농촌노인의 죽음불안에 미치는 영향요인

황혜남 ( Hyenam Hwang ) 한국보건정보통계학회(구 한국보건통계학회) 2019 보건정보통계학회지 Vol.44 No.2

Objectives: The health of the aged in rural areas is significantly poorer than that of the urban elderly, and the social function of the elderly is lower than that of the urban elderly. The purposes of this study were to identify death anxiety, death attitude, and spiritual well-being and to identify the factors that affect death anxiety of the elderly living in rural areas of South Korea. Methods: Total 101 elders aged 65 or older were recruited for this descriptive study and answered questionnaires. The questionnaire included death anxiety, attitudes toward death, and spiritual well-being. Results: The level of death anxiety, attitudes toward death, and spiritual well-being in rural areas were more than moderate. Attitudes to death (β=-0.39) and living arrangements (β=0.27) were found as the influencing factors on the death anxiety among rural elderly. The more positive the attitudes toward death, the lower the death anxiety for the rural elderly, and the lower the death anxiety for the elderly living with their families than those who living alone. Conclusions: To ease death anxiety, it is necessary to develop programs to affirm their attitudes to death and to mediate support resources to replace families for the elderly who live alone. It is very important to reduce death anxiety to ensure successful aging, one of the biggest challenges for the elderly at the last stage of their lives.

유방암 생존자의 림프부종과 림프부종 자가관리 실천 영향요인

황혜남 ( Hyenam Hwang ) 한국보건정보통계학회(구 한국보건통계학회) 2020 보건정보통계학회지 Vol.45 No.3

Objectives: Lymphedema is one of the most difficult long-term issues for breast cancer survivors. The purpose of this study was to identify factors affecting lymphedema and the practice of self-care of lymphedema among breast cancer survivors. Methods: This study was conducted from 103 breast cancer survivors as a descriptive cross-sectional study. Results: The level of lymphedema differed in body mass index (BMI), and lymphedema levels showed significant correlation with depression and fatigue. Factors affecting lymphedema were identified as BMI and depression, and the higher the BMI and depression, the more severe the lymphedema was. The degree of self-care practice of lymphedema differed statistically in age at first diagnosis, and the degree of self-care practice of lymphedema showed significant correlation with the symptoms of lymphedema, such as numbness, pain and stiffness, as well as lymphedema education and fatigue level. Factors affecting the practice of self-care of lymphedema were identified as numbness, education and fatigue, and the higher the degree of numbness, education and fatigue, the higher the practice of self-care of lymphedema. Conclusions: This study could confirm that physical, psychological, and educational interventions are all required in the plan for mediating to alleviate lymphedema. Nursing providers must constantly emphasize the importance of self-care to control lymphedema as it is one of the long-term complications of breast cancer treatment that require care throughout the life of breast cancer survivors. Nursing researchers will also be required to conduct various studies to provide various grounds to encourage the management of lymphedema.

농촌 지역 여성노인의 대장암 지식과 건강정보이해능력이 대장암 자기관리행위에 미치는 영향

황혜남(Hwang, Hyenam) 한국성인간호학회 2017 성인간호학회지 Vol.29 No.5

농촌 노인의 건강정보이해능력, 암지식 및 암예방행위

황혜남(Hwang, Hyenam) 대한종양간호학회 2016 Asian Oncology Nursing Vol.16 No.4

Purpose: Cancer continues to be a life-threatening disease and is a preventable disease. To improve cancer preventive behaviors is important to control cancer among older rural adults who are isolated from major health care services. The purpose of this study was to identify the degrees of health literacy, cancer knowledge, and cancer preventive behaviors and to explore the impact of health literacy and cancer knowledge on cancer preventive behaviors among older rural adults. Methods: A cross-sectional correlational study was used to examine a total of 95 older community-dwelling adults. Data were collected between June and October, 2016 with a convenience sample in rural areas located in U city. Results: Multiple regression analysis revealed that 33.7% of the variance in cancer preventive behaviors was explained by health literacy and cancer knowledge. Health literacy and cancer knowledge were significant predictors of cancer preventive behaviors. Conclusion: Among older rural adults, inadequate health literacy and low cancer knowledge predicted lower cancer preventive behaviors. A better understanding about older rural adults with poor health literacy and cancer knowledge could facilitate the development of intervention strategies to reduce health inequalities.

여성 노인의 자살위험 영향 요인

황혜남(Hyenam Hwang),변혜선(Hyesun Byun) 한국데이터정보과학회 2021 한국데이터정보과학회지 Vol.32 No.2

자살은 어느 세대에게나 중요한 문제가 될 수 있지만, 노년기의 자살률 증가는 노년기의 삶의 질을 위협하고 있다. 따라서, 본 연구의 목적은 지역사회에 거주하는 여성 노인의 신체적, 정신적, 사회적 측면을 고려하여 자살위험에 영향을 미치는 요인을 확인하고자 시도되었다. 본 연구는 지역사회에 거주하는 137명의 65세 이상의 여성 노인으로부터 자료를 수집하여 서술적 조사연구로 진행되었다. 영향 요인은 단계적 회귀분석을 사용하여 확인하였다. 여성 노인의 자살 고위험군은 17.5%를 차지하였고, 배우자가 없거나, 1종 의료급여 수급자이거나, 주관적 경제 상태가 불충분하거나, 운동을 전혀 하지 않거나, 주관적으로 건강하지 않다고 생각하는 대상자가 비교집단보다 자살위험이 큰 것으로 나타났다. 자살위험에 영향을 미치는 주요 요인은 우울과 일상생활 활동 정도로 나타났으며, 우울 정도가 심하고 일상생활 활동 수준이 낮을수록 자살위험이 큰 것으로 확인되었다. 본 연구의 결과를 통해 여성 노인의 자살 고위험군에 대해 특히 주의해야 하며, 여성 노인의 자살위험을 줄이기 위해서는 우울 증을 중재하고 일상생활 활동을 촉진할 방법을 모색할 필요가 있다. 따라서 본 연구결과는 노인 자살 예방을 위한 프로그램 구성의 근거로 활용될 수 있을 것으로 보인다. The purpose of this study was to identify the factors influencing the suicidal risk by the physical, psychological, and social conditions of the elderly women residing in the community. This study collected data from 137 elderly women as a descriptive survey study. The high-risk group for suicide accounted for 17.5 percent. Suicidal risk has been found to be greater than that of comparison groups in groups such as people without spouses, recipients of basic living, those who feel subjective economic conditions are insufficient, those who do not exercise at all, and those who think they are subjectively unhealthy. The main factors influencing suicidal risk were depression and daily activities. Special attentions are required for elderly women in high-risk suicide groups, and in order to reduce the risk of suicide of female elderly people, there needs to be sought a way of mediating depression and promoting daily activities.

유방암 생존자의 사회인지적 요인이 식이 행위에 미치는 영향

황혜남(Hwang, Hyenam) 대한종양간호학회 2016 Asian Oncology Nursing Vol.16 No.3

Purpose: Cancer survivors have experienced a specific and unique situation. Diet plays an important role in cancer risk and it is important influences on health. The purpose of this study was to explore the impact of social cognitive constructs, which is defined in Bandura’s social cognitive theory, on dietary behaviors in breast cancer survivors. Methods: A cross-sectional correlational design was used. Social cognitive constructs included nutritional self-efficacy, dietary goal-setting, outcome expectations for nutrition, negative impact of cancer, and social support. Stepwise multiple regression was applied to examine the impact of social cognitive constructs on dietary behaviors. Results: One hundred and fifty-one breast cancer survivors completed the questionnaire. Stepwise regression analyses revealed that 19.9% of the variance in dietary behaviors was explained by these social cognitive variables. Family support, dietary goal-setting, negative impact of cancer, and nutritional self-efficacy were significant predictors of dietary behaviors. Conclusion: A lack of social cognitive understanding about cancer survivors could result in less than adequate care for their health due to inadequate advice on their lifestyle choices, which may impede their opportunities to live healthy lives after overcoming the cancer. The knowledge from this study will help guide the development of social cognitive interventions.

노인요양보호사의 직무스트레스가 직무만족과 조직몰입에 미치는 영향

황혜남 ( Hyenam Hwang ) 한국보건정보통계학회(구 한국보건통계학회) 2018 보건정보통계학회지 Vol.43 No.4

Objectives: An increase in the number of caregivers is necessary to provide services to the elderly, but more importantly, it is qualitative management for them. The purpose of this study was to identify occupational stress, job satisfaction, and organizational commitment and to explore the impact of occupational stress on job satisfaction and organizational commitment among caregivers employed in health service centers for the elderly. Methods: This descriptive survey was a cross-sectional correlational design of 118 caregivers. The questionnaire included occupational stress, job satisfaction, and organizational commitment. Stepwise multiple regression was applied. Results: Job satisfaction and organization commitment of caregivers were found to be above the average. There was a high level of job stress due to lack of job autonomy, job demands, and inadequate compensation. It has been found that the inappropriate compensation, organization system, work culture, and lack of job autonomy affected job satisfaction of caregivers. The factors affecting organizational commitment were inadequate compensation, job insecurity, and work culture. Conclusions: Efforts should be made to assess and complement the appropriateness of compensation and work culture that are taken to relieve job stress to enhance the job satisfaction and organizational commitment of caregivers.

노인 대상 한국형 Templer의 죽음불안도구 신뢰도 및 타당도

황혜남 ( Hwang Hyenam ) 경희대학교 동서간호학연구소 2019 동서간호학연구지 Vol.25 No.1

Purpose: The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of Templer’s death anxiety scale among older adults. Methods: The translated Korean scale was administered to 203 older people who aged over 65 years. Exploratory factor analysis was utilized to assess the factor structure of the scale. Internal consistency of the scale was determined using Cronbach’s α and Guttman’s split-half coefficient. Results: Factor loadings of the scale ranged from .43 to .86. The scale showed good internal consistencies of both total scale (13 items, α=.83) and three sub-scales: meaning of death (6 items, α=.77), death-related event (5 items, α=.72), and time of death (2 items, α=.80). The concurrent validity compare with Fear of Death Scale was significant. The Cronbach’s alpha and Guttman’s split-half coefficient were .83 and .80, respectively. Conclusion: The findings of this study demonstrate that the Korean version of Templer’s death anxiety scale had satisfactory validity and reliability to measure death anxiety among Korean older people.

유방암 생존자를 위한 자가 림프 마사지법 효과 검증

황혜남(Hwang, Hyenam) 한국재활간호학회 2020 재활간호학회지 Vol.23 No.2

남녀 대학생의 성지식, 성태도 및 생식건강증진행위에 관한 연구

강윤선 ( Kang Yoon-seon ),황혜남 ( Hwang Hyenam ) 경희대학교 동서간호학연구소 2017 동서간호학연구지 Vol.23 No.1

Purpose: Due to today`s sexual openness, college students may be exposed to frequent sexual relations, which can affect their adulthood reproductive health, pregnancy, and delivery. The purposes of this study were to explore the degrees of sexual knowledge, sexual attitudes, and reproductive health promoting behaviors in male and female college students and to identify their gender differences. Methods: A descriptive comparative design was used. A total of 181 college students(92 male and 89 female) were recruited. Data were collected between March 17 and April 8, 2016 using a convenience sample in a university located in Y city. Results: For male students, there was no correlation between two variables. For female students, reproductive health promoting behaviors had a significant relationship with sexual attitudes. Conclusion: These findings provide essential information that health care providers can use to increase their awareness of the importance of gender specific treatments when caring individuals.