• Title/Summary/Keyword: 외상후 성장

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Post-traumatic Growth and it's associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses (중환자실 간호사의 의도적 반추, 자기 노출, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Min, Sae Mi;Kim, Hee Jun;Kim, Chun-Ja;Ahn, Jeong-Ah
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.50-63
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    • 2022
  • Purpose : This study aimed to identify intensive care units (ICU) nurses' experience of traumatic events, deliberate rumination, self-disclosure, social support, and post-traumatic growth (PTG), and to explore relationships among the variables. Methods : Participants were 157 nurses who have provided direct patient care for six months or more in ICUs at a university hospital. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVAs, Pearson correlations, and multiple linear regressions using the SPSS/WIN version 23.0. Results : The PTG was found to be significantly associated with deliberate rumination (r=0.36, p<.001), self-disclosure (r=0.39, p<.001), and social support (r=0.54, p<.001). Factors that affect PTG significantly were found in the order of social support (𝛽=0.40, p<.001), self-disclosure (𝛽=0.25, p<.001), and deliberate rumination (𝛽=0.24, p<.001). The final regression model explained 40.1% of the variance of PTG (F=26.33, p<.001). Conclusion : The influencing factors identified in this study on PTG, including social support, self-disclosure, and deliberate rumination should be included in programs to promote PTG for ICU nurses who may experience traumatic events repeatedly.

Grounded Theoretical Approach of Working Moms' Work and Family Balance Experience during the COVID-19 Pandemic (코로나 19 시기 워킹맘의 일과 가정의 양립 경험에 대한 근거이론적 접근)

  • Sohn, Youngmi;Hwang, HyeYoung
    • Korean Journal of Culture and Social Issue
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    • v.28 no.3
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    • pp.441-481
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    • 2022
  • This study attempted to explore the experience related to the work-family balance of working moms during the COVID-19 period. To this end, in-depth interviews were conducted by recruiting 17 part-time and full-time working moms with at least 1 child under the age of 13. As a result of analyzing the data using the method of grounded theory, 106 concepts, 50 subcategories, and 24 categories were derived. The central phenomenon that working moms experienced in the process of work and family balance were "physical and emotional exhaustion", "anxiety and guilt about not doing well in situations of role conflicts between various roles", "job crisis experienced by working mothers" and "deepening family conflicts". The process of working moms overcoming the central phenomenon and achieving work-family balance was identified as five stages: the 'shock and confusion stage', the 'struggling stage', the 'actively coping and making compromise stages', the 'acceptance stage', and the 'post-traumatic growth stage'. Based on these results, discussions on the work-family balance of working mothers during the COVID-19 period was dealt as well as suggestions for follow-up studies.

PATHOLOGIC ROOT RESORPTION OF PRIMARY CENTRAL INCISORS (상악 유중절치의 병적 치근 흡수)

  • Choi, Byung-Jai;Chung, Chu-Hyun;Choi, Hyung-Joon;Sohn, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.605-610
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    • 2003
  • Physiologic root resorption occur from the apex of the primary teeth close to the permanent teeth towards the apex. Pathologic root resorption occur on surfaces of root due to causes such as trauma, replantation, orthodontic treatment, delayed or irregular eruption of teeth, or growing cysts or tumors. In children, the most frequently affected teeth from trauma are the maxillary primary central incisors. After such an event, root resorption initiate from the traumatized pulp or periodontium. In this case report, periapical radiographs were used to evaluate the features of pathologic root resorption by studying patients with history of trauma. The following results were noted. 1. Pathologic root resorption was observed in various patterns in all of the 10 traumatized maxillary primary central incisors. 2. Though teeth with pathologic root resorption were treated with pulpectomy, the resorption process continued to progress.

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TREATMENT FOR ROOT FRACTURE ON THE IMMATURE MAXILLARY PERMANENT CENTRAL INCISOR (미성숙 상악 영구 중절치에서의 치근파절 치험례)

  • Kim, Ki-Baek;Kim, Seon-Mi;Choi, Nam-Ki;Yang, Kyu-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.3
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    • pp.454-460
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    • 2007
  • Traumatic dental injuries in childhood and adolescent occurred more frequently than in adult. The time between the accident and the treatment is one of the most critical factors to prognosis, and because of the limited time available to examine and treat patients with traumatic dental injuries, if not treat appropriately, the result would be critical for the patient. In the previous studies, the prevalence and incidence of traumatic injuries were the most frequent at the age of 8 to 10 years, the majority of dental injuries involve the anterior teeth, especially the maxillary incisors, and males were more prevalent than females in an approximated proportion of 2:1. As the mean age of complete root formation is 10 years old, the maxillary permanent incisor involved in the most affected age group is usually immature, and the possibility of pulpal healing through excellent revascularization exists, more positive prognosis for pulp vitality would be expected. These are treatment cases of the immature maxillary permanent central incisor involved in the traumatic injury, and reports for progress and results of preserving the pulp vitality through the conservative treatment instead of the conventional endodontic root therapy.

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Factors Related to Posttraumatic Growth in Patients with Colorectal Cancer (대장암 환자의 외상 후 성장 관련 요인)

  • Lee, Hyeon Ju;Jun, Seong Sook
    • Korean Journal of Adult Nursing
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    • v.28 no.3
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    • pp.247-255
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    • 2016
  • Purpose: The purpose of this study was to investigate the influencing factors on Posttraumatic Growth(PTG) in patients with colorectal cancer. Methods: Eighty patients who were diagnosed with colorectal cancer at least twelve months ago were recruited from the oncology outpatient clinic of university hospital in Y city. Participants completed four survey questionnaires: Korean versions of PTG Index, Korean versions of Cancer Coping Questionnaire, Multidimensional Scale of Perceived Social Support, and a Resilience Scale. The data were analyzed by ANOVA, Pearson-correlation coefficient, and multiple regression analysis. Results: The mean score of PTG in these patients was 51.16 indicating relatively high growth. Posttraumatic Growth had significant correlations with coping, social support, and resiliency. In addition to the variables of age and education that are found to be associated with the PTG, the PTG was significantly influenced by resilience, coping, and importance of religion. Forty-nine percent of the variations in the PTG were explained by these three variables. Conclusion: The identified factors influencing colorectal cancer related to PTG could be considered in developing nursing interventions to promote positive psychological changes in response to adversity which colorectal cancer survivors might experience.

ESTHETIC RESTORATION WITH FIBER-REINFORCED POST FOR CHILDHOOD AND ADOLESCENT PATIENTS (소아, 청소년 시기의 섬유 강화형 포스트를 이용한 심미 수복)

  • Park, Duck-Yong;Lee, Sang-Ho;Lee, Nan-Young
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.78-83
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    • 2009
  • In case of endodontic treatment and extensive restoration of severe dental caries, trauma, and developmental defect, esthetic restoration of primary incisors and permanent anterior teeth for children and adolescents period is delicate matter for pediatric dentists. Existing restorative methods for anterior teeth have retentive and esthetic limitations for badly damaged teeth, especially for the adolescent anterior teeth. Therefore, the preparative stage for setting the permanent prosthesis as well as the retention and esthetics have to be considered. In this case, esthetic restoration for badly destroyed anterior teeth was tried with fiber-reinforced post and the result was satisfactory.

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Factors Influencing Post-traumatic Growth in Mothers with Premature Infants Admitted to the Neonatal Intensive Care Unit (신생아집중치료실에 입원 경험이 있는 미숙아 어머니의 외상 후 성장에 영향을 미치는 요인)

  • Lee, Hyeun Soo;Kang, Sook Jung
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.267-276
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    • 2020
  • Purpose: Caring for a vulnerable premature baby is a challenging task, but some mothers experience growth through that process. The purpose of this study was to investigate the factors influencing post-traumatic growth in mothers with premature infants admitted to the neonatal intensive care unit. Methods: A correlational research design was used and 105 mothers of premature infants were recruited from an online community. Data were collected from January 15 to January 25, 2019. Post-traumatic growth was measured using the Korean version of the Posttraumatic Growth Inventory. Data were analyzed using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson correlation coefficients, and hierarchical multiple regression. Results: The final model developed in this study explained 45.5% of post-traumatic growth (F=13.66, p<.001). Resilience (β=.54, p<.001) was the strongest predictor of post-traumatic growth, followed by the age of the mother when giving birth (β=.17, p=.028) and current employment status (β=.17, p=.049). Conclusion: For mother with premature infants to grow psychologically after their experience, it may be needed to support them to develop and strengthen their resilience through either education or their own support network.

Interdisciplinary approach on oral rehabilitation of an adolescent patient with multiple missing teeth: a clinical report (타과와의 협진을 통한 다수치 결손을 동반한 성장기 환자의 보철 수복 증례)

  • Kwon, Kung-Rock;Paek, Janghyun;Lee, Hyun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.51 no.4
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    • pp.339-346
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    • 2013
  • In case of missing of permanent teeth by trauma or innate defect, the decision of treatment modalities and application timing have an important effect on the prognosis of oral rehabilitation. In this case report, interdisciplinary approach between the orthodontic and prosthodontic treatment, the way to re-establish the collapsed occlusal vertical dimension, and implant prosthetic considerations will be discussed. Proper diagnosis on teeth and craniofacial skeleton was made prior to treatment and provisional restorations were used in regard of growth patterns of the patient. Finally, the edentulous areas were restored with fixed implant prostheses. Diagnosis, treatment rationale and prognosis will be discussed thoroughly.

DECORONATION ON ANKYLOSED PERMANENT INCISOR AFTER DENTAL TRAUMA (외상으로 유착된 영구 전치에서의 치관 절제술)

  • Kang, Yu-Jin;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.2
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    • pp.252-259
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    • 2010
  • Trauma commonly leads to ankylosis for the tooth whose periodontal ligaments have been injured. In growing patients, an ankylosed tooth can disrupt alveolar development, resulting in infraocclusion of the affected tooth. Consequently, this causes aesthetic problems during adolescence, interferes with prosthetic treatment due to the inclination of adjacent teeth, and complicates orthodontic dental movement. When the infraoccluded ankylosed tooth is extracted, a considerable amount of alveolar bone is lost, especially in the maxillary anterior region. Moreover, depression of the thin buccal alveolar bone compromises aesthetic restoration. In order to prevent alveolar bone loss, the ankylosed tooth should be treated by decoronation. In the present study, the traumatically injured maxillary incisors of 9-year-old and 10-year-old patients that present infraocclusion accompanied by ankylosis were treated with decoronation procedures. Decoronation procedures were performed when the affected teeth were 2-3 mm below relatively to the adjacent teeth. Moreover, the patients were treated before they get to 16 years old considering the maximum growth peak of the korean adolescents. As the results, there are favorable clinical results associated not only with preservation of horizontal alveolar volume but also with increase in vertical alveolar height after decoronation in growing individuals.

Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer (유방암생존자의 외상 후 성장에 영향을 미치는 요인)

  • Park, Jin-Hee;Jung, Yong-Sik;Jung, Youngmi
    • Journal of Korean Academy of Nursing
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    • v.46 no.3
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    • pp.454-462
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    • 2016
  • Purpose: Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer. Methods: A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, Illness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support. Results: Total score for the PTG was $79.18{\pm}17.54$ in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (${\beta}=.29$, p=.001), optimism (${\beta}=0.28$, p=.001) and illness intrusiveness (${\beta}=0.17$, p=.037) were statistically significant in patients' PTG. Conclusion: The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer.