• Title/Summary/Keyword: 불안감소

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Management for Cervical Instability (경추 불안정성의 관리)

  • Kim, Young-Min;Kim, Ho-Bong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.11 no.1
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    • pp.74-91
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    • 2005
  • 척추의 기본적인 생체 역학적 기능은 신체 부분간의 운동을 허용하고 척수와 신경근을 보호하는 것으로서 이러한 기능을 수행하기 위해서는 척추의 역학적 안정성이 필수적이다. 척추의 안정체계는 수동적 근 골격계, 능동적 근 골격계, 그리고 신경계의 세 가지 하부체계로 나누어지며 이들 하부체계는 각각 독립적으로 안정성에 관여하고 있다. 경추의 불안정성의 문제는 비정상적으로 증가된 추간관절의 운동에 의해 염증성의 신경을 압박 또는 신장하거나 또는 통증수용기가 많이 분포하는 인대, 관절낭, 섬유륜과 종판에 비정상적인 변형을 일으키는 것을 말한다. 안정성의 장애는 근육의 기능적 측면에서 국소적 안정체계와 포괄적 안정체계의 문제로 구분할 수 있다. 불안정한 경추 환자의 임상적 양상은 일반적으로 머리가 앞으로 나오고 전방 전위된 자세로 견갑대와 승모근 상부의 과활동성을 나타낸다. 또한 능동운동은 감소되지 않으나 수동운동에서 분절의 회전운동과 병진운동의 증가와 종말감의 변화가 있다. 경추의 불안정성을 관리하기 위한 실험적 연구로 전반적인 근육 훈련, 고유수용기 훈련, 그리고 도수치료의 세 가지 주된 접근법이 있고 실제적인 접근법으로는 고유수용성 재활프로그램, 칼텐본-에반스 접근법, 그리고, 슬링운동법 등이 있다. 각 방법들은 임상에서 나름대로의 이점이 있으며 환자의 상태에 따라 이들 방법을 단독으로 또는 병행해서 적용할 수 있을 것이다. 그러나 경추에서 이러한 방법들의 효과를 입증하는 증거는 부족하여 앞으로 이러한 방법에 대한 임상적 경험보다는 그 효과를 입증할 수 있는 연구가 필요하다고 본다.

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Analysis of the Bizcool-Connected Career Exploration Education Effectiveness (Bizcool 창업교육과 연계한 진로탐색교육 효과분석)

  • Jung, Eui Jung
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.9 no.3
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    • pp.89-95
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    • 2014
  • The purpose of this study was to examine the impact of a career exploration education to job-seeking anxiety, career maturity and Career decision-making in an effort to prove the effectiveness of career exploration education. The subjects in this study were 65 high school student who were users of B high school in the city of Gwang-Ju. An experimental group and a control group were organized with 65 high school student' each, and a career exploration education was conducted in nine sessions, once a week. The major findings of the study were as follows: The experimental group who participated in the career exploration education felt less job-seeking anxiety, improvement in career maturity and Career decision-making. Second, the experimental group who participated in the career exploration education showed. Third, the experimental group who participated in the career exploration education showed improvement in.

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주택경기전망

  • 한국주택협회
    • 주택과사람들
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    • s.168
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    • pp.46-58
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    • 2004
  • >>> 시장여건 분석 $\blacktriangleright$ 주택수급 상황 $\cdot$ 신규입주물량은 46만호로 올해보다 크게 감소하나 아파트입주물량은 32만호로 증가. 특히, 주거용 오피스텔 입주가 본격화되면서 전체적으로 공급과잉구조로 전환 $\cdot$ 가수요는 물론 실수요도 위축되면서 미분양 증가, 입주후 공가가 주요이슈로 대두 $\blacktriangleright$주택정책 여건 $\cdot$양도세,재산세 중과, 주택거래신고제, 종합부동산세 등 10.29종합대책의 후속조치가 본격화되고, 토지거래허가대상 확대 및 개발이익환수 등 2차 대책 시행가능성 상존 $\cdot$ 분양원가 공개, 후분양제 도입, 신행정수도 이전계획의 향방에 따른 불안요인도 내재 $\blacktriangleright$거시경제 전망 $\cdot$ 경기회복으로 금리가 상승세로 돌아설 경우 투자수요 위축 불가피 $\cdot$ 경제성장률이 $5\%$대로 개선되고 시중유동성도 풍부하나, 가계부실과 실업 증가로 수요증가효과는 제한적 >>> 향후 시장전망 $\cdot$ 저금리기조와 각종 개발호재에 따른 시장불안요인은 상존하나 정부의 강력한 투기억제 의지를 감안할 때 단기 조정 후 추가 하락하는 전형적인 경기후퇴국면에 진입할 전망 $\cdot$매매가격은 서울아파트가격이 크게 하락하면서 전국평균-$2\%$ 내외의 하락률을 보이고, 전세가격도 국지적 불안 가능성은 있으나 $-1\%$ 내외의 하향안정세가 이얼질 전망. 분양시장은 청약률 둔화와 미분양 증가의 침제양상이 이어지면서 주택건설실적도 각종 사업여건 악화로 50만호 안팎에 머물 것으로 예상. 지가상상률은 투기대책과 주택시장 위축으로 올해보다는 소폭 낮아지나 각종 개발 호재에 힘입어 개발예정지역을 중심으로 $3\%$ 내외의 높은 상승세가 지속될 전망

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The Effects of Relaxation Therapy on Pain and Anxiety in Spinal Anesthesia Surgery Patients (척추마취 수술환자의 불안감소를 위한 이완요법 적용 효과)

  • Moon, Hyeun-Sook;Lee, Hyang-Yeon;Lee, Ji-A
    • Journal of East-West Nursing Research
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    • v.15 no.1
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    • pp.54-62
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    • 2009
  • Purpose: The purpose of this study was to examine the effects of relaxation therapy to reduce anxiety level among spinal anesthesia surgery patients. Methods: The study employed a quasi-experimental pre-and-posttest design with nonequivalent control group. The experimental group was provided with the 15-min muscle relaxation therapy on the day before the surgery and an hour before the spinal anesthesia. Data were collected from 44 patients (22 in experimental and 22 in control group) who were planned to have spinal anesthesia surgery from an orthopedic surgery department at a general hospital in Seoul from January 13 to March 21, 2006. Results: The experimental group reported lower level of state anxiety after the surgery (23.18 vs. 33.64) than did control group but was not statistically significant. There were no significant differences in blood pressure or pulse rate between experimental and control groups after surgery. Conclusions: The further research should be conducted to polish the muscle relaxation therapy for various types of patients and to create more comfortable environment setting for application of the therapy. The muscle relaxation therapy may be a convenient and useful nursing intervention to reduce anxiety among spinal anesthesia surgery patients if more studies prove its effectiveness.

Effect of Dance/Movement Therapy on Mental Health in In-patient with Schizophrenia (무용/동작치료가 입원중인 정신분열증 환자의 정신건강 변화에 미치는 영향)

  • Kim, Hong-Ja;Kim, In-Suk;Kim, Do-Hyung
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.458-467
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    • 2011
  • The purpose of this study was examine the effects of dance / movement therapy on anger and anger expression, depression and anxiety, and positive as well as negative symptoms in in-patient with schizophrenia. Among inpatients with schizophrenia in J Dajeon psychiatric hospital, 38 patients were allocated to either dance and movement therapy (DMT) group (n=18), which included 24 sessions of DMT and medical treatment over 12 weeks, or a control group (n=20), which included only medical treatment. State anger and anger control of DMT group were improved after 12 weeks, and there was a significant difference in anger control after 12 weeks between two groups. Depression of DMT group was improved, and there was significant difference in depression after 12 weeks between DMT and control group. There was a significant difference in negative symptoms after 12 weeks between DMT and control group. These finding demonstrates that DMT has benefit on the reduction of state anger by increasing anger control and depression as well as may improve negative symptoms in in-patient with schizophrenia.

Convergent Effects of Anxiety, Depression, Uncertainty, and Social support on Quality of Life in Women with Thyroid cancer (여성 갑상선암 환자의 불안, 우울, 불확실성, 사회적 지지가 삶의 질에 미치는 융복합적 영향)

  • Lee, Insook;Park, Chang-Seung
    • Journal of the Korea Convergence Society
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    • v.8 no.8
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    • pp.163-176
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    • 2017
  • The purpose of this study was to examine the anxiety, depression, uncertainty, social support, and QoL and to identify the factors influencing QoL in women with thyroid cancer. A descriptive survey was performed from April to October in 2014 with self-reporting questionnaires for depression, uncertainty, social support, and QoL. Participants were 106 women with thyroid cancer who visited a outpatient department of endocrine surgery in a hospital. Data were analyzed using SPSS 22.0. As the results of this study, the mean scores of global QoL were moderate. Anxiety was significantly influenced physical functioning, emotional functioning, and social functioning. Uncertainty was significantly influenced physical functioning and cognitive functioning. Therefore, from the results of this study, nursing practice focused on anxiety and uncertainty relieving care for female thyroid cancer patients to improving QoL. And also, in order to understand the QoL of women with thyroid cancer, it is necessary to deeply understand the QoL through qualitative and quantitative research to determine the QoL by treatment period and treatment type.

Effects of Music Therapy on the Anxiety of Patients who Take the Magnetic Resonance Imaging(MRI) Test (음악요법이 자기공명영상(MRI) 검사시 환자의 불안에 미치는 영향)

  • Jeon, Byeong-Kyu;Yeo, Jin-Dong
    • The Journal of the Korea Contents Association
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    • v.11 no.6
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    • pp.289-301
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    • 2011
  • This study is a research based on the non-equivalent control group pretest-posttest design whose purpose is to examine the effects of music therapy on the anxiety of patients who take the magnetic resonance imaging(MRI) test and their feeling of discomfort during the test. "The first hypothesis that the experimental group who receive music therapy will be lower in score for anxiety during the MRI test than the control group who do not was supported because after the therapy, the experimental group was found significantly decreased in that score in comparison to the control group. "The second hypothesis that the experimental group who receive music therapy will be fewer in vital signs after the MRI test than the control group who do not" was rejected in terms of both systolic and diastolic blood pressure. But the same hypothesis was partially supported because the two groups showed a significant difference in pulse rate after the test. "The third hypothesis that the experimental group who receive music therapy will be less in the feeling of subjective discomfort during the MRI test than the control group who do not" was verified to find that the two groups were significantly different from each other in the feeling. Specifically, there was a significant difference between the two groups in only one sub-area of that feeling, that is, tension. These findings suggest that music therapy could be an alternative method which can effectively reduce the state anxiety of patients during the magnetic resonace imaging(MRI) test.

The Relationships among Depression, Anxiety, Impulsivity and Aggression and Internet Addiction of College Students - Moderating Effect of Resilience (대학생의 우울, 불안, 충동성, 공격성과 인터넷 중독과의 관계 - 자아탄력성의 조절효과)

  • Choi, Eun-Mi;Shin, Jeom-Ran;Bae, Jae-Hong;Kim, Myung-Shig
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.329-341
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    • 2014
  • This study investigated the differences of internet addiction by gender and the psychological states(depression, anxiety, impulislvity and aggression) by internet addiction groups and the relationship of depression, anxiety, impulsivity and aggression with internet addiction by resilience as moderator. The 529 college students (male: 212, female: 317) of 5 universities of Jeonbuk Province participated in this study. Main results are as follows; First, the intenet addiction level of male college students was higher than female students, and the higher internet addiction was, the higher depression and impulsivity were. Second, depression. anxiety, impulsivity and resilience were correlated with internet addiction. But aggression was not correlated with it. Third, anxiety and implusivity(male college students), depression and impulsivity(female college students) were correlated with internet addiction or overuse. Fourth, resilience was proved to function as moderator in the prediction of depression on internet addiction of only female college students. The limitation and future tasks were discussed.

Comparison of the Depression and Anxiety between the Elderly in the Home for the Aged and Those in the Community (양로원 노인과 재가 노인의 불안과 우울에 관한 비교조사)

  • Seo, Ryo-Seok;Jung, Sung-Duk;Kim, Chang-Su
    • Journal of Yeungnam Medical Science
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    • v.9 no.2
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    • pp.256-268
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    • 1992
  • This survey was conducted from January 1991 to May 1991. Two hundred arid eight residents in 4 government supported homes for the aged and two hundred and eleven living in the community in Taegu, Korea, were examined to evaluate the depression and the anxiety of the aged with combined anxiety and depression scale(CADS) and somatization symptom check list(SCL). There are no significant differences between residents in the home for the aged and those living in the community on the total scores of CADS and SCL. However, in the case of total score of CADS of the female subjects in the home for the aged were significantly higher than those of the community residents. The elderly in the home for the aged tended to have pure depression, while community residents were likely to have anxiety and depression. Fifty-two subjects of home for the aged and sixty-nine of the community scored over 50 points of CADS, which indicates considerable depression or anxiety. In psychosocial factors, the subjects who in the following situations had statistically significant higher scores than others. The results were as follow. Poor health, unhappiness, unsatisfaction to the past occupation, pessimistic thought in future view for both group and un satisfaction of the relationship with familiar people for the elderly in the community. The SCL scores of two groups subgrouped by under 49 and 50 on CADS showed significant differences between each subgroup on all of the SCL items. It could be suggested that somatic symptoms for the aged is a sign of depression.

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Relationship of Anxiety, Empathy, Ego-resilience and Clinical Competency in Nursing Students (간호대학생의 불안, 공감능력, 자아탄력성과 임상수행능력과의 관계)

  • Kim, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.326-337
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    • 2018
  • The purpose of this study was to investigate the levels of anxiety, empathy, ego-resilience, and clinical competency of nursing students, and to examine the relationship of the variables. The participants were 197 nursing students. Data were collected from December 3 to 15, 2017 by taking a survey and analyzed with SPSS WIN 19.0 program(SPSS Inc., Chicago, IL, USA). The results of this study were as follows: The mean score of anxiety was $2.16{\pm}.51$, empathy was $3.51{\pm}.36$, ego-resilience was $2.83{\pm}.44$, and clinical competency was $3.65{\pm}.48$. There was significant differences in clinical competency by satisfaction with major, satisfaction with clinical practice. There were a negative correlation between clinical competency and anxiety(r=-.37, p<.001), a positive correlation between clinical competency and empathy(r=.34, p<.001) and a positive correlation between clinical competency and ego-resilience(r=.49, p<.001). Variables such as ego-resilience, empathy, anxiety, satisfaction with major and satisfaction with clinical practice explained 35.6% of variance in clinical competency. According to these result, there is a need to develop interventions and programs to increase the ego-resilience and empathy and to reduce the anxiety for improving clinical competency in nursing students.