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논문검색은 역시 페이퍼서치

지역사회간호학회지검색

Journal of Korean Academy of Community Health Nursing


  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : - / SCOPUS
  • - ISSN : 1225-9594
  • - 간행물명 변경 사항 :
논문제목
수록 범위 : 29권 2호 (2018)

이압요법이 시설거주노인의 근골격계 통증, 우울 및 수면에 미치는 효과

장은경 ( Chang Eunkyung ) , 박희옥 ( Park Heeok )
4,000
초록보기
Purpose: The purpose of this study is to examine and evaluate the effects of auricular acupressure on musculoskeletal pain, depression and sleep of the elderly who are institutionalized in long-term care facilities. Methods: The research was conducted in a non-equivalent control group and non-synchronized design with data collected from October to December, 2016. The subjects were from long-term care facilities for the elderly in D city and divided into an experimental group (24 subjects) and a control group (25 subjects). Results: After the intervention, the experimental group showed significant improvement in degree of musculoskeletal pain on time (x2=23.89, p<.001) and degree of depression on time and group (x2=37.42, p<.001, U=122.0, p<001) and degree of sleep on time (x2=33.62, p<.001). Thus, the suggested hypothesis is partially supported. Conclusion: Auricular acupressure therapy is expected to be a practical and efficient nursing intervention for the elderly institutionalized in long-term care facilities.

서비스업체 근로자의 직무요구와 직무 스트레스 회복경험이 직무착근도에 미치는 영향

전소연 ( Jun So Yeun ) , 이연향 ( Lee Youn Hyang ) , 최은경 ( Choi Eun Kyung )
4,700
초록보기
Purpose: The purpose of this study is to identify the effects of job demand and recovery experience from job stress on job embeddedness among workers in the service industry. Methods: The participants were 223 workers from the service industry in P and Y Cities with the help of a structured self-report questionnaire, administered between July 10 and August 20, 2017. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson correlation coefficients and stepwise multiple regression. Results: There were significant differences in job embeddedness in terms of satisfaction with salary, continuous service, perceived stress level and the perceived health status of the subjects. There were significant positive correlations between role clarification in job demands (r=.55), recovery experience from job stress (r=.27) and job embeddedness. From the multiple regression analysis, the most significant factors affecting job embeddedness were found to be role clarification in job demands (β=.47), recovery experience from job stress (β=.23), and perceived stress level (β=.18). These variables explain 34.0 % of the total variance in job embeddedness. Conclusion: In order to increase job embeddedness among workers in the service industry, it is necessary to prepare measures to increase recovery experience from job stress and to decrease role clarificationin job demand, and perceived stress level.

돌봄 측정 관련 국내 간호학 연구 문헌고찰: 양적 연구를 중심으로

김정희 ( Kim Jeong-hee ) , 박영숙 ( Park Young Sook )
5,000
초록보기
Purpose: The purpose of this study is to review the quantitative research literature on measuring caring in order to identify overall trends in measuring caring. Methods: Fifty three papers were selected from four databases including RISS4U, DBpia, KISS, and Korea Med. Results: The number of measuring caring papers has increased since 2000. Approximately 60 % of the total papers were descriptive and correlative design researches with convenience sampling. Jean Waston’s theory was the most popular conceptual framework, but much of the research tended to be conducted without any conceptual framework. In that kind of research, ‘caring’ terms were used without definition. The most frequently used term for the concept of caring was nurses’ caring behaviors. Also, ‘nurses’ was one of the most popular subjects. Thirty six measuring caring instruments were used. Twenty were developed in foreign countries and translated into Korean. The others were developed originally in Korean. Interpersonal Caring Technique - Communication Skills Scale, based on the interpersonal process model, was the most frequently used tool. Among the translated instruments, Coates’ Caring Efficacy Scale was the most popular. Some instruments were used without validation. Conclusion: These results provide basic data on measuring caring and indicate directions for further research. In particular, validation studies of measuring caring instruments are needed.

장기요양시설 거주 노인 대상 테크놀로지 활용 중재에 관한 체계적 문헌고찰

김다은 ( Kim Da Eun ) , 김향 ( Kim Hyang ) , 현정희 ( Hyun Junghee ) , 이효진 ( Lee Hyojin ) , 성혜현 ( Sung Hyehyun ) , 배소영 ( Bae Soyoung ) , 탁성희 ( Tak Sunghee H ) , 박연환 ( Park Yeon-hwan ) , 윤주영 ( Yoon Ju Young )
4,900
초록보기
Purpose: Although innovative interventions using technologies have been introduced in long-term care settings, available evidence is still anecdotal. The purpose of this study is to investigate and synthesize the outcomes of interventions using technologies delivered to nursing home residents. Methods: Published clinical trials were identified through PubMed, CINHAL, Cochrane and PsycINFO databases and manually hand-searching. Eligible studies were articles published between 1997-2016 in English or Korean with a randomized controlled trial or quasi-experimental design in which interventions using technologies were delivered to nursing home residents. Results: A total of 20 studies were selected for this review. Types of interventions using technologies were classified into the electronic documentation technology (n=1), the clinical decision support system (n=1), the safety technology (n=1), the health and wellness technology (n=10), and the social connectedness technology (n=7). Overall resident outcomes indicated that interventions using technologies improved behavioral symptoms and psycho-social outcomes, but mixed results were shown in the aspects of physical function, cognitive function, social relationship and quality of service. Conclusion: This review demonstrates that incorporating technologies into nursing home care have positive effects on residents’ psycho-social outcomes and behavioral symptoms. To disseminate the effectiveness of interventions using technologies, further research is needed to determine what mechanisms underlying such relationships exist.

Effects of Social Capital on Subjective Health in the Community Indwelling Elderly

( Chu Hyeon Sik ) , ( Tak Young Ran )
4,000
초록보기
Purpose: The aim of this study is to examine a path model on the relationship among social capital, physical activity and subjective health status in the community indwelling elderly. Methods: The study was conducted utilizing the 2014 Seoul Survey, in the method of analyzing cross-sectional design and secondary data. Among 45,497 participants in total, the data of 4578 adults aged 65 or above was analyzed. Social capital was measured by social trust and social participation. Physical activity was measured by regular exercise. Additionally, a numerical rating scale was used to assess subjective health status. The data were analyzed using descriptive statistics, Pearson‘s correlation coefficients and path analysis. Results: Social participation and physical activity showed a direct effect on subjective health status in community indwelling elderly while social trust and physical activity showed an indirect effect on their subjective health status. The hypothetical path model of community indwelling elderly’s subjective health status was proved correct. Conclusion: Findings from this study indicate that health-promoting intervention for community indwelling elderly should consider social trust and participation.

Experiences of Overcoming Alcoholism in Alcoholics' Female Spouses Using Al-Anon

( Sim Jeong Eun ) , ( Hwang Seon Young )
4,700
초록보기
Purpose: The aim of this study is to investigate and elucidate actual experiences of alcoholics' spouses using familial social gatherings. Methods: A total of nine women whose alcoholic husbands were attending Al-Anon meetings held in Y Cathedral in S District of Seoul were included in this study. Data collection of this study was conducted through in-depth interviews with participants from September 24 to November 30, 2015. Data analysis was conducted at the same time as the data collection, and analysis was performed according to the method suggested by Colaizzi(1978). Results: We categorized the participants’ experiences into five themes including 'Trapped in a Deep Dark Tunnel', 'Life of Walking in an Endless Tunnel', 'Reaching a Dead End', 'Walking towards a Ray of Light', 'Finding Oneself on a Strange Path'. Conclusion: The results of this study provide an understanding of the essential structure of the life experiences of alcoholic spouses using familial social gatherings.

치매두려움에 대한 개념분석

이민경 ( Lee Minkyung ) , 정덕유 ( Jung Dukyoo )
4,900
초록보기
Purpose: This study tries to identify and clarify the concept of fear of dementia. Methods: The hybrid model method was used to perform a conceptual analysis of fear for dementia. Results from both the theoretical review of 35 studies and the field study with 8 community-dwelling older adults were included in the final stage. Results: Fear for dementia had 4 dimensions with 14 attributes including cognitive factors (direct experience of precursor symptoms of dementia, indirect experience of dementia, preliminary knowledge of dementia, impossibility of cognitive control, and confidence in dementia), emotional factors (negative feelings and pessimistic thoughts), social factors (social isolation, economic instability, embarrassment), and behavioral factors (existing health problems, making efforts to maintain health, impossibility of body control, peripheral autonomic nervous system response) along with 34 indicators. Conclusion: This study is meaningful because it reveals the attributes of Korean elderly adults’ fear for dementia. In addition, the results may serve as a basis for the early assessment and management of fear for dementia.

간호대학생의 임상수행능력 측정도구의 신뢰도와 타당도

김보영 ( Kim Bo Young ) , 채명정 ( Chae Myeong Jeong ) , 최연옥 ( Choi Yun Ok )
4,600
초록보기
Purpose: This study was conducted to evaluate clinical competency of nursing students and to examine the validity and reliability of the scale. Methods: The Clinical Competency Scale was formed through modification of Lee's Clinical Competency Scale that was originally developed in 1990. The Clinical Competency Scale was applied to 203 nursing students. Construct validity, item convergent and discriminant validity, concurrent validity, and internal consistency reliability of the scale were evaluated. Results: Exploratory factor analysis supported the construct validity with a five factor solution; that explained 63.6% of the total variance. Concurrent validity was demonstrated with the Nursing Competence Scale (r=.78, p<.001). Cronbach’s a coefficient for the scale was .96. Conclusion: The results of this study suggest that the Clinical Competency Scale has relatively acceptable reliability and validity and can be used in clinical research to assess clinical competency for nursing students.

치매노인 가족의 치매특별등급서비스 이용 경험

조희경 ( Cho Hee Kyung ) , 장수정 ( Chang Soo Jung )
4,800
초록보기
Purpose: This study tries to explore experiences with a special rating dementia service among family caregivers of elderly people with dementia. Methods: The participants were 11 family caregivers of elderly people with dementia and had used a day-care service from the special rating dementia service for more than 3 months. Data were collected through individual in-depth interviews and analyzed using content analysis. Results: Three categories emerged: “reminiscence of an entangled life”, “feeling relieved from a stifled life”, and “hope for a better life through help and support” with 8 sub-categories and 23 codes. By using the special rating dementia service, the participants experienced relief from the burden of caring for their elderly family member with dementia and restored their social relations or family relationships. They experienced a positive transition in which their caring for elderly family members with dementia was integrated into their daily lives, and they expressed their desires for better policies. Conclusion: These findings imply the importance and necessity of the special rating dementia service. Practical and systematic family support programs are necessary and proactive publicity activities by the government and public agencies are suggested to ensure that family caregivers can easily use the special rating dementia system.

연명의료 관련 신문 기사의 텍스트네트워크분석

박은준 ( Park Eun-jun ) , 안대웅 ( Ahn Dae Woong ) , 박찬숙 ( Park Chan Sook )
4,800
초록보기
Purpose: This study tried to understand discourses of life-sustaining treatments in general daily and healthcare newspapers. Methods: A text-network analysis was conducted using the NetMiner program. Firstly, 572 articles from 11 daily newspapers and 258 articles from 8 healthcare newspapers were collected, which were published from August 2013 to October 2016. Secondly, keywords (semantic morphemes) were extracted from the articles and rearranged by removing stop-words, refining similar words, excluding non-relevant words, and defining meaningful phrases. Finally, co-occurrence matrices of the keywords with a frequency of 30 times or higher were developed and statistical measures―indices of degree and betweenness centrality, ego-networks, and clustering―were obtained. Results: In the general daily and healthcare newspapers, the top eight core keywords were common: “patients,” “death,” “LST (life-sustaining treatments),” “hospice palliative care,” “hospitals,” “family,” “opinion,” and “withdrawal.” There were also common subtopics shared by the general daily and healthcare newspapers: withdrawal of LST, hospice palliative care, National Bioethics Review Committee, and self-determination and proxy decision of patients and family. Additionally, the general daily newspapers included diverse social interest or events like well-dying, euthanasia, and the death of farmer Baek Nam-ki, whereas the healthcare newspapers discussed problems of the relevant laws, and insufficient infrastructure and low reimbursement for hospice-palliative care. Conclusion: The discourse that withdrawal of futile LST should be allowed according to the patient’s will was consistent in the newspapers. Given that newspaper articles influence knowledge and attitudes of the public, RNs are recommended to participate actively in public communication on LST.
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