밤근무시 간호원의 소진경험 정도와 스트레스 요인

오현자 中央醫學社 1987 中央醫學 Vol.52 No.2

This study was designed to grasp to burnout levels and stress factors among nurses who were late for night duty. The sample consisted of 124 nurses who were working at 4 general hospitals in Chollabuk-do. The nurses were surveyed by means of a questionnaire for two weeks from December 11 to Dec. 24, 1986. The results of the study can be summarized as follows: 1. An analysis of the relationship of nurses' burnout levels and general characteristics on night duty showed statistically significant difference in burnout levels for: age (p <.05), marital status (p < .05) working department (p < .05), nursing carrier (p < .001), night duty nursing carrier (p < .05), period of nursing experience in present working department (p < .05), expected working period as a nurse (p < .05), stress coping method (p < .05). The standard mean score for burnout was 2.84, based on maximum score of 5.00. This was signi-ficantly high among the nurses surveyed, being compared with the previous studies. 2. An analysis about the stress factors and levels of nurses who were late for night duty showed that among the five stress factors the most serious factor was work load (3.479) and the rest factors were placed in order as duty schedule (3.432), knowledge and skill (3.356), environment (3.119), personal relations (3.306). 3. An analysis of mutual relationship among all the five stress factors indicated statistically significant difference. (p < .001). The factors that showed the high correlation coefficient over r=.50 are placed in order as work load and knowledge & skill (r=.636), personal relations and environment (r=.544), personal relations and knowledge & skill (r=.543), and work load & personal relations (r=.508). 4. The correlation coefficient between the degree of stressor and the burnout level about stress factors represented relatively high index as r=.426.

가출청소년의 외상경험에 대한 자기노출이 부적정서와 침입 경험에 미치는 효과

오현자,김교헌 한국건강심리학회 2009 한국심리학회지 건강 Vol.14 No.1

The purpose of the study was to examine effects of runaway adolescents' self-disclosure about traumatic experience on negative emotional experience and intrusion. 46 runaway adolescences divided into two conditions. In experimental condition, participants were asked to disclosure innermost feeling and thought about their own traumatic experience for twenty minutes with three days. In control condition, participants were asked to write down about their recent daily schedules. To check the effects of self-disclosure, negative emotional experience and intrusive thinking and emotion measured three-times, before the writing, right after the writing and one week afterward the writing. Results of the study showed that writing about traumatic experience decreased negative emotional experience. And it's effects was much larger at the one week afterward than that of the right after the writing. Intrusive thinking and emotion decreased to marginal level. In contents analysis using by the K-LIWC, it was suggested that effects of the self-disclosure was mediated by the cognitive understanding of traumatic events. Results of the study were discussed in relation with previous and future studies. 본 연구는 가출전후 외상적 사건을 많이 경험하는 가출청소년들을 대상으로 외상경험에 대하여 깊은 수준으로 자기노출 하도록 하였을 때 부적정서와 침입적 사고 및 정서 경험이 어떻게 달라지는지를 알아보고자 하였다. 이를 위해 46명의 가출청소년을 두 조건에 짝지어서 배당하였다. 깊은 수준의 자기노출 조건에서는 외상경험에 대한 생각과 감정을 20분 동안 세 차례 글로 표현하도록 하였고, 피상적 수준의 자기노출 조건에서는 최근 일상의 시간 관리에 대해 세 차례 글쓰기 하도록 하였다. 자기노출 효과를 확인하기 위해 부적정서경험과 침입적 사고와 정서경험 정도를 글쓰기 전, 글쓰기 직후, 그리고 글쓰기 후 일주일이 지난 시점에 각각 측정하였다. 연구 결과, 가출청소년의 외상경험에 대한 글쓰기 자기노출은 부적정서경험을 감소시켰으며 그 효과는 노출 직후보다 일주일이 지난 추후시점에서 더 두드러졌다. 침입적 사고와 정서경험 정도는 깊은 수준의 자기노출 조건에서 경계선 수준으로 감소하였다. 부가적으로 깊은 수준의 자기노출을 한 집단의 글을 K-LIWC로 분석하여 글쓰기 자기노출의 효과에 영향을 미친 변인이 무엇인지 탐색하였다. 그 결과, 깊은 수준으로 자기노출을 하도록 하는 것은 외상적 사건의 의미에 대해 인지적으로 이해하고 수용하도록 도와서 외상경험과 관련된 부적정서경험을 완화시켜준다는 시사를 얻을 수 있었다. 끝으로 본 연구의 의미와 제한점 및 후속 연구에 대한 시사점에 대해 논의하였다.

일부 간호학생이 지각한 수간호사의 리더쉽 유형에 따른 스트레스 정도에 관한 연구

오현자 中央醫學社 1989 中央醫學 Vol.54 No.1

관절염환자의 삶의 질에 영향을 미치는 요인탐색

오현자 성인간호학회 2000 성인간호학회지 Vol.12 No.3

In this paper, I will examine the variables influencing the Quality of Life of arthritis patients and present basic materials which help arthritis patients have positive thinking in life and ultimately lead a satisfactory life. The subjects for this study are 231 inpatients and outpatients with arthritis living in J and K city in Chonbug Province. For the analysis of collected data I employed the SAS program. The variables for characteristics and the quality of life were analysed by descriptive statistics. T-test and ANOVA, and the relations among variables were analysed through Pearson Correlation; the Regression method was employed to predict the factors affecting duality of life. For the validity of reliance on measuring equipment Cronbach Alpha was used. The results of the study are as follows : (1) The mean score of qualify of life of arthritis patients is 3.09(5 in the maximum). The general characteristics which affect the quality of life are age(F=5.13, p=0.0006), standard of education(F=6.49, p=0.0003), marriage status(F=7.77, p=0.0005), monthly pay(F=4.37 p=0.0020), medical benefits(F=4.85, p=0.0087), and supports(F=4.39, p =0.0050). For the disease-related characteristics, there is a significant difference in the 6 items: pain control method(F=5.92, p= 0.0002), physical therapy(F=3.25, p=0.013), whethere or not patients exercise(F=4.62, p=0.0000), regularity of exercise(F=4.79, p=0.0000), frequency of exercise(F=6.29, p=0.0001), and amount of exercise(F=4.62, p =0.0043). Depending on the type of arthritis, there is also a significant difference in the degree of pain felt. The patients with infectious arthritis suffer from pain the most, followed by those with gout, rheumatism and degenerative arthritis, in that order. Although statistics don't show any convincing evidence, those with gout perceive that they are in best health condition, followed by those with rheumatism, degenerative arthritis, and infectious arthritis, in that order(F=2.23, p = 0.0669). (2) The quality of life of arthritis patients is correlated positively with perceived health status(r=0.56, p=0.0001), health promoting behavior(r =0.53. p=0.0001), family support(r=0.46, p=0.0001), amount of exercise(r=0.36, p=0.0071), ADL(r=0.36, p=0.0001), HLOC(r=0.32, p=0.0001), frequency of exercise(r=0.32, p=0.0001) in that order, while correlated negatively with the degree of pain felt(r=-0.32, p=0.0001), the number of pain regions(r=-0.19, p=0.0041), and the duration of pain(r=-0.14, p = 0.0279). (3) Regression analysis reveals that the most powerful predictor of the quality of life is perceived health status, which account for 31.11%. The other predictors of the duality of life, which account for 60.22%, are health promoting behavior(16.51%), family support(3.81%), ADL(2.52%), gender(1.86%), the number of family members(1.36%), level of pain(1.24%), duration of pain(1.08%), and level of education(0.67%). The results of the study show that perceived health status and health promoting behavior are the two most important variables. However, considering that the perceived health condition is difficult to control by nursing intervention, it is suggested that the level of expectation for patients, must be decided first, and the health promoting behavior and the family support influencing the quality of life must be taken into account as targets for nursing intervention. As a way of controlling the quality of life, I think that a more comprehensive approach comprising the above important variables along with demographic and general characteristics is needed. I also suggest that we must continue to explore the variables affecting the quality of life and include those variables in nursing intervention.

임신중 배우자의 지지 및 결혼적응이 임신수용에 미치는 영향

오현자 中央醫學社 1994 中央醫學 Vol.59 No.2

This study aims to examine the relations between the acceptance of pregnancy and husband's support, marital adaptation. The subjects were 164 normal pregnant women, who lived in Chonbuk Province from July 12 to July 31, 1993. The instruments used for this study were the Husband's Support scale developed by Ahn, the Marital Adjustment Scale developed by Spainer and the Acceptance of Pregnancy scale developed by Lederman. Data were analyzed using the SPSS program for t-test, ANOVA, Pearson Correlation and Multiple Regression Nexts are the result acquired. 1. The test for the relation between the general property of the pregnant arid the level of husband's support show that statistical significant difference in education level (P < .05), birth experience (P < .001), abortion and stillbirth experience (P < .01), the husband's reaction to the information on the pregnancy (P <.01). The test for the relation between the general property of the pregnant and marital adaption show that statistical significant difference in age (P <.05), education level (P <.01), birth experience (P < .001), the husband's reaction to the information on the pregnancy (P <.05). And the test for the relation between the general property of the pregnant give the significant result in husband's reaction (P < -05). 2. Hypothesis 1) The higher the level of husband's support is, the higher the level of marital adaption may be (r= .6688, P <.001). 2) The higher the level of husband's support is, the higher the acceptance of pregnancy may be (r= .1718, P < .05). 3) The higher the level of marital adaption is, the higher the acceptance of pregnancy may be (r= .2849, P <.001) 3. Explainable factors of accpetance of pregnancy are the level of marital adaptation and the husband's reaction to the information on the pregnancy and the explanatory power to the marital adaption of the former is 8.2 % and the latter's is 4.7 %.

농촌중년여성의 체력 및 정서기능과 삶의 질에 미치는 율동운동과 타이치운동 프로그램의 효과비교

오현자 한국간호과학회 2008 한국간호과학회 학술대회 Vol.2008 No.10

내 삶의 다이어트

오현자 샘터사 2005 월간 샘터 Vol.420 No.-

일부 간호학생의 기초체온 변화에 의거한 배란증상 빈도에 관한 연구

오현자 中央醫學社 1989 中央醫學 Vol.54 No.3

In order to investigate the frequency of ovulation signs and symptoms in young Korean females, change in basal body temperature and several well-known ovulation signs and symptoms were observed in 94 nursing students of Kae-Jung Junior College of Nursing for 3 months from September, 1988. Frequency of several ovulation signs and symptoms on the basis of basal body temperature change was evaluated, and the results are as follows. 1. Average menstrual cycle was 30.65 days in regular cycles, and 48.9% of the nursing students had regular cycles. 2. Generally, the basal body temperature measured 15 days before the menstruation was the lowest. The menstrual cycles could be divided into two phases according to the basal body temperature: pre-ovulatory low temperature phase and post-ovulatory high temperature phase. 3. Among the signs and symptoms, "change in cervical nucous secretion" was most frequently observed (61.7%). Frequency of other important signs and symptoms was in order of "change in libido (19.1%)", "accident and mistake (16.0%)", "mittelschmerz (12.8%)", and "kleine-regel (3.2%)". The signs and symptoms such as "change in cervical nucous secretion", "mittelschmerz" and "change in libido" were more frequently observed in regular menstrual group than in irregular menstrual group. (P < 0.05).

임부가 경험한 신체적 불편감과 성격에 관한 연구

오현자 中央醫學社 1994 中央醫學 Vol.59 No.1

원예활동이 독거노인의 사회적 지지와 자아존중감에 미치는 영향

오현자,유용권 한국인간·식물·환경학회 2010 인간식물환경학회지 Vol.13 No.4

본 연구는 원예활동 프로그램이 독거노인의 사회적 지지와 자아존중감에 미치는 영향을 알아보고자 하였다. 노인복지관을 이용하는 독거노인 12명을 선정하여 3월 27일부터 7월 16일까지 매주 1회 1시간씩 총 15회에 걸쳐 원예활동 프로그램을 실시하였다. 원예활동 프로그램의 효과를 알아보기 위해 프로그램 전과 후에 사회적 지지와 자아존중감 측정지를 이용하여 평가하였다. 또한 매회기마다 원예활동평가표를 이용하여 평가한 후 전반기와 후반기로 나누어 효과를 분석하였다. 사회적 지지는 대상자 12명 중에서 11명이 원예활동 프로그램 실시 전 보다 실시 후에 증진되었고, 평균값도 프로그램 실시 전 15.4점에서 실시 후 34.0점으로 크게 향상되었으며 통계적으로도 유의한 변화를 보여 주었다. 자아존중감에 있어서도 대상자 12명 모두 원예활동 프로그램 실시 전 보다 실시 후에 향상되었고, 평균값에 있어서도 프로그램 실시 전 20.6점에서 실시 후 25.4점로 증가하였으며 통계적으로 유의성이 있었다. 원예활동 평가에서도 참여성, 관심 및 조력성, 언어소통능력, 자아개념 및 주체성, 욕구-충동적 적응력, 대인관계능력, 인지 및 문제해결능력, 운동지각능력, 숙련도와 직업 적응력 등 9개 항목 모두에서 원예활동 프로그램 전반기보다 후반기에 평균값이 향상되었고, 통계적으로도 유의성을 보여 주었다. 따라서 원예활동 프로그램은 독거노인들의 사회적 지지를 증대시켜주고, 자아존중감을 향상시키며, 원예활동평가에서 긍정적인 변화를 보여 효과적이었다. This study was conducted to investigate the effects of horticultural activity programs on the changes of the social support and self-esteem in solitary old adult. The 12 solitary old adults of welfare center for old adult participated in this horticultural activity programs(HAP). HAP were conducted one time per week from 27 March to 16 July. To examine the effects of HAP, social support scale and self-esteem scale were evaluated between before and after HAP. And it was carried out to observe by horticultural activity evaluation every times. In change of social support, 11 old adults among subjects increased, but 1 old adult decreased. Mean value of social support was 34.0 after HAP, but it was 15.4 before HAP. Self-esteem of twelve subjects was significantly improved, and mean value of self-esteem scale was 25.4 after HAP, but it was 20.6 before HAP. In evaluation of horticultural activity, means of participation, interest and assistance, verbal interaction ability, self-concept and identity, desire-drive adaptation, interpersonal and social relations, cognition and problem solving ability, exercise perceptivity, and life-tasks skills and vocational adjustment were improved after HAP than before HAP. Therefore, HAP was effective in promoting the social support, self-esteem, and evaluation of horticultural activity in solitary old adult.