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김현례 ( Hyun Lye Kim ),금란 ( Ran Keum ),김선아 ( Sun Ah Kim ),박수인 ( Su In Park ),박진영 ( Jin Young Park ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.4
Purpose: The purpose of this study was to explore the level of military stress, stress coping, and mental health status and to identify the relationships among these variables in soldiers who need intensive care. Methods: The participants were 113 perceived maladjusted soldiers who participated in Green-camp from one army base in Gyeong-gi Province. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Military Stress Inventory, Ways of Coping Checklist, and Symptoms Checklist- 90-Revision (SCL-90-R). Results: The level of stress was 3.6±0.70, overall stress coping was 1.1±0.41, and mental health status was 1.5±0.93. There were significant differences in stress, stress coping, and mental health status according religion, economic status of family, prospects for the future, persons with whom one could talk about troubles. The group with higher emotion focused coping had significantly higher scores on mental health status. There were significant positive correlations among major variables. Military stress was a significant predictor of mental health status (Adjusted R2 21.0%). Conclusion: Based on the findings of this study, stress management and intervention programs focusing on depression are highly recommended to manage maladaptive problems in soldiers.
김현례 ( Hyun Lye Kim ),김선아 ( Sun Ah Kim ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1
Purpose: The purpose of this study was to explore the factors that influence risk-taking behavior in middle school students. Methods: The participants in this study were 544 students from 4 middle schools in Seoul or Gyeonggi Province. From July 16, to September 9, 2008, data were collected using self-report questionnaires. Demographic, individual, socio-economic characteristics of risk-taking behavior were examined. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, zero-inflated negative binomial regression as count model using SAS 9.1 and Stata 10.0 program were used for the analysis. Results: The score for risk-taking behavior of the middle school students tended to be low with thrill-seeking behavior being the highest. Risk-taking behavior was higher for boys and for students not living with parents. Stress coping ability, family risk factors, family functioning, peer`s risk-taking behavior, and harmful environment were correlated with risk-taking behavior. On zero-inflated negative binomial regression analysis, the factor significantly influencing risk-taking behavior were self-esteem and for increased risk-taking behavior, family functioning, and peer`s risk-taking behavior. Conclusion: A risk-taking behavior approach that considers developmental needs is useful in understanding the behavior of early adolescents. Development of effective guidance and interventions considering factors influencing risk-taking behavior as identified in this study is recommended.
김소야자 ( Kim So Ya Ja ),김선아 ( Kim Seon A ),남경아 ( Nam Gyeong A ),이현화 ( Lee Hyeon Hwa ),김현례 ( Kim Hyeon Lye ) 한국정신간호학회 2003 정신간호학회지 Vol.12 No.2
N/A The nursing diagnoses of 163 schizophrenic patients in case reports were analyzed. The 489 nursing diagnoses were again classified by the framework of classification of nursing diagnoses by human responses patterns. Through this a comprehensive analysis, `the social interaction, impaired `was described the highest frequency nursing problems of schizophrenic patients in students` case reports. Also `self-esteem disturbance`, `violence(actual)/risk for, directed at self/others`, `noncompliance` and `coping, individual, ineffective` were used to explain patients` problems. But `thought process, altered` and `sensory/perceptual alteration` were used in low frequency. From this result, it could be assumed that the selection of specific related factors in `thought process, altered` and `sensory/perceptual alteration` were very difficult for nursing students. If the clarification of nursing diagnoses in Korean is accomplished, it will be more veracious to describe the nursing problems of schizophrenic patients.
일 지역 육군 군인들의 의사소통능력, 대인관계수준, 불안, 우울
김선아 ( Sun Ah Kim ),김현례 ( Hyun Lye Kim ),우정희 ( Chung Hee Woo ),박수인 ( Su In Park ),금란 ( Ran Keum ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2011 정신간호학회지 Vol.20 No.1
Purpose: The purpose of this study was to explore status and level of communication ability, interpersonal relationships, anxiety, and depression in Korean soldiers and identify factors that influence depression. Methods: A cross sectional study design was employed. The instruments were PCI (Primary Communication Inventory), RCS (Relationship Change Scale), STAI (State-Trait Anxiety Inventory), and CES-D (The Center for Epidemiologic Studies-Depression Scale). Data were collected from 961 soldiers from Gyeong-gi Province and analyzed using SPSS/WIN 17.0 program. Results: The mean score for PCS, RCS were 87.0±11.43; and 98.8±14.17 respectfully and for STAI-I (state-anxiety), and STAI-II (trait-anxiety), 34.7±10.36; and 36.6±9.64 respectfully, and for CES-D, 11.2±7.0. Of the participants 22.2% were in the clinical group for depression. Major variables showing significant correlations were family intimacy, intimacy with friends or colleague, and inconvenience in not being able to use computer or internet. STAI-II, intimacy with friends or colleague, STAI-I accounted for 44.2% of the variance in depression. Conclusion: The study results suggest that a systemic approach needed to relieve soldiers` anxiety and depression. Development of program for communication training, activities for leisure and interpersonal relationship during military life could contribute to lessening depression and anxiety in solder.
김선아 ( Sun Ah Kim ),김현례 ( Hyun Lye Kim ),금란 ( Ran Keum ),노다복 ( Da Bok Noh ) 한국간호과학회 정신간호학회(구 대한간호학회정신간호학회) 2013 정신간호학회지 Vol.22 No.2
Purpose: The purpose of this study was to explore levels of depression, anxiety, suicidal ideation in maladjusted Korean soldiers and identify factors that influence suicidal ideation. Methods: Instruments were the CES-D (Center for Epidemiologic Studies-Depression Scale), STAI (State Trait Anxiety Inventory), and SSI (Scale for Suicidal Ideation). The participants were 94 maladjusted soldiers from one army base in Gyeong-gi Province. Data were collected using self-report questionnaires, and analyzed with the SPSS/WIN 20.0 program. Results: Mean scores were; for CES-D, 42.1±13.10, for STAI-I (state-anxiety) and STAI-II (trait-anxiety), 60.3±15.05 and 61.9 12.14 respectfully, and for SSI, 23.1±9.52. There were significant differences in suicidal ideation according the general characteristics of education, prospects for the future, and having someone to talk about troubles. Major variables showing significant correlations were prospects for the future, depression, trait anxiety, state anxiety, and suicidal ideation. Depression and prospect for future were significant predictors of suicidal ideation (Adjusted R2 65%). Conclusion: Based on the findings of this study, it is important to assess significant mental health problems at the clinical level and provide suicidal ideation prevention in maladjusted soldiers. Active input from experts such as nursing officers and intervention programs that focus on depression are needed.
간호실무 : 정신장애인을 위한 권익옹호 프로그램이 인권인식 수준과 자아존중감에 미치는 영향
김영희 ( Young Hee Kim ),김현례 ( Hyun Lye Kim ),김유라 ( Yu Ra Kim ),임정희 ( Jung Hee Lim ),현명선 ( Myung Sun Hyun ) 서울대학교 간호과학연구소 2012 간호학의 지평 Vol.9 No.1
Purpose: The purpose of this study was to examine the effects of a program for rights advocacy on the level of human rights perception and self-esteem for those who are mentally ill. Methods: A quasi-experimental study using a nonequivalent control group pre-post test design was used. The data were collected from January 20 to March. 17, 2010. Forty one (23 in the experimental group and 19 in the control group) individuals participated in this study. The program was developed based on the education program for human rights developed by the Gyeonggi-do community mental health center in 2009. The program consisted of 8 sessions lasting 8 weeks. Results: There were no statistically significant differences in the demographic variables or the outcome variables between the two groups before the intervention. The level of human rights perception and self-esteem increased after the program in the experimental group but not significantly (t=1.87, p= .07; t=0.88, p= .384). Conclusion: Despite the fact that the program was not effective in increasing the level of human rights perception and self-esteem, the study was timely in that it suggests directions for those who develop rights advocacy programs for the mentally ill.
김영아(Young A Kim),채덕희(Duckhee Chae),김현례(Hyunlye Kim) 한국콘텐츠학회 2017 한국콘텐츠학회논문지 Vol.17 No.1
본 연구는 대학생의 미용성형수술 경험, 부작용에 관한 인식, 자아존중감, 미용성형수술 수용성(Acceptance of Cosmetic Surgery, ACS)을 조사하고 ACS의 영향요인을 파악하기 위한 서술적 상관관계연구이다. 연구대상은 편의 표집한 3개 종합대학에 재학 중인 19세 이상의 대학생 255명이다. 자기기입 방식의 구조화된 설문지를 이용하여 2016년 5월 25일부터 5월 31일까지 자료수집을 시행하였다. 수집된 자료는 서술적 통계, t-test, ANOVA, Pearson’s correlation, multiple linear regression으로 분석되었다. 그 결과, 연구 참여자 중 11.4%가 1회 이상 미용성형수술 경험이 있었고, 안검미용성형수술을 받은 경우가 가장 많았다. 총 86.3%의 학생들이 미용성형의 부작용에 대해 들어본 경험이 있었고, 주요 정보원은 TV·신문·잡지, 인터넷이었다. ACS는 성별, 학년, 미용성형수술 경험, 부작용 정보 인식에 따라 유의한 차이가 있었다. 자아존중감과 ACS는 음의 상관관계를 보였다. ACS의 영향요인은 성별, 학년, 미용성형수술 경험, 자아존중감이었고, 회귀모형의 총 설명력은 19.0%로 산출되었다. 따라서 대학생이 미용성형수술을 신중하고 합리적으로 의사결정할 수 있도록 돕기 위해서는 충분한 정보 습득, 자아존중감 향상과 학년과 성별을 고려한 중재방안이 도입되어야 할 것이다. The purpose of this descriptive study was to investigate the level of cosmetic surgery experience, perception of side effects, self-esteem, acceptance of cosmetic surgery (ACS) and to explore factors affecting ACS among undergraduate students. A convenience sample of 255 students from three universities completed a self-administered questionnaire from May, 25, 2016 to May, 31, 2016. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple linear regression. As a results, 11.5% of students had at least one cosmetic surgery and the majority of them had blepharoplasty. A total of 86.3% of students had heard of cosmetic surgery side effects and the most common source of information were TV, newspapers, magazines and internet. ACS was significantly different by gender, school year, perception of side effects, and cosmetic surgery experience. ACS and self-esteem showed a negative correlation. Previous experience of cosmetic surgery, self-esteem, school year, and gender were identified as influencing factors on ACS which explained 19.0% of total variance. In conclusion, to help college students make rational decisions on cosmetic surgery, provision of sufficient information, improvement of self-esteem, and introduction of gender and school year based intervention are recommended.