신장 재이식 대기자의 경험

전미경,김금순,Jeon, Mi kyeong,Kim, Keum Soon 한국중환자간호학회 2015 중환자간호학회지 Vol.8 No.1

Purpose: The purpose of this study was to explore the experience of patients on the waiting list for kidney retransplantation. Methods: The data were collected by individual in-depth interviews of nine patients who were dialyzed after primary kidney graft dysfunction and were waiting for deceased donor kidney retransplantation. All interviews were audio-taped and transcribed, and were analyzed using a phenomenological method. Results: The findings included 5 theme clusters and 13 sub-themes. The 5 clusters were 'Diagnosed with chronic renal failure and dialysis: Broken daily life and crisis', 'Kidney transplantation: The only way to escape from dialysis', 'Kidney graft failure: Inevitable moving backward to hemodialysis', 'Self-management of re-dialysis patients: Growth through pain', and 'The waiting for kidney retransplantation: To try again in the hope of getting a new life'. Conclusion: This study provides a deep understanding of patients with dialysis who are waiting for deceased donor kidney retransplantation. On the basis of the findings of this study, health professionals can provide customized information and develop effective nursing interventions to improve the self-management of these patients.

한국어판 자기관리 측정도구(Partners In Health scale)의 타당도 및 신뢰도 분석

전미경,안정원,박연환,이미경,Jeon, Mi-Kyeong,Ahn, Jung-Won,Park, Yeon-Hwan,Lee, Mi-Kyoung 한국중환자간호학회 2019 중환자간호학회지 Vol.12 No.2

Purpose : The purpose of this study was to validate the Korean version of Partners In Health scale (PIH-K) which is used to measure the self-management of patients with chronic illnesses in Korea. Methods : Translation of the 12-item PIH-K was conducted according to the World Health Organization guidelines. Data from 306 participants who took medicines over 3 months by doctor's prescription were collected from October to November 2017. Validity such as content validity, construct validity, and concurrent validity were conducted using content validity index (CVI), exploratory and confirmatory factor analyses (CFA). To evaluate concurrent validity, the correlation coefficients between the PIH-K and concurrent scales (Self-As-Carer Inventory) were calculated. The reliability of the PIH-K was examined using the internal consistency and test-retest reliability tests. Results : The CVI of the PIH-K was 0.91. According to the CFA, factor loadings for four factors ranged from .64 to .97, which explained 67.5% of the total variance. The PIH-K was significantly correlated with concurrent variables such as those on the Self-As-Carer Inventory. The Cronbach's ${\alpha}$ was .86 and the intraclass correlation coefficient for the two-week test-retest reliability was .88. Conclusion : Findings show that the PIH-K is reliable and valid in measuring self-management of patients with chronic illnesses.

냉요법 적용이 관상동맥 우회술 환자의 흉관 제거시 통증에 미치는 효과

전미경,김금순,Jeon, Mi-Kyeong,Kim, Keum-Soon 한국중환자간호학회 2008 중환자간호학회지 Vol.1 No.1

Purpose: Patients who underwent a coronary artery bypass graft surgery(CABG) experienced the unpleasant emotions and discomfort when their chest tube was removed. The purpose of this study was to evaluate the effects of cold therapy on pain related to chest tube removal(CTR) in CABG patients. Methods: Fifty adult patients undergoing CABG were recruited in a prospective, double blinded study. Subjects were divided into the experimental group and the control group considering their sex and age. The pretest data were obtained 20 minutes before CTR. Patients in the experimental group, received cold therapy for 10 minutes before CTR. Pain sense and intensity were determined immediately after CTR and at 10 minutes after CTR. Results: The total score of pain sense immediately after CTR of the experimental group was significantly lower than that of the control group(t=-3.703, p=.003). And scores of pain intensity immediately after CTR in the experimental group were significantly lower than that of the control group(t=-3.073, p=.001). But, there was no significant difference in the score of pain intensity 10 minutes after CTR between the experimental and the control group(t=1.759, p=.085). Conclusion: The cold therapy would be recommended as an effective and nonpharmacologic nursing intervention for relieving pain in patients undergoing CTR.

『노생거 사원』에 나타난 이중적 서술과 여주인공의 성장

전미경 ( Mi Kyoung Jeon ) 근대 영미소설 학회 2006 근대 영미소설 Vol.13 No.1

“The crisis of values” marked the period in which Jane Austen worked as a female writer. This was so because many prejudices had been eliminated and yet still many values coexisted. One of the most remarkable things in Austen`s time was the attempt to redefine the notion of femininity by feminist writers, which was closely related with the cultural milieu in which women emerged as producers as well as consumers in the literary market. The literary world was, however, still under the control of male writers. So not only was there the ideological pressure on women`s self-expression, but also writing a novel seemed too improper a career for women. Therefore Austen employed a strategy of indirect discourse to gain approval from the public about her narrative of women`s experience in her time, the narrative device of a double vision. So there are two conflicting standpoints in her novel. While the first-person narrator in the novel pretends to conform to the values and views that suppress women and their self-expression, the other persona assumes critical attitude toward the ideological pressure on women. Northanger Abbey, in particular, has a double structure of meaning, and by so doing reveals Austen`s awareness of the strained relation between the old vision of society and the new one of it. In particular, the central concern in the novel is with the conflict between the conservative view of femininity and its new interpretation. Its “official” plot parodies the improbable and sentimental romance. The first-person narrator portrays Catherine, the heroine of the novel, as a simple, immature girl. But Austen`s real motive is to attack the patriarchal society whose false moral standard, the domestic ideology, confuses women`s sense of identity and weakens their autonomy in the society.

Factors Affecting Nursing Students' Quality of Life

전미경(Mi-Kyeong Jeon) 위기관리 이론과 실천 2023 Journal of Safety and Crisis Management Vol.13 No.2

대학생의 Type D 성격 유형에 따른 대학생활 스트레스

전미경(Mi-Kyeong Jeon),김유정(Yu Jeong Kim) 대한스트레스학회 2017 스트레스硏究 Vol.25 No.3

본 연구는 대학생을 대상으로 Type D 성격 유형과 대학생활 스트레스 정도를 파악하고, 스트레스에 영향을 미치는 요인을 파악하기 위해 시행되었다. 2016년 12월 1일부터 20일까지 2개 대학교 총 226명 학생을 대상으로 자료를 조사하였다. 분석 결과 Type D 성격 유형은 전체 대상자 중 40.3%이었으며, Type D 성격 유형의 학생이 그렇지 않은 학생에 비해 전공 만족도 및 학교 만족도가 낮게 나타났다. 또한 대학생활 스트레스는 Type D 성격 유형, 전공 만족도와 학교 만족도가 낮을수록 높게 나타났다. Type D 성격 유형 대학생이 스트레스에 대한 적극적인 대처를 할 수 있는 중재 프로그램이 필요하다. Background: The purpose of this study was to investigate the effect of Type D personality on life stress in university students. Methods: A total of 226 students were recruited from 2 universities. Data were collected from December 1 to 20, 2016. Results: About 40.3% of participants were classified as Type D personality group. Students with type D personality had lower major satisfaction and university satisfaction than students who did not. In addition, life stresses were higher as Type D personality, were negatively correlated with major satisfaction and university satisfaction. Conclusions: It is necessary to develop an intervention program so that Type D personality students can cope with stress actively.

제인 오스틴의 『설득』에 나타난 변화

전미경 ( Mi Kyoung Jeon ) 한국근대영미소설학회 2011 근대 영미소설 Vol.18 No.2

This essay explores Jane Austen`s perception of the social changes and their resulting change in values of her time in her last complete novel, Persuasion. Through discussing some issues related with the changes, this essay aims to reveal Austen`s awareness of the strained relation between the old vision of society and the new one and contend that the deep-seated prejudice that Austen was without any historical and social consciousness is not true, after all. In Persuasion, Austen portrays the picture of society in transition where the old values conflict with the new ones and the traditional landed class hands over the cental position to the newly emerged class. The bankruptcy of Elliots, the gentry clinging to the traditional values, symbolizes the disabled patriarchal society. However, the change is represented as improvement and those who accept the change and avail themselves of the time can be the new main axis of the society. In addition, Austen shows a new and concrete vision of the womanhood. The model of a new woman represented in Persuasion is not central to its narrative, but her presence is very revealing in that she is presented as a desirable figure for all her unfeminine qualities.

뱀(Snake) 상징에 대한 연구

전미경(Mi Kyoung Jeon) 한국모래놀이치료학회 2022 모래놀이상담연구 Vol.18 No.2

인간의 역사, 문화와 함께 오늘날까지 변함없이 존재하고 있는 것이 상징이다. 인간 생활의 변화 속에서 상징이 주는 의미는 시대에 따라 재해석되고 확장된다. 이는 우리의 정신세계를 연결해 주는 다리 역할을 하고 있다. 모래놀이치료에서 모래상자에 담겨 있는 투사물은 각각의 고유한 이미지를 담고 있다. 우리는 특히 뱀을 보면 일반적으로 위협적인 동물이라고 생각하여 순간적으로 피하게 된다. 이러한 이미지로 인해 뱀이 내포하고 있는 상징성을 제대로 이해하는 것은 매우 중요하다. 본 연구에서는 뱀의 상징을 생물학적 특성과 함께 민담, 신화, 설화, 속담을 통해 그 의미를 살펴보았다. 뱀은 첫째 불사의 존재로서 신성성, 둘째 허물을 벗는 생물학적 특징으로 재생과 변환 및 치유, 셋째 선과 악, 성의 창조성의 지혜, 넷째 뱀이 새끼나 알을 많이 낳는 특성과 모양이 변하므로 달과 비유되는 여성성 및 다산과 풍요, 다섯째 용이 되기 위한 뱀의 보은, 마지막으로 인간을 유혹해서 죄를 짓게 하므로 욕망과 악의 상징성으로 나누었다. 이것을 바탕으로 모래놀이 치료과정에서 드러난 뱀의 상징성과 연결해보았다. 5세 남아는 자신의 무의식에서 뱀의 신성한 힘의 도움을 받아 자아를 강화하였다. 고등학교 2학년 여학생은 집을 나오면 뱀 같은 일이 일어난다. 이때의 뱀은 유혹하는 악의 이미지로 부정적 상징이 되었다. 그리고 54세 중년 여성은 자신의 내면에 있는 혐오스러운 존재들이 뱀으로 나타났다. 내담자는 보고 싶지 않은 부정적 이미지를 뱀을 통해 직면하며 정화의 눈물을 흘렸다. 내담자들은 모래상자에 투사된 뱀을 통해 자신 안에 있는 깊은 내면세계와 소통하고 있었고, 자신의 에너지 흐름에 따라 의미 있는 상징성을 보여주었다. 그 결과 뱀의 다양한 상징성과 상징적 의미 고찰이 되었다. It is a symbol that still exists with human history and culture to this day. The meaning of symbols in the changes in human life is reinterpreted and expanded according to the times. It serves as a bridge to connect our mental world. In sand play therapy, the projections in the sand box contain unique images of each. In particular, when we see snakes, we generally think they are threatening animals and avoid them momentarily. Due to this image, it is very important to properly understand the symbolism of snakes. In present study, the meaning of snake symbols was examined through folktales, myths, tales, and proverbs along with biological characteristics. Snakes were divided into the first sacred character as the existence of immortality, the second regeneration, transformation and healing as a biological feature of taking off the cast skin of snake, the third wisdom of good, evil, and sexual creativity, fourth femininity, fertility and abundance that is compared to the moon as snakes because of the characteristics laying a lot of babies or eggs and change of shape, the fifth repayment of kindness to become a dragon, finally, the symbols of desire and evil because they tempt men to sin. Based on this, we linked it to the symbolism of snakes revealed in the sand play treatment process. The 5-year-old boy was strengthening his ego with the help of the sacred power of the snake in his unconscious. A high school sophomore girl says something like a snake happens when she leaves her home. The snake at this time became a negative symbol with the image of tempting evil. And a 54-year-old middle-aged woman has found the repulsive beings inside her as snakes. The client shed tears of purification, facing a negative image that she did not want to see through a snake. The clients were communicating with the deep inner world in themselves through snakes projected in sand boxes, and showed meaningful symbolism according to their energy flow. As a result, it became a review of the various symbolism and symbolic meanings of snakes.

간이식 수혜자의 자기관리 구조모형

전미경(Jeon, Mi-Kyeong),박연환(Park, Yeon-Hwan) 한국간호과학회 2017 Journal of Korean Academy of Nursing Vol.47 No.5

Purpose: The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory. Methods: Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers’ autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program. Results: The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers’ autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers’ autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management. Conclusion: The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one’s self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.

『오만과 편견』의 역설적 비전: 장자상속제의 문학적 재현

전미경 ( Mi Kyoung Jeon ) 한국근대영미소설학회 2013 근대 영미소설 Vol.20 No.2

Pride and Prejudice is well known for its heroine`s moral and social growth. In addition, it ends with a romantic marriage based on personal affection, not on any material motive or familial interests. However, Austen was not a naive or daydreaming novelist, as is evident from her letters to her niece, Fanny Knight. In one of the letters, Austen states that “single women have a dreadful propensity for being poor, which is one very strong argument in favour of matrimony.” This propensity is attributable to the special kind of inheritance system in England, which limited an inheritance to the eldest son. As a material basis for almost all the people`s lives and consciousness in the novel, this social system, the practice of primogeniture or entail, causes many troubles to those in the novel, especially female characters. Women in material crisis have no choice but to marry whoever offers marriage to them, as is shown especially in the cases of the Bennet daughters` search for husbands and of Charlotte Lucas`s decision to marry Collins “solely from the pure and disinterested desire of an establishment.” In short, although her treatment of it is not only light and comic but also paradoxical, it is apparent that Austen`s concern with the inhuman and antifeministic inheritance system and its effect on women`s existence is very great.