임산부의 건강통제위와 불안에 관한 연구

성미혜 여성건강간호학회 1999 여성건강간호학회지 Vol.5 No.2

The purpose of this study is to prepare the basic data for improving anxiety relevant to characteristics of pregnant women. The researcher has examined the degree of anxiety of pregnant women and relationship between the characteristics of Health Locus of Control(HLC)and the anxiety. This research was conducted among 202 pregnant women who visited two obstetric outpatient departments for antenatal care at University hospitals in Seoul and Pusan, from December 1, 1998 to January 10, 1999. The tools used for this study were questionnaire and Wallston and Wallston's HLC Scale was used for characteristics of HLC and Spierberger's STAI for measurement of anxiety. The result of this study was as follows: 1. The mean age was 29 years, the proportion of women completed high school was 53.5%, the most and low class was the most, 81.2%, necleas family, the most, 92.1% and the most(70.3%) was the buddhist. 2. 70.3% had experience of 1-2 pregnancy and 54.0%, the most had 1-2 child, 7-9 month pregnancy is the highest percentage, 66.3% and the most pregnant women(81.2%) was satisfied with their husbands and highest level of 70.8% revealed no change in sexual life compared to before pregnancy. 3. Expectant women showed HLC-Internal and low level of anxiety. 4. The factors of education and economics related to the intensify of the anxiety significantly. 5. The anxiety was affected by relationship with husband, attitude of pregnancy and minor discomfort during pregnancy. It is conducted that the anxiety of pregnant women may be increased due to education, economics, relationship with husband, attitude of pregnancy and minor discomfort during pregnancy.

출산준비 교육이 초산모 배우자의 지식에 미치는 영향

성미혜,주미숙,주경숙 인제대학교 2003 仁濟論叢 Vol.18 No.1

신생아 중환자실에 입원한 고위험 신생아 아버지의 스트레스 정도에 관한 연구

성미혜,안난사,장미숙 한국아동간호학회 2004 Child Health Nursing Research Vol.10 No.3

Purpose: To investigate the degree and sources of stress which fathers of infants in NICU experience. Method: Eighty-five fathers of NICU infants at 5 university hospitals in Seoul volunteered to complete the Parental Stressor Scale for NICU (PSS: NICU) from September 1, to October 15, 2002. Result: Total perceived stress was 3.50±0.76. The highest score were in Parental Role Alteration (3.76±0.83) and Appearance and Behavior (3.65±1.04). The total perceived stress score (PSS), correlated significantly with method (t=3.50, p=.01), and route (F=5.30, p=.00) of feeding. Light & Sound correlated significantly with birth weight (F=3.39, p=.02), medical diagnosis(F=2.30, p=.03), plan of operation(t=2.50, p=.01), operation (t=3.80, p=.02), method (F=4.90, p=.003), and route (F=4.70, p=.00) of feeding. Infant Appearance and Behavior correlated significantly with birth weight (F=5.12, p=.01), plan of operation (t=2.50, p=.01), method (F=3.50, p=.01), and route (F=7.80, p=.00) of feeding. Parental Role Alteration correlated significantly with care of incubator (t=-.68, p=.03), method of feeding (F=2.80, p=.04) and education level of father (F=3.00, p=.05). Conclusion: Father with NICU infants were concerned mostly with parental role alteration and infant appearance. Nursing intervention should include fathers of NICU infants.

항암화학요법을 받는 유방암 환자의 스트레스반응양상과 신체상 및 배우자지지와의 관계

성미혜,김국화,정민희 대한임상건강증진학회 2007 Korean Journal of Health Promotion Vol.7 No.1

Background : The purpose of this study was to examine the correlation between the stress response, body image and spouse support and analyze the influential variables on stress response in breast cancer patients undergoing chemotherapy.Methods : The subjects were eighty-nine patients who were receiving chemotherapy after mastectomies at three hospitals in Seoul from November 8, 2004 to December 31, 2004. Collected data was analyzed by descriptive test, t-test, ANOVA, Pearson correlation coefficient and Stepwise multiple regression.Results : The score of patient's stress response in relation with general characteristics showed a significant discrepancy by monthly income(p〈.05) and mammoplasty(p〈.01). The score of spouse support in relation with general characteristics showed a significant discrepancy by education(p〈.05). The correlation between patient's stress response and body image showed a negative correlation(p〈.01). The monthly income accounted for 19.0% of influential variable on patient's stress response and 38.0% including body image, mammoplasty and spouse support.Conclusions : Breast cancer patients undergoing chemotherapy had a very high psychological stress response. Nursing intervention should be developed for enhancing body image of subjects because body image is negatively correlated with stress response. 연구배경 : 본 연구는 항암화학요법을 받고 있는 유방암 환자의 스트레스반응양상과 신체상 및 배우자지지와의 관계를 알아보고, 스트레스 반응양상에 영향을 미치는 변인을 분석하여 유방암 환자가 경험하는 스트레스 반응을 완화, 예방할 수 있는 효과적인 간호중재 마련에 기초 자료를 제공하고자 시도하였다. 방 법 : 서울시에 소재한 3개의 종합병원에서 유방절제술 후 항암화학요법을 받기 위해 내원한 환자 89명을 대상으로 하였다. 스트레스 반응양상은 스트레스 요인에 의해 발생하는 신체 및 정신적 반응으로, 이를 측정하기 위해 1977년 미국 워싱톤대학교 간호대학의 스트레스 반응연구소에서 개발한 Symptoms of Stress(SOS)척도를 사용하였다. 신체상은 개인이 자신의 신체외모, 신체기능, 신체상태에 대해 가지는 지각이나 태도로서, 정금희가 신체 측정을 위해 사용한 도구를 사용하였으며, 배우자 지지는 사회적 지지의 한 유형으로서, 남가실이 개발한 도구를 사용하였다. 수집된 자료는 SPSS 프로그램을 이용하여 t-test, ANOVA, Pearson‘s correlation coefficient, stepwise multiple regression을 사용하여 분석하였다.결 과 : 대상자의 일반적 특성에 따른 스트레스반응양상은 월수입(p〈.05), 유방재건술 희망(p〈.01)에서 차이를 보였다. 대상자의 일반적 특성에 따른 배우자 지지는 학력(F=4.00, p〈.05)에 따라 유의한 차이를 보였다. 대상자의 스트레스반응양상의 평균점수는 91.01점이었고, 신체상 정도는 평균 49.61점, 배우자지지 정도는 평균 49.30점이었다. 대상자의 스트레스반응양상은 신체상과 역상관관계를 나타냈으며(p〈.01), 신체상은 배우자지지와 순상관관계(p〈.01)를 나타냈다. 대상자의 스트레스반응양상에 영향을 미치는 변수는 월수입이 전체 변량의 18%의 설명력을 갖는 것으로 나타났다. 다음으로 신체상, 유방재건술 희망여부, 배우자지지 순이었으며, 이를 모두 포함시켰을 때 설명력이 34.9%였다.결 론 : 이상의 결과로 항암화학요법을 받는 유방암 환자는 관리가 필요한 정도의 스트레스반응양상을 보였으며, 이러한 스트레스반응양상은 신체상과 유의한 역상관관계가 있음을 알 수 있었다. 또한, 유방암 환자의 스트레스반응양상에 영향을 미치는 주요한 변인은 월수입으로 나타나, 항암화학요법을 받는 유방암 환자의 치료과정에서 이들의 경제적인 상태를 고려할 필요가 있다.

신생아 집중실에 입원한 고위험 신생아 어머니의 스트레스 정도 및 내용에 관한 연구

성미혜 한국아동간호학회 2002 Child Health Nursing Research Vol.8 No.1

-Key concept : High-Risk Neonate, Stress

임상간호사의 비판적 사고성향, 간호수행능력 및 직무만족도

성미혜,엄옥봉 한국간호과학회 간호행정학회 2009 간호행정학회지 Vol.15 No.1

Purpose: This study was undertaken in order to investigate the relationships between critical thinking disposition, professional nursing competence and job satisfaction in clinical nurses. Method: A convenience sample of 221 registered nurses were obtained from one hospital in Seoul. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe' test, Pearson correlation coefficient using SPSS WIN 14.0 program. Results: There were a statistically significant difference in the critical thinking disposition according to age, marital status, career length, and department. There were a statistically significant difference in professional nursing competence according to role, age, career length, current position, and department. There were a statistically significant difference in job satisfaction according to age, marital status, career length, and department. A significant positive correlation between critical thinking disposition and professional nursing competence, and job satisfaction was found. Conclusion: Critical thinking disposition, professional nursing competence and job satisfaction of clinical nurses are significantly related. To improve professional nursing competence and job satisfaction of clinical nurses, it need to use actively the critical thinking disposition with resonable salary. And it need to prepare the nursing education and strategy to increase the job satisfaction of clinical nurses.

간호대학생의 영적안녕과 생활스트레스

성미혜 대한임상건강증진학회 2009 Korean Journal of Health Promotion Vol.9 No.3

Background The purpose of this study is to investigate the relationship between spiritual well-being and life stress in nursing students. Methods Participants were 305 nursing students. Instruments used were the spiritual well-being scale developed by Paloutzian & Ellison (1982) and the life stress scale developed by Jeon et al. (2000). The collected data were analyzed by SPSS WIN 12.0 program. Results The mean score on the spiritual well-being scale was 2.65 (0.43). The mean score on the life stress scale was 1.28 (1.04). There were significant differences between religion, participation in religion, influence by religion, and satisfaction with nursing and spiritual well-being. There were significant differences between Grades of the Students, economic status, existence of parent(s), marital status of parent, health status, and satisfaction withnursing and life stress. There was significant negative correlation between existential well-being and life stress. Conclusions This study shows that promoting spiritual well-being is an important factor for reducing the level of stress in nursing students. A bio-psycho-social spiritual model is needed to understand the relationships among life stress, health or disease in terms of prevention, treatment, and rehabilitation. 연구배경 : 본 연구는 간호 대학생의 영적안녕과 생활스트레스를 파악하고 이들의 관계를 규명하기 위해 시도하였다. 방 법 : 대상자는 B시에 소재한 2개 대학의 간호학과에 재학 중인 1,2,3학년 학생들로 총 305명이었다. 자료수집기간은 2007년 11월 1일 부터 12월 20일까지였으며, 수집된 자료는 SPSS WIN 12.0 program을 이용하여 빈도와 백분율, 평균과 표준편차, t-test, ANOVA 및 Pearson correlation coefficient로 분석하였다. 결 과 : 대상자의 안녕점수는 평균 2.65점으로 중상의 안녕상태를 보였으며, 생활스트레스는 평균 1.28점이었다. 대상자의 영적안녕은 종교(F=27.656, p<.001), 종교생활 참여(F=19.890, p<.001), 종교영향(F=34.481, p<.001), 학과 만족도(F=9.420, p<.001)에 따라 통계적으로 유의한 차이를 보였다. 대상자의 생활스트레스는 학년(F=6.532, p<.01), 경제상태(F=8.215, p<.001), 부모생존 여부(t=-3.39, p<.01), 부모의 결혼상태(F=3.168, p<.05), 신체건강상태(t=-4.760, p<.001), 학과 만족도(F=7.043, p<.001)에 따라서 통계적으로 유의한 차이를 보였다. 영적안녕 중 실존적 안녕은 생활스트레스와 통계적으로 유의한 부적 상관관계(r=-.196, p=.001)가 있는 것으로 나타났다. 결 론 : 간호 대학생의 영적안녕수준은 양호하며, 이들의 실존적 안녕이 생활스트레스와 밀접한 관계가 있음을 알 수 있었다. 또한, 대상자의 종교와 학과 만족도가 영적안녕에 영향을 주는 것으로 나타났으므로, 대상자의 영적안녕수준을 높이기 위해서는 종교를 활용할 필요가 있다. 특히 대상자들의 생활스트레스 감소를 위해서는 이들의 학년, 경제상태, 부모관련 상황 및 건강상태와 학과 만족도를 고려한 차별화된 전략이 필요하며 이를 통해 이들의 영적안녕을 높여 주어야 함을 알 수 있었다.

여대생의 섭식장애에 영향을 미치는 요인에 관한 연구

성미혜 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: This study was undertaken in order to examine relations of eating disorders, health locus of control of college women, and to determine factors affecting eating disorders of college women. Method: The subjects were 282 students at a university in Busan. The instrument used for this study was a questionnaire on general characteristics, eating disorders (24 items), health locus of control (11 item) and self-esteem (10 item). Data were analyzed using means, percentages, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression with a SPSS WIN 11.0 program. Result : Depending on BMI, there was no obese subject, 62.0% of the subjects were underweight, and 37.9% were normal. Over 40% of the subjects perceived them to be overweight while 62.1% of the women were underweight as defined by BMI. The total mean score of anorexia was higher than bulimia nervosa. There were significant differences in eating disorders according to BMI, perceived view of appearance, body satisfaction, experienced weight-control, and predictors of weight control method. Eating disorders showed a significant negative correlation with health locus of control and self-esteem. Stepwise multiple regression analysis revealed that the most powerful predictor of eating disorders was BMI. Experienced weight control, health locus of control and self-esteem and body appearance had significant effects on eating disorders. There predictive variables of eating disorders explained 27% of variance. Conclusion: The result of this study showed that eating behaviors among college women developed into eating disorders or were seriously disturbed. Therefore, to prevent eating disorders, health education should be provided to college women in relation to eating behaviors for health management.

백혈병 환아의 간호사례 연구

성미혜,김희영 인제대학교 1999 仁濟論叢 Vol.14 No.3

보건서비스 기관에서의 질 향상과 생산성 향상 : 전반적 고찰

성미혜 인제대학교 2001 仁濟論叢 Vol.16 No.1