암환자 가족 돌봄제공자의 긍정적 적응 관련 요인

차지은 ( Jieun Cha ),이지혜 ( Ji-hye Lee ) 한국보건정보통계학회 2020 보건정보통계학회지 Vol.45 No.3

Objectives: Previous studies have mainly focused on the difficulties of families with cancer patients, so little is known about the factors involved in the positive adaptation of family caregivers. We explored how caring characteristics, information satisfaction, and family function affect the positive adaptation of caregivers. Methods: Cross-sectional survey within a university cancer hospital in South Korea was conducted. The collected data from 170 family caregiver with cancer patients were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and hierarchical multiple regressions. Results: There were differences in scores for positive adaptation according to caregiver’s marital status, caring duration and patient’s treatment status, after diagnosis period. Positive adaptation was positively correlated with information satisfaction (r=0.36, p<0.001), decision-making engagement (r=0.25, p=0.001), and family function (r=0.37, p<0.001). In the final multivariate regression model, period after cancer diagnosis (β=1.77, p=0.033), information satisfaction (β=0.37, p=0.005), and family function (β=0.40, p<0.001) were significantly associated with more positive adaptation accounting for 25.9% for the variability. Conclusions: Period after cancer diagnosis, information satisfaction, family function was found to be a significant predictors of positive adaptation to family caregiver for cancer patients. Therefore, in order to promote positive adaptation of family caregivers for cancer patients, a systematic strategy for improving the function of these families will be needed. In addition, with quality information guaranteed, it is necessary to encourage participation in care based on positive adaptation of family caregivers.

혈액투석환자의 자기관리 구조모형

차지은(Cha, Jieun) 한국간호과학회 2017 Journal of Korean Academy of Nursing Vol.47 No.1

장기이식 대기자와 수혜자의 불안, 우울 및 삶의 질 비교

차지은(Cha, Jieun),이명선(Yi, Myungsun) 한국성인간호학회 2012 성인간호학회지 Vol.24 No.3

데이컴(DACUM) 기법을 활용한 특수무용교육 지도자의 직무분석

차지은 ( Jieun Cha ) 한국무용과학회 2021 한국무용과학회지 Vol.38 No.3

본 연구는 데이컴(DACUM) 기법을 활용하여 특수무용교육 지도자의 직무를 분석하는 데에 목적이 있다. 구체적으로는 8명의 데이컴 위원회 패널로 구성된 데이컴 워크숍을 통해 특수무용교육 지도자 직무의 정의, 책무(duty)와 과업(task)을 도출하여 직무모형을 완성하였다. 연구과정은 눈덩이표본추출법(Snowball sampling)에 의해 모집된 특수무용교육, 비장애인 무용교육, 특수교육 관련 현장종사자 집단 50명을 대상으로 설문조사를 실시하여 책무와 과업에 대한 빈도, 중요도, 난이도의 인식을 파악하였다. 이를 토대로 나무구조도 분석을 실시하여 핵심 과업을 도출하였고, 최종적으로 핵심 직무모형을 완성하였다. 그 결과, 특수무용교육 지도자의 직무는 장애인들의 문화예술적 경험과 향유를 중심으로 하여 신체적·심리적 발달을 위한 무용을 교육하는 것이라 정의하였고, 8개의 책무와 44개의 과업이 도출되었다. 이에 대한 빈도, 중요도, 난이도의 인식을 분석하였고, 우선순위 1순위로 조사된 핵심 과업은 총 44개의 과업 중 24개(‘지도자로서의 장애인에 대한 인식 개선하기’, ‘지도자의 예술성 향상을 위해 노력하기’, ‘장애인 무용 지도 경력 쌓기’, ‘수업 중 위기 대처능력 기르기’, ‘장애유형별 움직임 접근 교수법 개발하기’, ‘교육 대상 특성 파악하기’, ‘교육 대상의 교육활동 요구 파악하기’, ‘교육목표 및 내용 선정하기’, ‘전체 회차 설정하기’, ‘일일 지도안 구성하기’, ‘움직임·교보재·음악 선정하기’, ‘프로그램 시연하기’, ‘프로그램 수정·보완하기’, ‘함께 활동하는 교우 관계 파악하기’, ‘교육활동 분위기 조성하기’, ‘안전 및 생활 지도하기’, ‘교육대상과의 라포 형성하기’, ‘프로그램 진행하기’, ‘수업 중 돌발상황 대처하기’, ‘상황에 따라 프로그램 수정·적용하기’, ‘교육대상의 신체·심리 상태 변화 관찰하기’, ‘교육 지도안과 실재 차이의 원인 파악하기’, ‘교육 지도안 개선방안 모색하기’, ‘교육 지도안 수정·보완하기’)로 나타났으며, 이를 최종 핵심 직무모형에 반영하였다. 본 연구를 통해 특수무용교육 지도자의 직무가 객관적이고 체계적인 모습을 갖추게 될 것이다. 그리고 무용학 분야의 연구자들에게 직무분석 연구의 필요성에 대한 자극과 중요성을 심어줄 수 있으며, 연구 주제를 바라보는 시각을 확장시킬 수 있다. 특히 본 연구는 보다 실효성있는, 다시 말해 현장 적용 가능성이 높은 특수무용교육 지도자의 역량 강화 교육과정 개발 및 개선을 도모할 것이다. This study analyzed the job of special dance education instructors by using DACUM method. Concretely, a job model was completed by drawing the definition of job, duties, and tasks of special dance education instructors through DACUM workshop composed of eight panels of DACUM committee. In addition, conducting a survey targeting total 50 people working for the field related to special dance education, Non-disabled dance education, and special education Recruited by Snowball sampling, and their perception of frequency, importance, and difficulty of duties and tasks was understood. After drawing the core tasks by conducting the tree structure analysis, the core job model was finally completed. As a result, the job of special dance education instructors was defined as educating dance for physical/psychological development focusing on cultural/artistic experiences and enjoyment of the disabled. And total eight duties and 44 tasks were drawn. And then, the perception of frequency, importance, and difficulty of them was analyzed. Out of total 44 tasks, there were 24 core tasks(‘Improving awareness of disabled people as leaders’, ‘Trying to improve the artistic quality of a leader’, ‘Building up a disability dance teaching experience’, ‘Developing crisis response skills in class’, ‘Development of disability-type motion approach teaching methods’, ‘Identify the characteristics of the training target’, ‘Identifying educational activities requirements for education’, ‘To select educational goals and contents’, ‘Set up the entire session’, ‘Configuring a Daily Map’, ‘Selecting movements, textbooks, and music’, ‘Demonstrate the program’, ‘Modifying and supplementing programs’, ‘Identify friendships’, ‘Creating an atmosphere for educational activities’, ‘Safety and Living Guidance’, ‘Forming Lapo with the target audience’, ‘To proceed with the program’, ‘To deal with an unexpected situation in class’, ‘Modifying and applying programs in context’, ‘Observe changes in physical and psychological conditions of subjects of education’, ‘Identifying the causes of the actual difference between the educational guidance and the actual guidance’, ‘Seeking ways to improve the education guidance plan’, ‘Revising and supplementing education guidance’)shown as the first priority, so they were reflected into the final core job model. Through this study, the job of special dance education instructors would become more objective and systematic. This could not only implant the stimulation and importance related to the necessity of researches on job analysis in the researchers of dance study, but also expand the viewpoint on research themes. Especially, this study would be promoting the development and improvement of more effective and highly-applicable curriculum for strengthening the competencies of special dance education instructors.

혈액투석환자의 이행과 건강관련 삶의 질 간의 관계

차지은(Cha, Jieun) 한국산학기술학회 2015 한국산학기술학회논문지 Vol.16 No.10

본 연구는 혈액투석환자의 이행 수준을 파악하고 이행과 생리적 지표, 건강관련 삶의 질 간의 관계를 조사하였다. 지역 투석의원 27곳에서 220명의 혈액투석환자로부터 자료를 수집하였다. 이행은 투석 간 체중증가, 혈중 칼륨과 인과 함 께 환자역할행위이행 도구로 측정하였고 건강관련 삶의 질은 MOS-SF 12로 측정하였다. 자료는 서술통계, t-test, ANOVA, 피어슨 상관계수로 분석하였다. 이행의 평균 점수는 4점을 기준으로 2.92점이었고, 전체 15개 이행 항목 중 투석스케줄 지키기에서 가장 높은 점수를 보였다. 이행 수준은 연령, 결혼상태, 투석기간에 따라 유의한 차이가 있었으며, 이행 항목 중에서 복약, 감염관리, 수면, 야채와 과일섭취가 건강관련 삶의 질과 유의한 상관관계를 보였다. 본 연구결과는 혈액투석환 자의 삶의 질을 향상시키기 위해 환자중심 접근이 도움이 될 것임을 시사한다. 건강돌봄제공자들은 환자에게 중요한 이행 을 확인하고 환자의 가치와 우선순위를 고려함으로써 환자들의 입장을 이해할 필요가 있다. The purpose of the study was to evaluate patients’ compliance with the hemodialysis and to investigate relationships between compliance, physiological parameters, and health-related quality of life. Data were collected from 220 patients at 27 local hemodialysis clinics. Compliance was measured with Sick-role Behavioral Compliance including interdialytic weight gain, serum potassium, and phosphorus. Health-related quality of life was assessed using Medical Outcomes Study Short Form-12. Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson correlation. Total compliance scored 2.92 out of 4 points on average. Among fifteen items, ‘I keep on my dialysis schedule(time and date)’ was the highest score. There were differences in the scores for compliance according to age, marital status, and dialysis period. Statistically significant correlations were found between four compliance items(medication, infection control, sleep, eating vegetable and fruit) and health-related quality of life. The results of the study indicate that a patient-centered approach would be helpful to improve quality of life in patients with hemodialysis. Healthcare providers need to understand the patients’ perspectives by identifying what is important to patients and taking patient values and priorities into account.

장기 혈액투석환자의 신체적, 심리적, 사회적 요인이 질병 부담감에 미치는 영향

차지은 ( Jieun Cha ) 한국보건정보통계학회 2018 보건정보통계학회지 Vol.43 No.3

Objectives: The purpose of this study was to examine to impact of symptom severity, hope and social support on illness burden in patients undergoing long-term hemodialysis. Methods: A secondary analysis using survey data was performed for 130 patients receiving hemodialysis for more than five years. To measure illness burden, symptom severity, hope, and social support, the burden of kidney disease and the symptoms/problem list of the kidney disease quality of life short form, heath hope index, and multidimensional scale of perceived social support were utilized. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and hierarchical multiple regressions. Results: Illness burden scored 3.36 out of 5 points on average. There were differences in scores for illness burden according to primary disease, especially diabetic nephropathy (F=3.41, p=0.020), and monthly family income (F=3.79, p=0.025). Illness burden was positively correlated with symptom severity (r=0.40, p<0.001) and negatively correlated with hope (r=-0.33, p<0.001) and social support (r=-0.22, p=0.012). In the final multivariate regression model, symptom severity (β=0.32, p<0.001) and hope (β=-0.18, p=0.047) were significantly associated with more illness burden accounting for 23.0% for the variability. Conclusions: There is a large burden of illness in hemodialysis patients. Diabetic nephropathy could impose even larger burden on individuals. More aggressive interventions should be implemented to manage complex chronic disease and prevent diabetes. Better assessment and alleviation of patients’ symptom and positive attitude toward their illness would seem to have the potential to reduce illness burden in patients underdoing hemodialysis.

한국어판 혈액투석환자의 자기관리 측정도구의 타당도와 신뢰도 검증

차지은 ( Jieun Cha ),강지영 ( Jiyoung Kang ) 한국보건정보통계학회 2017 보건정보통계학회지 Vol.42 No.2

Objectives: The purpose of this methodological study was to evaluate the validity and reliability of the Korean version of the Hemodialysis Self-Management Instrument (HDSMI). Methods: Forward-backward translation was performed to develop the Korean version of the HDSMI. The translated scale was pilot tested and then administered to 215 patients with hemodialysis from January to February, 2016. Construct validity using exploratory and confirmatory factor analysis and internal consistency reliability were conducted. Results: Through a principal component method of exploratory factor analysis, the original twenty items were analyzed into four factors - problem solving and communication (7 items, 33.8%), fluid and weight control (3, 8.3%), diet and hemodialysis (5, 6.6%), and self-advocacy and emotion control (5, 5.7%), explaining 54.5% of total variance. The four-subscale model was validated by confirmatory factor analysis (χ²/df=2.13, p<0.001, RMR=0.04, GFI=0.86, CFI=0.87, TLI=0.85, RMSEA=0.07). Factor loadings of the four sub-scales ranged from 0.69 to 0.78. Average variance extracted was .80 and construct reliability was 0.94. The Cronbach`s alpha for the total scale was 0.89. Conclusions: The Korean version of the Hemodialysis Self-Management Instrument showed acceptable reliability and validity and can be utilized to assess self-management behaviors of hemodialysis patients in Korea. Additional studies are recommended to continue the psychometric evaluation of self-management scale.

혈액투석 환자의 치료에 대한 믿음, 질병 통제감과 우울, 건강 관련 삶의 질과의 관계

차지은(Cha, Jieun),이명선(Yi, Myungsun) 한국성인간호학회 2014 성인간호학회지 Vol.26 No.6

혈액투석 환자의 건강상태 예측요인: 2년 종단연구

차지은 ( Cha Jieun ) 병원간호사회 2016 임상간호연구 Vol.22 No.3

Purpose: The purpose of this study was to examine the effects of physical, psychological, and social factors on the health status of patients undergoing hemodialysis using longitudinal data. Methods: Two surveys were conducted within a period of two-year. A total of 75 patients participated in both surveys. Eight variables including symptoms, treatment belief, hope, meaning-focused coping, family support, friend/peer support, healthcare provider support, and health status were measured. Data were analyzed by paired t-test, Pearson`s correlation coefficients, and hierarchical multiple regressions. Results: The mean age of the participants was 47.31 and the average duration of dialysis was 8.27 years. There was no difference in scores on perceived health status between the two year-interval surveys. The two-year follow-up on perceived health status was correlated with baseline perceived health status, friend/peer support, meaning-focused coping, hope, and symptoms. As the result of the regression analysis, friends/peer support (β=.31, p=.013) and baseline perceived health status (β=.30, p=.020) were found to be significant predictors of subsequent health status which explained 39.0% of the variance. Conclusion: This study suggests the importance of psychosocial resources for positive health outcomes in patients with a chronic illness. Nursing interventions aimed to provide renal peer support need to be developed and tested.

혈액투석환자의 인지적 대처전략에 따른 희망, 우울 및 삶의 만족에 미치는 영향 정도

차지은(Cha, Jieun),이명선(Yi, Myungsun) 한국성인간호학회 2013 성인간호학회지 Vol.25 No.4