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      • KCI등재

        직업재활 프로그램에 참여하는 만성 정신질환자의 일상적 스트레스와 대처양식

        노춘희 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4

        The purpose of this study is to investigate the daily life stress and coping strategies of chronic mentally ill. The subiects were 235 chronic mentally ill who were enrolled in the vacational program of the community mental health center in various nationwide settinss. Data collection was done using DSI and F-COPES inventory are carried out from 2000 Aug, to 2001 Feb. Data was analyzed by SAS-Win. The results revealed the following: 1. The higher score items of daily life stiess were' exposed to feared situation or object' 'someone spoiled your completed task', the lower were 'spoke or performed in public' 'interrupted while talking''bad weather'. 2. The coping strategies often utilized by these chronic mentally ill were 'mobilizing to acquire and accept help'. 'reframing', 'seeking spiritual support' which are considered active coping strategy. 3. Daily life stress showed significant difference by psychiatric diagnosis(F=6.333, p=.000), an coping strategy showed significant difference by religion(F=8.619, p=.000), and psychiatric diagnosis(F=2.139, p=.000). 4. According to the factr analysis of DSI, four factors were identified - unfair treatment, limited capability, embarrassing situation, oppressing feeling. 5. Daily stress had no significant correlation with coping strategy. These findings suggest that chronic mentally ill need special attention to reduce their high stress and to learn more positive - active coping strategies. Community mental health centers and mental health professionals need to develop for stress management along with social support networks.

      • SSCISCIESCOPUSKCI등재
      • KCI등재후보

        정신병동 입원과 관련된 청소년환자의 분리 (分離) 경험 : Parse 의 Human Becoming 연구방법 적용

        노춘희 이화여자대학교 간호과학연구소 1992 Health & Nursing Vol.4 No.-

        Separation is a universal human health experience. Human beings living the paradoxical unity of separation-connection cocreate rhythmical patterns of relating in open exchange with the unicerse. The purpose of this study was to understand the structure of lived experience of separation of adolescents upon being admitted to psychiatric unit. The research question was "what is the structure of the separation experience of adolescent on being admitted to a psychiatric ward?". The concept of separation was developed by a concept analysis (Walker, Avant) and by Grounded theory Methodology through interviewing patients and their families. The theory guiding this study was Parse's Human Becoming theory of nursing and the methodology was Parse's research methodology(Parse, 1987: Parse, 1992). The study was conducted from March 31, 1991 to April 20, 1992. Research participants were selected from among adolescents admitted to the psychiatric ward of a general hospital in a provincial capital in Korea. Following the Human Becoming research methodology through Dialogical Engagement between the nurse-investigater and the participant, the taped records of the dialogical engagements were transcribed. Sampling was discontinued When the data were theoretically saturated. The data were analyzed bt extraction-synthesis. Six structures of the separation experience were identtified. 1. Separating is expressed verbally and non verbally all-at-onve as the past, present, and the not-yet. 2. Separating is experienced physically and connection is experienced emotionally. 3. Separating promotes the transformation of the environment through a changing view of the world and human beings. 4. Separating increases understanding of the self within human relationships. 5. Separating is struggling powerfully with external forces. 6. Separaing is valuing action chosen by oneself. These structures were integrated conceptually as follows 1. The lived experience of separation is expanding one's world view and specifying reality in a paradoxical unity of separating-connecting. 2. The lived experience of separation is widening human realitionships and seeking freedom while pushing against the existing environment. The conceptual interpretation through Parse's Human Becoming theory is stated as Separation becomes transforming through the languaging of connecting spearating toward powering with the revealing-concealing of valuing. This study contributed to nurses' understanding of the lived experience of separation lived by the young person admitted to a psychiatric treatment unit. Implications ofr nursing theory and its development, nursing research, education and practice were discussed. Further research with other persons and families experiencing separation in other situations using Parse's Human Becoming theory of Nursing, research methodology and practice methodolgy were recommended.

      • KCI등재

        일개 농촌지역 노인 가족의 부담감과 스트레스

        노춘희,정금희,김신정 노인간호학회 2000 노인간호학회지 Vol.2 No.1

        Nursing literatures reveals that there is very little research on families' burden and stress. This research is aimed at identifying the families' burden and stress and preparing the basic data for promoting the health of the aged and their families. A convenience sample was chosen from the families residing in Chunchon City. Data was collected from June 1999 to Feb. 2000. Research questionnaires used are the Caregiving Hassles scale (CHS) with 42 items and the Family Burden Scale (subjective and objective burdens experienced by caregivers) with 16 items. 143 questionnaires were analyzed by SAS. The reliability of the two scales was tested by Cronbach's a. Statistical difference and relationship of the two concepts was tested by t-test, ANOVA, and Pearson correlation. The results were as follows: 1. The average item score of Family Burden was 2,74, which is similar to those members admitted to hospital (mean = 2.71). This score was found to be significantly different according to sex(t=-2.76, P=.006). The highest score item was "worried about patient's future". The female caregivers' score (mean= 2.81) is significantly higher than male caregivers' (mean=2.42). 2. Family stress was found to be significantly different according to family relations (F=2.36, P=.043), sex(t=-2.49, P=.014). The item of family stress which received the highest score was : "when I went out to leave the aged alone"(mean=2.54), and the stress of daughter-in-law was the highest level among all of the caregivers. 3. Family burden and family stress showed gnificantly positive relationship(r=.73, P=.000). In conclusion, this research suggests that caregiving is essential to not only dysfunctional aged people but also relatively healthy aged people. The tendency toward increased nuclear families and industrialization made the function of family weaker. Korean public health care for aged people is developing now, although the family still remains as the key in the main support systems. According these results various nursing interventions have to be developed for decreasing the families' burden and stress, with a focus on supporting the caregivers of the aged. The various home visiting programs and support systems need to be established for female caregivers, who are the major caregivers in the aged family. The aged and the family have a crucial interrelationship with their health. Therefore We suggest an increase in the availability of community health care services is needed for the families of the aged.

      • KCI등재

        연변지역 간호사의 의료기술발달과 돌봄의 속성에 대한 지각 및 전문직 자아개념

        노춘희,김경애,이춘옥,이진숙,김수지,송경애 한국간호과학회 2003 Journal of Korean Academy of Nursing Vol.33 No.4

        Purpose: The purpose of this study was to describe technological development, caring attributes and professional self-concept as perceived by nurses in YanBian. Method: Data were collected using an instrument containing 137 Likert items was administered to 477 RN's working in general hospitals in YanBian. The instrument contained sections which examined technological influences questionnaire(TIQ), caring attributes questionnaire(CAQ), and professional self-concept nursing inventory(PSCNI). Result: Descriptive and inferential statistics revealed by marital status and position. Married, working special ward nurses reported a higher TIQ score than that of unmarried and working general ward and OPD. PSCNI and CAQ score of head or supervisor nurses were higher than that of staff nurses. Subjects revealed very low score of CAQ, while PSCNI score was higher than that of other Asian countries such as Korea, Beijing China, HongKong China and Japan as proved in former study. Conclusion: Useful information for educators and nurse administrators is provided from this results. Further study needs to be done to discuss in the light of cultural and environmental differences between YanBian(Korean-Chinese) and Korean nurses.

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