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.

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.

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.

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.

자연치유 관점에서 숲치유 프로그램이 성인의 혈당과 우울에 미치는 효과

전미경(MI KYEONG JEON) 한국자연치유교육학회 2022 자연치유교육학회지 Vol.6 No.1

This study was conducted to compare the results before and after the forest healing program in a situation where modern people are increasing the number of depressed patients due to stress and diabetes is increasing due to the improvement of the national standard of living. The subjects of the study were selected as 30 ordinary people living in Gyeonggi-do. As a result of the study, the blood sugar change after first adults received the forest healing program was 134.07 before forest healing, and it was lowered to 111.80 after forest healing, and this result was significant. Second, as for the change in depression, the average of depression before forest healing was 1.44 and the average after forest healing was 1.29, which significantly reduced the degree of depression. The significance of this study is that first, the effect of the forest healing program at Haknyeongsan Mountain in P-si, which is easy for urban residents to go, was confirmed. Second, the forest healing program was approached from the perspective of natural healing and the effects on blood sugar and depression were integrally verified. Finally, the limitations and suggestions of the study were presented. 본 연구는 covid19가 진행되고 있는 상황에서 현대인들이 스트레스로 인해 우울 환자가 늘어나고 있고, 국민 생활수준의 향상으로 인해 당뇨병이 증가되고 있는 상황에서 숲치유프로그램을 진행하기 전과 후의 결과를 비교하기 위한 목적으로 진행하였다. 연구 대상자는 경기도에 거주하는 일반인 30명으로 선정하였다. 연구 결과, 첫째 성인들이 숲치유프로그램을 받은 후 혈당 변화는 숲치유를 하기 전 134.07이었고 숲치유를 하고 난 후 111.80 으로 낮아졌으며 이 결과는 유의하였다. 둘째, 우울감 변화는 숲치유 이전 우울 평균은 1.44이었고 숲치유 이후 평균은 1.29로 나타나 우울 정도가 유의하게 줄어들었다. 본 연구의 의의는 첫째로 도시인들이 가기 쉬운 P시 소재의 학령산에서의 숲치유프로그램의 효과를 확인하였다는 점이다. 둘째로 숲치유프로그램을 자연치유적 관점에서 접근하여 혈당, 우울에 대한 효과를 통합적으로 검증하였다는 점이다. 마지막으로 연구의 한계점과 제언을 제시하였다.

전문간호사제도에 대한 의료인의 경험

김민영,전미경,최수정,김정혜,김희영,임초선,Kim, Min Young,Jeon, Mi-Kyeong,Choi, Su Jung,Kim, Jeong Hye,Kim, Heeyoung,Leem, Cho Sun 한국중환자간호학회 2021 중환자간호학회지 Vol.14 No.2

Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.

한국 전문간호사의 분야 체계화 관련 연구

김민영,최수정,전미경,김정혜,김희영,임초선,Kim, Min Young,Choi, Su Jung,Jeon, Mi-Kyeong,Kim, Jeong Hye,Kim, Heeyoung,Leem, Cho Sun 병원간호사회 2020 임상간호연구 Vol.26 No.2

Purpose: This study was conducted to provide basic data for the systematization of 13 areas related to Advanced Practice Nurses (APN). Methods: The three-phase study was conducted as follows. 1) review of APN system and curriculum, 2) Focus Group Interviews (FGI) with 9 APNs, 6 physicians, and 3 nursing professors on the APN system, 3) analysis of clinical practice of the 13 APN areas, and of the accreditation and certification system for APNs, medical board, and medical subspecialty board. Based on the above data, a systematic plan was drawn. Results: The 13 APN areas could be divided into 7 groups based on a review of the APN system and curriculum for the 13 areas. Analysis based on clinical practice showed that the 13 APN areas could be divided into 4 groups. Two themes and seven categories emerged in FGI. The two themes were 1) 13 APN areas that need to be discussed, 2) improving the curriculum for APN. Considering these themes from FGI and the system of the medical subspecialty board, results could be integrated into 2 groups - clinical area and non-clinical area. Conclusion: The 13 APN areas need to be integrated in order to activate the APN system. For that, further discussions on improvements and a standard curriculum according to legislation related to APN should be carried out.

신규 간호사의 관계지향(Reinforcement of Resilience and Relation) 프로그램 개발

이미영 ( Lee Miyoung ),전미경 ( Jeon Mi-kyeong ),이미경 ( Lee Mi-kyoung ),임숙빈 ( Im Sookbin ),변은경 ( Byun Eun Kyung ),정은자 ( Chung Eunja ) 병원간호사회 2020 임상간호연구 Vol.26 No.2

Purpose: The purpose of this study was to develop a program for reinforcing the resilience of new nurses and relation-oriented organizational culture. Methods: An Intervention Research (IR) model was used to develop a program. Literature review, focus group interviews with nurses and need surveys were conducted from August to December 2018. Based on the results of the investigation, the researcher developed the content of a program. The program was revised by nurse managers for the content validation. Results: According to the results of the need surveys, 58.8% of the participants thought relation-oriented culture was the most ideal, and 61.8% of the participants wanted to participate in a program for organizational culture improvement. In the focus group interview, not only new nurses but also wards and nursing organizations should be a target subject of the program. Reinforcement of resilience and relation (3R) program was developed as a one-year course, which includes a ‘mentor-mentee’ program and a ‘thanks’ program. Conclusion: It would contribute to improving the resilience of new nurses and creating a relation-oriented organizational culture by 3R program. The 3R program could play a role as expanded program from an existing pragmatic short-term training program for improving the competencies or communication skills of new nurses.