대사증후군 위험군의 스트레스와 건강증진행위 간의 관계에서 자가간호역량, 회복탄력성의 병렬매개효과

류정림 ( Ryu Jeong Lim ),김신희 ( Kim Shin Hee ),주정숙 ( Ju Jeong Suk ) 대한보건협회 2021 대한보건연구 Vol.47 No.2

연구목적 : 본 연구는 대사증후군 위험군의 스트레스와 건강증진행위 간의 관계에서 자가간호역량, 회복탄력성의 매개효과를 확인하기 위함이다. 연구방법 : 연구대상자는 148명의 종합병원 건강검진 수검자 중 대사증후군 위험요인이 1개 또는 2개인 자로 2020년 11월부터 12월까지 자기기입식 설문지를 이용하여 스트레스, 자가간호역량, 회복탄력성, 건강증진행위 정도를 수집하였다. 수집된 자료는 SPSS 23.0 통계 프로그램을 이용하여 기술통계, 독립표본 t-검정, 일원배치분산분석, 피어슨의 상관계수을 산출하였고, 대상자의 스트레스와 건강증진행위와의 관계에서 매개효과를 확인하기 위해 PROCESS macro SPSS/WIN3.5 프로그램을 이용하여 병렬다중매개모형으로 분석과 Bootstrap방법을 적용하였다. 연구결과 : 본 연구의 주요 결과는 다음과 같다. 연구대상자의 스트레스 수준은 5점 만점에 1.97점이었고, 자가간호역량은 6점 만점에 4.48점, 회복력은 4점 만점에 2.28점, 건강증진행위는 4점 만점에 2.44점으로 나타났다. 건강증진행위는 스트레스(r=-.26, p<.001)와 음(-)의 상관관계, 자가간호역량(r=.61, p<.001), 회복탄력성(r=.56, p<.001)과는 유의한 양(+)의 상관관계가 있었다. 병렬다중매개효과를 검증한 결과 스트레스와 건강증진행위 간의 관계에서 자가간호역량과 회복탄력성의 매개효과는 유의한 것으로 나타났다. 결론 : 본 연구 결과는 대사증후군 위험군의 건강증진행위에 대한 이해와 건강증진행위 증진을 위한 프로그램 개발 등에 대한 기초자료로 활용될 수 있을 것이다. Purpose : This study aims to elucidate the influence of relationship between stress and health promotion behavior by using self-care agency and resilience as a mediation. Method : To this end, this study collected the dada for 148 adult with more than 1 or two risk factors for metabolic syndrome. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient and the PROCESS Macro for SPSS 23.0 to verify the multiple mediated effect with a parallel structure. Result : The major finding of this study were as follow; the average score of stress, self-care agency, resilience, health promotion behavior were 1.97(range 1-5), 4.48(range 1-6), 2.28(range 0-4) and 2.44(range 1-4). Stress was negatively correlated with health promotion behavior(r=-.26, p<.001), and self-care agency(r=.61, p<.001) and resilience(r=.56, p<.001) was positively correlation with health promotion behavior. As a result of verifying the effect of parallel multi-mediation, it was found that the mediating effect of self-care agency and resilience on the relationship between the stress and health promotion behavior was significant. Conclusion : The result of study will be helpful to enhance the understanding of metabolic syndrome risk group health promotion behavior, and can be used as basic data for developing programs for health promotion activities.

병원간호사의 임상간호인성이 소진에 미치는 융합적 영향요인: 회복탄력성의 매개효과 중심으로

류정림(Jeong-Lim Ryu),주정숙(Jeong-Suk Ju),김신희(Shin-Hee Kim) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.1

본 연구는 병원간호사를 대상으로 임상간호인성이 소진에 미치는 영향에서 회복탄력성의 매개효과를 확인하고자 수행되었다. 연구 대상자는 J도 소재 종합병원에 재직 중인 118명으로 구조화된 설문지를 이용하여2020년 8월 1일부터 8월 31일까지 편의표집하였다. 수집된 자료는 SPSS/WIN 23.0 프로그램의 기술통계, independent t-test, one way ANOVA, Pearson’s correlation coefficients, liner regression analysis를 이용하였고 매개효과의 유의성 검증을 위하여 Sobel test를 실시하였다. 연구결과, 병원간호사의 임상간호인성은 회복탄력성과 정적 상관관계(r=.63, p <.001), 소진과는 부적 상관관계(r=-.48, p <.001)를 보였으며 임상간호인성은 소진에 유의한 영향을 미치는 것으로 나타났다. 또한 병원간호사의 임상간호인성과 소진 간의 관계에서 회복탄력성은 부분 매개역할을 하는 것으로 나타났다. 따라서 임상간호사의 소진을 감소시키기 위해서 간호사의 인성과 회복탄력성을 강화할 수 있는 프로그램 개발과 적용이 필요하다. 간호사의 소진에 영향을 미치는 회복탄력성은 개인 내적, 환경적 차원의 보호요인으로 긍정적 결과를 이끌어낼 수 있기에 개인 및 조직적 인적자원관리 전략을 수립하는 기초자료로 활용될 수 있을 것이다. The purpose of this study was to test the mediating effect of resilience on the relationship between nurses" character and burnout. Participants were 118 clinical nurses in general hospitals located in J province. From August 1st to 31st, 2020, a questionnaire scale was used to collect the data. Data were analyzed using an independent t-test, one-way ANOVA, Pearson"s correlation coefficients, linear regression, and the Sobel test. The study revealed that there was a significant positive relationship between character and resilience (r=.63, p<.001) and a negative correlation with burnout (r=-.48, p<.001). Also, resilience had a partial mediating effect on character and burnout. These findings indicate that it will be more effective to develop and apply programs that promote character and resilience to reduce burnout among clinical nurses. The conclusion that resilience affects the burnout of nurses can be used for formulating personal and organizational Human Resource Management strategies and can lead to positive protective results at the intra-personal and environmental levels.

병원간호사의 간호인성과 고위험 병원체 감염환자 간호의도와의 관계: 간호전문직관의 매개효과

류정림 ( Ryu¸ Jeong Lim ),채윤정 ( Chae¸ Yoon Jung ),김신희 ( Kim¸ Shin Hee ) 경희대학교 동서간호학연구소 2021 동서간호학연구지 Vol.27 No.2

Purpose: This study aims to explore the mediating effect of the nursing professionalism in the relationship between nurse’s character and nursing intention caring for high risk pathogen infected patients in the tertiary hospital nurses. Methods: This study used a cross-sectional descriptive design. The participants were 129 nurses from two tertiary hospitals. The questionnaire consisted of tools measuring clinical nursing personality, nursing professionalism and nursing intention caring for high risk pathogen infected patients in the tertiary hospital nurses. The data were analyzed using independent sample t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical multiple linear regression. Results: There were significant relationships between nurse’s character and nursing professionalism (r=.59, p<.001), nurse’s character and nursing intention caring for high risk pathogen infected patients (r=.54, p<.001), and nursing professionalism and nursing intention caring for high risk pathogen infected patients (r=.54, p<.001). In the relationship between nurse’s character and nursing intention caring for high risk pathogen infected patients, nursing professionalism had a partial mediating effect. Conclusion: This current study suggests that strategies for improving nursing professionalism in nurses should be considered when developing an educational program for enhancing their nursing intention caring for high risk pathogen infected patients.

e-러닝 환경에서 간호대학생의 자기주도학습능력 : 학습자 상호작용 매개효과를 중심으로

김신희(Shin Hee, Kim),류정림(Jeong Lim, Ryu),곽윤복(Yun Bok, Kwak) 한국간호연구학회 2020 한국간호연구학회지 Vol.4 No.4

Purpose : The purpose of this study was to test the mediating effect of learner interaction on the relationship between grit and self-directed learning ability of nursing students in e-learning environments. Method : Data were collected from September 15th to 30th, 2020 for 129 nursing students in college and analyzed using independent t-test, one way ANOVA, Pearson s correlation coefficients, and linear regression. Result : There were significant positive relationships among grit, learner interaction, 4 and self-directed learning. In addition, learner interaction had a partial mediating role in the relationship between grit and self-directed learning. Conclusion : The results of this study confirmed that learner interaction had a partial mediating effect on the relationship between grit and self-directed learning ability. The results can be utilized as important basic data for the level of learner interaction. Therefore nursing students need learner interaction motivation for e-learning class and educational programs in nursing courses in college.

간호대학생의 직업가치관이 전공몰입에 미치는 영향: 간호사 이미지 매개효과

조은희(Eun Hee Jo),류정림(Jeong Lim Ryu),김신희(Shin Hee Kim) 한국간호연구학회 2021 한국간호연구학회지 Vol.5 No.2

Purpose : This study investigated the mediating effect of nurses’ image on the relationship between work value and major commitment among nursing students. Methods : Data of 156 nursing students were collected from January 3th to January 20th, 2020. They were analyzed using the independent t-test, one way analysis of variance, Pearson’s correlation coefficients, and multiple regression with the SPSS/WIN 23.0 program. A mediation analysis was performed using the Baron and Kenny method and Sobel test. Results : There was significant correlation found between work value and nurses’ image(r=.56, p<.001), work value and major commitment(r=.66, p<.001), and nurses’ image and major commitment (r=.55, p<.001). Nurses’ image had a mediating effect on the relationship between work value and major commitment. Conclusion : We found the importance of the role of nurses’ image as a partial mediating variable. Therefore, to improve the major commitment of nursing students, it is necessary to enhance the work value and nurses’ image. To achieve this, close cooperation and strategies to enhance nurses’ image are necessary not only with universities, but also with the Korean Nurses Association and hospitals. In addition, universities need systematic nursing educational programs and curriculum development studies to establish a positive work value and nurses’ image.

운동요법관련 간호연구 논문 분석

변영순,류정림 이화여자대학교 간호과학연구소 1998 Health & Nursing Vol.10 No.2

The purpose of this study was to examine the trend of the exercise related nursing studies in Korea and the psychosocial variables treated in these studies, and to analyse the exercise programmes applicated in these studies. In orders to be helpful in offering an effective exercise nursing intervention. The subjects were 36 exercise related nursing studies in Korea since nineteen eighties. 1. The subjects were 28 Doctoral and master's theses(77.8%). The dates of publication have been shown the increasing tendence from 1990. The types of research that applied the exercise programs to human subjects(32 studies, 69.6%), were 13 non-patient studies (40.6%). and 19 patient studies(59.4%). On the non-patient studies, 9 papers dealt with the aged(28.1%), on the patient studies, 5 papers dealth with the type II DM patients (15.6%), and so on. Research disign were 35 experimental studies(97.2%). 2. The purposes of exercise program were muscle strength or endurance(11, 34.4%). the progression of cardiopulmonary function(10 studies, 31.3%), glucose and lipids metabolism activation(10, 31.3%), normal bocy composition (9, 28.31%), and so on. 3. The types of exercise were 18 aerobic exercise and 16 muscle exercise so on. The intensity of exercise was between Maximal Heart Rate's 40-70% in the 15 papers(46.9%). Duration of exercise was between 5 day and 3 months, 8 papers applied 8 weeks(25%). 4. 14(43.75%) studies used theory and psychosocial variables, among these, 3 papers applied the theory to exercise program, the most frequently used variables was self-efficacy (6 studies, 18.7%). Suggestions 1. The nursing intervention for exercise based on theory should be used for exercise participation, compliance, and continuity. 2. Nurses should be qualified for exercise prescription and exercise program should be practiced more systematically and more effectively.