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한국지역사회간호학회> 지역사회간호학회지> 뇌파 바이오피드백훈련 간호중재가 학교 청소년 정서행동문제 관심군의 자기조절에 미치는 효과

KCI등재SCOUPUS

뇌파 바이오피드백훈련 간호중재가 학교 청소년 정서행동문제 관심군의 자기조절에 미치는 효과

The Effects of Brain-wave Biofeedback Training Nursing Intervention upon Self-regulation of Emotional Behavior Problem in Adolescents at School

최문지 ( Choi¸ Moon-ji ) , 박완주 ( Park¸ Wan-ju )
  • : 한국지역사회간호학회
  • : 지역사회간호학회지 32권3호
  • : 연속간행물
  • : 2021년 09월
  • : 254-267(14pages)
지역사회간호학회지

DOI


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서 론
연구방법
연구결과
논 의
결론 및 제언
REFERENCES

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초록 보기

Purpose: The purpose of this study was to identify the effects of brain-wave biofeedback training nursing intervention (NFT) upon enhancing self-regulation response in adolescence with emotional behavior problems in school. Methods: A quasi-experimental design was conducted. The participants were assigned to the experimental group (n=24) or the control group (n=24). The experimental group additionally received NFT. The NFT was conducted 10 sessions for 30 minutes per session with the band reward and inhibit training which matched their Quantitative Electroencephalography (QEEG), participant’s demand and chief complaint. Data were collected with QEEG and heart rate variability (HRV) in physiological response, self-efficacy in cognitive response, depression in emotional response, impulsivity and delay gratification in behavioral response of self-regulation. Results: The general characteristics and the pre-test scores of two groups were all homogeneous. The experimental group was reported to be significantly higher in QEEG homeostasis, HRV homeostasis, self-efficacy, and delay gratification than the control group. The experimental group was reported to be significantly lower in depression and impulsivity. Conclusion: The results indicate that NFT using brain cognitive neuroscience approach is effective in enhancing self-regulation response. Therefore, this nursing intervention using brain cognitive neuroscience approach can be applied as an effective self-regulation nursing intervention for adolescents with emotional behavior problems in communities for adaptive life.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 간호학
  • : KCI등재
  • : SCOPUS
  • : 계간
  • : 1225-9594
  • : 2288-4203
  • : 학술지
  • : 연속간행물
  • : 1989-2021
  • : 1646


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KCI등재 SCOPUS

1치매 노인을 돌보는 요양보호사의 서비스 질에 미치는 영향요인: 치매에 대한 지식, 일 가치감과 업무수행 자신감을 중심으로

저자 : 김두리 ( Kim¸ Doo Ree ) , 김광환 ( Kim¸ Kwang Hwan ) , 이수연 ( Lee¸ Soo Yeon ) , 한선희 ( Han¸ Sun Hee ) , 이기란 ( Lee Gi Ran )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 233-242 (10 pages)

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Purpose: The purpose of this study was to verify influencing factors affecting service quality provided by caregivers working for the elderly with dementia. Methods: Data were collected using a self-reported questionnaire from 214 caregivers in a long-term care facility in D city. The data were analyzed with service quality, dementia knowledge, work value, and job performance confidence. For data analysis, the descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression were performed using SPSS/WIN 21.0 program. Results: There were significant differences in service quality depending on the health status. Factors influencing service quality were work value, and job performance confidence with R2 value of 38%. The highly influencing factors were work value, and job performance confidence. Conclusion: The results of this study indicate that the effort to improve the service quality of caregivers should focus on work value and job performance confidence.

KCI등재 SCOPUS

2방문건강관리 대상 여성노인의 요실금 유병과 삶의 질 영향요인

저자 : 소애영 ( So¸ Aeyoung ) , 박선아 ( Park¸ Sunah )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 243-253 (11 pages)

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Purpose: The purpose of this study is to identify factors affecting the urinary incontinence (UI) prevalence and the quality of life among elderly adult women who are subject to home visiting healthcare services. Methods: A cross-sectional study was conducted with 400 women aged 60 or over who were registered for home health care services at one health center in Gangwon-do. Data were collected using a structured questionnaire consisting of UI severity, UI type, and the quality of life. The UI severity was assessed using International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), the quality of life using Incontinence Quality of Life (I-QOL), and type of UI using Questionnaire for Urinary Incontinence Diagnosis (QUID). The data were analyzed by using x2 test, independent t-test, one-way ANOVA, Pearson's Correlation, binary logistic, and multiple lineal regression. Results: The prevalence of UI is 51.7%. The mean score of ICIQ-SF was 9.70±4.04 for women with UI and 0.04±0.51 for women without UI (t=-33.67, p<.001). As the frequency of day time urination (OR=1.34), the subjective health status (OR=1.45), and the educational status (OR=0.90) were higher, the risk of UI prevalence was the higher. The factors affecting I-QOL were ICIQ-SF score, mixed UI, subjective health status, and nighttime urination (adjusted R2=.61). Conclusion: The results of this study showed that UI severity, mixed UI, subjective health status, and day time urination affected the quality of life. It suggests that the assessment for the severity and type of UI be needed to prevent UI or improve the quality of life of UI vulnerable elderly adult women.

KCI등재 SCOPUS

3뇌파 바이오피드백훈련 간호중재가 학교 청소년 정서행동문제 관심군의 자기조절에 미치는 효과

저자 : 최문지 ( Choi¸ Moon-ji ) , 박완주 ( Park¸ Wan-ju )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 254-267 (14 pages)

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초록보기

Purpose: The purpose of this study was to identify the effects of brain-wave biofeedback training nursing intervention (NFT) upon enhancing self-regulation response in adolescence with emotional behavior problems in school. Methods: A quasi-experimental design was conducted. The participants were assigned to the experimental group (n=24) or the control group (n=24). The experimental group additionally received NFT. The NFT was conducted 10 sessions for 30 minutes per session with the band reward and inhibit training which matched their Quantitative Electroencephalography (QEEG), participant's demand and chief complaint. Data were collected with QEEG and heart rate variability (HRV) in physiological response, self-efficacy in cognitive response, depression in emotional response, impulsivity and delay gratification in behavioral response of self-regulation. Results: The general characteristics and the pre-test scores of two groups were all homogeneous. The experimental group was reported to be significantly higher in QEEG homeostasis, HRV homeostasis, self-efficacy, and delay gratification than the control group. The experimental group was reported to be significantly lower in depression and impulsivity. Conclusion: The results indicate that NFT using brain cognitive neuroscience approach is effective in enhancing self-regulation response. Therefore, this nursing intervention using brain cognitive neuroscience approach can be applied as an effective self-regulation nursing intervention for adolescents with emotional behavior problems in communities for adaptive life.

KCI등재 SCOPUS

4남자중학생 대상 플립드러닝 적용 생활기술훈련 금연 프로그램의 효과

저자 : 서은희 ( Seo¸ Eun Hee ) , 최은숙 ( Choi¸ Eun Suk )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 268-280 (13 pages)

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Purpose: The study is examined the effects of the smoking cessation program of life skills training using flipped learning for male middle school students. Methods: The study was a nonequivalent control group non-synchronized design. The Smoking Cessation Program of life skills training using flipped learning is a Smoking Cessation Program that applied 5 stages of flipped learning such as before class, introductory class, during class, after class, and during work. Participants were 32 male students attending a middle school in D city, with 16 in the control group and 16 in the experiment group. Data collection was conducted from February 26, 2019 to May 14, 2019 for the control group, and from May 28, 2019 to August 19, 2019 for the experiment group. The collected smoking knowledge, smoking attitude, self-efficacy, basic psychological needs, and urine cotinine were analyzed by x2 test, independent t-test, two-way repeated measured ANOVA, and Fishers exact test using the SPSS 25.0 program. Results: The experimental group showed higher smoking knowledge, smoking attitude, self-efficacy, basic psychological need, and urine cotinine negative response than the control group, and there were significant differences. Conclusion: These findings indicate that the Smoking Cessation Program of life skill training using flipped learning is an effective intervention for cessation of middle school male students, and it has a positive effect on the increase in urine cotinine, and a physiological indicator of the cessation effect, and is effective in the success of smoking cessation.

KCI등재 SCOPUS

5지역의 건강결정요인 취약성 유형화 및 유형별 건강수준의 차이

저자 : 박보현 ( Park¸ Bohyun ) , 이경희 ( Yi¸ Kyunghee ) , 최숙자 ( Choi¸ Sookja ) , 서수경 ( Seo¸ Sukyong ) , 최선임 ( Choi¸ Seonim )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 281-291 (11 pages)

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Purpose: This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types. Methods: Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey. Results: We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual's. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective. Conclusion: A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.

KCI등재 SCOPUS

6Associated Factors of Depression and Suicidal Behaviors among Korean Adolescents: Web-based Survey of the Korea Youth Risk Behavior in 2015~2017

저자 : Choi¸ Hyun-a , Yang¸ Hyejin

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 292-302 (11 pages)

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Purpose: Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents. Methods: The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis. Results: The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives' home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52). Conclusion: The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

KCI등재 SCOPUS

7지역사회 거주 고혈압 노인의 자가관리행위 영향요인

저자 : 홍정주 ( Hong¸ Jeongju )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 303-311 (9 pages)

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Purpose: This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas. Methods: Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge. Conclusion: The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

KCI등재 SCOPUS

8결핵 환자의 자기 낙인(self-stigma)에 대한 개념 분석

저자 : 염선미 ( Yeom¸ Seonmi ) , 강정희 ( Kang¸ Jeong Hee ) , 양영란 ( Yang¸ Youngran )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 312-324 (13 pages)

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Purpose: Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis. Methods: The analysis was conducted using Walker and Avant's conceptual approach. Twenty-seven studies met the selection criteria. Results: Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.

KCI등재 SCOPUS

9한국 청소년의 자기파괴적 행동변인 관련 충동성 메타분석

저자 : 박완주 ( Park¸ Wanju ) , 박신정 ( Park¸ Shinjeong ) , 최문지 ( Choi¸ Moonji ) , 김경진 ( Kim¸ Kyengjin )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 325-343 (19 pages)

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Purpose: The purpose of this study is to determine the results of a meta-analysis of impulsivity variables related to self-destructive behavior of South Korean adolescents. Methods: A meta-analysis was carried out according to the Cochrane guidelines criteria and the quality of the studies was evaluated using the JBI checklist. 2,333 studies were collected through the databases of RISS, KISS, and DBpia on 'impulsivity' published from 2000 to 2020. Self-destructive behavior-related variables were largely categorized into three areas (addiction, violence, and delinquency), and six subgroups. Results: Using the correlations with impulsivity in the final 53 papers, 231 self-destructive behavior-related variables were identified. The social delinquency showed the closest relationship with impulsivity (ES=0.34, 95% CI: 0.23~0.43, p<.001), followed by addictive behavior (ES=0.28, 95% CI: 0.24~0.32, p<.001), personal delinquency (ES=0.28, 95% CI: 0.23~0.32, p<.001), violence against others, violence against self, and substance addiction. These effects were identified as ranging from magnitudes of 0.23 to 0.27 based on the criteria of Cohen. Conclusion: To improve the reliability of the results of meta-analysis, more studies on the impulsivity of adolescents should be carried out so that the results can be accumulated, and the effectiveness can be examined in-depth later.

KCI등재 SCOPUS

10외국인 근로자의 신체활동에 영향을 미치는 요인: 건강증진모형 기반

저자 : 조정의 ( Cho¸ Jeong Eui ) , 하영미 ( Ha¸ Yeongmi )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 344-355 (12 pages)

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Purpose: With low birth rates and aging population problems in Korea, the number of foreign workers grows rapidly. The purpose of this study was to identify factors influencing physical activity of foreign workers based on a Health Promotion Model by examining relationships between acculturation, perceived benefits, perceived barriers, exercise self-efficacy, activity-related affect, social support, and physical activity. Methods: The participants were foreign workers aged 18 to 60 who were employed at eight shipyards. A questionnaire was distributed to 216 participants. Results: As a result of the multivariate ordinal logistic regression analysis, factors affecting physical activity of foreign workers were perceived benefits (B=.65, 95% CI=0.08~1.22), exercise self-efficacy (B=.16, 95% CI=0.05~0.26), integration (B=.41 95% CI=0.14~0.69), and social support for physical activity (B=.48, 95% CI=0.12~0.83). The total explanatory power was 17.7% (x2=41.95, p<.001). Conclusion: Based on these results, there is a need to develop a customized program to increase physical activities of foreign workers by enhancing integration, perceived benefits, exercise self-efficacy and social support.

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KCI등재SCOUPUS

1치매 노인을 돌보는 요양보호사의 서비스 질에 미치는 영향요인: 치매에 대한 지식, 일 가치감과 업무수행 자신감을 중심으로

저자 : 김두리 ( Kim¸ Doo Ree ) , 김광환 ( Kim¸ Kwang Hwan ) , 이수연 ( Lee¸ Soo Yeon ) , 한선희 ( Han¸ Sun Hee ) , 이기란 ( Lee Gi Ran )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 233-242 (10 pages)

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(기관인증 필요)

초록보기

Purpose: The purpose of this study was to verify influencing factors affecting service quality provided by caregivers working for the elderly with dementia. Methods: Data were collected using a self-reported questionnaire from 214 caregivers in a long-term care facility in D city. The data were analyzed with service quality, dementia knowledge, work value, and job performance confidence. For data analysis, the descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression were performed using SPSS/WIN 21.0 program. Results: There were significant differences in service quality depending on the health status. Factors influencing service quality were work value, and job performance confidence with R2 value of 38%. The highly influencing factors were work value, and job performance confidence. Conclusion: The results of this study indicate that the effort to improve the service quality of caregivers should focus on work value and job performance confidence.

KCI등재SCOUPUS

2방문건강관리 대상 여성노인의 요실금 유병과 삶의 질 영향요인

저자 : 소애영 ( So¸ Aeyoung ) , 박선아 ( Park¸ Sunah )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 243-253 (11 pages)

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Purpose: The purpose of this study is to identify factors affecting the urinary incontinence (UI) prevalence and the quality of life among elderly adult women who are subject to home visiting healthcare services. Methods: A cross-sectional study was conducted with 400 women aged 60 or over who were registered for home health care services at one health center in Gangwon-do. Data were collected using a structured questionnaire consisting of UI severity, UI type, and the quality of life. The UI severity was assessed using International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), the quality of life using Incontinence Quality of Life (I-QOL), and type of UI using Questionnaire for Urinary Incontinence Diagnosis (QUID). The data were analyzed by using x2 test, independent t-test, one-way ANOVA, Pearson's Correlation, binary logistic, and multiple lineal regression. Results: The prevalence of UI is 51.7%. The mean score of ICIQ-SF was 9.70±4.04 for women with UI and 0.04±0.51 for women without UI (t=-33.67, p<.001). As the frequency of day time urination (OR=1.34), the subjective health status (OR=1.45), and the educational status (OR=0.90) were higher, the risk of UI prevalence was the higher. The factors affecting I-QOL were ICIQ-SF score, mixed UI, subjective health status, and nighttime urination (adjusted R2=.61). Conclusion: The results of this study showed that UI severity, mixed UI, subjective health status, and day time urination affected the quality of life. It suggests that the assessment for the severity and type of UI be needed to prevent UI or improve the quality of life of UI vulnerable elderly adult women.

KCI등재SCOUPUS

3뇌파 바이오피드백훈련 간호중재가 학교 청소년 정서행동문제 관심군의 자기조절에 미치는 효과

저자 : 최문지 ( Choi¸ Moon-ji ) , 박완주 ( Park¸ Wan-ju )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 254-267 (14 pages)

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Purpose: The purpose of this study was to identify the effects of brain-wave biofeedback training nursing intervention (NFT) upon enhancing self-regulation response in adolescence with emotional behavior problems in school. Methods: A quasi-experimental design was conducted. The participants were assigned to the experimental group (n=24) or the control group (n=24). The experimental group additionally received NFT. The NFT was conducted 10 sessions for 30 minutes per session with the band reward and inhibit training which matched their Quantitative Electroencephalography (QEEG), participant's demand and chief complaint. Data were collected with QEEG and heart rate variability (HRV) in physiological response, self-efficacy in cognitive response, depression in emotional response, impulsivity and delay gratification in behavioral response of self-regulation. Results: The general characteristics and the pre-test scores of two groups were all homogeneous. The experimental group was reported to be significantly higher in QEEG homeostasis, HRV homeostasis, self-efficacy, and delay gratification than the control group. The experimental group was reported to be significantly lower in depression and impulsivity. Conclusion: The results indicate that NFT using brain cognitive neuroscience approach is effective in enhancing self-regulation response. Therefore, this nursing intervention using brain cognitive neuroscience approach can be applied as an effective self-regulation nursing intervention for adolescents with emotional behavior problems in communities for adaptive life.

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4남자중학생 대상 플립드러닝 적용 생활기술훈련 금연 프로그램의 효과

저자 : 서은희 ( Seo¸ Eun Hee ) , 최은숙 ( Choi¸ Eun Suk )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 268-280 (13 pages)

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Purpose: The study is examined the effects of the smoking cessation program of life skills training using flipped learning for male middle school students. Methods: The study was a nonequivalent control group non-synchronized design. The Smoking Cessation Program of life skills training using flipped learning is a Smoking Cessation Program that applied 5 stages of flipped learning such as before class, introductory class, during class, after class, and during work. Participants were 32 male students attending a middle school in D city, with 16 in the control group and 16 in the experiment group. Data collection was conducted from February 26, 2019 to May 14, 2019 for the control group, and from May 28, 2019 to August 19, 2019 for the experiment group. The collected smoking knowledge, smoking attitude, self-efficacy, basic psychological needs, and urine cotinine were analyzed by x2 test, independent t-test, two-way repeated measured ANOVA, and Fishers exact test using the SPSS 25.0 program. Results: The experimental group showed higher smoking knowledge, smoking attitude, self-efficacy, basic psychological need, and urine cotinine negative response than the control group, and there were significant differences. Conclusion: These findings indicate that the Smoking Cessation Program of life skill training using flipped learning is an effective intervention for cessation of middle school male students, and it has a positive effect on the increase in urine cotinine, and a physiological indicator of the cessation effect, and is effective in the success of smoking cessation.

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5지역의 건강결정요인 취약성 유형화 및 유형별 건강수준의 차이

저자 : 박보현 ( Park¸ Bohyun ) , 이경희 ( Yi¸ Kyunghee ) , 최숙자 ( Choi¸ Sookja ) , 서수경 ( Seo¸ Sukyong ) , 최선임 ( Choi¸ Seonim )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 281-291 (11 pages)

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Purpose: This study examined health determinants at a community level and put forward to a typology of five different forms of community health vulnerabilities. We also investigated the differences in the prevalence of chronic diseases, self-rated health, and quality of life (EQ-5D) among the five types. Methods: Latent class analysis was applied to material, social capital, and health behavior vulnerability variables across 255 regions of South Korea. The data came from 2017 & 2019 Community Health Survey. Results: We found five types of community health vulnerabilities: Type 1 group had the highest material vulnerabilities compared to Type 5. The typology was found to be significant in all the regression analysis on the prevalence of chronic diseases (hypertension and diabetes), self-rated health status, and quality of life. In the regions with high material vulnerabilities, the material vulnerability appeared the most effective to the health status of individual's. In the other regions with less material vulnerabilities, the social capital and health behavior resources were found to be effective. Conclusion: A comprehensive measure of vulnerability can be helpful to understand community health. Policy makers need to consider the level of material vulnerability when planning for a health promotion project.

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6Associated Factors of Depression and Suicidal Behaviors among Korean Adolescents: Web-based Survey of the Korea Youth Risk Behavior in 2015~2017

저자 : Choi¸ Hyun-a , Yang¸ Hyejin

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 292-302 (11 pages)

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Purpose: Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents. Methods: The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis. Results: The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives' home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52). Conclusion: The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

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7지역사회 거주 고혈압 노인의 자가관리행위 영향요인

저자 : 홍정주 ( Hong¸ Jeongju )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 303-311 (9 pages)

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Purpose: This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas. Methods: Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge. Conclusion: The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

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8결핵 환자의 자기 낙인(self-stigma)에 대한 개념 분석

저자 : 염선미 ( Yeom¸ Seonmi ) , 강정희 ( Kang¸ Jeong Hee ) , 양영란 ( Yang¸ Youngran )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 312-324 (13 pages)

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Purpose: Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis. Methods: The analysis was conducted using Walker and Avant's conceptual approach. Twenty-seven studies met the selection criteria. Results: Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.

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9한국 청소년의 자기파괴적 행동변인 관련 충동성 메타분석

저자 : 박완주 ( Park¸ Wanju ) , 박신정 ( Park¸ Shinjeong ) , 최문지 ( Choi¸ Moonji ) , 김경진 ( Kim¸ Kyengjin )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 325-343 (19 pages)

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Purpose: The purpose of this study is to determine the results of a meta-analysis of impulsivity variables related to self-destructive behavior of South Korean adolescents. Methods: A meta-analysis was carried out according to the Cochrane guidelines criteria and the quality of the studies was evaluated using the JBI checklist. 2,333 studies were collected through the databases of RISS, KISS, and DBpia on 'impulsivity' published from 2000 to 2020. Self-destructive behavior-related variables were largely categorized into three areas (addiction, violence, and delinquency), and six subgroups. Results: Using the correlations with impulsivity in the final 53 papers, 231 self-destructive behavior-related variables were identified. The social delinquency showed the closest relationship with impulsivity (ES=0.34, 95% CI: 0.23~0.43, p<.001), followed by addictive behavior (ES=0.28, 95% CI: 0.24~0.32, p<.001), personal delinquency (ES=0.28, 95% CI: 0.23~0.32, p<.001), violence against others, violence against self, and substance addiction. These effects were identified as ranging from magnitudes of 0.23 to 0.27 based on the criteria of Cohen. Conclusion: To improve the reliability of the results of meta-analysis, more studies on the impulsivity of adolescents should be carried out so that the results can be accumulated, and the effectiveness can be examined in-depth later.

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10외국인 근로자의 신체활동에 영향을 미치는 요인: 건강증진모형 기반

저자 : 조정의 ( Cho¸ Jeong Eui ) , 하영미 ( Ha¸ Yeongmi )

발행기관 : 한국지역사회간호학회 간행물 : 지역사회간호학회지 32권 3호 발행 연도 : 2021 페이지 : pp. 344-355 (12 pages)

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Purpose: With low birth rates and aging population problems in Korea, the number of foreign workers grows rapidly. The purpose of this study was to identify factors influencing physical activity of foreign workers based on a Health Promotion Model by examining relationships between acculturation, perceived benefits, perceived barriers, exercise self-efficacy, activity-related affect, social support, and physical activity. Methods: The participants were foreign workers aged 18 to 60 who were employed at eight shipyards. A questionnaire was distributed to 216 participants. Results: As a result of the multivariate ordinal logistic regression analysis, factors affecting physical activity of foreign workers were perceived benefits (B=.65, 95% CI=0.08~1.22), exercise self-efficacy (B=.16, 95% CI=0.05~0.26), integration (B=.41 95% CI=0.14~0.69), and social support for physical activity (B=.48, 95% CI=0.12~0.83). The total explanatory power was 17.7% (x2=41.95, p<.001). Conclusion: Based on these results, there is a need to develop a customized program to increase physical activities of foreign workers by enhancing integration, perceived benefits, exercise self-efficacy and social support.

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