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      • KCI등재

        인지행동요법과 현실요법이 대학생의 문제해결능력과 역기능적 태도에 미치는 효과

        현미열 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.2

        Purpose:This study examined the effects of cognitive-behavioral therapy on problem-solving ability and dysfunctional attitudes in undergraduate students. Method: This study was conducted between September 2004 and May 2005. The subjects consisted of 23 undergraduate students. The experimental group (n=13) participated in a cognitive-behavioral therapy that consist of 8 session over an 8-week period. The control group (n=10) participated in a reality therapy that also consisted of 8 sessions over an 8-week period. Problem-solving ability and dysfunctional attitudes were measured for all subjects before and after therapy. These data were analyzed by unpaired t-test and t-test with the SAS program. Results:Following cognitive-behavioral therapy, the experimental group experienced a significant decrease in score of problem-solving ability and in approach-avoidance style (the subscale in the problem-solving ability). There were no changes in these values after the reality therapy in control group. Conclusions:In light of these results, cognitive-behavioral therapy has a positive effect on problem-solving ability in undergraduate students.

      • KCI등재

        제주지역 어선원의 알코올 의존도, 도박 성향 및 건강관련 삶의 질

        현미열,조옥희 제주대학교 탐라문화연구원 2014 탐라문화 Vol.0 No.45

        The present study investigated differences in health-related quality of life with regard to alcohol dependence and gambling tendency among fishermen in Jeju, Korea. Descriptive surveys were conducted with 155 fishermen who had been onboard fishing vessels within the preceding year inshore and around the coastal waters off Jeju Island. Responses indicated normal alcohol consumption among 61.3% of the fishermen surveyed and problematic consumption among the rest (38.7%). Results also showed non-problem gambling behaviors in 61.3% of participants, low-and moderate-level problems in 14.8% and 11.6%, respectively, and problem gambling in 12.3%. EQ-5D quality of life scores were higher among those younger than 60 years and in proportion to education level. EQ-VAS scores did not differ according to gambling tendency; however, EQ-5D scores attained by those with problem gambling behaviors were lower than scores attained by those having non-problem gambling behaviors or low-and moderate-level problems. The proportion of participants who complained of pain/discomfort and anxiety/depression was also higher among those with problem gambling behaviors. The study found that it confirmed that quality of life for those with problem gambling behaviors was lower than for those who had non-problem gambling or low-and moderate-level problems. Health promotion measures to improve quality of life will need to be established in the future, through elucidating the various variables that affect quality of life for these fishermen. 본 연구는 제주지역 어선원의 알코올 의존도, 도박성향 및 건강관련 삶의 질 수준을 파악하고, 알코올 의존도와 도박성향에 따른 건강관련 삶의 질의 차이를 파악하기위한 서술적 조사연구이다. 본 연구에서는 제주지역 연안과 근해에서 어업활동을 하는 어선원 중 최근 1년 이내 승선 경력이 있는 155명을 대상으로 알코올 의존도, 도박성향과 건강관련 삶의 질에 대해 설문조사를 실시하였다. 연구 결과, 대상자 중 일반 음주자는 61.3%, 문제 음주자는 38.7%이었으며, 비문제성 도박자는 61.3%, 저위험 도박자는 14.8%, 중위험 도박자는 11.6%, 문제성도박자는 12.3%이었다. 도박성향에 따른 EQ-VAS 삶의 질 점수의 차이는 없었으나, 문제성 도박자의 EQ-5D 삶의 질 점수는 비문제성 도박자, 저위험 도박자와 중위험 도박자보다 낮았다. 문제성 도박자 중 통증/불편감 영역과 불안/우울영역에서 문제를 호소한 대상자의 비율이 비문제성 도박자, 저위험 도박자와 중위험 도박자보다 높았다. 이상의 결과로 문제성 도박자의 삶의 질이 비문제성 도박자, 저위험 도박자와 중위험 도박자보다 낮음을 확인하였다. 추후 어선원의 삶의 질에 영향을 미치는 다양한 변수를 규명하여 삶의 질을 향상시키는 건강증진 방안이 모색되어야 하겠다.

      • KCI등재

        지역사회 정신질환자의 신체활동수준, 신체상만족, 건강관련 삶의 질

        현미열,이종은 위기관리 이론과 실천 2019 Crisisonomy Vol.15 No.3

        The purpose of this study was to investigate the physical activity, body-esteem, and health-related quality of life (HRQoL) in community mental patients. Data were collected from 144 respondents at 2 community mental health welfare center and 2 social rehabilitation center, through self-report questionnaire survey conducted during Dec 2017 to Jan 2018. As a result of this study, the level of physical activity of the subjects were low activity 25%, moderate activity 38.9%, and high activity 36.1%. Body-esteem was significantly associated with education level and economic level. The mean score HRQoL was 0.79 and significantly positively correlated with body-esteem. This study suggested that people with psychiatric disorders suffer from lower HRQoL. Therefore, HRQoL improvement can be expected through nursing interventions that can increase the body’s esteem of mental patients. 본 연구는 지역사회에 거주하고 있는 정신질환자들의 신체활동수준. 신체상 만족도와 건강관련 삶의 질에 관한 연구이며 2017년 12월부터 2018년 1월까지 2개의 정신건강복지센터와 2개의 사회복귀시설에서 편의모집된 정신질환자 중 최종 144명이 작성한 자가보고식 설문지 결과를 근거로 작성하였다. 연구도구는 한국어판 단문형 국제신체활동설문지, 신체상만족도 검사, 한국어판 건강관련 삶의 질 척도를 사용하였으며, SPSS 23.0 프로그램의 t-test, one-way ANOVA,  -test, Pearson’s correlation coefficient를 분석에 적용하였다. 연구결과 저도활동군은 25%, 중등도 활동군은 38.9%, 고도활동군은 36.1%였다. 신체상만족도는 32.13점, 건강관련 삶의 질은 0.79점으로 나타났다. 신체상만족도는성별과 경제수준인식정도에 따라 유의한 차이가 있었으며 건강관련 삶의 질과 정적인 상관관계를보였다. 따라서 정신질환자의 신체상만족도를 높이는 간호중재방안을 통해 건강관련 삶의 질 수준향상을 기대할 수 있을 것으로 보인다.

      • KCI등재

        Falls in Community-dwelling Korean Older Adults: Prevalence and Associated Factors: The 2019 Community Health Survey Data*

        현미열,최수영,이문주,송효정 한국인터넷방송통신학회 2024 International Journal of Internet, Broadcasting an Vol.16 No.1

        Objectives: This study aimed to identify the prevalence of falls in community-dwelling older adults and to identify associated factors using the 2019 Community Health Survey. Methods: The original data was from the 2019 Community Health Survey, and the study sample comprised 1,642 older adults aged 65 years and older in Jeju province. Data collection was conducted from August 16 to November 20, 2019, through an interview done by a trained investigator. Respondents were queried about demographic characteristics, riding bicycles, hospital treatment due to an accident or poisoning in the previous year, fall experiences in the past year, fear of falling, self-management status, and pain and discomfort. Multivariate logistic regression analysis was used to evaluate for associations between potential risk factors and falls. Results: The prevalence of falls in this community-dwelling older adults was 13.1%. Falls were associated with riding bicycles (odds ratio = 4.7; 95% confidence interval: 2.26–9.81), fear of falling (odds ratio = 0.3; 95% confidence interval: 0.24-0.49), hospital treatment due to an accident or poisoning in the previous year (odds ratio = 7.8; 95% confidence interval: 5.02-12.19), self-management status (odds ratio = 0.6; 95% confidence interval: 0.34-0.89), and pain and discomfort (odds ratio = 0.6; 95% confidence interval: 0.40-0.87). Conclusions: We found that the prevalence of approximately about 13% of older adults living in a community has experienced falls. Based on the results of the study, we provided primary data to develop the care management intervention program to prevent falls and avoid risk factors that cause falls in community-dwelling older adults.

      • KCI등재

        일 대학병원 간호사들의 의사소통기술 훈련 요구 조사 연구

        현미열 대한간호학회정신간호학회 2002 정신간호학회지 Vol.11 No.4

        The purpose of this study was to investigate the communication training program for registered nurses. This study presented communication effectiveness, the kinds of communication training skills received before, the kind of communication skills required in nursing performance and 10 communication skills used in the prior studies(Johnson, 1994) and surveyed their will to receive such training. The subject was 274 nurse working in the university hospital in Incheon. Data were collected from Feb. 1 to Feb, 28, 2001. The SAS program was used to analyze the collected data. The results of the study were as follows: 1. Registered nurses showed effectiveness in listening, persuasion, non-verbal skill and small group discussion. They showed mid-effectiveness in presentational speaking while technical report writing, leadership, employment interviewing and public speaking were the skills not used effectively. 2. Nurses have received the skill training of listening, small-group discussion, and leadership. The major source for this training was collage. Job-related education, high school education and continuing education program were the other sources. 3. Nurses put the value of communication skills in the job performance in the order of listening, persuasion, non-verbal skill and presentation. This accords with the items required additional training. 4. Presentational speaking and leadership were the highly preferred skills (92.3% and 91.2% Thad the will to receive communication skills training except employment interview and performance appraisal interviewing. They preferred the continuing education of the experts.

      • KCI등재

        새터민여성의 유방자가검진 수행 관련요인

        현미열,송효정,이은주,홍성철,김성엽,이창현 대한임상건강증진학회 2015 Korean Journal of Health Promotion Vol.15 No.1

        Background: Breast cancer is one of the most commonly diagnosed cancers in women worldwide. Immigrantwomen face cultural and social impediments, discrimination, and emotional and mental stressors; and they participateless in breast cancer prevention services. Breast self examination (BSE) may be effective in earlydetection. The purpose of this descriptive cross-sectional study was to identify the practice of BSE and to examinepredictors related to the practice of BSE among North Korean female immigrants residing in South Korea. Methods: Data were collected from a convenience sample of 131 North Korean female immigrants aged 20years through 65 years who had attended community centers, local churches, and women's gatherings locatedin Incheon, Kyeongkido, Seoul, and Jeju. Results: This study found that 17.6% of the women performed BSE and 8.4% were taught the methods of detectingbreast cancer including BSE. Two significant predictors to performing BSE were found- good perceivedhealth status (P=.003)and education about breast cancer screening and the breast self examination (P<.001). Conclusions: The results showed that North Korean female immigrants who were taught the detecting methodsof breast cancer including BSE were more likely to practice BSE. 연구배경: 유방암은 선진국 및 개발도상국 지역 모든 여성에게서 암으로 사망하는 주요 원인이며, 전 세계적으로유방암의 발병은 계속 늘어나는 추세이다. 미국과 유렵에서 이주여성을 대상으로 한 연구들에서 이주 및 새로운 정착과 관련된 스트레스, 언어적 제한, 경제적 어려움 등은조기 암 검진과 같은 예방적 건강행위를 소홀히 하는 요인으로 작용한다고 하였고, 특히 이주여성의 유방암이나 자궁경부암의 검진율이 자국민에 비해 낮게 수행 되는 것으로 보고되었다. 본 연구는 새터민여성의 유방자가검진에대한 수행실태를 파악하고 또한 유방자가검진수행에 대한관련요인을 조사하는 데 그 목적이 있다. 방법: 본 연구는 구조화된 설문지를 사용하여 자가기입방식으로 한 서술적 단면연구이다. 자료 수집은 2012년 4월 1일부터 2012년 10월 30일까지 이루어졌으며, 인천 및경기도지역과 서울, 제주도에 거주하는 20세 이상과 65세미만의 새터민여성을 대상으로 하였다. 자료 수집 장소는복지지원센터 및 종교시설로 이곳을 이용하는 131명을 편의 모집하였으며 유방암의 기왕력이 없는 여성으로 국한하였다. 결과: 유방자가검진은 본 연구 대상자의 17.6%가 수행하고 있었고, 유방암 조기검진과 유방자가검진에 대한 교육을 받았던 경우는 8.4%로 나타났다. 유방자가검진 수행관련요인은 유방암검진과 유방자가검진에 대한 교육을 받았던 경험을 가진 경우(P<.001)와 지각된 건강상태(P=.003)로 나타났다. 결론: 유방암조기검진과 유방자가검진에 대한 교육을받은 경우, 그리고 건강상태가 좋다고 지각하는 경우에서유방자가검진 수행을 더 잘하는 것으로 나타났다.

      • KCI등재
      • KCI등재

        청소년의 희망과 정신건강과의 상관관계 연구

        현미열 ( Hyeon Mi Yeol ),이종은 ( Lee Jong Eun ),박선남 ( Park Seon Nam ) 한국정신간호학회 2003 정신간호학회지 Vol.12 No.2

        N/A Purpose : This study was to investigate the relationships between the hope and the mental health of high school students. Method : The subjects of this study were 456 students who were first and second year of high school that located in Seoul. For the survey tool, it was used that the HSA and the simplified SCL-90-R. Results : 1) The hope in adolescents was significantly different according to their school record and father`s educational background. 2) The mental health in adolescents was significantly different according to their father`s employment status. Also, that was significantly different according to present financial status. 3) Significant negative correlation was found between hope and mental health. Conclusions : We need a fostering hope strategy to promote mental health.

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