• Journal of muscle and joint health
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• v.11 no.1
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• pp.50-60
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• 2004

Purpose: The purpose of this study was to examine the relationships among the health promoting behavior, pain, self-esteem, family support, self-efficacy in patients with chronic arthritis. Method: The data for this study were collected from February 19, 2003 to April 7, 2003. The subjects were 150 chronic arthritis patients who visited University Hospital in D City. The research instruments used in this study were HPLP II, Visual analogue scale, Self-esteem scale, Family support scale, Self-efficacy scale. In data analysis, SPSS PC ver 10.0 program was utilized and data were analyzed using descriptive statistics and t-test, ANOVA, Multiple Stepwise Regression and Pearson's correlation coefficient. Result: The average score of the pain, self-esteem, family support, self-efficacy, health promoting behavior was 5.38, 3.37, 4.29, 70.30, 2.68, respectively and the variable with the highest degree of it's subscale was interpersonal support(3.08), whereas the one with the lowest degree was exercise(1.66). There was a positive correlation(r=.327, p=.000) between the self-esteem and health promoting behavior. There was a positive correlation(r=.540, p=.000) between the family support and the self-efficacy and health promoting behavior. Family support, self-efficacy and marital status were significant factors to explain a variance of health promoting behavior in patients with chronic arthritis(51.6%). health promoting behavior. There was a positive correlation(r=.477, p= .000) between Conclusion: The health promoting behavior were positively correlated with self-esteem, family support and self-efficacy. These findings help to understand relationships among self-esteem, family support and self-efficacy in chronic arthritis patients. In addition, family support, self-efficacy and marital status were the mainly influencing factors of health promoting behavior. Among these variables family support was the most significant factor to predict a health promoting behavior. According to the results of this study, family support must be considered as a main factor in the nursing strategy for health promoting behavior of chronic arthritis patients.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.1
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• pp.87-99
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• 2020

Purpose : This study aims to investigate the effect of somatosensory stimulation on the upper limb sensory and function and self-esteem of stroke patients. Methods : This study period was march 4 to april 4 (5 weeks). The subject were 20 stroke patients with somatosensory impairment in B hospital, seongnam, gyeonggi province. They were devided into two group-experimental and control-with 10 members each. The members of the experimental group underwent somatosensory stimulation, whereas the members of the control group underwent an occupation-based intervention for 5 weeks. Thirty-minute therapy was provided 3 times per week for 5 weeks. Before and after the intervention, both groups were evaluated via light touch, static two-point discrimination, stereognosis, Fugl-Meyer assessment (FMA), and self-esteem scale Results : In this study, light touch was not significant in both groups. Static two-point discrimination was significant among the experimental group member's index fingers. Among the control group members, it was significant in the ring finger. The comparison between the two groups was significant in the index finger. The stereognosis results were significant in the experimental group but not in the control group. The comparison between the groups after the intervention was not significant. FMA was significant in the shoulder/ elbow/ forearm (SEF), hand and coordination among the experimental group. Among the control group, it was significant in the SEF and hand. The comparison between the groups was significant in the SEF, hand and coordination. The self-esteem scale results were significant among both groups, and the comparison between the group's score was likewise significant. Conclusion : In conclusion, somatosensory stimulation therapy increases the static two-point discrimination, stereognosis, upper extremity function, and self-esteem of patients with stroke. Therefore, while somatosensory stimulation therapy is not the best therapy, it is one of the best occupational therapies for stroke patients.

• Korean Medical Education Review
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• v.8 no.1
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• pp.1-11
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• 2006

의사는 인간의 생명을 구하는 권한이 있으니까 마치 생명을 죽이는 권한도 포함된 것 같은 생각에 그야말로 막강한 권한을 가진 것 같이 보인다. 오늘의 한국에서는 과거와 달리 의사의 사회적 위상에 많이 떨어져 있지만 아직도 미국이나 독일 같은 선진 사회에서 의사의 위상은 준신에 가깝게 높고 그의 말과 판단이라면 비록 건강에 관한 이슈뿐만 아니라 삶에 대한 지혜로도 존중되고 수용된다. 의사의 사회적 위상이 높아진 것은 의학이라는 특수한 학문과 이와 연결된 의술의 그동안의 엄청난 발달과 무관하지 않다. 역사적으로 보면 고대 희랍시대부터 의학은 인간의 질병을 고치고 생명을 건강하게 보존하는 특별한 지식 그리고 이 지식을 기반으로 응용되는 치료기법으로 기예 (techne)라는 존칭으로 불리었다. 즉, 건강의 회복이라는 실질적인 목적을 가진 지식과 테크닉을 합친 이른바 귀중한 실천 (praxis)이다. 의학에 대한 낙관적인 전망은 시대와 문화가 바뀌면서 또한 의학 자체가 좀 더 발달하면서 도전을 받는다. 20세기에 들어서서 인간의 생명을 위협하고 또 고통을 주는 질병의 종류와 양상이 변하고, 의 과학이 앞으로 인류의 병들을 퇴치시킬 수 있다는 기대에 차질이 생기게 되었다. 미국 같은 선진국에서는 일찍이 1960년도 말부터 의학교과목 개혁의 일환으로 인문학의 과목들을 같이 가르치기 시작했다. 대표적인 과목들이 윤리학, 철학, 역사, 문학 등이다. 인문학의 보강은 의학과 기술과 인간성의 연결을 위해 의사들이 쓸 수 있는 인지적 도구 (cognitive tools)를 갖추게 하는 목적에서이다. 인문학의 도입으로 의사들이 인간의 삶을 좀 더 깊게 이해하고 풍부한 인간성으로 지식과 기술을 환자에게 적용할 수 있기 위해 각자의 마음과 머리 속에 포용통합능력을 발달시키자는 데 있다. 즉 의사들의 의식과 자유로운 상상력이 확장되면서 새로운 정체성을 갖게 되는 것을 바라는 것이다. 선진국의 의학교육에서 이 같은 교육이 좋은 의사를 만든다는 신념을 굳혀가고 있다. 성과를 증명하는 연구결과가 없어 아직도 회의적인 반응도 있으나 이와 같은 교육이 윤리적 상황에 대한 예민도를 높이는 것은 확실하다. 연세대학교 의과대학은 기독교 이념이 기본 교육철학이다. 인간성을 강조하고 의사들이 자신의 인간성을 개발 강화하는 교육이 하나님의 사랑을 의사 지신의 인간성과 그의 인간애로 내재화 시킬 수 있다면 그리스도의 정신을 의학과 의술에 연결시키는 고귀한 목적을 이룰 수 있는 길이라고 생각한다.

• Anxiety and mood
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• v.10 no.1
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• pp.37-43
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• 2014

Objective : Social Phobia is associated with extensive disability and reduced quality of life. The concept of 'social self' is a representation of the self-reflected in the eyes of others, and is recruited during self-face recognition, which is closely related to self-esteem. The aim of this study was to identify the relationship of face recognition for self and others using measures of social anxiety and self-esteem in patients with social phobia. Methods : Twenty-seven patients with social phobia and twenty-three normal controls were evaluated with scales of self-esteem, depression, anxiety and other psychiatric symptoms. All participants completed the self-face recognition task. Nine self-faces, nine other faces and eighty-one morphed faces were presented randomly for each trial. The participants were instructed to make a decision as to whether the stimuli were self-face or not. The responses and reaction times were recorded during the task. Results : There were no group differences of the morphing composition at the recognition start point as self-face. In patients with social phobia, the mean reaction time at the start point of recognizing as a self-face was 1,037.6 ms, which was significantly longer than that of normal controls (911.3 ms, p<0.05). Patients with social phobia showed a significant negative correlation between the mean reaction time and the severity of depression when the stimuli were recognized as a self-face (r=-0.421, p<0.05). Conclusion : A difficulty in attention rather than avoidance may be an important factor of face recognition in patients with social phobia. When considering self-face recognition in such patients, many factors, such as anxiety, depression, working memory and theory of mind, need to be considered.

• Journal of Hospice and Palliative Care
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• v.21 no.1
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• pp.1-8
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• 2018

Nearly 20 years after the Boramea Hospital case, the act on decisions on life-sustaining treatment for patients in hospice and palliative care or at the end of life has taken effect on February 4, 2018 as recommended by the National Bioethics Committee. However, during the legislation process, some parts of the bill that stakeholders and concerned parties did not see eye to eye were either revised or removed. Moreover, the hospice and palliative care part was added in the last minute before the enactment. As a result, the law includes parts that are not in line with the recommendations from the National Bioethics Committee, thereby causing various problems. Therefore, it is crucial to monitor how the decisions on life-sustaining treatments are made in the field and gather various opinions of concerned parties to identify and address problems in the early stage of the implementation of the law. Based on the data, the legislation must be amended to fulfill its purpose that is "to protect the dignity and value of human beings by assuring the best interests of the patients and by respecting their self-determination".

• Journal of muscle and joint health
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• v.12 no.1
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• pp.7-15
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• 2005

Purpose: The purpose of this study was performed to understanding of family support, pain and self-esteem, activities of daily living(ADL) in patient with ankylosing spondylitis(AS) and to identify the relationship among variables. Method: This study was conducted on 55 adults diagnosed with AS in C hospital in Daejeon during January 15th to June 20th, 2004. Instruments in this study were pain scale (VAS), family support scale, self-esteem scale, ADL scale. The data were analyzed mean, standard deviation, one-way ANOVA, Pearson's Correlation Coefficient using SPSS WIN(ver 10.0) program. Results: 1) 83.6% of the subjects was men, 30.9% of the subjects' age was below 29. And the 90.9% of the subjects was no experience of education about AS, 41.8% of the subjects was doing exercise. 2) The pain score was 48.36, family support score was 3.98, self-esteem score was 3.52 and ADL score was 81.41. 3) Family support was positively correlated with self-esteem and ADL and negatively correlated with pain. self-esteem was negatively correlated with pain and ADL. Conclusion: The results in this study can help nurse who care patients with AS understanding the relationships among family support, self-esteem, ADL, pain. And this findings showed that the patients with AS have few experience for disease-related education to manage and to understand AS. Therefore disease-related educational nursing program based on family support, pain, ADL of AS is needed to understand and manage AS. Because family support, pain, ADL of AS were significant correlated.

• Journal of Digital Convergence
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• v.17 no.9
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• pp.279-290
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• 2019

The purpose of this study was to explore communication experiences with doctors experienced by nurses in clinical settings, to resolve communication difficulties, and to identify ways to communicate effectively. "What is communication with a physician experienced by a nurse? The focus of the discussion was performed with questions. The study was a qualitative study of 21 nurses with different clinical experiences using interview methods and analyzed data using the criteria of Downe-Wam bol dt. 12 Themes were reclassified to derive 4 Themes clusters. In conclusion, it is necessary to create an atmosphere of respect for doctors and nurses, and each department should be able to quickly identify and deal with communication problems. Based on the research, It is suggested that the training of communication skills be strengthened to be possible.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.4
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• pp.159-166
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• 2021

Purpose : This study systematically assessed programs self-esteem programs for schizophrenic individuals that have been implemented over the past 10 years in South Korea, with the objective of providing clinical grounds and data for further programs that can be implemented in the Korean environment. Methods : For this study, a data search was conducted from 2012 to 2021, using search terms 'schizophrenia' AND 'self-esteem' among the studies registered in the RISS, KISS, Google Scholar, and National Library of Korea databases. A total of 988 studies were searched, and among them, 40 studies meeting the selection criteria had been taken by reviewing the titles and abstracts. After, 33 studies were excluded according to the exclusion criteria, and finally, the 7 studies were selected. Results : As a result, research into self-esteem programs for schizophrenic individuals has progressed steady, and most studies tend to be non-randomized controlled studies. All studies used the Self-Esteem Scale to evaluate self-esteem. All studies used the Self-Esteem Scale to evaluate self-esteem. The interventions of the selected studies were classified as were social skill programs, cognitive behavioral therapy programs, art therapy programs, and emotional management programs. And among them, the cognitive behavioral therapy programs were the most frequently used (42.8 %). Typically, the majority of the intervention sessions consisted of 11~15 sessions, the frequency of intervention was twice a week, and each session lasted 40~80 minutes were the most (each 57.1 %). In the programs for self-esteem, significant effects were reported for cognitive behavioral and art therapy programs, and there is no significant effect on social skill programs and emotional management programs. Conclusion : Future studies should expand the research scope, both domestically and internationally, and suggest more comprehensive conditions for a literature search by widening the research subject coverage.

• Journal of the Korea Convergence Society
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• v.12 no.2
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• pp.327-336
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• 2021

It is important to prevent progression of mild cognitive impairment (MCI) to Alzheimer's disease or other dementia. This study was conducted to investigate cognitive-based intervention and its effectiveness for the older patients with MCI through systematic review. Data search was conducted in September 2020, using the Korea Research Information Service (Riss) and KoreaMed. After selection of literatures according to the predefined inclusion criteria, a total of 12 articles were included. It is revealed that the cognitive-based intervention for the older adults with MCI was found to have a positive effect on the various factors including cognitive function, depression, physical health status, quality of life, and communication. However, it is difficult to draw a definite conclusion due to the various intervention strategies and instruments used. Thus, based on the results of this study, we suggest more studies to verify the effectiveness of such programs.

• Journal of The Korean Society of Integrative Medicine
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• v.12 no.3
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• pp.131-142
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• 2024

Purpose : This study explores the effects of dental hygiene students' ethical propensity and self-esteem on their awareness of protecting patient medical information and how these factors interact to influence their professional ethical consciousness. The aim of this study is to highlight the role of university education in shaping the ethical values of dental hygienists. Methods : Between June 1 and November 30, 2023, 210 dental hygiene students in Busan Metropolitan City participated in this study. After providing consent, the participants completed a self-administered questionnaire comprising 69 questions. The questions covered general characteristics (8 questions), ethical propensity (20 questions), self-esteem (10 questions), and awareness of patient medical information protection (31 questions), all measured on a five-point Likert scale. Results : Correlation analysis indicated that idealism had a significant positive correlation with relativism (r=0.35, p<.001), self-esteem (r=0.28, p<.001), and awareness of patient medical information protection (r=0.46, p<.001). Relativism had a significant positive correlation with self-esteem (r=0.17, p<0.05) and awareness of patient medical information protection (r=0.23, p<.01). Self-esteem had a significant positive correlation with awareness of patient medical information protection (r=0.34, p<.001). Multilinear regression analysis revealed that idealism (ß=0.38) and self-esteem (ß=0.22) significantly increased the level of awareness of patient medical information protection. However, relativism did not have a significant impact on the level of awareness of patient medical information protection. The model explained 26.0 % of the variance (24.9 % when corrected). Conclusion : Higher levels of idealism and self-esteem correlate with greater awareness of patient medical information protection. In addition to appropriate program development and strategies, university curricula for dental hygiene students should include systematic and continuous training to enhance the values of ethical awareness, idealism, and self-esteem.