정신간호학 분야의 질적 연구논문분석 - 최근 10년 간 정신간호학회지에 게재된 논문을 중심으로 -

남경아 ( Kyoung A Nam ) 한국정신간호학회 2014 정신간호학회지 Vol.23 No.4

Purpose: The purpose of this study was to analyze the trends in qualitative research articles that from 2004 to 2013 in the Journal of Korean Academy of Psychiatric and Mental Health Nursing and to raise issues for the evolution of qualitative research. Methods: Descriptive statistics and qualitative evaluation were used in analysis of fifty qualitative studies. The focus was on research methodology and techniques to establish validity of the study. Results: Most frequently used methodological orientation was phenomenology (48.0%) and the analytic method was Colaizzi’s. Nearly two-thirds of studies focused on general population or psychiatric patients dwelling in community settings. There were no comments on validity in fifteen studies, and in the rest of studies, the description about the techniques to enhance the validity of study were not elaborated. Conclusion: Although qualitative studies in health care environment have increased recently, the proportion of qualitative studies compared with quantitative studies was relatively low in the Journal of Korean Academy of Psychiatric and Mental Health Nursing. In order to make qualitative studies useful to nursing research, practice, administration and education, authors employing qualitative research methods should exert efforts to enhance validity of studies.

최근 10년간 ‘한국정신간호학회’ 학술지의 게재 연구 분석: 텍스트 네트워크 분석 및 토픽 모델링의 활용

김은조,한금선 한국정신간호학회 2023 정신간호학회지 Vol.32 No.2

Purpose: This study aimed to examine research published in the Journal of Korean Academy of Psychiatric and Mental Health Nursing (JKPMHN) from 2013 to 2022. Methods: Descriptive statistics, text network analysis, and topic modeling were used to analyze 368 articles. Results: The most prevalent research designs in the articles published during the past decade were cross-sectional studies (44.6%) and qualitative research (19.2%). The subjects of the included studies were people with mental illnesses (18.7%), nursing students (11.7%), and psychiatric nurses (8.7%). A text network comprised of the keywords from the research abstracts was constructed and presented. The text network analysis identified the main keywords as: “depression”, “family”, “stress”, “intervention”, “life”, “suicide”, “communication”, “alcoholics”, and “experience”. Seven topics were derived through the topic modeling: nursing intervention for mental health problems, nursing research for patients with mental illnesses, the competency of mental health nurses, the meaning derived from life experience, family in mental health, the mental health of nurses, and the mental health of students. Conclusion: This study determined the recent research trends in the JKPMHN. In psychiatric nursing research, efforts should continue to serve as the basis for practice and produce relevant evidence, and research priorities need to be established.

정신간호학회지에 게재된 연구논문 분석

이광자 ( Lee Gwang Ja ) 한국정신간호학회 2001 정신간호학회지 Vol.10 No.4

This study was conducted to analyze the nursing research methodology and the key concepts used in articles published in the Journal of Korean Academy of Psychiatric Nursing. The purpose of this study was for reflecting the trends of psychiatric nursing research and suggesting the direction of future nursing research in Korea. The results are following. 1. There were 173 research studies in Journal of Korean Academy of Psychiatric Nursing from 1992 to 2000, yet the number increased in 1998, 110 research studies done since 1998 and it is 63% of the total research studies. 2. The most of the research studies are non-degree research studies. Thesis and research studies with fund have been rapidly increased since 1999. There were many individual research studies, but after 2000 year the collaborative research studies have been increased. 3. The prevailing research designs were the non-experimental design(60.1%), pre-experimental(13.3%), quasi-experimental(9.8%), and qualitative research designs(9.3%) in order. 4. As for the research subjects were patient(30.2%) and generally healthy persons(24.2%), next to primary care-givers, nutrses or nursing students and research articles. 5. The data collection method used most often self-report questionnaires using psychosocial measurement(66.2%). Intelview methods and physiologic measures were used relatively few times. In 1970`s psychosocial measurement and self-report had been used a lot. After 1990`s psychological measurement has been increased. 6. The domain of the key concepts that prevailed was health(39.3%) and human being domain(19.8%). The key concepts related to nursing domain(18%), and environmental domain(13%) were relatively low. The prevailing key words of the health domain were psychological health-stress, depression, mental health, self-esteem. The prevailing key words related to nursing domain were self-care activity, psychoeducation, group counseling, community mental health nursing program. This study has the limitation of focusing on only the superficial structural analysis rather than in-depth content analysis of each article. However, this study is the study for reflecting the trends of nursing research based on the Korean Academy of Psychiatric Nursing. Based on the research results, there are some prospect and proposition. 1. It is needed to study to check effectiveness of the post educational program for the patients and families. 2. In the research design, it is needed more qualitative research. In the main concerns of the psychiatric nursing research is human`s real experience to understand other peoples experience. 3. The present study has provided important psychiatric nursing concepts such as human being, health, environment, and nursing for understanding psychiatric nursing interventions. The key concepts related to nursing and environmental domain were relatively low.

정신간호학회지 게재 논문 분석을 통한 정신간호연구 동향: 창간호에서 2006년도까지

이미형 ( Mi Hyung Lee ),손정남 ( Jung Nam Sohn ),원정숙 ( Chung Sook Won ),정명실 ( Myung Sil Chung ),현명선 ( Myung Sun Hyun ),한금선 ( Kuem Sun Han ),김정숙 ( Chung Sook Kim ) 한국정신간호학회 2007 정신간호학회지 Vol.16 No.3

한국 남녀 청소년의 정신건강과 영향요인-이성과의 성경험을 중심으로: 제 11차 청소년 건강행태 온라인조사 자료 이용

염미정,이경주,이주영 한국정신간호학회 2020 정신간호학회지 Vol.29 No.3

Purpose: This study explored the effect of adolescents’ sexual behavior on mental health according to behavior, demographic, and sex-related characteristics. Methods: The 11th Korean Youth Risk Behavior Web-Based Survey wasconducted with 67,427 adolescents in South Korea. The hierarchical logistic regression was conducted to calculateodds ratios (ORs) and 95% confidence intervals (CIs) to investigate the relationship between adolescents’ sexualbehavior and mental health (i.e., stress, depressive state, suicidal ideation, and subjective happiness). Results: Maleand female adolescents were more likely to experience stress, depression, and suicidal ideation if they were highschool students, low-income, smoked, drank, and/or had low academic achievement. Those with sexual experienceshowed higher levels of stress and depression and suicidal ideation rates and lower happiness. After controlling fora variety of covariates, including individual, family, and school factors, adolescents experienced sexual intercourseshowed significantly higher mental health status ORs than those who had not had intercourse. Conclusion: It is necessary to provide an expanded health education program that combines healthy lifestyle and mental health promotionrather than fragmentary sex education to prevent negative physical and mental consequences of sexual intercourseamong adolescents.

수용-전념 치료가 만성 통증 환자의 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석

강희숙,황성동,전상은 한국정신간호학회 2019 정신간호학회지 Vol.28 No.3

Purpose: The aims of this study was to evaluate the effects of acceptance and commitment therapy (ACT) for chronic pain patients. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses, we searched the Cochrane Library, CINAHL, EMBASE, OVID, PubMed and Korean databases to identify randomized controlled trials published through May 2019. To estimate the effect size, a meta-analysis of the studies was performed using the R program, and the risk of bias was assessed using the Cochrane’s Risk of Bias tool for randomized studies. Results: A total of 11 studies were included in this study. Studies were heterogeneous, and random effects models were used in the analyses. ACT was effective for improving pain (g=-0.40, 95%CI:-0.69~-1.12, p<.001, I2=80%), pain acceptance (g=1.24, 95% CI:0.41~2.05, p<.001, I2=95%), anxiety (g=-0.47, 95% CI:-0.81~-0.13, p<.001, I2=84%), depression (g=-0.52, 95% CI:-0.85~-0.19, p<.001, I2=85%), and quality of life (g=1.14, 95% CI:0.11~2.17, p<.001, I2=95%). Conclusion: Our study findings of the ACT seems to be effective for improving pain, pain acceptance, anxiety, depression, and quality of life in patients with chronic pain. Additionally, ACT may be useful for reducing barriers to therapy, and various studies should be attempted.

간호대학생의 전문직역량강화를 위한 자기결정성증진 프로그램 개발 및 효과

박주현,박현숙 한국정신간호학회 2019 정신간호학회지 Vol.28 No.3

Purpose: The purposes of this study were to develop a self-determination improvement program for enhancing nursing students’ professional competence and to evaluate effects of the intervention on nursing professionalism, communication skills, and career decision-making autonomy among nursing students. Methods: The study was in a pre-test, post-test 1, and post-test 2 for a nonequivalent control group design. The participants were 56 students enrolled a nursing school or college (experimental group: 28; control group: 28). The self-determination improvement program was provided in 12 sessions over 4 weeks. Data was collected from August to September 2018. Data were analyzed using SPSS/WIN 25.0 program with x2 test, Fisher’s exact test, the independent t-test, and repeated measurement ANOVA. Results: Participants receiving the self-determination improvement program reported increased nursing professionalism, communication skills, and career decision-making autonomy that was significantly different from those in the control group. Conclusion: Our study findings suggest that the self-determination improvement program could be effective for enhancing career decision-making autonomy by strengthening nursing students’ professionalism and communication skills. Nursing educational program based on self-determination may be helpful for nursing students who need to prepare themselves as competent nurses in future profession.

다문화가정 청소년의 성경험에 따른 자살행동: 제10~12차 청소년건강행태 온라인조사 자료를 이용하여

이현정,이경주 한국정신간호학회 2019 정신간호학회지 Vol.28 No.3

Purpose: The purpose of this study is to investigate how sexual experience associate with the suicide ideation, suicide plan and suicide attempt among culturally diverse adolescents compared with Korean adolescents. Methods: This study used a secondary data analysis study with the data derived from the 10~12th (2014~2016) Korean Youth Risk Behavior Web-based Survey. Data of 2,201 culturally diverse adolescents and 189,278 Korean adolescents were analyzed. Descriptive statistics, x2 test, and hierarchical logistic regression were used for data analysis. Results: After controlled for individual, family and social factors as compounding variables, the suicide ideation of culturally diverse adolescents with sexual experience was higher for 1.72 (95% CI: 1.24~2.38), suicide plan for 2.24 (95% CI: 1.58~3.17) and suicide attempt for 2.71 (95% CI: 1.87~3.93) compared to Korean adolescents without sexual experience. Regardless of cultural diversity, the risk of suicide ideation, suicide plan and suicide attempt of adolescents with sexual experience was higher than adolescents without sexual experience. Conclusion: Our study findings indicate the highest need to prevent suicide ideation, suicide plan and suicide attempt among culturally diversity adolescents with sexual experience among all the other adolescents’ group.

대학생의 대인관계 능력 관련요인: 스마트폰 중독 경향의 매개효과 분석

권은정,한금선 한국정신간호학회 2019 정신간호학회지 Vol.28 No.3

Purpose: The aims of this study were to evaluate a hypothetical model explaining undergraduates’ interpersonal relationship ability associated with the stress of life, self-esteem, and their communication ability and to identify the mediating effect of a smartphone addiction tendency on the identified associations. Methods: Data were collected from 201 undergraduates using a structured questionnaire from August to September 2017. Data analyses included descriptive statistics, Pearson’s correlation coefficients, and structural equation modeling with SPSS AMOS 22.0. Results: The participants’ interpersonal relationship ability was 65.9%, explained by the stress of life, self-esteem, communication ability, and smartphone addiction tendency. The factors of undergraduates’ interpersonal relationship ability were self-esteem (β=.10, p<.01) and communication ability (β=.14, p<.001). Stress of life (β=.15, p<.01) directly affected the participants’ smartphone addiction tendency, which was not associated with interpersonal relationship ability. Conclusion: Based on our study findings, self-esteem and communication ability should be considered for developing nursing interventions to improve interpersonal relationship ability. However, a smartphone addiction tendency may be managed for undergraduates who experience excessive stress of life rather than interpersonal relationship ability. Thus, a tailored approach targeting specific needs or competence should be developed based on our data-based framework.

통합적 스트레스 관리 프로그램이 정신과 환자의 입원 스트레스와 우울에 미치는 효과

김지은,정명실,권미숙,강선아,고자인,강현아,서미희,송영옥,남윤영 한국정신간호학회 2019 정신간호학회지 Vol.28 No.3

Purpose: The purpose of this study was to test the effects on stress and depression by developing and implementing an integrated stress management program for inpatients in the psychiatric closed ward. Methods: The study was a one-group pretest-posttest design. A total of 36 patients in the closed ward participated in this study. Data were collected through self-report questionnaires to measure hospital stress and depression. Data were analyzed by using t-tests and one-way ANOVA with SPSS/WIN 21.0. Results: Integrated stress management program was designed based on Lazarus and Folkman stress-appraisal-coping model. Total of eight 1-hour sessions were delivered for four weeks in the group. There were significant differences in the inpatient stress scores before and after the intervention. However, the integrated stress management program showed some reduction in depression but did not show signifiant differences statistically. Conclusion: Our study findings confirm that the use of the integrated stress management program can reduce stress of the patients, that enable them to stabilize their minds at hospitalization. However, further study is needed to confirm the effects on depression. Thus, it would be beneficial to provide psychiatric nursing intervention tailored to psychiatric patients’ symptoms, especially for reducing inpatient stress.