허약노인의 건강관련 삶의 질과 영향요인

임은실,노경희 지역사회간호학회 2010 지역사회간호학회지 Vol.21 No.1

Purpose: The purpose of this study was to identify the predictors of health-related quality of life and to examine their effects in frail elderly. Methods: This was a correlation study. The subjects were 680 frail elders aged over 65 who were receiving home care from one of 253 public health centers in 16 provinces, and data were collected from the 1st to 30th of April, 2008. Results: The mean health-related quality of life in the subjects was 6.0±2.0. The predictors identified in this study significantly explained 41.3% of health-related quality of life. Self-rated health was the most significant predictor of health-related quality of life. ADL and depression had an effect on health-related quality of life. Conclusion: Self-rated health, ADL and depression were the predictors of healthrelated quality of life in the frail elderly.

학교 밖 청소년의 NLP 진로집단미술치료 프로그램이진로성숙도 및 진로준비행동에 미치는 영향

임은실,이제순 한국예술심리치료학회 2018 예술심리치료연구 Vol.14 No.4

The of the study was to investigate the effects of NLP art group therapy program for career on the career maturity and career preparation activity on out of school youths. 24 out-of-school youths who wished to participate in the program were selected at the J Youth Counseling Center in Jeonju city, 12 of which were randomly assigned to the study group and the remaining 12 were assigned to the control group. Two sessions per week, one session for 90 minutes, and a total of 12 sessions. The study group received Career NLP art group therapy and the control group received no intervention. Career NLP art group therapy program was given to the control group after the completion of this study. Normality check was done on the data using independent t-test analysis, then paired t-test was used to compare the difference between the control and the study group in their career maturity and career preparation activities. The study results are as follows. First, there was a significant difference in Career NLP art group therapy group in overall career maturity, including subcategories such as independence, planning, attitude to work, self-understanding all were shown to have significant effect. Second, the Career NLP art group therapy for out of school youths program was shown to have significant effect on career preparation activities including subcategories such as information collection activities, selecting jobs/courses activities, job experience activities, and job-seeking activities. 본 연구는 NLP 진로집단미술치료 프로그램이 학교 밖 청소년의 진로성숙도 및 진로준비행동에 미치는 효과를 검증하는 데 목적이 있다. 연구대상은 전주시 J 청소년상담센터에서 프로그램에 참여하기를 희망하는 학교 밖 청소년 24명을 선정하여 실험집단과 통제집단에 각 12명씩 무선배치 하여, 주 2회, 1회기 90분, 총 12회기를 실시하였다. 실험집단에게는 NLP 진로집단미술치료 프로그램을 실시하였고 통제집단에게는 아무런 처지를 하지 않았으며, 통제집단은 본 연구가 끝난 후 NLP 진로집단미술치료 프로그램을 실시하였다. 수집된 자료는 독립표본 t-test 분석을 실시하여 동질성 검사를 하였으며, 실험집단과 통제집단의 진로성숙도와 진로준비행동의 변화와 차이를 확인하기 위해 대응표본 t-test 분석을 실시하였다. 연구결과는 다음과 같다. 첫째, NLP 진로집단미술치료 프로그램은 학교 밖 청소년의 진로성숙도 전체와 하위영역인 독립성, 계획성, 일에 대한 태도, 자기이해 영역 모두에서 유의미한 효과가 있는 것으로 나타났다. 둘째, NLP 진로집단미술치료 프로그램은 학교 밖 청소년의 진로준비행동 전체와 하위영역인 정보수집활동, 직업․학과 결정활동, 직업체험활동, 취업준비활동 영역 모두에서 유의미한 효과가 있는 것으로 나타났다.

아동의 예방접종에 영향을 미치는 요인

임은실,천의영,이경자,임미란 한국지역사회간호학회 2006 지역사회간호학회지 Vol.17 No.2

-Factors Influencing Children's Immunization

생애전환기 건강진단 노인 수검자의 독감 백신 접종 영향 요인

임은실,김경하,채현주 지역사회간호학회 2010 지역사회간호학회지 Vol.21 No.4

Purpose: The purpose of this study was to investigate the influencing factors of influenza vaccination in the elderly participating in lifetime transitional health examination. Methods: This study was a secondary analysis of data collected from lifetime transitional health examination (for 66‐.year‐.old people) conducted by the National Health Insurance Corporation (NHIC) from January 1 to December 31, 2008. Questionnaires were received from NHIC to obtain information regarding gender, chronic diseases, health‐.related behaviors, and ADL. A total of 255,333 participants who responded all the questions in the questionnaire were included in the analysis. Collected data were analyzed by descriptive statistics, X2 test, and multiple logistic regression. Results: The influenza vaccine coverage rate in 66‐.year‐.old people was 66.1%. The influenza vaccine coverage rate was higher in female elders and those with hypertension, diabetes, heart disease or past smoking, and lower in those with stroke, current smoking, drinking, no‐.exercise or ADL‐ dependency. Conclusion: Strategies for improving the influenza vaccination coverage rate in the elderly are needed. The strategies should give priority to the elderly with current smoking, drinking, and no‐.exercise, and home visiting programs are needed for the elderly with stroke and ADLdependency.

보건진료소 현황과 발전방안

임은실 한국농촌간호학회 2017 한국농촌간호학회 학술대회지 Vol.- No.2

Health-Related Characteristics that Affect the Prevalence of Osteoporosis in Elderly Women

임은실,김경하,이광옥 경희대학교 동서간호학연구소 2010 동서간호학연구지 Vol.16 No.2

Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a secondary data analysis of 118,903 sixty six year old women who received a health examination conducted by the National Health Insurance Corporation in 2008. Multiple logistic regression analysis was used to identify factors affecting the prevalence of osteoporosis. Results: The prevalence of osteoporosis was 46.8%, whereas the prevalence of osteopenia was 38.4% among elderly women in this study. Statistically significant differences were observed between the osteoporosis and non-osteoporosis group in terms of smoking (p<0.001), exercise (p<0.001), obesity (p<0.001), waist circumference (p<0.001), depression (p<0.001), falling experience (p<0.05), and the cognitive function risk (p<0.05). Based on the multiple logistic regression results, the risk for osteoporosis was high in those who were underweight, smoked, or were depressed. In contrast, moderate or high level obesity showed a negative relationship with osteoporosis. Conclusion: The prevalence of osteopenia and osteoporosis was 85.2%. Therefore, there is a need to develop health care programs pertaining to osteoporosis intervention and prevention for elderly women. Because smoking, non-exercise, and obesity are main osteoporosis risk factors, it is highly recommended that some sound practical life programs and psychological support programs be considered for this population.

예수의 천국 비유 집단미술치료 프로그램이청소년 선교에 미치는 영향

임은실,송영 한국복음주의선교신학회 2018 복음과 선교 Vol.44 No.-

This study suggested a direction of youth mission by studying and analyzing effects of Jesus' parable of the kingdom of heaven in a group art therapy program on youth spiritual well-being, faith maturity, and social problem-solving ability. The subjects of this study were 20 youth students of Jeonju H church as an experimental group, 20 youth students of S church as a comparative group, thus, a total of 40 subjects were included. The program was performed in eight sessions at students' council meeting for 60 minutes on Saturdays during eight weeks. For the study, homogeneity was verified by t-test analysis of the two groups and ANOVA was performed before, after, and at the follow-up examination. First, the group art therapy program of Jesus' parable of the kingdom of heaven had a significant effect on an improvement of spiritual well-being for the experimental group and the effect continued after the conclusion of the program. Second, the group art therapy program of Jesus' parable of the kingdom of heaven had a significant effect on improvement of spiritual maturity of the group and the effect was continued after the closing. Third, Jesus' kingdom of heaven parable group art therapy program had a significant effect on improving the social problem solving ability of adolescents, and the effect persisted even after program termination. Therefore, it has been proved that Jesus' kingdom of heaven parable group art therapy program has an influence on improving spiritual wellbeing, faith maturity, and social problem solving ability of adolescents. The results of this study suggest that group art therapy programs based on Biblical themes can be used as an alternative method and basic data for spiritual improvement in Christian adolescents. 본 연구는 예수의 천국 비유 집단미술치료 프로그램이 청소년의 영적 안녕감과 신앙 성숙도, 사회적 문제해결력에 미치는 영향에 대해 연구하고 분석한 후 청소년 선교의 방향을 제시하였다. 연구대상은 전주 H교회 학생부 실험집단 20명, S교회 학생부 비교집단 20명인 총 40명이며,프로그램은 토요일 학생부 모임 시간에 매주 1회 60분, 총 8회기를 실시하였다. 연구를 위해 두 집단의 t-test 분석으로 동질성 검증을 하였고 사전, 사후, 추후 검사 시기에 ANOVA를 실시하였다. 연구결과는 다음과 같다. 첫째, 예수의 천국 비유 집단미술치료 프로그램이 청소년의 영적 안녕감 향상에 유의미한 효과가 있었고, 그 효과가 종결 후에도 지속되는 것으로 나타났다. 둘째, 예수의 천국 비유 집단미술치료 프로그램이 청소년의 신앙 성숙도 향상에 유의미한 효과가 있었고, 그 효과가 종결 후에도 지속되는 것으로 나타났다. 셋째, 예수의 천국 비유 집단미술치료 프로그램이 청소년의 사회적 문제해결력 향상에 유의미한 효과가 있었고, 그 효과가 프로그램 종결 후에도 지속되는 것으로 나타났다. 따라서 예수의 천국 비유 집단미술치료 프로그램이 청소년의 영적 안녕감, 신앙성숙도, 사회적 문제해결력을 향상시키는데 영향력이 있음이 검증되었다. 본 연구 결과를 통하여 기독 청소년에게 성경을 주제로 한 집단미술치료 프로그램이 영성 향상을 위한 선교의 대안적 방법과 기초자료로 활용될 수 있을 것으로 기대한다.

미술치료사 수련 교육 경험과정에 관한 질적 연구

임은실,김래경,하정,이경민 한국문화교육학회 2016 문화예술교육연구 Vol.11 No.4

The purpose of this study was to investigate training educational experience process of art therapists in Korean social-cultural contexts. The grounded theory by Strauss and Corbin(1998) was adopted to explore the structure and the process of their experiences. Data was collected through in-depth interviewes with 9 art therapists who obtained the Art Psychotherapy First Class certificate. We deduced 113 concepts, 55 subcategories, 22 categories from the analysis. The central phenomenon was ‘encountering myself who don’t want to see in artwork’and through this result the paradigm model was proposed. The core category was ‘expressing myself in the painting and communicating to develope professionalism’. And Participants went through six stages with time in their training educational experience process: the search way in the expectation, the uncomfortable acceptance, sharing to have link, learning experience be added, the reflection beyond myself, the journey to find another myself. The findings of this study suggests the practice of training educational experience and the method of intervention in each training educational steps. Furthermore it suggests a following up study. As to this research, there is importance to present not only structure of the training educational empirical process of art therapists but also the experience model by stage, and search the processes of the experience synthetically. 본 연구는 미술치료사 수련 교육 경험과정을 한국의 사회·문화적 맥락에서 탐색하고자 하였다. 이를 위해 미술심리상담사 1급 자격증 취득자 9인을 개별적으로 심층 면담하고, 근거이론 방법을 적용하여 분석하였다. 연구 결과, 113개의 개념, 55개의 하위범주, 22개의 범주가 도출되었다. 중심현상은 ‘미술작업에서 피하고 싶은 나와 맞닥뜨림’으로 밝혀졌으며, 이를 중심으로 참여자들의 수련 교육 경험에 관한 패러다임 모형이 도출되었다. 핵심범주는 ‘전문성 발달을 향해 나를 그림에 담아내고 소통하기’로 나타났다. 시간의 흐름에 따른 수련 교육 경험의 과정은 기대 속의 방법 찾기, 불편한 수용, 연결고리를 갖게 된 나눔, 더해지는 배움의 체험, 나를 넘어서는 비춤, 또 다른 나로의 여정의 6단계를 거치는 것으로 나타났다. 본 연구의 결과를 바탕으로 미술심리상담사 수련 교육 경험의 실체와 수련 교육의 각 단계별 개입 방안에 대해 논의하고, 나아가 후속 연구에 대한 제언을 하였다. 본 연구는 미술치료사 수련 교육 경험과정의 구조뿐 아니라, 경험 모형을 단계별로 제시하여 경험의 과정들을 통합적으로 탐색했다는데 그 의의가 있다.

Neither North nor South? The Identity Paradigm of Kazakhstani Koreans at the turn of the Soviet period

임은실 경북대학교 인문학술원 2019 동서인문 Vol.0 No.11

Originating in the populations deported from the Russian Far East to Central Asia in 1937 and estimated to more than 400,000 people, the ethnic Koreans residing in post-Soviet states was the object of a struggle for influence between the two Koreas at the turn of the Soviet period. The inevitable result has been to divide this space into two competing poles, one pro-North Korean and the other pro-South Korean. Thus, the issue of identity today facing the Koreans of Kazakhstan– and those of the former Soviet Union, more generally – cannot fully be understood without taking into account the effects produced by the North/ South confrontation within the diaspora.

신학전공 만학도의 대학 생활 경험 연구

임은실,신성숙 21세기기독교사회문화아카데미 2019 신학과 사회 Vol.33 No.2

본 연구는 신학전공 만학도가 대학 생활 과정에서 어떤 경험을 하는지에 대해 알아보고자 했다. 이를 위해 8명의 만학도를 심층 면접하고 근거이론을 적용하여 분석하였다. 개방코딩결과 82개의 개념과 42개의 하위범주, 23개의 범주로 조사되었다. 축코딩 결과 중심현상은 ‘하나님의 종으로 부르심에 순종’으로 밝혀졌으며, 이를 중심으로 참여자들의 신학전공 만학도의 대학 생활 경험에 대한 패러다임 모형이 도출되었다. 핵심범주는‘하나님 종으로 부르심에 나를 내려놓고 순종하기’로 나타났다. 시간의 흐름에 따른 신학전공 만학도의 대학 생활 경험 과정은 길을 찾아 두드리기, 나를 내려놓음, 나눔과 섬김으로 연결고리 찾기, 장애 넘어서기, 변화와 성장하는 삶의 5단계를 거치는 것으로 나타났다. 선택코딩의 결과 신학전공 만학도의 대학생활 경험 유형은 갈등형, 안주형, 변화와 성숙형으로 분류되었다. 본 연구 결과로 신학전공 만학도의 대학 생활 경험 과정의 각 단계별 개입 방안에 대해 논의하였으며, 후속 연구를 제언하였다. 본 연구는 신학전공 만학도의 대학 생활 경험 과정을 통합적으로 탐색하여 기초자료를 제시하였다는 데 의의가 있다. This study was to identify the experiences of campus life for adult learners who are major in theology. Depth Interview was conducted with 8 adult learners and grounded theory was used for data analysis. 82 concepts, 42 low rank and 23 categories were classified as the result of open coding, The central phenomenon of axial coding was revealed as 'obedience to the call of God as servant', and a paradigm model for the participants’ experience of campus life for adult learners in the theology major was derived. The core category appeared to be ‘putting me down and obedience to the call of God as servant’. The course of experiences of campus life for adult learners major in theology over time has been shown to go through five stages of finding a way and knocking, putting down myself, finding the link by sharing and serving, overcoming obstacles and life with change and growing. As the major research findings, the types of experiences of campus life for adult learners major in theology were classified into conflict, complacency, and satisfaction with the result of selective coding. The findings of this study suggest how to intervene in each phase of the adult learners’ campus life experience major in theology. Furthermore it suggests a following up study. As to this research, there is important to present that this study provides basic data by exploring the course of the campus life experience of the adult learners major in theology comprehensively.