혈액투석 환자를 위한 온라인 자가관리 프로그램의 개발 및 평가

양진향(Yang, Jinhyang) 기본간호학회 2022 기본간호학회지 Vol.29 No.4

Purpose: This study was performed to develop and evaluate an online self-management program for enhancing hemodialysis-related knowledge, self-efficacy, ways of coping, self-management behavior, physical and mental health-related quality of life in patients with chronic kidney failure undergoing hemodialysis. Methods: The research used a quasi-experimental design with a non-equivalent control group pre-post test design with convenience sampling. The participants were 53 patients (27 in the experimental group and 26 in the control group). A pretest and posttest were conducted to measure the main variables. For the experimental group, the online self-management program, consisting of counseling-centered activities in small groups, was administered for 8 weeks. Data were analyzed using the x² test, t-test and independent/paired t-test with the SPSS 27 statistics program. Results: Statistically significant increases were found in hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life but not in passive ways of coping in the experimental group compared to the control group. Conclusion: The results of this study indicate that the online self-management program was effective in increasing hemodialysis-related knowledge, self-efficacy, active ways of coping, self-management behavior, physical and mental health-related quality of life among patients with hemodialysis. Therefore, it can be safely utilized as a nursing intervention for patients with chronic kidney failure undergoing hemodialysis in pandemic situations with high risk of infection.

만성B형간염 환자의 자가관리이행에 대한 영향요인

양진향(Yang, Jin-Hyang) 기본간호학회 2011 기본간호학회지 Vol.18 No.4

Purpose: Patients with chronic hepatitis B need lifelong health care because of progressive liver damage. The purpose of this study was to identify factors associated with self-management compliance among patients with chronic hepatitis B. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 118 patients with chronic hepatitis B from outpatient department in a tertiary hospital. Their ages ranged from 20 to 64. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with PASW statistics 19.0 program. Results: There were statistically significant differences in self management compliance by gender, age, job, alcohol consumption, and smoking. A positive correlation existed between self-management compliance, awareness of the importance of management, and self efficacy. Stepwise multiple regression analysis for self-management compliance revealed that the most powerful predictor was self efficacy. Self efficacy, age, and alcohol consumption explained 37.5% of the variance. Conclusion: The results indicate a need to promote self-management compliance with these participants. The findings also suggest that consideration be given to characteristics of age and alcohol consumption in developing strategies for enhancing self efficacy and developing programs to promote self-management for patients with chronic hepatitis B.

만성통증환자의 통증분류에 따른 통증, 우울 및 자기효능감 정도

양진향(Yang Jin-Hyang) 한국성인간호학회 2004 성인간호학회지 Vol.16 No.2

응급실 간호사의 폭력반응, 대응 및 소진간의 관계

양진향(Yang Jin-Hyang),정혜연(Jung Hye Youn) 기본간호학회 2009 기본간호학회지 Vol.16 No.1

Purpose: The purpose of this study was to identify relationships between violence response, coping, and burnout among emergency department nurses. Method: This descriptive study using self report questionnaires was conducted from October 1 to October 20, 2008. Participants were 147 general nurses working in emergency departments in hospitals having over 500 beds and located in Busan. ANOVA and Pearson's correlation coefficients with SPSS PC+ WIN 14.0. were used to analyze the data. Results: Scores for violence response, coping, and burnout were 3.08 (1-5 scale), 2.57 (1-4 scale), and 3.22 (1-5 scale) respectively. There were significant differences in violence response and burnout by education, clinical careers, clinical careers in ED, and plans to work in the future, and no significant differences in coping by general characteristics. There was a significant and highly positive relationship between violence response and burnout. Conclusion: The degree of violence response and burnout was comparatively high, while that of coping was average. Therefore, it is necessary to develop effective programs related to prevention and coping with violence for nurses in emergency departments. Institutional measures by hospital authorities are also needed to improve the nursing quality by providing a safe workplace.

영구적 결장루를 가진 환자의 적응경험

양진향(Yang, Jin-Hyang) 질적연구학회 2012 질적연구 Vol.13 No.2

Purpose: This study was done to explore the overall perspectives and experiences of adjustment among permanent colostomy patients. Methods: A qualitative method with content analysis was utilized. Participants with permanent colostomy were five men and two women from outpatient department in two university hospitals. Data were collected from iterative work with individual in-depth interviews from during the period from May to September, 2011. Contents of the interviews were tape-recorded with participant consent. Results: A total four major themes and nine sub-themes were emerged: a disorder which reversed one"s life; changed radial range of life; shifting perspectives of the body; reconstructing values of beings. Each theme appeared to be interrelated as time passes. Findings indicated that it was capable of a care for the human being and of living with the new condition. Conclusion: Findings indicated that participants" physical and psychosocial needs were fully unmet. Patients with permanent colostomy were particularly vulnerable and expressed a need for more information on knowing what to expect after surgery. Therefore, it is necessary for nurses to provide information and support that were tailored to individual need as well as being responsive to urgent patient concerns.

도시와 농촌 지역 성인여성의 생활양식, 건강실태 및 삶의 질 비교

양진향(Yang Jin-Hyang),권영숙(Kwon Young-Sook) 기본간호학회 2005 기본간호학회지 Vol.12 No.1

농촌중년여성의 건강행위 유형

양진향(Yang Jin-Hyang) 기본간호학회 2002 기본간호학회지 Vol.9 No.3

혈액투석 환자 대상 모바일 앱 기반 자가관리 프로그램의 효과

양진향(Jinhyang Yang),박정준(Jeong-Joon Park) 한국산학기술학회 2023 한국산학기술학회논문지 Vol.24 No.9

본 연구는 혈액투석 환자를 위한 모바일 앱 기반 자가관리 프로그램을 개발하여 혈액투석 관련 지식, 자기효능감 및 자가관리행위에 미치는 효과를 평가하고자 한다. 모바일 앱은 소프트웨어 원형개발 접근법과 수명주기법을 결합하여 4단계(요구사항 사정 및 분석, 개발, 평가, 적용)를 통해 개발되었다. 본 연구대상자는 2022년 7월부터 11월까지 B시 소재 종합병원 2곳의 혈액투석실을 주 2∼3회 정기적으로 외래 방문하는 환자 51명이다. 수집된 자료는 SPSS 27.0 통계 패키지를 이용하여 기술통계, χ²-test, 독립 t-test와 paired t-test로 분석하였다. 개발된 모바일 앱에 대한 평가가 이루어졌으며, 혈액투석 환자 28명의 사용자 만족도 평가는 4.23점(5점 만점), 의료인 26명의 전문가 평가는 4.22점(5점 만점)이었다. 본 연구의 모바일 앱 기반 자가관리 프로그램을 실험군에게 4주간 적용한 후 대조군과 차이를 비교해 본 결과, 실험군이 대조군보다 혈액투석 관련 지식(t=5.13, p= .000)과 자기효능감(t=2.68, p=.010), 자가관리행위 점수(t=2.82, p=.007)가 유의하게 향상되었다. 따라서 혈액투석 환자들이 접근성과 활용성이 높은 모바일 앱 기반 자가관리 프로그램을 사용한다면 적재적소에서 필요한 정보나 기술을 습득하여 건강관리를 효과적으로 도모할 수 있을 것이다. This study was undertaken to develop a mobile app-based self-management program for hemodialysis patients and evaluate its effectiveness. The mobile app was developed through four phases (needs assessment and analysis, development, evaluation, and application) by combining the software prototyping approach with the life cycle method. The participants were 51 patients who regularly visited the hemodialysis units of two general hospitals in B City, two to three times a week, from July to November 2022. Data were analyzed using descriptive statistics, χ²-test, and independent/paired t-test with the SPSS 27 program. The developed mobile app was evaluated by 28 hemodialysis patients with a user satisfaction rating of 4.23 (out of 5) and 26 healthcare professionals with a rating of 4.22 (out of 5). After applying the mobile app-based self-management program to the experimental group for 4 weeks and comparing the difference with the control group, the experimental group showed significantly improved hemodialysis-related knowledge (t=5.13, p= .000), self-efficacy (t=2.68, p=.010), and self-management behavior (t=2.82, p=.007). Our results indicate that if hemodialysis patients use a mobile app-based self-management program with high accessibility and utilization, they will be able to effectively promote health care by acquiring the necessary information or skills in the right place and right time.

HIV 감염인의 질병 체험

양진향(Yang Jin-Hyang) 질적연구학회 2008 질적연구 Vol.9 No.2

Purpose: The purpose of this study was to understand the meanings and nature of illness experience among people living with HIV. The present study adopted phenomenological method which was developed by Colaizzi(1978). Methods: The participants for this study were 4 men and 2 women, who were over the age of 20 with HIV living in shelters and visiting public health centers in two cities Data were collected by using in-depth interviews and observations from February, 2008 to December, 2008. The contents of the interviews were tape-recorded with the consent of the participants. Results: The essential themes were: a body that comes down with dirty illness, breaking off the relationship with the world around me, living through with hopelessness, world filled with invisible barriers. a body that endure and live. Conclusion: This findings revealed the participants had various experiences by social prejudice and stigma. It is important for nurses to identify and take care of difficulties and to support in the disintegrated life situation. The result of this study can give nurses some insight into these experiences and help promote empathetic care.

중환자실 환자의 입원 경험

양진향(Yang Jin-Hyang) 한국성인간호학회 2008 성인간호학회지 Vol.20 No.1