일부 치위생과 학생들의 자기효능감과 의사소통능력 및 임상실습 만족도의 관련성

이미라,정수진,Lee, Mi-Ra,Jung, Su-Jin 중소기업융합학회 2021 융합정보논문지 Vol.11 No.4

본 연구는 치위생과 학생들의 자기효능감과 의사소통능력 및 임상실습 만족도의 상관성과 임상실습 만족도에 영향을 주는 요인을 알아보고자 실시하였다. 자료수집은 충청남북도 3개 대학의 임상실습을 경험한 치위생과 대학생 201명을 대상으로 분석하였다. 연구결과, 임상실습 만족도는 자기효능감(r=.337, p<0.001), 의사소통능력(r=.293, p<0.001)과 양의 상관관계를 보였고, 자기효능감도 의사소통능력(r=.634, p<0.001)과 양의 상관관계를 보였다. 치위생과 학생들의 임상실습 만족도에 영향을 미치는 영향 요인은 자기효능감, 학점 및 전공만족도였다. 설명력은 19.0%였다. 이에 치위생과 학생들의 임상실습 만족도를 높이기 위해서 학생들의 자기효능감을 증진시키고 의사소통 능력을 키울 수 있는 임상실습 교육 프로그램 개발이 필요할 것이다. This study was conducted to identify the correlation between the self-efficacy, communication competence, and clinical practice satisfaction of dental hygiene students and the factors affecting clinical practice satisfaction. The data survey was conducted on 201 students of Chungcheong Province who experienced clinical practice. Data were analyzed by anova and logistic regression analysis. As a result of the study, clinical practice satisfaction was positively correlated with self-efficacy (r=.337), communication competence (r=.293) and self-efficacy was positively correlated with communication competence (r=.633). Factors affected to clinical practice satisfaction were self-efficacy, academic score, and major satisfaction. Therefore, it will be necessary to develop clinical practice education programs that can enhance students' self-efficacy and improve their communication competence.

일부 치과위생사의 생활만족도, 노후에 대한 인식 및 노후준비와의 관련성

이미라,박경화,Lee, Mi-Ra,Park, Kyung-Hwa 한국치위생학회 2017 한국치위생학회지 Vol.17 No.5

Objectives: The purpose of the study is to investigate the relationship between life satisfaction, awareness of their old age, and preparation for their old age among dental hygienists. Methods: A self-reported questionnaire was completed by 258 dental hygienists in Seoul, Gyeonggido, Incheon and Gangwondo from September 30 to October 30, 2016. The questionnaire consisted of general characteristics (10 items), life satisfaction (10 items), awareness of old age (13 items) and preparation for old age (23 items). Respondents were asked to choose on the Likert 5-point scale. Results:Significant relationships were found between life satisfaction, awareness about old age and preparation for old age among dental hygienists (p<0.01): physical preparation for old age was related to life satisfaction; economic preparation for old age was related to life satisfaction, awareness for old age, 10 or more years of experience as dental hygienist and having offspring (two or more children). Psycho-emotional preparation for old age was related to life satisfaction and awareness for old age. Conclusions:It is necessary to find ways to increase life satisfaction and awareness of old age for their old age among dental hygienists.

Sandifer 증후군 1례

이미라,김수현,김용주,설인준,Lee, Mira,Kim, Soo Hyun,Kim, Yong Joo,Seol, In Joon 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.10

Sandifer syndrome is a rare manifestation of gastroesophageal reflux in children, occurring in association with abnormal movement of the head and neck and recurrent episodes of seizure after feeding. This syndrome may be misdiagnosed as infantile seizure and musculoskeletal disorder and may be associated with failure to thrive, anemia, aspiration pneumonia, and esophagitis. In this paper, Sandifer syndrome in a four months old male with recurrent aspiration pneumonia, apnea, and seizure after feeding is presented. Sandifer 증후군은 식도의 역류와 관련되어 음식섭취 후 비특이적인 경련과 자세를 취하게 되는 증후군으로서 증상이 경미할 경우 진단이 지연될 수도 있고 여러 신경학적인 질환과 근골격계의 이상과 감별을 위해 과도한 진단과정이 진행될 수도 있다. 저자들은 흡인성 폐렴과 수유 후 무호흡, 비전형적인 경련을 주소로 한 환아에서 Sandifer 증후군을 의심하고 조기에 진단하여 치료한 1례를 보고하는 바이다.

강인성이 건강증진행위, 신체증상에 미치는 효과-여대생을 대상으로-

이미라,소희영,송영신,Lee, Mi-Ra,So, Hee-Young,Song, Young-Sin 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.1

This study was undertaken in order to examine the relationship of hardiness and health-promoting behavior and the effects of hardiness on stress-related physical symptoms. The subjects were 104 female nursing students of one college in Kongju. The instruments used for this study were a survey of general characteristics, hardiness(25 items), health-promoting behavior(44 items), and physical symptoms(35 items), Analysis of data was done by use of mean, Pearson correlation coefficient, stepwise regression and a hierarchical multiple regression with an SAS program. The results of this study are as follows. 1) Significant correlations between health -promoting behavior and subscales of hardiness, that is, control(r=-.35, P<.00l), commitment(r= -.29, P<.0l), and challenge(r= -.23, p<.05) were found. 2) Control was the highest factor predicting health -promoting behavior. 3) Main and buffering effects of hardiness on current physical symptoms were not found.

개별 폐정맥의 협착

이미라,최길순,김남수,염명걸,김용주,설인준,Lee, Mira,Choi, Kil Soon,Kim, Nam Su,Yum, Myung Kul,Kim, Yong Joo,Sul, In Jun 대한소아청소년과학회 2003 Clinical and Experimental Pediatrics (CEP) Vol.46 No.6

폐고혈압의 원인은 크게 심박출량의 증가나 혈관 수축 또는 폐쇄에 의한 폐혈관저항의 증가로 볼 수 있고 수동적으로도 높아질 수 있다. 다른 심기형이나 혈관기형을 동반하지 않고 개별 정맥의 협착으로 인해 유발되는 경우는 매우 드물다. 저자들은 출생시 식도 기관루 제거와 식도 연결을 시술한 환아에서 반복되는 청색증과 호흡곤란으로 일반외과 3회 입원 후 식도 협착으로 풍선 확장술을 시행하였던 10개월 영아에서 심초음파를 통해 폐동맥 고혈압을 진단하고 심혈관도자술을 통해 개별 폐정맥들의 협착을 원인으로 밝혔기에 보고하고자 한다. Pulmonary hypertension may be associated with variable conditions such as the hyperkinetic state or pulmonary vascular obstruction. In these, stenosis of the individual pulmonary veins without any cardiac or vascular malformation is very rare. We experienced stenosis of individual pulmonary veins in a 10 months old boy who was admitted with recurrent dyspnea and cyanosis and then underwent angiogram and a lung perfusion scan.

우리나라 청소년에서 흡연 및 음주상태와 치은증상의 관련성

이미라,Lee, Mi-Ra 한국치위생학회 2017 한국치위생학회지 Vol.17 No.5

Objectives: The purpose of this study was to evaluate the association of smoking and drinking status with gingival symptoms among the adolescents in Korea. Methods:We used the data from the web-based survey of the National Korean Youth Risk Behavior of Korean Center for Disease Control in 2016. The study subjects were 65,528 adolescents from middle- and high schools. Data were analyzed by SPSS Ver. 19.0. Multiple regression analysis was used to assess the factors related to gingival symptoms. Results: We observed 1.52 of odds ratio (OR) for gingival symptoms for those who smoked only without drinking in middle schools. In addition, we had ORs of 1.29 or 1.69 for those who drank only without smoking, or who smoked and drank in the middle schools, respectively, compared to nonsmoking nondrinkers. Risk of gingival symptoms for those who drank only or who smoked and drank in high schools were 1.18 or 1.17 times higher than nonsmoking nondrinkers. Conclusions: Smoking and drinking status among the adolescents are the risk factors to develop gingival symptoms. The problem of smoking and drinking in the adolescents should be considered when establishing the policies and institutions to improve oral health targeting the adolescents.

간경변증

이미라,LEE Mi Ra 대한간호협회 1969 대한간호 Vol.8 No.4

간호학생의 스트레스 지각, 대처, 스트레스결과에 대한 구조모형

이미라,정현숙,조미경,Lee, Mi-Ra,Chung, Hyun-Sook,Cho, Mee-Kyung 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.2

The purpose of this study was to test the hypothetical model designed to explain nursing students' perceived stress, coping levels, and stress outcomes. This hypothetical model was based on the Kim. Jung Hee(l987)' s stress model and stress-related literature. Exogenous variables were self-efficacy. hardiness. social support. and exercise. Endogenous variables were stress perception. coping levels. and stress outcomes. Empirical data for testing the hypothetical model consisted of 205 nursing students. SAS PC Program and LISREL 8.12a program were used for descriptive statistics and linear structural relationship(LISREL) modeling. The results were as follows. 1) The overall fit of the hypothetical model to the data was good( $x^2$=78.41(p=0.010), $x^2$/ df=1.50. RMSEA=0.05, standardized RMR= 0.05, GFI=0.95, AGFI=0.91, NNFI=0.90, NFI=0.94). 2) The results of statistical testing of the hypotheses were as follows. (1) As expected. self-efficacy had a significant effect on stress perception. But. hardiness. social support, and exercise did not have a significant effect on stress perception. Self-efficacy, hardiness. social support, and exercise explained 12% of the total variance of stress perception. (2) As expected, self-efficacy, hardiness, social support, exercise, and stress perception had a significant effect on coping behavior, Self-efficacy, hardiness, social support, exercise, and stress perception explained 53% of the total variance of coping behavior. (3) As expected, stress perception and coping behavior had a significant effect on stress outcomes. Stress perception and coping behavior explained 84% of the total variance of stress outcomes. In conclusion, the hypothetical model of this study was confirmed in explaining and predicting stress perception, coping levels, and stress outcomes in nursing students. And these findings suggest the need to develop nursing intervention to enhance self-efficacy, hardiness, social support, and exercise to decrease the harmful outcomes of stress.

간호학생을 대상으로한 건강관련 강인성 도구(HRHS)의 신뢰도와 타당도 검증 및 수정

이미라,Lee, Mi-Ra 한국지역사회간호학회 2000 지역사회간호학회지 Vol.11 No.1

The purpose of this study is to test the psychometric properties of the Korean version of the Health-Related Hardiness Scale(HRHS) in a sample of Korean nursing students. The korean version of HRHS was administered to 234 nursing students including 135 college students and 99 university students. The Korean version of HRHS was measured on a 6 Likert scale, assessing three factors of HRHS : control, commitment, and challenge. Internal consistency was used to test the instrument's reliability. The internal consistency of the scale was measured using a coefficient alpha. The coefficient alpha was .69(control), .49(commitment). and .69(challenge), Item analysis and confirmatory factor analysis (CFA) were used to test the instrument's construct validity. The item analysis identified that there were 13 items. which were lower than the .25 item-total correlation. CFA revealed that the scale's fadoral validity was not proper by showing unfit indices(RMSEA .07. stand, RMR .09. GFI .71). According to the findings of this study, the reliability and construct validity of the Korean version of HRHS is not satisfactory in the sample of nursing students. As a result. the researcher modified the scale through item analysis and repetitive CFA process, and proposed the revised 25-item Korean version of HRHS for nursing students. The revised scale's reliability(control .74, commitment .73. challenge .77) and factorial validity were within acceptable levels. The item analysis identified that there was no item, which is lower than the .25 item-total correlation. CFA revealed that the scale's factoral validity was proper by showing fit indices(RMSEA .08 stand. RMR .08. GFI .80).

호스피스 자원 봉사자들의 말기 환자 돌봄에 대한 태도

이미라,이원희,Lee, Mi-Ra,Lee, Won-Hee 한국호스피스완화의료학회 2001 한국호스피스.완화의료학회지 Vol.4 No.1

본 연구는 2000년 상반기 한 대학 병원의 호스피스 자원봉사자 교육에 참여한 84명의 설문 응답자를 대상으로 하여 호스피스 자원봉사자의 죽음에 대한 태도와 말기 환자 돌봄에 대한 요구, 말기환자와 가족 돌봄에 대한 태도를 알아보기 위한 서술적 연구이다. 개방형 질문을 이용한 자료에서 응답자의 대부분이 죽음에 임박한다면 가족에 대한 염려와 걱정, 죽음의 고통, 내세의 두려움이 가장 큰 불편함이 될 것이라고 답했고, 사랑과 관심 있는 임종 간호에 대한 요구를 보였으며, 죽음이라는 위기 상황을 극복할 수 있는 가장 큰 자신의 자원을 신앙심으로 인식하고 있다. FATCOD 도구에서(Cronbach ${\alpha}$는 0.778 이었으며) 말기환자와 가족 돌봄이 가치 있는 일이라고 여김에도 불구하고 죽음에 대해 이야기하는 것과 말기환자와 감정을 나누는 것은 여전히 어렵고 불편한 것임을 나타냈다. 또한, 말기환자 돌봄에서 가족 참여는 필수적인 것이고, 말기환자가 남은 여생을 가장 잘 살아갈 수 있도록 정상적인 환경을 유지해야 하며, 죽음이란 모든 인간이 자연스럽게 받아들여야 하는 삶의 한 과정임을 인식하고 있다. Purpose : The purpose of this study was to identify attitudes of hospice volunteers toward care of for terminally ill patients. Method : This was a descriptive study with a sample of 84 adults who were registered for a hospice volunteer education program at Severence Hospice Center. The Frommelt (FATCOD) scale on attitudes toward the care of the dying (Cronbach alpha=.778) and an open ended questions on "what if you only have 6 months to live" were used to collect the data. The data was analyzed using SPSS/W and content analysis. Results : 1) The hospice volunteers were mostly female, with an average age of 45 years, half of them were college graduates and their religious preference was Protestant. 2) The participants of this study demonstrated positive attitudes to care for the dying which is in coherence with hospice philosophy and principles. However they indicated difficulties in maintaining close relationships with people who are dying, and in communicating and sharing, and encouraging those who are dying to express their feelings. In the open ended questions, they identified that their most important issues would be guilt feelings toward their children, family concerns, and the burden of unfinished business in their lives. They also identified the fear of pain in the dying process and fear of the afterlife. The care they would like to receive was to have peace of mind, have a good listener, spiritual counselling, and pain relief and to be respected as a human being. The source of strength would be faith in God and they would like to overcome their of dying. The FATCOD scale has limitation in describing and identifying the need and attitude toward the care of the dying revisions were made. Conclusion : We all are the potential clients for the hospice rare. In a hospice volunteer education program, communication and interpersonal skill are essential. The fear of dying, afterlife, concerns about family with children, and human dignity are major concerns in hospice and palliative care.