• Title/Summary/Keyword: 심리사회적 중재

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The Moderate Effect of Social Support on Family Caregivers' Burdens and Health and Quality of Life with Demented Patients (치매환자 가족부양자의 부양부담과 건강 및 삶의 질에 대한 사회지원의 중재효과)

  • Kyung-Hyun Suh ;Kyung-Im Chun
    • Korean Journal of Culture and Social Issue
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    • v.15 no.3
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    • pp.339-357
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    • 2009
  • As quickly becoming an ageing society in Korea, this study aims to investigate how family caregivers' burden with demented patients and social supports are related to their health and quality of life, and the interaction of caregiving burden and social supports on caregivers' health and quality of life. The participants were 207 family caregivers (106 females) of demented patients lived in Seoul, Kyunggi, and Chungcheong areas, whose average of age were 51.62 ( SD=9.25). The psychological tests used in this research included the following: Multidimensional Caregiver Burden Inventory, Chon's Physical Symptom Questionnaire, Hahn & Jang's Perceived Health Inventory, Negative Affect Self-Statement Questionnaire, and the Korean Version of Cambell's Subjective Well-being Scale, Social Support Survey in Medical Outcomes Study, and Kwon's Questionnaire for Maladjusted Problems of Demented. Results indicated that caregivers' burden with demented patient related to physical symptoms and depression positively, and perceived health and subjective well-being negatively. Social supports showed moderate effects on influences of caregiving burden in perceived health, depression, and subjective well-being of family caregivers with demented patients. It was identified the possibility of their buffering effect on negative results of caregiving burden with demented patients. Since caregiving burden accounted for the 34% of the variances for family caregivers' physical symptoms and depression, researchers discussed the promotion and intervention of their health and quality of life. Beside of different effects of social supports with level of caregiving burden, with previous studies it was discussed some saliant findings such as family caregivers with patients who showed severe dementia symptoms were perceiving even less supports from others.

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Factors Associated with Metabolic Abnormalities in None-Obese and Obese Postmenopausal Women (비(非)비만 및 비만 폐경 여성의 대사이상 관련 요인)

  • Jin Suk Ra
    • Journal of Industrial Convergence
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    • v.22 no.6
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    • pp.107-120
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    • 2024
  • This study aimed to identify factors associated with metabolic abnormalities in non-obese and obese postmenopausal women based on biopsychosocial model. Secondary data analysis was conducted using data from 5,335 postmenopausal women who participated in the Korean National Health and Nutrition Examination Survey (2015-2021). According to logistic analysis with applying a complex simple analysis in SPSS 26.0, biomedical (increased age; a family history of hypertension, type 2 diabetes, dyslipidemia, and cardiovascular diseases) and biosocial factors (low educational level) were associated with 1-2 metabolic abnormalities and metabolic syndrome, regardless of adiposity. Additionally, low familial socioeconomic status and prolonged sedentary behaviors were the biosocial and psychosocial factors associated with metabolic syndrome regardless of adiposity. Finally, insufficient physical activity was associated with metabolic syndrome in obese postmenopausal women. Based on these results, tailored strategies should be developed considering the significant factors associated with metabolic abnormalities and adiposity in postmenopausal women.

High school teachers' knowledge and misconception on youth suicide (청소년 자살에 대한 고등학교 교사의 지식과 오해)

  • Seung-yeon Lee
    • Korean Journal of Culture and Social Issue
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    • v.13 no.2
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    • pp.97-117
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    • 2007
  • The goal of this study was to find out how prepared Korean high school teachers are to identify suicidal students and connect them to appropriate resources. This study surveyed 390 high school teachers in terms of their level of knowledge on youth suicide and their misconception on suicide. In addition, this study examined what kind of actions they usually take once they identify suicidal students. Results indicated that high school teachers in Korea did not have sufficient knowledge to identify suicidal students and they did not think they are capable of identifying those students. Although their misconception on youth suicide was not as pervasive as expected, some of the misconception were still problematic in relation to suicide intervention. Furthermore, their intervention strategies for suicidal students were quite limited, focusing on isolated individual efforts. It is critical to develop and implement teacher training programs for youth suicide prevention which address suicide risk factors, warning signs, crisis response, and referral procedures.

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The relation between comprehensive health needs of cancer patient and the quality of life (암환자의 포괄적 건강 요구도와 삶의 질과의 관계)

  • Baik, Hyung-Won;Kim, Myung
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.477-484
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    • 2014
  • This study was examined relation to comprehensive needs and the quality of life in cancer patient. The Study period was 15 to 24 October 2012. The participants were 100 cancer patients more than 20 years old with cancer. Information and educational requirements are the highest need, and social support is the lowest one in patients with cancer. The longer survival time after diagnosis of cancer was, the higher social support requirements were needed. The Information and education requirement about healthy life showed higher in a family history of cancer. The cancer patients with stage IV ask higher service requirement significantly. and showed that physical and psychological requirements were getting higher, the quality of life became lower. As a result of this study, Physical and Psychological requirements were the most significant factors that affect the quality of life in cancer patients. Therefore, it is necessary to develop the physical and psychological supporting system and to provide appropriate Intervention for them.

Psychometric Properties of the Korean Children's Rejection Sensitivity Questionnaire (K-CRSQ) (한국판 아동용 거부민감성질문지의 심리측정적 속성)

  • Hong, Sang-Hwang
    • The Korean Journal of Elementary Counseling
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    • v.11 no.3
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    • pp.351-369
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    • 2012
  • The purpose of this study is to examine the psychometric properties of the Korean Children's Rejection Sensitivity Questionnaire (K-CRSQ). In order to investigate the reliability and validity of the K-CRSQ, the data were collected from 286 elementary students. The results are as follow : Internal consistency and test -retest reliability of the K-CRSQ were .83~.89, .72~.79, respectively. To test the convergent and discriminant validity, participants were separated into two samples and administered the K-CRSQ and ten validity indices. The correlation of K-CRSQ and validity indices scores suggested that the convergent and discriminant validity are high. High rejection sensitivity group revealed high score on intentional attribution, depression, anxiety, and aggression. In contrast, low rejection sensitivity group revealed high score on self-esteem, perceived competence, and social support. The results were compared with previous studies and the implication and limitation were discussed.

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Psychological Systematic Consideration of Breast Cancer Radiotherapy (유방암 방사선 치료 환자의 심리의 체계적 분석)

  • Yang, Eun-Ju;Kim, Young-Jae
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.629-635
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    • 2019
  • In term of the factors affecting psychosocial adjustment of breast cancer patients, their quality of life after surgical operation, radiation, and chemotherapy were systematically meta-analyzed. As a result, their qualities of life of the patients that had radiation therapy was the lowest right after the therapy, and gradually increased after the end of the therapy. However, after six months, their quality of life failed to reach the same level before the therapy. They had depression and side effects the most right after the therapy, and somewhat reduced them after the end of the therapy. In case of surgical operation, the more they were educated, the more they had psychosocial adjustment, and the more they had a medical examination and took out an insurance policy, the more they had psychosocial adjustment. In case of chemotherapy, their cognitive function is influenced so that they have impairments in memory, learning, and thinking stages. Since subjective cognitive impairment has a relationship with depression, it is necessary to monitor depression of chemotherapy patients. Given the results of this systematic meta-analysis, when three types of therapies (surgical operation, radiation therapy, and chemotherapy) are applied to patients with breast cancer, it is necessary to recognize their psychosocial adjustment, depression, anxiety, and quality of life in the nursing and radiation therapy fields and thereby to introduce an intervention program for a holistic approach.

Analysis of Reported Study on Intervention Programs for Patients with Diabetes Mellitus (당뇨병환자에게 적용한 중재프로그램 연구논문 분석)

  • Song, Gab-Sun;Kim, Ho-Jin;Jun, Jum-Yi
    • Journal of Digital Convergence
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    • v.13 no.9
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    • pp.541-551
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    • 2015
  • This research was a review and analysis of published articles and theses in Korea on Intervention Programs for patients with Diabetes Mellitus. A comprehensive search of databases was undertaken(Korean studies, Riss4u). using research terms such as"diabetes", "diabetes and education" "diabetes and exercise", "diabetes and intervention", "diabetes and education or exercise." 53 studies were analyzed focusing on type, application method, dependant variable and effect using descriptive statistics. 8 intervention type and 113 dependant variables were used. The most frequently used applied education and counseling and glycometabolism, self-care, self-efficacy the most frequently used dependant variable. The effects of dependant variables no effect or were different effects. Further reserarch in the digital convergence should requires the consideration of Structured content and exercise and the effect of the measurement variables, including the psychological variable effect.

Effects of Psychosocial Interventions on Cortisol and Immune Parameters in Patients with Cancer: A Meta-analysis (암 환자에게 적용한 심리사회적 중재가 코티졸과 면역기능에 미친 효과: 메타분석)

  • Oh, Pok Ja;Jang, Eun-Su
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.446-457
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    • 2014
  • Purpose: This study was done to evaluate the effects of psychosocial interventions on cortisol and immune response in adult patients with cancer. Methods: MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and domestic electronic databases were searched. Twenty controlled trials (11 randomized and 9 non-randomized trials) met the inclusion criteria with a total of 862 participants. Methodological quality was assessed using the Cochrane's Risk of Bias for randomized studies and the Risk of Bias Assessment tool for non randomized studies. Data were analyzed using the RevMan 5.2.11 program of Cochrane library. Results: Overall, study quality was moderate to high. The weighted average effect size across studies was -0.32 (95% CI [-0.56, -0.07], p=.010, $I^2 $=45%) for cortisol concentration, -0.62 (95%CI [-0.96,-0.29], p<.001, $I^2 $=0%) for T lymphocyte (CD3) and -0.45 (95%CI [-0.74, -0.16], p=.003, $I^2 $=0%) for Th lymphocyte (CD4) numbers. Psychosocial interventions were not effective for Tc lymphocyte (CD4), NK cell, monocyte, and cytokine response. Conclusion: Although these results provide only small evidence of successful immune modulation, they support the conclusion that psychosocial interventions can assist cancer patients in reducing emotional distress and improving immune response.

Meta-analysis of Psychosocial Interventions to Reduce Pain in Patients with Cancer (심리사회적 중재가 암환자의 통증완화에 미친 효과: 메타분석)

  • Oh, Pok Ja;Han, Suk Jung
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.658-668
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    • 2013
  • Purpose: The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients. Methods: Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library. Results: Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected. Conclusion: This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.

The Meta-analysis on Variables Related to Aging Anxiety of Middle and Old Aged in Korea (한국 중·노년의 노화불안 관련변인에 대한 메타분석)

  • Kim, Ilsik;Kim, Gyeryung
    • 한국노년학
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    • v.38 no.2
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    • pp.309-327
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    • 2018
  • Meta-analysis was conducted on 34 studies reported in Korea from February 2007 through March 2017 to systematically integrate factors of aging anxiety of the middle and old aged. The variables related to aging anxiety were divided into 6 groups of variable, and the effect sizes were computed for each variable of their groups. The results are as follows. First, the total effect size showed the middle effect size, and the effect size according to the variable group showed the largest effect size for the negative psychological variable group, followed by the positive psychological variable, the social variable, the physical variable, the familial variable and the demographic variable. Second, the largest effect size of the sub-variables showed psychological well-being and death anxiety. As described above, suggesting that these variables may have a strong influence on aging anxiety among the variables related to aging anxiety because the psychological well-being and death anxiety were shown as the largest effective variables related to aging anxiety.