일 종합대학 학생들의 자가간호역량에 관한 조사

소향숙 中央醫學社 1991 中央醫學 Vol.56 No.10

The purpose of this study is to examine the predictors and variances explained of the Self-care Agency and the factors. The subjects were 280 junior and senior students at a university in Kwang ju city and the period for data collection was from June 15 to July 7, 1990. The instrument used was Exercise of Self-care Agency scale which was developed by Kearney & Fleischer (1979) and validated by So & Lee (1989). It came to be a modified tool that is composed of 34 items. The data were analyzed by X2-test, T-test, ANOVA and Scheffe test, Pearson's correlation and Stepwise multiple regression of SAS program. The results are summarized as follows: 1. The relations between Internal Health Locus of Control score, modified CMI, and Family Environmental Scale score and ESCA score were significant (r= .467, p= .0001: r= -.344, p= .0001: r= .394, p= .0001). 2. In analysis of the predictors and their variances explained of ESCA score, the Internal Health Locus of Control score predicted 21.8 % of ESCA score (F= 53.34, p= .0001), Family Environmental Scale score did 8.3 % (F= 22.59, p= .0001), and modified CMI did 5.4 % (F= 15.74, p= .0001). 3. In analysis of the predictors and their variances explained of the factors of ESCA, the independent variables predicted 31.3 % of Self-Concept factor, 22.1 % of Decision-making and Responsibility factor, respectively 17 % of Health Knowledge and concern, Information-seeking behavior, and Self-esteem factors, and 14 % of Passivity factor.

一部 農村 看護計劃을 위한 母子 健康 實態 調査

蘇香淑 순천청암대학 1981 論文集-順川看護專門大學 Vol.7 No.-

This survey is an attempt to obtain basic data on the maternal and child health for community health nursing practice. Housewives of 230 household at Daedae, Sinsuk villages,Inan Dong, Sunshun City, Chonnam were surveyed from May 1 to June 20, 1981. The results are summarized as follows: 1. The average age of subjects is 41.8 years and 85.7% of the group is primary school graduates or uneducated. The average age at marriage of subjects is 20.2 years, which shows the tendency of early marriage. Those who last give birth to children after 35 years of age stand at 40.5%, which shows that there are high risks in maternal and child health because of the old age of pregnant women. 2. The average pregnancies are 5.7 times, the average live births are 4.5 times and the average number of living children is 4.2. According to the difference of the number, it can be said that the need of ante-natal and post-partal care and child health care is urgent. 3. Wastage of pregnancy is 205 per 1000 child births and 72.7% si due to induced abortion. It is considered that wastage of pregnancy will be lowered when the loss of maternal and child health is prevented through the distribution of family planning. 4. Those who experienced the loss of children are 23.5% of the total. Since causes of death are diseases that can be prevented, health education including vaccination appears to urgently needed. 5. Women of 30-40 years of age have a tendency of more experiences of induced abortion and 65.5% get the knowledge of induced abortion through friends or neighbours. Among the reasons of induced abortion 68.8% is due to unwanredness of babies. The danger of maternal health in induced abortion stands at 34.5% and 14.9% feel guilty after abortion . Considering those results, it seend that the loss of maternal and child health can be prevented through the sound knowledge of induced abortions. 6. 97.4% of women delivered at home,17.4% received ante-natal care and 76.1% used unstrilized scissors when cutting unbilical cords. It can be pointed that the need of ante-natal care and education for awareness of asepic technique at delivery is urgect. 7. More than 12 months of breast feeding stands at 68.7% and weaning within 12 months stands at 48.7%. Since the appropriate weaning period is not kept, the education of infant-nutrition and weaning is necessary. 8. Less than one week of post-patal care stands at 57.4% and those have post-patal complication stands at 46.1%, which shows poor post-patal care. 9. Only 20.4% practice family planning and the use of IUD, tuballigation and oral pills ranged in order 46.8%, 21.3% and 17% respectively. Among reasons to give up ever used contraceptive methods, side-effects stands at 52.4%. Therefore the development of convenient contraceptive method without side-effects and the guidance of method of its exact practice will raise the rate of contraception practice.

항암화학요법 관련 오심과 구토 완화를 위한 비약물요법에 관한 연구동향

소향숙,최자윤,조인숙,김영재,김지영,김애숙,김옥미,김춘심,김현오,설영애,안정옥,이애리,이영자 성인간호학회 2003 성인간호학회지 Vol.15 No.3

Purpose: Purposes of this study were to understand the current trends on complementary therapy in relieving chemotherapy-induced nausea and vomiting and to suggest the future research direction. Method: Subjects were selected on CINAHL, MEDLINE, Korean Academy Data Base from 1980 to 2001 which used nausea, vomiting, chemotherapy and complementary therapy as key words in experimental studies. Eight korean articles and twenty-one international articles were analyzed in terms of general characteristics, research methods, and types of complementary therapy. Data were analyzed by using descriptive statistical methods. Result: Since 2000, researchers have more actively used complementary therapy. In subject characteristics, mean age was 35.5 years old, 45% of the researchers were performed with high level of incidence of chemotherapy induced vomiting, 14% of them set limit of consecutive cycle during research, and 65% of them did not comment the selecting criteria of sample. About 60% of them were designed post-test only control group: 35% used INV by Rhodes, 31% used Likert scale, and 24% used VAS for dependent variable. Muscle relaxation therapy was mostly applied for relief of nausea and vomiting. Conclusion: Further studies will be needed to control extrinsic variables affecting nausea and vomiting in research design and to accumulate evidence with studies applying various complementary therapies.

유방절제술을 받은 여성의 건강증진행위에 관한 연구

김현주,소향숙 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The purpose of this study was to examine the relationship among perceived health status, self-esteem. self-efficacy and health Promoting behavior, and to determine the predictors of health promoting behavior in post-mastectomy patients. The study, a descriptive correlational study, was done with structural questionnaires. A total of 51 Post-mastectomy subjects from C university hospital in Kwang-ju, South Korea completed mail-in self-reporting questionnaires during a three month period from March to June, 1999. The data were collected using Lawstone's(1982) perceived health status scale, Rosenberg's(1965) self-esteem scale, the modified self-efficacy scale(Shere et at, 1982), and the modified health promoting lifestyle Profile (Walker et al, 1987). The data obtained were analyzed according to percentage, mean and standard deviation, principal component analysis, varimax rotation, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression. The results were as follows : 1.The health promoting behavior measurement resulted in six factors. Each factor was labelled as follows : self-actualization, nutrition, stress management, exercise, health responsibility and interpersonal support. The total percent of variance explained by the six factors was 58.4% 2.The mean score of health promoting behavior was 85.92(range 58∼117). The scores of six factor were nutrition 3.20, self-actualization 2.59, stress management 2.58, interpersonal support 2.58, health responsibility 2.49, and exercise 2.34 on a four point scale. 3.When the score of health promoting behavior factors were compared by general characteristics. Factor I : self-actualization, differed significantly by the frequency of pregnancy (F=3.06, p=.037). FactorII : nutrition differed significantly by drinking experience(t=-2.26, p=.028) and the pre- or post stage of menopause(F=2.69, p= 078). FactorIII: stress management differed significantly depending on regularity of mensturation(t=-2.12, p=.042). FactorIV : exercise differed significantly by type of religion (F=2.49, p=.072), marital status(F=5.03, p=.010), and feeding type (F=2.64, p=.036). factorv: health responsibility differed significantly by regularity of mensturation(t=2.18, p=.037). 4.The total health promoting behavior score was significantly related to self-esteem and perceived health status(r=.610, p.006: r=.378, p=.006). The score of self- actualization also corresponded with self- esteem and perceived health status(r=.556, p=.001: r=.343, p=.013). 5.The predictor to explain the score of health promoting behavior was self-esteem, which accounted for 37.1% of the total variance. The predictor to explain the score of self-actualization was self-esteem, which accounted for 30.9% of the total variance. The score of nutrition was primarily affected by both premenopause and drinking experience, which accounted for 13.1% and 9.5% respectively. Finally, the scout·e of exercise was dictated by marriage, Buddhism, no experience of breast feeding, which accounted for 17%, 9.8%, & 5.2% respectively. In conclusion, self-esteem is the main predictor for health promoting behavior in post-mastectomy women. These findings suggest a need for nursing strategies which promote self-esteem in such patients.

방사선 치료를 받는 암환자의 피로 관련 요인간의 상관관계 연구

고은,소향숙 성인간호학회 2003 성인간호학회지 Vol.15 No.4

Purpose: The purpose of this study is t o investigate fatigue and its related factors in cancer patients receiving radiotherapy. Method: The subjects of this study consisted of 98 patients receiving radiotherapy. Subjects were recruited from C University Hospital radiation oncology unit located in Gwangju from March to May, 2001. Questionnaire and medical records were used for data collection. The obtained data was analyzed using SAS program that included descriptive statistics, t-test, ANOVA, Post-hoc test(Fisher's LSD) and Pearson's correlation coefficients. Result: The fatigue perceived by the subjects was middle level (5.59 ± 1.59) and 72.4% of them reported greater than 5 points. The subjects in no religion. low income, and spouse caregiver groups experienced the higher fatigue than another groups, respectively. The subjects in nasopharyngeal cancer, head & neck radiation site, and analgesics medication groups did, experience fatigue as well. The fatigue not only positively correlated with symptom distress, disruption of usual activity, sleep dissatisfaction, and mood state, but also negatively with less family support. Conclusion: Cancer patients receiving radiotherapy experience the middle level of fatigue and it correlates with the multi-dimensional factors. However, further research is needed t o identify the changes in fatigue over the radiotherapy period through longitudinal design and to develop nursing intervention for fatigue decrease.

화학요법을 받는 백혈병환자의 영양 및 구강건강상태에 관한 연구

홍미순,소향숙 中央醫學社 1997 中央醫學 Vol.62 No.1

This study aimed to determine nutritional status and oral health status and obtain a basic data on the nursing intervention in reducing oral cavity complications among leukemia patients receiving chemotherapy. Subjects were 40 institutionalized patients for leukemia in Chonnal National University Hospital, Kwang-ju City. Data were collected with the aid of 2 structured instruments(Nutritional Assessment which were composed of biochemical study, B.W., Triceps Skin Fold(T.S.F.), & Mid-arm Muscle Circumference(M.A.M.C.) and Oral Health Assessment which were composed of objective oral cavity measure and subjective oral comfort measure) at two times, before and two weeks after the treatment from Dec. 1, 1995 to July, 30, 1996 Data were analyzed by using SAS-PC+, paired t-test, ANOVA, Pearson correlation coefficients. The results were summarized as follows 1. Hemoglobin, hematocrit, serum albumin, total lymphocyte count, triceps muscle skin fold, and mid-arm muscle circumference were significantly lower in post-treatment scores than pre-treatment scores(p=.0001). And BUN and creatinine level were significantly higher in post-treatment scores than pre-treatment scores(p=.0001), but B.W. was not significantly changed(p=.1674). 2. The nutritional indices after two weeks chemotherapy were significantly different depending on age, sex, marital status, B.W. Hematocrit(p=.003), serum protein(p=.053), BUN(p=.033), M.A.M.C.(p=.0015) were significantly different depending on age. Hemoglobin(p=.05), hematocrit(p=.002), BUN(p= .0001), creatinine(p=.004), T.S.F.(p=.001), and M.A.M.C.(p=.0001) were significantly higher in male than in female. M.A.M.C.(p=.0064) was significantly higher in the married than in the. unmarried. Hemoglobin(p=.02), hematocrit(p=.03), BUN(p=.02), T.S.F.(p=.0017), and M.A.M.C.(p=.0001) were significantly different depending on B.W. 3. The oral health status and comfort scores after two weeks chemotherapy were significantly lower than the scores in pre-treatment(p=.0001 ; p=.0062). 4. The oral comfort score after two weeks chemotherapy was significantly higher in male than in female(p=.0346). 5. There was a strong relationship between the oral health status and the comfort scores(r=.90). 6. There was no correlation between nutritional indices before chemotherapy and oral status score after two weeks chemotherapy. 7. There were significant relationships among nutritional indices after two weeks chemotherapy. Hemoglobin level was correlated with hematocrit(p=.001), serum protein(p=.018 9) & albumin(p=.0145) ; hematocrit was correlated with serum protein(p=.0005) & albumin (p=.0003), B.W.(p=.0101), & M.A.M.C.(p=.0003). Serum albumin was correlated with protein(p=.0001), B.W.(p=.0321), M.A.M.C.(p-.02 10) ; total lymphocyte count was correlated with T.S.F.(p=.0054) B.W. was correlated with T.S.F.(p=.004), M.A.M.C.(p=.0001), & BUN(p=.0025) ; T.S.F. was correlated with M.A.M.C.(p=.0001) ; M.A.M.C. was correlated with BUMP =.0008) ; BUN was correlated with creatinine level(p=.0003). From the above findings, it is taken that leukemia patients receiving anti-cancer chemotherapy had the experienced of nutritional defects caused by disease and treatment. Especially nutritional status after two weeks chemotherapy was significantly poor than before chemotherapy. Therefore it is necessary to implement general nutritional assessment and support nutritional management by cancer nurses.

암환자의 원인지각 요인에 관한 연구

김유미,소향숙 성인간호학회 2001 성인간호학회지 Vol.13 No.4

The purpose of this study is to identify factors of the causal attribution of cancer and to determine related variables. Method: Subjects were one hundred and thirty three cancer patients. The tool of the perceived causal attribution used was developed by authors and basically founded on Kim's work(1993). The SAS program was used to analyze the data along with descriptive statistics. t-test. ANOVA. Duncan's Multiple range test, and Principal component analysis and varimax rotation. Results: 1) The perceived causal attribution measurement revealed four factors; overload, destiny, stress, and constitution. The total percentage of variance explained by the four factors was 44.3%. 2) The scores of destiny on women, having religion, unemployed, lower level of education, no spouse, groups of uterine cervix and lung cancer, not receiving an operation and receiving radiation were significantly higher than those other groups. 3) The scores of stress on women, having religion, and not having a job were significantly higher than those on men, without religion, and having a job. 4) The scores of constitution on those in their forties, women, not receiving an operation and receiving radiation were significantly higher than for those in their sixties, men, receiving operation and not receiving radiation. There was no significant difference in the factor scores of overload by any variables. Conclusion: Factors of the perceived causal attribution of cancer among Korean cancer patients were overload, destiny, stress, and constitution. The scores of each factor the perceived causal attribution was significantly different by general and disease related characteristics.

성인 암환자의 질병 특성에 따른 증상발생 정도

허혜경,이은현,이원희,소향숙,정복례,강은실 성인간호학회 2002 성인간호학회지 Vol.14 No.3

Purpose: This study was to investigate symptom occurrence related to the disease characteristics of patients with cancer. Method: A total of 301 patients with cancer participated in this study. The participants were recruited from University Hospitals located in Seoul, Wonju, Kwangju, Daegu, and Pusan. Data collection was performed by using a questionnaire on symptom occurrence. The obtained data was analyzed using SPSS computer program that included descriptive statistics, Pearson correlation, one-way ANOVA, and t-test. Result: The mean score of fatigue was the highest (3.24), followed by loss of appetite, lack of concentration, change in appearance, pain, insomnia, change in bowel pattern, nausea/vomiting, coughing, and dyspnea. Most symptoms were significantly correlated with each other. The level of symptom occurrence in patients with lung cancer or cervix cancer was significantly higher than the level in patients with stomach cancer. Patients receiving radiation therapy or a combined therapy of radiation therapy and chemotherapy experienced significantly higher level of symptom occurrence significantly higher level of symptom occurrence than those receiving chemotherapy only. Also, female patients experienced higher level of symptom occurrence than male patients did. Conclusion: The sites of cancer, types of treatment, and gender influence the level of symptom occurrence of patients with cancer. Thus, these variables should be considered when assessing and planing for symptom occurrence of patients with cancer.

The Factors Influencing the Job Satisfaction of Nurses

Hyang-Sook So,Young-Sook Bong 한국간호과학회 2007 한국간호과학회 학술대회 Vol.2007 No.11

A Prediction Model Development of the Quality of Life for the Kidney Transplantation Recipient

Hyang Sook So,Hyesook Kim 한국간호과학회 2007 한국간호과학회 학술대회 Vol.2007 No.11