중년의 노화인식이 스트레스와 건강생활양식에 미치는 영향

염현이,정미숙,박은영,장명옥 한국간호과학회 2020 한국간호과학회 학술대회 Vol.2020 No.10

암 생존자의 기본심리욕구 측정 도구의 타당도 검증

염현이,이정민,박은영,정미숙 한국간호과학회 2022 한국간호과학회 학술대회 Vol.2022 No.10

여성노인의 증상관리에 대한 부정적 신념과 관련요인이 자기효능감에 미치는 영향

염현이 노인간호학회 2013 노인간호학회지 Vol.15 No.1

Purpose: The purposes of this study were to examine the factors associated with age-related negative beliefs about symptom management and to investigate the influence of age-related negative beliefs about symptom management on self-efficacy among community-dwelling older women. Methods: For this study a descriptive design was used with a convenience sample of 134 older women. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression analyses. Results: The mean score for age-related negative beliefs about symptom management was 3.25. The level of age-related negative beliefs about symptom management was significantly different according to demographic characteristics including age, education, marital and living status and a diagnosis of chronic illnesses such as osteoarthritis and diabetes. Hierarchical regression analyses indicated that, after controlling for the covariates, the level of age-related negative beliefs about symptom management was a significant factor decreasing self-efficacy (β=-.233, p= .012). Conclusion: The results of this study indicate that there is a detrimental influence of age-related negative beliefs about symptom management on self-efficacy. The findings imply a need for nursing interventions to modify negatively stereotyped beliefs in managing symptoms and to facilitate positive attitudes about aging by older adults.

노화 편견과 관련된 노인의 증상관리에 대한 신념과 건강행위, 삶의 질 간의 관계

염현이 한국간호과학회 2012 한국간호과학회 학술대회 Vol.2012 No.10

대사증후군 위험그룹의 질병인식이 스트레스와 수면에 미치는 영향

염현이,박은영,김세현 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.10

중년의 가족기능과 스트레스의 관계에서 노화증상인식의 매개효과와 조절효과

염현이,주경옥 한국성인간호학회 2020 성인간호학회지 Vol.32 No.2

Purpose: The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults. Methods: This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0. Results: A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms. Conclusion: The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.

Cultural Adaptation and the Psychometric Properties of the Korean Version of the Symptom Management Beliefs Questionnaire

염현이 한국간호과학회 2013 Asian Nursing Research Vol.7 No.3

Purpose: Assessment of aging-stereotyped and erroneous beliefs in managing symptoms is an essential task to enhance self-care and health outcomes of the older population. The purpose of this study was to examine the psychometric properties of the Korean version of the Symptom Management Beliefs Questionnaire (K-SMBQ) to measure ageist beliefs in managing symptoms of older people. Methods: A convenience sample of 211 community-dwelling older women was used. The 12-item KSMBQ was finalized after translation, synthesis, back-translation, content validity, and pilot testing. The psychometric properties of the K-SMBQ scale were examined by exploratory and confirmatory factor analyses, convergent validity, hypothesized relationship testing, and known-groups method, as well as internal consistency and test-retest reliability. Results: Three factors (i.e., Aging-Stereotypes, Pessimistic Expectations, and Good Patient’s Attitudes) were extracted by exploratory factor analysis and the good fit of the three-factor structure was demonstrated by confirmatory factor analysis. Construct validity was supported by significant correlations with conceptually and theoretically relevant concepts as well as by distinguishable features between three older age groups. The internal consistency was supported by Cronbach’s alpha coefficient, item-total scale correlations, and inter-item correlations; thus, adequate test-retest reliability was demonstrated. Conclusion: This study verified the psychometric properties of the K-SMBQ and provided evidence on the cultural relevance for the concept of ageist beliefs regarding symptom management in older Korean people. The development of nursing interventions to promote self-care of older people should be based on the consideration of negatively stereotyped and erroneous beliefs about health in old age. Purpose: Assessment of aging-stereotyped and erroneous beliefs in managing symptoms is an essential task to enhance self-care and health outcomes of the older population. The purpose of this study was to examine the psychometric properties of the Korean version of the Symptom Management Beliefs Questionnaire (K-SMBQ) to measure ageist beliefs in managing symptoms of older people. Methods: A convenience sample of 211 community-dwelling older women was used. The 12-item KSMBQ was finalized after translation, synthesis, back-translation, content validity, and pilot testing. The psychometric properties of the K-SMBQ scale were examined by exploratory and confirmatory factor analyses, convergent validity, hypothesized relationship testing, and known-groups method, as well as internal consistency and test-retest reliability. Results: Three factors (i.e., Aging-Stereotypes, Pessimistic Expectations, and Good Patient’s Attitudes) were extracted by exploratory factor analysis and the good fit of the three-factor structure was demonstrated by confirmatory factor analysis. Construct validity was supported by significant correlations with conceptually and theoretically relevant concepts as well as by distinguishable features between three older age groups. The internal consistency was supported by Cronbach’s alpha coefficient, item-total scale correlations, and inter-item correlations; thus, adequate test-retest reliability was demonstrated. Conclusion: This study verified the psychometric properties of the K-SMBQ and provided evidence on the cultural relevance for the concept of ageist beliefs regarding symptom management in older Korean people. The development of nursing interventions to promote self-care of older people should be based on the consideration of negatively stereotyped and erroneous beliefs about health in old age.

대사증후군 위험군의 질병인식과 수면의 관계에서 스트레스의 매개효과

염현이,신지원 한국성인간호학회 2019 성인간호학회지 Vol.31 No.4

Purpose: This study aimed to examine the relationship between illness perception, stress, and sleep, focusing on the influence of illness perception on the quality of sleep through the mediating effect of stress in patients with metabolic syndrome risk factors. Methods: A cross-sectional correlational study was conducted with 219 patients with two metabolic syndrome risk factors. Participants were recruited from outpatient clinics in Daegu and Gyeongbuk between June and July 2016. Data were collected using a self-administered structured questionnaire that included items from the Brief Illness Perception Scale, the Perceived Stress Inventory, and the Pittsburgh Sleep Quality Index. Pearson's correlation coefficient, independent t-test, one-way ANOVA, multiple linear regression analysis, and a SPSS macro bootstrap approach were performed. Results: There were significant correlations betweenillness perception and sleep (r=.42, p<.001) and between stress and sleep (r=.49, p<.001). Illness perception was a significant predictor of stress (t=7.99, p<.001) and sleep (t=5.83, p<.001) after adjusting for the influence of age, gender, job status, and body mass index. A mediating effect of stress on the relationship between illness perception and sleep was demonstrated by Baron and Kenny's approach (Z=4.57, p<.001) and the PROCESS macro for SPSS (95% confidence interval=0.04~0.13). Conclusion: This study suggests that the negative impact of illness perception on sleep can be reduced by regulating stress. Further, it is necessary to develop intervention programs that can reduce stress linked to the illness perception among patients with metabolic syndrome risk factors.

간호학생의 업무기대감과 진로계획의 영향요인

염현이(Hyun-E Yeom),신지원(Jee-Won Shin) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.1

본 연구는 졸업 직전 간호학생들의 전공만족도, 간호역량성취도, 업무기대감 간의 관련성을 중심으로 진로계획에 미치는 영향을 파악하기 위한 서술적 상관관계 연구이다. 연구자료는 D시와 K시 소재 두 개 대학의 졸업을 앞둔 간호학생 255명이 자가보고식 설문지에 기입하는 방식으로 2016년 1월4일부터 1월7일까지 수집되었다. 자료는 SPSS와 AMOS를 사용해 기술분석, Pearson"s correlation coefficients, t-test, bootstrapping을 활용한 SPSS macro, 경로분석을 실시하였다. 연구결과로, 간호학생들의 전공만족도, 간호역량성취도, 업무기대감은 유의미한 상관관계가 있으며, 전공만족도와 간호역량성취도는 업무기대감에 유의미한 영향을 미쳤다. 또한 롤 모델의 유무에 따라 전공만족도와 간호역량성취도가 업무기대감에 미치는 영향이 달라지는 조절효과가 있었다. 전공만족도는 졸업 후 진로계획에 직접적인 영향은 유의미했으나, 전공만족도가 업무기대감을 거쳐 진로계획에 미치는 간접적인 효과는 유의미하지 않았다. 반면, 간호역량성취도가 졸업 후 진로계획에 미치는 직접적인 영향은 유의미하지 않았으나, 간호역량성취도가 업무기대감에 영향을 미침으로써 진로계획에 영향을 미치는 간접적인 효과는 유의미한 것으로 나타나, 업무기대감이 간호역량성취도와 향후 진로계획 간의 관계에 매개요인으로 작용하는 것으로 나타났다. 본 연구는 간호학생의 졸업 후 진로계획을 위해 전공만족도와 간호역량성취도를 향상시킴으로써 업무기대감을 강화하고, 이를 위해 임상전문가와의 적극적인 상호작용으로 롤 모델을 형성하고, 향후 간호업무 수행을 위한 동기와 목표를 탐색할 수 있는 교육방안이 강화되어야 함을 시사한다. This cross-sectional correlational study investigated factors affecting career planning of nursing students, focusing on the associations between satisfaction of academic major, perceived professional competence, and job expectations. Data from 255 nursing students were collected through self-administered questionnaire surveys on 2016 January 4 and 7 and analyzed using descriptive statistics, Pearson"s correlation coefficients, t-tests, bootstrapping SPSS macro and path analysis using AMOS. There were significant correlations between major satisfaction, professional competence, and job expectations. Both major satisfaction and professional competence were significant factors influencing job expectations, but their effects on job expectations were significantly different depending on whether there was a role-model, which support a moderating effect of having a role-model. Major satisfaction had a significant direct effect on career planning, but its indirect effect on career planning through job expectations was not significant. Professional competence did not have a significant direct effect on career planning, but its indirect effect on career planning through job expectations was significant. Overall, the results highlight the importance of providing educational support and opportunities for nursing students to explore their own motivation and to have a role-model during pursuit of a nursing career.

노인간호에 대한 바람직한 태도형성을 위한 교육방안 고찰

염현이(Yeom, Hyun-E) 한국산학기술학회 2016 한국산학기술학회논문지 Vol.17 No.1

연구목적: 본 연구는 미국의 학부 간호교육에서 노인간호에 대한 바람직한 태도를 강화하기 위해 시도된 새로운 교육적 접근법을 고찰하고 국내 간호교육에서의 적용방안을 모색하고자 수행되었다. 연구방법: PubMed, CINAHL의 검색엔 진을 사용해 미국 John A. Hartford 재단의 지원으로 노인간호교육을 위한 획기적인 전략개발 프로젝트를 수행한 간호대학 의 연구 8편과 그 외 다양한 교육적 방안을 고찰한 논문 4편을 포함한 12편의 연구를 고찰하였다. 연구결과: 노인간호에 대한 올바른 태도형성을 위해 제시된 교육적 접근법은 다음의 네 가지로 구분할 수 있다: 1) 노인간호에 대한 간호전공교과 간의 연계교육, 2) 지역사회 노인의 교육적 멘토 역할, 3) 시청각 매체의 활용, 4) 자기성찰을 통한 토론학습. 향후 응용: 국내 간호교육에서의 효과적인 적용을 위해서는 연계교육을 위한 간호전공교과목 간의 긴밀한 협의 및 교육과정의 탄력적 운영을 위한 교육행정부서의 협조가 수반되어야 한다. 또한, 교육기관과 지역사회와의 긴밀한 파트너십을 구축함으로써 지 역사회 노인이 교육적 멘토로 참여하는 방안을 적용해 나갈 수 있다. 무엇보다, 노인간호에 대한 바람직한 태도형성을 위한 간호교육의 중요성을 인식하고 교수자의 교육역량강화와 새로운 교수법 개발을 위한 지속적 노력이 요구된다. Purpose: This study reviewed the innovative educational strategies that have been implemented successfully in US baccalaureate nursing education programs to facilitate appropriate attitudes about caring for older adults. Methods: The data were collected through a search of PubMed and CINAHL using the key words, gerontological or geriatric, attitudes about aging or older people, baccalaureate or undergraduate nursing education or curriculum. Results: The successful strategies are categorized as follows: 1) a multidisciplinary approach integrating aging issues and gerontological contents into diverse nursing courses, 2) active participation of community-dwelling healthy older individuals as an educational mentor, 3) use of audiovisual materials to investigate the misconceptions and attitudes about aging, and 4) discussion through critical thinking and self-reflection toward aging. Implications: For the interdisciplinary approach within nursing courses, it is essential to derive the key contents for gerontological nursing applicable to integration into diverse nursing courses. In addition, it is necessary to provide administrative support for implementing innovative strategies and constructing consistent partnerships with the community for active participation of the elderly as a mentor. Lastly, recognizing the significance of educational strategies for enhancing desirable attitudes toward gerontological nursing and supporting the development of educational capability of a faculty are key issues.