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      • 재가 호스피스환자 가족의 삶의 질과 가족부담과의 관계

        이은주,김향동,Lee, Eun-Ju,Kim, Hyang-Dong 한국호스피스협회 2006 호스피스 학술지 Vol.6 No.2

        Purpose: This study was conducted to analysis relationship about quality of life and family burden of the home-based hospice patient families. Method: The subjects consisted of 94 families with home-based hospice patient. The ages of the subjects were 17-73 years with hospice patient who receivedhome visiting care and registered at 4 hospitals in Daegu and Kyung-Buk. The data was collected from March to November 2004. The instruments used for the study were Quality of Life Scale (GLS) and Family Burden Questionnaire (FBQ). The analysis was done using frequency, mean, standard deviation, correlation and stepwise multiple regression with SPSS WIN 11.0. Results: The results were as follows: 1. The mean score of family burden was 3.36 ($\pm0.55$). The highest mean score of family burden 6 factors were wellness of future 3.85($\pm1.10$), and the second was economic family burden 3.63($\pm0.97$). 2. The mean score of quality of life was 3.09 ($\pm0.48$). The lowest score of quality of life 6 factors were economic status 2.86($\pm0.54$), and the second was physical state and function 3.01($\pm0.62$). 3. In the home-based hospice patient families, family burden had significant negative correlation with quality of life(r=-0.25, p=0.012). 4. Emotional status accounted for 11% of family burden in the home-based hospice patient families by means of stepwise multiple regression. 5. Economical status accounted for 18 and age accounted for an additional 11% of quality of life in the home-based hospice patient families by means of stepwise multiple regression. Conclusion: The finding showed that family burden and quality of life of home-based hospice patient families were significantly negative correlation and the highest factor of family burden was wellness of future and the most important factor of quality of life was economic status.

      • 관절마사지를 겸한 운동요법이 골관절염 노인의 통증 및 건강상태에 미치는 영향

        박정숙(Park Jeong Sook),김정남(Kim Chung Nam),권영숙(Kwon Young Soo),김향동(Kim Hyang Dong),권정자(Kwon Jeong Ja) 계명대학교 간호과학연구소 2006 계명간호과학 Vol.10 No.1

          Purpose: The purpose of this study is to analyze the effects of exercise with joint massage therapy on pain and health status in osteoarthritis Elderly. Method: The data collection was from May to, 2005 to July 26, 2005. The research design was set up by one group pre-post experimental design. The subject were elderly complaint of joint pain at Y village hall(Kyeongrodang) in Daegu. The subjects in experimental group participated in exercise with joint massage therapy for 4weeks, thirty minute at once, five numbers per week. Pain and health status was measured by pain numeric rating scale, joint flexibility(upper extremity range of motion, sit and reach flexibility, knee joint range of motion), muscle power(grip strength, lower extremity muscle power), vital sign(systolic pressure, diastolic pressure, pulse), daily life activity, perceived health status.<BR>  Data was analyzed by frequency, descriptive statistics, paired t-test, with SPSS WIN 12.0 program. Result: The 1st hypothesis is not supported. Mean pain score is down from 4.25 to 3.97, but no significant, The 2nd hypothesis is partially supported. Lt upper extremity flexibility is no significant, Lt upper extremity flexibility is no significant , Lt knee joint flexibility is significant(t=2.525, p=0.023), but Rt knee joint flexibility is no significant. Waist flexibility(sit and reach flexibility) is no significant. The 3rd hypothesis is not supported. Lt grip strength, Rt grip strength, lower extremity muscle power are no significant. The 4th hypothesis is not supported. Systolic pressure decreased from 126.25 to 124.37(t=0.362, p=0.723), diastolic pressure decreased from 82.50 to 78.12, pulse decreased from 75.68 to 75.31, but no significant. The 5th hypothesis is not supported. In daily life activity score, knee pain is decreased from 2.71 to 2.62, but no significant. Stiffness is decreased from 2.71 to 2.56, but no significant. Difficult to do daily life is increased from 2.98 to 3.23, no significant. The 6th hypothesis is not supported. Perceived health status is no significant. Conclusion: The result of this study shows that elderly exercise program is recommended over 12weeks exercise therapy.

      • 지역주민의 방문보건사업에 대한 만족도와 삶의 질의 관계

        박경민(Park Kyung Min),고효정(Koh Hyo Jung),박영숙(Park Yeong),김정남(Kim Chung Nam),김향동(Kim Hyang Dong),한정안(Han Jeong An) 계명대학교 간호과학연구소 2006 계명간호과학 Vol.10 No.1

          Purpose: The purpose of this study was to evaluate the relationship of quality of life and satisfaction of visiting nursing services in community residents. Method: The subjects were randomly selected, 1,201, who all had a chronic disease with basic social welfare services from a nation in an urban community, South Korea. The instruments were used in the family nursing phenomena in Korea by ICNP and client satisfaction. The satisfaction consisted of client satisfaction on home visiting nurses and home visiting services. Result: The average nurse visiting number was 4.18. The number of service facilities of measurement and diagnosis 3.93, education/counselling 3.90, medication & medication management 3.67, symptom management 3.57, examination 1.65, treatment 1.60, and referral to medical service institute 0.27. The satisfaction level of the clients on the nurses was on average 3.33 points in the scale between 0 and 4. The quality of life with home visiting nursing service in community residents showed mean score of 3.07. The mean score of general health state was 3.91 and physical strength was 3.37 in order. The lowest was degree of limitation on general physical activity with the score of 2.81 points in a total scale between o and 4. The relationship between nurse visit frequency and satisfaction of service was r=0.136 (p=0.001), and quality of life and satisfaction of home visiting service was r=0.286 (p=0.000). Conclusion: Home visiting nursing services should continue to analyse effectiveness of home health care service and satisfaction of home health care service.

      • KCI등재

        임부의 사회적지지, 배우자폭력과 건강관련 삶의 질의 관계에서 산전우울의 매개효과

        이성희(Sung Hee Lee),박미진(Mi Jin Park),육지영(Gi Young Youk),김향동(Hyang Dong Kim),이승아(Seung A Lee) 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.8

        본 연구는 임부의 건강 관련 삶의 질에 영향을 미치는 요인에 대한 선행연구를 근거로 임부의 건강관련 삶의 질에 관한 가설적 모형을 구축하고, 적합성 정도와 연구가설을 검정하는 구조모형 연구이다. 2016년 9월 2일에서 17일까지 D, P시 소재 산부인과 병원 3곳에 내원한 임부 238명을 대상으로 구조화된 설문지 조사를 실시하였다. 모형의 적합도는 x2 =140.15(df=71, p<.001), GFI=.956, NFI=.915, NNFI=.943, RMR=.415, SRMR=.051, RMSEA=.064이었다. 모형 검증 결과 사회적지지는 배우자폭력, 산전우울, 임부의 건강관련 삶의 질에 직접적인 영향이 있었고, 또한 산전우울을 매개로 하여 건강관련 삶의 질에 영향을 주었다. 배우자폭력은 산전우울을 매개하여 임부의 건강관련 삶에 간접적으로 영향을 미쳤으나, 직접적인 영향을 나타내지 않았다. 본 연구결과를 통하여 임부의 건강 관련 삶의 질을 증진시키기 위해 산전관리 시 사회적지지, 배우자폭력, 산전우울을 사정하고, 특히 임부의 산전 우울의 예방 및 관리를 하여야 할 필요성을 제기한다. This study was done to develop a predicting model for health-related quality of life among pregnant women. It confirmed through the structural equation whether the field in the antenatal depression did the mediating role in the health related quality of life of the pregnant woman. Constructed questionnaires were completed by 238 pregnant women attending antenatal clinics in D and P cities from September 2th to September 17th in 2016. Fit indices confirmed that the hypothesized model was a good representation of the observed data x2=140.15 (x2/df=71, p<.001), GFI=.921, CFI=.956, NFI=.915, NNFI=.943, RMR=.415, SRMR=.051, RMSEA=.064. Social support had statistically significant effects on intimate partner violence and health-related quality of life among pregnant women. Antenatal depression had significant mediating effects on health-related quality of life among pregnant women from social support and intimate partner violence. The results of this study suggest that social support, intimate partner violence and antenatal depression in antenatal care should be assessed to improve the health related quality of life of pregnant women, and the prevention and management of antenatal depression should be promoted.

      • 일 간호대학의 문제중심학습 수업과정 및 학습성과 분석

        권영숙(Kwon Young-Sook),이병숙(Lee Byoung Sook),박명화(Park Myonghwa),김향동(Kim Hyang Dong),구윤정(Koo Yoon Jung),김영아(Kim Yeongah),배수현(Bae Su Hyun) 계명대학교 간호과학연구소 2006 계명간호과학 Vol.10 No.1

        Purpose: The purposes of this study were to evaluate and compare the process and outcome of PBL classes for junior nursing students of BSN and RN-BSN students in a college of nursing. Method: The process of PBL was evaluated with the instruments for class evaluation, and outcomes of PBL were evaluated with the instruments for students" learning motives and grades in the PBL classes. The class evaluation and learning motives were measured by students, while students" grades were scored with peer evaluation, self evaluation, and tutor evaluation for each student"s participation in group activities, reports, and presentations. Results: The scores for the process of PBL showed significant differences between junior nursing students and RN-BSN students(t=-2.378, p=0.019). RN-BSN students(63.70) showed higher scores than the junior nursing students(61.17). Among the three dimensions of class evaluation, the scores for learning environment(t=-2.854, p=0.005) and tutor(t=-2.706, p=0.008) showed significant differences. The scores for the class evaluation and learning motives showed strong positive relationship in junior nursing students(r=0.670, p<0.001), however, there were no relationships between process evaluation and students" grades in both junior nursing students and RN-BSN students. Conclusions: More effective education methods of PBL proper to the students" specific learning needs are required.

      • KCI등재

        고려수지 뜸요법이 노인의 변비에 미치는 효과

        김남정,권영숙,김향동 병원간호사회 2007 임상간호연구 Vol.13 No.1

        Purpose: The purpose of this study was to examine the effects of Koryo hand moxibustion therapy on constipation that elders have in community. Method: This study was conducted with nonequivalent control group pretest-posttest design. Data collection and the intervention were done from July 24 through September 22, 2006. The subjects consisted of 47 elders recruited from two senior community centers located in U metropolitan city. Twenty two were assigned to experimental group and 25 to control group. Koryo hand moxibustion therapy was given to experimental group with three times a week for four weeks. Constipation Assessment Scale(CAS) developed by McMillan and Williams(1989) with 8 items was used. Data were analyzed with X^(2)-test, t-test and repeated measures ANOVA, using SPSS/Win 12.0 program. Result: The findings were as follows: Hypothesis I was supported that the number of bowel movements in a week in experimental group was significantly higher than that in control group(F=100.40 p=.000). Hypothesis 2 was supportedthat the scores of CAS in experimental group were significantly lower than those in control group(F=170.63, p=.000). Conclusion: Based on the study results, Koryo hand moxibustion therapy would be effective in constipation relief for elders.

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