취업모와 비취업모의 가족기능과 정신건강 및 부부적응

도복늠 ( Bok Num Doh ) 한국정신간호학회 2004 정신간호학회지 Vol.13 No.4

N/A Purporse: This study was performed to compare the level of family functioning, mental health and dyadic adjustment between the employed and unemployed mothers and obtain correlations among above 3 variables. Method: The study was designed as a correlational survey research. The subjects were consisted of 79 employed and 80 unemployed women who had child 3-6 years children. Data were collected with self-reporting questionnaires translated into Korean from Feetham Family Functioning survey, Mental Health Inventory(Veit and Ware) and Spanier`s Dyadic Adjustment Scale. Result: There were no significant differences between the employed and unemployed mothers in the exiting and desired level of family functioning, mental health and dyadic adjustment. The unemployed mothers were significantly higher in the importance about family functioning than the employed mothers. There were significantly negative correlation between the existing family functioning and negative emotion(anxiety, depression, loss of cotrol) and positive correlation with positive emotion. There was significant positive correlation between the existing family functioning and dyadic adjustment. The level of dyadic adjustment was negatively correlated with the level of anxiety, depression and loss of behavior/emotional control and positively correlated with the level of pleasure emotion and emotional ties. Conclusion: The level of family functioning, mental health and dyadic adjustment of the employed and unemployed mothers were same. The higher scores of family functioning and dyadic adjustment got, the level of mental health was.

고관절 전치환술 환자의 Critical pathway적용효과

이미경(Mi Kyoung Lee),도복늠(Bok Num Doh) 한국간호행정학회 2002 간호행정학회지 Vol.8 No.2

입원환자와 간호사의 치료적 관계 인지정도

도복늠,최선혜 慶北大學校 醫科大學 1992 慶北醫大誌 Vol.33 No.4

입원 환자와 간호사간의 치료적 관계가 임상실무에서 어느 정도 이루어지고 있고, 상호간의 인지정도에 차이가 있는지를 파악하기 위하여 1991년 8월 16일부터 9월 15일까지 대구시내 일개 종합 병원에 근무하는 간호사 110명과 그 간호사의 간호를 받고 있는 환자 123명을 대상으로 하여, 간호사의 치료적 관계 특성을 각각 조사하여 다음과 같은 결론을 얻었다. 1. 간호사의 일반적 특성별 환자에 대한 치료적 관계 인지정도는 간호사의 연령이 30대 이상인 경우, 근무경력이 많을 수록, 정년 퇴임을 예상하는 경우, 기혼인 경우, 종교를 가진 경우, 대학원교육을 받은 간호사의 경우, 간호직에 대해 만족할수록 치료적 관계를 보다 잘 유지한다고 인지하였다. 2. 환자의 일반적 특성별 간호사의 치료적 관계에 대한 인지정도는 연령이 많을수록, 교육 수준이 낮을수록 보다 긍정적인 인지를 나타냈고, 입원한 경험이 2회 이상인 군이 가장 좋은 인지는 나타냈으며, 그외 성, 종교, 결혼상태, 현재 입원일수, 입원하게 된 원인 및 입원 병동별로는 유의한 차이가 없었다. 3. 병동, 종교, 결혼상태에 따른 환자와 간호사의 인지정도 비교는 기혼 간호사가 기혼환자에 비해 유의하게 높은 인지정도를 나타냈고 그외 특성에 따른 인지차이는 없었다. 4. 치료적 관계 특성 전 문항의 평균 인지정도는 간호사는 평균 3.67, 환자는 평균 3.60으로 유의한 인지 차이가 없었으나 각 문항별로는 14문항 중 8문항이 유의한 차이를 나타냈는데, 환자가 간호사보다 유의하게 높게 인지한 문항은 '환자가 간호사를 성실한 사람으로 믿고 의지한다', '환자에게 따뜻하고 우호적이다', '환자를 비평 비판하지 않는다'등의 3문항이었고, 간호사가 환자보다 유의하게 높게 인지한 문항은 '환자의 고통에 공감하고 있다', '환자를 존중하는 태도로 돌본다', '환자의 모든 면을 수용하려고 노력하고 있다', '환자를 특정한 질병군으로서가 아니라 어떤 특이한 경험을 하고 있는 사람으로서 창조적인 관점에서 생각하려고 노력한다', '환자에게 자신의 지각 생각 감정 등을 표현하도록 지지하여 준다.' 등의 5문항이었다. 5. 간호사와 환자가 비슷하게 인지한 6문항으로 나타났는데, '환자의 치료방향에 도움이 되는 것을 비롯하여 의도하는 바를 논리에 어긋남이 없이 환자에게 명확하게 전달한다', '간호사는 환자에게 충분히 수용적인 태도를 전달할 수 있다', '간호사는 자신의 행동이 부지불식간에 환자에게 해로운 방향으로 자극이 되지 않도록 간호사 자신의 행위에 대해 충분히 예민하게 신경쓰고 있다.' 등의 3문항은 비교적 좋은 관계로 인지하였고, '환자에게 충분한 관심을 쏟고 있다.', '간호사는 환자를 하나의 독립된 인간으로 허용할 수 있을 만큼 안정되어 있다.', '환자의 입장에서 정확히 보는 편이다.' 등의 3문항은 그저 그렇다의 수준으로 일치하였다. The purpose of this study was to find out the degree of therapeutic relationship between hospitalized patients and nurses to provide a foundation for the comprehensive nursing care with 110 nurses and 123 patients of a general hospital in Taegu from August 16 to September 15, 1991. The instrument used for this study was the questionnaires based on Roger's therapeutic relationship traits questions and revised by the researcher The results were as follows ; The degree of nurses' perceived therapeutic relationship by general characteristics revealed significantly high in the group above 35 years of age, having master degree, religion, and more clinical experiences, expecting retire, and satisfying toward nursing profession. The degree of patient's perception on therapeutic relationship by general characteristics was not significantly different except for hospitalized experiences. In comparison of perception between the nurses and patients on the therapeutic relationship by ward, marrital ststus, and religion, the married nurses were significantly higher than the married patients. In comparison of perception between nurses and patients on therapeutic relationship traits items, 3 items, including "patient's reliability and dependency on nurse", "nurse's warmth and friendliness on patient", and "nurse's generosity on patient", were significantly higher in patients than nurses. 5 items, including "nurse's empathy on patient's pain", "respective nursing attitude on patient", "nurse's attempt to accept patient's options", "nurse's attitude to perceive patient not disease group but creative person", and "supportive nursing care to disclose himself", were significantly higher in nurses than patients. 6 items, including "clarified communication directed patient's therapeutic regimen", "nurse's acceptant attitude on patient", "nurse's careful nursing behavior", "nurse's sufficient interest toward patient", "stability of nurse's personality", and "nurse's sensitivity on patient's responses", were of no significiant difference.

취업어머니와 비취업어머니의 가족기능과 정신건강의 비교

도복늠 대한간호학회정신간호학회 2002 정신간호학회지 Vol.11 No.3

Purpose : This study was performed to compare the degree of family functioning and mental health between employed and unemployed mothers who have had 3-5 years old children. Method : The study was designed as a compared survey research. The subjects consisted of 110 employed and unemployed women. The data were collected with self-reporting questionnaire translated into Korean from Feetham Family Functioning Survey and Mental Health Inventory(Veit and Ware). Result : There was no significant difference between the employed and unemployed mothers in the existing degree of family functioning. The employed mothers were significantly higher in the expected level and degree of importance of the family functioning than the unemployed mothers. The unemployed mothers were significantly higher in the degree of satisfaction of the family functioning. There was no significant level of mental health. Conclusion : The existing level of family functioning and mental health of the employed and unemployed mothers was same.

韓國 助産員 修習機關 敎育 實態 및 改善方案에 關한 調査硏究(1)

도복늠,金相順,李愛賢,鄭文淑 慶北大學校 醫科大學 1979 慶北醫大誌 Vol.20 No.1

1978년 2월-8월까지 전국 34개 助産 修習 醫療器關을 대상으로 敎育 實態 調査書를 작성 배부하였으며, 회수율은 97%(33개소)이었고 회수된 修習機關 敎育 實態을 조사 검토한 결과 다음과 같은 결론을 얻었다. 1) 全國 修習機關의 분포를 보면 國·公立은 19개소(58%) 私立은 14개소(42%)로, 78%가 서울·익산 등 대도시에 있으며 忠北과 濟州에는 없다. 敎育을 실시하는 機關은 13개소(39.5%), 敎育을 중지한 機關 7개소(21.2%), 및 敎育課程이 취소된 機關은 10개소(30.3%)이다. 2) 敎育 중지 및 취소 사유를 보면 "志願者數 및 分娩 건수가 적어서"가 17개소로 전체의 85%를 차지하고 있다. 3) 修習生 定員은 총 551名중 國·公立이 258명 私立은 293名으로 사립은 機關數로는 적으나 定員은 많다. 修習生 現員은 193名(35%)으로 익산 64名(33.1%), 慶北 32名(16.6%), 全南 24名(12.4%)의 順이며 京畿와 慶南은 없다. 4) 法定 敎育課程(core course) 계획자가 看護課長 및 産婦人科 課長인 경우가 4개소(30.8%)로 가장 많고 별도의 계획자는 없다. 강의 담당자는 의사가 49名(48.5%) 看護助産員이 32名(31.7%)으로 전체으 80.2%이다. 5) 臨床實習에 있어서는 産室 및 育兒室과 婦人科 外來를 利用하는 機關이 13개소(100%)이며 公立은 私立보다 母子保健室과 開業 助産所등 비교적 多樣한 實習 現場을 마련하고 있다. 6) 政府의 지정 敎科目 강의 실시 여부는 전체 機關의 44.7%만이 실시하고 있다. 7) 分娩 介助 實習件數가 法定 基準에 미달되는 機關이 10개소(76.9%)로 나타나서 實習時間은 많으나 分娩介助者로서 基本 機能에 숙달할 수 있는 충분한 實習 기회가 없는 상태이다. 행정당국은 우리나라 助産員 敎育에 관한 敎育課程이나 敎育機關 운영 제도의 모순성, 불합리성을 認定하고 이의 전면적인 改善向上을 위해 노력해야 할 것이다. 별도의 조산교육과정을 운영토록하여 財政的, 行政的 지원을 적극적으로 시도하고 助産敎育修了後 자격의 認定, 업무한계, 직급의 조정, 적정의 待過 및 開業 助産所 운영등 全 分野에 걸쳐서 敎育法, 醫療法등의 개정이 시급한 실정임을 고려해야 할 것으로 믿는다. 本 硏究 결과에 따라 다음과 같은 제언을 한다. 1) 助産 人力 수급에 따른 구체적이고도 獨立的인 助産員 교육계획안이 마련되고 별도의 교육기구가 만들어져야 한다. 2) 助産敎育 行政家는 能力있는 助産敎育 專門人으로서 助産員 敎育에 대한 명백한 철학과 目的 基準을 정하고 目的 달성에 보다 효율적으로 기여할 수 있어야 하겠다. 3) 대도시에 집중되어 있는 助産修習 機關을 지역적으로 按配하여 修習生의 修了후 就業과 균형있는 조화가 되도록 고려해야 되겠다. 4) 변화되고 다양한 지역사회 要求에 적절히 대처하기 위해서 敎育課程 개선이 연구되고 실시되어야 한다. 5) 소속 단체와의 협조로 助産員 免許證 取得後 자격에 알맞은 적절한 待遇와 직급상의 보장을 위해 이루어질수 있는 法的 체제와 財政的 支授이 시급히 마련되어야 하겠다. From February to August in 1978, the inquiring letters of educational status of which receiving rate appeared as 97% were made and delivered to 34 educational hospitals for midwife throughout the nation, coming to a conclusion as the following after analyzing the result of the investigations. As for the geographical distribution, 78% that is to say, 19 national-public hospitals and 14 private ones are located in large cities as Seoul and Busan except for Chungbuk and Jeju. Of these 13 instiutions only go a long way with their education, 7 ceased, and 10 cancelled. Their failures due to the short number of the applicants and deliveries, showing 85% of all the reasons. 551 reqular staffs of apprentice consist of 258 public members and 293 private ones. Even though private institutions are lack in their number, they have a plenty of man power. But in fact 193 women (35% of the full number) are on education; 64 in Busan, 32 in Gyeongbuk, and 24 in Juonnam except for Gyeonggi and Gyeongnam. In four cases, director of nursing department and obstetric do their best planning for core course, with no specialists. The number of 49 doctors and 32 nurse-midwives who participate in teaching is 80.2% in all kind of educations. 13 institutions send students to delivery room, nursery, and gynecological clinic for their clinic practice. This kind of practice is forced to depends on MCH center and midwifery office by the institutions. The rate of all institutions that is to give lecture on the subjects appointed by the government is 44.7%. There also appeared 10 institutions(76.9%) short of number of practice in delivering case, with the result that nurses, in spite of their plenty of time, could not have oppotunities to practice to practice to be proficient. I have a suggestion that the authorities concerned should acknowledge the inconsistency and absurdity not only in the course of teaching nurse-midwife but in managemental system of educational institution, and try to make some remarkable improvements in public health. By the way, inevitable are to back up institutions financially as well as administratively, and to run different educational course. After nurse-midwifery education, installations of law of medicine, law of education, and some institutes ought to be attempted in the field of qualification, job limit, adjustment of grade, considerable treatment, and midwifery office.

도시영세민의 주요건강문제와 처리실태 및 개선방안

도복늠,전성주 慶北大學校 醫科大學 1987 慶北醫大誌 Vol.28 No.3

This study was performed to identify the main health and illness behavior patterns and related factors for improvement of health services in urban poor area. The survey was conducted by interviewing the housewives or householders in Taegu poor area. Major findings and suggestions for improvement of health services were as followings. The 30-day period prevalence rate of acute and chronic illness was 1,276.6 per 1,000 residents and gastrointestinal illness was most prevalent. Common cold and coughing, indigestion, poor appetite and headache were frequently complained symptoms. Depression and fatigue of sixties and seventies in male and sixties and forties in female were much higher than in other age groups. 89.3% of the ill or injured sought for medical treatment. The most frequently utilized facility was the pharmacy(55.1%) and the next was clinics or hospitals (23.2%). All of the mentally ill tried to seek for superstitious treatment. 37.4% of the ill who didn't seek for medical treatment because of poor economic status was covered by the medicaid or medical insurances. 82.8% of the whole subjects and 46.5% of children under nine years of age brushed teeth regularly and 55.6% weighed frequently. Abstention from smoking and drinking was much higher in forties, fifties and sixties than other age groups. The government supporting should be increased for developing primary health care services, psychiatric mental health care services and dental care services in urban poor area. The residents and leaders, private clinics and hospitals, doctors and nurses should be encouraged to participate in the health care services of the urban poor area.

農村住民의 優鬱程度와 誘發要因

도복늠,金美乂,朴商蓮 慶北大學校 醫科大學 1985 慶北醫大誌 Vol.26 No.4

1985년 8월 1일부터 8월 5일까지 경상북도 청송군 현서면의 5개 동에서 무의촌 진료 봉사시 수진하려 온 주민 150名을 대상으로 우울정도와 우울증을 유발하는 스트레스 사건을 조사하여 다음과 같은 결과를 얻었다. ·전 대상자의 평균 우울점수는 13.05이었고 이중 병적 우울은 6.67%, 문제군은 18.0%, 정상군은 75.33%이었다. ·우울정도는 성, 연령, 결혼 상태별로 유의한 차가 있었다. ·우울을 유발하는 주요한 스트레스 사건은 가족간의 다툼, 경제적 곤란 및 부채, 과중한 육체노동, 가족의 신병 및 입원 등이었다. ·경험한 스트레스 정도와 우울정도 간에는 유의한 상관이 있었다. ·경험한 스트레스 정도가 높은 군이 낮은 군보다 우울 정도가 유의하게 높았다. The purpose of this study was to administer the Self-Rating Questionnaire for Depression and Inventory for measuring stressful life events to the people in rural area and to test their correlation. The study was conducted on 150 rural people who had visited the free health screening office from 1st 5th August, 1985. The results obtained were summarized as follows. There were significant differences in mean depression scores grouped by sex, age, and marital status. The factors precipitating the depression of rural people were arguments with family member, financial difficulties, debt, overtime, and family member's illness and hospitalization. There was significant correlation between the depression scores and stress scores of the life events. The subjects with high stressful life events scores were significantly more depressive than those with low scores.

혈액투석 환자의 지각한 사회적 지지와 자가간호 수행과의 관계

도복늠,주현자 慶北大學校 醫科大學 1994 慶北醫大誌 Vol.35 No.3

목적 : 본 연구는 혈액투석 환자가 지각한 사회적 지지 정도와 자가간호 수행정도와의 관계를 파악하여 효과적인 환자 간호와 치료에 기여할 수 있는 자료를 제공하기 위하여 시행되었다. 대상 및 방법 : 대구시내 5개 종합병원의 인공신장실에 등록하여 주기적으로 혈액투석을 받고 있던 156명의 환자들로서, 연구참여에 동의한 환자들을 그 대상으로 하였다. 자료수집기간은 1993년 9월 20일부터 10월 5일까지이었고 연구도구는 5점척도로 응답하게 되어있는 사회적 지지정도 측정도구와 자가간호 수행정도 측정도구를 사용하였으며, SPSS를 이용하여 백분율, 평균, t-test, ANOVA, 피어슨 적률 상관관계 등의 방법을 사용하여 분석하였다. 결과 : 대상자가 지각한 사회적 지지의 평균은 3.31, 대상자의 자가간호 수행정도의 평균은 3.60이었다. 사회적 지지 정도는 연령별로는 20대가, 교육정도별로는 대졸이상이, 가족 월수입은 101∼150만원군이, 치료비 부담은 부모가 하는군이, 발병전 직업은 전문직이, 의료보험 유형별로는 의료보험 수혜군에서 지지정도가 높았다. 자가간호 수행정도는 연령별로는 50대가, 가족 월수입은 101∼150만원군이, 치료비 부담은 자녀가 하는 군이, 의료보험 유형별로는 의료보험 수혜군에서 보다 더 높았다. 결론 : 대상자가 지각한 사회적 지지와 자가간호 수행정도는 유의한 정상관 관계가 있었다. This study was designed to identify the relationship of perceived social support and performance of self care by hemodialysis patient. The subjects were made up of 156 patients receiving hemodialysis treatment at five general hospitals in Taegu, from September 20, 1993 to October 5, 1993. The data were obtained by the structured questionaires for perceived social support and performance of self care. The subjects were instructed to indicate on a Likert scale. All the collected data were analyzed by percentage, mean, t-test, ANOVA, Pearson Correlation Coefficients, using the SPSS program. The results were as follows; The mean score for the perceived social support was 3.31. The mean score for the performance of self care was 3.60. The relationship between perceived social support and performance of self care revealed a significant coefficient(.4513) General characteristics related to social support were age, education level, family income, the cost of treatment, pre-morbid occupation and medical insurance. General characteristics related to performance of self care were age, family income, the cost of treatment and medical insurance.

4년제 간호대학의 교육과정 분석

도복늠,성기월 慶北大學校 醫科大學 1992 慶北醫大誌 Vol.33 No.4

The purpose of this study was to analyze the philosophy and objectives of nursing education, curriculum structure and educational environment in nursing schools of Korea. This analysis was based on the data from 19 baccalaureate nursing schools from January 15 to March 20, 1992. The results were as follows : 1. Educational philosophy and objectives ; 14 colleges had curricular philosophy. Main concepts of curricular philosophies were nurses role in the future, nursing, human being, health and society (environment). 17 colleges had curricular objectives were professional nurses and leaders. 2. Curriculum ; The average required credits for graduation were 158.3. The average credits of cultural subjects were 46.7, basic science 27.6, and major subjects 84.0. In cultural subjects, ethics had lowest. In basic science, biological science had the highest credit, and sociological science had the lowest.

시설노인과 재가노인의 정신건강 비교

도복늠,성기월 慶北大學校 醫科大學 慶北醫大誌 Vol.33 No.4

This survey was performed to evaluate and compare mental health state of the elderly in home and institution. The scores of MMSE-K and SDS was collected from 122 elders in 6 institutions in Taegu and Kyungpook provinces and 107 elders at their homes in Taehu. The comparison of their mental health status was summarised as follows: 1. The elders in institutions revealed more poor cognitive function than the elders at their homes(-3.49 point). 2. The elders in institutions were more depressed than the average level and revealed higher scores in depression than elders ar homes(+9.74 point). 3. The lower cognitive function scores of the elders have, the higher depression score of the edders have(r=-0.70). 4. The general characteristics which affected the cognitive scores of the elders were sex, educational level, religion, monthly pocket money and previous job. 5. The general characteristics which affected the depression scores were the educational level, monthly pocket money and previous job. 6. In the comparison of items for congnitive function, the scores of orientation, registration and language were lower in the elders at institutions than in the elders at homes. 7. In the comparision of items for depression, the scores of depressive affect, constipation, fatigue and weight loss were higher in the elders at institutions than in the elders at homes.