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      • 입원한 정신질환자 가족의 가정간호 요구도와 가족부담감

        김소야자,현명선,성경미,공성숙,Kim, So-Ya-Ja,Hyun, Hyung-Sun,Sung, Kung-Mi,Kong, Seong-Suk 대한간호협회 1993 대한간호 Vol.32 No.3

        This study was designed to investigate the family burden, family home care needs and to identify the relationship between family burden and home care needs for families of psychiatric in-patients. The subjects for this study were 104 family members of psychiatric in-patients at two private hospitals and one municipal hospital. The data were collected during the period from February 1. 1993 to March 30. 1993. The questionnaire developed by Montgomery to measure the family burden was used as modified by the research team for this study. The questionnaire was developed by Garrad to measure the home care need was also used as modifed by the research team. The data was analyzed using descriptive statistics, t-test, ANOV A and Pearson Correlation Coeffcient. with the SPSS program. The Result of this study can be summarized as follows ; 1. For perceived family burden, the meanscore as measured by the guestionnaire was 70.6 of a possible to total of 110. 2. For home care need. the meanscore as measured by the questionnaire was 44.8 fo a possible total of 66. 3. The results showed a higher score for cases from the municipal hospital for family burden and a higher score for cases at the private hospitals for home care need. 4. Ther was a statistically significantly higher score on family burden for female family member (T =-2.77. P<.05) and for bereaved family members. (F=2.862. p<.05) 5. There was a statistically significantly higher score (F= 10.3535, P<.001) for family burden when the hospitalization period was between 7~ 12 months and a statistically significantly higher score (F =7.679.P<.001) for home care need when the hospitalization period was over 37 months. 6. Ther was a significant correlation between family burden and home care need. (r=.4002, P<.05) The conclusion that can be drawn from this study is that addressing home care needs would contribute to reduce family burden.

      • 역할이론

        김소야자 연세대학교 간호정책연구소 1995 간호학탐구 Vol.4 No.1

        I have discussed the origin and the several categorizations of role concept. Each theoretical context-structural and interactionist approach-in which role concept is contained, has been analyzed in relation to the self concept respectively. Several theoretical frameworks, including theory of Theodore R. Sarbin, Vernon L. Allen, Jonathan H. Turner, Ralph H. Turner, Daniel katz and Robert L. Kahn, have been considered for the purpose of integration of role theory. The first perspective in the structural-functional approach, which limits the individual to the social structure and focuses on the division of labor within that context. The second perspective is the symbolic interaction approach, which focuses on the interaction between people in the social system. Role theory is useful in understanding the professional nursing role and the problems generated by the social system in which the nurse practices. The impact of assuming multiple roles was explored, and common role stressors that contribute to role strain were identified. Applying these concepts of role theory to professional nursing roles, the expected behavior or role of the nurses are determined by the nurse's social position and the context in which nursing care is delivered. Reviewing perspectives of modern role theorists from the viewpoints of these two traditions, it can be said that role theory should be integrated so that the micro-variables of human behaviors could be connected with the macro-variables of social phenomena. As a result, without the harmonious integration of these theoretical standpoints, the further elaboration of role theory will not be possible.

      • 재활관련 정신질환자를 위한 보건소 중심의 정신사회재활 프로그램 개발 및 효과분석

        김소야자,김선아,공성숙,김명아,남경아 연세대학교 간호정책연구소 1998 간호학탐구 Vol.7 No.1

        Comprehensive psychosocial rehabilitation program for mentally ill persons have resulted in reduced rates of relapse and rehospitalization. Unlike medication, however, they have not been widely adopted by the general systems of mental health care. This study developed the psychosocial rehabilitation program of severely mentally ill patient based upon the result of survey about the perception and needs for mental health of mentally ill persons and their families. The psychosocial rehabilitation program emphasized communication skills, daily living skills, and social relatedness. The program was made group therapy, social skill training, and group activity. This program was effective for improving daily living skills to severely mentally ill patients. Also the program has been validated as effective in improving symptomatic course and outcome of mentally ill persons.

      • 한국 가정간호 연구의 현황과 전망

        김소야자,권보은,Kim, Soyaja,Kwon, Bo-Eun 한국가정간호학회 2000 가정간호학회지 Vol.7 No.1

        This study was conducted to identify the current situation of home care nursing research and to propose future research in the area of home care nursing in Korea. The design was a retrospective descriptive study based on 171 studies. The studies were collected from nursing academic magazines, the national library web site and dissertations on home care. The data were classified according to the independent and dependent variables which were represented in the research title. The final category classification was defined by considering the research objectives and content as found in the 171 studies. Eight categories were created to describe the results of home care nursing research in Korea. They included: home care needs. home care services. home care costs. development of home care programs and equipment. management of home care services. effectiveness of home care services, development of an educational curriculum for home care, and recognition of home care services. Based on our research we have identified other future research areas that need to be developed such as community needs assessment, standards and guidelines for home care nursing, quality assurance and quality improvement for controlling home care quality, home care informatics. and a system of home care cost and ethics.

      • KCI등재

        만성 정신질환자의 가정간호 사례 연구

        김소야자,남경아 대한간호학회정신간호학회 1998 정신간호학회지 Vol.7 No.1

        This study was conducted to identify the basic data necessary to develop a home care protocol for people with chronic mental illnesses and to develop various psychosocial rehabilitation programs. The subject of this study was a 29 year old divorced female diagnosed with schizophrenia, paranoid type. She was hospitalized and discharged from the psychiatric ward of S General Hospital for the second time. A home care nurse assessed the client's psychosocial functions, identified mental problems, planned nursing interventions, performed nursing activities, and evaluated the outcomes. The results were then reflected in the nursing interventions that followed. This study was a case study that reporting recovering process from the mental illness. The data was collected through the in-depth interviews with the subject. The home care nurse visited the client's home eight times. During the first and second sessions, the nurse made assessments and plans, during the third to seventh sessions nursing interventions were made and the eighth session was the termination session. The main nursing problems of the client were the lack of communication skills, social support and insight into the disease, ineffective drug management, the absence of a caregiver, social maladaptation, ineffective stress-coping skills and conflicts with other family members. Focusing on these problems, the nu ovided counseling, psychoeducation, role modeling of social skills and stress coping strategies. The results showed that the client expressed feelings of satisfaction to the home care nursing she received. There were also a decreased number of family conflicts, fewer difficulties at work and increased effective stress coping skills, a greater knowledge of drugs and their side effect, a decrease in noncompliance of drugs, and insight into the mental disease.

      • 청소년 약물남용 예방대책 : - 양호교사의 약물교육 효과 연구 -

        김소야자,현명선,성경미,공성숙 연세대학교 교육대학원 1993 연세교육과학 Vol.42 No.1

        This study was designed to investigate the knowledge about, and attitude to drugs as found in School Nurses and Education on School Nurses and School Adolescents, and to develop drug abuse prevention strategies. The subject for this studg were 70 School Nurses (42 from Middle schools, 24 from High Schools) and 965 School adolescents(253 Male Middle School Students, 263 Male High School Students, 249 Female Middle School Students, 200 Female High School Students). The Drug Abuse education for the School Nurses was given by this research team during the period from september 22 to 23, 1993 (16 hours). The Drug Abuse education for the School Adolescents was given by the School Nurses for a total of 4 hours. Before and after each Education program, a questionnaire was completed by each subject to evaluate the effect of the Drug abuse Education. The Drug Abuse Prevention Teaching Material for both School Nurses and the School Adolescents was developed by this research team. The questionnaire which measured knowledge about and attitude to drugs was also developed by the research team. The data was analyzed using descriptive Statistics, t-test, ANOVA and Pearson Correlation, with the SPSS program. The result of this study can be summarized as forllows : 1. There was a statistically signifcant difference in knowledge about and attitude to drugs, alcohol, and moking for the School Nurese after the drug abuse educalion program. 2. There was a statistically significant difference in knowledge about and attitude to drugs, alcohol, and Smoking for the School Adolescents after the drug abuse education program. 3. A relationship was found betweed drug use by the fathers of the School adolescent and the School adolescent's Knowledge about and attitude to drugs. As a result of this study, it can be concluded that drug abuse education for school Nurses is necessary. Further this study showed that drug abuse education by School Nurses can deceease in School Adolescents an attitude which is accepting of drugs and increase Knowledge about drugs. Therefore, this Study suggests directions for adolescent drug abuse prevention stratedise and the Role of the School Nurses in adolescent drug abuse prevention.

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