청소년 대상 인터넷/스마트폰 중독 중재연구에 대한 통합적 문헌고찰

강경림 ( Kang Kyungim ),허수진 ( Hur Sujin ),조주현 ( Jo Juhyun ) 서울대학교 간호과학연구소 2018 간호학의 지평 Vol.15 No.2

Purpose: The aim of this study was to investigate the characteristics of intervention programs for internet/smartphone addiction among adolescents through an integrative literature review. Methods: We searched MEDLINE(PubMed), CINAHL, Embase, DBpia, RISS, and KISS using a combination of “Internet or phone*,” “addicti*,” “adolescent,” and “intervention or program or therapy.” The searched studies were reviewed according to the criteria and an integrative literature review was conducted on the 14 selected papers published from January 1, 2013 to November 14, 2017. Results: Through the integrative review and analysis, a total of four attributes of interventions and their effects were derived. First, the number of group-focused interventions was significantly higher than that of individual- focused ones. Second, the interventions addressed various aspects of adolescents’ problems while considering the complex nature of addiction problems. Third, there was a bias for region and sexual ratio. Lastly, most studies were actively conducted in community-based counseling or psychology settings. Conclusion: It is necessary to find more effective methods for addressing internet/smartphone addiction among adolescents through multidisciplinary approaches, including the consideration of various cultural and gender characteristics. This study provides a basis for developing future programs addressing addiction problems among adolescents.

국내 중학생의 자살생각 빈도에 미치는 영향 요인: 영과잉 음이항(Zero-Inflated Negative Binomial, ZINB) 회귀분석 방법을 이용하여

강경림(KyungIm Kang),김찬희(Chanhee Kim),정재원(Jaewon Joung) 대한스트레스학회 2019 스트레스硏究 Vol.27 No.3

본 연구는 중학생의 자살생각 빈도에 영향을 미치는 요인을 확인하고자 시도되었다. 한국복지패널 13차년도(2018년) 아동부가조사 데이터를 활용하여 중학생 391명의 자료를 분석하였다. 영과잉 음이항(Zero-Inflated Negative Binomial) 회귀분석 결과, 여자 중학생, 1학년에 비해 3학년, 친구애착정도가 낮은 중학생일수록 자살 생각에 대한 빈도가 높았고, 현재 자살 생각이 없는 중학생의 경우라도 우울 및 불안의 정도와 부모 방임의 수준이 높아질수록 자살 생각의 가능성이 높아질 수 있음을 확인할 수 있었다. 본 연구 결과를 통해 확인된 위험요인을 토대로 중학생을 위한 다양한 수준에서의 맞춤형 자살예방 중재를 개발할 수 있을 것이다. Background: Suicide among Korean middle school students is a growing social concern. Exploring factors associated with suicide ideation is important for suicide prevention in middle school adolescents. The purpose of this study was to identify risk factors influencing frequency of suicidal ideation among middle-school students in Korea. Methods: The study was a cross-sectional descriptive study. The participants were 391 middle school students and data were obtained from the 13th wave of Korean Welfare Panel Study in 2018. Zero-inflated Negative Binomial Regression model was employed to identify risk factors. Results: Among participants, 67.3% reported they did not have current suicidal ideation. By zeroinflated negative binomial regression analysis, gender, grade, and peer attachment were found to be significant predictors in the count model, and depression/anxiety and parental neglect were found to be significant predictors in the logistic model. These findings suggest that middle school adolescents who were female, 3rd grade students, or had lower peer attachment were associated with increased severity of suicidal ideation. Also, depression/anxiety and parental neglect were identified as risk factors affecting the future likelihood of suicidal ideation among middle school adolescents. Conclusions: Identified risk factors affecting severity and possibility of suicidal ideation may help health care providers to tailor effective suicide prevention interventions for middle school students.

취약계층 초등학생 대상 산림치유 프로그램 개발

방경숙,김성재,송민경,강경림,정예슬,Bang, Kyung-Sook,Kim, Sungjae,Song, Min Kyung,Kang, KyungIm,Jeong, Yeseul 서울대학교 간호과학연구소 2020 간호학의 지평 Vol.17 No.1

Purpose: The purpose of this study was to develop a forest-based health promotion program for vulnerable school children. Methods: The specific process for program development involved establishing a program goal, assessing the needs of the participants, analyzing existing programs and constructing a forest-based program. Results: Each session of the program, which consisted of a total of 10 sessions, included 40 to 50 minutes of indoor education for children's physical and psychosocial health and 60 to 70 minutes of forest experience activities with nursing student mentors. For the application of the program, guidelines for mentor selection and prior education, physical environment check, children's safety, criteria for evaluation of the program effects and operation of the program were developed. Conclusion: This study presents the specific procedures and contents for developing a forest-based program for vulnerable school children. The results of this study will provide useful data to develop a community-based program to promote the physical and psychosocial health of vulnerable school children.

지역사회에서 회복중인 알코올중독자의 스트레스와 대처

정재원(Jaewon Joung),강경림(KyungIm Kang) 대한스트레스학회 2019 스트레스硏究 Vol.27 No.3

이 연구는 회복중인 알코올중독자의 스트레스와 대처 탐색을 위한 질적 연구로 참여자와의 개별면담은 내용분석법으로 분석하였다. 연구결과 ‘술없이 마주하게 된 삶의 문제와 스트레스’, ‘끊임없는 변화의 노력과 성장’이라는 범주와 스트레스의 하위 범주로 ‘술로 인해 쇠약해진 몸’, ‘긴장을 늦출 수 없는 음주의 유혹’, ‘과거에 대한 아픈 회한’, ‘새로운 관계 맺음의 어려움’, ‘홀로 남은 고독한 삶’, ‘멀고 먼 자립의 길’이 대처의 하위 범주로 ‘함께함의 강력한 힘’, ‘따뜻하게 품어주는 가족의 지지’, ‘끊임없이 다져보는 굳건한 의지’, ‘내려놓음의 치유력’, ‘배움을 통한 알아차림’, ‘음주를 대체할 다양한 활동참여’가 도출되었다. 이 결과는 대상자의 재발예방과 회복유지를 위한 유용한 정보로 활용될 수 있을 것이다. Background: The purpose of this qualitative study is to identify stresses and coping of recovering alcoholics in communities. Methods: Individual interviews were conducted with a total of 8 recovering alcoholics. Data were analyzed using qualitative content analysis. Results: Two categories and six subcategories for each category were derived. Two categories were ‘life problems and stresses encountered without drinking’ and ‘constant change efforts and growth’. The identified stresses of the participants were summarized as ‘a body weakened by drinking’, ‘constant vigilance against the ongoing temptation of drinking’, ‘painful regrets for the past’, ‘difficulties in building new relationships’, ‘a lonely life left alone’, ‘a long way to self-reliance’. In addition, the revealed helpful factors in coping with the stresses were ‘strong power by being together’, ‘strong family support’, ‘firm wills constantly strengthened’, ‘healing power of letting-go’, ‘awareness through learning’, ‘participation in various activities to replace drinking’. Conclusions: Participants were experiencing various stresses caused by physical, mental and social problems in their recovery process and trying to overcome the difficulties by applying various methods. The results of this study may provide significant information to prevent relapse and maintain the recovery process of alcoholics.

간호대학생의 초등학생 대상 심신 건강증진 프로그램의 멘토링 경험

김성재(Kim, Sungjae),방경숙(Bang, Kyung-Sook),강경림(Kang, Kyungim),송민경(Song, Minkyung) 한국간호교육학회 2018 한국간호교육학회지 Vol.24 No.2

Purpose: The purpose of this study was to explore the monitoring experience of nursing students and to suggest considerations when developing mentoring programs. Methods: This qualitative study was conducted by online surveys and individual interviews with 7 nursing students who participated in the health promotion program as mentors. Data were analyzed using qualitative content analysis to identify motives for participating in mentoring and to explore their changes through mentoring. Results: The results were as follows: Motives for participating were ‘inquisitiveness about children’, ‘interest in mentoring activities’ and ‘curiosity about research’. Recognition of mentor roles were ‘actively involved guide’, ‘exemplary role model’ and ‘empathetic emotional supporter’. Changes through mentoring experiences were revealed by ‘understanding the characteristics of children’, ‘improvement of interaction ability with children’, ‘understanding self and changes’ and ‘recognition of excellence in forest activities’. Conclusion: Nursing students had opportunities to learn the characteristics of general children and to understand themselves through natural interaction. Participation in mentoring has the potential to be a creative educational method of field learning as a form of service learning.

숲을 활용한 보건소 건강증진 프로그램 현황

이인숙(Lee, Insook),방경숙(Bang, Kyung-Sook),김성재(Kim, Sungjae),송민경(Song, Minkyung),강경림(Kang, Kyungim) 한국산림휴양복지학회 2016 한국산림휴양학회지 Vol.20 No.4

본 연구에서는 전국의 254개의 보건소 중 해당 계획서를 작성 및 제출한 행정단위 보건소 228개의 2015년-2016년 보건의료계획서를 검토하여 보건소에서 운영하는 숲 관련 프로그램의 현황을 파악하였다. 분석결과 총 43개 보건소에서 60개의 프로그램이 포함되어 있었으며, 시도단위별로 경기도 산하 보건소에서 가장 많은 9개의 숲 프로그램을 계획하고 있었고 보건소 단위로는 서울시 성동구와 전라남도 장훙군에서 가장 많은 3개의 프로그램을 각각 운영하고 있었다. 대상자별로 프로그램을 나누어 분석한 결과 임산부 대상 프로그램이 8개, 아동 대상 프로그램이 22개, 건강한 성인 대상 프로그램이 20개였으며 장애인 및 암환자를 포함한 특수질환자 대상 프로그램은 10개였다. 아동 대상 프로그램에서 아토피와 천식 예방 및 관리 프로그램은 아토피에 대한 산림치유의 효과가 여전히 논란이 있음에도 불구하고 가장 많이 운영되고 있었다. 성인을 대상으로 하는 프로그램은 숲길 걷기를 이용한 건강증진 프로그램이 가장 많았으며 특히 대사증후군, 치매 예방, 자살 예방을 위한 프로그램이 계획되었다. 숲을 활용한 건강증진프로그램에는 걷기를 가장 많이 사용하고 있었으며 숲 체험, 숲 캠프/여행 등을 사용하고 있었다. 본 연구는 보건소에서 제공하는 건강 정책과 산림 건강 증진 프로그램을 개발하기 위한 유용한 정보로 활용될 것으로 기대된다. 이상의 결과에 기초하여, 향후 산림치유 프로그램의 실제운영 결과와 지속적인 연구를 바탕으로 수요자의 입장을 적극 반영한 다양한 프로그램의 개발과 표준화가 필요할 것으로 보인다. 더불어, 해당 사업을 지역 보건소 뿐 만 아니라 학교, 사업장, 요양시설 등 다양한 기관으로 확장시켜 특정 장소에 국한하지 않고, 지역사회 내의 특성과 산림을 적극 활용한 숲 관련 건강프로그램이 대상자들의 통합적 건강증진에 도움이 될 수 있도록 다양한 기관으로 부터의 협조를 제언한다. The aim of this study is to analyze the health promotion programs utilizing forest in public health centers by reviewing 6<SUP>th</SUP> regional healthcare plans in Korea. The regional healthcare plans for 2015-2016 from 228 regions were analyzed. Sixty programs from 43 healthcare centers were found. Health promotion programs utilizing forest were categorized according to age groups and special disease groups. As results, 8 programs for pregnant women, 22 programs for children, 20 programs for adults, and 10 programs for specialized groups including disabled, cancer patients, chronic disease, and mental problems were included in the regional healthcare plans. In the program for children, “atopy prevention and healing program” were most frequently planned even though effect of forest therapy on atopy was still controversial. For adults, health promotion using walking in the forest were most common, and specially planned programs for preventing metabolic syndrome, dementia, and suicide were implemented. Walking, forest experience, forest camp/trip were commonly used in health promotion programs utilizing forest. This study provided useful information for developing health policies and forest health promotion program provided by public health centers.