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      • KCI등재

        입원 소아암 자녀를 돌보는 어머니 대상 미술치료적 자기돌봄 프로그램 개발 및 효과: 선행연구

        홍성실,정진,안정희 대한종양간호학회 2022 Asian Oncology Nursing Vol.22 No.2

        Purpose: The purpose of this study was to develop a self-care program based on art therapy to relieve the psychological stress of mothers caring for hospitalized children with childhood cancer and to evaluate the program’s effect. Methods: The program consisted of four sessions. Each session consisted of ‘my safe place,’ a ‘wheel of emotions,’ a ‘landscape of emotions,’ and a ‘dream catcher’. A total of six mothers participated, and their degree of depression, anxiety, and acute stress disorder was measured before and after the intervention program. In each session, the participants drew pictures according to the topic and consulted with an art psychotherapist. Results: The four sessions of the self-care program based on art therapy were not able to reduce depression, anxiety, and stress levels. However, through the art therapy program, mothers expressed negative emotions through pictures and turned negative emotions into positive ones. Conclusion: The psychological stress of mothers caring for children with childhood cancer should be cared for. Further research will be needed to develop and implement various programs that can care for the psychological stress of mothers caring for children with childhood cancer.

      • KCI등재

        백혈병 자녀를 둔 부모의 외상 후 성장에 영향을 미치는 요인

        홍성실,박호란,최선희 대한종양간호학회 2018 Asian Oncology Nursing Vol.18 No.4

        Purpose: Parents caring for children with leukemia experience a tremendous challenge to get positive results in overcoming traumatic events with their children. The purpose of this study was to identify predictors of posttraumatic growth in parents of children with leukemia. Methods: One hundred thirty seven parents (117 mothers and 20 fathers) of children with leukemia participated this study from May to August in 2016. Participants completed self-report measures of posttraumatic growth, core belief, deliberate rumination, resilience and social support. Results: All the variables were positively correlated with posttraumatic growth. Core belief, resilience and social support were significant predictors related to posttraumatic growth in parents of children with leukemia and explained for 54% of the variance in posttraumatic growth. Conclusion: The results show that there are several factors affecting posttraumatic growth in parents of children with leukemia. Therefore, nursing intervention programs including strengthening resilience, revising core belief as well as utilizing social support systems should be provided for this population in order to enhance positive psychological change beyond parental traumatic events related to children with leukemia.

      • KCI등재

        Posttraumatic Growth of Adolescents with Childhood Leukemia and their Parents

        홍성실,박호란,최선희 한국아동간호학회 2019 Child Health Nursing Research Vol.25 No.1

        Purpose: Childhood leukemia is a serious trauma affecting both adolescents and their parents, who experience painful process. However, adolescents with leukemia and their parents also experience positive changes, which is referred to as posttraumatic growth. We examined posttraumatic growth, core beliefs, impact of event, and event-related rumination in adolescents within 5 years of a diagnosis of childhood leukemia and their parents. Methods: The participants were 68 adolescents with childhood leukemia (aged 13~18 years) and their parents, who were recruited from C university hospital in Korea from May to September 2016. The Posttraumatic Growth Inventory, Core Belief Inventory, Impact of Event Scale-Revised, and Event-related Rumination Inventory were completed by the adolescents and their parents. The mean scores and correlations between variables were investigated for both set of participants. Results: Parents showed significantly higher levels of posttraumatic growth, disruption of core beliefs, impact of event, and invasive rumination than adolescents. Disruption of core beliefs and deliberate rumination were positively correlated with posttraumatic growth in both groups. Conclusion: Nursing intervention programs that involve modifying core beliefs and inducing a positive thought can help adolescents with leukemia and their parents grow after traumatic events.

      • KCI등재후보

        Effect of Corporate CSV Activities on Prosocial Consumer Behavior through Emotional Factors

        홍성실,김규배,송인암 동아시아경상학회 2017 The East Asian Journal of Business Economics Vol.5 No.3

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

        Purpose - of the present research has been conducted to investigate the effect of a company creating shared value (CSV) influencing consumers’ emotions that lead to prosocial behavior. Research design, data, methodology - on the survey including companies CSVs and their economic and social values as an independent variable, the sense of gratitude and pride from the consumers as a mediating variable and the companies authenticity as a moderating variable was performed by 340 respondents of Korean population over 20 years of age with 30 questionnaire and Likert 7 level. Data analysis was conducted with SPSS and reliability tests on the variables with Cronbach’s alpha confirmatory factor analysis and AMOS were used for discriminant validity and model fit. Results – indicate that the economic or social value of corporate CSV activities affects positively consumer’s gratitude or pride except for the social value of CSV to consumer’s pride. Gratitude or pride of consumers affects positively consumers’ prosocial behavior. Companies’ authenticity affects positively the relationship between economic or social value of CSV and either gratitude or pride of consumers. Conclusions – of the relationship between CSV and surrounding emotional factors demonstrate that the economic value of CSV gives people authentic pride but the social value does consumers hubristic pride. Also the activity of companies CSV affects positively prosocial consumer behavior through the consumers’ gratitude and pride.

      • KCI등재

        백혈병 경험 청소년의 생의 의미에 영향을 미치는 요인

        홍성실,박호란 한국아동간호학회 2015 Child Health Nursing Research Vol.21 No.1

        목적본 연구의 목적은 백혈병 경험 청소년들의 영적 안녕과 생의 의미 정도를 알아보고 영향을 미치는 요인을 파악하기 위함이다. 방법백혈병으로 진단받고 C대학병원에서 관해유도요법을 마친 후 외래에서 추후관리를 받고 있는 11-21세 청소년 102명을 대상으로 자료를수집하였다. 영적 안녕은 Paloutzian과 Ellison (1983)의 영적 안녕 측정도구를, 생의 의미는 Kang 등(2007)의 청소년 생의 의미 측정도구를사용하였고, 관련 요인을 파악하기 위해 자아존중감과 사회적 지지를측정하였다. 수집된 자료는 SPSS를 이용하여 영적 안녕과 생의 의미영향요인은 stepwise multiple regression analysis로 분석하였다. 결과백혈병 경험 청소년들의 영적 안녕은 중간 수준이었고 생의 의미는높은 수준을 나타냈으며 자아존중감, 사회적 지지, 영적 안녕은 생의의미와 양의 상관관계를 보였다. 회귀분석 결과 영적 안녕에 영향을 미치는 요인은 자아존중감과 가족의 지지였으며, 생의 의미에 영향을 미치는 요인은 자아존중감, 실존적 안녕, 가족의 지지, 친구의 지지였다. 결론백혈병 경험 청소년들이 질병과정을 성공적으로 이겨내고 생의 의미를 찾도록 돕기 위해서는 자아존중감과 실존적 안녕을 높이고 가족및 친구 지지를 촉진시켜줄 수 있는 간호중재 프로그램의 개발과 실행이 필요하다고 본다. Purpose: The purpose of this study was to identify predictors of spiritual well-being and meaning in life for adolescents with leukemia. Methods:Participants were 102 adolescents (11-21 years) recruited at C university hospital from June to August in 2014. The eligible participantswere diagnosed with leukemia and are on follow-up care at the outpatient clinic. Participants were assessed for spiritual well-being, meaning inlife, self-esteem, and social support. Results: Levels of spiritual well-being and meaning in life for these adolescents with leukemia were 3.69 outof 6 and 3.10 out of 4, respectively. Self-esteem and social support from family were factors affecting spiritual well-being. Self-esteem, existentialwell-being and social support from family and friends were predictive for meaning in life and accounted for 68% of total variance. Conclusion:The results show that there are several factors affecting spiritual well-being and meaning in life in adolescents with leukemia. Therefore, nursingintervention programs for adolescents with leukemia should include strengthening self-esteem and social support as well as considering thespiritual aspect of life in order to find meaning in life beyond leukemia.

      • KCI등재

        Poloxamer-407로 유도한 이상지질혈증 생쥐에서 홍삼의 예방 효과

        홍성실(Sung-Sil Hong),이진우(Jin-Woo Lee),박윤아(Yun-A Park),김성혁(Sung-Hyeok Kim),장소희(So-Hee Jang),하창우(Chang-Woo Ha),김미자(Mi-Ja Kim),남궁승(Seung Namkoong),구현정(Hyun-Jung Koo),손은화(Eun-Hwa Sohn) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.10

        본 연구에서는 홍삼의 이상지질혈증 개선 효능과 안전성을 조사하고자 하였다. Poloxamer-407(P407)에 의한 이상지질혈증을 유발한 동물모델에 홍삼추출물과 지질강하제 simvastatin을 2주간 복강 투여한 후 지질프로파일과 간독성의 조절효과를 확인하였다. 실험동물은 8주령 수컷 ICR 마우스(n = 30)를 6개 그룹(무처치군, P407 유도군과 홍삼추출물 10, 50, 100 mg/kg 투여군 및 simvastatin 투여군)으로 나누어 각 그룹 당 5마리씩 무작위로 배치하였다. 실험종료 후 각 그룹의 마우스에서 간, 부고환 지방, 흉선 및 비장을 적출 하여 중량을 측정하였다. 또한 혈액에서 총콜레스테롤, 중성지방, 저밀도지단백질, 고밀도지단백질을 포함한 지질프로파일의 변화와 glutamate oxaloacetate transaminase(GOT) 및 glutamate pyruvate transaminase(GPT)를 측정하였다. 실험결과 홍삼추출물 10 mg/kg 투여군에서 P407로 증가된 혈중 총콜레스테롤, 중성지방, 저밀도지단백질을 모두 유의적으로 감소시켰으며(p <0.05), 그 효과는 simvastatin 10 mg/kg 투여군과 유사한 수준으로 나타났다. 또한, 홍삼추출물은 혈중 GPT와 GOT 수치에 영향을 미치지 않았으며 주요면역기관인 흉선의 무게를 증가시켰다. 이러한 결과는 홍삼이 이상지질혈증에 예방 효과가 있고 지질관련질환에 대한 statin계열 약물의 보조물질로서 활용 가능성을 제시한다. This study aimed at investigating the efficacy and safety of red ginseng (RG) for improving dyslipidemia. After 2 weeks of intraperitoneal administration of RG and simvastatin (lipid-lowering medication) to an animal model with dyslipidemia induced by poloxamer-407 (P407), the regulatory effects on the lipid profile and hepatotoxicity were confirmed. 8-week-old male ICR mice (n = 30) were divided into 6 groups (control, P407-induced dyslipidemia group, RG 10, 50, 100 mg/kg group, simvastatin group). 5 mice were randomly placed in each group. At the end of the experiment, the weight of the liver, epididymal fat, thymus, and spleen was measured in each group. We also identified changes in the lipid profile, including total cholesterol (TC), triglycerides (TG), low-density lipoproteins (LDL), high-density lipoproteins (HDL), and determined the levels of the glutamate oxaloacetate transaminase (GOT) and glutamate pyruvate transaminase (GPT) in the blood. The results show that 10 mg/kg RG significantly reduced the increase of P407-induced levels of TC, TG, and LDL (p <0.05), similar to the simvastatin group. Moreover, RG did not affect the levels of GPT and GOT, and increased the weight of the thymus, a major immune organ. These results suggested that RG may be able to prevent dyslipidemia and has therapeutic potential as an adjuvant to statins for the management of lipid disorders.

      • KCI등재

        담배 흡연이 생쥐의 흉선 및 비장의 면역 기능에 미치는 영향

        홍성실(Sung-Sil Hong),박윤아(Yun-A Park),이진우(Jin-Woo Lee),김미자(Mi-Ja Kim),남궁승(Seung Namkoong),구현정(Hyun-Jung Koo),손은화(Eun-Hwa Sohn) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.9

        본 연구에서는 담배필터를 통해 호흡기로 노출되는 주류연 흡연 장치를 구현하여 직접 흡연에 의한 주류연의 노출이 면역시스템에 미치는 영향을 생쥐모델을 이용하여 규명하고자 하였다. 실험동물(n = 15)은 대조군(sham군)과 담배 2개비/일 노출군 및 4개비/일 노출군으로 각각 나누고, 7일 동안 주류연을 노출시킨 후 체중변화와 면역기관 지수를 측정하였다. 주류연 노출이 면역세포의 기능에 미치는 영향을 확인하기 위해, lipopolysaccharide(LPS) 또는 concanavalinA(ConA) 자극에 대한 비장세포와 흉선세포의 증식력과 nitric oxide(NO) 분비량을 측정하였다. 실험결과, 4개비/일 고용량 노출군의 흉선, 비장, 간 무게가 대조군에 비해 각각 0.3, 0.2 및 0.2배 유의적으로 감소하였고(P<0.05), 흉선세포 생존율과 B세포 및 T세포 증식력이 감소하였다. 또한, LPS에 의한 비장세포의 NO 분비능도 감소하였다. 본 연구는 주류연 노출이 흉선과 비장에 직접적인 손상을 주며, 자극원에 대한 면역세포의 증식력과 NO 분비 등 방어능력을 유의적으로 약화시킨다는 것을 보여주었다. 이는 흡연과 관련된 면역질환 발생이 주류연의 노출에 대한 직접적인 면역기관의 손상과 자극에 대한 방어 기능의 약화가 관련되어 있음을 제시한다. This study investigated the effect of exposure to mainstream smoke (MS) through cigarette filters on the immune system in mice. Fifteen mice were divided into 3 groups; control (sham), 2 cigarettes smoked/day (CS), 4 CS. Changes in body weight and organ index were measured after exposure to MS for 7 days. The effects of exposure to MS on nitric oxide (NO) production and cell proliferation induced by lipopolysaccharide (LPS) or concanavalin A (ConA) in murine lymphocytes were also determined. Exposure to 4 CS reduced the organ indices of the thymus, spleen, and liver by 0.3-, 0.2-, and 0.2-fold (P<0.05), respectively. Exposure to MS also inhibited the lymphocyte proliferation by LPS or ConA and the NO production by LPS. This study confirmed that the immune organs were directly damaged as well as weakened in their cell function by exposure to MS. It provides direct evidence that the occurrence of various immune diseases caused by smoking is closely related to the impairment of immune functions by exposure to MS.

      • KCI등재

        백혈병 청소년의 회복력 영향 요인

        홍성실(Hong, Sung Sil),박호란(Park, Ho Ran) 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.4

        Purpose: The purpose of this study was to identify the factors relating to resilience for adolescents with leukemia and examine the relationship between these factors. Methods: From June to September in 2014, 199 adolescents aged 11 to 21 participated in the study as they visited the out-patient clinic at C university hospital for follow-up care. To verify the predictors and the effects of resilience, uncertainty, symptom distress, perceived social support, spiritual perspective, defensive coping, courageous coping, hope, and self-transcendence were measured. Collected data were analyzed using hierarchical regression analysis with the SAS statistics program. Results: The final regression model showed that courageous coping, hope, and self-transcendence were significant predictors related to resilience in adolescents with leukemia and explained for 63% of the variance in resilience. Conclusion: The findings indicate that adolescent-oriented intervention programs enhancing courageous coping, hope, and self-transcendence should be provide for adolescents with leukemia in order to overcome illness-related stress and support physical, psychological and social adjustment.

      • KCI등재

        백혈병 생존 청소년의 신체적ㆍ정서적 후유장애, 사회적응 및 삶의 질

        홍성실(Hong, Sung Sil),박호란(Park, Ho Ran),김광성(Kim, Kwang Sung),최선희(Choi, Sun Hee) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.1

        Purpose: This study was conducted to examine the late effects, social adjustment, and quality of life in adolescents who had been completely treated for childhood leukemia and their parents. Methods: Participants consisted of 41 pairs of adolescent survivors (13-18 years) and their parents. Parents checked for their child"s physical late effects. The Korean Version of Post-Traumatic Symptoms for psychological late effects, social functioning questionnaire for social adjustment and the PedsQL 4.0 Generic Core Scales for quality of life were completed by adolescents and parents. Data were analyzed using SPSS. Results: Twenty out of 41 adolescents had one or more physical late effects. Adolescents showed more serious psychological late effect than parents. Five children and seven parents had above cut-off scores and they were considered the high risk group for posttraumatic symptoms. Parent-reported scores were significantly higher than child-reported scores in terms of social adjustment and emotional functioning of quality of life. Low school functioning in adolescents was associated with physical late effects. Conclusion: The results indicate that long-term and systematic management for childhood leukemia survivors affect positive social adjustment and can further improve quality of life.

      • KCI등재

        간호학생의 영성과 임상실습 스트레스

        홍성실(Sung-Sil Hong),홍정아(Jung-Ah Hong),전원희(Won-Hee Jun) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.6

        본 연구는 간호학생의 영성과 임상실습 스트레스 정도를 평가하고 이들 간의 관계를 파악하여 간호학생들의 영성증진과 임상실습 스트레스 중재방안으로 영성의 활용가능성을 확인하고자 시도하였다. 2개 대학의 간호학생 203명을 편의 추출하여 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과, 본 연구 대상자들의 영성은 5점 만점에 3.18점, 임상실습스트레스는 5점 만점에 3.42점으로 중간이상의 수준이었다. 하위영역별로는 영성의 경우 ‘삶의 의미와 목적’이 가장 높았고, 임상실습 스트레스에서는 ‘실습교육환경’에 대한 스트레스가 가장 높게 나타났다. 일반적 특성에 따른 차이에서는 영성은 종교와 전공만족도에 따라, 임상실습 스트레스는 성별과 전공만족도에 따라 유의한 차이를 보였다. 영성과 임상실습 스트레스는 유의한 부적상관관계가 있었다. 결론적으로, 간호학생들의 임상실습 스트레스를 감소시키기 위해서는 영성증진을 위한 교육프로그램 개발과 이를 효과적으로 교육과정에 접목시킬 수 있는 방안을 구축할 필요가 있다. The purpose of this study was to investigate the level of spirituality and stress of clinical practice and to identify the relationship of variables among nursing students. Data were collected from 203 nursing students using self-report questionnaire composed of demographic characteristics and two scales including spirituality and stress of clinical practice. Data were analyzed by frequencies, t-test, ANOVA, Pearson‘s correlation coefficients using the SPSS program. The mean score for spirituality and stress of clinical practice were above medium level, with the value of 3.18 and 3.42 out of 5 respectively. There were significant mean differences in spirituality according to religion and satisfaction on major while those in stress of clinical practice according to sex and satisfaction on major. Significant negative correlation between spirituality and stress of clinical practice was found. In conclusion, to reduce clinical stress in nursing students, it is necessary to develop and apply educational program for spiritual improvement.

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