우울 청소년의 건강경험

권영란(Kweon, Young-Ran),이정숙(Lee, Chung-Sook) 한국간호과학회 2009 Journal of Korean Academy of Nursing Vol.39 No.2

Purpose: Guided by Newman’s theory of health as expanding consciousness, this study was done to explore the health experience of adolescents having depression. Methods: The researcher engaged in six to eight in-depth interviews with six adolescents. To begin the dialog, the researcher asked each participant to recount the first important memory he/she had. All the narrative and diagram sharing between the researcher and participants were summarized according to recognized patterns and later elaborated in following interviews based on Newman’s praxis methodology. Results: The significant individual pattern of early health experience was during the binding stage. At the turning point, individual patterns for participants revealed a personal journey of self-discovery and then emergence of reflecting behaviors. After the turning point, the participants changed as they evolved from the initial period of disruption and disorganization to organization at a higher level. The results suggest that adolescents who are depressive find new ways of relating to friends, family, healthcare providers, and the community by expanding their consciousness. Conclusion: Newman’s praxis methodology is a good way of helping and studying adolescents with depression because it emphasizes participant-nurse/researcher partnership and pattern recognition as nursing practice.

플립러닝을 적용한 정신간호학수업이 간호대학생의 학습전이동기 및 학습자기효능감에 미치는 효과

권영란(Young-Ran Kweon),최봉실(Bong-Sil Choi) 한국자료분석학회 2020 Journal of the Korean Data Analysis Society Vol.22 No.1

본 연구는 플립러닝을 적용한 정신간호학 수업이 간호대학생의 학습전이동기 및 학습자기효능감에 미치는 효과를 검증하고자 실시되었다. 연구대상자는 G시에 위치한 2곳의 종합대학에서 연구 참여에 동의한 간호학과 3학년 학생을 대상으로 하였다. 플립러닝을 활용한 정신간호학 수업은 2018년 3월 1일부터 4월 30일까지 48명을 대상으로 주별로 50분 Pre-class와 70분 In-class로 총 120분씩 6차시를 진행하였다. 이 기간 동안 50명의 대조군은 기존의 강의식 수업으로 120분이 진행되었다. 실험군과 대조군의 플립러닝 적용 후 효과 확인을 위해 학습전이동기 및 학습자기효능감의 차이를 t-tests로 분석하였다. 연구결과 플립러닝을 적용한 실험군은 강의식 수업에 참여한 대조군에 비하여 학습전이동기(t=6.791, p<0.001) 및 학습자기효능감(t=3.490, p=0.001)이 증가되어 통계적으로 유의한 것으로 확인되었다. 플립러닝은 자기주도적 학습이 가능하도록 학습전이동기와 학습자기효능감을 증진시키는 데 기여하는 것으로 나타났다. 향후 간호대학생의 실무역량을 증진시킬 수 있도록 플립러닝을 다양한 교과목 수업에 활용하여 그 효과를 확인할 필요가 있다. The purpose of this study was to evaluate effects of a psychiatric nursing education applied with flipped learning on learning motivation and learning self-efficacy of nursing college student. The subjects of the study were students in the third grade of nursing department who agreed to participate in the study at 2 general universities located in G city. Psychiatric nursing classes using flip-learning were conducted for 6 sessions of 120 minutes in 50 minutes pre-classes and 70 minutes in-classes per week for 48 students. During this period, the 50 control groups were given 120 minutes of traditional lecture sessions. Data were collected during March 1 to April 30, 2018, through self-administered questionnaires at two times: prior to the intervention and after the intervention. Data were analyzed using χ2-test, t-test and independed t-test. The study found that the experimental group with flipped learning had a statistically significant increase in learning transfer motivation (t=6.791, p<0.001) and learning self-efficiency (t=3.490, p=0.001) compared to the control group that participated in the traditional lecture. Flipped learning has been shown to contribute to enhancing learning transfer and learning self-efficiency to enable self-directed learning. Based on this research, the flipped learning should be applied to various subjects so that nursing students can improve their practical skills.

초등학교 고학년 학생의 학교적응력이 인터넷게임중독에 미치는 영향: 성별차이를 중심으로

권영란 ( Young Ran Kweon ),박명숙 ( Myung Sook Park ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2012 정신간호학회지 Vol.21 No.2

Purpose: The purpose of this study was to investigate factors predicting internet game addiction in higher grade elementary schoolers by gender in a city. Methods: The participants were 356 elementary school students who were in the 5th or 6th grade. Data were collected by structured questionnaires from March 15 to May 10 2011, and analyzed using descriptive statistics, χ2-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with the SPSS/Win 17.0 program. Results: Prevalence rate of internet game addiction for elementary school students was 10.1% (boys 17.2%, girls 2.4%). School adjustment showed a negative correlation with internet game addiction by gender (boys: r=-.36, p<.001, girls: r=-.21, p=.005). In boys, variables that predicted internet game addiction were academic activity, amount of time for internet gaming per week, conforming to school norms, and parents` child-rearing attitudes (54.0%). In girls, variables that predicted internet game addiction were academic activity and amount of time for internet gaming per day (33.0%). Conclusion: The findings from this study indicate the need to develope school adjustment enhance programs, particularly for boys, to prevent internet game addiction in higher grade elementary school students.

의사결정나무분석 기법을 이용한 중학생 인터넷게임중독의 보호요인 예측

권영란 ( Young Ran Kweon ),김세영 ( Se Young Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2014 정신간호학회지 Vol.23 No.1

Purpose: This study was done to identify protective factors which predict internet game addition in middle school students using data mining decision tree analysis. Methods: The participants were 557 (Male=233, Female=324) middle school students from G city. Data were collected using structured questionnaires from March, 25 to May, 4, 2013, and analyzed using the descriptive analysis, t-test, ANOVA, decision tree, using SPSS 20.0 program. Results: The result of this research showed the prediction model for protective factors related to internet game addiction. Causative factors included gender, family support and father’s attitude as the family protective factor, and planning ability as the personal protective factor. Level of accuracy of the decision tree was 70.6%. Conclusion: The different rules classified by the decision tree model in this study should contribute as baseline data for discovering informative knowledge and developing interventions tailored to gender and planning ability in internet game addiction.

IgA 신병증 환자에서 부신 피질 호르몬 치료 중에 발생한 요막관 낭종의 감염

권영란,한원호,서진순,김성도,조병수,Kweon, Young-Lan,Hahn, Won-Ho,Seo, Jin-Soon,Kim, Sung-Do,Cho, Byoung-Soo 대한소아신장학회 2009 Childhood kidney diseases Vol.13 No.2

요막관 낭종은 요막관 기형 중 가장 흔한 질환으로서 낭종에 염증이 발생하였을 때 적절한 치료가 지연되면 패혈증 등의 심각한 합병증에 이르기도 한다. 저자는 IgA 신병증으로 스테로이드 치료 중인 환아에서 발생한 요막관 낭종의 감염이 수술적 절제로서 증상이 호전된 사례를 경험하였다. 추후, 스테로이드 치료와 낭종의 감염 사이에 연관성이 있는지에 대한 더 많은 연구가 필요할 것으로 사료된다. The urachus is a normal embryonic remnant of the primitive dome. It generally exists as a fibrous cord extending from the dome of the bladder to the umbilicus. Disorders of the urachus are developed as a result of its incomplete regression. The urachal cyst is the most common urachal anomaly, and is usually asymptomatic in infancy and childhood. However, when the cysts are large or accompanied with secondary infection, they may be detected in its early stage. A sonography or CT scan may be helpful to confirm the diagnosis of urachal cyst. The managements of infected urachal cyst are varied from simple drainage to radical excision. Here, we report an unusual case of urachal cyst infection that occurred during corticosteroids therapy in a girl with IgA nephropathy.

PFAPA (주기적발열, 아프타구내염, 인두염, 경부 림프절염) 증후군 1례

송준혁,홍선영,권영란,정성훈,차성호,Song, Junhyuk,Hong, Sunyoung,Kweon, Younglan,Jung, Sunghoon,Cha, Sungho 대한소아감염학회 2007 Pediatric Infection and Vaccine Vol.14 No.2

PFAPA 증후군은 주기적 발열과 아프타구내염, 인두염, 경부림프절염 등의 증상을 특징으로 하는 중후군으로 소아에서 발생하는 주기적 발열의 원인 중 하나이다. PFAPA 증후군은 원인과 병태생리가 아직 알려져 있지 않다. 그리고, 검사상 다른 특이적 이상이 없기 때문에 임상증상에 기초하여 다른 질환들을 감별함으로써 진단할 수 있다. 현재까지 알려진 가장 효과적인 치료 방법은 프레드니솔론을 경구로 투여하는 것이다. 프레드니솔론을 경구 투여한 후 증상은 즉각적인 호전을 보인다. 대부분 장기적 합병증 없이 회복되고, 성장과 발달 역시 정상적인 경과를 밟는다. 저자들은 3 개월간 주기적 발열을 보였던 3세 남아에서 다른 질환들을 감별한 후 PFAPA 증후군의 진단 기준을 만족하여 프레드니솔론을 경구 투여 한 후 증세 호전을 보였던 PFAPA 증후군 1례를 보고한다. The PFAPA syndrome is characterized by periodic fever, malaise, aphthous stomatitis, pharyngitis and cervical lymphadenitis without long-term sequelae. It has been known as one of the cause of periodic fever in children. Because there is no specific laboratory findings, the diagnosis of PFAPA syndrome is not only made by exclusion of diseases which are related to the other causes of periodic fever, but also made by a careful history and characteristic clinical manifestations. The dramatic response to the single oral dose of corticosteroid is unique to this syndrome. The PFAPA syndrome tends to be resolved without any long-term adverse sequelae. We have reported a 3 year old boy who was diagnosed as having PFAPA syndrome by episodes of periodic fever for 3 months and by excluding other febrile diseases. He was treated with oral prednisolone and his symptoms had been improved dramatically.

학령전기 자녀를 위한 어머니 성교육 프로그램의 효과

이은미(Lee, Eun Mi),권영란(Kweon, Young-Ran) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.3

Purpose: The purpose of this study was to evaluate effects of a maternal sexuality education program for mothers of preschoolers. Methods: A quasi-experimental with non-equivalent control group pretest-posttest design was conducted. The participants were 55 mothers of preschoolers in G city (Experimental group=27, Control group=28). The experimental group received the maternal sexuality education, and the control group received the program after the experiment. Data were collected during October and November 2012 through self-administered questionnaires at two times: prior to the intervention and after the intervention. Data were analyzed using χ2 -test, Fisher’s exact test and t-test. Results: After the intervention, mothers in the experimental group reported significant differences in knowledge of sex (t=3.74, p<.001), attitude toward sex (t=4.31, p<.001), parent-efficacy on child sexuality education (t=11.96, p<.001). compared to mothers in the control group. Conclusion: These results indicate that a sexuality education program for mothers of preschoolers is effective in improving knowledge of sex, attitude toward sex, and parent-efficacy on child sexuality education. Therefore further study should be done with larger and varied participants to confirm the effects of sexuality education programs for mothers of preschoolers.

자살예방 프로그램이 중학생의 우울, 자살생각 및 문제해결능력에 미치는 효과

이정숙 ( Chung Sook Lee ),권영란 ( Young Ran Kweon ),김수진 ( Soc Jin Kim ),최봉실 ( Bong Sil Choi ) 한국정신간호학회 2007 정신간호학회지 Vol.16 No.4

다문화 산모 간호를 위한 문화적 역량증진 프로그램의 효과

박명숙(Park, Myung-Sook),권영란(Kweon, Young-Ran) 한국간호과학회 2013 Journal of Korean Academy of Nursing Vol.43 No.5

Purpose: The purpose of this study was to examine the effects of a cultural competence improvement program for maternity nurses. Methods: A quasi-experimental study using a non-equivalent control group pre and posttest design was used. Participants were 67 maternity nurses caring for multicultural pregnant women in G city. The cultural competence improvement program was developed based on the 3-D Puzzle Model and was provided using case-based small group learning methods for the experimental group (n=31). The control group (n=36) did not receive any intervention. Data were collected using self-report structured questionnaires at two time points: prior to the intervention and after the intervention and were analyzed with descriptive statistics, χ<SUP>2</SUP> -test, and t-test. Results: Compared to the control group, the experimental group reported significant positive changes for cultural knowledge (t=6.39, p<.001), cultural awareness (t=3.50, p<.001), and cultural acceptance (t=4.08, p<.001). However, change in cultural nursing behaviors (t=0.92, p=.067) was not significantly different between the two groups. Conclusion: Findings from this study indicate that a cultural competence improvement program with case-based small group learning is a useful intervention strategy to promote multicultural maternity care. Further, strategies to improve cultural nursing behavior should be developed to promote culturally congruent nursing care.

노인의료복지시설 거주자의 우울에 영향을 미치는 요인

김민 ( Min Kim ),권영란 ( Young Ran Kweon ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2010 정신간호학회지 Vol.19 No.2