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      • KCI등재

        미용성형수술과 정신건강

        신극선,변금순,김선아,민성길 대한신경정신의학회 1999 신경정신의학 Vol.38 No.1

        연구목적 : 미용성형 수술 환자 64명을 대상으로 수술이 정신건강 상태에 어떻게 영향을 미치는가를 알아보기 위해 수술전과 수술후의 정신건강 상태와 신체만족도를 조사하였다. 방 법 : 설문지와 면접을 통해 자료를 수집하고 비교 분석하였다. 정신건강평가도구로서 간이정신 진단검사(SCL-90)와 신체 만족도 평가를 사용하였다. 결 과 : 1) 대상자의 SCL-90 점수에서 수술전 평균 68.17점(표준편차 48.26)에서, 수술후 평균 58.03점(표준편차 46.7%)으로 수술후 매우 유의하게 정신건강 상태의 긍정적 변화를 나타내었다. 특히 신체화 증상, 대인관계의 예민성, 우울증, 적대감, 정신병적상태 등에서 수술에 대한 태도가 긍정적일 때, 정신건강상태의 호전이 유의하였다. 특히 수술전 정신건강상태가 나쁠 때 가족의 지시가 유의한 긍정적 영향을 미쳤다. 2) 대상자의 신체만족도도 수술전 평균 58.54점(표준편차 23.14)에서, 수술후 평균 78.14점(표준편차 18.30%)으로 유의하게 호전하였다. 수술후 신체 만족도가 클수록 정신건강사태도 호전하였으며, 특히 수술전 신체에 불만이 클수록 수술후 정신건강상태가 더욱 좋아졌다. 결 론 : 따라서 본 연구는 미용 성형 수술후 정신건강상태와 신체 만족도가 호전되었음을 입증하였으며 나아가 환자를 선별하여 필요한 사람에게 수술이 이루어지는 것이 필요하다는 것과, 또한 이들에 대한 가족의 정서적 지지가 있을 때 더욱 수술후 정신 건강 상태와 신체만족도가 호전한다는 것을 시사한다. Objectives : This study was to investigated the effects of aesthetic surgery on mental health. Method : Sixty-four patients were assessed for their mental health and the degree of satisfaction with their body image before and after operations. The subjects mental health was evaluated by the Korean version of Symptom Check List-90(SCL-90), a satisfaction scale with body image, and a questionnaire for demographic data and operation. Results : 1) The average score of SCL-90 significantly improved from 68.17(S.D.±48.26) to 58.03(S.D.±46.93) after operation(p〈0.01). The scores of all subscales for somatization symptoms, interpersonal sensitively, depression, hostility and psychoticism improved significantly. Significant improvement was also found in patients who were in their 20's and 40's, had family support and had positive attitude toward their operations. Family support had a more positive influence in the group who had a poorer state of mental health before the operation. 2) The average score of significantly with their body image improved significantly form 58.54(S.D.±23.14) to 78.14(S.D.±18.30) after operation(p〈0.01). The more they were satisfied with their body image, the more their mental health state improved. The degree of improvement in satisfaction was significant(p〈0.01) in patients who had shown a poorer health state before operation. Conclusion : These results suggest that aesthetic surgery has influence on patients mental health and improved satisfaction with their body image and also that, in selection of patients for aesthetic surgey, their age and possible family support should be considered.

      • KCI우수등재

        병원간호사의 법에 대한 지식, 의식과 실천의지 간의 관계

        이미애,변금순,강선주,Lee, Mi-Aie,Byeon, Keum Soon,Kang, Sunjoo 간호행정학회 2017 간호행정학회지 Vol.23 No.2

        Purpose: The aim of this study was to evaluate nurses' knowledge of the law, consciousness, and will to practice and the relationships among factors affecting the will to practice. Methods: A cross-sectional survey was conducted and data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlation coefficients and multiple regression. Results: Most respondents were women (93.9%) and 75.6% of them had received basic education on law. The average score on knowledge of the law was $11.83{\pm}3.07$ for general law and $10.42{\pm}3.32$ for nursing law. The average score on consciousness of law and will to practice was $2.50{\pm}0.31$ and $4.32{\pm}0.58$, respectively. Differences were observed in knowledge of the law in terms of having taken a refresher course(F=5.87, p=.003); in consciousness of the law in terms of knowledge of the law (F=6.61, p<.002); and in will to practice according to age (F=7.30, p=.007) and educational level (F=13.08, p<.001). Factors influencing will to practice included behavioral and cognitive consciousness, general knowledge of law, and education. These factors explained 24% of the variance. Conclusion: Nurses knowledge and consciousness regarding law was relatively lower than their will to practice. Systematic law education for nurses and repetitive research are recommended to prevent nursing malpractice.

      • KCI우수등재

        병원간호사의 법에 대한 지식, 의식과 실천의지 간의 관계

        이미애(Lee, Mi-Aie),변금순(Byeon, Keum Soon),강선주(Kang, Sunjoo) 한국간호행정학회 2017 간호행정학회지 Vol.23 No.3

        Purpose: The aim of this study was to evaluate nurses" knowledge of the law, consciousness, and will to practice and the relationships among factors affecting the will to practice. Methods: A cross-sectional survey was conducted and data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlation coefficients and multiple regression. Results: Most respondents were women (93.9%) and 75.6% of them had received basic education on law. The average score on knowledge of the law was 11.83±3.07 for general law and 10.42±3.32 for nursing law. The average score on consciousness of law and will to practice was 2.50±0.31 and 4.32±0.58, respectively. Differences were observed in knowledge of the law in terms of having taken a refresher course(F=5.87, p=.003); in consciousness of the law in terms of knowledge of the law (F=6.61, p<.002); and in will to practice according to age (F=7.30, p=.007) and educational level (F=13.08, p<.001). Factors influencing will to practice included behavioral and cognitive consciousness, general knowledge of law, and education. These factors explained 24% of the variance. Conclusion: Nurses knowledge and consciousness regarding law was relatively lower than their will to practice. Systematic law education for nurses and repetitive research are recommended to prevent nursing malpractice.

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