고등학생의 스트레스정도에 따른 극복력 영향요인

강문희(Moonhee Gang),권종선(Jong Sun Kwon),오경옥(Kyongok Oh) 대한스트레스학회 2012 스트레스硏究 Vol.20 No.3

본 연구의 목적은 고등학생의 스트레스에 따른 극복력 수준과 극복력 영향요인을 조사하여 극복력 신장을 위한 중재프로그램 개발과 간호중재를 계획할 수 있는 기초자료를 마련하고자 시도되었다. 본 연구의 참여대상자는 경기지역의 고등학교에 재학 중인 남녀 고등학생으로 연구참여에 동의한 350명이었으며, 구조화된 설문지를 사용하여 자료수집을 하였다. 수집된 자료는 SPSS/WIN 15.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson Correlation, Stepwise Multiple regression로 분석하였다. 연구결과 고스트레스군이 저스트레스군보다 극복력, 가족기능, 사회적지지, 자아존중감이 유의하게 낮게 나타났으며, 극복력의 하위요소 중 낙관주의와 희망영역이 가장 낮은 결과를 보였다. 극복력 예측변수로는 저스트레스군에서는 자존감과 가족기능이, 고스트레스군에서는 자존감, 사회적지지, 가족기능, 존경하는 교사수로 나타났다. 따라서 고등학생의 극복력 신장방안으로는 고등학생의 강점 강화를 위한 낙관성과 희망교육, 자존감증진, 가족기능 강화를 위한 부모교육, 사회적 지지체계 확립이 무엇보다 중요하다. The purpose of study was to explore the resilience level of adolescents according to their stress and to identify influencing factors of resilience. A cross-sectional study design was used in this study. The participants for this study were 350 adolescents in Gyeonggi province. The instruments were the Resilience Scale, Social Support, Self-Esteem Scale, Family Adaptability and Cohesion Evalution Scale III, and Stress Scale. The collected data were analyzed using t-test, ANOVA, multiple regression with SPSS/win 15.0 program. Low-stress group showed higher scores of resilience (p<.001), social support (p<.001), family function (p=.002) and self-esteem (p<.001) than high-stress group and the difference was statistically siginificant. The influencing factors to resilience of adolescents in high-stress group is self-esteem, social support, family function, and number of respectable teachers and those of adolescents in low-stress group are self-esteem and family function. Findings of this study allow a comprehensive understanding of adolescent. It is necessary to develop nursing intervention program for improving resilience of adolescent by considering self-esteem, social support, parents education as well as stress. (Korean J Str Res 2012;20:187∼198)

한국 기혼여성과 이민 기혼여성의 정신건강 도움추구행동 영향요인

강문희(Moonhee Gang),이지혜(Jihye Lee) 한국산학기술학회 2017 한국산학기술학회논문지 Vol.18 No.10

본 연구는 한국 기혼여성과 이민 기혼여성을 대상으로 정신건강 도움추구행동에 영향을 미치는 요인을 파악하고 비교하고자 수행된 서술적 조사연구이다. 본 연구대상은 D 광역시에 거주하는 21-45세의 기혼자인 한국여성 110명과 이민여성 91명 총 201명이다. 자료수집기간은 2015년 7월 1일에서 8월 3일까지였으며, 자기보고식 설문지로 조사하였다. 수집된 자료는 SPSS 21.0 version을 이용하여, 서술통계, χ²-test, t-test, ANOVA, ANCOVA, Pearson Correlation Coefficient, multiple regression으로 분석하였다. 본 연구결과, 정신건강 도움추구행동은 한국여성에서 우울, 정신질환에 대한 신념, 정신건강서비스에 대한 요구와 유의한 상관관계가 나타났다. 또한, 이민여성에서는 한국어 유창성, 정신질환에 대한 신념, 사회적 지지와 유의한 상관관계가 나타났다. 다중회귀분석결과, 정신건강 도움추구행동 영향요인은 한국여성에서는 정신질환에 대한 신념으로 나타났으며, 총 설명력은 10.5%이었고, 이민여성에서는 한국어 유창성, 정신질환에 대한 신념, 사회적 지지로 나타났으며, 총 설명력은 59.0%였다. 따라서 추후 대상자를 확대하여 정신건강 도움추구행동을 예측할 수 있는 다양한 영향요인을 파악하고, 본 연구결과에서 유의한 변수들을 고려하여 기혼여성의 정신건강 도움추구행동을 증진시키기 위한 중재의 개발을 제언한다. The purpose of this study was to identify and compare the factors that influence the mental health help-seeking behavior in Korean and immigrant married women. A cross-sectional descriptive study design was used. Participants were 110 Koreans and 91 immigrants in D metropolitan city. Collected data were analyzed using descriptive statistics, χ²-test, t-test, ANOVA, ANCOVA, Pearson correlation coefficient, and multiple regression with SPSS 21.0 program. Mental health help-seeking behavior was significantly correlated with depression, belief toward mental illness, and perceived need for mental health service in Korean women, and with Korean fluency, belief toward mental illness, and social support in immigrant women. In the regression analysis results, the predictors of mental health help-seeking behavior were belief toward mental illness in Korean married women (10.5%), and Korean fluency, nationality, belief toward mental illness, and social support in immigrant women (59.0%). These findings should be considered when developing strategies for enhancing the mental health help-seeking behavior in married women.

정신질환자의 건강정보이해력 및 병식이 약물복용이행에 미치는 영향

강문희 ( Gang Moonhee ),김선희 ( Kim Seonhee ),안미애 ( Ahn Mi-ae ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2021 정신간호학회지 Vol.30 No.1

Purpose: The purpose of this study was to identify the influence of health literacy and insight on medication adherence in mental illness. Methods: A cross-sectional, descriptive correlational study design was used. Participants were 135 adults diagnosed with mental disorders and living in D city. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and hierarchical multiple regression with SPSS 26.0. Results: On multiple regression analysis, clinical insight (β=.32, p<.001) and reading response (β=.23, p=008) were statistically significant factors for medication adherence and showed a total explanatory power of 20%. Conclusion: In order to enhance medication adherence, strategies and programs are needed to improve the insight and health literacy among patients with severe mental illness.

사별을 경험한 성인의 정신건강 영향요인

강문희 ( Gang Moonhee ),김선희 ( Kim Sun Hee ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2019 정신간호학회지 Vol.28 No.2

Purpose: The aim of this study was to identify factors influencing on the mental health in bereaved adults. Methods: A descriptive and correlational study was conducted in 160 adults who had experienced bereavement. The collected data was analyzed using descriptive statistics, Pearson’s correlation, and hierarchical multiple linear regression analyses with SPSS 26.0. Results: The participants’ mental health showed a positive correlation with complicated grief (r=.31, p<.001) and a negative correlation with grief and meaning reconstruction (r=-.30, p<.001). Sex, sleeping time, intimacy with the deceased, grief reaction, and grief and meaning reconstruction were significant factors influencing on the mental health. The total explanatory power of these variables was 31.8%. Conclusion: It is necessary to explore the persistent and impairing grief after experiencing bereavement. Our study findings will be fundamental evidence to develop nursing interventions to improve adult mental health dealing with bereavement and grief.

건강노인의 주관적 수면의 질과 인지기능의 관계에 대한 우울의 매개효과

강문희(Moonhee Gang),안유진(Yujin An),염은주(Eunju Yeum) 다문화건강학회 2023 다문화건강학회지 Vol.13 No.2

Purpose: The purpose of this study was to confirm the relationship between subjective sleep quality, cognitive function, and depression in community-dwelling elderly people, and to verify the mediating effect of depression in the relationship between subjective sleep quality and cognitive function. Method: This study was conducted through secondary data analysis using data from the Korean Longitudinal Study on Cognitive Aging and Dementia (KLOSCAD) carried out in the D region. The subjects of this study were 482 healthy elderly aged 65 years or older. The data were processed using the SPSS 26.0 program and the Process Macro Model 4 was applied to analyze the mediating effects of depression on the subjective sleep quality and cognitive function. Results: The results showed that depression had a significant effect on the relationship between subjective sleep quality and cognitive problems. Conclusion: These findings suggest that sub-jective sleep quality and depression are important factors related to cognitive function in community-dwelling older adults, and that programs to improve subjective sleep quality and reduce levels of depression are needed to improve cognitive function in community-dwelling older adults.

Effect of PEPS on Empowerment, Internalized Stigma, Self-esteem and Quality of Life of People with Chronic Schizophrenia in Rural area

안유진,강문희,Yujin Ahn,Moonhee Gang DAEHAN Society of Industrial Management 2023 산업융합연구 Vol.21 No.7

This study was designed to evaluate effects of Patients Empowerment Program for Schizophrenia (PEPS) on Empowerment, Internalized Stigma, Self-esteem, and Quality of Life, in people with chronic schizophrenia living in a rural community. A non-equivalent control group repeated measures design was used. Participants were 22 persons with chronic schizophrenia enrolled from O Province Mental Health Welfare Center, South Korea. (experimental group= 10, control group = 12). The PEPS was administered to the experimental group, consisting of 16 sessions delivered twice a week for 8 weeks. SPSS/WIN 26.0 was used to analyze the collected data using χ²-test, independent t-test, Fisher's exact test, and repeated measures ANOVA. Upon completion of PEPS, the experimental group showed a significantly increased in Self-esteem (F=6.09, p=.005) and Quality of Life (F=3.37, p=.044) as compared to the control group. However, there was no significant difference between the two groups between Empowerment and Internalized Stigma. The results suggest that the PEPS may be an effective intervention for improving Self-esteem and Quality of Life.

치매대상자를 돌보는 간호사의 의사소통행위 영향요인

이지혜(Jihye Lee),강문희(Moonhee Gang) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.10

본 연구의 목적은 치매대상자를 돌보는 간호사의 공감역량과 소진이 의사소통 행위에 미치는 영향을 파악하는 것이다. 연구 설계는 서술적 조사연구를 사용하였다. 연구대상은 B시, U시 및 Y시에 소재하고 있는 9개 요양병원에서 직접 치매 대상자를 돌보는 간호사 190명이다. 자료수집기간은 2018년 6월 20일에서 7월 1일까지였으며, 자기보고식 설문지로 조사하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여, 서술통계, t-test, ANOVA, pearson correlation coefficient, multiple regression으로 분석하였다. 본 연구결과에서 치매 대상자를 돌보는 간호사의 의사소통 행위는 공감역량 및 소진과 통계적으로 유의한 상관관계가 있는 것으로 나타났다. 다중회귀분석 결과, 치매 대상자를 돌보는 간호사의 공감역량과 소진은 의사소통 행위에 통계적으로 유의한 영향을 미치는 것으로 나타났으며, 이들 변수의 총 설명력은 31%이었다. 따라서, 추후 본 연구결과를 토대로 치매 대상자를 돌보는 간호사의 의사소통행위를 증진시키기 위해 공감역량을 증진시키고 소진을 감소시킬 수 있는 교육프로그램의 개발과 평가를 위한 지속적인 연구를 제언한다. The purpose of this study was to investigate the influence of nurse"s compassionate competence and burnout on their communication behavior with dementia patients. The subjects of this study were 190 nurses who were taking care of patients with dementia at long-term care hospitals and who agreed with the survey. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, and multiple regression. The communication behavior of nurses caring for dementia patients was found to have a significant correlation with compassionate competence and burnout. Multiple regression analysis showed that nurses" compassionate competence and burnout affected communication behavior, and the total explanatory power was 31%. It is suggested that the results of this study can be used as basic data for developing programs to improve communication behavior with patients with dementia.

군 자살 시도자의 자살행동 영향요인

김윤아 ( Kim Yoon Ah ),강문희 ( Gang Moonhee ),안유진 ( Ahn Yu-jin ) 한국정신간호학회 2023 정신간호학회지 Vol.32 No.4

Purpose: The purpose of this study was to evaluate the influence of the reasons for living on suicide behavior in soldiers with suicide attempts. Methods: A descriptive study design was used. The participants were 67 soldiers with suicide attempts from an Armed Forces Hospital in D city. Data were collected from January 9 to March 9, 2023, and were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression with the SPSS/WIN 26.0 program. Results: Regression analysis results showed that diagnosis with major depressive disorder (β=.25, p=.013), survival and coping belief (β=-.52, p=.001), family responsibility and concern (β=.25, p=.033) were significant factors, and these factors explained 45.9% of the variance in suicide behavior. Conclusion: The findings of this study indicate that diagnosis with major depressive disorder and the reasons for living influence the suicide behavior of soldiers with suicide attempts. Therefore, to prevent suicide, reattempts of soldiers, an intervention strategy to improve survival and coping beliefs, and family responsibilities and concerns are needed for soldiers diagnosed with depression.

신규 간호사의 직무 스트레스와 긍정심리자본이 이직의도에 미치는 영향

권순정(Kwon, Soonjeong),강문희(Gang, Moonhee) 한국간호행정학회 2021 간호행정학회지 Vol.27 No.3

Purpose: The purpose of this study was to identify the factors influencing of job stress and positive psychological capital on turnover intention among novice nurses. Methods: A descriptive correlational study design was used. Participants were 161 novice nurses with less than 12 months of work at one of two university hospitals in D city. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation, and multiple regression analysis with the SPSS statistics 23.0 program. Results: Factors Influencing turnover intention were satisfaction with salary (β=.18, t=2.47, p=.015), length of work (β=.20, t=2.91, p=.004), satisfaction with relationships with colleagues (β=.17, t=2.52, p=.013), job stress (β=.18, t=2.52, p=.012) and positive psychological capital (β=-.27, t=-3.90, p<.001). These variables accounted for 25.0% of novice nurses’ turnover intention. Conclusion: To prevent novice nurse turnover and a stable workforce management, it is necessary, in considering work periods, to develop an appropriate compensation system, apply programs to improve interpersonal relations, develop and provide programs to reduce job stress and improve positive psychological capital.

COVID-19 감염병 전담병원 간호사의 정신건강, 지각된 스트레스, 회복탄력성이 소진에 미치는 영향

권해림(Haerim Kwon),강문희(Moonhee Gang) 다문화건강학회 2023 다문화건강학회지 Vol.13 No.2

Purpose: The Purpose of this study was to identify the factors influencing burnout of nurses working in a COVID-19 speci-alized hospitals. Methods: A descriptive study design was used. Participants were 139 nurses working in three COVID-19 specialized hospitals in D city, Chungnam and Chungbuk province. Data were collected was performed from August 27 to December 31, 2020. Collected date were analyzed with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson Correlation Coefficient, and multiple regression using the SPSS 26.0 WIN program. Results: Factors affecting burnout were total work ex-perience(year)(β=-.29, p=.028), perceived stress(β=.41, p<.001), resilience(β=-.32, p<.001). The total explanatory power of this model was 55%. Conclusion: The findings indicate that depending on clinical work experience of nurses, tailored burnout prevention programs are required. In addition, practical organizational support from medical institutions and the government, along with specific measures to alleviate perceived stress and increase resilience resources for nurses in dedicated COVID-19 specialized hospitals, are need to prevent the burnout of nurses working in such environments.