10 research outputs found
๊ณํ๋ ๊ฐํธ์ ๋ณด๊ฐ ์๋ฉด๋์ ๋ฏธ์น๋ ์ํฅ์ ๊ดํ ์ฐ๊ตฌ
๊ฐํธํ๊ณผ/๋ฐ์ฌ[์๋ฌธ]
[ํ๊ธ]
๋ณธ ์ฐ๊ตฌ์ธ ์ฃผ๋ชฉ์ ์ ๊ณํ๋ ๊ฐํธ์ ๋ณด( structured information ) ์ ๊ณต์ด ์๋ฉด์ ๋ฏธ์น๋
ํจ๊ณผ๋ฅผ ๊ฒ์ฆํ๋๋ฐ ์๋ค. ์ด ์ฐ๊ตฌ๋ ๋ค์์ ๋๊ฐ์ง ์ฐ๊ตฌ๋ฌธ์ ๋ฅผ ๊ฐ์ง๊ณ ์๋ ๋์๋ค. ์ฆ
์ฒซ์งธ, ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ ์์ ๋ก ์ธํ ์ ์ ์ ๋ถ์๊ณผ ์ ์ฒด์ ์คํธ๋ ์ค ๋๋ฌธ์ ์์ ์ ํ
์ ์๊ธฐ๋ ํ์์ธ ์ ์ ์ ์๋ฉด์ฅ์ ์ ์ํฅ์ ๋ฏธ์น๋๊ฐ ๋์งธ, ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ ์๋ฉด์
๊ฐ์ ์ ์ผ๋ก ์ํฅ์ ๋ฏธ์น๋ ์์ ์ ๋ ๋ฐค ์ํฉ ๋ถ์ ( state anxiety )์ ๋๋ ์์ ํ ์ ์
์ ์ฒด์ ์คํธ๋ ์ค๋ก ์ธํ ํ๋ชฌ ๋ณํ ๋ฐ ์๋ฉด๋๊ณผ ๊ด๋ จ๋ ํ๋ ๋ณํ์๋ ์ํฅ์ ๋ฏธ์น๋๊ฐ
์ด๋ค. ์ด ์ฐ๊ตฌ๋ฌธ์ ๋ฅผ ๊ฐ์ง๊ณ ์์ ํ ์ฒซ๋ ๋ถํฐ ๋์งธ๋ ๊น์ง ์๋ฉด์ ๊ฑฐ์ ์ทจํ์ง ๋ชปํ๋
๊ฐ์ฌ์ (open heart surgery) ํ์๋ฅผ ์ ํํ์ฌ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ์ ๊ณต๋ฐ๋ ์คํ๊ตฐ๊ณผ ๊ณํ
๋ ๊ฐํธ์ ๋ณด๋ฅผ ์ ๊ณต ๋ฐ์ง ์๋ ๋์กฐ๊ตฐ์ ๋ ์ง๋จ์ ์ค์ ํ์ฌ ์ด ๋ ์ง๋จ๊ฐ์ ์ํฉ ๋ถ์
์ ๋, ํ๋ชฌ์น ๋ณํ ๋ฐ ํ๋๋ณํ๋ฅผ ๋น๊ต ๋ถ์ํจ์ผ๋ก์ ๊ณํ๋ ๊ฐํธ์ ๋ณด์ ํจ๊ณผ๋ฅผ ๊ท๋ช
ํ
๊ณ ์ ์๋ํ์๋ค.
๋ณธ ์ฐ๊ตฌ์คํ์ ํจ๊ณผ์ ์ผ๋ก ๊ฒ์คํ๊ธฐ ์ํ์ฌ ๋ค์๊ณผ ๊ฐ์ ์ฃผ๊ฐ์ค๊ณผ ๋ถ๊ฐ์ค์ ์ค์ ํ์
๋ค.
์ฃผ๊ฐ์ค 1) ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ ์คํ๊ตฐ์ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ง ์์ ๋์กฐ๊ตฐ์ ๋น
ํ์ฌ ์์ ์ ๋ ๋ฐค ์๋ฉด๋์ด ๋ง์ ๊ฒ์ด๋ค.
2) ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ ์คํ๊ตฐ์ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ง ์์ ๋์กฐ๊ตฐ์๋นํ์ฌ ์
์ ํ ์ผ์ฃผ์ผ๊ฐ์ ํ๊ท ์๋ฉด๋์ด ๋ง์ ๊ฒ์ด๋ค.
๋ถ๊ฐ์ค 1) ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ ์คํ๊ตฐ์ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ง ์์ ๋์กฐ๊ตฐ์ ๋น
ํ์ฌ ์์ ์ ๋ ๋ฐค ์ํฉ ๋ถ์ ์ ๋๊ฐ ๋ฎ์ ๊ฒ์ด๋ค.
2) ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ ์คํ๊ตฐ์ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ง ์์ ๋์กฐ๊ตฐ์ ๋นํ์ฌ ์
์ ํ ํ๋ชฌ๋ณํ๊ฐ ์ ์ ๊ฒ์ด๋ค.
3) ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ ์คํ๊ตฐ์ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ง ์์ ๋์กฐ๊ตฐ์ ๋นํ์ฌ ์
์ ํ ํ๋๋ณํ๊ฐ ์ ์ ๊ฒ์ด๋ค.
์ฐ๊ตฌ๋ฐฉ๋ฒ์ ์ ์ฌ์คํ ์ค๊ณ(quasi-experimental design)์ ์๊ฐ์ฐ์ ๋ฐฉ๋ฒ (time-series
method)์ ์ด์ฉํ ์์์คํ ์ฐ๊ตฌ๋ก์ ์ฐ๊ตฌ๋์ ๋ฐ ์ฐ๊ตฌํ์ฅ ์ค์ ์ ์ํ ์ฌ์ ์กฐ์ฌ์ ์ฐ๊ตฌ
๋๊ตฌ๊ฐ๋ฐ๊ณผ ์ค์ ์ ์ํ ์ฌ์ ์คํ, ๊ทธ๋ฆฌ๊ณ ์คํ์ ๊ฐํธ ์ ๋ณด ์ ๊ณต ๊ณผ์ ์ ์ฐจ๋ฅผ ๊ฑฐ์น๋
๋ฐฉ๋ฒ์ผ๋ก ์ํํ์๋ค.
์ฐ๊ตฌ ๋์์๋ ์์ธ ์๋ด 1๊ฐ ์ข
ํฉ ๋ณ์์์ ๋ฌด์์ ์ ํ๋ฐฉ๋ฒ์ ์ํ์ฌ ์ ์ ๋ ์คํ๊ตฐ
๊ณผ ๋์กฐ๊ตฐ์ ์ฒด๊ณ์ ์ธ ๋ฐฉ๋ฒ์ผ๋ก ๋ถ๋ฐฐ๋ 53๋ช
์ธ ๊ฐ์ฌ์ ํ์์ด์๋ค. 26๋ช
์ ์คํ๊ตฐ๊ณผ 27๋ช
์ธ ๋์กฐ๊ตฐ ๋ ์ง๋จ์ ์ ์ฌ์ฑ ๊ฒ์ค์ ์ํ์ฌ ์๋ฉด ํํ ์กฐ์ฌ, ๊ธฐ์ง ๋ถ์ (trait anxiety)
๊ฒ์ฌ, ํ๋ชฌ ๊ฒ์ฌ, ํ๋ ์ฒ๋ ๊ฒ์ฌ ๋ฐ ์ง๋จ๋ช
๋์กฐํ์ธ ๋ฑ์ ๋ถ์ํ ๊ฒฐ๊ณผ ์๋ฉด ํํ, ์ฌ๋ฆฌ
์ํ, ์๋ฆฌ ์ํ ๋ฐ ์ง๋ณ ์ ๋์์ ๋ ์ง๋จ์ด ์ ์ฌํจ์ ํ์ธ ํ์๋ค. ์คํ์ ์กฐ์น์ด์ธ์
๋ณ์ค ํ๊ฒฝ ๋ฐ ๊ฐํธ์ค์ฌ์ ์์ด์๋ ๋ ์ง๋จ ์ฌ์ด์ ์ฐจ์ด๊ฐ ์์๋ค.
์ฐ๊ตฌ ๋๊ตฌ๋ก์ ์ฌ์ฉํ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ ์์ ๊ณผ์ ๊ณผ ์๋ฉด์ ์ฐ๊ด๋ ๋ด์ฉ์ Roy ์๊ฐํธ
์ค์ฌ ๋ชจํ์ ๊ทผ๊ฑฐ๋ก ํ์ฌ ์๋ฆฌ์ ์๊ตฌ, ์์ ๊ฐ๋
, ์ญํ ๊ธฐ๋ฅ, ์ํธ์์กด๊ด๊ณ์ ์ ์์
๊ด๊ณ๋ ๋ด์ฉ์ผ๋ก ๊ตฌ์ฑํ์๋ค. ์ด๋ ๊ฒ ๊ตฌ์ฑํ ์ ๋ณด๋ด์ฉ์ ์คํ๋๊ตฌ๋ก ์ฌ์ฉํจ์ ์์ด์ ์ฐ
๊ตฌ์์ ์ฐ๊ตฌ ๋์์ ์ฌ์ด์์ ๋ฐ์ํ ์๋ ์๋ ์ฃผ๊ด์ ํธ๊ฒฌ์ ํผํ๊ณ ์ ๋ณด์ ๊ณต์ ํํ์
์ํ์ฌ ๋
น์ํ
์ดํ์ ์๋กํ์ฌ ์ฌ์ฉํ์๋ค.
์๋ฉดํํ ๋ฐ ์ต๊ด ์กฐ์ฌ๋ ์ ํ์ฐ๊ตฌํ ์ฐธ์กฐํ์ฌ ์ค๋ฌธ์ง๋ฅผ ์ ์ ํ์๋ค.
์๋ฉด๋ ์ธก์ ์ ๊ฐ๊ด์ ์ธ ๊ธฐ์ค์ ์๊ฑฐํ ๊ฐํธ์์ ๊ด์ฐฐ๊ณผ ํ์ ์์ ์ ๋ณด๊ณ . ๋ณดํธ์์
ํ์ธ์ผ๋ก ์๋ฉด๋์ ์ ํ์ฌ ๊ธฐ๋กํ๋ ๋ฐฉ๋ฒ์ ์ฌ์ฉ ํ์๋ค.
์ํฉ๋ถ์์ Spielberger์ State Trait Anxiety Inventory(STAI)๋ก ์ธก์ ํ์๊ณ ํ๋ชฌ์
ํ์ฅ๋ด cortisol ๋ก ์ธก์ ํ์์ผ๋ฉฐ ํ๋ฑ์ฒ๋๋ Wyatt์ Behavior and Mood Rating Scale
(BMRS) ๋๊ตฌ๋ฅผ ์ฌ์ฉ ํ์๋ค.
์คํ๊ธฐ๊ฐ์ ์ฐ๊ตฌํ์ฅ ๋ฐ ์ฐ๊ตฌ๋์์ ์ ์ ์ ์ํ'์๋นํ์ฌ๊ธฐ๊ฐ๊ณผ ์ฐ๊ตฌ ๋๊ตฌ ๊ฐ๋ฐ ๋ฐ ์ค
์ ์ ํ์ํ ์ฌ์ ์คํ ๊ธฐ๊ฐ 2๊ฐ์์ ๊ฑฐ์ณ ๋ณธ ์คํ์ ์ฐฉ์ํ์ฌ ์ฐ๊ตฌ ๋์์ 53๋ช
์ ๊ด์ฐฐ
ํ ์ด ๊ธฐ๊ฐ์ 4๊ฐ์ ์ด์๋ค.
์์ง๋ ์๋ฃ ๋ถ์์ 1 ) ์ฐ๊ตฌ ๋๊ตฌ์ ํ๋ฅ๋ ๋ฐ ์ ๋ขฐ๋ ๊ฒ์ค 2) ์ฐ๊ตฌ ๋์ ํน์ฑ ๋ถ์ 3
) ๊ฐ์ค ๊ฒ์ฆ ์์๋ก ์ค์ ํ์๋ค.
์๋ฃ ๋ถ์ ๋ฐฉ๋ฒ์ 1 ) ์ฐ๊ตฌ ๋๊ตฌ์ ์ ๋ขฐ๋ ๊ฒ์ฆ์ ์ํ์ฌ ์์ธ๋ถ์ ( factor analysis)
๋ฌธํญ๋ถ์ ( item analysis )์ ํ์๊ณ 2) ์ฐ๊ตฌ๋์ ํน์ฑ ๋ถ์์ ๋ฐฑ๋ถ์จ๊ณผ t -test๋ก ์คํ
๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ์ ์ฌ์ฑ์ ๊ฒ์ฆ ํ์์ผ๋ฉฐ 3) ๊ฐ์ค๊ฒ์ฆ์ ์ฐจ ํ๊ท ์น (mean difference )์
์ํ t-test ๋ฐ ๊ณต๋ณ๋ ๋ถ์ (analysis of covariance)๋ฑ์ ์ด์ฉํ์ฌ ํต๊ณ ์ฒ๋ฆฌ ํ์๋ค.
์ฐ๊ตฌ ๊ฒฐ๊ณผ๋ ๋ค์๊ณผ ๊ฐ๋ค.
๋๊ตฌ ๊ฒ์ฆ๊ฒฐ๊ณผ๋ฅผ ์ดํด ๋ณด๋ฉด
์ฒซ์งธ, ์๋ฉดํํ ๋ฐ ์ต๊ด์ฒ๋๋ Spearman-Brown์ธ Split -half method ๋ฅผ ์ฌ์ฉํ์๋๋ฐ
์ ๋ขฐ๋๊ฐ . 86์ผ๋ก์ ์ฐ๊ตฌ ๋์์์ ์๋ฉด ํํ๋ฅผ ๋ถ์ ํ๋๋ฐ ์๋ง์ ๋๊ตฌ์ด์๋ค.
๋์งธ, ๋ถ์ ์ฒ๋๋ Spielberger์ ๊ธฐ์ง ๋ถ์ ์ฒ๋์ ์ํฉ ๋ถ์์ฒ๋๋ฅผ ๊ฒ์ฆ ํ์๋๋ฐ ๊ฐ
๊ฐ r=ยท90 r=ยท91์ ์ ๋ขฐ๋๋ฅผ ๋ํ ๋ด์๋ค.
์ธ์งธ, ํ๋๋ณํ ์ฒ๋๋ Wyatt์ ํ๋์ฒ๋๋ฅผ ์์ธ ๋ถ์ํ์ฌ 7๊ฐ์ ์์ธ์ผ๋ก ์ฐ์ถ ํ์๊ณ
๊ฐ ์์ธ์ ๋์ ์จ(Cumulative percentage ) ์ 71.3% ์ด์๋ค.
์ฐ๊ตฌ ๋์์์ ์ ์ฌ์ฑ์ ๋ํ ๊ฒ์ฆ ๊ฒฐ๊ณผ๋ฅผ ์ดํด ๋ณด๋ฉด
์ฒซ์งธ, ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ์๋ฉดํํ ๋ฐ ์ต๊ด์ ๊ฐ๊ฐ ์๋ฉดํํ ํ๊ท ์น๊ฐ 10.73, 10.81์ผ
๋ก ์ ์๋ ๊ฒ์ฆ์์ (t =. 08, P>.05) ์ ์ํ ์ฐจ๊ฐ ๋ํ๋์ง ์์ผ๋ฏ๋ก ์ ์ฌํ ํน์ฑ์ ๋
ํ ๋ด์๋ค.
๋์งธ, ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ์คํ์ ์๋ฉด๋์ ๊ฐ๊ฐ ํ๊ท 344๋ถ๊ณผ 363๋ถ์ผ๋ก ์ ์๋ ๊ฒ์ฆ์
์ (t=.86 P>.05)์ ์ํ ์ฐจ๊ฐ ๋ํ๋์ง ์์ผ๋ฏ๋ก ์ ์ฌํ ํน์ฑ์ ๋ํ ๋ด์๋ค.
์
์งธ, ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ๊ธฐ์ง๋ถ์์ ๊ฐ๊ฐ ๋ถ์์ฒ๋ ํ๊ท ์น๊ฐ 46, 44์ ์ผ๋ก ์ ์๋๊ฒ์ฆ
์์ (t=.70 P>.05) ์ ์ํ ์ฐจ๊ฐ ๋ํ๋์ง ์์ผ๋ฏ๋ก ์ ์ฌํ ํน์ฑ์ ๋ํ ๋ด์๋ค.
๋ท์งธ, ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ํ๋ ๋ณํ ํน์ฑ์ ๊ฐ๊ฐ ํ๋์ฒ๋ ํ๊ท ์น๊ฐ 31.76, 30.92์ ์ผ
๋ก ์ ์๋ ๊ฒ์ฆ์์ (t=1.15, P>.05) ์ ์ํ ์ฐจ์ด๊ฐ ๋ํ๋์ง ์์ผ๋ฏ๋ก ์ ์ฌํ ํน์ฑ์ ๋
ํ๋ด์๋คl
๋ค์ฏ์งธ, ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ํ๋ชฌ์น๋ณํ ํน์ฑ์ ํ๋ชฌ ํ๊ท ์น๊ฐ ๊ฐ๊ฐ 308. 29ใ, 333.41
ใ์ผ๋ก ์ ์๋ ๊ฒ์ฆ์์ (t=.26, p>.05) ์ ์ํ ์ฐจ์ด๊ฐ ๋ํ๋์ง ์์ผ๋ฏ๋ก ์ ์ฌํ ํน์ฑ์
๋ํ ๋ด์๋ค.
๊ฐ์ค๊ฒ์ฆ ๊ฒฐ๊ณผ๋ฅผ ์ดํ ๋ณด๋ฉด
์ฒซ์งธ, ์ฃผ๊ฐ์ค 1์ ๋ฐ์ ๋ค์ฌ์ง์ง ์์๋ค.
์ฆ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ ์คํ๊ตฐ์ ์์ ์ ๋ ๋ฐค ์๋ฉด๋์ 282๋ถ์ด๊ณ ๋์กฐ๊ตฐ์ ์๋ฉด๋
์ 255๋ถ์ผ๋ก ์คํ๊ตฐ์ธ ์๋ฉด๋์ด ๋ง์ ๊ฒฝํฅ์ ๋์์ผ๋ ์ฐจ ํ๊ท ์น ์ ์๋ ๊ฒ์ฆ์์ (t=1.
58, P>.05) ๋ฐ์ ๋ค์ฌ์ง์ง ์์๋ค.
๋์งธ, ์ฃผ๊ฐ์ค 2๋ ๋ฐ์ ๋ค์ฌ์ง์ง ์์๋ค.
์ฆ ์์ ํ ์ผ์ฃผ์ผ๊ฐ ๊ณํ๋ ๊ฐํธ์ ๋ณด๋ฅผ ๋ฐ์ ์คํ๊ตฐ์ ์๋ฉด๋ ํ๊ท ์น๋ 297.59๋ถ์ด์๊ณ
๋์กฐ๊ตฐ์ ์๋ฉด๋ ํ๊ท ์น๋ 278.57๋ถ์ผ๋ก ์คํ๊ตฐ์ ์๋ฉด๋์ด ๋ง์ ๊ฒฝํฅ์ ๋์์ผ๋ ์ฐจ ํ
๊ท ์น ์ ์๋ ๊ฒ์ฆ์์ (t=.35 P>.05) ๋ฐ์ ๋ค์ฌ์ง์ง ์์๋ค.
์ธ์งธ, ๋ถ๊ฐ์ค 1๋ ๋ฐ์ ๋ค์ฌ์ง์ง ์์๋ค.
์ฆ ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ์ํฉ๋ถ์ ํ๊ท ์น๋ ๊ฐ๊ฐ 42.3๊ณผ 43. 9๋ก ์คํ๊ตฐ์ ์ํฉ๋ถ์์ ๋
๊ฐ ๋ฎ์ ๊ฒฝํฅ์ ๋ณด์์ผ๋ ์ ์๋ ๊ฒ์ฆ์์ (t=.68 P>.05)๋ฐ์ ๋ค์ฌ์ง์ง ์์๋ค.
๋ค์งธ, ๋ถ๊ฐ์ค 2๋ ๋ฐ์ ๋ค์ฌ์ง์ง ์์๋ค.
์ฆ ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ํ๋ชฌ์น๋ณํ ํ๊ท ์น๋ ๊ฐ๊ฐ 338.35ใ, 440.26ใ์ผ๋ก ์คํ๊ตฐ์ ํ
๋ชฌ ๋ณํ ์ ๋๊ฐ ๋ฎ์ ๊ฒฝํฅ์ ๋์์ผ๋ ์ ์๋ ๊ฒ์ฆ์์ (t=.11 P>.05)๋ฐ์ ๋ค์ฌ์ง์ง ์์
๋ค.
๋ค์ฏ์งธ, ๋ถ๊ฐ์ค 3์ ๋ฐ์ ๋ค์ฌ ์ก๋ค.
์ฆ ์คํ๊ตฐ๊ณผ ๋์กฐ๊ตฐ์ ํ๋๋ณํ ํ๊ท ์น๋ ๊ฐ๊ฐ 29.60, 31.00์ผ๋ก ์คํ๊ตฐ์ ํ๋๋ณํ๊ฐ
๋ฎ์ ๊ฒ์ผ๋ก ๋ํ๋ฌ๊ณ ์ด๋ ์ ์๋ ๊ฒ์ฆ์์ (t=2.30 P>.05)๋ฐ์ ๋ค์ฌ ์ก๋ค.
์ด์์ ๊ฐ์ค ๊ฒฐ๊ณผ๋ฅผ ์ข
ํฉํ๋ฉด ๊ณํ๋ ๊ฐํธ์ ๋ณด์ ํจ๊ณผ๋ ์๋ฉด๋, ์ํฉ ๋ถ์, ํ๋ชฌ ๋ณํ
์๋ ์ ์ํ์ง ์์๊ณ ํ๋ ๋ณํ์๋ง ์ ์ํ์๋ค.
The Effect of Structured Information on the Sleep Amount of Patients Undergoing
Open Heart Surgery
Lee, So - Woo
Department of Nursing The graduate School of Yonsei University
(Directed by Professor Kim, Susie)
The main purpose of this study was to teat the effect of the structured
information on the sleep amount of the patients undergoing open heart surgery.
Thisstudy has specifically addressed to the Following twobasic research questions :
(1) Would the structured in formation influence in the reduction of sleep
disturbance related to anxiety and physical stress before and after the operation?
and (2) what would be the effects of the structured information on the level of
preoperative state anxiety, the hormonal change, and the degree of behavioral
change in the patients undergoing an open heart surgery?
A Quasi-experimental research was designed to answer these questions with one
experimental group and one control group. Subjects in both groups were matched as
closely as possible to avoid the effect of the differences inherent to the group
characteristics. Baseline data were also collected on both groups for 7 days prior
to the experiment and found that subjects in both groups had comparable slee
patterns, trait anxiety, hormonal levels and behavioral level.
A structured information as an experimental input was given to the subjects in
the experimental group only.
Date were collected and compared between the experimental group and the control
group on the sleep amount of the consecutive pre and post operative days, on
preoperative state anxiety level, and on hormonal and behavioral changes.
To text the effectiveness of the structured information two main hypotheses and
three sub-hypotheses were formulated is follows:
Main hypothesis 1 : The Experimental group which received structured information
will have more sleep amount than the control group without structured information
in the hight before the open heart surgery.
Main hypothesis 2 : Experimental group with structured information will have more
slee amount than control group without structured information during the week
following the open heart surgery.
Sub-hypothesis 1: The Experimental group with structured information will be
lower in the level of State anxiety than control group without structured
information in the night before the open heart surgery.
Sub-hypothesis 2 : Experimental group with structured information will have lower
hormonal level than control group without structured information on the 5th day
after the when heart surgery.
Sub-hypothesis 3: Experimental group with structured information will be lower in
the behavioral change level than control group without structured information
during the week after the open heart surgery.
The research was conducted in a national university hospital in Seoul, Korea. The
53 Subjects who participated in the study were systematically divided into
experimental group and control group which was divided by random sampling method.
Among 53 subjects, 26 were placed in the experimental group and 27 in the control
group.
Instruments;
(1) Structed information : Structured information as in independent variable was
constructed by the researcher on the basis of Roy's adaptation model consisting of
physiolo aic needs, self-concept, role function and interdependence needs as
related to the sleep and operational procedures.
(2) Sleep amount measure :
Sleep amount as main dependent variable was measured by brained nurses through
observation on the basis of the established criteria, such as closed or open eyes,
regular or irregular respiration, body movement, posture, responses to the light
and question, facial expressions and self-report after sleep.
(3) State anxiety measure :
State Anxiety as a sub-dependent variable was measured by pieberger's STAI
Anxiety scale.
(4) Hormornal change measure :
Hormone as a sub-dependent variable was measured by the cortisol level in plasma.
(5) Behavior change measure :
Begavior as a sub-dependent variable was measured by the Begavior and Mood Rating
Scale by Wyatt.
The data were collected over a period of four months, from June to October 1981,
after the pretest period of two months. For the analysis of the data and test for
the hypotheses, the t-test with mean differences and analysis of covariance was
used.
(1) STAI measurement for trait and state anxiety as analyzed by Cronbachs alpha
coefficient analysis for item analysis and reliability showed the reliability level
at r = .90 r = .91 respectively.
(2) Behavior and Mood Rating Scale measurement was analyzed by means of Principal
Component Analysis technique. Seven factors retained were anger, anxiety,
hyperactivity, depression, bizarre behavior, suspicious behavior, and emotional
withdrawal. Cumulative percentage of each factor was 71.3%.
The result of the test for hypotheses show as follows;
(1) Main hypothesis, was not supported.
The experimental group has 282 minutes of sleep as compared to the 255 minutes of
sleep by the control group. Thus the sleep amount was higher in experimental group
than in control group, however, the difference was not statistically significant at
.05 level.
(2) Main hypothesis 2 was not supported.
The mean sleep amount of the experimental group and control group were 297
minutes and 278 minutes respectively. Therefore, the experimental group had more
sleep amount as compared to the control group, however, the difference was not
statistically significant at .05 level. Thus, the main hypothesis 2 was not
supported.
(3) Sub-hypothesis 1 was not supported.
The mean state anxiety of the experimental group and control group were 42.3,
43.9 in scores.
Thus, the experimental group had slightly lower state anxiety level than control
group, however, the difference was not statistically significant at .05 level.
(4) Sub-hypothesis 2 was not supported.
The mean hormonal level of the experimental group and control group were 338 Mg
and 440 Mg respectively. Thus, the experimental group showed decreased hormonal
level than the control group, however, the difference was not statistically
significant at .05 level.
(5) Sub-hypothesis 3 was supported.
The mean behavioral level of the experimental group and control group were 29.60
and 31.00 respectively in score.
Thus, the experimental group showed lower behavioral change level than the
control group. The difference was statistically significant at .05 level.
In summary, the structured information did not influence the sleep amount, state
anxiety or hormonal level of the subjects undergoing an open heart surgery at a
statistically significant level, however, it showed a definite rends in their
relationships, not least to mention its significant effect shown on behavioral
change level.
It can further be speculated that a great degree of individual differences in the
variables such as sleep amount, state anxiety and fluctuation in hormonal level way
partly be responsible for the statistical insensitivity to the experimentation.restrictio
A Study on Job Involvement of Korean Nurses
The purpose of the present research is to find the
-determinants of job involvement of Korean nurses
working in various nursing fields. Lodahl's Job Involvement
Scale was administered from July 1976 to
September 1976 to a sampling of 863 nurses. These
nurses were working as professors in nursing schools.
nurses in the several private and national hospitals
and public health centers in Seoul & some other
.cities,
The main findings of this study are as follows: a)
the mean score of job involvement of Korean nurses
was 3.1.79; b) there were more nurses in the higher
job involvement group than nurses in the lower job
involvement group both in number and in percentage;
.c) nurses, those in the higher education group, those
who are older, those who hold higher positions, those
who are married, and those who have had more on
the job experience. received higher mean scores on
the job involvement scale; d) There was the significant
correlation was between the job involvement
score and other variables: age. pOSItIOn, length of
-expeticnce in the job. education. marital status.
religion. experience of turnover, satisfaction and
adjustment attitude
๊ฐํธ์ด๋ก ๋ถ์, ํ๊ฐ ๋ฐ ๊ฐ๋ฐ์ ๊ดํ ์๊ณ
๊ฐํธํ ๋ํ์ ๊ณผ์ ํ์๋ค์ด ํ์๋
ผ๋ฌธ์ ์ค๋นํ๋ฉด์ ๊ณ ๋ฏผํ๋ ๋ฌธ์ ์ค์ ํ๋๋ ์ฐ๊ตฌ์ฃผ์ ์ ์ด๋ค ๊ฐํธ์ด๋ก ์ ์ ์ฉํ์ฌ ์ด๋ก ์ ๋ฐฐ๊ฒฝ์ผ๋ก ํ ๊ฒ์ธ๊ฐ์ ๋์งธ๋ ์ฐ๊ตฌ ๊ฒฐ๊ณผ๊ฐ ์ด๋ค ๊ฐํธํ์ ๊ฐ์น๋ฅผ ๋ํ๋ผ ์ ์์๊น? ์ฆ ์์์๋ ์ด๋ป๊ฒ ํ์ฉ ๋์ด ์ง์ ์์ผ๋ฉฐ ๊ต์ก๊ณผ ์ฐ๊ตฌ ๋ถ์ผ์๋ ์ด๋ค ๋ด์ฉ๊ณผ ์๋ฆฌ ๋ฐ ๋ฐฉ๋ฒ๋ก ์ ์ ๊ณตํ ์ ์์๊น ์ด๋ค. ์ด๋ฐ ๊ณ ๋ฏผ์ ๊ฝค ํ๋นํ๊ณ ๋น์ฐํ๋ฉฐ ์ง์คํ๊ธฐ ๊น์ง ํ ๊ฒ์ด๋ค.
์ด์ ๋ ๋ ์ด์ ๊ต์ก ํ์ต์ ๋ง์ ํฌ์(๊ฒฝ๋น๋ ๋ฌผ๋ก ์ด๋ ค๋์ ์๊ฐ๊ณผ ๋
ธ๋ ฅ ๋ฑ)๋ฅผ ํฌ์
ํ์ฌ ์ฐ์ถ๋ก ๋ํ๋๋ ์ฐ๊ตฌ๋
ผ๋ฌธ์ด ํด๋ฉด์ํ๋ก ๋์๊ด ์์์ ๋จผ์ง๋ง ์ฐ๊ณ ์์ด์๋ ์ ๋๊ณ ๊ทธ๋ด ์๋ ์๊ธฐ ๋๋ฌธ์ด๋ค 21์ธ๊ธฐ๋ ์ธํฐ๋ท์๋ ์ด๋๋งํผ ์ ์ธ๊ณ์ ์ปดํจํฐ์์์ ์ด๋์ ์๋ ๋๊ตฌ์๊ฒ๋ ์ ๋ณด๋ก์ ์ ๋ฌ ๋ ์ ์๊ธฐ ๋๋ฌธ์ ์ฐ๋ฆฌ๋๋ผ์์๋ฟ๋ง ์๋๋ผ ์ด๋ ๋๋ผ์์๋ ๋ ๊ฐํธํ์ง๋ฟ๋ง ์๋๋ผ ๋ค๋ฅธ ํ์ ์ ์ฐ๊ตฌ์๋ค์๊ฒ๋ ์์ฉ ๊ฐ๋ฅํ ์๋ฃ๋ก ๊ณต์ฉ๋์ด๊ฐ๊ณ ์ ๋ฌ๋์ด ๊ฐ๋ค๋ ์ฌ์ค์ ์ธ์ํด์ผ ํ๊ธฐ ๋๋ฌธ์ด๋ค. ์ฆ ๊ฐํธํ์ ์ฐ๊ตฌ๋ฌผ์ด ์ธํฐ๋ท์ ๋น ๋ฅธ ์๋๋ก ๋ค๋ฅธ ์ฐ๊ตฌ์์ ์ฐ๊ตฌ ๋ด์ฉ ๋๋ ์๋ฆฌ ์๋ด ์ญํ ์ ํ๋ ๊ฒ์ ๋ฌผ๋ก ๊ฐํธํ์ ํจ๋ฌ๋ค์ ๋ณํ ์ ๋์ ๋งค๊ฐ์ฒด๊ฐ ๋๊ณ ์๋ ์ฌ์ค์ ์ง์ํ๋ ์ฐ๊ตฌ์์ ํ๋๋ ๋ฐ๋ก ๊ทธ๋ฌํ ๋ ๊ฐ์ง ๊ณ ๋ฏผ์ ๋ณ์ ์ ์๋ค
A Study on Self-Image of Korean Nurses
The two purpose of this study was to find the selfยท
image of Korean Nurses ๏ฟฆo r k i n g in hospitals. cammยท
unity areas and in nursing schools; the other was to
explore the possible influence of certain factors on the
levels in nursing image For this research SINS (Selfยท
Image of the Nurse Scale) was administered from May
1978 to October 1978 to a sampling of 559 nurses.
The major findings of this study were as follows;
a) The mean score of nursing image of Korean
Nurses was 3.18.
b) The related factor of SINS with the highest
mean score (3.58) is the nature and role of nursing,
and the factor with the lowest nursing image is about
job satisfaction such as salary (2.34) or hard task
(2.55) ,
c) There was the significant difference among the
mean scores of nursing image in nurses, those who
are older (r=.182), those who hold higher positions
(r=.183), but no significant difference of nursing
image in nurses those have a different level of nursing
education (r=.055)
d) Married nurses, nurses with religion , nurses
working in community. had more positive image in
nursing than single. nurses without religion. nurses working in hospitals.
e) According to salary satisfaction, there was the
significant difference in nursing image; satisfied group
in salary had the most positive nursing image. (F =
3.561, P<.05)
f) The last reasons among the selected motivation
of career as a nursing were 1) a chance of going
abroad, 2) low cost of nursing education, 3) recognition
on the societys demands, 4) economic independence,
5) religious belief, 6) service interest. Among
them, there was a significant difference in the image
of nursing. (F=3.655, P<.OO1)
g) The first reasons among the motivation of working
were 1) service interest, 2) religious belief,
3) recognition on the societys demands, 4) economic
independence. 5) activities interest out of home.
There was a significant difference in self-image of
nurses. (F=4.367, P<.OO1
์์ธ๋ ๊ฐํธํ ๋ฐ์ฌํ์๋ ผ๋ฌธ ๋ถ์์ ํตํ ๊ฐํธํ ์ฐ๊ตฌ์ ๊ฒฝํฅ
Purpose: The purpose of this study was to identify the trend of nursing research by analyzing doctoral dissertations of nursing college at Seoul National University. Method: The doctoral dissertations used in this study were 69 thesis from 1989 to 2001. The methodological characteristics, theory, philosophy and world view in these thesis were explored. Key words were classified according to metaparadigm and were compared with MeSH term. Result: There were 54 dissertations of quantitative research and 12 dissertations of qualitative research. Most of subjects of the thesis were patients with 20~65 years old. The written consent to participate in research was not described in great part of thesis. As to measurement, questionnaire was most frequent used. In independent variables cognitive nursing interventions were used frequent1y. Psychosocial variables as a dependent variable were used mainly. In theory level of research, situation-producing research was performed. In type of nursing knowledge according to Caper many dissertations studied about empirical knowledge. More than half of doctoral dissertations used borrowed theory from nursing related disciplines. Most of studies were done within empirical positivism and organic viewpoint. Key words related to the concept of environment among four metaparadigm has been insufficient1y studied. English key words in doctoral thesis were out of accordance largely with MeSH term English. Conclusion: These results show that it is necessary to develop the nursing theory for nursing knowledge body