• Title/Summary/Keyword: 신체적.정신적 건강

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Factors in economic activity participation of the elderly receiving the National Pension (국민연금 수급 노인의 경제활동 참여 요인)

  • Lim, Ahn Na
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.185-191
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    • 2022
  • This study tried to identify the factors that affect the participation of national pension beneficiaries in economic activities. Data from the 8th KReIs main survey were used for the study subjects, and the number of subjects was 919. Descriptive statistics, t-test, ANOVA, and regression analysis were performed using SPSS 20.0. As a result, gender, age, marital status, residential area, physical health status, and mental health status showed differences in economic activity participation. Participation in economic activities was correlated with gender, age, marital status, physical health status, and psychological health status. As factors influencing the participation in economic activities of national pension recipients, it was found that gender, age, education level, residential area, and physical health had an effect on economic activity participation.

Status of Physical and Mental Function and, Its Related Factors Among the Elderly People Using from Long-Term Care Insurance Service (장기요양서비스 이용 노인들의 신체적 및 정신적 기능과 관련 요인)

  • Bae, Nam-Kyou;Song, Young-Soo;Shin, Eun-Sook;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5976-5985
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    • 2012
  • This study was performed to determine the levels of physical and mental functioning and to reveal its association with related factors in the elderly people received long-term care insurance services. The interviews were performed, during the period from February 16, to March 31, 2011, to 350 elderlies admitted long-term care insurance dwelling in Daejeon city and Chungchung provinces. As a results, the levels of IADL and MMSE-K in the elderly received home care insurance services was significantly higher than that of the elderly received facility care insurance services. But the levels of ADL and CES-D was not significant. Concerning correlation of ADL, IADL, CES-D and MMSE-K, the level of ADL was positively correlated with the level of IADL and MMSE-K, whereas negatively correlated with the level of CES-D. IADL was positively correlated with the level of MMSE-K, whereas negatively correlated with the level of CES-D. As a results of multiple regression analysis, the factors of influence with the level of ADL and IADL were selected the variables of amnesia, regular exercise and MMSE-K. The factors of influence the level of CES-D and MMSE-K were selected the variables of subjective health status, amnesia and IADL. AS a above results, the levels of physical and mental functioning in the elderly people received long-term care insurance services implies closely related with the health status and health-related behaviors.

Current Situation of Psychiatry in North Korean : From the Viewpoint of North Korean Medical Doctors (북한 의사들이 바라보는 북한의 정신의학 현황)

  • Kim, Seog-Ju;Park, Young-Su;Lee, Hae-Won;Park, Sang-Min
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.32-39
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    • 2012
  • Objective : Psychiatry in North Korea is believed to seem very different from psychiatry in South Korea. However, there is nearly no information regarding psychiatry in North Korea until now. Our study aimed to get information about North Korean psychiatry. Methods : Three North Korean defectors in South Korea, whose clinical experience as medical doctors in North Korea was over 10 years, were recruited. They underwent the semi-structured interview, content of which included the clinical experience with psychiatric patients, the details of psychiatry, the treatment of psychiatric patients, the stigma of mental illness, and the suicide, in North Korea. Results : In North Korea, psychiatric department was called as 49th(pronounced as Sahsip-gu-ho in Korean). Only patients with vivid psychotic symptoms came to psychiatric department. Non-psychotic depression or anxiety disorders usually were not dealt in psychiatry. The etiology of mental illness seemed to be confined to biological factors including genetic predisposition. Psychosocial or psychodynamic factors as etiology of mental illness appeared to be ignored. Psychiatry was apparently separated from political or ideological issues. The mainstay of psychiatric treatment is the inpatient admission and out-of-date therapy such as insulin coma therapy. Stigma over mental illness was common in North Korea. Suicide is considered as a betrayal to his/her nation, and has been reported to be very rare. Conclusion : The situation of psychiatry in North Korea is largely different from that of South Korea. Although some aspects of North Korean psychiatry are similar to psychiatry in former socialist countries, North Korean psychiatry is considered to have also its unique characteristics.

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Symptomatic and Clinical Profiles Across Motoric Subtypes in Delirium (섬망의 운동성 아형에 따른 증상과 임상적 특징)

  • Paik, Soo-Hyun;Min, Seongho;Ahn, Joung-Sook;Park, Ki-Chang;Kim, Min-Hyuk
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.79-85
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    • 2015
  • Objectives : To investigate clinical and symptomatic differences among motoric subtypes of delirium. Methods : A total of 256 patients referred to psychiatric consultation services for delirium due to general medical condition were assessed retrospectively. Motoric subtypes were determined according to Lipowski's criteria for hyperactive, hypoactive and mixed subtypes. All patients were evaluated according to Delirium Rating Scale-Revised-98(DRS-98-R) by trained psychiatrists to obtain symptomatic profiles of delirium. Results : Hyperactive subtype were 50.8%(n=130), mixed 46.1%(n=118) and hypoactive 3.1%(n=8). Hyperactive patients were younger than mixed subtype($69.62{\pm}13.976$ vs. $73.97{\pm}11.569$, p=0.022) and received antipsychotics to manage symptoms of delirium more frequently(83.8% vs. 57.6%, p<0.001). Hyperactive patients had higher DRS-R-98 scores on both noncognitive($7.14{\pm}3.543$ for hyperactive, $5.62{\pm}3.279$ for mixed subtype) and cognitive subscales($10.00{\pm}3.574$ for hyperactive, $6.38{\pm}2.875$ for hypoactive, $7.43{\pm}3.771$ for mixed subtype, p<0.001). Conclusions : We demonstrated that clinical and symptomatic profiles were different across motoric subtypes in delirium. Diagnostic and therapeutic approach should be made differently according to motoric subtypes of delirium and special attention is needed not to underestimate or delay treatment in specific motoric subtype of delirium.

The Relation among Adolescents Metabolic Syndrome, Dietary Life, Physical Activity and Mental Health - Using 7th National Nutrition Survey of 1st Year(2016) - (청소년의 대사증후군과 식생활, 신체활동 및 정신건강 관련성 연구 - 국민건강영양조사 제7기 1차년도(2016년) 자료를 이용하여 -)

  • Moon, Woo-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.158-168
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    • 2019
  • This study has researched and analyzed the relation among adolescents metabolic syndrome, dietary life, physical activity and mental health using $7^{th}$ National Nutrition Survey of $1^{st}$ year(2016) to provide the base data for the prevention of adolescent metabolic syndrome and the promotion of mental health. The subjects have been aimed at 13-18 year-old adolescents. The normal group consists of 201 males(56.4%) and 187 females(47.4%) and the adolescents with metabolic syndrome are composed of 9 males(56.4%) and 6 females(43.6%), totally 403 subjects. As a result of analyzing on the relation among adolescents' metabolic syndrome, dietary life, physical activity and mental health, the main influencing factors of metabolic syndrome are as follows. First, with regard to physical features, as BMI increases 1, the prevalence rate of metabolic syndrome multiplies 1.746 times. Second, when eating breakfast once to twice a week, the prevalence rate of metabolic syndrome decreases 0.87 times. Third, with regard to physical activity, as usual sitting hours a day increase 1 hour, the prevalence rate of metabolic syndrome multiplies 1.054 times. Fourth, the relation between metabolic syndrome and mental health of adolescents is not significant at all. Thus, the further study on metabolic syndrome focused on adolescents should be extended through the development of various variables of dietary life, physical activity and mental health focused on adolescents. In addition, the development of effective intervention program combining with dietary life, physical activity and mental health factors is necessary.

Mental Health and Quality of Life by Type-D Personality of the Patients with Coronary Artery Disease (D 유형 성격에 따른 관상동맥질환자의 정신건강과 삶의 질)

  • Cha, KyeongSook;Im, SuMi;Cho, Ok-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.5
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    • pp.286-294
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    • 2013
  • The purpose of this study was to confirm the mental health and quality of life by type-D personality of the patients with coronary artery disease (CAD). The participants in the study were 111 hospitalized patients with CAD at a hospital in Gyeonggi-do. The type-D personality was assessed by the Type-D Personality Scale (DS14). The mental health was measured with Symptom Checklist-90-Revision (SCL-90R) while quality of life was assessed with World Health Quality of Life Assessment Instrument (WHOQOL-BREF). The data analysis revealed that 36.1% of CAD patients were identified as having type-D personality traits. Non type-D personality patients have shown better mental health state than type-D personality patients (p<.001) have. The level of quality of life in the type D personality patients were significantly lower than that of non type-D counterparts (p<.001). It is necessary for type-D personality to be considered, when the nursing intervention programs for improving the mental health and quality of life of the patients with CAD are developed.

Result of Multiphasic Military Personality Inventory Among Grave's Disease in 19-Year-Old Men (19세 남성에서 그레이브스병의 다면적 군인성검사 결과)

  • Jong Hyun, Kim;Jonggook, Lee;Jeong Seok, Seo;Juhyun, Kim;Keun, Oh;Taehyun, Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.196-202
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    • 2022
  • Objectives : The purpose of this study was to quantitatively assess the degree of Graves' Disease affecting mental health through the results of multiphasic military personality inventory (MPI) in 19-year-old men. Methods : We collected and analyzed the results of the MPI for 592 healthy subjects and 148 Graves' disease patients among the 19-year-old men who visited the Military Manpower Administration from February 2008 to January 2010. Results : Among demographic characteristics, both Graves' disease and control group are 19-year-old men. Educational level, socioeconomic status, parental relationship, and BMI were not statistically different between the two groups (χ2=0.089, p=0.766; χ2=5.090, p=0.278; χ2=5.988, p=0.112 ; t=-0.635, p=0.526). In the MPI, among validity scales, the score of the faking-good subscale was significantly lower in the Graves' group (t=3.507, p<0.001), but in the faking-bad and infrequency subscales scores were not significantly different between two groups (t=-1.700, p=0.090; t=-0.519, p=0.604). Among the neurosis scale, anxiety, depression, somatization, and personality disorder subscale scores were all significantly higher in Graves' disease group (t=-3.323, p<0.001; t=-4.210, p<0.001; t=-6.202, p<0.001; t=-2.872, p<0.01). Among the psychopath scale, each score of schizophrenia and paranoia subscales were not statistically different between the two groups (t=-0.158, p=0.874; t=-0.846, p=0.398). Conclusions : According to MPI result, we can confirm that Graves' disease patients in 19-year-old-men may appear features such as anxiety, depression, somatization and personality tendency (introversion or impulsivity) than the control group.

The Effect of Adolescent Mental Health on Heavy drinking Experience: A Study Based on the 18th Annual Youth Health Behavior Survey of 2022 (청소년의 정신건강특성이 만취경험에 미치는 영향: 2022년 청소년 건강행태자료 이용)

  • Jae-Ran Lim;Joo-Young Lee
    • Journal of Industrial Convergence
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    • v.21 no.11
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    • pp.147-154
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    • 2023
  • This study aimed to investigate the relationship between the general characteristics of adolescents and their mental health in relation to experiences of heavy drinking. The research utilized raw data from the 18th Youth Health Behavior Online Survey (2022), focusing on 530 participants who reported experiencing heavy drinking in the past 30 days. The study applied weighted composite sample analysis, incorporating frequency, chi-square test, and logistic regression to examine the data. According to the research findings, experiences of heavy drinking showed statistically significant differences across variables such as gender, academic achievement, economic status, sexual experience, and smoking. Additionally, among the mental health characteristics, stress perception, depression, loneliness, suicidal thoughts, suicide planning, and suicide attempts were identified as influencing factors on heavy drinking experiences. These results underscore the need for prevention programs addressing alcohol consumption habits, considering the mental and physical health of adolescents. Developing programs that take into account the relationship between mental health and drinking habits can contribute to forming healthy lifestyle habits during adolescence.

Effect of Stress Level and Stress Vulnerability of Workers on Heart Rate Variability (직장인의 스트레스 수준, 스트레스 취약성이 심박변이도에 미치는 영향)

  • Lee, Jonggook;Seo, Heeyoung;Jeon, Seonyeong;Park, Sun Kyu;Bang, Ju Hyun;Hwang, Young Baum;Im, Kyung Bin
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.1
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    • pp.7-15
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    • 2022
  • Objectives : The purpose of this study is to identify the effect of office workers' stress level and stress vulnerability on heart rate variability (HRV), confirm the significance of objective stress indicators obtained through subjective stress and heart rate variability devices, and examine their effectiveness as an integrated stress measurement tool in community mental health projects. Methods : From June to July in 2020, 929 workers participated in the stress management and mental health promotion project carried out by K hospital, and their recorded database was used for study analysis with their agreements. Multiple linear regression analysis was performed to find out the effects of general stress level, and stress vulnerability on heart rate variability. Results : All general characteristics were found to have a significant effect on SDNN (ln), RMSSD (ln), LF (ln), and HF (ln), but work experience did not significantly affect RMSSD (ln). Stress level and stress vulnerability did not significantly affect heart rate variability, but stress perception, a sub-factor of stress level, was found to have a significant effect on RMSSD (ln) (β=0.118, p=0.023). Conclusions : In this study, stress perception, a sub-factor of stress level, was found to be a factor affecting RMSSD (ln). This indicates an association with the activity of parasympathetic nerves in stressful situations, and more follow-up studies are needed to use it as a direct indicator of chronic stress and integrated stress in the community mental health field.

Patinets' Perception and Satisfaction with Nursing Care in Korea (일 종합병원의 간호행위에 대한 입원환자의 지각도와 만족도의 관계연구)

  • Eom, Ae-Yong
    • Korean Journal of Adult Nursing
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    • v.13 no.4
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    • pp.581-590
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    • 2001
  • 목적: 의료수준의 발전과 더불어 대중들의 건강요구와 건강증진에 대한 기대 수준도 점점 높아지므로 간호사는 대상자의 요구를 이해하고 양질의 간호를 제공하여 환자의 건강상태를 바람직한 방향으로 변화시켜야 한다. 따라서 이 연구는 환자가 인지한 간호에 대한 경험과 대상자가 경험한 간호에 대한 만족도를 파악하고, 그 관계를 규명함으로써 환자 간호의 질향상과 간호 만족도 향상을 위한 기초 자료를 제공하고자 한다. 연구방법: 본 연구는 일 종합병원의 127명의 입원 환자가 간호 경험정도와 제공받은 간호에 대한 환자 만족도 정도를 규명하기 위한 서술적 상관관계 연구이다. 연구결과: 첫째, 입원환자의 간호 행위에 대한 간호 지각도의 정도는 각 항목별 비교 분석한 결과 신체적 간호행위에 대한 지각도가 평균평점은 2.74로 가장 높았으며, 또한 환자가 지각한 간호행위에 대한 만족도는 기술-전문적 간호행위(M= 3.55)의 만족도가 가장 높았다. 둘째, 일반적 제특성과 전체 간호행위의 지각도와 차이가 있는지 분석한 결과 연령(p< 0.1)에 따라 유의한 차가 있는 것으로 나타났다. 즉 연령이 높을수록 간호행위에 대한 지각도가 높게 나타났다. 그리고, 간호행위에 대 한 지각도의 하부영역 분류중 신체적간호행위에 대한 지각도는 입원과(p< 0.05)에 따라 유의한 차가 있는 것으로 보였다. 또한 일반적 제특성과 전체 간호행위의 만족도와의 관계에서는 입원과(p< 0.05)에 따라 유의한 차가 있었다. 일반외과 환자가 내과 환자보다 만족도가 높은 것으로 나타났다. 셋째, 입원환자의 간호 행위에 대한 환자의 지각도와 만족도간의 관계(r= 0.39, p= 0.00)는 서로 상관성이 있는 것으로 나타났다. 결론: 본 연구의 대상은 1개 종합병원에 국한된 것이므로 연구결과를 일반화 할 때는 신중을 기해야 한다. 연구결과에서 보여주듯이 정신적 간호행위가 가장낮은 지각도로 나타났듯이 간호사는 환자들의 정신적 지지의 간호가 잘 이루어 지도록 노력해야 할 것이며, 또한 교육적 간호행위의 만족도가 가장 낮게 나타났으므로 보다 더 환자와 간호사간의 정보교환이 잘 이루어지도록 해야 한다. 연구결과를 기초로 하여 전 진료과 병동으로 확대 반복 연구를 제언하며, 환자의 간호 만족도를 향상시키기 위해 전문적 지식 및 긍정적 의사표현등을 포괄하여 간호사의 적극적 간호행위가 수행되어야 할 필요가 있다.

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