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경희대학교 동서간호학연구소> 동서간호학연구지> 다문화가정 아동·청소년 자아개념의 구조모형: 생태체계모형을 기반으로

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다문화가정 아동·청소년 자아개념의 구조모형: 생태체계모형을 기반으로

A Structural Model of Self-Concept among Children and Adolescents from Multicultural Families Based on the Ecological Systems Model

오은진 ( Eun Jin Oh ) , 성경미 ( Kyung Mi Sung )
  • : 경희대학교 동서간호학연구소
  • : 동서간호학연구지 24권2호
  • : 연속간행물
  • : 2018년 11월
  • : 171-181(11pages)
동서간호학연구지

DOI

10.14370/jewnr.2018.24.2.171


목차

Introduction
Methods
Results
Discussion
Conclusion
REFERENCES

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초록 보기

Purpose: The study aimed to validate a structural model of self-concept among children and adolescents from multicultural families. Methods: Data were collected from 325 mothers of multicultural families and their 417 children. Confirmatory factor analysis, path analysis and multiple mediation analysis with a phantom variable approach were used to assess construct validity and relations between model variables. Results: Goodness of fit indices of the modified theoretical model, the standardized χ2 (2.75), RMR (.02), RMSEA (.07), NFI (.90), TLI (.92), CFI (.94), GFI (.89), and AGFI (.87), met criteria. Social support and mental health problem had significant direct effects on self-concept, whereas residential environment and school adjustment had significant indirect effects, accounting in combination for 53% of the variance in self-concept. Conclusion: Based on the results, mental health problem mediated the relationships of self-concept and parenting stress.

UCI(KEPA)

I410-ECN-0102-2019-500-001553191

간행물정보

  • : 의약학분야  > 간호학
  • : KCI등재
  • :
  • : 반년간
  • : 1226-4938
  • : 2671-8448
  • : 학술지
  • : 연속간행물
  • : 1997-2021
  • : 388


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27권1호(2021년 05월) 수록논문
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1수술 환아의 불안에 적용한 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석

저자 : 김현영 ( Kim Hyeon-young ) , 신선화 ( Shin Sun Hwa )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 1-13 (13 pages)

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Purpose: The purpose of this study was to examine the effectiveness of non-pharmacological interventions for reducing perioperative anxiety in children undergoing surgery. Methods: A systematic review of randomized controlled trials (RCTs) with the primary outcome of children's perioperative anxiety was conducted. The literature search was performed using various databases, including Cochrane Library, CINAHL, EMBASE, PubMed, and Korean electronic databases with confined to RCTs between 2000 and 2020. A total of sixteen studies were suitable the inclusion criteria and were systematically reviewed. The bias risk of randomized studies was evaluated using Cochrane's risk of bias tool. For the meta-analysis, RevMan 5.4 was used to analyze effect sizes of interventional factors. Results: Finally, twelve RCTs studies were used for meta-analysis. The non-pharmacological interventions implemented to reduce perioperative anxiety in children were therapeutic play, clown therapy and information provision. First, therapeutic play had a significant effect on reducing preoperative anxiety, with an effect size of -1.46 (95% CI=-1.78~-1.14). Second, clown therapy had a significant effect on reducing preoperative anxiety, with an effect size of -0.97 (95% CI=-1.45~-0.49). Finally, the provision of information had a significant effect on reducing preoperative anxiety, with an effect size of -0.75 (95% CI=-0.99~-0.51). Conclusion: This meta-analysis suggests that non-pharmaceutical interventions provide effective methods of reducing perioperative anxiety in children. Therefore, the findings verify evidence that various non-pharmacological interventions are effective means for reducing children's preoperative anxiety.

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2COVID-19 환자 간호한 간호사들의 외상 후 스트레스 장애, 우울 및 사회적 낙인 간의 관계

저자 : 이은자 ( Lee Eun Ja ) , 조옥연 ( Cho Ok Yeon ) , 왕금현 ( Wang Keum Hyun ) , 장명진 ( Jang Myung Jin )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 14-21 (8 pages)

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Purpose: This study aims to examine the levels of posttraumatic stress disorder (PTSD), depression and social stigma among nurses caring for Corona Virus Disease-19 (COVID-19) patients. Methods: 169 nurses caring for COVID-19 patients participated in this study. Data collection was conducted at university hospitals from March 1 to August 31, 2020. Data analysis was performed for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients using SPSS/WIN 24.0 program. Results: The mean scores of PTSD, depression and social stigma were 25.16±16.80, 17.26±8.63 and 5.83±2.84, respectively. The PTSD scores were significantly different between the department (F=2.89, p=.037). Depressive scores were significantly different between the marital status (t=2.27, p=.024) and the department (F=4.91, p=.003). Social stigma scores were significantly different between age (F=6.49, p=.002), marital status (t=-3.30, p=.008), having or not having children (t=3.82, p=.001), department (F=5.82, p=.001) and clinical experience (F=7.43, p=.001). Positive correlations were found between PTSD and depression (r=.70, p<.001) and social stigma (r=.22, p<.004). Conclusion: Integrated assessment and management are required to address the psychological and emotional problems faced by nurses caring for COVID-19 patients, and active follow-up measures should be considered.

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3간호·간병통합서비스병동 간호사의 셀프리더십, 역할갈등, 간호근무환경이 간호서비스 질에 미치는 영향

저자 : 김미선 ( Kim Mi Sun ) , 신성희 ( Shin Sung Hee ) , 서은주 ( Seo Eunju )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 22-31 (10 pages)

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Purpose: This study aims to examine the relationships between the self-leadership, role conflict, nursing work environment, and quality of nursing service in comprehensive nursing care service wards and identify the factors that affect the quality of nursing service. Methods: The data were collected from 158 nurses working in comprehensive nursing care service wards from three general hospitals with 200 beds or more in Seoul, Korea. The data were analyzed by descriptive statistics, t-test, ANOVA, scheffe test, Pearson's correlation coefficient, and multiple linear regression analysis of enter method using SPSS/WIN ver 22.0 program. Results: The factors of quality of nursing services were self-leadership (β=.44, p<.001), nursing work environment (β=.17, p=.014), and the work experience in comprehensive nursing care service wards (β=-.15, p=.035) explaining 32% of the total variance. Conclusions: The results indicated that self-leadership, work experience in the comprehensive nursing care service wards, and nursing work environment affect the quality of nursing services of nurses in the comprehensive nursing care service wards. It is necessary to make efforts for seeking various intervention strategies and improving nursing work environment.

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4일개 상급종합병원 간호사의 간호근무환경, 직무스트레스, 지식공유가 간호업무성과에 미치는 영향

저자 : 신양미 ( Shin Yang Mi ) , 조헌하 ( Cho Hun Ha )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 32-42 (11 pages)

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Purpose: The purpose of this study was to identify factors influencing nursing performance of clinical nurses. Methods: This was a descriptive study involving 172 nurses who worked for 6 months or longer at one general hospital in B City. The data analysis was conducted with t-test, ANOVA, Scheffe test, Pearson's correlation coefficients, and stepwise multiple regression. Results: Nursing performance of participants positively correlated with job stress (r=.16, p=.033). The factors affecting nursing performance were total clinical experience (β=.37 p<.001), salary (β=.19, p=.028), and job stress (β=.13, p=.045). These variables had a 27.2% variance to explain nursing performance. Conclusion: Based on these results, administrative and financial support are required for the development of a clinical career program, including the differentiation of salary systems of clinical nurses. There is also a need to develop and implement job stress management and coping programs.

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5항암화학요법을 받은 여성 유방암 생존자의 우울, 낙관성 및 외상 후 성장이 건강관련 삶의 질에 미치는 영향

저자 : 김부경 ( Kim Bu Kyung ) , 성미혜 ( Sung Mi-hae ) , 최성인 ( Choi Sung In )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 43-50 (8 pages)

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Purpose: The purpose of this study was to identify the influence of depression, optimism and posttraumatic growth on health-related quality of life in female breast cancer survivors received adjuvant chemotherapy. Methods: In total, 115 female breast cancer survivors participated in this descriptive correlational study. The participants answered self-report questionnaires. Data were collected from 1 June 2020 to 10 June 2020, and were analyzed using descriptive statistics, the t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 24.0. Results: The mean age of the breast cancer survivors was 45.83 years. The mean score for the degree of health-related quality of life was 81.85 out of 148 points. Participants' scores for health-related quality of life differed significantly based on economic status (F=5.36 p=.006) and hobbies (t=-3.37, p=.001). Health-related quality of life was negatively correlated with depression (r=-.73, p<.001), and positively correlated with optimism (r=.65, p<.001) and posttraumatic growth (r=.28, p=.002). Depression (β=-.55, p<.001) was the most significant factor that affects health-related quality of life, followed by optimism (β=.29, p<.001), and post-traumatic growth (β=.12, p=.048), which together accounted for 62.2% (F=63.61, p<.001) of the variance. Conclusion: It is necessary to develop educational programs for breast cancer survivors to reduce depression, increase optimism and post-traumatic growth, and improve the health-related quality of life. By adapting these programs, positiveness may increase and this may lead to improvement of health-related quality of life for breast cancer survivors.

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6연령군별 성인 음주자의 고위험음주 관련 요인

저자 : 이은숙 ( Lee Eun Sook ) , 서영미 ( Seo Yeong-mi )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 51-60 (10 pages)

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Purpose: The purpose of this study was to identify factors associated with high risk drinking in adults. Methods: Multi-variate logistic regression was used to analyze the data of 15,949 adults age 19 years or older from the sixth (2013-2015) Korea National Health and Nutrition Examination Survey. Results: Factors associated with high risk drinking included education level, employment and smoking status among the age group of 19-39. In the 40-59 year age group, the associated factors were gender, employment, smoking, obesity, and depressive mood. In the over 60 year age group, related factors included gender, employment, smoking, abdominal obesity, and subjective health status. Conclusion: The result of this study suggests that early risk factor screening may be helpful to avoid the progression to high-risk drinking. An individualized approach for each age group can be used as a preventive measure.

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7외래방문 노인의 낙상경험 유무에 따른 낙상에 대한 두려움, 효능감 및 예방행위

저자 : 엄인애 ( Uhm In Ae ) , 황선영 ( Hwang Seon Young )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 61-69 (9 pages)

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Purpose: This study aims to determine the association between fear of falling, falls efficacy, and fall prevention behaviors in older adults in outpatient and identify the factors affecting fall prevention behaviors. Methods: This was a descriptive study. A total of 137 older adults aged 60 or older with more than one disease in an outpatients setting were recruited from a university hospital in Seoul. Data were collected from March 11 through April 8, 2016. Results: The experience of a fall was significantly associated with age (t=-2.71, p=.008), gender (χ²=14.32, p<.001), education (χ²=6.05, p=.049), income (χ²=9.93, p=.019), physical activity status (χ²=16.84, p<.001), and the number of diseases (t=-2.89, p=.004). Fall experience was not significantly associated with marital status (χ²=3.79, p=.285). Multiple regression analysis revealed that the most influential factor of fall prevention behaviors was the fear of falls (β=-.37, p<.001), followed by the number of diseases (β=-.20, p=.013). Conclusion: It is necessary to provide preventive fall education with older adults in outpatients settings considering the fear level of falling and the numbers of accompanying diseases.

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8몽골 대학생의 성지식과 성태도의 관계

저자 : 김진 ( Kim Jin ) , 차남현 ( Cha Nam Hyun )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 70-77 (8 pages)

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Purpose: The purposes of this study are to examine the relationship between sexual knowledge and sexual attitudes and identify factors that influence sexual attitudes among Mongolian university students. Methods: A cross-sectional study was used. Participants include 200 students from 23 universities in U city in Mongolia. Data were collected from 1 December to 30 December of 2019. A self-report questionnaire through Google survey was used. Data were analysed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression analyse with SPSS 26.0 for Window Program. Results: We found the differences between sexual knowledge and sexual attitudes according to participants' general characteristics, sex education, and sexual knowledge (t=5.43, p<.001) and sexual attitudes (t=2.21, p=.028), sexual experience and sexual knowledge. There was no correlation with marriage thought among sexual knowledge, sexual health and pregnancy and childbirth, and sexual attitudes. The correlations between the remaining variables were high. Sexual knowledge was the most influential factor on sexual attitudes followed by the sexual act (β=.30, p<.001), reproductive organs (β=.29, p<.001), solving sexual desire (β=-.25, p<.001), sexual experience (β=-.16, p=.021), and sex education (β=-.16, p=.028) with an explanatory power of 20.0%. Conclusion: The findings of this study may provide a basic data and help to understanding of sexual attitudes among Mongolia university students.

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9간호대학생의 간호전문직관 영향요인: 전환충격과 무례함 중심으로

저자 : 박혜련 ( Park Hye-ryeon ) , 전혜정 ( Jun Hyejung ) , 반민경 ( Ban Min Kyung )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 78-86 (9 pages)

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Purpose: The purpose of this study was to understand the correlations between transitional shock, incivility and nursing professionalism among nursing students. Methods: A total of 143 nursing students completed transitional shock, incivility and nursing professionalism, using structured questionnaires. The collected data were analyzed using the t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: The results showed that nursing professionalism was significantly correlated with gender (β=.20, p=.001), major satisfaction (β=.44, p=.007), clinical practice satisfaction (β=.45, p<.001), transitional shock (β=-.20, p=.012), and incivility experienced (β=-.18, p=.021) among nursing students. Conclusion: It is necessary to develop a plan for reducing individual satisfaction with clinical practice and the transitional shock of nursing students. It ultimately may increase nursing students' nursing professionalism. In addition, a strategy is needed to reduce incivility among nursing students by creating positive educational environment in clinical practice through cooperation between schools and training institutions, and to strengthen desirable nursing professionalism.

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10간호대학생의 스트레스, 영성이 삶의 질에 미치는 영향

저자 : 이정림 ( Lee Jung Lim ) , 강석정 ( Kang Seok-jung )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 27권 1호 발행 연도 : 2021 페이지 : pp. 87-93 (7 pages)

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Purpose: The purposes of this study were to investigate the relationship between stress, spirituality and quality of life and verify the effect of mediating spirituality in the relationship between stress and quality of life among nursing students. Methods: A total of 173 fourth-year nursing students who have experienced clinical practice participated in this study. Data were collected using structured questionnaires to measure the stress, spirituality and quality of life in nursing students from November 9 to December 9 in 2020. Data analysis was conducted using independent t-test, ANOVA, Pearson's correlation coefficient, and mediated regression analysis of Baron and Kenny. Results: The results show that stress were negatively correlated with quality of life (r=-.49, p<.001) and spirituality (r=-.40, p<.001). In addition, spirituality was positively correlated with quality of life (r=.56, p<.001) and had a partial mediation effect on the relationship between stress and quality of life. Conclusion: The results of this study indicate that in order to reduce stress and improve the quality of life of nursing students, it is necessary to actively apply a spirituality promotion program recognizing and developing nursing student's spirituality.

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1표준화 환자를 활용한 당뇨병 간호 시뮬레이션 실습교육이 간호대학생의 의사소통능력, 비판적 사고성향 및 임상수행능력에 미치는 효과

저자 : 김보영 ( Bo Young Kim ) , 이은숙 ( Eun Sook Lee )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 91-100 (10 pages)

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Purpose: This study was conducted to identify the effects of a simulation practicum using standardized patients on nursing student's communication skills, critical thinking disposition and clinical competency. Methods: A one group pretest-posttest design was used. The participants consisted of 45 fourth year nursing students at G university. This study developed 2 scenarios for patients with diabetes mellitus and the simulation was conducted for an average of approximately 14 hours. Data were analyzed with descriptive analysis, t-tests and Cronbach's α using SPSS 21.0 program. Results: Communication skills, clinical competency and self-confidence for diabetic care were statistically improved; however, critical thinking disposition was not improved compared to that of pretest. Conclusion: Simulation practicum using standardized patients may be effective in enhancing communication skills, clinical competency and selfconfidence for diabetic care among nursing students. In addition, standardized patients simulation program to promote the critical thinking needs to be developed and further research related to standardized patients simulation is in need.

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2자기결정성이론 기반 관상동맥중재술 환자의 건강행위 이행 구조모형

저자 : 박애란 ( Ae Ran Park )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 101-109 (9 pages)

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Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers'autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients'basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.

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3한국치매노인의 문화를 반영하는 회상: 개념분석

저자 : 정기정 ( Gi-jung Jung ) , 박종민 ( Jong-min Park ) , 이국근 ( Guk-geun Lee ) , 정미경 ( Mi-kyong Chong ) , 심혜빈 ( Hye-been Sim ) , 이지아 ( Jia Lee ) , 한희영 ( Heeyoung Han )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 110-118 (9 pages)

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Purpose: Reminiscence therapy is a widely used intervention for older adults and those with dementia. However, the attributes of the concept of reminiscence is not clearly proposed. The aim of this study was to clarify the concept of reminiscence in Korean older adults with dementia. Methods: The study applied the concept analysis method of Walker and Avant. The literature review included the previous studies of reminiscence from philosophy, literature, art, neuroscience, medicine, psychology, sociology, and nursing. Results: A total of 43 Korean or international papers were analyzed in this study. Attributes of reminiscence in Korean older adults with dementia were regeneration of memories, internal and external communications, expression of suppressed emotions, and recognition of ego identity. The suppressed emotions and ego identity may result from Korean cultural characteristics based on the suppressed environments of many wars and dictatorships in the past. The consequences of reminiscence in Korean older adults with dementia are cognitive enhancement, relief of depression, and improvements of social interactions, ego integrity, and quality of life. Conclusion: The results of this study suggest that the historical and cultural characteristics should be considered to develop effective nursing interventions including reminiscence for Korean older adults with dementia.

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4모바일인터넷 단말기를 이용한 정보제공이 관상동맥 조영술 대상자의 불안, 불편감 및 교육만족도에 미치는 효과

저자 : 김은향 ( Eun Hyang Kim ) , 신성희 ( Sung Hee Shin )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 119-129 (11 pages)

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Purpose: The aim of this study was to examine the effect of providing information using a mobile internet terminal on anxiety, discomfort and satisfaction with education among patients undergoing a coronary angiogram. Methods: Data were collected from July 27, 2016 to February 23, 2017. A total of 64 participants (34 for the experiment group and 30 for the control group) admitted to a department of cardiology internal medicine for coronary angiography were recruited. Data were analyzed by SPSS Window 22.0 Program. Results: Information provided through mobile internet terminal did not affect anxiety and objective and subjective discomfort of the participants for coronary angiography, it was effective in satisfaction with education. Conclusion: Based on the results, it is indicated that video education using a mobile internet terminal could be an effective method to improve nurses' work efficiency and quality and to raise satisfaction with education.

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5수지요법이 하반신마비 환자의 변비완화에 미치는 효과

저자 : 김연옥 ( Yeoun-ok Kim ) , 최순옥 ( Soon-ock Choi )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 130-138 (9 pages)

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Purpose: The purpose of this study was to determine the effectiveness of hand acupressure in relieving constipation among patients with paraplegia. Methods: Data were collected from a total of 52 participants with paraplegia from a spinal cord injury. Data were analyzed by chi-square test and t-test using SPSS/WIN 21.0. Results: The numbers of bowel movements per week increased in the experimental group who have received hand acupressure increased as compared with the control. Satisfaction with defecation of the experimental group improved as compared with the control. The level of constipation in the experimental group decreased compared to the control. Conclusion: We found that hand acupressure is effective in relieving constipation among patients with paraplegia from a spinal cord injury.

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6간호대학생의 생활스트레스에 영향을 미치는 요인

저자 : 송영아 ( Young A Song ) , 하영옥 ( Young Ok Ha )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 139-145 (7 pages)

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Purpose: This study aimed to investigate influencing factors on life stress among nursing college students. Methods: A descriptive research design was used with a convenience sample of 392 nursing students. Data were collected from May 23 to June 3, 2016 using self-reported questionnaires and analyzed by descriptive statistics, t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis using the SPSS/WIN 21.0 program. Results: The mean scores of life stress, depression, self-esteem, and self-control were 1.72 out of 4, 1.58 out of 4, 3.60 out of 5, and 3.36 out of 5. Life stress was negatively correlated with self-esteem (r=-.56), self-control (r=-.30) and economic status (r=-.22) and was positively correlated with depression (r=.53). Factors influencing on life stress were economic status, depression and self-esteem, which explained 38% of the variance. Conclusion: Based on the finding of this study, it is necessary to develop education and intervention programs in order to decrease the life stress for nursing students.

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7일개 지역 응급의료센터 방문 노인의 중증도 영향 요인

저자 : 신동수 ( Dong-soo Shin ) , 김미숙 ( Mi Sook Kim )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 146-153 (8 pages)

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Purpose: This study aimed to identify characteristics and severity assessed by Korean Triage and Acuity Scale (KTAS) among 2,496 older adults aged 65 and over who visited an emergency department (ED) located in Chuncheon city. Methods: Data were collected via electronic medical records from two hospitals from January to December of 2016. Chi square test and logistic regression were applied using SPSS 22.0. Results: 53.5% of the participants were women and 17.6% of visits were done by aged 85 and older. ED visits by ambulance were 33.9%. More than two-third of older adults' ED visits were emergent status. Severity of the ED visits of older adults were rated by KTAS. Commonly reported chief complaints of the ED visits were dizziness, dyspnea, chest pain, abdominal pain, and hypoalbuminemia. Among them, dizziness, chest pain, dyspnea, and hypoalbuminemia were related factors for being-emergent condition. Conclusion: Strategies for older adults' chief complaints are needed in order to reduce unexpected ED visits.

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8간호대학생의 생명의료윤리와 간호윤리의 관계

저자 : 차남현 ( Namhyun Cha )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 154-162 (9 pages)

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Purpose: This study identifies the relationships between the perception of nursing ethics and biomedical ethics in Korean nursing students. Methods: A total of 311 participants with a mean of 20.93 years were recruited using a convenient sampling method. Data were collected using a self-reported questionnaire from May 2 to May 16, 2016. Results: Biomedical ethics were significantly different according to education of ethics. Nursing ethics among nursing students were significantly different according to gender and a view of the occupation. Positive correlations were found between the perception of biomedical ethics and nursing ethics. The perception of biomedical ethics was a significant predictor of nursing ethics with an explanatory power of 16.0% of the variance. Conclusion: The findings of this study may provide a basic data to understand the biomedical ethics among Korean nursing students.

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9병원간호사의 type D 성격, 소진, 간호근무환경이 재직의도에 미치는 영향

저자 : 김숙영 ( Sook Young Kim ) , 서연옥 ( Yeonok Suh )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 163-170 (8 pages)

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Purpose: The purpose of this study was to identify the influences of type D personality, burnout and work environment on nurses' intention to stay at the hospitals among nurses. Methods: A cross-sectional descriptive design was used. Participants were 135 nurses working at general hospitals. Data were collected using self-report questionnaires. Data were analyzed using the SPSS/WIN 23.0 program for descriptive statistics, independent t-test, ANOVA, Scheffe test, Pearson's correlation, and hierarchical multiple regression. Results: The score of nurses' intention to stay was 4.78. 39.3% of participants were classified as type D personality group. The scores of burnout and work environment were 2.92 and 2.39, respectively. Intention to stay was negatively correlated with burnout and positively correlated with nurse participation in hospital affairs, nursing foundations for quality of care, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy. Burnout and manager ability, leadership, and support for nurses explained 46.0% of variance of nurses' intention to stay in the hospitals. Conclusion: The results of the study indicate that nursing intervention programs for increasing intention to stay for nurses should include strategies for decreasing the burnout and increasing manager ability, leadership, and support for nurses.

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10다문화가정 아동·청소년 자아개념의 구조모형: 생태체계모형을 기반으로

저자 : 오은진 ( Eun Jin Oh ) , 성경미 ( Kyung Mi Sung )

발행기관 : 경희대학교 동서간호학연구소 간행물 : 동서간호학연구지 24권 2호 발행 연도 : 2018 페이지 : pp. 171-181 (11 pages)

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Purpose: The study aimed to validate a structural model of self-concept among children and adolescents from multicultural families. Methods: Data were collected from 325 mothers of multicultural families and their 417 children. Confirmatory factor analysis, path analysis and multiple mediation analysis with a phantom variable approach were used to assess construct validity and relations between model variables. Results: Goodness of fit indices of the modified theoretical model, the standardized χ2 (2.75), RMR (.02), RMSEA (.07), NFI (.90), TLI (.92), CFI (.94), GFI (.89), and AGFI (.87), met criteria. Social support and mental health problem had significant direct effects on self-concept, whereas residential environment and school adjustment had significant indirect effects, accounting in combination for 53% of the variance in self-concept. Conclusion: Based on the results, mental health problem mediated the relationships of self-concept and parenting stress.

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