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Effects of Psychodrama Group Counselling on Physical and Mental Health of Nursing Students (심리극 집단상담이 간호학생의 신체$\cdot$정신건강에 미치는 효과)

  • Ko Young Aie
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.132-143
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    • 2003
  • The purpose of this study was to verify the effects of psychodrama group counselling, and to determine its applicability as a nursing intervention for the promotion of mental health of clients in their developmental stages. Methodological triangulation was used for research design. For quantitative study, quasi experimental study design with nonequivalent control group was used to test the effects of psychodrama group counselling. For each experimental and control group convenient samples of 15 nursing students were selected, and observed from May to Nov. 2000. For experimental group, the treatment was given for 2 hours each week, totaling 20 hours. The questionnaire consisted of 24 items of physical symptoms from CMI. 40 items of Spielberger Anxiety Scale, and 21 items of Beck Depression Scale. Reflective journal was written by the experimental group. The data were analyzed using chi-square and Mann-Whitney U test. For the qualitative study, the contents of the reflective journal were analyzed into categories and classifications. The results of the study were as follows; 1. There was a significant difference on physical health status between the experimental and the control group 2. There was a significant difference between two groups on the mean scores of mental health before and after psychodrama group counselling. 3. The qualitative analysis of reflective journal resulted in 4 categories and 13 classifications, which was reflected by the experience of the psychodrama group counselling. The four categories were self introspection, psychological support, improvement of interpersonal relationship and self development. The thirteen classifications are self-discovery, discovering others, emotional catharsis, positive thinking, formation of consensus, comforting, being free, being comfortable, understanding, maturing personal relationship, acquiring self-confidence, new challenges, and planning for the future. Based on the study findings, the psychodrama group counselling had promoted not only physical but also mental health of nursing students. The characteristics identified by the study suggested the applicability of psychodrama group counselling as an effective measure of nursing intervention for clients.

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Heart Disease and Occupational Risk Factors in the Canadian Population: An Exploratory Study Using the Canadian Community Health Survey

  • Nowrouzi-Kia, Behdin;Li, Anson K.C.;Nguyen, Christine;Casole, Jennifer
    • Safety and Health at Work
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    • v.9 no.2
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    • pp.144-148
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    • 2018
  • Background: The objective of this study is to find temporal trends in the associations between cardiovascular disease and occupational risk factors in the context of the Canadian population. Methods: Population data were analyzed from the Canadian Community Health Survey (CCHS) collected between 2001 and 2014 for trends over time between heart disease and various occupational risk factors: hours worked, physical exertion at work, and occupation type (management/arts/education, business/finance, sales/services, trades/transportations, and primary industry/processing). Results: We found no significant difference in the average number of hours worked/wk between individuals who report having heart disease in all years of data except in 2011 ($F_{1,96}=7.02$, p = 0.009) and 2012 ($F_{1,96}=8.86$, p = 0.004). We also found a significant difference in the degree of physical exertion at work in 2001 ($F_{1,79}=7.45$, p = 0.008). There were statistically significant results of occupation type on self-reported heart disease from 2003 to 2014. Conclusion: Canadian data from the CCHS do not exhibit a trend toward an association between heart disease and the number of hours worked/wk. There is an association between heart disease and physical exertion at work, but the trend is inconsistent. The data indicate a trend toward an association between heart disease and occupation type, but further analysis is required to determine which occupation type may be associated with heart disease.

The Effects of the Stretching and Recreation Exercise Including Health Education on Physical Fitness and Emotion of Women in Elderly (건강교육을 포함한 신장운동 및 레크레이션 운동이 여성노인의 체력 및 정서에 미치는 효과)

  • Hyun, Kyung-Sun;Han, Sang-Sook;Kim, Won-Ock;Won, Jeong-Sook;Kim, Kwuy-Bun;Park, Young-Mi
    • Journal of East-West Nursing Research
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    • v.9 no.1
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    • pp.57-65
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    • 2004
  • The purpose of this study was to examine the effects of the stretching and recreation exercise including health education on physical fitness and emotion of women in elderly. This study has been done between February and April, 2004 and the subjects of the study were 28 women in elderly. Each of stretching and recreation exercise was carried out for 30 minutes a day, 5 times a week for 8 weeks and health education was carried out for 30 minutes a day, 2 times a week for 8 weeks. Vital capacity, flexibility, balance and grip strength were measured using the Health Management System developed by the Korea Physical Science Institution. The scores of depression, anxiety and hostility were measured by Korean Manual of Symptoms-Checklist -90 revision. The collected data were processed using the SPSS PC program and analyzed using Wilcoxon Signed Ranks Test The result of this study are as follows : 1. Flexibility was increased after 8 weeks more than before stretching and recreation exercise including health education were done. 2. Vital capacity, balance and grip strength were not increased after 8 weeks more than before stretching and recreation exercise including health education were done. 3. The score of anxiety, depression and hostility was decreased after 8 weeks less than before stretching and recreation exercise including health education was done. In conclusion, stretching and recreation exercise including health education promoted the flexibility and decreased anxiety, depression and hostility of women in elderly.

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Multiple Exposures and Coexposures to Occupational Hazards Among Agricultural Workers: A Systematic Review of Observational Studies

  • Nguyen, Thi-Hai-Yen;Bertin, Melanie;Bodin, Julie;Fouquet, Natacha;Bonvallot, Nathalie;Roquelaure, Yves
    • Safety and Health at Work
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    • v.9 no.3
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    • pp.239-248
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    • 2018
  • Background: Workers may be exposed to various types of occupational hazards at the same time, potentially increasing the risk of adverse health outcomes. The aim of this review was to analyze the effects of multiple occupational exposures and coexposures to chemical, biomechanical, and physical hazards on adverse health outcomes among agricultural workers. Methods: Articles published in English between 1990 and 2015 were identified using five popular databases and two complementary sources. The quality of the included publications was assessed using the methodology developed by the Effective Public Health Practice Project assessment tool for quantitative studies. Results: Fifteen articles were included in the review. Multiple chemical exposures were significantly associated with an increased risk of respiratory diseases, cancer, and DNA and cytogenetic damage. Multiple physical exposures seemed to increase the risk of hearing loss, whereas coexposures to physical and biomechanical hazards were associated with an increased risk of musculoskeletal disorders among agricultural workers. Conclusion: Few studies have explored the impact of multiple occupational exposures on the health of agricultural workers. A very limited number of studies have investigated the effect of coexposures among biomechanical, physical, and chemical hazards on occupational health, which indicates a need for further research in this area.

Prevalence and Effect of Workplace Violence against Emergency Nurses at a Tertiary Hospital in Kenya: A Cross-Sectional Study

  • Kibunja, Betty Kiunga;Musembi, Horatius Malilu;Kimani, Rachel Wangari;Gatimu, Samwel Maina
    • Safety and Health at Work
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    • v.12 no.2
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    • pp.249-254
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    • 2021
  • Introduction: Workplace violence (WPV) is a major occupational and health hazard for nurses. It affects nurses' physical and psychological well-being and impacts health service delivery. We aimed to assess the prevalence and describe the consequences of WPV experienced by nurses working in an emergency department in Kenya. Methods: We conducted a descriptive cross-sectional study among emergency nurses at one of the largest tertiary hospitals in Kenya. We collected data using a structured questionnaire adapted from the 'WPV in the Health Sector, Country Case Studies Research Instruments' questionnaire. We described the prevalence and effects of WPV using frequencies and percentages. Results: Of the 82 participating nurses, 64.6% were female, 57.3% were married and 65.8% were college-educated (65.8%). Participants' mean age was 33.8 years (standard deviation: 6.8 years, range: 23-55). The overall lifetime prevalence of WPV was 81.7% (n = 67, 95% confidence interval [CI]: 71.6%-88.8%) and the 1-year prevalence was 73.2% (n = 63, 95% CI: 66.3-84.8%). The main WPV included verbal abuse, physical violence, and sexual harassment. Most incidents were perpetrated by patients and their relatives. No action was taken in 50% of the incidents, but 57.1% of physical violence incidents were reported to the hospital security and 28.6% to supervisors. Perpetrators of physical violence were verbally warned (42.9%) and reported to the hospital security (28.6%). Conclusion: Workplace violence is a significant problem affecting emergency nurses in Kenya. Hospitals should promote workplace safety with zero-tolerance to violence. Nurses should be sensitised on WPV to mitigate violence and supported when they experience WPV.

The Effects of a 7000-Step Goal and Weekly Group Walking Program for Overweight and Obese Elderly People in Sarawak, Malaysia: A Quasi-experimental Study

  • Saad, Mohd Fakhree;Cheah, Whye Lian;Hazmi, Helmy
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.199-207
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    • 2021
  • Objectives: Physical inactivity is the fourth leading global risk factor for mortality, followed by obesity. The combination of these risk factors is associated with non-communicable diseases, impaired physical function, and declining mental function. The World Health Organization recommends physical activity to reduce the mortality rate. Thus, this study examined the effects on anthropometric measurements of a 12-week walking program for elderly people in Samarahan, Sarawak, Malaysia with a 7000-step goal and weekly group walking activities. Methods: A quasi-experimental study was conducted involving 109 elderly people with a body mass index (BMI) ≥25.0 kg/m2. BMI, body composition, and average daily steps were measured at baseline, 6 weeks, and 12 weeks. Data were analyzed using SPSS version 26.0, and repeated-measures analysis of variance with the paired t-test for post-hoc analysis was conducted. Results: In total, 48 participants in the intervention group and 61 participants in the control group completed the study. A significant interaction was found between time and group. The post-hoc analysis showed a significant difference between pre-intervention and post-intervention (within the intervention group). The post-intervention analysis revealed an increase in the mean number of daily steps by 3571.59, with decreases in body weight (-2.20 kg), BMI (-0.94 kg/m2), body fat percentage (-3.52%), visceral fat percentage (-1.29%) and waist circumference (-2.91 cm). Skeletal muscle percentage also showed a significant increase (1.67%). Conclusions: A 12-week walking program combining a 7000-step goals with weekly group walking activities had a significant effect on the anthropometric measurements of previously inactive and overweight/obese elderly people.

Analysis of Convergence Factors on Physical and Mental Health Status according to Existence of Spouses of the Elderly - The 8th Korea National Health and Nutrition Examination Survey(2019) - (노인의 배우자 유무가 신체와 정신건강에 미치는 융합 요인 분석 -국민건강영향조사 제8기 조사를 이용하여-)

  • Park, Jeong Min;Kim, Seong Min
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.501-510
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    • 2021
  • This study is a secondary data analysis study that analyzed the data of the 8th Korea National Health and Nutrition Examination Survey(2019) to identify factors that affect physical and mental health status according to the presence or absence of a spouse of the elderly. 𝜒2 test, logistic and linear regression analysis were performed on 1,510 elderly aged 65 years or older. As a result of the study, general characteristics (gender, age, education level, household income) and health-related characteristics (smoking, drinking, and physical activity) were adjusted according to the spouse status. As a result, compared to those without a spouse, the probability of diagnosis of arthritis (OR=0.673, p=.010) and the Possibility of experiencing depression (OR=0.535, p=003) lower. It was confirmed that the quality of life was significantly higher (B=0.023, p=.040). The results of this study can be used as basic data to determine the factors that influence the health status of the elderly by existence of spouses.

Comparative Differences in Cardiovascular-metabolic risk and Mental health according to Physical activity in Postmenopausal women (폐경기 여성의 신체활동에 따른 심혈관대사 및 정신건강의 차이 비교)

  • Dae-In Jung;Dae-Sik Ko
    • Journal of the Health Care and Life Science
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    • v.9 no.2
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    • pp.309-316
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    • 2021
  • This study was conducted to compare the cardiovascular-metabolic risk and mental health according to physical activity in postmenopausal women, in order to present basic data for health promotion of postmenopausal women. 4,453 postmenopausal women among the raw data of the 7th period (2017-2019) of the National Health and Nutrition Examination Survey were used for the final analysis. Cardiovascular-metabolic was measured by waist circumference, systolic blood pressure, diastolic blood pressure, HDL -cholesterol, fasting blood sugar and triglycerides, and mental health was measured by depression and stress perception. As a result of the study, it was found that Korean postmenopausal women were more physically active as their waist circumference was smaller, systolic blood pressure was lower, diastolic blood pressure and HDL-cholesterol were higher. However, there was no difference in depression and stress perception. Consequently, it is considered that waist circumference, blood pressure, and HDL-cholesterol management are necessary to improve cardiovascular and metabolic functions in postmenopausal women.

Utilization Characteristics and User Satisfaction by Type of Physical Therapy Service in Senior Centers

  • Song, Eseul;Kim, Giwon
    • The Journal of Korean Physical Therapy
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    • v.30 no.4
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    • pp.151-157
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    • 2018
  • Purpose: This study was conducted to identify the characteristics of physical therapy service utilization and user satisfaction depending on the experience with therapeutic exercise or ultrasound intervention among elderly persons using senior centers. Methods: The subjects were adults aged over 60 years (total 215) recruited in 40 senior centers located in each province in South Korea. Subjects responded to questions concerning overall demographics factors, utilized characteristics of physical therapy service and 12 variety user satisfactions with effectiveness, facilities, and therapist using a survey instrument. The collected data were analyzed by Fishers' exact tests and t-tests using the SPSS 21.0 program to compare the results of elderly persons who had or had not experienced exercise therapy or ultrasound therapy. Results: The participants that experienced ultrasound therapy or therapeutic exercise reported significantly higher overall results pertaining to effectiveness of physical therapy and a clear explanation from physical therapist's satisfaction than those who were non-experienced. Satisfaction with pain relief was significantly higher among elderly who experienced therapeutic exercise than those who did not. Those who underwent ultrasound therapy showed significantly higher satisfaction with facilities and location than those who did not. Conclusion: The results of this study suggest that satisfaction among users differs by type of physical therapy. In the future, physiotherapy services provided in senior centers needs to be designed to improve the effectiveness of physical therapy, professionalism of physical therapists and comfort of facility.

A Review of Conception and Developmental Process of Stretching in Sports Physical Therapy (스포츠 물리치료에서의 스트레칭의 개념 및 발달과정)

  • Chang Chung-Hoon;Jeong Dong Hyeog;Lee Rae Joon
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.423-440
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    • 2002
  • The purpose of this study is to investigate the conception and developmental process of stretching in sports physical therapy. This study is to find conception of stretching, feature and effect, principles and fundamental rule, consideration of enforcement and developmental process in order to use the basic material which is very helpful in the every field and the scene of sports needing stretching. Flexibility is the ability to move muscles and joints through their full ranges of motion. Flexibility is developed by stretching. About player who insufficiency of flexibility, patient and disabled person who restrict of range of motion, older adult who reduce of flexibility, promote of flexibility for upgrading stability and efficiency of body on the based of scientific principles is completed by stretching. The method of stretching has been developed with passive stretching, CR, PNF stretching, PIC stretching, MET stretching in the order. The effects that we can get through stretching are as follows : 1. Enhance physical fitness. 2. Optimize learning, practice and performance of many types of skilled movement. 3. Increase mental and physical relaxation. 4. Promote development of body awareness. 5. Reduce risk of joint sprain or muscle strain. 6. Reduce risk of back problem. 7 Reduce muscular soreness. 8. Reduce the severity of painful menstruation for female athletes. 9. Reduce muscular tension. 10. Advance recognition of body.

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