가족레질리언스가 가족 건강성에 미치는 영향

김안자 ( An Ja Kim ) 한국가족사회복지학회 2009 한국가족복지학 Vol.27 No.-

This paper aims to examine that the components in family resilience have crucially important influence on family health through analysis of structural model based on Walsh`s `family resilience model`, which is consisted of three factors: 1) Belief system, 2) Organization patterns, and 3) Communication Processes. The analysis result demonstrates that since the measurement model is appropriate for this examination, it ensures that the three factors in family resilience are met by used measure. The result of the structural model illustrates that three components of family resilience has statistically significant effect on family health. That is, the result supports the hypothesis mentioned above. From the result in the paper, there are two important implications remained. Firstly, it can be evidence which family resilience approaches could enable to strengthen family health in practice. Secondly, when the family is intervened, strength based approaches such as family resilience can be effective.

병원의 조직문화유형과 조직유효성간의 관계에 관한 연구 - 1개 c대학교 병원을 중심으로 -

장금성(Jang Keum Seong),김영숙(Kim Young Sook),김안자(Kim An Ja) 전남대학교 간호과학연구소 1996 Nursing and Health Issues(NHI) Vol.1 No.-

The purpose of this study was to identify the relationship between the pattern of organizational culture and organizational effectiveness in hospital. The research aims to provide the basic data necessary for the management of organizational culture or organizational development to enhance the organizational effectiveness This research design was a descriptive correlational study. 514 subjects were consisted of nurses,pharmacologists, technicians, and general staff who were working in a university hospital at K city. The data were collected from September 20 to October 20,1996 by using self-reported questionnaire. 4 instruments used in this study were Likert-type scales, which were organizational culture pattern scale by Kim berly & Quinn(1984), organizational commitment scale by Mowday et al(1979), job satisfaction scale by Shin (1979), and organizational adjustment scale by Shin (1987). The data were analyzed using t-test, ANOVA, Pearson s correlation coefficient & stepwise multiple regression. The results of this study are summarized as follows. 1. When four patterns of organizational culture were compared, the highest culture pattern was hierarchical culture(mean = 3.59) and the lowest was developmental one(mean=2.91) on a five point scale. Among organizational effectiveness variables, organizational commitment mean score was 3.26, job satisfaction, 3.21, organizational adjustment, 3.36. 2. In relation to divisional group, there was significant difference in hierarchical culture(F=10.65, p<.001), rational culture(F=5.85, p<.001), &. group culture(F=5.16, p<.01). 3. In relation to hierarchical status, there was significant difference in developmental culture(F=49.11, p<.001), rational culture(F=14.03, p<.001), & group culture (F=18.39, pC.001). 4. There was significantly a positive correlation between developmental culture and organizational commitment(r=.611, p<.000), between developmental culture and job satisfaction(r=.548, p<.000), and between developmental culture and organizational adjustment(r=.473, p<.000). 5. There was significantly a positive correlation between group culture and organizational commitment(r=.487, pC.OO0), between group culture and job satisfaction(r=.564, p<.000), and between group culture and organizational adjustment (r=.411, p<.000). 6. Stepwise multiple regression analysis showed that developmental &. group culture accounted for 38.3% of organizational commitment variance, group & developmental culture accounted for 38.3% of job satisfaction variance, and developmental, hierarchical & group culture accounted for 27.5% of organizational adjustment variance.

순환교대근무와 주간고정근무 간호사의 수면양상,직무만족 및 삶의 질.

윤진상,국승희,이형영,신일선,김안자 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.4

연구목적 : 본 연구는 순환교대근무 간호사와 주간고정근무 간호사의 수면양상, 직무만족 및 삶의 질을 비교해 보고, 직무만족과 삶의 질에 미치는 요인으로서 개인적 요인(일주기 리듬, 성격)과 제도적 요인(근무제도)이 기여하는 정도를 알아보고자 하였다. 방 법 : 순환교대근무 간호사 85명(이하 순환군)과 주간고정근무 간호사 70명(이하 주간군)을 대상으로 수면설문지, 한국어판 조합척도(Korean translation of Composite Scale : KtCS), 직무만족 지수(Job Satisfaction Index), 일반건강설문지(General Health Questionnaire), Eysenck의 성격차원검사 (Eysenck's Personality Questionnaire)를 실시하였다. 자료는 근무형태(순환교대근무와 주간고정근무)에 따른 주중 수면양상, 최근 한달 간의 수면장애 빈도, 일주기 리듬 양상, 직무만족 및 삶의 질의 차이를 알아보기 위해 비교분석되었다. 또한 근무형태, 일주기 리듬, 외향성 및 신경증적 경향성 성격차원을 예측변인으로 하고 직무만족과 삶의 질을 각각 준거변인으로 하여 단계적 중다회귀분석을 하였다. 결 과 : 순환군은 주간군과 야간 수면양상(기상시각, 총 수면시간, 수면잠재기), 수면의 규칙성 및 낮잠의 빈도와 지속시간에서 유의한 차이가 있었다. 순환군은 주간군에 비해 수면장애(입면과 수면유지의 어려움, 야간의 불면, 악몽)가 더 많았으며, 직무만족과 삶의 질이 더 낮았다. 또한 순환교대근무 형태이고, 신경증적 경향이 높을수록 직무만족과 삶의 질이 좋지 않았고, 주간고정근무이고, 외향적일수록 직무만족과 삶의 질이 더 높았다. 그러나 교대근무의 적응력에서 보다 근본적인 개인차 요인으로 보고된 일주기 리듬은 직무만족이나 삶의 질에 영향을 미치지 않았다. 결 론 : 순환군은 주간군에 비해 수면문제가 더 많았다. 또한 일주기 리듬이 근무의 적응도를 반영하는 직무만족과 삶의 질에 미치는 효과는 유의하지 않았으나 근무형태(순환교대와 주간고정근무)와 성격차원(외향성, 신경증적 경향성)은 유의한 영향을 미쳤다. 이러한 결과는 교대근무에 의해 일주기 리듬이 변화되었을 가능성이 있으며, 교대근무의 적응과 관련하여 성격특성이 중요한 요인일 수 있음을 시사한다. Objectives : The purpose of this study was to investigate (1) the differences in the sleep pattern, job satisfaction, the quality of life between the rotating shift work nurses and the nurses on a fixed day schedule and (2) the effects of the individual (circadian rhythm and personality) and the work system factors on the job satisfaction and the quality of life. Methods : Sleep Questionnaire, Korean translation of Composite Scale (KtCS), Job Satis-faction Index, General Health Questionnaire, Eysenck's Personality Questionnaire were ad-ministered to 85 rotating shift work nurses (the rotating group) and 70 nurses on a fixed day schedule (the daytime group). We compared the weekday sleep pattern, the frequency of sleep disorders during the last month, circadian rhythm patterns, job satisfaction, and the quality of life between the two groups. Also, we conducted the stepwise multiple regression analysis, where the independent variables were circadian rhythm, work schedule, extroversion, and neurotism and the dependent variables were the dependent variables were the job satisfaction and the quality of life. Results : Between the two groups, there were significant differences in the sleep pattern including the regularity of sleep and the frequency and duration of naps. The rotating group had more frequent sleep problems, poorer job satisfaction and quality of life as compared with the daytime group. The job satisfaction and quality of life were poorer in the nurses who were on a rotating shift work schedule and who had higher neurotic trend. On contrary, The job satisfaction and the quality of life were better in those who were on a fixed daytime shift work schedule and who had more an extroversive trend. However, the circadian rhythm had no significant effect on the job satisfaction and quality of life. Conclusions : The sleep pattern, job satisfaction, and the quality of life were significantly poorer in the rotating group than in the daytime group, as expected. In terms of individual factors which determine the job satisfaction and quality of life, the personality dimensions had a significant effect, whereas the circadian rhythm did not. These results suggest that the circadian rhythms of shift workers may be realigned and that personality characteristics may be an important factor in coping with shift work.

農藥中毒에 對한 臨床的 考察과 看護에 對한 硏究

金安子 全南大醫大 1976 전남의대학술지 Vol.13 No.2

종합 건강 진단 센터에서 진단된 고혈압, 고지혈증 및 관상동맥 질환의 빈도

박종철,정명호,여미원,주덕,나혜랑,양훈화,임정란,전해정,이숙자,김안자,김성화,안영근,조정관,박종춘,강정채 대한고혈압학회 1999 대한고혈압학회지 Vol.5 No.2