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심장판막 수술환자의 회복기간에 따른 증상클러스터와 삶의 질 변화
황순정,강정희 한국중환자간호학회 2019 중환자간호학회지 Vol.12 No.1
Purpose : It is widely accepted that addressing multiple symptoms together is the preferred approach in assessment and intervention and results in reduced negative patient outcomes. Yet, there are few studies examining symptom clusters and their impacts on quality of life longitudinally in patients after heart valve surgery. Methods: A total of 101 patients were recruited from a tertiary hospital and were administered questionnaires (at 3, 6, and 10 weeks after the surgery) assessing participants' characteristics, cardiac symptoms, and quality of life. Factor analysis was used to identify symptom clusters. Hierarchical multiple linear regression was used to predict quality of life. Results: Participants were predominantly 70-years old or more with a mean age of 64.34. The two symptom clusters at 3 weeks after the surgery with education, gender, and occupation accounted for 76.3% of variance in quality of life. Conclusion: Symptom clusters containing various physical and psychological symptoms in patients after the surgery affected quality of life, and the relationship was significant at 3 weeks after the surgery. Because symptom clusters were identified in all three recovery periods, nurses need to acknowledge these clusters, rather than each symptom separately, and to utilize these in providing care and education and in promoting quality of life in these patients.
놀이중심 학습상담 프로그램이 초등학교 저학년 학습부진 아동의 학업적 자기효능감 증진에 미치는 효과
황순정,이희영,최태진 국립부경대학교 인문사회과학연구소 2024 인문사회과학연구 Vol.25 No.3
최근 기초학력 저하를 염려하는 목소리가 높다. 기초학력 부진문제는 국가적으로 큰 손실일 뿐 아니라 이후 다양한 사회문제의 원인이 되기도 한다. 따라서 기초학력 미달이나 학습부진 학생들을 위한 지원은 시급한 과제이다. 이러한 노력의 일환으로 많은 연구자들이 학습부진 아동의 학업적 자기효능감 증진을 위한 연구를 수행해왔다. 본 연구에서는 이러한 노력의 연장 선상에서 놀이중심 학습상담 프로그램이 초등학교 저학년 학습부진 아동의 학업적 자기효능감 증진에 미치는 효과를 검증하고자 하였다. 이를 위해 첫째, 놀이중심 학습상담 프로그램이 초등학교 저학년 학습부진 아동의 학업적 자기효능감 증진에 효과가 있는가? 둘째, 놀이중심 학습상담 프로그램이 초등학교 저학년 학습부진 아동의 학업적 자기효능감 증진에 지연 효과가 있는가? 라는 두 가지 연구문제를 설정하였다. 이러한 연구문제를 해결하기 위해 본 연구에서는 비동등 집단 사전-사후검사 설계를 하였다. K시의 S초등학교 3학년 학생 16명을 각 8명씩 실험집단과 통제집단에 배정하였고, 이들을 대상으로 기초학습능력검사와 학업적 자기효능감 검사를 실시한 후 10회기로 구성된 놀이중심 학습상담 프로그램을 진행하였다. 수집된 자료는 공분산분석과 반복측정 이원분산분석을 통해 처리하였다. 놀이중심 학습상담 프로그램의 질적 분석 및 평가를 위해 매 회기의 마지막에 소감문을 작성하게 하였다. 통계적 분석 결과 놀이중심 학습상담 프로그램은 학습부진 초등학생의 학업적 자기효능감 증진에 효과가 있었고, 이러한 효과는 프로그램 종료 후 4주가 지난 시점에서도 유효하였다. 본 연구는 선행연구에서는 시도하지 않았던 놀이중심의 학습상담을 사용하였다는 점과 지연효과를 검증하였다는 점에서 의의를 찾을 수 있다. This study attempted to verify the effect of the play-based learning counseling program on the improvement of academic self-efficacy of underachiever children in the third grade of elementary school. To this end, first, is the play-based learning counseling program effective in improving the academic self-efficacy of underachiever children in the third grade of elementary school? Second, are there any delay effects in improving the academic self-efficacy of underachiever children in the third grade of elementary school? Two research questions were set up. In order to solve this research problem, this study designed a pre-post test for a non-equal group. Sixteen third graders of S Elementary School in K city were assigned to the experimental group and the control group with eight students each, and a basic learning ability test and academic self-efficacy test were conducted for them, and then a play-based learning counseling program consisting of 10 sessions was conducted. The collected data were processed through covariance analysis and repeated measurement two-way variance analysis. As a result of statistical analysis, the play-based learning counseling program was effective in improving the academic self-efficacy of elementary school students with poor learning, and this effect was also effective four weeks after the end of the program. This study is significant in that it used play-oriented learning counseling, which was not attempted in previous studies, and verified the delay effect.
선호 음악 감상이 수술 전 환자 불안과 활력징후에 미치는 효과
황순정,변주나 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.3
본 연구는 선호 음악 감상이 수술 전환자의 불안과 활력증후에 미치는 효과를 규명할 목적으로 실험 전과 후 변화 값에 대한 차이를 검증하는 유사 실험연구로서 비동등성 대조군 전후 시차 설계이다. 연구대상은 실험군 12명과 대조군12명으로 실험군은 수술 당일 아침 병실출발 직전에 활력징후를 측정한 후 선호하는 음악 감상하게 하여 마취직전까지 총 2시간 동안 음악 감상을 하게 한 직 후 불안정도와 활력증후를 측정하였으며 대조군은 침상에 누워 편안하게 휴식을 취하에 하였다. 수집된 데이터는 SPSS/WIN 12.0 program로 분석한 결과 불안정도는 실험군에서만 유의한 차이로 감소하였고 이완기혈압은 10.25mmHg감소하였으나 유의 수준에 미치지 못하였다. 기질불안, 수축기혈압, 맥박, 호흡정도에서는 유의한 차이를 보이지 않았다. 요약하자면, 선호 음악 감상은 수술 전 환자의 심리적 불안감소를 위한 비침습적 중재방안으로 사용이 가능하며 이완기 혈압감소를 위한 중재방안으로 사용하기 위해서는 약물 등 외생변수통제 후 반복연구 해볼 것을 제언하고자 한다. Ther purpose of the study was to test the effects of listening to music on psychological anxiety and pysiological vital signs among pre-operative patients.. A non-equivalent control group with pre and post-test design was used for the study. Subjects were 24 pre-operative patients waiting for surgery at C University hospital in J City, South Korea. The 12 study group had listened to preferred music continually from the ward to the operation room for 2 hours while the 12 control group had been on bed rest. The State-Trait Anxiety Inventory(Spielberger, 1975)and vital signs(Pulse, Blood Pressure) were employed before and after testing. The study found that listening to music was significantly effective on intervening anxiety level in study group but not in control group. However vital signs were not intervened in both groups. To conclude, listening to preferred music was a possible therapy for psychological but not for physiological intervention.
황순정,송현주,이지숙,변주나 사단법인 인문사회과학기술융합학회 2016 예술인문사회융합멀티미디어논문지 Vol.6 No.6
The purpose of this study was to identify the level of spiritual well being among the early adult who have the great risk through their lives and identify the effects of Christian integrative art therapy on their spiritual well-beings. This study adopted the one group pre-post test design. Data collection were from Oct. 1 to 19, 2015 and thirty normal early adult females age at 20-29 in J Cities were collected. Spiritual Well-Being Scale(Paloutzian and Ellison, 1982) was employed. The art therapy was consisted of 10 minute reading juvenile art book(Burpo, 2012) on death and eternal life in heaven and 30 minutes free-hand drawing of the images on the heaven. The spiritual well-being degrees of respondents were 58.23±9.20 at holistic, 27.17±6.96 at realistic, and 31.07±3.81 at religious well-being. Religious well-being was significantly higher than realistic well-being. There were significant differences in holistic spiritual well-being by religious characteristics such as type of brief in God's existence, type of religions, and influence of faith on life but not by sociodemographic characteristics such as age, job, life satisfaction. There were significantly increased spiritual well-being at all 3 areas after the therapy. There was more significant positive correlation between holistic and religious well-being than realistic well-being after therapy. To conclude, the degree of early adults females' spiritual well-being was lower than those of the middle or old age groups and the Christian integrative art therapy on eternal life after death enhanced their spiritual well-being at all 3 areas. The Christian integrative art therapy could be an effective intervention to enhance spiritual well-being among early adults. 본 연구는 생애 중 가장 개인주의이고 외로운 시기이 초기성인의 영적 안녕정도를 파악하고 이들의 영적 안녕증진 위해 천국영생에 대한 기독교적 통합미술치료를 실시한 후 그 효과 검증을 위한 사전사후 원시실험연구이다. 2015년 10월 1일부터 19일까지 J시 소재한 20세 이상 30세 미만의 여성 30명을 대상으로 영적 안녕정도는 치료 전후 구조화된 도구(강정호, 1996)로 측정하였다. 미술치료는 만남과 이완하기 10분, 죽음과 천국영생그림동화책읽기(Burpo, 2012) 10분, 천국영생자유화그리기 10분, 소감나누기 10분, 총 40분간 1회기 실시하였으며 자료는 SPSS WIN 18.0로 분석하였다. 그 결과, 치료 전 총체적 영적 안녕은 58.23±9.20, 하위영역인 실존적 안녕은 27.17±6.96,, 종교적 안녕은 31.07±3.81점이었으며 종교적 안녕정도가 실존적 안녕보다 3.9점 유의하게 높았다. 총체적 영적 안녕은 종교적 특성인 신의 존재 믿음양상, 신의 존재에 대해 확신유무, 종교유무별로 유의한 차이를 보여 신의 존재를 믿는 군이, 신의존재에 대해 확신하는 군이, 종교를 갖고 있는 군에서 영적 안녕이 유의하게 높았다. 반면 나이, 직업, 교육배경, 생활만족도 등 사회, 인구학적 특성별로는 차이를 보이지 않았다. 기독교적 천국영생 통합미술치료 후 총체적, 실존적, 종교적 안녕정도가 모두 유의하게 높아졌으며 총체적 영적안녕은 실존적보다 종교적 안녕과 더 긴밀한 정적 상관관계를 보였다. 결론적으로, 초기성인여성들 경우의 영적 안녕 정도는 중장년 및 노년보다 낮은 수준이었으며 신과의 관계에서 용서하고 사랑하는 종교적 안녕에서 영적 편안함을 더 느끼고 있었으며 기독교적 천국영생 통합미술치료 후 영적 안녕은 전 영역에서 모두 증진되었다. 이에, 기독교적 통합미술치료는 초기성인의 영적 안녕증진방안으로 사용가능하다.
초기성인 대학생들의 감사일기 활동이 자아탄력성에 미치는 영향
황순정,이은희,김주연,변주나 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.11
This study was performed to examine the effects of gratitude diary activities on ego - resilience among early adult college students. The experimental group(twenty persons) received gratitude diary activities for 50 minutes daily for 7 days, control group 1(twenty persons) daily diary activities, and control group 2(twenty persons) did not diary activities. and ego-resilience Scale and Subjective Happiness Scale were used as the international standardized reporting checklist. SPSS WIN/PC 24.0 was used by means of descriptive statistics, χ²-test, One-way ANOVA and stepwise multiple regression. The results were that the ego- resilience of the three groups showed a significant difference (F = 3.692, p <.05), which was 0.44 points higher in the experimental group than in the control group 1. Factors affecting ego-resilience were happiness(β = .816, p <.001), and the explanatory power of this variable was 81.6%. In the control group 1, happiness (β = -. 661, p <.001) and part-time (β = .498, p <.05). The explanatory power was 77.0%. In conclusion, gratitude diary activities have a positive effect on ego-resilience by increasing the happiness of early adult college students. 본 연구는 초기 대학생들을 대상으로 감사일기 활동이 자아탄력성에 미치는 영향을 확인하고자 하였다. 실험군 20명은 7일 동안 매일 50분 동안 감사일기 활동, 대조군1 20명은 일상일기 활동을, 대조군2 20명은 일기활동을 안한 군으로 국제표준 자가보고 체크리스트인 자아탄력성척도(Ego Resilience Scale), 행복감척도(Subjective Happiness Scale)로 설문조사하였다. SPSS/Win 24program로 기술통계, χ²-test, One-way ANOVA, 계층적 다중회귀분석을 이용하였다. 분석한 결과 실험 후 3군 간의 자아탄력성은 유의한 차이(F=3.692, p<.05)를 보여 실험군은 대조군1 보다 0.44점 높았다. 자아탄력성에 영향을 주는 요인은 실험군은 행복감(β=.816, p<.001)으로 이 변수의 설명력은 81.6%이었다. 대조군1은 행복감(β=-.661, p<.001), 아르바이트(β=.498, p<.05)로 설명력은 59.5%이었으며 대조군2는 행복감(β=.978, p<.001)로 설명력은 77.0%이었다. 결론적으로, 감사일기 활동은 대학생들의 삶에 대한 행복감을 높여 자아탄력성에 긍정적인 영향을 주었다.
가상 시뮬레이션(vSim)의 효과 - 간호대학생의 자기주도학습에 미치는 영향 -
황순정,이명인 사단법인 한국안전문화학회 2025 안전문화연구 Vol.- No.48
This study was conducted to determine the impact of virtual simulation practice on nursing students' self-directed learning. 144 third-year students at two nursing colleges in J also responded to an online survey from June 15 to June 30, 2022. Using a structured questionnaire, the survey included 6 questions on general characteristics, 10 questions on clinical practice-related characteristics, 32 questions on self-directed learning ability, and 52 questions on problem-solving ability. Collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS/WIN 23.0 program. As a result of the study, the variables that affect the subject's self-directed learning ability are problem-solving ability (β=.533, p<.001), relationship with training team members (β=.161, p<.022), and self-directed learning The explanatory power of these variables for ability was 42.5%. In conclusion, it was confirmed that problem-solving ability and relationships with simulation partners exerted a significant influence on the self-directed learning ability of nursing students participating in virtual simulation training. Therefore, it is necessary to provide nursing students with virtual simulations to learn in a context of their clinical practice.
황순정,이명인 (사)위기관리이론과실천 2026 Journal of Safety and Crisis Management Vol.16 No.3
Aim: We aimed to compare anxiety reactions to COVID-19 2019 between nursing students who recently underwent hospital standing and on-campus replacement practices. Design: This study is a descriptive survey conducted to confirm comparative differences in anxiety about COVID-19 among nursing college students who participated in hospital standing practice or on-campus replacement practice during the epidemic. Methods:We recruited nursing students in their 20s (70 men and 326 women) from a university in South Korea from September 04, 2023 to November 30, 2023. We used the Korean version of the State-Trait Anxiety Inventoryto assess their anxiety levels. Results:We observed a significant difference in anxiety between the hospital standing practice (52.47±9.68) and on-campus replacement practice (37.69±7.57) groups (t=12.11, p<.001). Anxiety levels were more obvious in the high anxiety group (54.45±7.24) than in the low anxiety group (30.00±3.58) (t=23.44, p<.001) among students who underwent hospital standing practice. Conclusion: Nursing students need to consider the practice methods implemented within the university to improve their academic achievement without anxiety during the COVID-19 pandemic.
황순정 ( Soon Jung Hwang ),배성숙 ( Sung Suk Bae ) 한국치위생과학회 2012 치위생과학회지 Vol.12 No.4
In this study, 1,495 cases of computerized data collected as disease entities of oral and maxillofacial injuries among patient visiting S university hospital located in Seoul in 2009 were analyzed and following results were obtained. It was found that the injury incidence in male was greater than in female (1.49:1), it occurred most frequently in the age of 7∼14 years old (19.6%), and its most frequent cause was falling down (25.9%). Injuries occurred in other place including beach and open-air (24.7%) most frequently, often developed in anterior teeth (43.2%) and posterior teeth (43.1%), their incidence was relatively higher between 15:00∼17:00 (10.4%) and 19:00∼23:00 (7.1%) O`clock. In the relationship between causes of the injury and the diagnosis based on the international classification of disease), falling, fall, impingement, violence, traffic accident, sports and own making accident caused most frequently lip and oral open injuries (S01.5), open fracture of tooth (S02.51), close fracture of tooth (S02.50), close fracture of mandible (S02.60), close fracture of tooth (S02.50), respectively. From the above results, it is necessary to understand general characteristics of oral and maxillofacial injuries and to consider their trends for the establishment of systematic complement policies and for the performing safety training and public relations activities.