• Title/Summary/Keyword: 외상후 성장

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A study on the disaster countermeasures considering the psychological impact of rural residents (재난에 따른 농촌주민의 심리적 영향을 고려한 재난대책 방안)

  • Seo, Eunyoung;Kim, Yeounjung;Lee, Young-Kune;Park, Miri
    • Journal of the Society of Disaster Information
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    • v.14 no.1
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    • pp.17-27
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    • 2018
  • The purpose of this study was to investigate the individual change, disaster awareness, and psychological stress of rural residents who experienced natural disasters, and to find measures to cope with the disaster of rural residents. The subjects of this study were rural residents living in Cheongju city, Chungcheongnamdo province, which suffered direct or indirect damage due to heavy rain in July, 2017. Survey and interview methods were used. There were significant differences in perception of disaster according to gender, and many residents were suffering from post traumatic stress. Finally, the present study suggests directions for growth after the disaster of rural people.

Factors Influencing Posttraumatic Growth in Fathers of Chronically ill Children (만성질환아 아버지의 외상 후 성장에 영향을 미치는 요인)

  • Kim, Mi Young
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.890-899
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    • 2015
  • Purpose: The purpose of this study was to identify the level of distress and posttraumatic growth in fathers of chronically ill children and also, to identify the relation between characteristics of the fathers and children and their posttraumatic growth and to investigate factors that influence posttraumatic growth. Methods: In this study, 48 fathers who visited a university hospital in Seoul, Korea and who gave written consent completed the questionnaire between September 23 and November 19, 2013. Data were analyzed using Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficient and stepwise multiple regression. Results: The level of distress in fathers of chronically ill children was relatively high and the majority of them were experiencing posttraumatic growth. Models including the variable (deliberate rumination, religiousness, optimism) explained 64.3% (F=26.38, p <.001) of the variance for posttraumatic growth. Deliberate rumination (${\beta}=.59$, p <.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to intervene and facilitate continuously so as to promote posttraumatic growth and relieve distress in fathers of chronically ill children. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions to activate deliberate rumination and offer spiritual care and help maintain optimism in these individuals.

Influence of Hope, Core beliefs and Social support on Posttraumatic growth in Mothers of Chronically Ill Children (만성질환아 어머니의 희망, 핵심신념, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Kim, Mi Young;Kim, Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.4
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    • pp.493-502
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    • 2012
  • Purpose: The purpose of this study was to identify the influence of hope, core beliefs, and social support on the posttraumatic growth of mothers with chronically ill children. Methods: In this study, 94 mothers who gave written consent completed the questionnaires between July 21 and July 31, 2012 when they visited a university hospital in Seoul, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: Hope, core belief and social support had positive correlations with posttraumatic growth. Models including these variables explained 64.8% (F=55.276, p<.001) of the variance for posttraumatic growth. Hope (${\beta}$=.441, p<.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to mediate and facilitate posttraumatic growth of mothers caring for chronically ill children. Furthermore, there is an need to develop and implement new strategies in clinical practice that will result in improvements in posttraumatic growth.

A CASE OF CORONOID PROCESS MALFORMATION MIMICKING CONDYLAR HEAD (관절과두를 닮은 오훼돌기 변형증의 일 증례)

  • Kim, Jong-Ryoul;Lee, Seong-Geun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.157-161
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    • 1994
  • A 14-year-old male patient was referred to us for evaluation of Right TMJ clicking sound and mandibular deviation during mouth opening. On examinaaation, protrusion and lateral excursion was also restricted. Radiographs showed hook-like curved elongation of Right coronoid process with limitation o right condylar translation. His past medical and dental history was noncontributory. This patient underwent an extraoral coronoidectomy and the specimen revealed coronoid process malformation mimicking condylar head. Microcoically, the specimen discloses mature bony trabeculae. At postoperative 5 days, physical therapy was instituted. At present, this patient could open his mouth well with any clicking sound and mandibular deviation. The asymmetric face of this patient is expectated to be corrected by periodic observation and remained growth porential. If not to be corrected, orthognathic surgery will be done.

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TREATMENT OF HORIZONTAL AND VERTICAL ROOT FRACTURE IN IMMATURE PERMANENT TEETH - A CASE REPORT (미성숙 치근의 수직 파절과 수평 파절의 치험례)

  • Song, Seung-Ho;Park, Ho-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.92-97
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    • 2004
  • Traumatic injuries in the young peranent dentition are common, but root fractures, defined as fractures in volving dentin, cementum and pulp, are relatively uncommon. Case 1 is a 9-year-old boy who had a horizontal root fracture of his maxillary right central incisor in the apical third. Root canal therapy was performed in coronal segment and calcium hydroxide therapy was initiated. Six months after treatment, a periapical radiograph showed calcific tissue formation and normal root development. 1 year and 3 months later, the canal was permanently obturated with gutta-percha. Case 2 is a 7-year-old girl who had a vertical root fracture of her maxillary right central incisor. Fractured tooth was intentionally extracted atraumatically, and then the separated fragments are bonded with resin cement. the restored tooth was replanted into the original socket. Recalls up to 8 months showed normal mobility and no periapical pathosis. In these cases, we performed conservative treatment. Clinical and radiographic examination showed no pathosis or abnormality of the teeth and periodontal tissue.

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RECONSTRUCTION OF UNILATERAL TMJ ANKYLOSIS WITH METALLIC CONDYLAR PROSTHESIS;REPORT OF A CASE (금속 이식물을 이용한 악관절 강직증의 치험례)

  • Lee, Dong-Keun;Yim, Chang-Joon;Kang, Moon-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.2
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    • pp.40-46
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    • 1989
  • Destruction of normal temporomandibular joint architechture may produce serious functional and cosmetic deficiencies. The literature is well documented as to the etiology and pathogenesis of temporomandibular joints. Numorous surgical procedure have been advocated for temporomandibular joint ankylosis from condylectomy to arthroplasty, cartilage transplant, metallic prosthesis, interpositional implant. These were to able reconstruct the normal mandibular function, and any even procedure could obtain the satisfactory results. In this paper, we reviewed young adult patient with TMJ ankylosis and facial asymmetry who was treated with metallic condylar prosthesis and orthognathic surgery.

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Posttraumatic Growth of Patients with Breast Cancer (기혼 유방암 환자의 외상 후 성장)

  • Lee, Sook;Kim, Yeon Jung
    • Journal of Korean Academy of Nursing
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    • v.42 no.6
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    • pp.907-915
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    • 2012
  • Purpose: A diagnosis of breast cancer is one of the most traumatic events that threatens a woman's life, but while women adapt to and overcome these threats, they not only experience negative aspects, but also growth. The purpose of this study was to identify the many factors that affect growth, and to provide fundamental information for nursing interventions, which can help the women in their growth. Methods: The participants in this study were 131 married women patients with breast cancer, who were on medical treatment in one of two university hospitals, in Seoul and Chungnam. Data were collected for posttraumatic growth, self-esteem, cancer coping questionnaire, marital intimacy, and body image. The data were analyzed using the SPSS 19.0 program (IBM). Results: Interpersonal cancer coping, intrapersonal cancer coping (planning) and self-esteem accounted for 29.0% of posttraumatic growth. Conclusion: These findings indicate that in order to help the women's growth after the trauma of breast cancer, it is necessary to enhance their self-esteem, and to develop psycho-social nursing supportive programs.

Posttraumatic Growth, Dyadic Adjustment, and Quality of Life in Breast Cancer Survivors and Their Husbands (유방암 생존자 부부의 외상 후 성장과 부부적응, 삶의 질)

  • Song, Seunghee;Ryu, Eunjung
    • Journal of Korean Academy of Nursing
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    • v.44 no.5
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    • pp.515-524
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    • 2014
  • Purpose: The purpose of this study was to identify whether the couple perceived breast cancer as a traumatic event, to evaluate the association among posttraumatic growth, dyadic adjustment, and quality of life and to explore the predictors affecting quality of life of the couple. Methods: A cross-sectional comparative survey design was utilized. Participants were 57 couples recruited from a national cancer center in Korea. Data were analyzed using paired t-test, McNemar test and independent t-test. On the basis of variables found to be significantly associated with quality of life, multiple regression was used to examine the simultaneous influence of multiple predictors. Results: Breast cancers survivors and spouses perceived breast cancer as a traumatic event (43.9% and 24.6%, respectively). The global quality of life was explained by perception as trauma (${\beta}$= -19.79) and posttraumatic growth (${\beta}$=0.46) in survivors, and perception as trauma (${\beta}$= -18.81) and dyadic adjustment (${\beta}$=0.53) in spouses. Conclusion: Results suggest that future research should use qualitative methods to evaluate why contemplating reasons for cancer contributed to posttraumatic growth, examine other potential predictors of quality of life such as dyadic adjustment and intimacy, and identify links between posttraumatic growth and other psychological outcomes such as distress and well-being, using prospective analyses.

Treatment Result of Laryngotracheal Stenosis in Children (소아 후두기관협착증의 치료성적)

  • 김광현;성명훈;이재서;신진성;최승호;김진영
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.80-80
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    • 1993
  • Airway stenosis in children may be classified into congenital and acquired forms. The incidence of acquired forms is increasing mainly due to increase in prolonged intubation and trauma. In congenital stenosis with significantly compromised airway, the patient may be tracheotomized and allowed some waiting period while expecting spontaneous resolution as the child grows. However, with this treatment policy, there is a considerably higher mortality and morbidity for the acquired disease as to often warrant surgical reconstruction. The authors reviewed the medical records of 22 pediatric patients under the age of 15 who have had airway reconstruction at the authors' department from the beginning of January, 1988 through the end of December, 1992. The prognosis was analyzed in light of the etiology, site and severity of the stenosis, and the type of reconstructive measures.

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토끼 기관에 이식한 혈행성 연골막-구강점막 복합피판의 형태학적 연구

  • 김은서;홍원표;이정권;정유삼;최영준
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1996.04a
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    • pp.88-88
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    • 1996
  • 선천성 또는 외상등에 의한 후천성 기도 협착의 치료는 아직도 어려운 문제중 하나로서 해결하여야 할 많은 과제를 내포하고 있다. 특히 안정되고 유연한 구조적인 골격과 함께 호흡성상피로 피복되는 기관점막은 기관기능 보존에 있어 필수적 조건이다. 저자들은 현재까지 보고자에 따라 견해 차이가 있는, 이식연골막 및 이식점막의 운명에 대하여 시기에 따른 형태학적 변화를 관찰하고자 하였다. 즉 저자들은 혈행성 복합피판의 형태로 이식한 점막에 일어나는 변화를 형태학적으로 연구하였으며, 대조군으로는 혈행이 유지되지 않는 유리이식(free graft)으로 구성된 복합피판을 이용하였다. 또한 면역조직화학적 염색을 통해 이식 초기에 일어나는, 이식점막과 결손부 주변조직사이의 재생능의 차이를 비교하고자 하였다. 토끼 40마리를 두 군으로 나누어 각 군당 20마리씩으로 하였으며 술후 각각 2주, 4주, 6주 및 8주에 기관에 이식한 피판을 조직학적으로 분석하였다. 섬모의 재생상태는 주사현미경을 통해 관찰하였으며 각 군당 4마리의 토끼를 술 후 1일과 2일에 Brdu-Anti Brdu로 염색하여 결손된 점막의 주변부와 이식한 점막사이의 재생능이 복합피판의 구성에 따라 어떤 차이가 있는지 알아보았다. 1. 혈행성의 복합피판으로 구성된 구강점막은 원주상피로 화생(metaplasia)하는 경향을 보였으나 유리 연골막에 부착한 구강점막에서는 괴사가 진행되면서 주위의 점막에서 성장해 들어가는 양상을 보였다. 2. Brdu-Anti Brdu 염색의 결과, 복합피판의 구성에 따라 이식점막과 주위 기관상피의 염색양상에 유의한 차이를 나타내었다.

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