노인의 지각된 건강영향요인, 건강관행수행과 지각된 건강상태에 관한 연구

장성옥,박영주,이숙자,박은숙 고려대학교 1999 간호학논집 Vol.1 No.-

여성노인의 노화로 인한 신체적 증상지각과 관련변인

장성옥,김순용 노인간호학회 2005 노인간호학회지 Vol.7 No.2

Introduction: Pain was found to be common among old women. Older adults, especially old women are at risk of suffering from untreated pain. Thus, to provide them with good nursing care in community setting, the information about characteristics and types of somatic symptom are a prerequisite. Methods: This cross-sectional study based on self-report data aimed to investigate the type of somatic symptoms and to explain related variables on somatic symptom among old women. Data was collected from 219 old women over 65 years old in a community setting in Seoul, Korea in June and July, 2000. Results: 68.5% of subjects admitted they live with somatic symptom through aging process in daily activities. As for the types of somatic symptom, aging related symptoms were dominant such as arthritic pain, palpitation and dizziness. And as for related experiences for aggravating chronic pain, walking for a long time was most frequently reported experience. Through testing the three hypothetical models based on literature review, the relation of variables on perception of somatic symptom is that somatic attribution is influencing variable to chronic pain and depression and then chronic pain and depression is fluencing variable to chronic fatigue. Conclusion: The finding indicates the old women were at risk of untreated somatic symptoms coming from aging and give useful information to construct symptom management intervention programs for the old women. The provision of good nursing care for old women requires systematic routines for frequent symptom assessment and based on accurate assessment, appropriate interventions are required.

흡연유혹의 영향요인 비교연구 - 청소년과 성인 -

장성옥,김은주,서문경애,이수정,박창승 한국간호과학회 2006 Journal of Korean Academy of Nursing Vol.36 No.4

Comparison of Influential Variables for Smoking Temptation between Adolescent and Adult Smokers Chang, Sung Ok1)․Kim, Eun Ju2)․Seomun, Gyeong-Ae1)․Lee, Su Jeong3)․Park, Chang Seung4) 1) College of Nursing, Korea University, 2) Department of Nursing, Hanseo University 3) Department of Nursing, Kukdong University, 4) Department of Nursing, Halla College Purpose: This study attempted to identify influential variables on smoking temptation between groups: adolescent smokers and adult smokers. Method: A survey was conducted with 376 adolescent smokers in 4 high schools and 451 adult smokers in community settings in South Korea. Univariate statistics and regression were used for data analysis. Result: The most powerful predictor of smoking temptation for adolescent smokers was nicotine dependency. On the other hand, the most powerful predictor of smoking temptation for adult smokers was self-efficacy for smoking abstinence. In the high smoking temptation group, depression and nicotine dependency were the predictors for smoking temptation for adolescent smokers and nicotine dependency and pros for smoking were the predictors for smoking temptation for adult smokers. In the low smoking temptation group, cons for smoking and process of change for smoking abstinence were the predictors on smoking temptation for adolescent smokers and self-efficacy for smoking abstention and pros for smoking were the predictors on smoking temptation for adult smokers. Conclusion: There were different influential variables on smoking temptation according to age groups and level of smoking temptation. Smoking-cessation interventions should be tailored to the level of smoking temptation of the individual smokers.

금연의 준비단계 영향변인: 범이론적(Transtheoretical model) 모형을 중심으로

장성옥,김은주,길숙영,서문경애,이수정 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.8

Purpose: This study identified and compared influential variables on intention and action to quit smoking between adolescent smokers and adult smokers. Methods: For the selection of variables, the transtheoretical theory was used. A survey was conducted with 376 adolescent smokers in 4 high schools and 451 adult smokers in community settings in South Korea. Discriminant analysis was used for data analysis Results: The variables of adolescent smokers that predicted an intention to quit smoking were: smoking temptation, self re-evaluation, counter conditioning and stimulus control. The variables that predicted an action to quit smoking were:self-efficacy for smoking abstinence, pros for smoking, self reevaluation, and self liberation. The variables of adult smokers that predicted an intention to quit were: smoking temptation, pros for smoking, cons for smoking, self reevaluation. The variables that self liberation and predicted an action to quit smoking were: self efficacy for smoking abstinence, smoking temptation, and counter conditioning. Conclusions: Developing stage specific smoking intervention methods based on different ways of how individuals make a decision to quit smoking within their contexts needs to be done.

노인의 자아통합감과 우울의 주요 예측 변수에 대한 연구

장성옥,공은숙,김남초,김춘길,김희경,송미순,안수연,이영휘,조남옥,조명옥,최경숙 한국노인간호학회 2010 노인간호학회지 Vol.12 No.3

Purpose: This study explored major variables predicting achievement of ego-integrity and falling into depression for Korean elders and attributes of the major predicting variables. Methods: Data were collected through questionnaires and interviews on twelve variables that were known as influential variables in the studies on ego-integrity and depression. The participants were 417 elders living in community settings in Korea. To identify the major predictors, the twelve variables were analyzed by logistic regression between two groups; upper 25%group and lower 25% group according to each of the ego-integrity and depression scale and content analysis was done to identify the attributes of the major predictors on ego-integrity and depression. Results: Major variables predicting ego-integrity were self-esteem (p =.000), spirituality (p = .073), activity as a relative (p =.010) and life satisfaction (p = .000). On the other hand, major predicting variables of depression were activity as a relative (p =.017) and life satisfaction (p = .000). Core attributes of the major variables predicting ego-integrity and depression were self-appraisal of satisfaction with relations with offspring and family, and harmony from generation to generation. Conclusion: Results of this study indicate that a need to identify major areas for nursing interventions, such as life review therapy, in achieving ego-integrity in Korean society.

접촉의 의미

장성옥 中央醫學社 1994 中央醫學 Vol.59 No.3

Touch is the way the human express his/her Feeling. Also many treatments are carried through touch. Through touch, People begin to learn love and trust in others. For a patient, touch means more than a thousand words. This study is fieldwork report concerning about touch. The purpose of this study is to describe the meaning of touch that human have. The date were gathered through interview and observation from subjects that were clients and therapist in D physical therapy room and that were 5 nurses and their families during April 29, 1993 through June 12, 1993. In the result of the study, The subjects response to touch could be divided two forms of touch; therapeutic form of touch and casual form of touch. The meaning of touch that subjects have had are presented in five domains; sensitivity, the flow of energy, inevitable process, communication, correction.

강원지역 종합건강검진 재방문 의도에 대한 영향요인: 직원친절도의 조절효과

장성옥,정득,강민정,이종석 한국보건교육건강증진학회 2018 보건교육건강증진학회지 Vol.35 No.2

Objectives: The purpose of this study is to analyse impact of factors associated with health examination, concerning participants' revisit intention. In particular, this study is to investigate moderator effect of kindness of staff in the situation where participants are not satisfied with the time required for health examination. Methods: The sample size is 246, who participated health examinations in 2017 with Gangwon branch, Korea Association of Health Promotion; and, who are twenty years of age and over (male:100, female: 145). Impact factors are analysed by multiple linear regression analysis. Results: Findings of this research show that there are positively moderator effects depending on the level of satisfaction on kindness of staff in the condition where ‘time required’ is associated. Revisit intention varies from 6.281 to 9.026: the former is in the condition where the level of satisfaction is low with kindness of staff, and the latter is in the condition where the level of satisfaction is high with that, and the both are in the condition where the level of satisfaction is low with the factor of ‘time required.’ Conclusions: This research suggests that enhancing the level of kindness of staff be a powerful strategy for health examination institutions to enhance the level of revisit intention of participants, in the situation where there are limits of control over time required for health examination process.

돌봄에서의 신체적 접촉의 의미

장성옥 연세대학교 간호정책연구소 1996 간호학탐구 Vol.5 No.1

Physical touch is one of the primitive means of communication, and the meaning of physical touch is assumed to be learned through each individual life experience, thus the factors influencing on the development of meaning of physical touch are multiple in nature. Caring is an essential phenomena between human interaction; every individual is either care giver or care recipient all through one's life. And caring is the core of nursing phenomena. Physical touch is an universal and essential part of nursing practice. This study was designed and carried out to identify, describe and classify the meaning of physical touch in caring and to identify factors related to the meaning of physical touch. In an attempt to measure the subjective meaning, the unstructured Q-methodology was used. For the Q-population, 162 self-referent descriptions on meaning of physical touch in caring were gathered from 158 Korean adults in caring situation; nurses, doctors, patients, nurses educators and university students, unspecified healthy adults. Among the Q-population, a total of 43 Q-items were sampled and validated through item-reliability and sorting-reliability tests. The P-sample was consisted of 41 Korean adults; 10 patients, 6 nurses, 3 doctors, 3 paramedical practitioners, 3 nurses educators, 13 adults. Sortings of Q-items according to the level of personal agreement were carried out by the P-samples and a forced normal distribution of the 43 Q-items into 9 levels. The Z-scores of Q-sort data were computed and principal components factor analysis were carried out by the use of PC-QUANL Program. The demographic, socio-cultural, health-related attributes and interview data about physical touch in caring were analysed to identify the property of types. Five types of meaning of physical touch in caring were identified; Type I consisted of 10 P-samples, named the type of exchange of Qi. For them, the meaning of physical touch in caring is mode of therapy reflecting perspectives of oriental medicine. Physical touch in caring means to function in facilitating the flow of Qi throughout the body. Type II consisted of 5 P-samples, named the type of sharing spirituality. For them, the meaning of physical touch in caring is to convey religious plea to the one to be recovered from illness, to convey blessing of God and sharing love of God. Type III consisted of 9 P-samples, named the type of psycho-somatic comfort. For them, the meaning of physical touch in caring is to achieve physical comfort through promoting of emotional equilibrium. So they believe that the physical touch in caring relieve the pain. Type IV consist of 10 P-sample, named the type of empathic understanding. For them, the meaning of physical touch in caring is a means to share love, concern and understanding of difficulty. Type V consist of 7 P-sample, named the type of role-function. For them, the meaning of touch in caring is function of process to establish relationship according to personal role. By additional analysis, good intention, positive attitude toward caregiver and sharing goodness were identified to be shared by all P-sample in the study.

안위(Comfort) 개념분석과 개발 : 혼종모형(Hybrid Model) 방법 적용 Application of Hybrid Model Method

장성옥,이숙자 대한간호학회정신간호학회 1996 정신간호학회지 Vol.5 No.2

This study is an attempt to analyze and develop the concept of comfort by applying the Hybrid Model suggested by Schwarz-Barcott and Kim. The data were collected from December 15, 1996 to January 30, 1997. The subjects of the study were seven persons including in -patients and out- patients of general hospital who were experiencing recovering process after acute and chronic disease diagnosis. Qualitative research methods of in-depth interview and participant observation were used for data collection. Data-analysis progressed according to the 3 phases suggested by the Hybrid Model. For each case, in-depth interview data and participant observation data were included and the attributes of comfort revealed in these data were analyzed. Finally, by summarizing the results from each case, the attributes of comfort, its dimension, definition, and processes observed in the field were suggested. According to the results of the study, the following new definition of comfort is suggested : Comfort is a subjective experience of all human beings and active process pursuing integrity in cognitive threat and psycho social and physical stable state which each individual can act on free will through experience that strengthen his/her adaptation process. Comfort accompany such subconcepts; ease, relaxation, satisfaction, newness, hope, confidence, stability and hardeness.

기악합주와 영화를 활용한 인성교육

장성옥 한국음악교육학회 2014 학술세미나 및 연수회 Vol.2014 No.-