalent control group quasi-experimental design was used. The sample was 49 hospitalized patients with drug addiction. The self-transcendence enhancement program was provided twice a week for 6 weeks. Quantitative data were analyzed using x² test, t-test and ANCOVA. For the qualitative study, 12 patients in the experimental group participated in a focus group interview, and data were analyzed using the content analysis technique. Results: After the intervention, there were significant improvements for the experimental group in self-transcendence and declines in depression compared to the control group. From the qualitative findings three themes were identified as the change process after the intervention: `looking back at myself`, `gaining confidence through small changes`, and `finding meaning in life`. Conclusion: Results suggest that the self-transcendence enhancement program can be utilized as a nursing intervention program for patients with drug addiction.

모바일 SNS를 활용한 불면증 인지행동치료 프로그램이 간호사의 수면에 미치는 효과

김지은(Kim, Ji Eun),김석선(Kim, Suk-Sun) 한국간호과학회 2017 Journal of Korean Academy of Nursing Vol.47 No.4

Purpose: This study aimed to examine the effects of cognitive behavior therapy for insomnia (CBT-I) based on the mobile social networking service (SNS) on dysfunctional beliefs and attitudes about sleep, sleep quality, daytime sleepiness, depression, and quality of life among rotatingshift nurses in a hospital in Korea. Methods: A nonequivalent control group pre-post test design was used. The participants included 55 nurses with rotating three-shift work (25 in the experimental group and 30 in the control group). For the experimental group, CBT-I using mobile SNS was provided once a week for 60 minutes over six weeks. Data were analyzed using descriptive statistics, c2-test, independent samples t-test, and Mann-whitney U test with the SPSS 21.0 program. Results: In the homogeneity test of the general characteristics and study variables, there were no significant differences between the two groups. Nurses in the experimental group had significantly lower scores on dysfunctional beliefs and attitudes regarding sleep and sleepiness than nurses in the control group. Nurses in the experimental group had significantly higher scores on sleep quality and quality of life than nurses in the control group. Conclusion: These findings indicate that using the mobile SNS-based CBT-I is feasible and has significant and positive treatment-related effects on rotating-shift nurses’ irrational thoughts and beliefs in association with sleep, sleep quality, daytime sleepiness, and quality of life. These contribute to expanding our knowledge of rotating-shift nurses’ sleep issues and their preferences for intervention.

성인 사회불안장애 인터넷 기반 인지행동 프로그램 효과에 관한 체계적 문헌고찰

고영선 ( Young-sun Ko ),김석선 ( Suk-sun Kim ) 이화여자대학교 간호과학연구소 2016 Health & Nursing Vol.28 No.1

Purpose: The effects of Internet-based cognitive behavior therapy (ICBT) program for social anxiety disorder have been tested in several studies. The purpose of this systematic review is to summarize the effects of the program and investigate characteristics of studies that is related to the effects. In particular, this study focuses on the role of therapists who support the program. Methods: This systematic review was conducted with references that have characteristics of experimental or quasi-experimental designs studies between 2006 and 2015, searched for databases: RISS, PsycINFO, PubMED. The primary search items are `Social Anxiety Disorder`, `Social Phobia`, `Internet-based treatment`, and `Internet-based cognitive behavior therapy`. Out of 179 articles, 13 articles were selected for this review. Results: This systematic review found that ICBT with or without therapists` support significantly reduced social interaction anxiety, social phobia, general anxiety, and depression. In addition, the ICBT with therapists` support was more effective than the ICBT without therapists` support. Conclusion: This findings indicate that ICBT has potential in evidence-based treatment for social anxiety disorder. Not only so, but ICBT is expected to increase availability and accessibility in the mental health care for patients with social anxiety disorder.

간호사의 도덕적 민감성의 관련 요인

엄소희 ( Eom Sohee ),김석선 ( Kim Suk-sun ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2018 정신간호학회지 Vol.27 No.3

Purpose: The purposes of this study were to examine the associations among moral reasoning, empathy, communication self-efficacy, and moral sensitivity and to determine predictors of nurses’ moral sensitivity. Methods: Data were collected from 194 nurses in the Republic of Korea. Structured questionnaires consisted of the Moral Sensitivity Questionnaire, Defining Issues Test, Jefferson Scale of Empathy, and Counseling Self-Estimate Inventory. The collected data were analyzed using t-tests, one-way ANOVA, Pearson’s correlation coefficient, and hierarchical regression analysis using SPSS ver. 21. Results: Nurses’ moral sensitivities were significantly associated with frequency of ethical education, empathy, and communication self-efficacy. In hierarchical multiple regression models, the significant factors of nurses’ moral sensitivity were age (β=.21, p=.044), the frequency of experience in ethics education (β=.18, p=.007), empathy (β=.32, p<.001), and communication self-efficacy (β=.25, p=.001), which explained 33.2% of the variance in nurses’ moral sensitivity. Conclusion: Our study findings show that nurses’ moral sensitivity could be enhanced by more frequent ethics education programs. In addition, nursing ethics education might be developed to include potential strategies to improve empathy and self-efficacy in communication for high levels of moral sensitivity in nurses.