표준화 난임환자를 활용한 한의대생의 진료 및 의사소통 수준연구

안효자,양승정,신헌태,An, Hyo-Ja,Yang, Seung-Jung,Shin, Heon-Tae 대한예방한의학회 2014 대한예방한의학회지 Vol.18 No.3

Objective : The purpose of this study is to assess the communication and medical interview level of the students in the college of korean traditional medicine using Standardized Patients(SP). Method : 35 students of 5th grade in the college who are doing their clinical practice class participated and conducted medical interview on standardized infertile female patient. SP and professor who observed the interview evaluated the students' communication skill and medical interview level using the assessment sheet composed of 23 questions. Results : 1. Satisfaction of SP was 1.66 of 3. In the communication section, students conducted well in appropriate voice and no inappropriate interruption but they didn't show good practice in considerate physical examination, understandable explanation relatively. 2. The scores that were acquired by students in informing the time required, obtaining agreement at initiating and closing, family history taking, checking mental status and physical examination 2 were low in the medical interview section. 3. There were some differences in the communication and medical interview scores by the students' sex (p<.01), age(p<.05) and medical camp experience(p<.05). But we couldn't find any evidence about the relation between character type and the communication and medical interview scores(p>.62). Conclusion : On the whole, students who participated this study had difficulties in building relationship with patient and conducting medical interview. They need to improve their ability in those fields by appropriate education before their graduation.

일 정신병원에서 발생한 강박 처치에 관한 연구

안효자,김은하,정영해,안정심,조원애,박정화 병원간호사회 2013 임상간호연구 Vol.19 No.3

Purpose: The purpose of this study was to describe restraint use in care of patients with psychiatric disorders in an attempt to avoid unnecessary restraint use and provide information for developing standards regarding restraint use as a therapeutic maneuver. Methods: For this descriptive study, discharge records from N National Mental Hospital in the year 2009 were reviewed by trained nurses during Dec. 24, 2010 and Mar. 31, 2011. There were 596 restrains applied on 232 of 1,322 discharges. Data collected include general characteristic of patients, the frequency of restraint use, time since admission when restraint was applied, time of the day when restraint was applied, duration of restraint application, place of occurrence, reasons for restraint use, and degree of damage to the patent. Work experience of nurses who applied restraints, number of workforce at the time of restraint, and season of the year was also identified. Descriptive statistics, Chi-square test, t-test, ANOVA, Scheffè and Jonckheere-Terpstra were applied using SPSS 14.0 to analyze the data. Results: There were 596 restraint uses among 232 patients. Restraints were applied most frequently on males in their 40s, patients diagnosed with schizophrenia, and patients repeating admissions more than 6 times. Restraints were frequently applied within first week following admission, between 16:00 and 20:00, and the average duration of restraint was 5 hours. There were significant differences according to diagnoses of patients in the season restraint occured, time, place of occurrence, reason for restraint, and duration of restraint. Patients with alcoholism received longer restraint application. Conclusion: In order to avoid unnecessary restraint use in patients with psychiatric disorders, nurses and other health care team members need to acknowledge a group of patients such as patients with schizophrenia and alcoholism who relatively frequently restrained or receiving longer restraint. Reasonable and careful decision need to be made when applying restraint in the care of patients with alcohol problem.

한의대생의 휴학경험에 관한 현상학적 연구

안효자,신헌태,An, Hyo Ja,Shin, Heon Tae 대한예방한의학회 2016 대한예방한의학회지 Vol.20 No.2

Objectives : This study was to identify the stop-out experiences of Korean Medicine Students(K.M.S.). The stop-out is defined as a withdrawal temporarily from enrollment at a university. Methods : Data was collected through in-depth individual interviews from 2013 to 2016 and analyzed with Colaizzi's phenomenological methodology. The participants were interviewed once or twice, for 30minutes to 50minutes per interview. Results : Ten theme-clusters were identified from 21 themes. These theme-clusters were divided to 4 divisions as when they made the decision for the stop-out, during their stop-out period, when they went back to school and the meaning of their stop-out. 'A difficult situation to continue the study', 'Uncertainty about their decision and anxiety of the future' are 2 theme-clusters for when they made the decision for the stop-out, 'Conflict and anxiety', 'Novel and free time', 'Improving family relationship and finding new relationship' are 3 theme-clusters for during their stop-out period, 'Anxiety for the returning to school', 'New relationship and sense of relief' are 2 theme-clusters for when they went back to school, and 'Making a present for me', 'An opportunity for the emotional growth', 'Recovery of learning will' are 3 theme-clusters for the meaning of their stop-out that they gave to it. Conclusions : The stop - out of K.M.S. began at the hope that they want to take the lead for their lives. And they would find themselves more mature after the experience of their stop-out. This result could be a basic reference for the counselling of the faculty working with K.M.S.

병식-지향 간호프로그램이 정신분열병 환자의 병식, 양성·음성증상, 우울에 미치는 효과

안효자 한국간호과학회 2007 Journal of Korean Academy of Nursing Vol.37 No.4

한의대생들의 의사소통 관련요인

안효자,정영해,송민선 대한의료커뮤니케이션학회 2012 의료커뮤니케이션 Vol.7 No.1

Purpose: The purposes of this study was to identify communication competency in oriental medicine students and to provide basic resources of oriental medical education program. Methods: : From August 21 to September 22, 2009, 158 oriental medical students were surveyed using structured questionnaires. Data were analyzed using descriptive statistics using the SPSS program. Results: The average of self-esteem and interpersonal relation were each 3.09 (±0.451), 86.3 (±11.19), communication type was congruence (2.74), placating (2.62), super-reasonable (2.35), irrelevant (2.22), blaming (2.19). There was a statistically significant difference between 2nd grade of pre-oriental medical course and 2nd grade of oriental medical course in super-reasonable of communication type. Self-esteem and interpersonal relation explained 52.1% of variances in congruence communication competency. Conclusions: The results of this study indicate that development of communication competency in oriental medical students need to consider the interpersonal relation and self-esteem.

대학생의 금연성공 경험

안효자 한국정신간호학회 2020 정신간호학회지 Vol.29 No.2

Purpose: The purpose of this study was to identify the experience of smoking cessation of university students who successfully quit smoking for more than six months. Methods: Data were collected through in-depth individual interviews Oct 7, 2019-Dec 22, 2019 and analyzed with Colaizzi's phenomenological methodology. Results: The result was a collection of 5 theme-clusters from 14 themes, and the theme-clusters were 'recognition', 'warning', 'painstaking', 'awareness' and 'maturity'. Participants were aware of the possibility of re-smoking and the endurance of re-smoking. And they faced the temptation to smoke and actively managed it to abstain from re-smoking. Conclusion: Smoking cessation is not the end of the addiction treatment, but a new beginning that requires nursing interventions. Finally, the success of smoking cessation is a painful growth process that reflects on life and changing lifestyles.

가족 중 흡연자가 있는 대학생의 그릿(Grit)이 건강증진행위에 미치는 영향

안효자,윤경순,이기현 보건의료산업학회 2020 보건의료산업학회지 Vol.14 No.3

Objectives: The aim of the study was to examine the relationship between grit and health-promoting behaviors of university students who had smokers in their families and to identify factors affecting their health-promoting behaviors. Methods: The study participants included 346 university students with smokers in their families. Data were collected from June 1 to June 30, 2019, using self-reported questionnaires. Data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficients, and multiple regression using the SPSS/WIN 25.0 program. Results: The factors influencing health-promoting behaviors were perceived health status (β=.134, p=.005), smoking status (β=.129, p=.012), consistency of interest (β=.18, p=.015), and perseverance of effort (β=.28, p<.001) which explained 25.9% of the variance. Conclusions: These results suggest that to improve health-promoting behaviors in university students with smokers in their families, interventions that enhance grit should be considered.

농촌거주 일본인 결혼이주여성의 지역사회 적응과정에 대한문화기술

안효자 한국정신간호학회 2018 정신간호학회지 Vol.27 No.4

Purpose: The purpose of this study was to identify and describe cultural meanings for married Japanese immigrant women in rural Korean communities. Methods: The informants were 10 women in rural areas. Data were collected from August 2017 to June 2018 through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Results: The meanings of adaptation were classified into five cultural domains: Practicing the doctrine, accepting the difference, redemption, true home, and confronting reality. The subthemes according to meanings of adaptation were comprised of international marriage with a sense of calling, bearing with sense of duty, and making a living substantively. The subthemes in this study reflect the process of adaptation. The cultural themes in the process of adaptation were overcoming differences and conflicts between Korea and Japan to achieve true family. Conclusion: The adaptation processes of married Japanese immigrant women included making their living reality known and recognizing the times when exchanges between Koreans and Japanese cannot exist within a hostile composition.

사립정신병원 간호사의 직무와 정신간호교육 요구: 혼합연구

안효자,배영주,조명숙 한국정신간호학회 2019 정신간호학회지 Vol.28 No.4

Purpose: The purpose of this mixed-method study was to identify the demand for mental health nursing education and work of nurses at a private psychiatric hospital. Methods: The survey of demand for mental nursing education was conducted by including 231 nurses at a private psychiatric hospital from November to December, 2017. Qualitative research by two focus groups was conducted from October to November, 2018. Results: The mean of mental health nursing education demands according to major category were the therapeutic environment (4.27±0.76), substancerelated and addictive disorders (4.18±0.68), therapeutic relationship and communication (4.17±0.64), respect for human (4.11±0.74), and neurocognitive disorders (4.07±0.74). The qualitative research participants’ demands for mental health nursing education were classified into five categories: ‘discrimination power’, ‘communication techniques’, ‘psychiatric drugs’, ‘coping method’, and ‘legal issues’. Conclusion: Nurses with less psychiatric careers have strong need to learn a therapeutic environment and alcoholism, and nurses with more experience in psychiatry have education of humanities. Nurses at private psychiatric hospitals have high demand for continous education of updated mental nursing to expand their extensive experience required for becoming more professional nurses in future.

정신장애인 극복사례 수기집 읽은 경험

안효자,이유빈,장수연,홍예진 한국간호과학회 2022 한국간호과학회 학술대회 Vol.2022 No.10