Health Belief Model(건강신념모델)의 이론적 분석 및 간호학적 유용성 평가

金英玉 서강전문대학 1994 論文集 Vol.13 No.-

Health Belief Model is the theoretical formulation with phenomenological background to understand the individual health-disease realated behaviors based on the Lewin's Field theory and is one of the value-expectancy theory. This value-expactancy approach describes behavior under the condition of uncertainty, in which individual behavior is predicted from both the individual's valuation of an outcome and the expectation that a specific action will result in that outcome. Value in Health Belief Model are conceptualizd as individual perception of lower susceptability and seriousness on a particular disease, and the expactancy is related to individual estimation on the benifits of a particular health behavior. Therefore, individual psychological readiness formed by subjectively perceived its susceptability and seriousness on a particular disease, and individual perception on benefits and barriers of the particular health behavior comprises the belief elements variables which determine individual health behavior performance, and specified relationship among these variables frames Health Belief Model. Usefulness of Health Belief Model in Nursing discipline are as follows ; First, because the assessment of individual health beliefs affecting health behavior performance is possible, the direction of health education and nursing intervention can be planned more correctly, second, assessment of this beliefs and motivation leads to identify the potential patient, third, individual nursing care based on client's needs is possible. Finally, nurses in many nursing area can apply this model to nursing practice and devote to improve the explanation power for this model by empirical testing to validate the relationship among variables. The significance of Health Belief Model on nursing discipline are highly evaluated by suggesting new nursing approach based on knowledge about client's motivation and health beliefs, but the difficulties of development of standardized tools on the operationalization of beliefs variables, of quantification of some threshold of psychological readiness to act in the face of health threat are major critiques in the process of empirical testing. In addition, because the variables of this model are derived from individual perception, the application of Health Belief Model to group, not individual is limited. So these limitations suggest cotinuous refining Health Belief Model to improve the explanation power and to widen the domains of applicability

PCR을 이용한 Rat 기관지 세척액에서의 Pneumocystis carinii DNA의 검출 : 기초실험 A pilot study

김주옥,홍석철,한표성,이종진,김선영,이영하,신대환 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.1

Background: Pneumocystis carinii (PC) is a opportunistic pathogen causing serious pneumonia (Pneumocystis carinii pneumonia : PCP) in immunosuppressed patients including AIDS. Laboratory diagnosis of PCP is dependent on microscopic demonstration of the PC by using cytochemical staining or by immunocytochemical staining with monoclonal antibodies. However, these staining methods are not highly sensitive. The development of the polymerase chain reaction (PCR) has made it possible to detect very small numbers of pathogens in clinical specimens. To establish the usefulness of PCR for detection of PC DNA, We performed PCR as a pilot study. Methods: PCP was induced on Spraque-Dawley rats with prednisolone 5mg IM twice a week. Bronchial lavages, impression smears, and permanent sections were performed from the 3rd week to 7th week of cortisonized rats. PC DNA was extracted with bead beater / 10% CTAB method. Results: Impression smears showed PC cyst after the 4th week (100%, 28/28 rats), and permanent sections showed 27/28 rats. Control rats showed some PC cysts (2/7). PCR result was positive only one case among the 6th week rats (1/7), But positive 6 cases at the 7th week rats, (6/7). Among control rats. 2 cases were positive (2/7). ??This data is a pilot study for the PC DNA detection using a PCR. PCP were successfully cortisonized rats. If adequate bronchial washing technique will be used, PCR can be a sensitive for PC DNA detection.

병원 일반간호사의 강인성과 직업적 스트레스 및 소진현상과의 관계

김영옥 서강정보대학 2001 論文集 Vol.20 No.-

This study was designed to investigate the relationships of hardiness, job stress, and burnout and to identify predictors of burnout in nurses. Empirical data were collected from 154 staff nurses at one university hospital in Gwangju city. Self-reported questionnaire was composed of the Personal Views Survey(PVS), job stress scale, Tedium scale, and 6 items asking nurse' s general characteristics. Data analysis was done with SAS package. In correlation analysis, hardiness, job stress, and health status have significant correlation with burnout. In stepwise multiple regression, 25.3% of the variance in burnout was accounted for by job stress(12.4%), health status(7.1%), and hardiness(5.7%). Among subscales of hardiness, commitment was the only significant predictor, so job stress, hardiness, and commitment explained 25.6% of variance in burnout.

강인성에 대한 국내 간호논문 분석

김영옥 성인간호학회 2004 성인간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to identify patterns and trends of hardiness studies and to suggest the direction of further research. Method: Forty-seven hardiness studies were collected through internet searching and were reviewed by some criteria. Result: The results showed that hardiness studies have increased rapidly since 1990's. Eighteen studies were thesis' for degrees and others were for non-degree research studies. All studies employed the non-experimental design, particularly correlational studies. In the sampling method, all studies used non-probability sampling. Most commonly used instrument for hardiness measurement was Pollock(1986)'s HRHS. In the majority of research, hardiness was treated both as a composite measure and 3 subscales. Hardiness-related concepts were 27 and classified into 5 categories such as health behavior, stress, adaptation, support, and others. Most common statistical technique was Pearson's correlation coefficient, followed by regression, ANOVA, path analysis. Conclusion: To be utilized as practical nursing knowledge, hardiness studies should be done with more empirical analysis such as experimental research, and Meta-analysis is needed to compare the effect size and significance of composit and 3 subscales of hardiness construct.

울산 지리정보 시스템

옥철영,김영철,조정관 울산대학교 1997 공학연구논문집 Vol.28 No.2

지리정보 시스템은 수치화된 지리데이타를 화면으로 mapping시키고, 지리테이타와 그의 속성정보를 연계시킬 수 있는 초보적인 기능이 필요하다. 본 논문에서는 이러한 기능을 가진 지리정보 시스템을 구현하기 위한 방법을 제안하였다. 그리고 실제 울산시의 수치지도를 제작하고 업종별 전화번호부를 데이타베이스화하여 울산 지리정보 시스템을 구현하였다. 울산 지리정보 시스템은 수치화된 지번데이타와 업종별 전화번호부의 주소를 연계시켜, 질의된 해당 시설물이나 상호의 주소 위치를 지리테이타와 함께 화면으로 mapping시키는 지리정보 시스템의 응용 프로그램이다. GIS(Geographic Information System) needs two fundamental functions : a mapping function which maps a vetorized geographic data to screen and a relating function which associates the geographic data with their attribute information. This paper proposes a method to design the GIS which has the fundamental functions and implements an Ulsan GIS(UGIS). The UGIS consists of a vectorized Ulsan geographic data and a telephone database of business category. The UGIS associates a lot number in the Ulsan geographic data with an address in the telephone database, and maps an address of major building or a name of business queried to screen with the Ulsan geographic data.

간호학생이 지각한 건강상태, 강인성과 건강증 진행위와의 관계

김영옥 서강전문대학 지역발전연구소 2003 지역발전연구 : 서강전문대 Vol.9 No.-

This study was conducted to identify the relationships between perceived heath status, hardiness, and health promotion behavior among nursing students, and to identify predictors of health promotion behavior. The research subjects were 213 nursing students of one college in Gwangju. Self-reported questionnaires were composed of the Heath Perception Questionnaire, the Health-Related Hardiness Scale, and the Health Promotion Lifestyle Profile, and 4 items asking general characteristics. Data analysis was done with a SAS program. The results of this study were as follows ; 1) According to school year, health promotion behavior showed statistical significant differences (F=5.65, p=.0041). Typically 3-year students have higher score than one and two-year students by Scheffe testing. Also there was a statistical significant differences in challenge and committment between one and three-year students, so three-year subjects have higher degree than one-year students. 2) Perceived heath status, hardiness, and health promotion behavior showed significant correlations with satisfaction about nursing department. 3) Significant correlations between perceived heath status, hardiness, and health promotion behavior were observed. 3) In stepwise multiple regression, 37.44% of the variance in health promotion behavior was accounted for by hardiness(34.76%), and perceive heath status (2.68%). Among subscles of hardiness, challenge and committment were significant predictors, so challenge, committment, and perceived heath status explained 40.53% of variance in health promotion behavior.

일 대학병원 간호사의 직업만족도에 관한 조사연구

김영옥 서강정보대학 1988 論文集 Vol.7 No.-

For advancing nursing quality and nurses' job satisfaction, this study was to measured the level of job satisfaction, and to investigated siginiticant factors which affected to job satisfaction. The respondents were 138 nurses in one general hospital in Gwang ju. The equipment used in this study was questionaire form developed by slavitt etals.and was used to gather the data from Aug.8 through 30. 1988. The level of job satisfaction was measured by 5 point rating scale(Likert type), and the data were analyzed using t-test, ANOVA and pearson correlation coefficiency. Study results were as follows ; 1. The total mean score for the 45 items of job satisfaction was 2.70, showing that the subjects of this study were dissatisfied on their job. 2. To identity the specific job related factors that affected to job satisfaction, the 45 items of job satisfaction were divied into 6 areas. Among 6 areas Job status showed highest mean score (3.45) and then Interaction (3.07), Autonomy (2.90), Organizational Requirement (2.56), Task Requirement (2.27) in order, and Pay showed the lowest mean score (1.94). 3. Level of job satisfaction according to the subject's general characteristics were ; 1) The higher the age was, the more job satisfaction score. 2) Groups who were married, and have more clinical experience were more satisfied with their job. 3) Group who have diploma degree than baccalaureate degree, and Head nurse group than staff nurse group more satisfied with their job. 4) Groups who intended to remain on the job, and have greater meaningfullnes on nursing experienu were more satisfied with their job.

강인성(HARDINESS)에 대한 개념분석

金英玉 서강정보대학 1993 論文集 Vol.12 No.-

In this paper, Hardiness that reflects one aspect of human personality was selected and analyzed to clarify the defining attributes, characteristics, and to propose theoretical definition of the concept. The Walker & Avant strategy was used together with the theoretical phase of Hybrid model by Schwartz-Barcott & Kim to complete the concept analysis through literature review. The results of this analysis demonstrated that hardiness personality functions as a health-mediating resource that buffers stress effects and motivates desirable health behaviors in the encounter with stressful life events. Based on the results, the theoretical definition and the defining attributes of hardiness personality was suggested. The concept can be defined as follows : Hardiness is an important psychological health-promoting resource that mediates an individual's responses in stressful situations. It is also personality characteristic that leads the individual to perceive stressful life events as an opportunity for one's growth and development, to participate in the situation actively with interest and meaning, and to exercise the one's beliefs of decision-making for problem solving. The defining attributes of Hardiness are as follows : 1) It is trait-oriented personality that functions stress-resistance factor. 2) It accepts changes positively. 3) It has self-transcendence that overcomes the difficult situation. 4) It demonstrates growth-oriented behaviors. This analysis demonatrated the importance of individual's involvement in stress management. Hardiness personality is inherent health-promoting factor in stress-laden human environment. Ultimately, this understanding will provide the essential "building block" for planning, implementing, and evaluating client's stress management program in various nursing situations.

잡음환경에서 구름 볼 베이링의 결함검출을 위한 ALE의 적용

김영태,최만용,김기복,박해원,박정학,김종억,류준 한국공작기계학회 2004 한국공작기계학회 추계학술대회논문집 Vol.2004 No.-

It is very important to detect the bearing defects in rotating machinery since the critical failure of bearing cause a machinery shutdown. However it is difficult to detect the vibration signal resulting from the initial defects of bearing because of the high level of broadband noise. A signal processing technique, called the adaptive line enhancer(ALE) as one of adaptive filter, is studied in this work. This technique is to eliminate broadband noise without a prior knowledge of the noise and signal characteristics. Also we propose the optimal methods for selecting the three main ALE parameters such as correlation length, filter order and adaptation constant used in the adaptative process. Vibration signals for three abnormal bearings, including inner and outer raceways and ball defects, were acquired from Anderon(angular derivative of radius on)meter. The experimental results showed that the proposed technique can reliably detect the bearing defective signals masked by broadband noise.

고로슬래그를 굵은골재로 사용한 콘크리트강도에 관한 연구

김영인,고창옥,이채규,양승현 조선대학교 국토개발연구소 1994 국토개발연구 Vol.14 No.2

Blast furnace, by-product of iron industry has widely used as reclamation materials for pavement or harbour construction. The studies which make blast furnace slag use as aggregates for concrete have being actived owing to natural aggregates insufficiency. In order to use air cooled blast furnace slag as a coarse aggregate for concrete which was fixed to 440kg, 400kg, 360kg, 320kg, 280kg, 240kg of cement content were performed. This study is aimed to ascertain the feasibility of utilizing the concreate with crushed slag aggregates and to find specific properties such as slump air content, compresive strength, tensile strength, bending strength. The results of this study are summarised as follows; 1. On the base of 320kg of unit cement weight the strength according to each dry day are similar in the condition of 45% of w/c whereas in the condition of 50% of w/c the strength of 7-days are similar, but the strength of 28-days are different. 2. In the relation of δ25 - c/w, the strength of slag concrete is greater than that of crushed storn concrete in condition of epual c/w except 400kg/㎥. 3. Slag of concrete as aggregate is destoryed with mortar. 4. The relation of δ28 and tensile strength is very good(γ = 0.8), the equation of regression analysis is δt= 0.63+0.00598 × 28. 5. The reation of bend strength and w/c is liner(γ = 0.72) the equation of regression analysis is δb=80-0.69w/c. 6. It must be care to abtain equal workability to natual aggregate concrete because the change of water absorption is greate. The water content of slag concrete is more than that of crushed storn concrete to obtain the same workability. It must be careful to use blast furnace slag as a coarse aggregate for concrete. And after investgating the quality of demended concrete carefully, real mixing work must be done.