노인장기요양시설 종사자를 대상으로 한 인간중심돌봄 사정도구의 타당도 및 신뢰도 검증

탁영란,우해영,유선영,김지혜 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.3

Purpose: The aim of this study was to evaluate the validity and reliability of the Korean version of the Person-centered Care AssessmentTool (P-CAT). Methods: The English P-CAT was translated into Korean with forward and backward translation. Survey datawere collected from 458 staff in 17 long-term care facilities in Korea. Construct validity and criterion related validity were evaluated. Cronbach’s alpha was used to assess reliability. Results: The Korean version of P-CAT was shown to be valid homogeneously by factor,item and content analysis. Internal consistency reliability was satisfactory in which the values of factor 1, factor 2 and the totalscale were .84, .77 and .86 respectively. Exploratory factor analysis supported the construct validity with a two-factor solution. Factorloadings of the 13 items ranged in .34~.80. Criterion validity to the Person-centered Climate Questionnaire-staff (PCQ-S) was .74(p<.001). Conclusion: The Korean version of the P-CAT was found to be an applicable instrument with satisfactory reliability andvalidity for further use in measuring successful person-centered care in long-term care facilities for older persons.

입원 환아 가족의 대처

탁영란,여지영,박영의,Tak Young Ran,Yo Ji Young,Park Young Yee 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.2

Nurses working with families who has a hospitalized child are aware of the complexity of the tasks and stresses they deal with new setting of environment. The challenge is to assess the family coping activity that require the most immediate intervention for the effective nursing care for child and family. This study describe the family coping inventory for the clinical guidance to identify a family coping with stressors. The purpose of this study was to look at the factors related to the family's coping activity when the child was hospitalized. The data were collected with a questionnaire between July and August, 1999, in a sample of 106 families who have hospitalized child. Family coping was assessed using Family Crisis Oriented Personal Evaluation Scale(F-COPES). Data was analyzed using correlation coefficient and analysis of variance. Positive correlation was found between social support, reframe with mobilizing the family to acquire and accept help in sub-domain of family coping. Strongest correlation existed between the family's spiritual support and total family coping. The type of diagnosis, the level of family income, religion, and child's age were significantly different in family coping. The result show that the family coping is affected by the characteristics of child and family, as well as the factors of coping activity. Therefore, early assessment of family coping skill and activity is important to the prevention of problem with function toward wholeness as a unit and child's well being. It can be used with a broad range of child's hospitalization process. It also serve as a nursing record and planning tool for documenting issues that may become priorities for future interventions.

발달장애아동가족의 가족스트레스, 인지적 사회 지지와 가족 적응

탁영란,이희영,Tak Young Ran,Lee Hee Young 한국아동간호학회 1997 Child Health Nursing Research Vol.3 No.1

Although a family-centered approach to health care for developmentally disabled children has been advocated, existing systems of care have not adequately addressed the support needs of the family system and the essential role that parents play in the daily care of these children. The overall purpose of this research is to examine family system adaptation to the care of a developmetally disabled child using the Resiliency Model of Family Stress, Adjustement, and Adaptation Framework. Relationships among family system demands (stressors, strains, transitions, child's illness factors) and family system strengths and capabilities(resource of social support) were examined to determine their separate and combined contribution to explanining the variability in family system outcomes (family system coping ). The subject for this study was 46 families who have a child with developmental disabilities(mental retardation and / or autism) from three special educational programs in Seoul, Korea. Results from correlation and hierachial regression analysis revealed that perceived social support operated as a resiliency factor between family stress and coping. Child and family characteristics appeared to be important predictors of perceived social support and coping. In summary, there is evidence that the resource of social support as a family strength and capability was found to improve the family coping. These findings also must be viewed within the context that sample of families of children with disabilities was relatively small and eligible families from support group of special educational program.

여성 노인의 사회적지지 및 도구적 지지요구과 우울에 관한 연구

탁영란,김순애,이봉숙 대한간호학회 여성건강간호학회 2003 여성건강간호학회지 Vol.9 No.4

경관 지각의 구조 모형 분석 한국 전통 정원 경관을 대상으로 - 창덕궁 애련지 권역

탁영란,김순애,김태경,윤이화 한국전통조경학회 2009 한국전통조경학회지 Vol.27 No.1

The cognitive and psychobehavioral approaches involves a search for human meaning and information that are associated with landscape perceptions. The purpose of this study is to test the proposed integrative model that simultaneously consider the interrelations among cognitive, motivational, affective, evaluative, and behavioral tendencies in landscape perception on a Korean traditional garden, focused on Aeleonji area, Changduck palace. Two groups of college students from Seoul and Jinju was participated and a total of 380 subjects completed the self reported questionnaire after viewing three slides that photographed from one of Korean traditional garden. The data was analyzed by SAS and model testing was done using LISREL 8.72. The analysis supports the hypothesized model that connotes cognitive based preferences are correlated with affection and behavioral tendencies directly and indirectly.. This results revealed as an evidence that landscape perception model on the Korean traditional garden should be incorporated in the planning and design process as guidelines for creating valuable landscapes with restorative potentials. In conclusion, this approach offers not only an augmentation of existing model, but also provides the basis for the integrative approach on landscape perception to landscape planning and design provides that incorporates restorative environment of human well-being. 경관지각과 관련된 의미와 정보를 확인하기 위해서는 인지적 심리행동적 접근이 포함되어야 한다. 본 연구 목적은 경관 지각과정에서 경관선호, 정서, 동기, 행위의도의 상호관련성을 동시에 확인하기 위한 통합적 모델을 검증하는데 있으며, 한국 전통 정원 중의 하나인 창덕궁 애련지 권역을 대상 경관으로 분석하였다. 서울 및 진주 소재 두 개 대학에서 총 380명의 학생이 자발적으로 참여하였고, 한국 전통정원의 대표적인 곳으로 창덕궁 애련지 권역을 촬영한 사진 3장을 슬라이드로 관찰 한 후, 자가 보고식 설문에 응답하였고, 자료의 분석은 SAS와 모델검증은 LISREL 8.72를 이용하였다. 분석결과 가설적 모형은 인지 기반의 선호성은 정서와 행동 경향과 직 간접적인 관계가 있음을 나타내 지지되었다. 이 연구 결과는 한국 전통 정원에 대한 경관 지각모델의 통합적 관계에 대한 근거가 되며, 이는 경관 기획과 설계과정에서 인지 지각과정에 대한 이해와 적용을 통해 치유의 잠재력을 가진 의미 있는 경관을 만드는데 지침이 될 것이다. 통합적인 접근은 기존의 인지기반의 모델에 근거를 더할 뿐만 아니라, 통합적인 경관지각모델을 근거로 경관 기획과 설계에서 인간의 안녕을 위한 치유적 환경을 제공하기 위해 적용되어야 할 것이다.

정원의 회복탄력성

탁영란 서울대학교 환경대학원 2014 環境論叢 Vol.53 No.-

애착과 자아존중감이 청소년의 건강효능감에 미치는 영향

탁영란,이은영 한국아동간호학회 2004 Child Health Nursing Research Vol.10 No.1

Purpose: Adolescence is viewed as a critical period in the formation of health behavior and many health behaviors developed during this era persist into adulthood. Social-cognitive theory, self-efficacy as a central construct, has been used to predict and intervene the health behavioral patterns in adolescent. Previous research demonstrated that the attachment in childhood and self-esteem as psychosocial factors are predictors of the health efficacy in adolescent and it is viewed as solely an antecedent for the lifelong health behavior. Method: To investigate the path pattern of attachment in childhood, self-esteem and health efficacy in adolescents, 381 adolescents in high school from two urban cities in Korea were recruited for cross-sectional sample. Attachment in childhood was measured using Mother-Father-Peer Scale. Self esteem was measured with Hare self esteem. Perceived self efficacy in Health was measured by the School Health Efficacy Questionnaire. The path analysis revealed a significant relationship between attachment in childhood and self-esteem, self-esteem and health efficacy in adolescents. Self esteem was the strongest contributing factor for health efficacy in adolescent. The results suggest that attachment in childhood may aid in formulating positive self -esteem in adolescents and self-esteem played a major role in predicting health efficacy in adolescents. Conclusion: Therefore, self-esteem enrichment should be incorporated with adolescent health promotion and certainly should be a component in any health education program in school health program and interventions. These results have implications of psychosocial and family related factors on health promotion and health education for the health care provider with regard to primary and secondary prevention in adolescent population.

청소년이 지각한 신체ㆍ정신적 건강에 대한 자아-효능 측정을 위한 SHEQ(School Health Efficacy Questionnaire)의 타당도

탁영란,이은영,Tak Young Ran,Lee Eun Young 한국아동간호학회 2000 Child Health Nursing Research Vol.6 No.3

The purpose of this study were to examine the construct validation and internal reliability of the SHEQ(School Health Efficacy Question- naire)and to establish concurrent validity for the instrument among Korean adolescents by relationship found among SHEQ and the self-reported health status. The sample was consisted 393 high school students, aged with average of 17.40(±0.59) years. According to the criteria used in this validating study, a four-factor structure, which consisted of 31-items, resulting from a principal components analysis with an varimax rotation, best represented the multidimensionality of the SHEQ of adolescents in Korea. Internal consistency estimated for the four factor on the SHEQ subscales range from .68 to .83. Evidence in support of concurrent validity for both 31-item and 38-item of SHEQ was provided by statistically significant correlations found between the two scales and self-reported health. With the findings of this study, the 31-item Korean version of the SHEQ can be used in practice as a reliable and valid instrument measuring perceived self-efficacy in physical and mental health for adolescents in Korea.

Realist Review: Understanding Effectiveness of Intervention Programs for Dementia Caregivers

탁영란,송정희,우해영,안지연 한국간호과학회 2019 Asian Nursing Research Vol.13 No.1

Purpose: Caring for patients with dementia is a challenging issue entailing heavy responsibility. Many interventions for caregivers have been developed, but their effectiveness is not clear. This study aimed to examine how, why, and under what circumstances interventions for dementia caregivers affected their burden of caring. Methods: Authors used a realist review approach to explore the evidence for how different interventions reduce the burden of dementia caregivers. We completed the literature review about the burden of dementia caregivers and extracted the theoretical concepts to explain context-mechanism-outcome configuration why an intervention may be effective in some situations and not others. Six databases were searched for experimental or quasi-experimental studies conducted from 2008 to 2017. Of 1,225 screened studies, 10 studies were eligible for inclusion. Results: None of the studies included all the derived contexts while explaining in detail the mechanism of the intervention effectiveness. Among contexts, the variable of other family members requiring care was not included in all studies. Among the analyzed studies, no studies have applied repeated intervention. Most studies included only some variables of context and mechanism, and these variables did not directly explain the effectiveness of intervention. The effect of outcome variables was significant for each study, and the effects of research intervention and national services could not be separately described. Conclusion: Authors conclude that Korean culture's emphasis on relationships with others increases the burden of care. In context, Confucian norms and traditional femininity of Korea were reflected in the core. It is necessary to check the homogeneity of participants and the design of intervention to verify the effectiveness of the outcome variable of psychological burden.

음주 관련 요인이 대학생의 음주문제행동 및 문제성 성행동에 미치는 영향

탁영란,안지연 대한임상건강증진학회 2011 Korean Journal of Health Promotion Vol.11 No.2

Background: The purpose of this study was to explore the relationships between psychosocial stress, alcohol expectancy, drinking refusal self-efficacy, and drinking behaviors with problematic sexual behaviors in college students. Methods: Participants were college students (129 males, 67 females) with a mean age of 22.6 years old. Data analysis was done with SPSS 13.0 for descriptive statistics and LISREL 8.53 program for path analysis. Results: The path model showed a good fit to the empirical data (χ 2 =10.14, P=0.71, GFI=0.98, AGFI=0.94, CFI=0.96, RMSEA=0.07). Our analysis showed that psychosocial stress, drinking refusal self-efficacy, and alcohol expectancy had a significant direct effect on drinking behaviors and that drinking behaviors had a significant direct effect on problematic sexual behaviors. Conclusions: These findings suggest that alcohol prevention or education programs should emphasize stress management and refusal skills training to prevent college students from drinking behaviors and problematic sexual behaviors at the highest risk for various stressors and heavy drinking. 연구배경: 대학생을 위한 효율적인 음주 및 성행동 관리 프로그램 개발을 위한 기초자료를 제공하기 위해 음주 관련 요인, 음주문제행동, 문제성 성행동의 관련성을 파악하여 구조방정식모델을 활용하여 제 변수 간의 구조적 경로를 살펴보고자 하였다. 방법: 서울과 경기도 소재 대학교 2곳에서 196명의 남녀 대학생을 편의추출하여 인구사회학적 특성, 음주량 및 음주습관, 임신경험, 유산경험, 성병경험, 사회심리적 스트레스, 음주거절효능감, 음주결과기대, 음주문제행동, 그리고 문제성 성행동을 측정하였다. 자료는 SPSS 13.0과 LISREL 8.53 프로그램을 이용하여 분석하였다. 결과: 스트레스, 음주결과기대, 음주거절효능감, 음주문제행동, 문제성 성행동 간의 상관관계는 총 5개의 경로를 통해 구조적으로 설명되었다(chi-sqaure=10.14, GFI=0.98, AGFI=0.94, CFI=0.96, RMSEA=0.07). 문제성 성행동에 대해 스트레스(γ=0.05, t=2.17), 음주결과기대(γ=0.10, t=3.30), 음주거절효능감(β=-0.10, t=-3.15)이 음주문제행동을 매개하여 통계적으로 유의한 간접효과를 보였고. 문제성 성행동에 대한 설명력은 10%이었다. 음주문제행동이 문제성 성행동에 미치는 직접효과는 통계적으로 유의하였다(β=0.29, t=4.21). 결론: 음주문제행동과 문제성 성행동에 대한 중재를 위해서는 대상자 특성을 고려하고 근거에 기반을 둔 통합적인 건강 증진 프로그램으로써 스트레스 관리, 음주거절효능감 증진, 음주결과기대 감소. 음주행동 조절 등을 포괄하는 전략적 접근이 중요하며, 본 연구는 이를 위한 기초자료로 활용될 수 있을 것으로 기대된다.