• Title/Summary/Keyword: 심리 사회적 중재

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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.

Exploration on Risk and Protective Factors of Adolescent Runaway (청소년 가출의 위험요인과 보호요인 탐색)

  • Sang-chul Han
    • Korean Journal of Culture and Social Issue
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    • v.14 no.1_spc
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    • pp.273-298
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    • 2008
  • The purpose of this study is to explore a risk and a protective factors of adolescent runaway based on the previous researches. Runaway of adolescents is increasing, and it is longer and more habit gradually than past. The prevailance methods of runaway is no longer effects on the decrease of adolescent runaway. Now there is to accept adolescent runaway, and has to support the difficult life conditions and the emotional distress of adolescent post-runaway. This means that must be identify and treatment the protective factors having an buffering effect as well as the risk factors influencing on runaway. Although the worse factors related family are the highest risk factors of runaway, others factors including negative peer relation, a academic stress also an have significant influence on runaway. And the protective factors mediating the negative influence of risk factors are an monitoring and controlling of parent as authoritative rearing attitude, a social support, a positive coping strategies, a self-esteem, and a conventional peer group. Protective factors prevent from runaway behavior, as well as improve a resilience of adolescents in the poor environment. The tasks of follow study are to investigate empirically the mediating effects of the protective factors on the problem behavior of post-runaway and resilience of runaway adolescents based on the systematic research design.

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Development of Positive Behavior Support Model for Children in Child Care Institution (양육시설 아동을 위한 보편적 긍정적 행동지원 모형개발)

  • Chang, Eun Jin
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.457-465
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    • 2019
  • This study was designed to develop a positive behavior support model for children in child care institutions. For this purpose, a demand survey for PBS was conducted with 55 child care institution staff members. 76% of the respondents responded that PBS is needed to prevent problem behavior and can be a good alternative for personality education, and approximately 70% responded that they are willing to implement PBS. The specifications of the model are suggested as follows. First, the preparation step would consist of establishing a support team, educating staff members about PBS, selecting expected behaviors, assessing the current baseline behavior, and setting up a universal PBS environment. The application step would consist of instructing social skills, implementing reinforcement, personal goal-setting and assessing behavior, educating trouble-making students, and monitoring. Finally, at the outcome assessment period, measuring the change in target behavior from the pre-intervention to the post-intervention stage, change in social skills and academic achievement, and social validity is suggested. It is expected that application of this model to children in child care institution will decrease problem behaviors of students, enhance desirable behaviors, and boost the staff members' efficacy.

Factors Affecting the Depression of the Elderly Women in Poverty (빈곤층 여성 노인의 우울에 미치는 영향요인)

  • Park, Eun-A;Lee, In-Sook
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.256-266
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    • 2009
  • Objectives: This study was to investigate the factors affecting the depression of the elderly women in poverty in community. Methods: The subjects were 1,208 elderly women over 65 years who were enrolled in the Public Health Care Center from Apr. 2008 to Jun. 2008. Data were collected using questionnaires including general characteristics, health related behaviors and health status by nurses at the time of enrollment. The collected data were analyzed by descriptive statistics, $x^2$-test, Pearson correlation coefficients and multivariate logistic regression. Results: The major findings of this study are as follows : The elderly women in poverty show a tendency to have lower level in income, education, self-rated health, cognitive function compared with ordinary women in old age. The predictors of depression of the elderly women in poverty were spouse's existence or nonexistence, type of insurance, cognitive function, and self-rated health. Conclusion: These findings suggest the need to develop nursing strategies for decreasing depression in the elderly women in poverty. To decrease the depression of the elderly women, the above-mentioned major influencing factors should be considered.

Development of the Structural Model of Middle-aged Men's Subjective Quality of Life (중년남성의 주관적 삶의 질 모형 구축)

  • Ha, Tae Hi
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.125-135
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    • 2016
  • The purpose of this study was to construct and test a structural equation model of subjective quality of life in middle-aged men. The participants were 493 middle-aged men. Data were collected from September 10 to October 31, 2011. Collected data were analyzed using SPSS 19.0 and AMOS 19.0. Self-esteem, social support, family communication showed direct and indirect effect on subjective quality of life for middle-aged married men, and job satisfaction showed a direct effect on subjective quality of life. The structural regression model of middle-aged men's subjective quality of life was a good fit with the model. These results indicate that it is necessary to design intervention programs to increase self-esteem, social support, family communication and job satisfaction in order to increase middle-aged men's subjective quality of life.

Integrating the Theory of Planned Behavior and Social Ecological Model to Explain Exercise Intention (운동의도 설명을 위한 계획된 행동이론과 사회생태학적 모델의 통합)

  • Lee, Yoon-Gu;Suh, Kwang-Bong
    • 한국체육학회지인문사회과학편
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    • v.55 no.5
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    • pp.117-125
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    • 2016
  • Most of health behavioral research were conducted with only individual psychological variables. The purpose of this study was to integrate the theory of planned behavior and social ecological model to explain exercise intention through multilateral approaches. 50s male 252 exercise participants were used in the final data analysis. Reliability analysis, confirmatory factor analysis, correlation analysis, structural equation modeling were used to analyze. The results indicated that physical environment has a positive influence on the subjective norm. Attitude, subjective norm and perceived behavioral control have positive influence on intention. Lastly, Social environment has a positive influence on the attitude. According to the results of this study, it will be able to contribute to integration of theoretical model for various health behavior and also help to develop intervention for physical activity promotion.

The effects of bibliotherapy program using picture books on self-esteem, social competence, personal growth and family relationships of married immigrant women (그림책활용 독서치료프로그램이 여성결혼이민자의 자아존중감, 사회적 유능감 및 개인적 성장과 가족관계에 미치는 효과)

  • Lee, Minjeong;Lee, Youngsun
    • Journal of Family Relations
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    • v.22 no.3
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    • pp.103-130
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    • 2017
  • Objective: This study explored benefits of a bibliotherapy program using picture books for self-growth supporting married Immigrant Women settle down as a healthy member of the Korean society. Method: This intervention program was implemented on twelve married immigrant women (and another twelve women as a control group), and their self-esteem and social competence before and after the intervention were examined. In addition, the researcher kept observation journals and conducted post-program interviews with the participants after the completion of the program to understand the changes in family relationships. Result: The results of this study are as follows: (1) the self-esteem scores of participants had increased after the intervention program, however, there was not significant differences between control and experimental groups, (2) the experiment group made more progress in improving social competence, and (3) the study confirmed through qualitative analysis that the program made positive contributions to improving the participants' quality of family relationships. Conclusion: Based on these results, implications for further research and practices were discussed.

Factors associated with the Prevalence of Depression and Suicidal Ideation among Single-Person Households (1인 독거가구 중 우울증 유병과 자살생각에 영향을 미치는 요인)

  • Kim, Jae Hyun
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.611-619
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    • 2022
  • This study utilized the data from 2017, 2019 Korean National Health and Nutrition Survey to analyze the factors influencing depression and suicidal ideation among single-person households. For the analysis, demographic and economic variables as well as health status/behavior variables were considered. Activity restriction (OR: 4.753, p-value: <.0001) and smoking status (OR: 2.013, p-value: 0.044) were significantly associated with depression, and in terms of suicidal ideation, household income (OR: 3.526, p-value: 0.043), subjective health status (OR: 2.945, p-value: 0.007), activity restriction (OR: 2.263, p-value: 0.003) and smoking status (OR: 2.000, p-value: 0.023) showed significant association. In this regard, single-person households are likely to experience psychological angst, and further experience mental problems due to socio-economic and physical crisis. Therefore, it is necessary to establish a social network system in the community to detect those in need and provide appropriate interventions to prevent harmful outcomes.

Effects of a Health Diary Program on Fall-Related Outcomes in Low-Income Elderly Women with Osteoarthritis (건강다이어리 프로그램이 저소득 관절염 여성노인의 낙상관련 심리적 변수에 미치는 효과)

  • Lee, Myung-Suk
    • Journal of agricultural medicine and community health
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    • v.36 no.3
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    • pp.167-178
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    • 2011
  • Purpose: This study was done to identify the effects of a health diary program on fall related outcomes the low-income elderly women. Methods: The study was carried out with a nonequivalent control group with pretest-posttest design. The study was composed of two groups, each made up of 24 subjects: experimental group and control group. The subjects were low-income women aged over 65 years with osteoarthritis and both the experimental and control groups were made up of subjects with the same age profiles. The independent variable was the health diary program, and the dependent variables were fall related outcomes (fear of falling, fall-efficacy, knowledge of fall) difficulty of performing activity, and mood state. The health diary program was performed for 50 minutes each session and twice a week for 8 weeks. Data were collected before the health diary program 10 weeks after the beginning of the program. Results: The experimental group showed significant differences in knowledge of fall, fear of falling, and mood state compared to the control group. However there was no significant differences in difficulty of performing activity and fall efficacy. Conclusion: The results of this study may be used as part of an education to prevent falls for low-income elderly women with osteoarthritis.

Effects of Self-foot Reflexology in Female College Students Wearing High Heels (하이힐을 착용하는 여자대학생의 자가 발반사 마사지 효과)

  • Kang, Young Suk;Hwang, Sun Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.615-627
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    • 2017
  • The purpose of this study is to identify the physical and psycho-social effects of self-foot reflexology on female college students wearing high heels. The research design used was the nonequivalent control group pretest-posttest design. A total of sixty-eight participants were assigned to the experimental group (n=35) or control group (n=33). Data were collected at baseline and after 6 weeks and 10 weeks. The data were analyzed using descriptive statistics, the chi-square test, t-test, and repeated measures ANOVA with the SPSS WIN 20.0 program. In the analysis of the physical effects of self-foot reflexology, there were significant interactions of group by time in terms of the lower extremity edema and fatigue (p<.05). In the analysis of the psycho-social effects of self-foot reflexology, there were significant interactions of group by time in terms of the perceived health status and self-efficacy (p<.05), except for health promoting behavior. Self-foot reflexology was effective in reducing lower extremity edema and fatigue and in improving the perceived health status and self-efficacy. Consequently, self-foot reflexology as a nursing intervention was found to be a method of providing female college students wearing high heels with physical and psycho-social relief.