노인의 건강기능상태와 일상활동능력

서순림 慶北大學校 醫科大學 1990 慶北醫大誌 Vol.31 No.2

1990년 2월 26일부터 3월 26일가지 일도시에 거주하는 가정노인 277명과 양로원에 거주하는 양로원노인 102명을 대상으로 노인의 신체 사회·정신적 건강기능상태와 일상활동능력을 파악하기 위하여 대상자의 신체 사회·정신적 건강장애율을 조사하고 두 집단간의 신체·사회·정신적건강상태와 일상활동능력정도를 비교하고 연령별, 성별 및 주관적 건강상태 평가와 일상활동능력간의 관계를 살펴보았다. 이는 노인복지시설, 재정적지원체계, 사회구성원의 지지체계등 지역사회내 지원체계수립전략의 기초자료를 제공하고자 시도하였다. 연구도구는 미국 Duke대학 노인연구소에서 개발한 OARS 다차원적 건강기능사정도구중 개인 기능사정도구로서, 훈련된 조사원에 의해 면담설문하였다. 자료는 백분율 multiple regression, t-test, correlation으로 분석하였다. 대상자의 일반적 특성에 있어서 성별로는 남자가 50.4%, 여자가 49.6%였고 연령분포는 65∼69세와 70∼74세 연령층이 각각 24.0%, 26.4%를 차지했다. 교육정도는 0∼5년 미만군이 77.3%로 대부분을 차지했고, 배우자유무별로는 대부분인 73.4%가 배우자가 없었다. 신체적건강기능장애율로는 '과거 5년전 보다 건강상태가 더 나쁘다' 76.5% '시력장애' 52.8%, '청력장애' 42.7%, '과거 6개월동안 의사를 만난경우' 33.2% 등이 비교적 높게 나타났다. 활동장애를 유발하는 질병별로는 '류마티스나 관절염' 24.8%, '팔다리 순환부진' 16.9%, '고혈압' 11.3%등이 높게 나타났다. 사회적자원의 장애율에서는 외로움을 느끼거나, 현재 배우자가 없거나, 친척, 친구들과 만나지도, 전화하지도 못한다 등에서 60%이상 장애가 있다고 나타났다. 정신건강장애율에서 60%이상 장애를 나타낸것으로는 생활, 삶에 만족을 못하거나, 수면장애 등이었다. 일상활동수행장애율로는 수단적일상활동에서는 모두 30%이상의 장애율이 나타났으며 그중에서 '전화사용'이 65.4%로 가장 장애율이 높았으며 신체적 일상활동장애에서는 '보행'이 9.2% '목욕'이 8.2%의 장애율을 보였다. 가정노인과 양로원노인 두집단간의 비교결과 가정노인의 신체적 장애정도가 4.01로 양로원노인보다 높은 것으로 나타났다. 사회적 자원상태에서는 양로원노인의 장애정도가 5.69로서 훨씬 높게 나타났다. 정신건강상태는 양로원노인의 장애가 4.40으로서 정신건강상태가 더 나쁜것으로 나타났다. 일상활동수행에 관한것으로는 두집단간의 비교결과 양로원노인이 3.72로 일상활동수행기능의 장애가 높게 나타났다. 연령에 따른 일상활동수행기능은 75세이하군이 3.32, 75세이상군이 3.69로서 연령이 높을수록 일상활동수행장애가 많아 짐을 알 수 있었고, 성별로는 여자가 3.72, 남자가 3.24로 여자노인군이 일상활동수행상장애가 높게 나타났다. 가정노인군에서는 주관적인 건강상태지각과 일상활동수행간의 부적상관관계를 보여 주관적건강상태가 좋으면 일상활동수행기능이 좋은 것으로 나타났다. 이상의 결과로 보아 노인의 기능적 건강사정을 통하여 그 장애정도와 노인이 처한 환경에 따른 신체, 사회, 정신, 일상활동수행능력의 상이함을 알 수 있었으므로 노화에 따라 필연적으로 발생하는 기능장애를 가능한 예방하는 측면에의 건강관리 및 자가간호법을 교육시킬 수 있는 프로그램운영과 훈련된 인력개발과 장애에 따른 복지시설, 재정적자원등의 지역사회지원체계전략의 연구와 대책이 필요하다고 사료된다. This study was conduced to find out the assessment of functional health status and activity of daily living in elderly. Assessing tool used this study was the old Americans Resources and Services procedures: Multidimensional Functional Assessment Questionaire. A purposive sample consisted of 379 persons. The subjects divide two groups into oldmen who reside at home and homenursing. The data was collected by interview method from the 26th of Feburary to the 26th of MArch. Analysis of the samples was done by using percents, t-test, multiple regression, correlation according to the purposes of this study. The result of the study showed the following. There were high rate such physical impairements as 'seen a doctor during the past six months', 'eyesight(with glasses or contacts)' and 'hearing'. Among diseases were induced to disability, percents of 'rheumatic arthritis', 'circulatory insufficiency of extremities' and 'hypertension' were higher than others. 'Feeling lonely', 'none to visit and talk to', and 'have no spause' of social impairements were respectively more than 60% of respondents. And such items as 'sleep disturbance' and 'nothing that keep you interest' etc of mental impairements were more than 60% of respondents. There were consisted of instrumental daily activity and physical daily activity in Activity of daily living. Almost of instrumental daily activity was impaired more than 30% of respondents. Especially impairement of 'How to use the telephone' was the highest percent of subjects. As the impairement of physical daily activity, 'walking', and 'Take a Bath' were higher rate than others. As compared elderly group who resides at home with at homenursing, the group who reside at homenursing was significantly increased impairement scores for socio-mental health, activity of daily living except Physical health. When activity of daily living was analysed according to age, sex and subjective health perception, there was significance as follow. The more aging of subjects, The higher their daily activity 'impairement. And old women' impairement rate was higher than old mens'. Perception of subjective health status was negatively correlated to impairement of daily activity. Therefore, for elderly health management, it is nessessary that we plan to have strategies and research about establishing community support system according to functional health status.

자원동원성 측정도구의 신뢰도와 타당도

서순림,이은옥,이원기 한국간호과학회 1998 Journal of Korean Academy of Nursing Vol.35 No.4

The purpose of this study was to verify the reliability and validity of the Rosenbaum self-control schedule (SCS) for assessing resourcefulness in Korea and to explore the simplified scale. The study subjects consisted of 787 adults in a community. The data was collected during the period from Oct. to Dec., 1995 and analyzed as Cronbach α, item correlation with total, Pearson correlation and factor analysis with varimax rotation using SAS. Results were as follows : The mean SCS score for this sample was 17.2 and there were statistical differences for gender(men, 13.1 ; women, 20.0) on the SCS scores. The cronbachα of SCS with 36 items was .74 and when simplified with 30 items, it's coefficient alpha was .78. The translated content of the SCS was validated by two nursing faculty members and one professor of psychology. Factor analysis revealed the most parsimonious structure was obtained when six factors were extracted and subsequently rotated via the varimax criterion. There was 40.2% of total communality variance in the SCS with 36 items. The total communality variance was slightly increased to 43.4% with 30 items of the SCS. In order to reduce from 36 items to 30 items, the process excepted 6 items having low item correlation with total and low MSA(means of sampling adequacy) of factor analysis. According to factor analysis, there are six factors such as emotion control, impulse control, self-efficacy, coping with problems, pain control and satisfaction control, The SCS was found to have low, but statistically significant, correlations with social desirability and helplessness. From the above results, it can be concluded that the reliability of the SCS(inherent and simplified) was a acceptable level and its validity was reasonable when comparing it with other validity studies. To determine the usefulness the simplified scale, further study is necessary to simultaneously compare and analyze both scales for stability.

노인의 건강증진을 위한 교육프로그램의 적응효과

서순림,김미한,김종여 노인간호학회 2004 노인간호학회지 Vol.6 No.1

Purpose : The study was done to identify effects of health promotion education in improving health status by changing motivation and health behavior of elderly people in the community. It was done to provide a basis for planning community health promotion programs. Method : The participants were 35 elderly people in the experiment group and 18 in the control group. Data were collected from June 30 to November 21, 2003. Descriptive statistics, χ²-test, t-test, and ANCOVA were used for data analysis with the SPSS PC window version program. Result : According to pretest scores, self efficacy, exercise and stress management in experiment group were significantly lower than those in control group, but there were no significant differences for perceived benefits, barrier, emotional salience, self responsibility, diet and stopping smoking. The post-test scores, when covariate variables like age, self-efficacy, exercise, and stress management, were controlled, showed that there were no differences between the experiment and control groups for motivation and health behavior except for stress management. Conclusion : Elderly people who did health promotion behavior by themselves had higher self efficacy, exercise and stress management than those in the education program. But after the education programs there were no differences between the two groups for motivation and health behavior. Therefore lifelong programs for health promotion for elderly people are needed so that education programs can enhance motivation.

간호사와 의사의 악성종양성 통증관리 실태

서순림,정복례,박진미 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.3

목적 : 본 연구는 암환자의 통증사정과 관리에 대한 간호사와 의사의 지식을 파악하고 실제로 통증사정과 관리를 위해 실시한 방법을 분석하므로써 간호사와 의사를 위한 악성종양성 통증관리 교육프로그램 개발의 기초자료를 제공하기 위한 것이다. 대상 및 방법 : 연구대상은 대구시내 2개 종합병원에 근무하는 간호사 136명, 수련의사 46명이었으며 자료수집기간은 1995년 12월부터 1996년 3월까지였고 설문지를 사용하여 조사하였다. 연구도구는 June Dahl, McCaffery 등의 기존도구에 실제 수행하고 있는 통증사정과 관리에 대한 개방식 질문내용을 첨가하여 사용했으며 자료분석은 SAS program에 의해 두 집단간의 X^2 test를 하였다. 결과 : 암환자는 진단초기이던 진행된 상태이던 통증호소율이 상당히 높았다. 악성종양성 통증은 암자체로 인하며 통증을 가장 정확히 판단하는 사람은 환자자신이라고 하면서도 환자의 통증호소를 그대로 믿어야 한다는 관점에서는 간호사/의사 모두 지식정도가 낮았다. 또한 수면이나 안정을 통증완화와 동일시하거나 활력증상의 변화를 심한 통증때문으로 간주하는 등 잘못 알고 있었고 진통제사용에 대해서 간호사와 의사 모두가 어느 정도는 과소투약의 문제를 인식하고 있었으나 구강투여의 적절성이나 부작용, 최대용량 사용 시기 및 심리적 의존심 발생확률 등에 대한지식이 상당히 부족하여 마약성 진통제 사용에 대한 지나친 두려움이 있음을 볼 수 있었다. 현재 실무에서의 통증사정은 간호사와 의사 모두 환자행위 관찰을 위주로 하고 있고 통증관리는 대부분 진통제 사용에 의존하고있었다. 결론 : 악성종양성 통증 사정 및 관리에 대한 지식부족이 나타났으며 이로 인한 간호사 의사의 보수적인 태도와 편견이 있었으므로 이를 개선하기 위한 악성종양성 통증관리교육 프로그램을 실시하여 통증을 호소하는 암환자의 삶의 질을 높여야 할 것이다. The purpose of this study was to identify the knowledge and the parctice of cancer pain management in nurses and physicians. The subjects were 136 nurses and 46 residents working at two hospitals in Taegue from December, 1995 to march. 1996. The survey was done by self-reported method using questionnaires and data analysis by SAS. The results were as follows; 1. The rate of patients with pain was 39% by nurses and 42% by physcians perceived at the time of cancer diagnosis. Nurses and physicians reported that the incidence rate of pain was 90% respectively in the cases of advanced cancer. The rate of patients complaining pain during one month or more was 72% by nurses and 75% by physicians. 2. Nurses and physicians knew well the fact that 'pain is due to cancer itself' and 'patient with pain is the best one who judges accurately its intensity'. However, there was low level of such knowledge as that 'cancer pain with treatment is relieved well' and 'medical professional must believe patient's report of pain'. 3. There was prevailed some misconcept like that 'sleep and sedation can be equated with pain relief', 'observable changes in vital sign must be relied upon to verify a patients's statement that he has severe', and 'giving patient placebo is useful test to determine if the pain is real' in most nurses and physicians. 4. Most nurses and physicians responded that 'cancer pain of hospitalized patient is rarely or never relieved'. 5. 56% of nurses and 79.% of physicians agreed in terms of undermedication of cancer pain management. About 50% or more of nurses and physicians showed that 'pain is better controlled when analgesics are administer around the clock'. In terms of oral route as the preferred administration of analgesics, constipation occurred frequently after repeated administration of narcotics, and prognosis less than 24 months as appropriate time to receive maximal doses of analgesics, nurses and physicians didn't know well. 6. Nurses and physicians knew little about the fact that the incidence of psychological dependence as a result of the legimate use of narcotics in cancer pateints with pain was less than 1%. Most of them knew psychological dependence as one of frequent side effects in cancer patients with pain and concerned it with one of their family who receiving narcotics. 7. Few of nurses and physicians knew accurately having patient's request of increasing amounts of analgesia due to increasing pain. 8. At the current practice for pain management, nurses used to administer analgesics(45%) and listening/psychological support/giving good environment(31%) to patients, physicians used to prescribe analgesics(77%) mainly. 9. The behavioral change of patients due to pain was observed as the assessment of pain patients by nurses923%) and physicians(61%). As the above results, pain was not relieved completely although it was one of frequent symptoms in cancer patients at the clinical setting. Nurses and physicians had lack of knowledge of pain assessment and management. Particularly as the results of knowledge deficit for narcotic medication such as pharmacology, administration, side effect, psychological dependence and prescription about maximal doses, nurses and physicians had misconcepts and did misuse of analgesics besides they had conservative attitudes toward pain assessement and management. Therefore it is necessary for nurses and physicians to be given an appropriate in-service education for pain management in clinical setting. After this education done for them, it is recommanded evaluative research of education program for improving quality care of cancer patient with pain.

입원동안 환자가 제공받은 교육실태

서순림 慶北大學校 醫科大學 1983 慶北醫大誌 Vol.24 No.2

본 연구는 입원동안 환자가 받은 교육내용의 정도와 정보제공자 등의 실태를 파악하고자 대구시내 1개 대학부속병원의 내·외과 입원환자 172명을 대상으로 1983년 10월 26일부터 11월 12일까지 면접용 설문지를 사용하여 조사하였다. 그 결과를 요약하면 다음과 같다. 본 연구에서 제시한 환자교육 내용의 설명여부는 평균 50% 미만이었다. 8가지 영역의 분류에서는 설명을 제공받은 환자는 금식에 관한 것이 63.4%로 가장 높았고 그 다음이 병실오리엔테이션으로서 55.8%였으며, 정맥투여, 검사과정, 식이, 휴식과 활동 등은 50% 전후 정도에 그쳤고 검사후 관리, 검사목적에 대해서는 27.3%, 25.6%로 매우 저조하였다. 구체적으로 각 영역별 정보제공을 받은 환자중에서 가장 많이 받은 설명 내용으로는 주치의 소개 72.9%, 검사중 협조할 점 68.2%, 금식이유 72.5%, 침상안정 시간의 필요성 85.1%, 정맥투여시 부작용과 처리법 79.3%이었고 비교적 설명한 내용으로는 검사물 채취방법, 횟수, 양 50.6%, 금식시 주의점 60.6%, 정맥투여 목적 52.9%였다. 설명을 제공받은 환자중에서 50% 이하로 들었다고 한 내용은 각 병원시설의 위치 29.2%, 간호원 부르는 법 27.1%, 검사중 나타날 수 있는 증상 24.7%, 통증유무 25.9%, 검사에 걸리는 시간 25.9%, 검사장소 47.1%, 금식후 식이섭취에 관한것 39.4% 검사후 나타날 수 있는 증상 46.8%, 정맥투여에 걸리는 시간 42.5% 등이었다. 수술환자 96명을 대상으로 한 수술전후 교육에 관해서는 수술전 정보를 제공받은 환자는 71.9%, 수술후는 84.4%로서 높게 나타났고, 그 구체적 내용에서는 수술을 위한 피부준비 53.6%, 수술을 위한 충분한 수면 52.2%, 효과적인 기침 심호흡 목적방법 58.0%, 체위변경, 조기 기동방법, 이유 53.1%를 제외하고는 모두 50% 미만이었는데 특히 수술전 설명내용에서 훨씬 저조하였다. 본 연구에서 제시한 내용의 모든 영역에서 설명한 사람은 주로 간호원과 의사였으며 그중에서 간호원의 역할이 가장 활발했다. 휴식정도와 활동범위, 수술전·후의 정보제공에서 의사의 활동도 활발했다. 그리고 설명방법에서는 거의 대부분이 대화식이었고 단지 수술후 환자에게 심호흡법·효과적 기침을 하는 방법, 사지운동법에 관해서만 설명하면서 시범과 연습이 있었다. 일반적 특성에 따른 교육내용의 설명여부에서는 검증결과 모두 통계적으로 유의한 차가 없는 것으로 나타났다. The Survey has been made to provide a baseline data for the nursing intervention and evaluate the activities of the patient teaching in clinical practice at the present. To find out the actual condition of teaching information and by whom information is received, the subject include 172 patients in one university hospital, from the 26th of October to the 12th of November. Data for the study was collected through individual interview and was analysed for frequency and percentage of teaching contents. The results are as follows. In general background of subjects, the majority were men and 20's. Their educcation was predominantly at the below of the high school level. They were medical patents(44.2%) and surgical patients(55.8%). The group of the hospitalization period from 2weeks to 3weeks was the highest and most of the patients were admitted at the first time. The teaching informations mean contents about admission orientation, diagnostic test, intravenous therapy, diet, rest and activity, preoperative preparation and postoperative measures. Only the 50% of the patients received information about these contents during hospitalization. Among contents, information about fast for the diagnostic test was the highest(63.4%). In the second, admission orientation was 55.8%. Information about measures after diagnostic test and the purpose of diagnostic test were the lower group than others. Definitely content items of information which subjects were given should the following. As for the content items which mostly patient received, Introducing physician(72.9%), Cooperating to the procedure of diagnostic test(68.2%), Cause of fast(7.25%) the period of bed rest(85.1%), side effect and its handling of intravenous therapy(79.3%) were revealed. In terms of content items which information under 50% of patient showed location of hospital facilities, nursing call bell, symptoms during test procedure, pain, taking time for the test, location of diagnostic test, ingestion after fast, symptoms after test and taking time for IV therapy etc. Patients who received education about pre and post operation were each 71.9%, 84.4%. As for the content items, except explanation about preoperative skin(53.6%), rest and sleep for operation(52.2%), effective cough and deep breathing(58.0%) and position change and ambulation(53.1%), the other content items were under 50%. Specially preoperative education was lower than postoperative. The majority were nurses who offer tenching information during hospitalization and also physician actively supplies about rest and activity and preoperative and postoperative information. Almost of teaching method was Conversation except effective cough and deep breathing and exercise. Teaching information were not significant according to their characteristics such as age, educational background, hospitalization period, medical and surgical ward and frequency of hospitalization.

일부 지역 노인의 예방적 건강행위 실천에 관한 조사

徐順林 慶北大學校 醫科大學 1988 慶北醫大誌 Vol.29 No.1

1987년 7월 30일부터 8월 20일까지 일 도시 영세지역과 1차보건진료지소가 있는 세곳의 노인 279명을 대상으로 사람들이 스스로 건강을 지키기 위해 행하는 예방적 건강행위 실태를 파악하고 이에 영향을 미치는 요인으로서 일반적 특성, 건강상태, 일반적 건강관심도 인지와의 관계를 조사하여 행위 실천정도를 높이기 위한 방안을 마련하여 노인의 건강간호에 기초자료를 제공하고자 시도하였다. 연구도구는 Hariss, 김등의 예방적 건강행위를 참조로 저자가 수정 보완하였으며 면담설문하여 수집된 자료는 spss를 이용하여 백분율 Χ^2-test, ANOVA로 분석하였다. 대상자의 일반적 특성에 있어서 성별로는 남자가 57.0%, 여자가 43%였고, 연령분포는 65-74세가 65.2%로 과반수를 차지했다. 교육은 글을 읽을 수 있는 군이 46.2% 없는 군이 53.8%로서 없는 군이 많았다. 배우자는 있는 군이 50.9% 없는 군이 49.1%였고 가족 동거형태는 대부분인 71.0%가 자녀와 함께 살고 있었다. 건강상태는 불편한 증상을 현재 갖고있는 군이 53.8%로 더 많았고 주관적 건강평가는 보통이다가 40.9%로 수위를 차지했다. 과거 활동제한과 병원방문경험은 없는 군이 59.5%로서 있는 군보다 높았다. 건강상태의 도시·농촌별로는 주관적 평가와 활동제한과 병원방문에 대해 유의한 차가 있는 것으로 나타났으며, 연령별로는 주관적 평가에 대해서만 유의한 차가 있었다. 일반적 건강관심에 대한 인지(perception)를 볼 때 자신이 바라는 만큼 '좋다'가 62.4%로서 그렇지 않은 군보다 높았고 자신의 건강을 다른 사람과 비교했을 때 다른 이보다 덜 아프다가 41.6%로 가장 높았다. 건강의 중요성은 92.1%가 중요하다고 하여 대부분인 것으로 나타났다. 이를 도시·농촌간의 비교한 결과에서는 모두 유의한 차를 보였다. 도시·농촌별 예방적 건강행위 실천 평균평점 분포에서는 도시 노인이 주로 이행하는 항목은 수면, 휴식, 영양, 과식과 과로 회피 등과 같은 일상생활에서의 건강활동과 사람이 붐비는 곳, 음주, 건강에 해로운 음식을 피하는 것과 같은 안전을 위한 활동들이었고 농촌은 과식을 피하는 것만 주로 이행하는 것으로 나타났으며, 병원진찰, 치과방문, 영양제나 비타민 복용, 건강정보, 구급약품, 운동등의 항목은 거의 행하지 않는 것으로 도시·농촌이 비슷하였다. 예방적 건강행위 실천평균은 45.2975이며 도시 노인의 실천이 48.1757로 농촌노인보다 높았다. 연령별, 성별로는 두 군간에 유의한 차가 없었으며 배우자 유무에서는 없는 군이 46.4745로 유의하게 높았고 교육별로는 글자해독을 할 수 있는 군이 46.44로 실천정도가 유의하게 높게 나타났다. 건강상태별로는 주관적 평가가 '좋다'는 군이 46.8333으로 실천정도가 유의하게 높았고, 활동제한 및 병원방문 여부와는 경험이 있었던 군이 46.5089로 높아 유의한 차를 나타냈다. 일반적 건강관심도의 인지적 측면에서는 자신이 바라는 만큼 건강이 좋다고 인지한 군이 46.0862로 그렇치 못한 군보다 유의하게 높았고 자신의 건강에 대한 관심을 항상 가지는 군이 45.9244로 그렇지 않은 군보다 유의하게 높은 것으로 나타났다. This study was conduced to find out the health protective behavior patterns of the old people. The study tried to give basic direction of nursing for the old people. The subjects include 279 old people in one region of the city and three of the rural area. To get the data, surveyer interviewed with the sturctured questionair from the 30th of July to the 20th of August. Analysis of the samples was done by using Descriptive Statistics, X^2-test, ANOVA. The results of the survey showed the following. Activities sorted into the 'always or almost always' by urban respondents were such health pratices of daily living and safety pratices as 'get enough sleep', 'eat sensily', 'get enough relaxation', 'avoid overeat', 'avoid overworking', don't drink', 'avoid parts of the city with a lot of pollution'. Activity which rural respondents performed always or almost always was only 'avoid overeat'. The items which were sometimes or not performed by subjects were as follows; 'see a doctor for a regular checkup', 'visit dentist's', 'take vitamins', 'discuss health with lay friends, neighbors, relatives', 'have a first aid kit in home', 'get enough exercise'. The mean score of health protective behavior scale in urban people was 48,1757 and it was higher than in rural people(42.0458). Those who were single praticed more health protective behavior than couples. There were relations between the educational background that could or could not read and health prorective behavior. Those who could read were in the higher bracket of health protective behavior level. In self-evaluating of health condition, 'good' group was singnificantly different from others. Those who had experienced activity-restriction and hospitalization praticed more health protective behavior. Those who satisfied with health and thought about health always performed more favorably.

중학생이 지각한 가족지지와 정신건강

서순림,김정복 韓國學校保健學會 2002 韓國學校保健學會誌 Vol.15 No.2

This study was conducted to identify the relationship between the perceived family support and mental health of middle school students and provide basic data to develop a nursing program for prevention of mental disease and mental health promotion in adolescent. The subjects for this study were 427 students in their first, second and third year of two middle school in K city. The data were collected from December 12th to 19th, 2001. The instruments used for this study were the family support scale by Kang and the mental health assessment scale was the Symptom Check List-90-R. The data were analyzed by frequency, percentage, mean, standard deviation, Pearson Correlation Coefficient, ANOVA, and Duncan test with SPSS program. The results were as follows: The mean score of the perceived family support was 42.26 and the mean score of mental health was 52.24. As a subarea of mental health was analyses, the scores of obsessive-compulsive reaction and hostility were respectively higher but the scores of phobia were lower than others. Family support was significantly different according to students's grade, religion and economic status, and educational level, the relationship between them, and living in parents, the characteristic influence on the level of mental health were sex, grade and economic status of students and the relationship between them of parents. There was a significant correlation between the perceived family support and the level of mental health was revealed a significant correlation(r=-.35(P=0.001)). In conclusion, this study was found that family support was an important factor for promoting mental of middle school students. In order to increase mental health of middle school students effectively, family support must be increased. Efforts to promote mental health of students are required in home and school. School authorities have to search a plans like "family support-class program" as one countermeasure to increase family support. teachers have to make educational programs to promote mental health constantly with participating parents.

자원동원성 연구논문 분석

서순림,이은옥,김정희 성인간호학회 2001 성인간호학회지 Vol.13 No.1

The purpose of this study was to identify the trends of resourcefulness research studies for suggesting the future direction of study. Study design, types of subjects, measurement tools, study concept, and outcome were examined by reviewing 61 research studies published from 1980 to 1999. The results were as follows : 1.There were 24 works in the 1980s and 37 works in 1990, according to the published year of resourcefulness study. Non- experimental studies like descriptive study, correlational study and comparative study were more frequent than experimental studies. 2.Research studies that consisted of 30- 100 subjects were the most numerous with 27 studies in all. The majority of study subjects was shown as healthy students and depressive patients. 3. Most studies used Rosenbaum's Self Control Scheduls(SCS) for assessing resourcefulness. Reliabilities of resourcefulness researches were cronbach α=.70 or more. According to statisitical tests done for internal validity, SCS was negatively correlated to maladaptation. Factor analysis revealed that the most parsimonious structure was 3 to 6 factors. The total communality variance in the SCS was about 40%. Other tools used with the SCS were about coping, depression, satisfaction of life and symptoms, self management and health promotion. 4.In correlational studies, concepts like depression, anxiety, and psychological symptoms were related to resourcefulness negatively. Adaptive functioning, life satisfaction and self achievement had positive correlations to resourcefulness. 5.Studies on comparison between a healthy person and depressive patient or smoker and non-smoker were done. There were coping, depression. symptom, self efficacy, health problem and self-control as comparative concepts. 6.Study subjects consisted of depressive patients in 9 of 18 experimental studies. The majority of studies were done with cognitive-behavioral therapy as an experimental intervention. The most effective treatment was revealed in high resourcefulness group. Since the above findings, resourcefulness research increased since 1980 and mostly non-experimental design for quantitative study were done. In the field of nursing, research about resourcefulness was in an initial stage. It is expected that further research needed to be done. Recommendations on the basis of the present research suggest that it is necessary to replicate studies, develop nursing intervention enhancing resourcefulness and apply it to patients with chronic diseases including cancer.

말기 암 환자의 통증관리 실태

서순림 경북대학교 간호과학연구소 2002 경북간호과학지 Vol.6 No.2

뇌졸중환자의 인지기능, 상지기능 및 일상생활활동

서순림,서성구 경북대학교 간호혁신연구소 2014 경북간호과학지 Vol.18 No.1

Purpose: The purpose of this study was to identify cognitive function, upper limb function, and activity of daily living according to characteristics of stroke patients. Methods: The study was a cross-sectional and descriptive design. 102 hemiplegic patients less than 90 day after stroke were recruited from October 1, 2009 to April 30, 2010. The data were analyzed using descriptive statistics, t-test, and ANOVA. Results: Participants showed 21.04(SD=7.05) score of MMSE-K, 14.56(SD=9.42) score of upper limb function, and 53.87(SD=31.38) score of activities of daily livings. Participants with brainstem and cerebellum lesion had higher cognitive function than with right and left hemisphere lesion. An unaffected upper limb function among men and those under age 49 had higher score than other groups. There was shown higher score of affected upper limb function among those with cerebral infarction than cerebral hemorrhage. Conclusion: In early stage of rehabilitation, stroke patients had moderate cognitive dysfunction, severe affected upper limb dysfunction, and severely dependent state of activities of daily livings. For enhancing cognitive function and upper limb function, post stroke patients should be provided nursing care that considered not only cause of disease and location of brain lesion but also gender and age.