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      • 인지행동치료적용 집단정신간호중재가 알코올의존환자의 자존감과 공격성에 미치는 효과

        문명희 경북대학교 교육대학원 2017 국내석사

        RANK : 250671

        (Abstract) Purpose: The study was done to investigate the effects of group psychiatric nursing intervention applied Cognitive Behavioral Therapy(CBT) on self-esteem and hostility of patients with alcohol dependence. Methods: The research design was a quasi experimental research with a nonequivalent control group pre-posttest. The participants were recruited from the mental health clinic of a general hospital in D city. The research was carried out from February 6th and March 7th, 2017. To test the effects of group psychiatric nursing intervention applied CBT, the participants were divided into two groups; an experimental group (24) and a control group (27). The intervention was provided to the experimental group for 60 minutes/session twice a week during 4.5 weeks. Data was analyzed using Fisher’s exact probability test, χ2-test, and independent sample t-test With SPSS/WIN 12.0 program. Results: After attending group psychiatric nursing intervention applied CBT, the first hypothesis was verified as the score for self-esteem in the experimental group was significantly higher than the control group(t=4.49 p<.001). The second hypothesis was verified as the score for hostility score was lower than the control group(t=-3.59 p<.001). Conclusion: These results indicate that group psychiatric nursing intervention applied CBT enhances self-esteem and reduces hostility of patients with alcohol dependence. Now, Nurses specialized in mental health, psychiatry, and addiction are actively involved in clinical and community work. Therefore, this nursing intervention contributes to specialization and area expansion of psychiatric nursing at this point by verifying the effects on self-esteem improvement for rehabilitation and hostility reduction among alcoholics finished acute treatment.

      • 결핵환자의 질병인식과 건강행위와의 관계 : 자기효능감 및 가족지지의 매개효과

        김혜진 경북대학교 교육대학원 2017 국내석사

        RANK : 250655

        Purpose : The purpose of this study was to investigate the Mediating Effects of Self-efficacy and Family support in the Relationship between Illness perception and Health behaviors of tuberculosis patients. Methods : A descriptive, cross-sectional study was conducted with 219 tuberculosis patients Who took the drug over 2 months one general hospital in D city in korea. Data collected from survey using self-reported questionnaires were analyzed by descriptive statistics, Pearson’s correlation coefficients, and multiple regression analysis using SPSS statistics 23.0 program. Result : There were statistically significant correlations among variables; a positive correlation between health behaviors and Illness perception, a positive correlation between Self-efficacy, Family support and health behavior. And a positive correlation between Self-efficacy, Family support and Illness perception. Meanwhile, Self-efficacy and Family support had a each partial mediation effect on the relationship between Illness perception and health behaviors. That is, Self-efficacy and Family support can play an important role between Illness perception and health behaviors of tuberculosis patients as a mediator.

      • 외래간호사의 개별교육과 전화방문이 본태성 고혈압 환자의 간호서비스 만족 및 건강행위 이행에 미치는 효과

        김안순 全北大學校 敎育大學院 2004 국내석사

        RANK : 234367

        본 연구의 목적은 외래 간호사가의 본태성 고혈압 환자에게 제공하는 개별교육과 전화방문이 간호서비스 만족도와 건강행위에 미치는 영향을 규명하기 위함이다. 본 연구 설계는 비 동등성 대조군 사후 실험설계이며 연구대상자는 실험군 36명과 대조군 39명이었다. 실험군에게는 20-30분 동안 2회의 개별교육과 10~20분 동안 2회의 전화방문이 제공되었다. 연구도구는 강현주(1997)가 개발하고 본 연구자가 수정 보완한 간호서비스 만족도 측정도구, 이영휘(1995)가 개발하고 본 연구자가 수정 보완한 건강행위 이행 측정도구를 사용하였다. 자료는 2003년 5월 1일부터 2003년 9월 30일까지 설문지와 생리적 측정을 이용하여 수집되었다. 자료의 분석은 SPSS 10.0/PC 프로그램을 이용하였다. 주요 연구결과는 다음과 같다. 1) 간호서비스 만족도는 실험군이 대조군에 비해 유의하게 높아졌다(t=-15.922, p=.000). 2) 건강행위 이행 정도는 실험군이 대조군에 비해 유의하게 증진되었다(t=-7.320, p=.000). 3) 수축기 혈압은 실험군이 대조군에 비해 유의하게 낮아졌으나(t=-3.820, p=.000), 이완기 혈압은 실험군과 대조군간에 유의한 차이가 없었다(t=-1.475, p=.144). 4) 간호서비스 만족도와 건강행위 이행정도는 매우 높은 정 상관관계를 나타내었다(r=.758, p=.000). 본 연구를 통해서 외래 간호사가 고혈압 환자에게 제공하는 개별교육과 전화방문을 이용한 추후관리가 간호서비스에 대한 환자의 만족도와 건강행위 이행에 유용한 간호중재 프로그램임을 알 수 있었다. 따라서 본 연구는 외래 간호사가 고혈압환자에게 제공하는 개별교육과 전화방문이 간호의 질과 고객만족도를 높이는데 기여할 것이다. The purpose of this study was to determine the effects of individualized education and telephone calls on health behavior and nursing service satisfaction of primary hypertension patient in ambulatory setting. The research design of this study was a nonequivalent control group post-test only design. The experimental group consisted of control group(n=36) and experimental group(n=39). The experimental group received the twice individualized educations of 20~30minutes and twice telephone calls of 10~20minutes. The modified form of nursing service satisfaction scale developed by Kang(1997) and The modified form of health behavior scale developed by Lee(1995) were used for data collection. The data collected between May 1,2003 and September 30,2003 by questionnaire. The collected data were analyzed by Chi-square test, t-test, ANCOVA and Cronbach's Alpha using SPSS 10.0/PC program. The results were as follow: 1) Nursing service satisfaction in the experimental group compared with control group was significantly increased (p=0.000) 2) Health behavior score of experimental group were significantly higher then control group(p=0.000). 3) Systolic blood pressure in the experimental group compared with control group was significantly decreased (p=0.000) but diastolic blood pressure no changed (p=0.144). 4) Nursing service satisfaction and health behavior had a significantly positive correlational relationship (r=0.758, p=0.000). These findings suggested that individualized education and telephone call for hypertension patient in ambulatory setting were useful to help the improvement of the patient's satisfaction for nursing service and compliance of health behavior.

      • 신규간호사의 간호실무준비도, 회복탄력성, 프리셉터 교육행동이 이직의도에 미치는 영향

        김진희 한림대학교 간호대학원 2024 국내석사

        RANK : 234351

        The purpose of this study was to provide basic data for efficient human resource management by identifying the factors that influence nursing practice readiness, resilience and preceptors' teaching behavior on turnover intention among new graduate nurses with a high resignation rate. A descriptive survey was conducted on 168 new graduate nurses from August 7 to August 31, 2023. To evaluate nursing practice readiness, resilience, preceptors' teaching behavior and turnover intention, a structured questionnaire was administered online (Google Questionnaire) and offline. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation and hierarchical multiple regression analysis. The factors affecting turnover intention were found to be preceptors' teaching behavior (β=-.287, p=.001) and resilience (β=-.211, p=.026). The explanatory power of this model was 32.0%. As a result of the above study, it was confirmed that resilience and preceptors' teaching behavior are factors influencing the turnover intention of new graduate nurses. Therefore, an organizational support system is needed to reduce turnover intention. There is a need to develop and apply practical programs to improve resilience. Participation in resilience promotion programs should be carried out on a regular basis. To reduce the preceptors' workload, work relief and appropriate compensation should be provided. Advice and support should be provided by dedicated educational nurses. An experienced nurse with a mature personality who has completed preceptor training should be selected as a preceptor. To strengthen the capabilities of preceptors, it is necessary to establish an organized system for periodic education, such as workshops and advanced preceptor training courses.

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