심신 장애아에 대한 부모의 태도 및 사회적인 영향에 대한 연구

임난영 최신의학사 1977 最新醫學 Vol.20 No.5

Ninety-six parents whose child is mentally & physically handicapped at Sam Yuk Rehabilitation Center during the period from March 7 to March 26, 1977. Interviewed as subjects to study the parent's attitudes and social influences to mentally & physically handicapped children. The results of this study reviewed in a statistical analysis of the Chi-Square test and analysis of variance to obtain the following findings. 1) Parent's attitudes to crippled children were. significant difference at 0. 1% level between parent's age, at 5% level between their religion, between their level of education and between their residence. But there was without statistically any significant difference between parent's occupations. 2)Parent's attitudes to the handicapped child were without statistically any significant difference by sex of child, handicap of child. But there were significant difference at 0. 1% level between child's birth order, at 5% level between his age. 53% of interviewed parents had experienced feeling of Guilt to their handicapped child. 3) Limitations in socialization to the crippled child were without statistically any significant difference by parent's age, occupation, religion, education. But there was significant difference at 1% level between family's residence. 4) Social influences to handicapped child were significant difference at 2% level between relatives of child, at 1% level between neighbors of child. But there was without statistically any significant difference by family of child.

임상간호원의 직업윤리에 대한 조사연구

임난영 中央醫學社 1979 中央醫學 Vol.36 No.3

병원에서의 간호사 역할확대 방안연구 : -병원행정직 간호사를 중심으로-

임난영,성영희,홍현자,황문숙,김명애,곽월희,송경자,이미경 병원간호사회 2011 임상간호연구 Vol.17 No.3

Purpose: The purpose for this study was to identify the present working status and tasks of nurse administrators in response to requirements of expanding nurses' roles in hospitals. Methods: The design of the study was descriptive-exploratory. The participants were 338 registered nurses who were working in hospital admini­strative departments. The data were collected from January 17, to March 20, 2011, and analyzed with descriptive statistics. Results: The majority of nurse administrators worked in quality assurance departments while no nurse administrators assigned in finance/taxation departments. Duties of nurse administrators were developed as 117 tasks in 11 divisions. Conclusion: These results suggest that expanding nurses' roles require developing job descriptions, nursing curricula emphasizing hospital administration, positive relationships with other health professions and a supportive system.

중도장애인의 삶의 변화 과정

임난영,한혜숙,Lim, Nan-Young,Han, Hye-Sook 한국재활간호학회 2004 재활간호학회지 Vol.7 No.1

Purpose : This study aimed at uncovering the disabled adult's way of thinking and behavior due to their changed life style. Method : In depth interviews with 11 participants were held and analysed based on the Grounded Theory Methodology by Strauss and Corbin (1990). Result : This study showed us that the disabled are getting independent by selfconfidence through developing coping strategies for their physical, emotional, social, sexual problems. And in the process of creating these strategies, support structures, satisfaction for performance effect, financial burdens, and mobility had an effect on the intervening factors. Adults who become disabled go through many changes. First, they have vague hopes of improving. Second, they become discouraged. Third, they accept their disability. Next, they learn coping strategies and finally, they integrate the changes into their new life style. Conclusion : This study can be utilized in rehabilitation nursing so that the disabled can adapt to their changed life style quickly and lead independent and self-confident lives.

임상경력에 따른 간호사의 의사결정 참여 영향요인

임난영,이여진 한국간호과학회 2004 Journal of Korean Academy of Nursing Vol.34 No.2

The purpose of this study was to investigate the relationship between decision-making factors(theoretical knowledge, expertise, empowerment, intuition) and participation in proportion to nurses's clinical experience. Data was collected by quota sampling from July 10, 2001 to August 22, 2001 from 132 clinical nurses who work for 3 General hospitals. Data was analyzed using SPSSWIN 10.0 with crosstab, ANOVA, and stepwise multiple regression.Expertise(F=34.347, p=.000), empowerment(F=29.316, p=.000), and participation(F=3.276, p=.041) were significantly different among 3 clinical experience groups. Clinical experience correlated with expertise(r=.551, p=.000) and empowerment(r=.492, p=.000), and Decision-making participation also correlated with expertise(r=.351, p=.000) and empowerment(r=.265, p=.002). Decision-making participation is effected by theoretical knowledge(under 3.00yr clinical experience), expertise(3.01-5.00yr), and empowerment(above 5.01yr). These findings indicate that factors(theoretical knowledge, expertise, or empowerment) on decision-making participation varies as nurses's clinical experience differs. Therefore, decision-making needs bilateral agreement between staff nurses and nurse managers rather than the responsibility of one.

재활간호학회지 논문 분석 - 창간호부터 2004년까지 -

임난영,김정화,조복희,소희영,박송자,조남옥,유경희,Lim, Nan-Young,Kim, Jeong-Hwa,Cho, Bok-Hee,So, Hee-Young,Park, Song-Ja,Cho, Nam-Ok,Yoo, Kyung-Hee 한국재활간호학회 2005 재활간호학회지 Vol.8 No.2

Purpose: The purpose of this study was to analyze research in the Korean Journal of Rehabilitation Nursing and to suggest further perspective for rehabilitation nursing research. Method: In this study we reviewed the contents of 134 articles published in this journal from its beginning year 1998 to 2004. Results: The majority of subjects were adult patients. The type of disease were Cerebrovascular Accident, Neuromuscular disease, Cancer patients, Urogenital disease such as Chronic Renal Failure, Spinal cord injury. Domain of research almost was client, type of research were survey(34.3%), quasi experimental study(20.9%), correlation study(19.4%). Nursing intervention of experimental study was exercise(39.0%), education(17.1%). Place of data collection was hospital (58.2%), position of researcher was professor(67.2%), method of data collection was questionnaire(50.7%). Conclusion: There has been a lack of written consent, child rehabilitation, measurement tool development, qualitative research. More studies about rehabilitation nursing are needed to extend the role and fields for professional nursing.

관절염환자에게 적용한 냉요법과 온요법의 효과비교

임난영 대한류마티스 건강전문학회 1995 근관절건강학회지 Vol.2 No.1

Heat and often produce a similar clinical effect but different physiologic mechanisms. The purpose of this study was to compare the effects of local heat and cold therapy on joint pain, discomfort and, ROM of the arthritic knee joint. Thirty female subjects took ice bag and hot bag with random assignment of initial therapy. Subjects rated the degree of joint pain and discomfort before and after each therapy, and then ROM was measured. The results of the study were as follows: 1. The hot bag group showed significantly lower joint pain & discomfort score than the ice bag group. ROM was increased in the hot bag group compared with subjects in the ice bag group. But there is not significant differences. 2. The ice bag group showed significantly lower joint pain score after than before therapy. But there are no significant differences in discomfort score & ROM between after & before therapy. 3. The hot bag group showed significantly lower joint pain, discomfort score after than before therapy. ROM was significantly increased after than before therapy in hot bag group. Therefore hot bag was significantly more effective than the ice bag in relieving the arthritic joint symptoms. A further study is necessary to determine the effect of local heat and cold therapy including the related variables such as preference for heat or cold.

Prediction Model of Exercise Behaviors in Patients with Arthritis : by Pender's revised Health Promotion Model

임난영,서길희 대한류마티스 건강전문학회 2001 근관절건강학회지 Vol.8 No.1

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and fuctional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and mood of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affact(depression) and perceived self-efficacy, interpersonal influences (family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fatness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy, BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status, perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39% perceived barriers of action were directly influeced by Past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status, which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention

류마티스 관절염 환자의 운동참여 예측요인

임난영,이여진 대한류마티스 건강전문학회 2001 근관절건강학회지 Vol.8 No.1

The purposes of this study were to examine and to predict the affecting factors on exercise participation of Rheumatoid arthritis Patients. The subjects were 161 adult out-patients who visited the hospital for rheumatic disease in H-university. Data were composed of self-reported questionnaire. The conceptual model of this study consisted of that personal characters(age, marriage, education, income), situational characters(pain intensity, fatigue, IADL, depression), behavioral characters(formerly exercise behavior, life-style), and cognitive-perceptional characters(perceived health status, perceived benefit, Perceived barrier, perceived self-efficacy) affected directly to exercise participation. Logistic regression analysis was applied for testing model of this study. The results were as follows : 1. Personal characters(education), situational characters(pain intensity), behavioral characters(formerly exercise behavior, life-style), and cognitive characters (perceived barrier, Perceived self-efficacy) were significant difference between current exercise Participants(127subjects) and non-exercise Participants(34). 2. Personal characters(income), situational characters(pain intensity), behavioral characters(life-style), and cognitive-perceptional characters(perceived barrier, perceived self-efficacy) were correlated to exercise participation 3. Formerly exercise behavior, Perceived barrier, and perceived self-efficacy were significant predictor of exercise participation. The logistic equation predicted overall 81.94% of this study subjects 161.

만성관절염과 루푸스의 피로, 통증, 및 통증효능감에 관한 연구

임난영,이은영,양용숙,정순애,차경옥,이여진 대한류마티스 건강전문학회 2000 근관절건강학회지 Vol.7 No.1

This study was designed to distinguish by the characteristic difference and the degree of symptoms such as fatigue, pain, coping to pain, and efficacy on pain, and to offer descriptive data for nursing intervention for improving coping ability to pain along each characteristics of disease in chronic arthritis and systemic lupus erythematosus. The subjects were 135 outpatients in the hospital for rheumatic disease in H-University, Seoul. The data were collected by structural questionnaire, from April 29 to June 29, 1999. The results were that the fatigue score was high in the OA patients while the RA patients and SLE patients experienced middle range of fatigue score, but which was not statistically different. Although the RA patients felt higher pain than other diseases, they have well coped with their pain than the others. In efficacy on pain the SLE patients had higher score than others but all of the disease showed lower score. No statistically significant difference among the three croup was recorded in efficacy on pain. Therefore, pain management in the RA patients was primary nursing intervention because they felt severe pain and have well coped with pain while they had lower pain efficacy score than the others. It is also important that fatigue management and coping strategies on pain for the OA patients and SLE patients are specially supportive in the nursing intervention.