해외 이민 한국인의 정신건강관리를 위한 웹기반 지능형 전문가시스템 개발 및 적용

배정이(Bae, Jeongyee) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.2

Purpose: The purpose of this project was to develop an international web-based expert system using principals of artificial intelligence and user-centered design for management of mental health by Korean emigrants. Using this system, anyone can access the system via computer access to the web. Methods: Our design process utilized principles of user-centered design with 4 phases: needs assessment, analysis, design/development/testing, and application release. A survey was done with 3,235 Korean emigrants. Focus group interviews were also conducted. Survey and analysis results guided the design of the web-based expert system. Results: With this system, anyone can check their mental health status by themselves using a personal computer. The system analyzes facts based on answers to automated questions, and suggests solutions accordingly. A history tracking mechanism enables monitoring and future analysis. In addition, this system will include intervention programs to promote mental health status. Conclusion: This system is interactive and accessible to anyone in the world. It is expected that this management system will contribute to Korean emigrants" mental health promotion and allow researchers and professionals to share information on mental health.

지역사회 기반의 통합적 낙상예방 프로그램이 노인의 근력, 균형능력 및 낙상효능감에 미치는 영향

배정이(Bae, Jeongyee),조성일 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.6

Purpose: The purposes of this study was to develop a comprehensive community-based fall prevention program and to test the effects of the program on the muscle strength, postural balance and fall efficacy for elderly people. Methods: The design of this study was a nonequivalent control group pretest-posttest design. There were 28 participants in the experimental group and 29 in the control group. The program consisted of balance exercises, elastic resistance exercises and prevention education. The program was provided five times a week for 8 weeks and each session lasted 90 minutes. Data were analyzed using χ<SUP>2</SUP>-test, independent t-test and paired t-test using the SPSS program. Results: Muscle strength of the lower extremities, postural balance and fall efficacy scores significantly improved in the experimental group compared to the control group. Conclusion: These results suggest that this program can improve lower extremity muscle strength, postural balance and fall efficacy in elders. Therefore, this program is recommended for use in fall prevention programs for elders living in the community.

청소년 우울의 인과적 구조분석

배정이(Jeongyee Bae),김윤정(Yoonjung Kim) 대한스트레스학회 2009 스트레스硏究 Vol.17 No.3

본 연구에서는 청소년들의 우울에 영향을 미치는 관련요인들을 분석하여 우울의 예방과 조기발견 및 중재법의 개발에 지침이 되는 모형을 구축하고자 수행되었다. 본 연구의 가설적 모형에서는 우울에 영향을 주는 요인을 크게 개인적 특성과 가족요인 및 학교요인으로 나누고, 개인적 특성 요인으로는 자아개념과 학교적응을, 가족요인으로는 부모의 양육태도, 그리고 학교요인으로는 친구의 지지 및 교사의 지지를 포함시켜서 이 개념들과 우울과의 상호작용을 토대로 청소년들의 우울을 설명하는 가설적 모형을 구축하였다. 본 연구에서는 청소년들의 우울은 그들을 둘러싸고 있는 가정, 학교 및 지역사회의 정서, 심리, 사회 환경적 특성을 반영하므로 총체적인 접근에서 다루어져야 함을 시사하고 있다. The purpose of this study was to construct a structural equation model that would further explain the depression in Korean adolescents. Based on preceding researches, this study established a path model of depression and its related variables. One thousand nine hundreds ninety-six high school students participated in this study. Data was collected by visit-survey with an organized questionnaire and was analyzed by SPSS and AMOS programs. The result of study are as follows. Self-concept showed a significantly direct influence to depression while both family satisfaction and school adjustment directly and indirectly influenced depression. Parental acceptance, autonomy, school achievement and social support indirectly influenced depression. These results imply that first, family satisfaction and self-concept are essential to solve the problems of depression. Especially friend"s support, school adjustment should help improve the self-concept and solve depression. Second, a variety of programs are available for schools to employ in an effort to provide interventions for students who demonstrate depression. Finally, it is necessary for family, school and all the society members to comprehensively cooperate to solve the problem of depression. (Korean J Str Res 2009;17:295∼305)

미국 이민자의 스트레스 구조 모형

배정이(Jeongyee Bae),김윤정(Yoonjung Kim) 대한스트레스학회 2009 스트레스硏究 Vol.17 No.4

본 연구의 목적은 미국에 거주하고 있는 이민 한국인의 스트레스 관련요인을 밝히고 구조 모형을 구축하기 위함이다. 자료 수집은 미국에 거주하고 있는 한국인 330명을 대상으로 대상자의 일반적 특성 외 6개 항목으로 된 설문지를 이용하였다. 연구결과 이민만족도, 영어구사능력 및 삶의 질은 스트레스와 직접적인 연관성을 보였고, 신체적 건강상태, 가족응집력 및 사회적 지지는 매개변수를 통하여 스트레스에 간접적인 영향을 끼쳤다. 이들 연구를 토대로 재미 한인 이민자들의 문화충격에 의한 신체적ㆍ심리적 스트레스 완화와 제도 수립을 위한 연구를 제언한다. The purpose of this study was to construct a structural equation model that will further explain the stress of Korean immigrants living in America. Survey visits using a structured questionnaire were conducted with 330 people in America. A total of 6 instruments were used in this model. The analysis of data was done with both SPSS 17.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis. Based on the constructed model, immigration satisfaction, English expression level, and quality of life were found to have a significantly direct effects in influencing stress. In addition, other factors such as health status, family cohesion, and social support indirectly affect stress. The final modified model yielded Chi-square=22.12 (p<.001), χ<SUP>2</SUP>/df=2.45, GFI=.98, AGFI=.94, NFI=.94, PNFI=.40, PGFI=.32, RMSEA=.07 and exhibited fit indices. This study constructed a model that addresses the factors related to Korean-American immigrants stress and explains the relationship. Findings of this study can contribute to designing an appropriate prevention strategy to further improve immigrants stress. (Korean J Str Res 2009;17:407∼414)

일개 지역사회 주민의 스트레스, 우울 및 자살 실태조사

배정이(Bae, Jeongyee),김윤정(Kim, Yoonjung) 계명대학교 간호과학연구소 2015 계명간호과학 Vol.19 No.1

Purpose: The purpose of this study was to investigate the city ‘d’ residents' status of life stress, depression and suicidal ideation. Method: In this study, 1,100 residents living in city ‘d’ were included and data collection was conducted over two-weeks beginning June 30, 2014 using structured questionnaire. SPSS / WIN 20.0 program was used for descriptive statistics. Results: 90.5% of the city ‘d’ residents have appealed that they are stressed in everyday life. 22.8% of participants responded that the main factor of stress is economic difficulties. 10.5% of participants responded to felt depressive mood, 73.0% out of these participants have showed no experience with the medical treatment. 32.3% of participants were at high risk for depression, 5.8% of the participants had felt suicidal impulse and the rate of suicidal attempt was 7.8%. Conclusion: For the mental health promotion of local residents, the community should establish measures to reduce the stress considering the gender, age or lifestyle of the residents. The adoption of the intervention program is quite important to reduce depression and prevent future suicidal attempts

캐나다 이민자의 정신건강 실태

배정이(Jeongyee Bae),박영숙(Youngsuk Park),윤숙희(Sookhee Yoon),김윤정(Yoonjung Kim) 대한스트레스학회 2010 스트레스硏究 Vol.18 No.3

본 연구의 목적은 한국인들이 많이 거주하고 있는 지역인 캐나다에서 한국인 이민자들을 대상으로 정신건강실태를 파악하여 이민자들의 정신건강 증진에 이바지할 기초 자료를 제공하고자 함이다. 본 연구의 참여자는 캐나다에 거주하고 있는 한국인 386명을 대상으로 대상자의 일반적 특성 외 정신건강실태를 측정할 수 있는 간이정신진단검사(Symptom Checklist-90-Revision, SCL-90-R) 중 일반적인 성인의 정신건강 상태 측정에 적합한 신체화 12문항, 우울 13문항, 불안 10문항, 적대감 6문항, 예민성 9문항을 이용하였다. 신체화 점수는 최저 0점, 최고 32점, 평균 7.54±6.04, 우울 점수는 최저 0점, 최고 38점, 평균 9.07±6.86, 불안 점수는 최저 0점, 최고 28점, 평균 5.10±5.23, 적대감 점수는 최저 0점, 최고 22점, 평균 2.89±3.05, 그리고 예민성 점수는 최저 0점, 최고 30점, 평균 5.83±4.66이었다. 신체화, 우울, 불안, 적대감 및 예민성간의 상관관계를 알아보기 위하여 검증(Pearson"s Correlation)한 결과, 5가지 변수 모두에서 정적 상관을 보였다. 대상자들의 정신건강 상태에 유의한 영향을 미치는 인구사회학적 변수로는 성별, 직업, 이민 만족도, 신체적 건강상태로 나타났으며, 신체화, 우울, 불안, 적대감 및 예민성의 평균 점수는 정상 범위 이내에 분포되어 있어 캐나다 이민자들의 정신건강 상태가 우리나라 성인보다 양호한 상태임을 알 수 있었다. 본 연구를 토대로 상대적으로 정신건강 상태가 취약한 대상자인 여자와 직업이 없거나 판매ㆍ서비스직에 종사하는 군, 이민에 대해 거의 만족하지 못하거나 그저 그렇다로 응답한 군, 신체적 건강상태가 나쁘거나 아주 나쁘다고 응답한 대상자 및 정신건강상태에서 고위험군이거나 임상적으로 진단을 내릴 수 있는 범주의 대상자를 중심으로 보다 체계적이고 적극적인 중재활동을 수행할 것을 제언한다. The purpose of this study was to survey the basic data for Korean immigrants" mental health status (somatization, depression, anxiety, hostility, Sensitivity) in Canada. A descriptive study has been conducted to report Korean immigrants" mental health states, to identify the risk factors associated with mental health. Three hundred eighty six Korean immigrants" in Canada were analyzed by visit-survey with an organized questionnaire. SCL-90-R for measurement of mental health was used. The data collected using SPSS 17.0 frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson"s Correlation Coefficient was analyzed. Somatization was 7.54±6.04 ranged 0 to 32, depression was 9.07±6.86 ranged 0 to 38, anxiety was 28±5.10 ranged 0 to 28, hostility was 2.89±3.05 ranged 0 to 22, and sensitivity was 5.83±4.66 ranged 0 to 30. This study shows that a number of characteristics of the Korean immigrants in Canada affect levels of mental health states, the most noticeable of these factors being sex, job, immigration satisfaction and heath state. (Korean J Str Res 2010;18:191∼199)

손상자료 분석을 통한 근거기반의 부산광역시 교통안전 프로그램 개발 연구

박우근,배정이,서재호,Park Wookeun,Bae Jeongyee,Seo Jaeho 부경대학교 인문사회과학연구소 2015 인문사회과학연구 Vol.16 No.2

본 연구는 부산광역시 교통사고 실태와 현황을 파악하고 교통안전도를 증진시키기 위해 위하여 2008년∼2012년도 부산광역시 경찰청 교통사고 통계 연보를 토대로 분석하고 손상통계를 근거로 프로그램을 개발하였다. 특히 교통사고 발생률, 음주운 전, 안전벨트 및 보호 장구 착용여부 등을 파악하여 근거기반의 교통사고 예방사업 프로그램 개발과 정책수립에 기초 자료로 이용되고자 시도되었다. 분석결과, 교통사고 손상발생현황은 남자가 여자보다 5배 이상 더 높았고, 연령이 증가할수록 손상빈도도 더 높았다. 시기별로는 11월과 4월의 토요일, 금요일이 높았고, 시간상으로는 오후 6~7시 퇴근시간이 발생빈도가 높았다. 어린이 교통사고는 오후 2시에서 8시 사이에 사고발생이 집중되어 있었고, 음주운전 교통사고 손상발생 건수는 19~44세 (청·장년) 연령층이 가장 많았다. 또한 사고당시 운전자의 안전벨트 및 보호구 착용여부는 여자가 남자보다 높았고 연령별로는 초등학생이 가장 저조하여 교통안전 프로그램의 개발과 보급이 시급하다는 사실을 다시 한번 확인할 수 있었다. 이상의 분석 결과를 근거로 교통안전 프로그램을 연령별로 도출하고 이를 실행하기 위한 전략으로 교육, 환경개선 및 규제강화의 3가지 전략으로 접근할 수 있는 프로그램을 개발하였다. The objective of this research is to analyze the traffic accident statistics of Busan Metropolitan city and to find out the most effective program for Busan citizens according to the evidence based approach. In order to provide supporting data according to the current situations of Busan citizens’ traffic accidents, we analyze the statistic data of traffic accident of the Busan Metropolitan Police Agency to find out the causes of traffic accidents and their actual conditions. We have developed an evidence based Traffic Accident Prevention Program according to ages through the analyzed data so far. In detail, we developed and spread a car accident prevention education program for children and the elderly. For teenagers, we developed a program for wearing helmets, and for adults, we developed and spread a program for making a safe driving culture. As well, we made school zones and senior zones around schools and senior centers. Evidence-based approaches are prominent on the national and international agendas for health policy and safety promotion. This development process will guide other programs specific for other safety promotion programs.

신경언어프로그래밍을 활용한 알코올중독 집단상담 프로그램 개발 및 효과

김희진 ( Kim Heejin ),배정이 ( Bae Jeongyee ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2018 정신간호학회지 Vol.27 No.2

Purpose: The aim of this study was to develop and evaluate the effectiveness of a group counseling program using neurolinguistic programming (NLP) for individuals abusing alcohol. Methods: In a quasi-experimental study, 48 participants were recruited from five alcohol medical centers. The NLP group counseling program was provided to the experimental group for 90 minute sessions twice a week for 5 weeks. Pre-post data were collected from November, 2014 to April, 2015. Data were analyzed using descriptive statistics, chi-squared tests, and independent t-tests. Results: Compared with the control group, participants in the experimental group showed significantly decreasing scores for depression (t=-2.19, p=.033) and alcohol craving (t=-3.59, p=.001). Participants in the experimental group also showed improved self-efficacy related to drinking refusal (t=3.05, p=.004). Conclusion: Study findings support using the NLP group counseling program with patients abusing alcohol as it is effective in improving depression, drinking refusal self-efficacy, and craving. Therefore, the NLP group counseling program is a useful nursing intervention to prevent relapse in alcoholics.

소방공무원의 외상 후 스트레스 예측모형 구축 : 외상 후 스트레스 예측모형

김윤정(Yoonjung Kim),배정이(Jeongyee Bae) 위기관리 이론과 실천 2020 Crisisonomy Vol.16 No.5

본 연구는 소방공무원의 외상 후 스트레스를 설명하고 외상 후 스트레스 예방 및 관리에 대한 체계적인 지침을 제공하고자 시도되었다. 소방공무원의 외상 후 스트레스에 직접적인 영향을 미치는 변수는 외상성 사건의 경험, 직무스트레스와 대처방식이었다. 이 중 직무스트레스는 소방공무원의 외상 후 스트레스에 가장 큰 직접적인 영향을 미친 변수로 밝혀졌다. 지각된 사회적 지지는 외상 후 스트레스에 직접적인 영향을 주지는 않지만, 대처방식을 거쳐서 외상 후 스트레스에 영향을 주는 것으로 규명되었다. 따라서 소방공무원의 외상성 사건의 경험이 외상 후 스트레스로 이행되는 것을 예방하고 관리하기 위해서는 대처전략을 향상시켜 외상성 사건의 경험에 의한 충격을 적절히 해소할 수 있도록 해야 할 것이다. 또한 조직 내 친화성을 기반으로 직무스트레스를 경감하고 적절한 사회적 지지를 강화시키는 전략개발과 제도도 마련하는 것이 바람직하다. The purpose of this study was to explain the post-traumatic stress (PTS) of firefighters by developing a hypothetical model based on the stress-coping-adaptation model and applying it to the PTS of firefighters. The data were collected during December 1-31, 2016 from 136 firefighters working in three fire stations in G province of Korea and analyzed using SPSS/WIN 21.0 and AMOS 21.0 programs. The fitness of the modified model was improved as X²/DF=1.56, RMSEA=.01, GFI=.99, AGFI=.99, CFI=.99, IFI=.99 and NFI=.99. In the modified model, the effect size of the variables directly affecting the PTS of firefighters were in the order of job-related stress, coping strategies, and experiences of traumatic events, while the perceived social support had an indirect effect on PTS through coping strategies. In order to prevent and manage the experiences of traumatic events of firefighters with PTS, coping strategies should be improved to properly handle the traumatic experiences. In addition, it is desirable to develop strategies and systems to reduce job-related stress and strengthen the level of social support based on the affinity of the organization.

간호대학생의 감성역량증진 프로그램 개발 및 효과: 비동등성 대조군 전후설계

강혜원(Kang, Hyewon),배정이(Bae, Jeongyee) 한국간호교육학회 2021 한국간호교육학회지 Vol.27 No.4

Purpose: The objectives of this research are to verify the development and effectiveness of a nursing student emotional competency promotion program that is important in professional nursing strategies for strengthening the psychological well-being of patients. Methods: This research was done by developing an emotional competency promotion program for nursing students according to the analysis, design, development, implementation, evaluation (ADDIE) model. Apply the program to students and evaluate their effects on their self-awareness, self-management, social awareness, relationship management and self-efficacy using a nonequivalent control group pretest-posttest design. The subjects of this research were 48 nursing students enrolled in the department of nursing of D College; 24 students were placed in the experimental group and 24 students were in the control group. The experimental group participated in the developed program from December 18, 2017 to January 12, 2018, for a total of 8 sessions. Each session was 120 minutes long. For data collection, a pretest, posttest 1 and 2 were performed using an independent t-test and repeated measure ANOVA using SPSS/WIN 22.0. Results: The experimental group who participated in the emotional competency promotion program showed higher self awareness (F=5.65, p=.005), self management (F=11.12, p<.001), social awareness (F=5.02, p=.009), relationship management (F=11.22, p<.001) and self-efficacy (F=14.24, p<.001) than the control group. These results were supported by a statistically meaningful difference in the time period and the interaction between the time period and the two groups. Conclusion: The study’s findings indicate that the emotional competency promotion program developed through this study is effective at increasing the self-awareness, self-management, social awareness, relationship management and self-efficacy of nursing students.