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인지행동 프로그램이 정신분열병 환자의 불안과 삶의 질에 미치는 효과
현미열 ( Mi Yeul Hyun ),유숙자 ( Sook Ja Yu ),이종은 ( Jong Eun Lee ) 한국정신간호학회 2004 정신간호학회지 Vol.13 No.3
N/A Purpose: This study was designed to examine the effects of cognitive-behavioral program on the problem-solving ability, depression and self-esteem in the schizophrenic patients. Method: The subjects consisted of forty-six schizophrenic patients who had been treated in Inha University Hospital and one mental hospital in Kyung-Ki Do. Twenty-two of them were assigned to the experimental group and twenty-eight to the control group. Data were collected from Nov., 2002 to Jan., 2003. The cognitive-behavioral program was conducted for the experimental group once a week for 60 minutes for 8 weeks, and not for the control group. For both group the scores of problem-solving ability, depression and self-esteem were measured before and after experiment. The data were analysed by χ²-test, t-test, Fisher exact test, paired t-test, unpaired t-test and Pearson correlation with the SAS program. Result: 1. The scores of state anxiety significantly decreased in the experimental group(P=0.0443). The scores of trait anxiety was no significant difference within and between the two groups. 2. There was no significant difference within and between the two groups in scores of QoL. As a result of this study, cognitive-behavioral program has a positive effect on state anxiety in schizophrenic patients. Thus cognitive-behavioral program could be considered an useful nursing intervention program for the schizophrenic patients.
사회인지증진을 위한 인지행동집단치료가 만성조현병 환자의 자기효능감, 대인관계기능, 사회생활기술에 미치는 효과
현미열 ( Hyun Mi Yeul ) 한국간호과학회 정신간호학회 2017 정신간호학회지 Vol.26 No.2
Purpose: The purpose of this study was to evaluate the effects of cognitive behavioral group therapy improving social cognition on the self efficacy, relationship function and social skills for chronic schizophrenia. Methods: This study employed a nonequivalent control group pretest-posttest design. Fifty-two participants were selected from patients with chronic schizophrenia, and they divided into an experimental group(26) and control group(26). Cognitive behav-ioral group therapy was used as the experimental treatment from March to May. Therapy was administered once a week over 10-weeks. Results: The results showed that compared to the control group, experimental group improved on relationship function and social skills and showed better self-reported self efficacy. Conclusion: These results indicated that the cognitive behavioral group therapy improving social cognition is an effective nursing intervention to increase the levels of self efficacy, relationship function and social skills.
아동청소년기 따돌림 경험 유형에 따른 대학생의 대인관계 문제와 정신건강
현미열 ( Mi Yeul Hyun ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2016 정신간호학회지 Vol.25 No.2
Purpose: The purpose of this study was to identify the interpersonal problems and mental health of college students according to their experience of bullies and of being victims of bullying in childhood and adolescence. Methods: The questionnaire was completed by 221 college students in J city. Data were collected during November and December, 2015. The data were analyzed and interpreted using descriptive statistics and ANOVA with the PASW Statistics 18.0 program. Results: Nearly 65% of participants reported having experienced bullying victimization, bullying perpetration when they were in elementary, middle or high school. Interpersonal problems were significantly different between victims or victim-perpetrator and a control group (F=13.12, p<.001). Mental health was significantly different between victims, perpetrator or victim-perpetrator and a control group, (F=13.15, p<.001). Conclusion: Participants commonly reported experiencing bullying while at school and these reports were associated with higher interpersonal problems and lower levels of mental health. Bullying experience needs further investigation as a preventable cause of interpersonal problems and mental health problems across the lifespan.
일반논문 : 제주지역 어선원의 알코올 의존도,도박 성향 및 건강관련 삶의 질
현미열 ( Mi Yeul Hyun ),조옥희 ( Ok Hee Cho ) 제주대학교 탐라문화연구소 2014 탐라문화 Vol.0 No.45
본 연구는 제주지역 어선원의 알코올 의존도,도박성향 및 건강관련 삶의 질수준을 파악하고,알코올 의존도와 도박성향에 따른 건강관련 삶의 질의 차이를 파악하기위한 서술적 조사연구이다.본 연구에서는 제주지역 연안과 근해에서 어업활동을 하는 어선원 중 최근 1년 이내 승선 경력이 있는 155명을 대상으로 알코올 의존도,도박성향과 건강관련 삶의 질에 대해 설문조사를 실시하였다.연구 결과,대상자 중 일반 음주자는 61.3%,문제 음주자는 38.7%이었으며,비문제성 도박자는 61.3%,저위험 도박자는 14.8%,중위험 도박자는 11.6%,문제성 도박자는 12.3%이었다.도박성향에 따른 EQ-VAS삶의 질 점수의 차이는 없었으나,문제성 도박자의 EQ-5D 삶의 질 점수는 비문제성 도박자,저위험 도박자와 중위험 도박자보다 낮았다.문제성 도박자 중 통증/불편감 영역과 불안/우울영역에서 문제를 호소한 대상자의 비율이 비문제성 도박자,저위험 도박자와 중위험 도박자보다 높았다.이상의 결과로 문제성 도박자의 삶의 질이 비문제성 도박자,저위험 도박자와 중위험 도박자보다 낮음을 확인하였다.추후 어선원의 삶의 질에 영향을 미치는 다양한 변수를 규명하여 삶의 질을 향상시키는 건강증진 방안이 모색되어야 하겠다. The present study investigated differences in health-related quality of life with regard to alcohol dependence and gambling tendency among fishermen in Jeju, Korea. Descriptive surveys were conducted with 155 fishermen who had been onboard fishing vessels within the preceding year inshore and around the coastal waters off Jeju Island. Responses indicated normal alcohol consumption among 61.3% of the fishermen surveyed and problematic consumption among the rest (38.7%). Results also showed non-problem gambling behaviors in 61.3% of participants, low-and moderate-level problems in 14.8% and 11.6%, respectively, and problem gambling in 12.3%. EQ-5D quality of life scores were higher among those younger than 60 years and in proportion to education level. EQ-VAS scores did not differ according to gambling tendency; however, EQ-5D scores attained by those with problem gambling behaviors were lower than scores attained by those having non-problem gambling behaviors or low-and moderate-level problems. The proportion of participants who complained of pain/discomfort and anxiety/depression was also higher among those with problem gambling behaviors. The study found that it confirmed that quality of life for those with problem gambling behaviors was lower than for those who had non-problem gambling or low-and moderate-level problems. Health promotion measures to improve quality of life will need to be established in the future, through elucidating the various variables that affect quality of life for these fishermen.
임상간호사의 직무 스트레스와 직무만족도에 대한 사회적 지지의 조절효과
김정희,현미열,Kim, Jeong-Hee,Hyun, Mi Yeul 한국직업건강간호학회 2005 한국직업건강간호학회지 Vol.14 No.2
Purpose: This paper was attempted to focused on the analysis of job stress and job satisfaction according to the moderating effects of social support. Method: Data collected from 302 staff nurses in 2 general hospitals, with self-reporting questionnaires(Wolfgang's HPSI, modified Hagihara's social support, and MSQ). Descriptive statistics, Cronbach's alpha, Pearson correlation, ANOVA, and moderated regression analysis were used. Result: The subjects exhibited significantly highest level of 'the work and patients' conditions'. The perceived job stress was negatively correlated with supervisor and co-workers' support, and job satisfactions. Also supervisor and coworkers' support were positively correlated with job satisfactions. The main factor that affected the job satisfactions was 'work and patient conditions' and it was explained 35.5% out of the total variance of the job satisfactions with 'the work load and disturbing factor', 'supervisor support' and 'co-workers' support'. Supervisor support moderated the relationships between 'the patient care responsibilities and career development factor' and satisfaction. Conclusion: For developing the stress management program for hospital nurses, 'the work and patients' conditions', and the strategies of strengthening 'supervisor and co-workers' support' should be considered. In addition to, it may be considered to examine the effects of social support on the other criterion variables.