Earticle

본 연구는 유튜브 금연 영상의 댓글에 나타난 흡연자의 금연 동기, 장애요인 및 촉진요인을 탐색한 질적 내용분석 연구이다. ‘금연’으로 검색된 최근 2년 이내 영상 중 조건을 충족한 21개 영상에서 댓글을 수집하고, 대댓글 제거와 3단계 스크리닝을 거쳐 1,500개의 댓글에서 103개의 의미단위를 추출한 뒤 Graneheim과 Lundman의 절차에 따라 분석하였다. 그 결과 금연 동기요인 4개, 장애요인 5개, 촉진요인 6개로 총 15개 범주가 도출되었다. 금연 동기는 외부 정보보다 신체적 위기 경험과 자녀·가족 관계에서 형성되었고, 장애요인은 금단증상, 습관, 음주, 정서적 위기, 자기 합리화로 다차원적이었으며, 촉진요인은 전문적 지원, 대안적 행동, 사회적 지지, 인지적 재구성으로 나타났다. 금연은 일회적 결단이 아니라 평생에 걸쳐 이어지는 자기통제의 과정이었다. 본 결과는 흡연자의 실제 경험에 기반한 맞춤형 금연 간호중재의 기초자료로 활용될 수 있다.

This qualitative content analysis explored the motivations, barriers, and facilitating factors of smokers as expressed in comments on smoking cessation YouTube videos. Comments were collected from 21 videos published within the past two years that met the inclusion criteria under the search term “smoking cessation.” Following a three-stage screening procedure and the removal of replies, 1,500 comments were analyzed, from which 103 meaning units were extracted. Data were analyzed following the qualitative content analysis framework of Graneheim and Lundman. A total of 15 categories emerged: four for motivations, five for barriers, and six for facilitating factors. According to the analysis, cessation motivation was driven more powerfully by embodied health crises and relationships with children and family than by external information. Barriers were multidimensional, encompassing withdrawal symptoms, habits, alcohol consumption, emotional crises, and self-rationalization. Facilitating factors included professional support, behavioral substitution, social support, and cognitive reframing. Smoking cessation was revealed to be not the result of a single decision, but a lifelong process of self-control. These findings provide baseline data for developing tailored nursing interventions grounded in smokers’ lived experiences.

본 연구는 생활권 중년 여성활동가의 마을활동 경험과 생애설계 교육요구를 분석하여 교육 방향을 제시하는 데 목적이 있다. 대전광역시에서 5년 이상 활동한 중년 여성활동가 19명을 대상으로 질적 사례연구를 수행하여 개별 및 소집단 면담자료를 분석하고, 생애설계의 다섯 영역을 경험과 교육요구의 분석틀로 활용하였다. 연구결과, 참여자들은 활동을 통해 정체성과 역량을 형성하였으나 활동의 어려움과 중년기 생애과제가 맞물리면서 삶과 활동의 방향을 돌아보았다. 교육요구는 활동의 선택과 지속을 위한 재정설계, 활동경험의 일과 역할 연계, 건강과 자기돌봄, 쉼과 여가, 관계 재조정으로 나타났다. 교육방법은 입문-심화-실천·점검의 단계적 과정과 전문가교육, 공동체학습 및 개별 코칭·상담의 선택과 결합이 요구되었다. 이들에게 생애설계는 퇴직을 전제하기보다 활동을 지속·축소·전환하며 활동경험을 이후 삶과 연결하는 평생학습 과정이었다. 본 연구는 활동역량 중심의 여성활동가 교육을 활동가 자신의 삶과 이후 방향을 준비하는 생애설계 학습으로 확장하였다는 데 의의가 있다.

This study aimed to analyze the community activity experiences and educational needs for life design among middle-aged women community activists in local living areas and to suggest directions for relevant education. A qualitative case study was conducted with 19 middle-aged women who had engaged in community activities in Daejeon for at least five years. Data from individual and small-group interviews were analyzed using the five domains of life design as an analytical framework. The participants developed their identities and competencies through community activities. However, difficulties in their activities, intertwined with midlife challenges, led them to reconsider the direction of their lives and activities. Their educational needs included financial planning to support decisions about whether and how to continue their activities, connecting their activity experiences with future work and roles, health and self-care, rest and leisure, and relationship readjustment. The interviews also indicated a need for a phased process consisting of introductory, advanced, and practice-and-review stages, with options to combine expert-led education, community-based learning, and individual coaching and counseling. For these women, life design was a lifelong learning process through which they could continue, reduce, or transition their activities and connect their activity experiences with their future lives, rather than a process based on the assumption of retirement. This study contributes to broadening the focus of education for women community activists beyond activity-related competencies to life-design learning that enables them to reflect on their own lives and prepare for future directions.