• Title/Summary/Keyword: 치료관계

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Association Between Structural and Functional Aspects of Social Networks and Health Promoting Behaviors: Focusing on Community-Dwelling Older Adults (사회적 관계망의 구조적, 기능적 측면과 건강증진행동과의 관계: 지역사회 거주 노인을 중심으로)

  • An, Hyunseo;Kim, Inhye;Yun, Sohyeon;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.4
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    • pp.81-96
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    • 2023
  • Objective : This study aimed to examine the association between the structural and functional aspects of social networks and health-promoting behaviors in community-dwelling older adults. Methods : Social networks based on structural and functional aspects and health-promoting behaviors by lifestyle were measured in 226 community-dwelling adults aged 65 years and over. To analyze the collected data, an independent t-test, one-way ANOVA, Pearson's correlation analysis, and hierarchical regression were performed. Results : The network size was the highest in the friend network, and the frequency of contact and social support was the highest in the non-living family network. Health-promoting behaviors were highest for activities of daily living and lowest for productive and social activities. All subfactors of social networks showed significant positive correlations with health-promoting behaviors. Hierarchical regression showed social support from neighbors as the variable with a significant effect on health-promoting behaviors; gender and depression were also influencing factors, and this model showed 37% explanatory power. Conclusion : To promote healthy behaviors of older adultsin the community, the development of health promotion programs and related policies considering social networks centering on social support from neighbors is required.

Dynamic Analysis of Mindfulness and Therapeutic Relationship using System Dynamics (시스템다이내믹스를 활용한 마음챙김과 치료관계 간의 동태적 분석)

  • Choi, Yeon-Hee
    • Korean System Dynamics Review
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    • v.17 no.3
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    • pp.121-143
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    • 2016
  • The purpose of this study to analyze the effect of Mindfulness on the Therapeutic Relationship using System Dynamics. The biggest factor in psychotherapy's treatment outcome is the Therapeutic Relationship including the quality of the therapist (empathy, therapeutic presence) and therapy alliance. Mindfulness practice can facilitate the therapeutic relationship. In order to analyze the therapeutic relationship, I measure FFMQ(Five Facet Mindfulness Questionnaire), Empathy, Therapeutic presence and Therapy alliance. Participants consist of 55 mental health professionals (doctor, psychologist, psychiatrist, counselor, social worker). The result of the study will be explained. First, with the causal loop diagram research, I analyze how mindfulness can influence the quality of therapist and therapy alliance. The result of literature research indicate that mindfulness increase therapist's empathy, congruence, therapeutic presence, flow, therapy alliance. And then mindfulness reinforces the ability of therapeutic relationship. Secondly, through the real data research and simulation analysis, mindfulness practicing period (year and hour a day) of therapist is studied. The result of the therapist experiencing mindfulness practice period is over 5 years and the daily hours of practice is 2 - 2.5 hours in order to enhance the therapeutic relationship. After reviewing the result of the research it is important to understand the practicing period and daily practice of mindfulness. With daily practice and time, the level of mindfulness will increase and influence positively the therapeutic relationship between therapist and client.

계절건강 지킴이 - 시간을 다투는 치명적 질병 뇌심혈관계 질환

  • Son, Ji-Hye
    • 건강소식
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    • v.38 no.12
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    • pp.22-23
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    • 2014
  • 뇌심혈관계 질환 중 하나인 심근경색은 증상이 발생한 후 5시간 이내에 치료를 받지 않으면 심장이 영구적으로 괴사하여 생명을 위협하며, 심근경색 환자의 50%는 병원 도착 전에 사망한다. 미리 알고 예방하여 내일의 시간을 지키자.

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The objective and quantitative analysis of malocclusion : Part 1. Objective malocclusion severity and subjective treatment difficulty (부정교합의 객관적 정량분석: Part 1. 객관적 부정교합 경중도와 주관적인 치료난이도의 상관관계)

  • Joo, Bo-Hoon;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.35 no.1 s.108
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    • pp.60-68
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    • 2005
  • The evaluation of malocclusion has to be done quantitatively and qualitatively. This will be lead toward an analysis of malocclusion severity as well as treatment difficulty. The method of proper evaluation of malocclusion severity and treatment difficulty is necessary to assess treatment effect and efficiency for the orthodontists and to establish fundamentals for planning and executing the health-related policies in private and public institutions. The purposes of this study as the first part of the objective and quantitative analysis of malocclusion were 1) to measure treatment difficulty based on the opinions of several orthodontists. and 2) to investigate the relationships between objective malocclusion severity and subjective treatment difficulty 100 pairs of dental casts that had various types and severity of malocclusion were selected from the orthodontic departments of Kyurghee University and Samsung Medical Center The objective malocclusion severity was measured with the PAR (Peer Assessment Rating) index and the subjective treatment difficulty was evaluated by 8 experienced orthodontists. The relationships between objective malocclusion severity and subjective treatment difficulty were statistically evaluated. There were significant relationships between objective malocclusion severity and subjective treatment difficulty especially in the measurements of the upper anterior alignment, the buccal occlusion. the overjet, the overbite and the midline discrepancy en the malocclusion components. The results of this study can provide the background knowledge to develop a new occlusal index. which contains both the malocclusion severity and treatment difficulty for Korean orthodontists.

The Changes in Serum TSH-Binding Inhibiting Immunoglobulin (TBII) Activity and Thyroglobulin Level after Treatment with Radioactive Iodine ($^{131}I$) in Graves' Hyperthyroidism (그레이브스 갑상선기능항진중 환자에서 방사성 옥소($^{131}I$) 투여 후 혈청 갑상선자극 면역글로불린 (Thyrotropin-Binding Inhibiting Immunoglobulin, TBII)활성도 및 Thyroglobulin의 변화)

  • Son, Tae-Yong;Lim, Sang-Moo;Hong, Sung-Woon
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.2
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    • pp.200-205
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    • 1994
  • 그레이브스 갑상선기능항진증은 자가면역질환의 하나로 방사성 옥소가 간편하고 경제적이며 효과적인 치료법임이 알려져 있는데 방사성 옥소 투여 후 갑상선 조직의 자극 및 파괴에 따라 각종 항원의 노출의 증가와 이에 대한 자가항체의 변동이 예상된다. 저자들은 추정 갑상선 무게를 고려한 6-10 mCi의 방사성 옥소를 투여 받은 그레이브스 갑상선기능항진증 환자 90명을 2년간 추적하여 치료 전 후의 혈청 갑상선자극 면역글로불린(TBIIl)활성도와 thyroglobulin 및 antithyroglobulin antibody의 변화를 관찰하였다. 1) 대상환자 90명의 연령분포는 14-58세(중앙치 30)였으며 여자가 72명(80%)이었다. 2) 평가대상 환자 중 치료 전 TBIIl 활성도가 정상범위였던 경우는 15명(30%)이었고 증가된 경우는 35명(70%)이었다. 치료 전보다 치료 3개월 후에 TBII 활성도가 더 증가된 경우는 31명(62% )이었다. 3) TBII 활성도가 치료 전에 증가하였거나, 치료 전에 정상범위였다가 치료 3개월 후에 증가한 환자의 TBII 활성도의 동태는 치료 3개월 후에 가장 높았고 그 후 점차 감소하였다. 이들의 TBIIl 활성도가 15%이내로 정상화된 정도는 치료 후 6개월에 40%, 12개월에 82%였다. 4) 치료 전 antithyroglobulin antibody가 양성인 경우 80%에서 3개월 후에도 혈청 thyroglobulin의 동태는 치료 3개월 후에 높았다가 증가가 없었으며 치료 전 antithyroglobulin antibody가 음성인 경우 60%에서 치료 3개월 후에 혈청 thyroglobulin의 증가가 있었다. 5) antithyroglobulin antibody가 음성인 경우의 혈청 thyroglobulin의 동태는 치료 3개월 후에 높았다가 점차 감소하는 경향을 보였으며 antithyroglobulin antibody가 양성인 경우의 혈청 thyroglobulin의 동태는 치료 후 시간이 지남에 따라 점차 감소하였다. 6) 치료 전 antithyroglobulin antibody가 음성인 경우 치료 후 시간 경과에 따라 동시에 측정한 혈청 TBII 활성도와 thyroglobulin 사이에는 통계적으로 유의한 상관관계가 있었다(p<0.01). 한편 치료 전 antithyroglobulin antibody가 양성인 경우 치료 후 시간 경과에 따라 동시에 측정한 혈청 TBII 활성도와 thyroglobulin 사이에는 통계적으로 유의한 상관관계가 없었다(p= 0.16). 이상의 결과로 방사성 옥소를 투여 받은 그레이브스 갑상선기능항진증 환자에서 혈청 TBII 활성도는 항갑상선제를 투여 받은 경우와는 달리 초기에 증가하였다가 시간이 지남에 따라 점차 감소함을 알 수 있었으며 그 감소 정도는 항갑상선제만을 쓴 경우보다 더 빠를 것으로 생각된다. 따라서 혈청 TBII 활성도와 thyroglobulin은 방사성 옥소 치료효과의 관찰에 중요한 역할을 할 것으로 생각되며 특히 antithyroglobulin antibody가 음성인 경우 혈청 thyroglobulin은 혈청 TBII 활성도를 반영할 것으로 사료된다.

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Relationship between Smartphone Addiction and Sensory Processing Ability of Preschool Children (학령전기 아동의 스마트폰 중독과 감각처리능력과의 관계)

  • Kim, Chae-Hyeon;Kim, Kyeong-Mi;Chang, Moon-Young;Jung, Hyerim
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.1-11
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    • 2021
  • Objective : The purpose of this study was to compare sensory processing ability by smartphone addiction levels in preschool children, and to investigate the correlation between smartphone addiction level and sensory processing ability within smartphone addiction group. Method : The subjects of this study were 324 persons, with 124 persons in the addiction group and 200 in the normal user group. Measurements in this study were a questionnaire about general characteristics of subject, smartphone addiction scale, and short sensory profile. Methods for the data analysis included descriptive statistics, independent t-test, Pearson correlation analysis of SPSS 22.0. Results : There was a significant difference in the total Short Sensory Profile (SSP) score and in all sub-domains between the addiction and normal use groups (p<0.05). In the smartphone addiction group, there was a negative correlation between the SSP total score (r=-.278), auditory filtering (r=-.293), visual/auditory sensitivity (r=-.393) and smartphone addiction level. Conclusion : This study confirmed that there was a difference in smartphone addiction and sensory processing ability between the preschool children addiction and normal use groups. It has been proven that there is an interrelationship between sensory processing ability and smartphone addiction in the addiction group. It is significant in that it provides basic data to prevent smartphone addiction.

The Effects of Human Relationship Class Using Simsang-Poetry Therapy on the Mental Health of Nursing Students (심상 시치료를 활용한 인간관계 수업이 간호대생의 정신건강에 미치는 효과)

  • Jeong Hye Bak;Hyun Mi Jo
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.137-144
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    • 2024
  • This study shows the effectiveness of mental health by applying the Light of the Mind program to 45 nursing students who applied for the Human Relations class at JS University and showed 90% attendance once a week for a total of 10 sessions and 60 minutes per session. The 'Light of the Heart' program was carried out in the Simsang-Poetry therapy stage and technique, an integrated art and cultural therapy that recognizes the 'light' representing 'inner positivity'. As a result of phenomenological and qualitative analysis of the participants' descriptions, the categories of source, healing power, positive perception, self-realization, positive emotion, potential, and self-awareness were shown, and there was a statistically significant difference in the experimental group compared to the control group when analyzing before and after the resilience scale. This study is significant in that it improved the mental health of nursing students through human relations classes. It is necessary to develop and carry out various programs for the promotion of human relations and mental health of college students, and it will be helpful to the mental health of modern people by expanding this program to the general public.

A Study on the Relationships between Occupational Therapists' Burn-out, Professional Self-concept, and Self-efficacy (작업치료사의 소진과 전문직 자아개념 및 자기효능감 간의 관계)

  • Hwang, Sang-Hui
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.4
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    • pp.1728-1738
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    • 2012
  • The purpose of this study was to examine the degree of occupational therapists' burn-out, professional self-concept, and self-efficacy and also their socio-demographic characteristics and to verify the effects of professional self-concept and self-efficacy on their burn-out. The subjects of this survey were 138 occupational therapists who perform occupational therapy. From October 13th till November 2nd, 2011, a structuralized questionnaire was used to collect data. The results of this study were follows: First, the occupational therapists' mean score of burn-out was 2.12(range: 0-6), and the mean score of professional self-concept and self-efficacy were 2.64(range: 1-4) and 3.56(range: 1-5). Second, according to the general characteristics of the occupational therapists, burn-out showed significant difference by treatment hours per day, duty to work on Saturdays, aptitude and religion. Third, professional self-concept had positive correlation with self-efficacy. And professional self-concept and self-efficacy showed negative correlation with burn-out. Fourth, chief variables affecting occupational therapists' burn-out were professional self-concept and religion. Therefore it is necessary to reduce occupational therapists' burn-out and improve the services of their occupational therapy qualitatively by developing programs to enhance their professional self-concept.

AN EFFECT OF SLEEPING HOURS PRIOR TO PROCEDURE ON CHLORAL HYDRATE SEDATION FOR PEDIATRIC DENTAL PATIENT (소아환자에서 치료 전 수면 시간이 chloral hydrate 진정 효과에 미치는 영향)

  • Maeng, Yu-Jin;Oh, So-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.355-361
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    • 2011
  • Sedative method and its effect are affected by diverse variables: dosage and intake method of drug, weight, gender, patient compliance, sleeping hours prior to procedure, treatment hours, health status, type of used drugs are the factors. This study is conducted with empirical observation that shorter the sleeping hours before the day of chloral hydrate sedation, the effectiveness is larger; and therefore to actually recognize the correlation between chloral hydrate/hydroxyzine sedation and sleeping hours of child patient prior to sedation. The subjects were those children whose sleeping hours were similar to each other at the ages ranging from 2 to 5 years old totaling 37 children. Total 11 of them received pulp treatment. Sedative effect was evaluated by the same assessor with Houpt's rating scale. Sedative effect in relation with prior day's sleeping hours evaluated with simple regression analysis. Sedative effect in relation with pulp treatment was analyzed with independent t-test. Sleeping hours prior to sedation and sedation effect have negative correlation. No significant correlation is found between pulp treatment and sedation effect(p>0.05).