Moonhee Gang

Perceived Occupational Stress and Depression of School Nurses

Objectives: The purpose of this study was to identify occupational stress and to determine level of depression of school nurses and to identify factors that influence depression. Methods: A cross-sectional design was employed in this study. Participants included 146 school nurses from D city. Data collection was conducted on January 17-21, 2011, using self-administered questionnaires. The SPSS/WIN 11.5 was used in performance of data analysis. Results: Significant differences in occupational stress were observed according to age, occupation and perceived mental health status, and in depression according to marital status, perceived mental health status and physical disease. Depression showed significant positive correlation with occupational stress (r

Factors Associated with Mammography Adherence among Married Chinese Women in Yanbian, China

BACKGROUND Despite the efficacy of regular mammograms, the incidence and mortality rate of breast cancer have been increasing in China. Insufficient studies on the factors affecting mammography adherence in Chinese married women have been conducted. The purpose of the present study was to explore the factors associated with adherence to guidelines for regular mammography among Chinese married women. MATERIALS AND METHODS The participants were recruited conveniently and included Chinese and Korean Chinese women who were married, living at Yanbian City in China. Demographic information, status regarding eight risk factors of breast cancer, health responsibility, and perceived benefits/barriers of mammography were obtained. Descriptive analyses, t-test, and multivariate analysis were performed. Hierarchical logistic regression was conducted to explore the factors associated with regular mammography adherence in Chinese and Korean Chinese subgroups. RESULTS About 24% of the sample population was adherent in going for regular mammography. The adherent group was significantly more educated, had more children, and had a lower proportion experiencing early menarche and a greater menopausal proportion than the non-adherent group. The final model using logistic regression analysis showed that being Chinese [OR=2.199 (1.224-3.951)], having no or one child [OR=4.879 (1.835-12.976)], early menarche [OR=3.515 (1.057-11.694)], being menopausal [OR=3.120 (0.965-10.088)], aged 40-49 [OR=2.374 (1.099-5.124)], having low education [OR=0.400 (0.211-0.765)], and perceiving greater benefits in doing mammography [OR=1.080 (1.014-1.151)] were significantly associated with mammography adherence, after controlling for covariates. CONCLUSIONS Sociocultural sensitive intervention for minorities should be emphasized when improving the adherence of regular mammography. Intervention tailored for women with lower education should be delivered and the benefits of mammography should be propagated to women in rural areas of China.

The Effectiveness of the Nanta-Program on Psychiatric Symptoms, Interpersonal Relationships, and Quality of Life in Forensic Inpatients with Schizophrenia

Purpose The purpose of this study was to examine the effectiveness of the Nanta‐program on psychiatric symptoms, interpersonal relationships, and quality of life (QoL) in forensic inpatients with schizophrenia (SPR). Methods A quasi‐experimental study employing a nonequivalent control group and pre–posttest design was conducted. Participants were 38 forensic inpatients with SPR from South Korea (experimental group = 18, control group = 20). The intervention was conducted in 12 sessions over 12 weeks, taking 90 min per session. Data were analyzed using χ2‐test and t‐test with SPSS 22.0 program. Results The experimental group showed significant improvements in psychiatric symptoms (t = −2.73, p = .010) and slight improvement in interpersonal relationships (t = 2.23, p = .0.34) after 12 weeks of group music therapy. There was no significant difference in QoL change between the two groups. Conclusion These findings indicate that the Nanta‐program is an effective intervention program for improving psychiatric symptoms and interpersonal relationships of prisoners with schizophrenia.

Nursing Activity, Job Stress, and Job Satisfaction of Nurses in Community Mental Health Facilities

본 연구는 정신요양시설 간호사의 업무활동, 직무스트레스 및 직무만족도 정도를 파악하고 직무만족도에 영향을 미치는 요인을 확인하기 위해 시도되었다. 본 연구의 대상은 2012년 보건복지부에 등록된 전국 59개 정신요양시설에 근무하고 있는 간호사 201명이다. 자료수집기간은 2011년 7월 1일에서 8월 31일까지였으며, 수집된 자료는 서술통계, t-test, x 2-test, multiple regression을 이용하여 분석하였다. 연구결과, 정신요양시설 간호사의 직무만족도에 영향을 미치는 요인은 지각된 건강상태, 직무스트레스, 간호업무활동 중 일생생활관리 정도로 나타났으며 이들 전체 변수의 설명력은 21%였다. 따라서 정신간호사들의 전문성을 높이고 직무스트레스를 효율적으로 관리할 수 있는 역량강화프로그램의 개발과 제공이 요구된다. 【The purpose of this study was to describe and identify factors that affect job satisfaction of nurses in community mental health facilities. The participants were 201 nurses from 59 nationwide community mental health facilities in Korea. The collected data were analyzed using a t-test, ANOVA, Pearsons correlation coefficients, and hierarchical multiple regression with SPSS 20.0 for Windows. The mean scores of nursing activity, job stress, and job satisfaction were 2.0, 2.4, and 3.1, respectively. Nursing activity and job stress were significantly correlated with job satisfaction. According to the multiple regression analysis, perceived health status, nursing activity (management of daily living), and job stress explained 21% of the variance in job satisfaction. This study suggested the necessity of developing and conducting programs for job stress reduction and job competency enhancement to improve job satisfaction of nurses in community mental health facilities.】

Psychometric evaluation of the Korean version of the attitudes toward acute mental health scale

The purpose of this study was to adapt the Attitudes Toward Acute Mental Health Scale (ATAMHS) into the Korean language and culture and then to determine the reliability and validity of it by administering it to a sample of Korean nursing students and nurses. We conducted a psychometric evaluation that included a two-step item analysis (analysis and reanalysis), exploratory factor analysis and concurrent validity. The ATAMHS was translated into Korean by bilingual nurses. Then, 429 participants (224 undergraduate nursing students and 205 nurses, all with psychiatric experience) completed the translated version of the ATAMHS. The item analysis revealed that nine items correlated poorly with the rest; thus, they were deleted from the scale. The final Korean version of the scale, which we refer to as the Korean version of the ATAMHS (ATAMHS-K), contains 24 items. The ATAMHS-K showed good internal consistency. Exploratory factor analysis revealed three factors (professional perspective, semantic differentials and positive attitudes) that explained 39.5% of the variance. The ATAMHS-K had strong correlations with the Korean version of the Community Attitudes towards the Mentally Ill Scale, thus confirming the concurrent validity. Therefore, the ATAMHS-K demonstrated acceptable psychometric properties as a measure of attitudes toward acute mental health in Korean nursing students and nurses.

Korean Translation of the Barriers to Research Utilization Scale: Psychometric Testing

Purpose: The purpose of this study was to assess the psychometric properties of the Barriers or Facilitators to Using Research in Practice (BARRIERS) scale for use in Korea. Methods: A cross-sectional study design was used with 364 nurses working in clinical settings. Item analysis was conducted and convergent and discriminant validity were evaluated using confirmatory factor analysis. Internal consistency reliability was evaluated using Cronbach’s alpha coefficients. Results: Confirmatory factor analysis revealed a 4-factor structure with 25 items that explained 62.9% of the variance. Convergent and discriminant validity were confirmed as examining the factor loading, average variance extracted, and composite reliability. The values of factor loading for 25 items were having higher estimate than criterion and the average variance extracted value for 4 factors ranged from .575 to .667. The Cronbach’s alpha was .90 for the 25 items. Conclusion: The Korean version of the 25-item BARRIERS scale was a reliable and valid scale to measure barriers to research use in Korean health care settings. Based on this psychometric evaluation, research barriers and its associated factors will be investigated using the Korean version of the BARRIERS scale in further study.

The Effects of the Magic Program on Depression and Self-esteem in Rural Low-Income Children

The study aimed to evaluate the effects of the magic program on the depression and self-esteem in rural low-income children. A quasi-experimental study employing a nonequivalent control group and pre-post design was conducted. The participants were children aged 9 to 12 years old from community child center in K province (Experimental group=24, Control group=21). The experimental group participated in the program for 8 sessions for 8 weeks. Data were analyzed using χ-test, independent t-test, repeated measures ANCOVA with SPSS 21.0 program. There were significant differences in depression (F=6.68, p=.013) and self-esteem (F=7.61, p=.009) of participants between experimental group and control group after completion of 8-session magic program. The results indicate that the magic program can be used to improve depression and self-esteem of low-income children.

ADHD Symptoms, Self-Esteem, and Depression of Juvenile Offenders

본 연구는 비행청소년의 우울에 영향을 미치는 요인을 규명하기 위한 서술적 조사 연구이다. 연구대상은 D광역시 소재 의료 소년원에 입소한 비행 청소년 275명이었으며, 자료 수집기간은 2011월 5월에서 8월까지였다. 수집된 자료는 SPSS 20.0 통계프로그램을 이용하여 서술적 통계, t-test, ANOVA, Pearsons correlation coefficient, multiple regression으로 분석하였다. 본 연구결과 대상자의 32.4%와 52.0%는 임상적 수준의 ADHD와 우울로 나타났다. 비행소년의 ADHD 증상 및 자아존중감은 우울과 유의한 상관관계가 있었다. 비행청소년의 우울에 영향을 미치는 요인은 자아존중감, ADHD증상, 지각된 건강상태로 나타났으며 이들 전체 변수의 설명력은 37%였다. 따라서, 비행청소년들의 건상상태를 증진시키고 ADHD증상을 치료하고 자아존중감을 향상시킴으로써 우울을 예방하고 감소시킬 수 있을 것으로 생각한다. 【This study aimed to identify factors that influence depression in juvenile offenders. A cross-sectional study design was used. The participants were 275 juvenile offenders from D city. The collected data were analyzed using t-test, ANOVA, Pearsons correlation coefficients, and multiple regression with the SPSS/WIN 20.0 program. Of the participants, 32.4% and 52.0% were in the clinical group for ADHD and depression, respectively. ADHD symptoms and self-esteem were significantly correlated with depression. The final model showed that depression among juvenile offenders was significantly influenced by perceived health status, ADHD symptoms, and self-esteem. These variables accounted for 37% of the variance of depression.】