만성피로환자의 스트레스 증상에 영향을 미치는 요인에 대한 탐색적 연구

한금선,박은영,전겸구 한국건강심리학회 2004 한국심리학회지 건강 Vol.9 No.1

본 연구는 지역사회에 거주하는 만성피로 환자의 스트레스 증상에 영향을 미치는 요인을 규명하여 장차 만성피로 환자의 스트레스 관리 프로그램 개발에 기여하고자 하였다. 연구 참여자는 S시에 거주하는 만성피로 증후군 환자의 기준에 부합되는 환자 252명이었다. 연구 결과, 스트레스 지각, 피로 증상 정도, 피로조절 행위 정도가 높을수록 스트레스 증상 정도가 높게 나타났고, 자기효능감, 사회적 지원 정도가 높을수록 스트레스 증상 정도가 낮게 나타났다. 만성피로 환자의 스트레스 증상을 예언하는 변인으로는 피로 증상, 스트레스 지각, 및 피로조절 행위로 나타났다. 본 연구 결과, 지역사회에 거주하는 만성 피로 환자의 스트레스 증상에 영향을 미치는 변인으로 피로 정도, 스트레스 지각, 피로조절 행위, 사회적 지원, 자기효능감 등을 포함할 수 있으며, 만성피로 환자의 스트레스 증상과 피로 증상을 관리하기 위해서는 자기효능감과 사회적 지원 증진을 포함하는 포괄적인 관리가 필요함을 시사해 주고 있다. 끝으로 본 연구 결과를 선행 연구와 관련하여 논의하고, 추후 연구를 위한 제안점들을 제시하였다. The purpose of this study was to identify possible contributing factors influencing on symptoms of stress by patients with chronic fatigue. Data were collected by questionnaires from 252 patients with chronic fatigue at two general hospitals and eight communities in Seoul. Major results revealed that: (1) the level of symptoms of stress experienced by patients with chronic fatigue was higher than that of general midwife population and patients with chronic diseases; (2) the level of symptoms of stress was significantly associated with the level of fatigue (r = .34, p = .00), perceived stress (r = .25, p = .00), and fatigue regulating behaviors (r = .16, p = .00); (3) the level of symptoms of stress was negatively associated with the level of social support (r = -.60, p = .00) and self-efficacy (r = -.18, p = .00); (4) perceived stress, level of fatigue, and fatigue regulating behaviors were shown to be significant predictors on the symptoms of stress. The results were discussed and implications for future studies are suggested.

통합적 스트레스 관리 프로그램이 정신생리질환자의 스트레스 증상에 미치는 영향

한금선,Han, Geum-Seon 대한간호협회 1997 대한간호 Vol.36 No.2

퇴원한 만성 정신 질환자의 삶의 질과 영향 요인에 관한 연구

한금선,이평숙,박은영 고려대학교 2001 간호학논집 Vol.3 No.-

합리적 행동이론(Theory of Reasoned Action)의 간호학적 적용

한금선 대한간호학회정신간호학회 1994 정신간호학회지 Vol.3 No.2

The Purpose of this article is to describe application of the Theory of Reasoned Action(TRA) to Nursing. Modern expectancy theories have evolved from two areas of research ; social-psychological investigations of the relationships between attitudes, beliefs, and behaviors and behavioral decision theory. TRA derived from social psychology, predicts a person's intention to perform a behavior in a well defined setting. The Theory can be used to explain virtually any behavior over which an individual has volitional control. The model assumes that behavior and that all other factors that influence behavior are mediated through intention. The measurement of intention must closely correspond to the measurement of behavior in terms of the action, target, context, and time in order to accurately predict behavior. The strength of person's intention to perform a specific behavior is a function o two factors : attitude toward the behavior and the influence of the social environment or general subjective norms on the behavior. Attitude toward the behavior is determined by and individual's belief and an evaluation of the outcome. Social norm is determined by a person's normative belief about what salient others think he or she should do and by the individual's motivation to comply with those people's wishes. *Application researches of the Theory of Reasoned Action : 1. Operationally Defining the Theory of Reasoned Action to Predict Condom Use ; The purpose of this study is operationally define to various terms of TRA. The subjects were patients in a sexually transmitted disease(STD) clinic. The used of condoms is instrumental in primary prevention of STDs. Since the risk for contracting STDs depends almost exclusively on an individual's behavioral choices, understanding the determinants of sexual decision making has important implications for the design of health education interventions. Salient outcomes used to develop the study questionnaire were identified from interviews and an open-ended questionnaire the study questionnaire were identified from interviews and an open-ended questionnaire with representative sample of 40 STD clinic patients. The model's variables, attitude toward the behavior and subjective norms were measured on seven-point bipolar rating scales and appropriate wording modifications were made for male and female patients. In this study, both attitude toward condoms and general subject norm significantly predicated intention to use condoms for both steady and new or infrequent partner. 2. Predicting breast Self-Examination Using the Theory of Reasoned Action : The personal and normative influences on breast self-examination(BSE) behavior in older women were examined using the TRA. Direct and indirect measures of attitude and social norm wee used to predict intention to predict intention to perform BSE and BSE frequency. Both the indirect and direct measures of attitude and social norm explained a significant amount of the variance in intention and BSE frequency. In conclusion, TRA is useful in the prediction of health providers to develop intervevtions and strategies for change that will be maximally effective.

지역사회에 거주하는 만성 정신질환자의 삶의 질 구조 모형

한금선 대한간호학회정신간호학회 2002 정신간호학회지 Vol.11 No.4

Purpose : This study was designed to construct a structural model for quality of life of the patient with chronic mental illness in community. Method : The hypothetical model was developed based oh the literature review. Data were collected by the questionnaires from 190 patients with chronic mental illness at a general hospital outpatient clinic and community health center in Seoul, Korea. Data analysis was done with SAS 6.12 for descriptive statistics and PC-LISREL 8.13 program for covariance structural analysis. Results : 1. The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 3 path and including free parameters to it. The modified model with path showed a good fitness to the empirical data (x^(2)=77.27, p<.001, GFI=0.92, AGFI=0.86, NNFI=0.99, NFI=0.99, RMSR=0.10, RMSEA=0.06). 2. The psychological distress and self esteem were found to have significant direct effects on the quality of life. The social support was found to have significant indirect effects on the quality of life. 3. The self efficacy and coping behavior were found to have significant direct effects on the social adaptation. The psychological distress and social support were found to have significant indirect effects on the social adaptation. Conclusion : From this results of this study, it is suggested to develop and apply comprehensive intervention program for improve quality of life of the patient with chronic mental illness in community.

퇴원한 만성 정신 질환자의 삶의 질과 영향 요인에 관한 연구

한금선,이평숙,박은영 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.3

The purpose of this study was to investigate the factors influencing quality of life of chronic mental illness. The subjects of this study were 190 patients with chronic mental illness diagnosed by physician, over the age of 20, living in Seoul, Korea, during the period from May, 2000 to December, 2000. The instruments for this study were the quality of life scale by RoYooJa(1979), the self-esteem scale by Rogenberg(1965), social support scale by ParkJiWon(1985), coping behavior scale by Shirley Zeitlin(1978)m self efficacy scale by Sherer et. al(1982), and Rand mental health inventory(1979). The data were analyzed using descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression. The results of this study are as follows: 1. The quality of life showed significant positive correlation with self-esteem(r=0.75, p=0.00), self-efficacy(r=0.53, p=0.00), social support(r=0.49, p=0.00), self-oriented coping(r=0.36, p=0.00), and environment-oriented coping (r=0.34, p=0.00). 2. The quality of life showed significant negative correlation with anxiety(r=-0.73, p=0.00), depression(r=-0.58, p=0.000), and psychological distress(r=-0.35, p=0.000). 2. Stepwise multiple regression analysis revealed that the most powerful predictor of quality of life was self esteem(36%). A combination of self esteem, social support, self efficacy, psychological distress, self oriented coping, and environment oriented coping behavior account for 55% of the variance in quality of life in chronic mental illness. From the results of this study, it is suggested to develop and apply comprehensive intervention program for improve quality of life in chronic mental illness.

중년 여성의 스트레스 증상에 영향을 미치는 요인에 관한 연구

한금선,이평숙,이용미 한국간호과학회 2000 Journal of Korean Academy of Nursing Vol.3 No.1

The purpose of this study was to identify the influencing factor on Symptoms of Stress of Middle Aged Women. The subjects of this study were 35 middle aged women who lives in Seattle, Washington in U.S, and 74 middle aged women who lives in Seoul. Data collection was performed at the University of Washington and Seoul from Oct. 1998 to May. 1999. Data collected through 4 types of questionnaires : SOS, Ways of Coping, Mood Status, Perceived Stress. The results of this study are as follows: 1. The stress symptoms showed positive correlation with emotion-oriented coping, mood status, and perceives stress. 2. Stepwised multiple regression analysis revealed that most powerful predictor of Stress Symptoms was mood status. A combination of perceived stress, mood status and ways of coping account for 64% of the variance in Symptoms of stress in Middle aged women. From the results of the study, the following recommendations are presented as follow: 1. It is necessary to replicate this study with a larger sample. 2. It is necessary to develop a stress management program focused on ways of coping, mood status, perceived stress for middle aged women.

조현병 환자 가족의 가족건강성 예측모형 구축

한금선,홍영선,강현철,노연희,최명숙,문희진 한국정신간호학회 2019 정신간호학회지 Vol.28 No.4

Purpose: The purpose of this study was to identify factors related to family health and develop a prediction model with an ability to explain family health in families of patients with schizophrenia. Methods: A hypothesized model with twelve pathway forms was developed based on literature review. Family stress and social stigma were included as two exogenous variables; whereas family resilience, family empowerment, self-esteem, community integration, and family health were included as endogenous variables. Data were collected using a self-report questionnaire from 206 families of patients with schizophrenia living in Republic of Korea. Data were analyzed with PASW/WIN 18.0 and AMOS 18.0 programs. Results: Social stigma had a negatively indirect and total effect on family health. Family resilience, self-esteem, and community integration had positive and direct and overall effects on family health. Conclusion: A prediction model for families of patients with schizophrenia is proposed and social stigma, family resilience, self-esteem, and community integration are presented as predicting factors for family health. Nursing interventions and support programs should be developed to overcome social stigma and improve family resilience, self-esteem, and community integration.

스트레스 지각과 대처가 여대생의 스트레스 증상과 음주관련 문제에 미치는 영향

한금선,전겸구,양승희 한국건강심리학회 2003 한국심리학회지 건강 Vol.8 No.3

본 연구는 여대생들을 대상으로 스트레스 지각과 대처가 스트레스 증상과 음주관련 문제에 미치는 영향을 규명함으로써 장차 음주로 인한 피해를 예방하고 효과적인 중재 개발을 위한 기초 자료를 제공하고자 한다. 연구의 참여자는 S 시에 소재한 간호대학생 436명이었다. 연구 결과, 연구에 참여한 여대생의 92.43%가 음주를 하는 것으로 나타났으며, 25.23%가 음주와 관련된 문제가 있는 것으로 나타났다. 음주관련 문제 정도가 높을수록 정서 중심적 대처와 스트레스 증상 정도가 높아지고, 스트레스 지각 정도가 높을수록 음주관련 문제 정도, 정서 중심적 대처 행위 및 스트레스 증상 수준이 높게 나타났다. 음주관련 문제가 있는 대상자의 경우 음주관련 문제가 없는 대상자보다 스트레스 지각, 정서 중심적 대처, 스트레스 증상 정도가 높게 나타났다. 또한 스트레스 지각과 정서 중심적 대처가 음주관련 문제 및 스트레스 증상을 유의하게 예언하는 변인으로 나타났다. 본 연구 결과, 여대생의 경우 스트레스에 민감하게 반응할수록 스트레스 증상 정도가 높게 나타나고, 정서 중심적 대처를 주로 이용하는 것으로 나타남으로써 여대생의 음주는 스트레스에 대한 대처의 한 유형으로 사용되고 있음을 암시하고 있었다. 이러한 결과는 사회적으로 심각한 문제로 대두되고 있는 여대생의 음주관련 문제를 해결하기 위하여 여대생을 위한 스트레스 관리 프로그램 개발 및 중재가 필요함을 시사해 주고 있다. 끝으로 본 연구 결과를 선행 연구와 관련하여 논의하고, 추후연구를 위한 제안점들을 제시하였다. The purpose of the present study was to identify the relations among perceived stress, ways of coping, drinking related problems, and symptoms of stress by female college students. Participants were 436 college students at nursing school in S city. Major results revealed that (1) 92.43% of the participants have drunk alcohol, and 25.23% of the participants have experienced drinking related problems; (2) drinking related problems were shown to be significantly positive associations with perceived stress, emotion-focused coping, and symptoms of stress; (3) the perceived stress was significantly associated with drinking related problems, emotion-focused coping, and symptoms of stress; (4) the drinking related problem group showed higher levels of perceived stress, emotion-focused coping, and symptoms of stress than those of the comparison group; (5) perceived stress and emotion-focused coping accounted for 40.1% of the variance in symptoms of stress. In sum, the present study suggests that perceived stress and emotion-focused coping are significantly associated with drinking related problems as well as symptoms of stress among female college students.

간호교육에서의 비대면 의사소통 및 집단상담교육: 현황 파악 및 미래 방향 제시

한금선,이수연,신지혜 대한스트레스학회 2023 스트레스硏究 Vol.31 No.4

간호사는 다양한 치료적 의사소통과 상담기술을 활용해 간호를 제공하므로, 간호사의 치료적 의사소통과 상담 교육의 현황을 파악해 비대면 교육방식에 대한 고찰과 미래 방향을 제시하고자 하였다. 2019∼2023년 사이에 출간된 국내/외 연구 8편을 고찰한 결과, 간호학생과 의료진을 대상으로 온라인 기반, 블랜디드 러닝(blended learning), 시뮬레이션, 역할극 활용 교육이 진행되고 있음을 확인하였다. 이와 같은 다양한 비대면 교육 방식 중 메타버스 환경 기반 교육은 실시간 슈퍼비전을 받을 수 있으며 다양한 내담자들이 포함된 시나리오 구성이 가능할 것으로 보이므로, 집단상담 교육에 메타버스를 접목하여 활용할 것을 제언한다. Background: In nursing, the utilization of diverse therapeutic communication and counseling techniques is crucial for effective nursing care. This study critically evaluated the present state of therapeutic communication and counseling education for nurses so as to explore the applications of non-face-to-face educational methods and to propose potential future directions for nursing education. Methods: This study targeted academic research published in either English or Korean between 2019 to August 2023 on the topics of communication and counseling education in nursing education. Results: There were eight studies of non-contact education in communication or counseling published between 2019 and 2023. The review identified various educational interventions currently in use, such as online-based, blended learning, simulation, and role-play education. Conclusions: Among the various non-contact educational approaches, education based in the Metaverse shows promise due to its ability to offer real-time supervision and a wide range of virtual scenarios. Therefore, we suggest the incorporation of the Metaverse in group counseling education to enrich the learning experience.