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Identifying Trajectories of Ego-resiliency in Adolescents: An Analysis of Data from the Korean Children and Youth Panel Survey 2010 确定青少年自我弹性的轨迹:对2010年韩国儿童和青年小组调查数据的分析
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.191
Miseon Son
Purpose: This study aimed to identify latent classes of ego-resiliency trajectories in adolescents and investigate predictors of latent classes based on the ecological systems theory. Methods: This study used data from the first, second, and fourth to seventh waves of the Korean Children and Youth Panel Survey 2010. The subjects included 1,793 adolescents. The data were analyzed using latent class growth analysis in Mplus 8.3 and multinomial logistic regression in SPSS 26.0. Results: The trajectories of ego-resiliency in adolescents were classified into four groups; increasing, decreasing, persistently moderate, and persistently poor. The predictors of the ‘increasing’ group were male gender, higher self-esteem, lower depression, lower parental behavior, and higher perceived community. The predictors of the ‘decreasing’ group were higher self-esteem, higher scores for relationships with friends and teachers, and higher perceived community. The predictors of the ‘persistently poor’ group were lower self-esteem, higher depression, lower annual income, lower scores for relationships with friends, and lower perceived community. Conclusion: We identified predictors for a persistently poor ego-resiliency trajectory. We suggest providing effective interventions for latent classes of ego-resiliency in adolescents based on the ecological environments.
目的:本研究旨在确定青少年自我弹性轨迹的潜在类别,并基于生态系统理论研究潜在类别的预测因素。方法:本研究使用了2010年韩国儿童和青年小组调查的第一波、第二波和第四至第七波的数据。受试者包括1793名青少年。使用Mplus 8.3中的潜在阶级增长分析和SPSS 26.0中的多项逻辑回归对数据进行分析。结果:青少年自我弹性的轨迹分为四组;增加、减少、持续中等和持续较差。“增长”组的预测因素是男性、更高的自尊、更低的抑郁、更低的父母行为和更高的社区感知。“下降”组的预测因素是更高的自尊,与朋友和老师的关系得分更高,以及更高的感知社区。“持续贫困”组的预测因素是自尊较低、抑郁程度较高、年收入较低、与朋友关系得分较低以及感知社区较低。结论:我们确定了持续较差的自我弹性轨迹的预测因素。我们建议根据生态环境为青少年潜在的自我弹性类别提供有效的干预措施。
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引用次数: 1
Factors Affecting the Health-related Quality of Life of Older Adults with Unmet Healthcare Needs Based on the 2018 Korean National Health and Nutrition Examination Survey: A Cross-Sectional Study 基于2018年韩国全国健康和营养检查调查的影响未满足医疗保健需求的老年人健康相关生活质量的因素:一项横断面研究
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.258
Su-Jin Seo, Juyeon Nho
Purpose: This study aimed to identify the factors influencing the health-related quality of life (HRQoL) of older adults with unmet healthcare needs. Methods: Data from the 2018 Korean National Health and Nutrition Examination Survey were used. From a pool of 7992 participants, a final sample of 153 participants was analyzed using complex descriptive statistics, independent t-test, and multiple regression analysis. Results: In general, young age, being married, employment, higher income, no hypertension, health insurance coverage as an employee, and living with someone were associated with higher the HRQoL. The following factors were significantly associated with lower HRQoL scores: activity restriction (B=-0.15, p<.001), poor perceived health status (B=-0.14, p<.001), and higher depressive symptom score (B=-0.01, p=.002). The explanatory power was approximately 58%, and the model was deemed suitable (Wald F=16.86, p<.001). Conclusion: This study provides insights into the influence of various characteristics of older adults with unmet healthcare needs on their HRQoL. Healthcare providers should develop strategies to reduce these unmet healthcare needs.
目的:本研究旨在确定影响未满足医疗保健需求的老年人健康相关生活质量(HRQoL)的因素。方法:使用2018年韩国国民健康和营养检查调查的数据。从7992名参与者中,使用复杂描述性统计、独立t检验和多元回归分析对153名参与者的最终样本进行了分析。结果:总的来说,年轻、已婚、有工作、收入较高、没有高血压、作为员工参加医疗保险以及与某人一起生活与HRQoL较高相关。以下因素与较低的HRQoL评分显著相关:活动受限(B=-0.15,p<.001)、感知健康状况差(B=-0.14,p<0.001)和抑郁症状评分较高(B=-0.01,p=.002)。解释力约为58%,并且该模型被认为是合适的(Wald F=16.86,p<.001)。结论:本研究深入了解了医疗保健需求未得到满足的老年人的各种特征对其HRQoL的影响。医疗保健提供者应制定战略,以减少这些未满足的医疗保健需求。
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引用次数: 0
Influence of Communication Competence and Communication Style on the Nurse-Parent Partnership in Pediatric Nurses 沟通能力和沟通方式对儿科护士护母合作关系的影响
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.170
H. Cho, H. Park
Purpose: The purpose of this study was to examine the relationship of communication competence and communication style with nurse-parent partnership among pediatric nurses. Methods: This study had a descriptive, correlational design. Data were collected from 169 pediatric nurses in B metropolitan city and Y city, from January 2018 to February 2018. A structured questionnaire was administered. Data were analyzed using descriptive statistics, the t-test, one-way analysis of variance, the Scheffé test, the Kruskal-Wallis test, and multiple regression analysis with SPSS version 23.0. Results: Nurse-parent partnership was correlated with communication competence (r=.59, p<.001), an informative communication style (r=.65, p<.001), an affective communication style (r=.68, p<.001), and an authoritative communication style (r=-.30, p<.001). The factors influencing nurse-parent partnership among the study subjects were an affective communication style, an informative communication style, communication competence, and the nurses’ current position. The overall explanatory power of this model was 61.0%, and the most influential factor was an affective communication style. Conclusion: Nurse-parent partnership showed significant correlations with communication competence and affective and informative communication styles. The study may serve as a basic resource for promoting nurse-parent partnership, which increases the effectiveness of treatment for children in pediatric wards and will ultimately help improve the quality of child care.
目的:本研究旨在探讨儿科护士的沟通能力和沟通方式与护士-父母伙伴关系的关系。方法:本研究采用描述性相关设计。数据收集自2018年1月至2018年2月,B大都市和Y市的169名儿科护士。进行了结构化问卷调查。使用描述性统计、t检验、单向方差分析、Scheffé检验、Kruskal-Wallis检验和SPSS 23.0版的多元回归分析对数据进行分析。结果:护士-父母伙伴关系与沟通能力(r=.59,p<.001)、信息沟通风格(r=.65,p<.001)、情感沟通风格(r=.68,p<.0001)和权威沟通风格(p=-30,p<0.001)相关,信息沟通方式、沟通能力和护士的当前职位。该模型的总体解释力为61.0%,影响最大的因素是情感沟通风格。结论:护母伙伴关系与沟通能力、情感沟通方式和信息沟通方式显著相关。这项研究可能是促进护士与父母合作的基本资源,这将提高儿科病房儿童治疗的有效性,并最终有助于提高儿童护理的质量。
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引用次数: 2
Reliability and Validity of the Korean Version of the Health Care Empowerment Questionnaire (K-HCEQ) 韩国版保健赋权问卷(K-HCEQ)的信效度
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.131
S. Lim, K. Lee
Purpose: This study aimed to verify the validity and reliability of the Korean version of the Health Care Empowerment Questionnaire (K-HCEQ) after translating it into Korean. Methods: Items were verified after translating the HCEQ into Korean, followed by back-translation and evaluation of content validity. The questionnaire survey was administered to 200 community-dwelling individuals aged≥65 years. Construct validity and criterion validity were evaluated, and Cronbach’s a was used to assess the reliability of the scale. Results: The final instrument consisted of three sub-factors and 10 items, as shown by confirmatory factor analysis. Moreover, the criterion-related validity showed a correlation coefficient of .50 (p<.001), confirming the validity of the developed instrument. Cronbach’s a for all items was .94, and Cronbach’s a of the sub-factors ranged between .88 and .93. Conclusion: The Korean version of the HCEQ for the elderly is an objective indicator that can be used to evaluate the effectiveness of health education programs aimed at older adults, thereby improving their health care empowerment.
目的:本研究旨在验证韩文医疗保健赋权问卷(K-HCEQ)的效度与信度。方法:将HCEQ翻译成韩文后进行项目验证,再进行反译和内容效度评价。问卷调查对象为200名≥65岁的社区居民。评估量表的结构效度和标准效度,采用Cronbach’s a评价量表的信度。结果:经验证性因子分析,最终量表由3个子因子组成,共10个项目。此外,标准相关效度显示相关系数为0.50 (p< 0.001),证实了所开发的工具的效度。所有条目的Cronbach’s a为0.94,子因子的Cronbach’s a在0.88 ~ 0.93之间。结论:韩国版老年人健康素质指数是一个客观的指标,可用于评估针对老年人的健康教育项目的有效性,从而提高他们的卫生保健赋权。
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引用次数: 0
The Influence of Emotional Labor, Positive Psychological, Capital, and Rewards on the Retention Intention among Coronavirus Disease 2019 Ward Nurses in Regional Public Hospitals 情绪劳动、积极心理、资本和报酬对地区公立医院2019冠状病毒病病房护士保留意愿的影响
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.181
Kyung-Jin Jeon, Min-Jeong Park
Purpose: The purpose of this study was to analyze the influence of emotional labor, positive psychological capital, and rewards on the retention intention among coronavirus diseases 19 (COVID-19) ward nurses in regional public hospitals. Methods: The subjects were nurses who directly participated in nursing while wearing protective gear (level D or higher) in a COVID-19 ward. Data were collected from March 15 to March 29, 2021, and a total of 187 questionnaires were analyzed. The data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficient, and multiple regression using SPSS for Windows version 27.0. Results: The mean scores of emotional labor, positive psychological capital, and retention intention were 3.48, 3.74, 3.22, and 5.75. The factors influencing retention intension were positive psychological capital (β=.28, p<.001), and the explanatory power for retention intention was 20.0%. Conclusion: These results indicate that in order to increase retention intention, it is necessary to foster nurses with high positive psychological capital who can make good use of positive emotions, and additional research is needed to clarify the factors influencing nurses’s retention intention to remain in the organization.
目的:分析情感劳动、积极心理资本和奖励对地区公立医院19例冠状病毒病(新冠肺炎)病房护士保留意愿的影响。方法:受试者为新冠肺炎病房内直接参加护理、穿戴防护装备(D级及以上)的护士。数据收集于2021年3月15日至3月29日,共分析了187份问卷。数据采用描述性统计、独立t检验、单向方差分析、Pearson相关系数和多元回归分析,使用SPSS for Windows 27.0版进行分析。结果:情绪劳动、积极心理资本和保留意愿的平均得分分别为3.48、3.74、3.22和5.75。影响保留意愿的因素是积极心理资本(β=0.28,p<.001),对保留意愿的解释力为20.0%,需要进一步的研究来阐明影响护士留在组织中的保留意愿的因素。
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引用次数: 1
Factors Influencing Clinical Nurses’ Medication Safety Competence 影响临床护士用药安全能力的因素
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.237
Ga-Hyun Kim, Hyunju Lee
Purpose: The purpose of this study was to measure the influence of job stress, critical thinking disposition, and clinical decision-making ability on clinical nurses’ medication safety competence. Methods: A descriptive survey was conducted among 140 nurses with more than 6 months of work experience in 4 general hospitals in Busan metropolitan city. Data were collected from August 15 to October 30, 2021 and analyzed using the independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and stepwise multiple regression. Results: Medication safety competence had significant correlations with job stress (r=.20, p=.021), critical thinking disposition (r=.63, p<.001), and clinical decision-making ability (r=.54, p<.001). Multiple regression analysis for medication safety competence revealed that the most powerful predictor was critical thinking disposition. Job stress and critical thinking disposition explained approximately 45% of the variance in medication safety competence. Conclusion: This study confirms the need to make systematic efforts in clinical settings to improve nurses’ medication safety competence, and seeks ways to do so. To enhance clinical nurses’ medication safety competence in the future, programs that manage job stress and improve critical thinking disposition within the nursing department in particular and the hospital in general should be developed and implemented.
目的:本研究旨在测量工作压力、批判性思维倾向和临床决策能力对临床护士用药安全能力的影响。方法:对釜山市4所综合医院的140名6个月以上工作经验的护士进行描述性调查。数据收集于2021年8月15日至10月30日,并使用独立t检验、单因素方差分析、皮尔逊相关系数和逐步多元回归进行分析。结果:药物安全能力与工作压力(r=.20,p=.021)、批判性思维倾向(r=.63,p<.001)和临床决策能力(r=.54,p<0.001)显著相关。药物安全能力的多元回归分析显示,最有力的预测因素是批判性思维倾向。工作压力和批判性思维倾向解释了药物安全能力差异的约45%。结论:本研究证实了在临床环境中需要系统地努力提高护士的用药安全能力,并寻求提高护士用药安全能力的方法,应该制定和实施管理工作压力和改善护理部门和整个医院批判性思维能力的计划。
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引用次数: 0
The Effect of Clinical Nurses' Critical Thinking Disposition and Communication Ability on Patient Safety Competency 临床护士批判性思维倾向和沟通能力对患者安全能力的影响
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.159
Ji Yeon Bae, S. Bae
Purpose: This study was conducted to identify the influence of critical thinking disposition and communication ability on patient safety competence among clinical nurses. Methods: A cross-sectional descriptive study was conducted using a self-reported questionnaire. In total, 139 nurses were recruited from a tertiary care hospital and general hospital in Gyeonggi Province. Data were collected from March 5, 2019 to March 29, 2019 and analyzed using descriptive statistics, independent t-test, one-way analysis of variance, the Scheffé test, Pearson’ correlation coefficients, and hierarchical multiple regression with SPSS version 25.0. Results: The item mean score for patient safety competence was 3.83±0.40 (range, 1~5). Clinical nurses who were female, older, had higher education, and had more clinical experiences showed higher patient safety competence. Hierarchical multiple regression analysis showed that healthy skepticism and objectivity (as subscales of clinical thinking disposition) and communication ability explained 28% and 3% of variance in patient safety competence; the model predicted approximately 38% of the variance in patient safety competence (F=6.69, p<.001). Conclusion: Clinical nurses’ patient safety competence was associated with healthy skepticism and objectivity, among the subscales of clinical thinking disposition, and communication ability. These were also found to be the major factors that influenced patient safety competence. Thus, it is necessary to develop educational programs to improve clinical nurses’ critical thinking disposition and communication skills.
目的:探讨临床护士批判性思维倾向和沟通能力对患者安全能力的影响。方法:采用自我报告问卷进行横断面描述性研究。从京畿道的一家三级医院和综合医院共招募了139名护士。数据采集时间为2019年3月5日至2019年3月29日,采用描述性统计、独立t检验、单因素方差分析、scheff检验、Pearson相关系数、分层多元回归等方法,采用SPSS 25.0版本进行分析。结果:患者安全能力单项平均得分为3.83±0.40(范围1~5)。年龄较大、文化程度较高、临床经验丰富的女性临床护士患者安全能力较高。分层多元回归分析显示,健康怀疑、客观(临床思维倾向的子量表)和沟通能力分别解释了患者安全能力的28%和3%的方差;该模型预测了约38%的患者安全能力方差(F=6.69, p< 0.001)。结论:临床护士患者安全能力在临床思维倾向和沟通能力两个分量表中与健康怀疑态度和客观性相关。这些也被发现是影响患者安全能力的主要因素。因此,有必要制定教育计划,以提高临床护士的批判性思维倾向和沟通能力。
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引用次数: 0
Factors Affecting Pressure Ulcer among Inpatients in Long Term Care Facilities: Adults with Cognitive Impairment 影响长期护理机构住院患者压疮的因素:有认知障碍的成年人
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.141
Un Hi Do, Mina Park, S. H. Kim, K. Moon
Purpose: The aim of this study was to identify factors affecting pressure ulcers among cognitive impairment inpatients with long term care facilities. Methods: In this secondary data analysis of the two long-term care facilities, 162 patients with mild or more cognitive impairment were analyzed. Patients with a pressure ulcer of stage 2 or higher that developed after the first day of hospitalization were defined as the pressure ulcer group, while the other patients comprised the non-pressure ulcer group. Demographic characteristics were compared between the two groups. Initially, a univariate analysis was conducted. Subsequently, risk factors were identified through logistic regression analysis using the variables that exhibited statistically significant differences in the univariate analysis. Results: Thirty-three patients had hospital-acquired pressure ulcers. Age (odds ratio [OR]=0.92, 95% confidence interval [CI]=0.87~0.98), albumin levels (OR=0.25, 95% CI=0.08~0.77), Charlson comorbidity index (OR=1.57, 95% CI=1.14~2.18), and Mini-Mental State Examination for Koreans score (OR=0.90, 95% CI=0.81~0.99) were identified as risk factors for pressure ulcer occurrence. Conclusion: Our data analysis supports independent associations between certain clinical characteristics and pressure ulcer occurrence in long-term care facility patients with cognitive impairment. To reduce the risk of pressure ulcers in long-term care facilities, health professionals should implement appropriate prevention measures.
目的:本研究旨在确定长期护理机构的认知障碍住院患者中影响压疮的因素。方法:在这两个长期护理机构的二次数据分析中,分析了162名轻度或以上认知障碍患者。住院第一天后出现2期或更高级别压疮的患者被定义为压疮组,而其他患者则包括非压疮组。比较了两组患者的人口学特征。最初,进行了单变量分析。随后,使用在单变量分析中表现出统计学显著差异的变量,通过逻辑回归分析确定风险因素。结果:33例患者出现医院获得性压疮。年龄(比值比[OR]=0.92,95%置信区间[CI]=0.87~0.98)、白蛋白水平(OR=0.25,95%CI=0.08~0.77)、Charlson合并症指数(OR=1.57,95%CI=1.14~2.18)和韩国人简易精神状态检查评分(OR=0.90,95%CI=0.81~0.99)被确定为压疮发生的危险因素。结论:我们的数据分析支持认知障碍长期护理机构患者的某些临床特征与压疮发生之间的独立相关性。为了降低长期护理机构中发生压疮的风险,卫生专业人员应采取适当的预防措施。
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引用次数: 1
The Effect of Focusing Manner on Quality of Life in Patients with Chronic Pain: The Sequential Mediating Effects of Social Support and Self-efficacy 关注方式对慢性疼痛患者生活质量的影响:社会支持和自我效能感的序贯中介作用
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.248
Song Hee Yoon, Ju Young Park
Purpose: The purpose of this study was to identify the sequential mediating effects of social support and self-efficacy in the relationship between focusing manner and quality of life in patients with chronic pain. Methods: The participants were 192 patients with chronic pain who visited a university hospital in D city from August 25, 2020 to October 27, 2020. The collected data were analyzed using SPSS for Windows version 26.0, and mediating effects were evaluated using the PROCESS macro model 6. Results: Social support(B=0.31; 95% CI=0.15~0.51) and self-efficacy(B=0.18; 95% CI=0.07~0.30) had mediating effects on the relationship between focusing manner and quality of life. Focusing manner did not directly affect quality of life; instead, social support and self-efficacy had sequential mediating effects on the relationship between focusing manner and quality of life(B=0.05; 95% CI=0.02~0.11). Conclusion: The findings of this study indicate that social support and self-efficacy are important factors related to quality of life in patients with chronic pain. It is also expected that enhancing social support and self-efficacy can further improve quality of life among chronic pain patients.
目的:本研究的目的是确定社会支持和自我效能在慢性疼痛患者专注方式和生活质量之间关系的顺序中介作用。方法:参与者为192名慢性疼痛患者,他们于2020年8月25日至2020年10月27日在D市一所大学医院就诊。使用SPSS for Windows 26.0版对收集的数据进行分析,并使用PROCESS宏模型6评估中介效应。结果:社会支持(B=0.31;95%CI=0.15~0.51)和自我效能感(B=0.18;95%CI=0.07~0.30)对专注方式与生活质量的关系具有中介作用。专注方式不直接影响生活质量;相反,社会支持和自我效能对专注方式与生活质量之间的关系具有顺序中介作用(B=0.05;95%CI=0.02~0.11)。结论:本研究结果表明,社会支持与自我效能是影响慢性疼痛患者生活质量的重要因素。人们还期望,加强社会支持和自我效能感可以进一步提高慢性疼痛患者的生活质量。
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引用次数: 0
Effects of Parenting Stress, Sleep Quality, Self-Compassion and Family Relationship on Mothers’ Postpartum Depression 父母压力、睡眠质量、自我同情和家庭关系对母亲产后抑郁的影响
Q3 Nursing Pub Date : 2022-05-31 DOI: 10.7739/jkafn.2022.29.2.150
Hee-Joo Oh, Suk-Sun Kim
Purpose: The purpose of this study was to examine the effects of parenting stress, sleep quality, self-compassion, and family relationship on mothers’ postpartum depression. Methods: The participants were 141 postpartum mothers within 6 months of childbirth who completed self-report questionnaires consisting of the Parenting Stress Index-Short Form, Pittsburgh Sleep Quality Index, Self-Compassion Scale, and Family Relationship Assessment Scale. Data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficient and multiple regression using IBM SPSS/WIN 27.0. Results: Postpartum depression was positively associated with parenting stress and sleep quality, but negatively related to self-compassion and family relationship. Multiple regression analysis showed that parenting stress, sleep quality, self-compassion and family relationship were significant factors with an explanation power of approximately 59% of the variance in postpartum depression. Conclusion: The findings suggest that it is necessary to develop nursing interventions to enhance family relationships and reduce parenting stress to prevent postpartum depression.
目的:本研究旨在探讨育儿压力、睡眠质量、自我同情和家庭关系对母亲产后抑郁症的影响。方法:参与者是141名产后6个月内的产后母亲,她们完成了自我报告问卷,包括育儿压力指数简表、匹兹堡睡眠质量指数、自我同情量表和家庭关系评估量表。数据采用描述性统计、独立t检验、单因素方差分析、Pearson相关系数和多元回归分析,使用IBM SPSS/WIN 27.0进行分析。结果:产后抑郁与育儿压力和睡眠质量呈正相关,但与自我同情和家庭关系呈负相关。多元回归分析显示,父母压力、睡眠质量、自我同情和家庭关系是产后抑郁症的重要因素,其解释力约为产后抑郁症方差的59%。结论:研究结果表明,有必要制定护理干预措施,加强家庭关系,减轻育儿压力,以预防产后抑郁症。
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引用次数: 3
期刊
Journal of the Korean Academy of Fundamentals of Nursing
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