경부운동교육이 택시 운전기사의 경부통 완화에 미치는 효과

박연경 부산대학교 대학원 2015 국내박사

요통관리프로그램이 남자고등학생의 요통, 근력, 유연성 및 요통관리행위에 미치는 효과

박순미 부산대학교 교육대학원 2014 국내석사

Purpose: The purpose of this study is to explore the effects of a back pain management program on back pain, muscular strength, flexibility and back pain management behavior for high school boys experiencing back pain. The back pain management program consists of back pain management education and back pain management exercises. Methods: The study was a nonequivalent control group non-synchronized design. The subjects of this study were 74 students with lower back pain. The students as well as their parents agreed to participate in this back pain management program. 37 students were assigned to the experimental group and 37 students to the control group. The data was collected from September 16, 2013 to November 1, 2013. The students in the experimental group were placed in the back pain management program for 6 weeks, and the students in the control group were only given printed materials. Six weeks after the test started, back pain, muscular strength, flexibility and back pain management behavior of the students in each group were measured. The data was processed using the Window statistics program SPSS 18.0. The statistical level of significance was a=.05. It was analyzed with general characteristics of the subjects by percentage, average and standard deviation. The homogeneity verification of the two groups was analyzed by t-test. The difference between before and after intervention was also analyzed by t-test. Results: The level of back pain decreased significantly from 4.94 to 2.52 points in the experimental group, but that of the control group increased from 4.34 to 4.49 points. The first hypothesis, ‘The level of back pain will be more reduced in the experimental group than the control group.’ was supported (p<.001). The level of abdominal muscle strength increased significantly from 33.41 to 56.35 seconds in the experimental group, while that of the control group increased from 32.59 to 33.54 seconds. The level of back muscular strength increased significantly from 27.49 to 62.43 seconds in the experimental group, while that of the control group increased from 27.84 to 28.27 seconds. The second hypothesis, ‘The level of muscle strength will be more increased in the experimental group than the control group.’ was supported (p<.001). The level of flexibility (sit-and-reach) increased significantly from 6.66 to 11.10cm in the experimental group, but that of the control group was decreased from 6.40 to 6.20cm. The level of flexibility (trunk extension) increased significantly from 24.54 to 34.44cm in the experimental group, while that of the control group decreased from 24.66 to 24.41cm. The third hypothesis, ‘The level of flexibility will be more increased in the experimental group than the control group.’ was supported (p<.001). The level of back pain management behavior increased significantly from 33.81 to 48.05 points in the experimental group, while that of the control group decreased from 33.24 to 32.84 points. The fourth hypothesis, ‘The level of back pain management behavior will increased more in the experimental group than the control group.’ was supported (p<.001). Conclusion: The back pain management program improved lower back pain, muscular strength, flexibility and back pain management behavior for high school boys experiencing back pain. Therefore, the back pain management program is a suitable program for high school boys experiencing back pain.

문제중심학습을 이용한 성교육모듈 개발 및 효과

강미옥 부산대학교 2008 국내박사

This study evaluated its development and effects of sexual education module by applying the Barrow and Myers' problem-based learning model in order to improve a right to sexual autonomy for female high school students. This study designed two separate groups, experimental group (problem-based learning) and control group (lecture-based learning), and then compared any changes of their ability to sexual autonomy by treating sexual attitude scale and knowledge of sexual matters which are control variables as covariates. Total 73 subjects, 40 students for the experimental group who are freshmen of U high school and 33 for the control group who are also freshmen of J high school, participated in the study. Data were analysed by using SPSS WIN(version 12.0) with average, standard deviation, t-test and ANCOVA. The significance level was set to .05 level. As a result, problem-based sex education has statistically significant difference on the right to sexual autonomy after controling the scale of their ability to sexual autonomy with their sexual attitude and knowledge of sexual matters. To conclude, sex education module based on the problem-based learning model is effective on the right to sexual autonomy for female high school students.

간호사의 사전의료의향서에 대한 지식, 태도, 경험 및 자신감

김희진 부산대학교 2015 국내석사

Purpose : The purpose of this study was to examine nurses' knowledge, attitudes, experiences, and confidence toward advance directives. Methods: This descriptive study used a sample of.398 nurses who worked at one university hospital in a B-city from the 10th to the 30th of June, 2014. I used the knowledge in advance directives(ADs) instrument which was developed by Hong & Kim(2012), and the Knowledge, Attitudinal, Experiential Survey on Advance Directives (KAESAD) instrument which was developed by Jezewski el(2005) revised by Mi Young Kim(2010). The collected data was analyzed with descriptive statistics, t-test, one-way ANOVA, Scheffe test, and Pearson correlation coefficients using the SPSS WIN 21.0 Program. Results: The average of total score for the knowledge toward ADs was 7.86±1.28, the average score of attitudes was 3.01±0.30, the average score of experiences was 2.35±1.92, and the average score of confidence was 3.06±0.55. The knowledge toward ADs were statistically significant to age(F=3.379, p=.035), children(t=2.002, p=.046), work position(t=-1.989, p=.047), and agreement about institutionalization of advance directives(t=2.054 p=.041). The attitudes toward ADs were statistically significant to age(F=4.197, p=.016), married(t=-3.385, p=.001), children(t=3.248, p=.001), education(t=-2.415, p=.016), work career(F=6.946, p<.001), work position(t=-2.219, p=.027), and experiencing death of close relatives or friends(t=2.774, p=.006). The experiences toward ADs were statistically significant to age(F=3.195, p=.042), education(t=-2.034 p=.043), work career(F=3.730, p=.011), work position(t=-3.191, p=.002), work department(F=7.138, p<.001), and awareness of ADs(F=41.594, p<.001). The confidence toward ADs were statistically significant to education(F=3.471, p=.032), work career(F=2.952, p=.033), work position(t=-3.172, p=.002), work department(F=2.848, p=.037), experiencing death of close relatives or friends(t=2.850, p=.005), and awareness of AD(F=21.624, p<.001). There were significant positive correlations between confidence towards ADs and experiences(r=.458, p<.001). Conclusion: It is necessary to develop education program in order to increase the confidence towards ADs.

중등 보건교사의 직무스트레스에 미치는 영향요인

조수연 부산대학교 교육대학원 2007 국내석사

The objectives of this study are surveying the factors through influence of the job stress of a health teacher and reducing their' the job stress by analyzing the degree of the stress according to the factors related to job stress. Moreover, this research are performed to help enhance the efficiency of health business of a health teacher. The sample used in this study consisted of 136 secondary school health teacher who worked in Pusan province. The Data were collected by self-reporting questionnaires from Dec. 11th in 2006 to Feb. 9th in 2007. The instruments used in this study were the factors related to job scale developed by this researcher, job satisfaction·self-concept scale developed by Seo(2001) and modified by Kim(2002), achievement motivation scale developed by Kim(1986), the degree of job stress scale developed by Wilson(1979) and modified by Lee(1996). The data were analyzed by Frequency, Mean, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regression analysis SPSS win 12.0 statistical program. The results of this study are as follows: 1. The external factors related to job stress(the factors related to job) was regular teacher 94.9%, career of health teacher-the groups of less than 5 years and the groups of more than 21 years 28.7%, previous career of health teacher-hospital 54.4%, In case there is the regular class connected with health education-operation 67.6%, the reason of choosing health teacher-stable job 25.7%. The mean average of the internal factors related to job stress was job satisfaction 2.81, self-concept 2.80, achievement motivation 2.69. The mean average of the degree of job stress was 46.28 out of the total score, 88. 2. In scores of the degree of job stress according to general characteristics were analyzed and as result, the statistical significant difference of the degree of job stress were shown in relation to age(F=4.815, p=.003). In scores of the degree of job stress according to the external factors related to job stress were analyzed and as result, the statistical significant difference of the degree of job stress were shown in relation to previous career of health teacher(F=3.866, p=.023). In scores of the degree of job stress according to the internal factors related to job stress were analyzed and as result, the statistical significant difference of the degree of job stress were shown in relation to job satisfaction(F=26.711, p=.000), self-concept(F=5.865, p=.000), achievement motivation(F=6.001, p=.003). 3. There was significantly negative relationship between job satisfaction and the degree of job stress(r=-.565), self-concept and the degree of job stress(r=-.439), achievement motivation and the degree of job stress(r=-.219) at p<.01 level. 4. The major factor which influence the degree of job stress was job satisfaction. Job satisfaction explained 31.9% of the degree of job stress. If age(4.4%), self-concept(3%) were added, 39.3% of variance would be explained. In conclusion, the factor most affected to the job stress of the health teacher is the degree of the job satisfaction, besides the age, previous career of health teacher, self-conception, achievement motivation. Based on this results, I want to help to develop the program on the job stress alleviation and enhance the efficiency of school health business by diminishing the job stress of health teacher.

응급실 간호사의 소진, 감정노동 및 공감역량이 간호업무성과에 미치는 영향

권은경 부산대학교 대학원 2023 국내석사

본 연구는 응급실 간호사의 간호업무성과에 소진, 감정노동 및 공감역량이 미치는 영향을 파악하고자 시행된 단면적 조사연구이다. 연구대상자는 부산·울산·경남권 권역응급의료센터와 지역응급의료센터 응급실에 근무하는 간호사 중 연구의 목적을 이해하고 참여에 동의한 응급실 간호사 201명이며 일반적 특성, 근무관련 특성, 소진, 감정노동, 공감역량 및 간호업무성과를 온라인을 통해 설문조사하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 서술통계, t-검정, 분산분석(ANOVA), Pearson 상관계수, 위계적 회귀분석으로 분석하였으며 연구결과는 다음과 같다. 본 연구의 주요 요인의 평점평균은 5점 만점에 간호업무성과는 3.82±0.45점, 소진은 3.05±0.50점, 감정노동은 3.49±0.46점, 공감역량은 3.71±0.43점이었다. 최종모형에서 대상자의 간호업무성과에는 공감역량(β=0.64, p<.001), 소진(β=-0.14, p=.006), 응급실 근무경력(β=0.12, p=.012) 순으로 주요 영향요인이 나타났으며 설명력은 54%이었다. 공감역량이 높을수록, 소진이 낮을수록, 응급실 근무경력이 높을수록 간호업무성과가 높았다. 응급실 간호사의 감정노동은 간호업무성과와 상관관계는 확인되었으나 주요 영향요인으로는 확인되지 않았다. 이상의 연구결과, 응급실 간호사의 간호업무성과 향상을 위해서는 응급실 간호사의 공감역량을 강화하고 응급실 간호사의 소진을 감소시키는 방안이 요구된다. 또한 응급실 간호사가 다양한 경험을 가지고 간호 전문성을 강화할 수 있도록 하는 방안과 조직적인 관리가 필요하다.

상급종합병원 간호·간병통합서비스병동 간호사의 팀워크 및 환자안전문화 인식이 환자안전간호 활동에 미치는 영향

이인선 부산대학교 대학원 2022 국내석사

본 연구는 상급종합병원 간호·간병통합서비스병동 간호사의 환자안전문화 인식 및 팀워크가 환자안전간호 활동에 미치는 영향을 파악하기 위한 서술적 조사 연구이다. 연구 대상은 P시, U시와 K도 소재 상급종합병원 간호·간병통합서비스병동에서 직접 간호를 제공하는 간호사 134명으로, 일반적 특성, 직무관련 특성, 환자안전문화 인식, 팀워크 및 환자안전간호 활동을 서면 혹은 온라인 설문조사의 형태로 조사하였다. 수집된 자료는 SPSS WIN 27.0 통계 프로그램을 이용하여 서술통계, t-검정, 분산분석(ANOVA), Pearson 상관계수, 위계적 회귀분석으로 분석하였으며 연구 결과는 다음과 같다. 주요 변수에 대한 평점평균은 5점 만점에 환자안전문화 인식 3.47±0.46점, 팀워크 3.68±0.76점, 환자안전간호 활동 4.65±0.35점이었다. 환자안전간호 활동에 유의한 영향을 미치는 요인은 최종모델에서 팀워크(β=0.32, p=.002), 환자안전문화 인식(β=0.32, p=.003), 안전사고경험(β=0.15 p=.032)이었고 회귀모형은 통계적으로 유의하였으며 설명력은 45.0%이었다. 대상자의 팀워크가 높을수록, 환자안전문화 인식이 높을수록 환자안전간호 활동이 높았고 안전사고경험이 없는 간호사에서 환자안전간호 활동이 높았다. 이상의 연구결과 상급종합병원 간호·간병통합서비스병동 간호사의 환자안전간호 활동을 높이기 위해 환자안전문화 인식과 팀워크를 개선하기 위한 교육프로그램과 안전사고 감소 관련 매뉴얼 개발이 필요하다. This study is a descriptive research study conducted to help improve patient safety nursing activities by identifying factors affecting the patient safety nursing activities of nurses in comprehensive nursing care service wards of tertiary hospital. The subjects of this study were 134 nurses who provided direct nursing care at the comprehensive nursing service wards of tertiary hospitals located in P city, U city and K province, and it was conducted in the form of a written or online survey. In the survey, a questionnaire consisting of a total of 127 questions on general characteristics, job-related characteristics, patient safety culture perception, teamwork, and patient safety nursing activities was used. The collected data were analyzed using the SPSS WIN 27.0 statistical program, and the research results are as follows. The average score for the main variables was 3.68±0.76 for teamwork, 3.47±0.46 for patient safety culture perception, and 4.65±0.35 for patient safety nursing activity. Factors significantly affecting patient safety nursing activity were teamwork (β=.33, p=.002), patient safety culture perception (β=.32, p=.003), safety accident experience (β=0.15, p=.032), and the regression model was statistically significant and the explanatory power was 45.0% in the final model. The higher the patient's perception of patient safety culture and the higher the teamwork, the higher the patient safety nursing activity. In order to increase the patient safety nursing activities of nurses in comprehensive nursing care service wards of tertiary hospital, we prepared an educational program to improve teamwork and patient safety culture perception and necessary to develop a manual related to the reduction of safety accidents.

만성 폐쇄성 폐질환자의 폐기능, 호흡곤란 및 건강관련 삶의 질

전정해 부산대학교 2007 국내석사

Although the goals of effective management of patients with COPD include relieving their symptoms and improving their health status, few studies have evaluated the subjective measurements in comparison to the objective measurements. The purpose of this study is to compare relationship among pulmonary function, dyspnea, and health-related quality of life in patients with COPD. The participants consisted of 53 consecutive COPD outpatient at pulmonary department of internal medicine of P university hospital. The data were collected from February 16 to June 19, 2007. The instruments were used FEV1(%), the Baseline Dyspnea Index(BDI), the Medical Research Council Scale(MRCS), and the St. George's respiratory questionnaire(SGRQ). Obtained data were analyzed by the SPSS program with frequency, percentage, mean, standard deviation, range, Pearson's correlation, ANOVA, and Fisher's least significant difference. Dyspnea of patients with moderate and severe stage were deeper than one of patients with mild stage(BDI F=5.452, p=.007; MRCS F=4.925, p=.011). And health-related quality of life of patients with severe stage were poorer than one of patients with mild stage(F=3.778, p=.030). There were significant, but weak, correlations between scores of the BDI(r=.471), the MRCS(r=-.403), the SGRQ(r=-.476) and FEV1. There were strong correlations between scores of the BDI(r=-.752), the MRCS(r=.645) and the SGRQ. And FEV1 didn't correlated with the BDI, the MRCS, and the SGRQ scores in patient of moderate stage and severe stage. But there were also strong correlations between the BDI(r=-.719), the MRCS(r=.607) and the SGRQ in patient of moderate stage and severe stage. Specially, correlation between the BDI and the SGRQ were higher than one between the MRCS and the SGRQ. In conclusion, Using the BDI for evaluation of the subjective dyspnea with objective pulmonary functional test in patients with COPD, it will able to grasp the health-related quality of life.

가상 시뮬레이션 간호실습교육의 협력적 성찰기반 디브리핑 개발 및 효과

윤지아 부산대학교 대학원 2022 국내박사

연구목적: 간호학생을 대상으로 가상 시뮬레이션 간호실습교육 수행 시 협력적 성찰기반 디브리핑을 개발 및 적용하여 학습자의 문제해결능력 및 임상수행능력 향상과 높은 수준의 성찰적 사고를 촉진함으로써 학습자의 간호역량을 향상시키고자 한다. 연구방법: 본 연구에서 개발한 협력적 성찰기반 디브리핑은 가상 시뮬레이션 실습경험에 대해 개별적 성찰을 수행하는 사전 디브리핑 단계, 개별적 성찰내용을 공유하는 감정을 해소하는 단계, 구성원들간의 대화, 토론, 협상을 통해 대안을 탐색 및 발견하는 단계, 임상실무로 사고를 확장하여 메타인지적 사고를 촉진하는 사고의 확장단계를 거치면서 협력적 성찰을 수행하도록 구성하였다. 디브리핑의 효과를 확인하기 위해 B광역시 D대학교 4학년 간호대학생 중 실험군 34명, 대조군 32명을 대상으로 무작위 대조군 연구를 수행하였다. 실험군에게는 협력적 성찰기반 디브리핑을, 대조군에게는 개별 디브리핑을 총 3회에 걸쳐 수행하였다. 매 회 중재 종료 시 지식평가를, 3회의 중재 종료 시 문제해결능력, 임상의사결정에 대한 자신감, 성찰적 사고의 수준, 디브리핑 만족도를 측정하였다. 중재 종료 4주 후와 8주 후 중재 유지효과를 확인하기 위해 문제해결능력, 임상의사결정에 대한 자신감, 성찰적 사고의 수준을 측정하였다. 자료분석은 SPSS/WIN 28.0 프로그램을 이용하였으며, independent t-test, Repeated Measures ANOVA(mixed model)을 사용하여 분석하였다. 연구결과: 중재 후 실험군은 대조군보다 시간 경과에 따라 지식(F=2.78, p=.049), 문제해결능력(F=3.06 p=.035), 임상의사결정에 대한 자신감(F=5.36. p=.003)이 유의하게 향상되었다. 3회 중재 종료 후 실험군은 대조군보다 디브리핑 만족도(t=9.31, p<.001), 심층적 성찰(t=4.69, p<.001) 및 성찰(t=2.62. p=.013) 수준이 유의하게 높았다. 중재 종료 4주 후 실험군은 대조군보다 심층적 성찰(t=2.65. p=.011), 성찰(t=2.07. p=.044) 수준이 모두 유의하게 높았으며, 8주 후에도 실험군이 대조군보다 심층적 성찰(t=2.67. p=.011), 성찰(t=2.76. p=.009) 수준이 모두 유의하게 높았다. 결론: 이상의 결과, 협력적 성찰기반 디브리핑을 적용한 가상 시뮬레이션 간호실습교육에서 지식, 문제해결능력 및 임상의사결정에 대한 자신감이 향상되는 것으로 나타났다. 따라서 가상 시뮬레이션 간호실습교육에서 학습자들 간의 협력적 성찰을 통해 높은 수준의 성찰적 사고를 달성함으로써 임상현장에서 요구하는 간호역량을 향상시킬 수 있을 것이다.

공복혈당장애 성인의 혈청지질과 혈압 관련요인

이영숙 부산대학교 2015 국내석사

Purpose: The purpose of this study is to identify related factors of the serum lipids and the blood pressure in adults aged more than 19 in Korea, with impaired fasting glucose, and to help to develop a health care program for impaired fasting glucose group. Method: This study is cross-sectional research based on 2012 National Health and Nutrition Survey Data. The study subjects were 346 adults aged more than 19, with impaired fasting glucose. Obtain data were analyzed by using χ2-test and logistic regression with the SPSS//WIN18.0 program. Result: 1. The proportion of normal level group in total cholesterol, triglyceride, and blood pressure merely accounted for 48.6%, 52.5%, and 34.0%, respectively. 2. As to total cholesterol, the group of those who eat out once or twice a week and the group of those who eat out more than three times a week had significantly higher odds(OR=3.28, OR=4.22, respectively) of belonging to boundary level group in total cholesterol, compared with the group of those who eat out less than three times monthly. 3. As to triglyceride, the obese group had significantly higher odds(OR=5.27) of belonging to boundary group in triglyceride and significantly higher odds(OR=5.55) of belonging to the abnormal level group in triglyceride, compared with the normal weight group. The group of those who do exercise with a more than moderate level had significantly higher odds(OR=0.30) of belonging to the boundary group in triglyceride, compared with the group of those who do not. 4. As to blood pressure, The overweight group had significantly higher odds (OR=3.25) of belonging to hypertension group, compared with the normal weight group. The group of those who eat out more than three times a week had significantly higher odds(OR=3.13) of belonging to prehypertension group, compared with the group of those who eat out less than three times a month. The harmful drinking group had significantly higher odds(OR=4.08) of belonging to hypertension group, compared with the non-drinking group. The ex-smoking group had significantly higher odds(OR=3.48) of belonging to prehypertension group and had significantly higher odds(OR=2.74) of belonging to hypertension group, compared with the non-smoking group. Conclusion: It is necessary to include an plan of managing total cholesterol, triglyceride and blood pressure in developing a health care program for impaired fasting glucose group. To do that, it is required to intensively care for the overweight group, the obese group, and the group of those who eat out more than once a week, to keep making follow-up observation on the ex-smoker, and to come up with a plan to manage exercise with a more than moderate level and living habits including drinking.