• 제목/요약/키워드: Anxiety Level

검색결과 1,141건 처리시간 0.03초

BRCA 돌연변이 가계의 심리상태 및 삶의 질 평가 (Evaluation of Psychosocial Impact and Quality of Life in BRCA Mutation Family)

  • 한상아;김새리;강은영;김정현;하태현;양은주;임재영;한원식;노동영;김성원
    • Journal of Genetic Medicine
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    • 제7권1호
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    • pp.67-77
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    • 2010
  • 목 적: 본 연구는 한국인 BRCA 유전자 돌연변이 가계구성원들을 대상으로 암진단 및 돌연변이 보유 여부가 심리 상태와 삶의 질에 미치는 영향을 알아보기 위해 시행되었다. 대상 및 방법: BRCA 유전자 돌연변이를 가진 13가계에서 암에 이환된 보인자 17명, 이환되지 않은 보인자 16명, 건강한 비보인자 13명이 본 연구의 분석에 포함되었다. 이 세 군을 대상으로 우울, 불안, 낙관, 유전성 유방암관련 지식수준과 삶의 질을 설문을 통하여 평가하였다. 결 과: 설문시기는 유전자 검사 후 평균 21개월(6-35)로 세 군 간의 차이는 없었다(P=0.254). 세 군 간의 우울, 낙관, 육체적 삶의 질은 유사했다. 불안은 세 군 모두에서 일반인 보다 상승되어 있었다. 이환된 보인자의 정신적 삶의 질은 암에 이환된 보인자가 다른 두 군에 비해 유의하게 낮았다(P=0.009, P=0.017). 다변량 분석 결과 정신적 삶의 질에 영향을 미친 인자는 암이환여부(P=0.043)와 직업유무(P=0.008) 였다. 결 론: 같은 돌연변이 가계 내에서 돌연변이 유무는 우울, 불안, 낙관에서 심리적반작용을 일으키지 않았으나, 돌연변이 가계 구성원의 불안 수준은 돌연변이 유무에 관계 없이 높았다. 본 연구는 소규모 표본을 대상으로 한 단면적 연구이나, BRCA 유전자 검사에 수반될 수 있는 심리적 스트레스 및 그에 대한 대처법을 수립하는 데 기초연구로 의의를 가진다.

한국과 중국 간호대학생의 죽음에 대한 의식 (The Death Orientation of nursing students in Korea and China)

  • 이진숙;최화숙
    • 호스피스학술지
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    • 제8권1호
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    • pp.1-12
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    • 2008
  • 목적: 한국과 중국 간호대학생의 죽음의식을 조사하여 죽음교육과정설계에 간호대학생의 특성을 고려한 내용이 반영되도록 기여하고 간호교육 및 임상간호의 질적 향상에 도움이 되는 자료를 제공하고자 하였다. 방법: 본 연구는 2007년 3월19일부터 3월23일 사이에 한국 E대학교 간호대학생 248명과 중국 Y대학교 간호대학생 244명 총 492명을 대상으로 하였으며 측정도구는 Thorson과 Powell(1988)의 죽음의식도구를 박석춘(1992)이 번안하여 사용했던 도구를 이용하였다. 수집된 자료는 SPSS(12.0)통계 프로그램을 이용하여 전산처리 하였으며, 실수, 백분율, 평균, 표준편차는 기술통계 방법을 사용하고, Cronbach Alpha Coefficient, 요인분석, t-test, ANOVA 및 회귀분석 등을 통하여 분석하였다. 결과: 1. 한국 간호대학생은 반수이상(58.5%)이 종교가 있는데 비해 중국 간호대학생은 거의 종교를 가지고 있지 않았다(93.9%). 죽음경험이 한국 간호대학생(66.9%)보다는 중국 간호대학생이 많았다(76.6%). 사후세계유형에서 한국 간호대학생은 '사람이 죽으면 천국이나 지옥중의 한곳으로 간다'고 생각하는 경우가 제일 많았고(27.3%), '사람이 죽으면 어떻게 될 것인지 통 모르겠다'가 2위로 나타났다(22.9%). 중국 간호대학생은 '사람이 죽으면 어떻게 될 것인지 통 모르겠다'가 제일 많고(30.3%), '사람이 죽으면 그것으로 끝이고 사후세계는 존재하지 않는다'가 그 다음으로 많았다(29.5%). 2. 죽음의식은 한국 간호대학생이 평균 2.36점, 중국 간호대학생이 평균 2.50점으로 죽음에 대한 염려, 불안, 두려움이 중간수준이었으며 중국 간호대학생이 한국 간호대학생보다 높았다(t=3.51,p=.000). 3. 한국 간호대학생의 죽음의식은 연령(t=3.20, p=.002), 종교(t=2.56, p=.011), 사후세계(F=4.64, p=.000)에 대한 태도에 따라 유의한 차이가 나타났으며, 죽음의식에 대한 기여도는 사후세계변수가 수량화범위 0.735(p=.000)로 나타났다. 중국 간호대학생의 죽음의식은 모든 변수에서 유의한 차이가 없는 것으로 나타났다. 결론: 본 연구의 결과, 내세에 대한 믿음을 가지고 있는 대상자의 죽음의식이 제일 긍정적이므로 영적간호의 필요성이 강조된다. 한편 중국 간호대학생은 한국 간호대학생보다 죽음을 더 의식하고 죽음에 대한 염려, 불안, 두려움이 더 높게 나타났으므로 간호교육과정의 비교검토를 통해 한국의 죽음교육내용을 참고하고 중국의 정치, 문화와 사회제도에 알맞은 죽음교육을 해야 된다고 하겠다. 죽음의식은 사후세계에 대한 태도가 가장 크게 영향을 미치고 있으므로 이에 대한 지속적인 연구와 교육 및 실무에 적용을 제언한다.

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타액선 기능이 구취에 미치는 영향에 관한 연구 (A Study of Relationship between Halitosis and Salivary Gland Function)

  • 손원영
    • Journal of Oral Medicine and Pain
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    • 제23권4호
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    • pp.353-359
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    • 1998
  • The purpose of this study is reveal the relationship between halitosis and personal profile. The personal characteristics of halitosis patient were studied by symptom checklist-90- revision(SCL-90-R). 135 halitosis patients, 118 TMD patients(control torup 1) and 90 normal persons(control group 2) were selected for this study at the halitosis clinic or the Department of Oral Diagnosis and Oral Medicine, Kyung Hee Dental Hospital. T-scores were analyzed with Korean manual of SCL-90-R. A t-test was used to evaluate the overall group effect and the values were significant at the 0.05 level. The obstained results were as follows : 1. Mean value of T-scores on 9 basic scales of SCL-90-R in all groups(Halitosis patients, TMD patients and normal) was within normal range. 2. When compared with normal group, TamD patients gorup were significantly higher in sclaes of Somatization (p<0.01), Obsession-Compulsion(p<0.05), Depresison(p<0.05), Anxiety(p<0.01), Hostility(p<0.05). 3. When compared with normal group, halitosis patients group were significantly higher in scales of Somatization(p<0.05), Obsessoin-Compulsion(p<0.05), Interpersonal Sensitivity (p<0.05), Psyhcoticism(p<0.05). This data suggests that psychopathologic trends may be associated with halitosis and can be estimated by SCL-90-R questionnaire.

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GSIS를 이용한 해안 지형의 시계열 변화량 추출 (Estimation of Coastal Terrain Differences by time-series using GSIS and The chart)

  • 양인태;한성만;최승필
    • 한국측량학회:학술대회논문집
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    • 한국측량학회 2002년도 창립 20주년기념 국제학술대회
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    • pp.219-228
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    • 2002
  • 서해 연안의 개발은 갯벌의 감소로 해양생태계를 위협하고 있으며 산업화에 따른 대형 매립공사는 주변의 기상변화와 해상변화를 일으켜 해저지형 및 해안선에 많은 변화를 발생시키고 있다. 또한 선박의 안전한 입, 출항을 위한 항로에 영향을 주고 있다. 따라서 본 연구는 해도에 나타난 기준선인 최저저조면의 해양 기준면을 기초 자료로 사용하여 육지부분의 해안선과 갯벌의 경계로 나타나는 0m경계선, 수심2m선을 수치화 하였으며, 수치화 된 도면을 4개의 구역으로 구분하여 분석함으로써 신공항건설과 신도시개발, 방조제공사 등의 서해 연안 개발에 따른 해안과 해저의 변화 정도를 알아보았다.

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간호 대상자별 다빈도 간호진단, 간호중재, 간호결과 및 연계 체계조사 (A Study on Nursing Diagnoses, Interventions, Outcomes Frequently Used and Linkage to NANDA-NOC-NIC in Major Nursing Departments)

  • 김종경
    • 간호행정학회지
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    • 제16권2호
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    • pp.121-142
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    • 2010
  • Purpose: The purpose of this study was to identify NANDA, NIC, and NOC frequently used and their linkages in major nursing departments for development of the nursing process and nursing management system. Methods: This study was a descriptive study. Data were collected from 123 nurses who worked in medical, surgical, pediatric, gynecologic, and psychiatric department. The questionnaire was based on the NANDA, NOC, NIC, and NANDA-NOC-NIC linkage system. This research was analyzed by an EXCEL program and SPSS $Pc^{+}15.0$. Results: Nursing diagnoses frequently used were 'anxiety', 'disturbed sleep pattern', 'activity intolerance', 'social isolation', 'nausea', 'ineffective airway clearance', 'chronic pain', nursing outcomes frequently used were 'thermoregulation', 'bowel elimination', 'pain control', 'vital sign status', 'pain level', and nursing interventions frequently used were 'nausea management', 'airway suctioning', 'bowel elimination management', 'diarrhea management', 'medication management'. NANDA-NOC-NIC linkages in major nursing departments were recognized, and these results were similar to the results of other researches. Conclusion: The results of this study will be provided as a guideline to apply to the nursing process and development of the nursing process system with the NANDA-NOC-NIC linkage in major nursing department.

A Study of Global Manufacturing Education and Training for Chinese Company Manager

  • Sun, Jing;Tamaki, Kin'ya;Yeh, Shihshui;Takiuti, Noboru
    • Industrial Engineering and Management Systems
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    • 제13권3호
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    • pp.252-257
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    • 2014
  • Global economic recession, global market reduction, and the deteriorating economic recession are forcing the industry to reconsider the business plan and strategy related to supply chain regardless of the size of the companies. During the economic recession caused by financial anxiety, development of international collaborative producer is the key theme for a manufacturing industry to get over the situation. Especially, development of high-skilled people who are capable of handling global manufacturing management is the key factor in China which shifted from a world factory to a world market. In this background, we started the international project of global manufacturing education and training for Chinese company managers from 2009. In this paper, based on the research conducted by the universities and companies in China, a design of global manufacturing education and training is proposed. This presented design is based on the theory of Japanese production strategy and investigation of actual conditions for Chinese companies and the research methodology of business management practice with efficiency and productive for international level management organization. The effectiveness of the education design is evaluated by applying the international education and training project of Aoyama Gakuin Human Innovation Consulting Inc. and Vigor Management Technology Association.

사용자 성별에 따른 종합병원 병동부 감성디자인 특성 평가에 관한 연구 (A Study on Gender Difference in Assessing Emotional Design Characteristics of General Hospital's Wards)

  • 손여림;황연숙
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제18권4호
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    • pp.17-27
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    • 2012
  • Purpose: This research was for understanding the attitudinal difference by gender towards emotional design through questionnaire survey with female and male inpatients on environmental characteristics of wards in general hospitals. Methods: The survey was conducted by questioning inpatients at two general hospitals on the importance rating on emotional design elements of patient rooms, lounges, and hallways. Eighty questionnaires were returned and used for data analyses through SPSS windows version 15.0 statistic package program. Results: 1) In general, female patients considered emotional design of wards as more important than male patients and the most outstanding difference was indicated for patient rooms among patient rooms, lounges, and hallways. For patient rooms the comfortability index was rated as the most important to both female and male inpatient groups, and for lounges and hallways the safety index was evaluated as the most important to both gender groups. 2)For lounges, while male patients rated 'prevention of infection' important among safety relating items, women considered 'accident prevention' more important. It is inferred that female patients have more safety needs and anxiety about physical injury or accidents than male ones do. Implications: It is considered that there need to be further succeeding in-depth studies, e.g. research interviews with inpatient;s family members or other caregivers as well as patients themselves.

외상을 다룬 인지행동 프로그램이 재해 피해 아동의 정신건강상태에 미치는 영향: 유류유출 피해 지역 아동을 중심으로 (Effects of Cognitive Behavioral Therapy Program on mental health problems in children dealing with trauma: Focused on community district victimized by oil spill)

  • 손정남;이용미
    • 대한간호학회지
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    • 제42권1호
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    • pp.56-65
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    • 2012
  • Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

응급 간호 서비스에 대한 환자만족도 (Patient Satisfaction with Nursing Care in the Center for Emergency Medicine)

  • 김영혜;김정순;이내영
    • 간호행정학회지
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    • 제13권4호
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    • pp.455-461
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    • 2007
  • Purpose: To examine patient satisfaction with nursing care and the difference of patient satisfaction by the characteristics of emergency care service in the center for emergency medicine. Method: We surveyed 145 patients who visited Pusan-Wide Emergency Medical Center from Nov 01, 2003 to Nov 30, 2003. Patient satisfaction was assessed by asking patients and medical records reviewed to obtain the characteristics of emergency care service. Results: The mean score of patient satisfaction with nursing care was 3.12. For patient satisfaction, 'The nurse seemed earnestly concerned about my pain, fear, and anxiety' represented highest score (3.58). Patient satisfaction according to the general characteristics of patients was revealed as significantly high for the higher educated and the older. Patient satisfaction by the characteristics of emergency care service was significantly higher in no-wait group. Conclusion: Also, the fundamental of nursing, like respect for human, was maintained in emergency setting, the hospital's administration has implemented service for a high level of satisfaction with nursing care up to the expectations of the patients for with the staff and medical equipment.

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반하(半夏) 추출물이 생쥐의 사회.심리적 스트레스에 미치는 영향 (Effects of Pinelliae Rhizoma Extract on Sociopsychological Stress)

  • 김수연;임세현;조수인;최창원;김경옥
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.35-47
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    • 2009
  • Objectives : The effects of Pinelliae Rhizoma extract(PRe) were tested for the anti-stress action. Methods : PRe was fed to ICR male mice($20{\pm}2g$) orally with the dose of 100 mg/kg/day for five days. Mice were exposed to sociopsychological stress by restraining and seeing foot shock stressed mice for one hour for five days. Results : PRe administration had the effect of decreasing serum level of lipid peroxidation. The elevated plus-maze test is designed to detect the effect of anxiolytic drugs, and PRe administration group showed a significant increase of latency time. From Microarray, common features between mind-stimulus related genes and body-stimulus related genes were not so abundant When PRe was administered, there were some changes in distributions of mind-stimulus related genes but the distributions were not recovered to normal status. Conclusions : These results suggest that PRe can effectively rid the sociopsychological stress and stress concrened diseases.

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