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양진향(Yang, Jin-Hyang) 기본간호학회 2011 기본간호학회지 Vol.18 No.4
Purpose: Patients with chronic hepatitis B need lifelong health care because of progressive liver damage. The purpose of this study was to identify factors associated with self-management compliance among patients with chronic hepatitis B. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 118 patients with chronic hepatitis B from outpatient department in a tertiary hospital. Their ages ranged from 20 to 64. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with PASW statistics 19.0 program. Results: There were statistically significant differences in self management compliance by gender, age, job, alcohol consumption, and smoking. A positive correlation existed between self-management compliance, awareness of the importance of management, and self efficacy. Stepwise multiple regression analysis for self-management compliance revealed that the most powerful predictor was self efficacy. Self efficacy, age, and alcohol consumption explained 37.5% of the variance. Conclusion: The results indicate a need to promote self-management compliance with these participants. The findings also suggest that consideration be given to characteristics of age and alcohol consumption in developing strategies for enhancing self efficacy and developing programs to promote self-management for patients with chronic hepatitis B.
양진향(Yang, Jin-Hyang) 질적연구학회 2012 질적연구 Vol.13 No.2
Purpose: This study was done to explore the overall perspectives and experiences of adjustment among permanent colostomy patients. Methods: A qualitative method with content analysis was utilized. Participants with permanent colostomy were five men and two women from outpatient department in two university hospitals. Data were collected from iterative work with individual in-depth interviews from during the period from May to September, 2011. Contents of the interviews were tape-recorded with participant consent. Results: A total four major themes and nine sub-themes were emerged: a disorder which reversed one"s life; changed radial range of life; shifting perspectives of the body; reconstructing values of beings. Each theme appeared to be interrelated as time passes. Findings indicated that it was capable of a care for the human being and of living with the new condition. Conclusion: Findings indicated that participants" physical and psychosocial needs were fully unmet. Patients with permanent colostomy were particularly vulnerable and expressed a need for more information on knowing what to expect after surgery. Therefore, it is necessary for nurses to provide information and support that were tailored to individual need as well as being responsive to urgent patient concerns.
양진향(Yang Jin-Hyang),정혜연(Jung Hye Youn) 기본간호학회 2009 기본간호학회지 Vol.16 No.1
Purpose: The purpose of this study was to identify relationships between violence response, coping, and burnout among emergency department nurses. Method: This descriptive study using self report questionnaires was conducted from October 1 to October 20, 2008. Participants were 147 general nurses working in emergency departments in hospitals having over 500 beds and located in Busan. ANOVA and Pearson's correlation coefficients with SPSS PC+ WIN 14.0. were used to analyze the data. Results: Scores for violence response, coping, and burnout were 3.08 (1-5 scale), 2.57 (1-4 scale), and 3.22 (1-5 scale) respectively. There were significant differences in violence response and burnout by education, clinical careers, clinical careers in ED, and plans to work in the future, and no significant differences in coping by general characteristics. There was a significant and highly positive relationship between violence response and burnout. Conclusion: The degree of violence response and burnout was comparatively high, while that of coping was average. Therefore, it is necessary to develop effective programs related to prevention and coping with violence for nurses in emergency departments. Institutional measures by hospital authorities are also needed to improve the nursing quality by providing a safe workplace.