일부 여고생의 스트레스와 스트레스 대처방식 및 신체증상 영향요인

양경희,김영희,박금숙,Yang, Kyung-Hee,Kim, Young-Hee,Park, Kum-Sook 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1

Objectives : This study was conducted to analyze the stress, coping and physical symptoms relevant to factors influencing physical symptoms on high school girls. Methods : The subjects were 521 high school girls in I city. The data was collected by using structured questionnaire. T-test, ANOVA, Pearson's correlation and Stepwise-multiple regression were performed by SPSS/PC 17.0. Results : Study-related stress were higher in the freshmen than sophomore (p=.001). The sophomore have highest level in family (F=5.32, p=.005), friends (F=3.13, p=.044), and appearance-related stress (F=5.49, p=.004). Poor grades in their studies were related to family-related stress (p=.010) and study-related stress (p=.009), They complained severe discomfort, displeasure, and G-I symptom in order. The more physical symptoms were, the more coping with their stress do (p=.001). Factors affecting physical symptoms are study-related stress (${\beta}$=.38), unhealthy (${\beta}$=.16), friends (${\beta}$=.14), active coping with stress (${\beta}$=.15) and sophomore (${\beta}$=.11), family (${\beta}$=.11), and they explained 33.3% of variables. Conclusions : Students have to learn how to cope with their stress. Therefore, it is needed program development to improve stress management for high school girls.

간호업무와 관련한 법적 의무 및 책임에 대한 조사 연구

양경희,황종훈,김영희,Yang, Kyung-Hee,Hwang, Jong-Hoon,Kim, Young-Hee 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

The purpose of this study was to survey the knowledge level, attitude and practice of nurses toward their work. The subjects of the study were composed of 98 nurses from 3 general hospitals, 1 oriental medical hospital, 2 health centers and several community health posts and schools. Data were collected from May to October, 1998. In data analysis, an SPSS PC program was utilized for descriptions. 1) 16 nurses (16.3%) experienced medical accidents on the 7 nurses(7.1%) 1 time, 6 nurses (6.1%) 2 times, and 3 nurses(3.1%) 3 times. 2) Concerning knowledge of their legal obligations ; the prohibition of telling secrets was .89, the prohibition of reading medical records was .58, the keeping of medical records was 1.0 and the teaching of recuperation was. 79. The total mean score was. 86. Concerning attitude and practice; the prohibition of telling secrets was 81.6%, 63.3%. The prohibition of reading medical records was 61.2%, 60.2%. The keeping of medical records was 98%, 98%. The explanation for treatment, care and test was 91.8%, 66.3%. The teaching for recuperation was 63.3%, 63.3%. 3) Knowledge of their legal responsibilities; 29. 6% of the subjects thought that they should report a medical accident to their headnurse, but 75.5% of the subjects actually reported to the headnurse. 39.8% of the subjects thought that nurses were liable for the faults of nursing aides. The total mean score was .45. 46% of the subjects asked a senior staff's advide on difficult affairs. Nurses obeyed legal obligations when concern ing the protection of a client, but were passive when concerning self protection. Also, headnurses were required as adviser, guide and advocate.

호스피스 완화의료 전문인력의 죽음에 대한 태도가 임종돌봄 스트레스에 미치는 영향

양경희,권성일,Yang, Kyung Hee,Kwon, Seong Il 한국호스피스완화의료학회 2015 한국호스피스.완화의료학회지 Vol.18 No.4

목적: 본 연구는 호스피스 완화의료 전문인력의 죽음에 대한 태도의 임종 돌봄 스트레스에 대한 효과를 탐구하고, 이 두 변수와 관련된 우울, 대처전략들의 변수와의 상관관계를 분석하기 위해 시도되었다. 방법: 연구 대상자는 호스피스 완화의료 전문인력 131명이며, J도를 중심으로 2개의 상급종합병원과 2개의 종합병원 암병동, 2개의 호스피스 시설, 2개의 전문요양병원 및 2개의 노인병원에서 실시되었다. 자료는 2015년 3월부터 6월에 수집되었으며, 자료 분석에는 SPSS/WIN 21.0과 AMOS 18.0 programs을 사용하였고, t-test, factor analysis, ANOVA ($Scheff{\acute{e}}$), Pearson's correlation 및 path analysis를 실시하였다. 결과: 죽음에 대한 태도는 낮았으며(2.63점), 우울 점수는 0.45점이였으나 15.0%의 대상자는 우울관리가 요구되었다. 임종 돌봄 스트레스가 높고(3.82점), 그 중 의료 한계에 대한 갈등이 가장 높았다(4.04점). 스트레스 대처는 낮았으며(3.13점), 대인관계 기피(4.03점), 간식이나 잠을 취하는 기본욕구 충족(3.65점)과 같은 소극적인 방법을 사용하였다. 죽음에 대한 태도는 임종 돌봄 스트레스에 직접적으로 부적 영향을 주었으며, 우울과 기본 욕구 충족(CS2)을 통한 간접적인 영향을 주었다. 결론: 호스피스 완화의료 전문인력들에게 죽음에 대한 태도를 향상시키고 효과적인 대처전략을 활용하게 하는 인지적 지지와 정서적 지지를 제공하는 프로그램 제공이 요구된다. Purpose: This study was conducted to explore the effects of attitude to death in hospice and palliative professionals on their terminal care stress, and to analyze relationships among variables related to the two aforementioned parameters, such as depression and coping strategies. Methods: Participants were 131 hospice and palliative professionals from the cancer units of two tertiary hospitals and two general hospitals, two hospice facilities, two geriatric hospitals, and two convalescent hospitals in J province. Data were collected from April through June 2015 and analyzed using t-test, factor analysis, ANOVA ($Scheff{\acute{e}}$ test), ANCOVA, and Pearson's correlation and a path analysis using the SPSS/WIN 21.0 and AMOS 18.0 programs. Results: The score for attitude to death was low (2.63), and that for depression was 0.45. Among all, 16.0% of the participants showed need for depression management. They scored 3.82 on terminal care stress. The subcategory with the highest mark was inner conflicts on limitation given availability of medical services (4.04). The score on coping strategy was low (3.13). They used passive coping strategies such as interpersonal avoidance (4.03), fulfilling basic needs (3.65) such as sleeping or eating. Attitudes to death had a direct negative effect on the terminal care stress level and indirectly affected through depression and fulfilling basic needs (CS2). Conclusion: It is necessary to provide hospice and palliative professionals with education on death and dying, as well as access to programs that provide emotional support and promote positive cognition of death and dying.

마음공부 집단상담 프로그램이 청소년들의 신체증상, 자존감 및 자아정체감에 미치는 효과

양경희,권용갑,박금숙,Yang, Kyung-Hee,Kwon, Yong-Kap,Park, Kum-Sook 한국학교보건학회 2010 韓國學校保健學會誌 Vol.23 No.2

Purpose: In this study, the researchers analyzed Adolescence's physical symptoms, self esteem and self identity to identify the effects and development of Maumgongbu group counseling on adolescents. Methods: There were two groups involved in this study: the group counseling team and the individual counseling group. Group counseling program was performed with 14 sessions, involving the students who applied for the program. Individual counseling was performed with 14 sessions through one-on-one session by students and their counselors. The data were collected three times: during the pre-treatment, post- treatment and 8 weeks after post-treatment using questionnaires. SPSS/WIN. 11.5 program was used for data analysis. Results: After the intervention, Group counseling prevented physical symptoms from getting worse. Self esteem improved during the pre-post treatments, and Self identity improved during the pre-8weeks after post-treatment in group counseling. Physical symptoms, Self esteem and Self identity aggravated during individual counseling groups. Conclusion: In this study, it was confirmed that the group counseling program was useful for the respondent's individual development through the improvement of their Physical symptoms and establishment of their Self identities through Maumgongbu group counseling.

노인 만성질환에 대한 기(氣) 시술의 효과

양경희,장혜숙,이명수,허화정,Yang, Kyung-Hee,Jang, Hey-Sook,Lee, Myeong-Soo,Heh, Hwa-Jeong 한국지역사회간호학회 1999 지역사회간호학회지 Vol.10 No.2

The purpose of current study was to investigate the effects of Ki-therapy which improves mood state and relieves pain on the elderly with chronic illness. The subjects were 42 elderly and convenience sampling(incidental sampling) was used to prevent contamination to the control group. Frequency, %, $X^2$, t-test, and repeated measure ANOVA by SPSS PC + program were used to analyze the data. The mean age of subjects was 72.95(Control group), 73.10(experimental group). Number of complains was 2.45(control group), 2.65 (experimental group). All of demographic characteristics of subjects. that is, age, weight. number of complains. educational background. family type. economic state, perceived health state were homogeneous. There are many difficulties in ADL & IADL. 14.2% in shopping, mode of transportation, ability to handle finances. 11.9% in ability to use telephone. continence, 7.1% in bathing, food preparation, transfer, and housekeeping. As the result of this study. slight improvement of mood state and pain relief were found. Although 3 improved items of 'clear-headed', 'lively', and 'nervous' were statistically significant. the pain relief was not statistically significant. It requires repeated treatment and measurement. And suggested case study or qualitative study in further studies because manufacturing of environment(i. e. rain) is very difficult in community people.

골다공증 진단방법에 관한 기초연구

양경희(Kyung Hee Yang),박금숙(Kum Sook Park),이정란(Jeong Ran Lee),정헌영(Hun Young Jung) 한의병리학회 2009 동의생리병리학회지 Vol.23 No.5

일 도시 초등학교 고학년 아동들의 비만도와 관련된 특성

양경희(Kyung Hee Yang),김영희(Young Hee Kim) 한국보건교육건강증진학회 2004 보건교육건강증진학회지 Vol.21 No.2

Purpose: The purpose of this study was to investigate the actual conditions of obesity, and the factors related to children's obesity. Method: The subjects were 568 students (5th, 6th grades) of ten elementary schools in a small city of about 350,000. Subjects self-reported after being instructed by researchers to identify health habits and attitudes toward obesity. The Rohrer index was calculated by using annual physical examinations preformed by the schools. Result: 17.5% of the subjects were under weight, 22.2% were overweight, and 60.3% were normal. In girls, the under weight group was much larger, in boys the overweight group was larger. 46.2% of overweight children had a familial tendency to obesity. 60.6% of boys and 60% of girls were on a diet in order to improve their looks or to prevent ridicule from friends. On average, one-third of the subjects misunderstood their own weight level. Subjects spent 3~4hours on weekdays, and over 6hours on the weekend watching TV or using personal computers. The overweight group enjoyed eating meat, fish, beans and vegetables, while the normal group tended to prefer fruit. Conclusion: Health education programs which guide elementary school students to form better health habits, more accurate perceptions of their own body weight, and better attitudes toward obesity and which make students aware of the importance of exercise, a healthy diet, and reducing time spent in front of' TVs and computers may help them to keep at their appropriate weight.

국내 간호학과 교육과정 관련 연구동향(2011∼2020년)

양경희(Kyung Hee, Yang),고가연(Ga Yeon, Ko),박선정(Sun Jung, Park) 한국간호연구학회 2021 한국간호연구학회지 Vol.5 No.3

Purpose : The purpose of this study is to systematically verify research related to the curriculum of the nursing department over the past 10 years through a literature review on the subject area. Method : This study was conducted using the scoping review to identify research trends from January 2011 to December 2020 targeting 11 papers published in domestic journals on curriculum-related topics in the nursing department. Results : As research topics, 3 studies on competency-based curriculum (27.2%), 2 studies on curriculum analysis and operation (18.2%), and 2 studies on curriculum development (18.2%). Two studies related to cultural competency (18.2%), one study on program learning outcomes (9.1%), and one study on the liberal arts curriculum (9.1%). Conclusion : Due to recent changes, abundant medical knowledge, and the expanded role of nurses, a change in the curriculum is essential. Consideration of the learning outcomes, which are the characteristics of the nursing education certification and evaluation system, major subjects and liberal arts subjects should be rationally developed and operated. For the development of nursing education, it is necessary to identify the educational needs and necessary competency of nurses through continuous research using various research methods, and to develop, operate, and evaluate subjects systematically.

간호대학생의 임상실습교육 질적 개선을 위한 정책적 지원과 탄력적 운영 방안

양경희(Kyung Hee, Yang),최은주(Eun Ju, Choi),박순옥(Soon Ok, Park),고순희(Soon Hee, Ko),최귀윤(Gui Yun, Choi),박종덕(Jong Duk, Park),박선정(Sun Jung, Park) 한국간호연구학회 2020 한국간호연구학회지 Vol.4 No.2

Purpose : This study aims to develop practical standards and models and present operational plans so that clinical practice education for nursing students can be operated efficiently and quality improvement is achieved. Methods : The study was designed as a systematic review of citations or analysis of information published articles on the theme and related national administrations. Results : First, 1,000 hours of clinical practice consists of 4∼6 credits in school training and 20∼21 credits of clinical field training. Second, it is based on essential credits of each clinical subject and considers flexible operation. Third, it is necessary for the Ministry of Education to support job retraining every 2 years and to establish a system, and gives practical instructor of institution 2 positions by clinical/educational institutions. Fourth, the Ministry of Health and Welfare should state the duty of training for nursing students, reflect it in institutional evaluations, and apply a dedicated nurse education program for new nurse education to nursing student. Fifth, in hospitals with more than 200 beds, and in the case of obstetrics and pediatrics, if there are specialists and educational nurses, even a clinic should be recognized as an institution for clinical nursing practice. Conclusion : 1,000 hours of clinical practice, including in school practice, can be maintained, which requires reasonable government support and cooperation between relevant national administrations and nursing professionals.

간호사 이미지 측정도구 개발

양경희(Kyung Hee, Yang),최귀윤(Gui Yun, Choi),윤영숙(Young Sook, Yoon),조은희(Eun Hee, Jo),박선정(Sun Jung, Park) 한국간호연구학회 2020 한국간호연구학회지 Vol.4 No.4

Purpose : It was implemented to develop an instrument to measure the image of nurse. Methods : Preliminary questions of 45 questions were drawn by collecting the information on nurse image from literature, previous research, and then interviews were conducted with 8 subjects. Participants for the nurse image testing were 474 nurses. Validity and reliability analyses included content, construct, and criterion-related validities, internal consistency using IBM SPSS/WIN 23.0, AMOS/WIN 21.0. Result : The instrument of image of nurse consisted of 18 items, 4 components of considerate leadership, professional competency, professional pride, and professional ethics. Total reliability is Cronbach’s alpha coefficient .94 and explained 69.54% of the total variance by confirmatory factor analysis method. Conclusion : The results of this study indicate that this instrument is useful to measure the image of nurse. Nurses themselves need to recognize themselves so that the image of a nurse is settled in the clinical field and is recognized as a professional that fits their role as a professional.