• Title/Summary/Keyword: Anxiety-management

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Relationship between Psychosocial Factors and Symptom Experience in Patients with Cardiovascular Disease: Over a Six-month follow-up Period (심장질환자의 심리사회적 요인 및 증상 경험간의 관계 : 6개월 추적조사)

  • Kim Cho-Ja;Kim Gi-Yon;Roh Young-Sook;Song Eun-Kyeung;Kang Seok-Min;Yoo Myung-Sook;Son Youn-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.76-85
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    • 2006
  • Purpose: The purpose of this study was to identify the relationship between psychosocial factors and symptom experience of patients with cardiovascular disease over a 6-month follow-up period. Method: Baseline data for each of the 138 patients were collected. Eighteen patients were dropped for a final total of 120 patients in the present study. To monitor patients' symptom experience after discharge, each patient was interviewed by telephone, and interviewed directly with a questionnaire at each clinic visit. Results: Mean scores for hostility, anger, anxiety, and depression were 51.63, 22.87, 48.95, and 41.21, respectively. Mean scores for the level of symptom experience at discharge, 3 months and 6 months after discharge were 32.83, 24.79, and 26.70, respectively. There were significant differences in the level of hostility by gender, BMI, job, and monthly income. Also the differences in the level of anxiety and depression were statistically significant according to gender and existence of spouse. In the regression analysis, depression was identified as the significant factor associated with symptom experience at discharge, 3 months, and 6 months after discharge. Conclusion: This study presented baseline data to elucidate whether psychosocial factors were associated with the progression of cardiovascular diseases. Accordingly, it suggests that nurses need to take into consideration psychosocial factor as well as physiological factor in symptom management for patients with cardiovascular disease.

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Development of the Pre-father Education Program - Based on Developmental Approach and Narrative Therapeutic Perspective - (예비아버지 교육 프로그램의 개발 -발달적 접근과 이야기 치료적 관점을 중심으로-)

  • Choi Hyun-Sook;Lee Ki-Sook
    • Journal of Families and Better Life
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    • v.24 no.2 s.80
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    • pp.177-193
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    • 2006
  • The purpose of this study is to develop a program which aims at providing a better understanding of parenthood, establishing a desirable value of being a parent and preparing for being a good father positively affecting children, and determine effects of the program on unmarried men who are in the so-called stage of 'not belonged youth'. The program consisted of 5 sessions titled 'My father, 'I will be a father, too', 'Being a good father I', 'Being a good father II' and 'I will be a respectable father'. 7 unmarried men surveyed here were asked to participate in the program held at B church located in Busan from Oct. 3 to Nov. 7, 2004, with 1 session a week and 120 minutes per session based. Before and after the program, tests were carried out with the father acceptance-rejection scale and the scale of confidence in father's role'. For each of the sessions, a process evaluation was performed. Results of the study can be summarized as follows. First, the pre- and post-tests with the father acceptance-rejection scale showed some changed recognition that father's attitude of child raising would be more acceptable and unrejectable. This indicates that the program made some achievements in relation to understanding and reestablishing relations with father. Second, significant differences were found in confidence in father's role between before and after the program. Especially, anxiety about father's role as a sub-area of such confidence was most considerably reduced. In conclusion, such objectives of the program as removing vague anxiety about father's role, establishing a desirable view of fatherhood and improving confidence about being a father proved to be achievable through getting skills of child understanding with the concept of developmental perspective and narrative therapy based.

Use of hypnosis in dentistry for improving patient satisfaction: as a means of non-phamaceutical approach (치과 환자의 진료 만족도 증진을 위한 비약물적 접근으로서 최면 요법의 분석)

  • Ong, Seung-Hwan;Lee, Sung-Jo;Cho, In-Woo;Park, Jung-Chul
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.3
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    • pp.169-177
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    • 2017
  • Patient management is considered an important factor in dental field. The aim of this review is to analyze the efficacy of hypnosis to treat fear, anxiety, pain, stress of dental patients, and see how it can be adopted in dentistry for improving patient satisfaction. Medline research was carried out to find the use of hypnosis in dentistry and other aspects of hypnosis in medical area. It can help patient more comfortable, relax, and accordingly reduce patient's negative feelings such as fear, anxiety, pain, stress during dental treatment. Also, it affects patient recovery after surgery by accelerating healing speed and reinforce immune system. When hypnosis is used with other anesthetic method, it can reduce the use of main medication, leading to reduce possibility of side effect. Therefore, using Hypnosis can give patients more comfortable dental experience, both mentally and physically, ultimately making patients more satisfied with the dental treatment.

The Convergent Influence of Social Awareness and Health Status on Social Support in Korean Echo Generation (에코세대의 사회인식 및 건강상태가 사회적지지에 미치는 융복합적 영향)

  • Song, Hyo-Jeong;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.247-256
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    • 2017
  • The purpose of this study was to identify the convergent influence of social awareness and health status on social support in Korean echo generation by using Korea adult psycho-social anxiety survey data. Korea adult psycho-social anxiety survey data were collected from August to September 2015 and included 1,653, who responded to the question regarding social support. The data were analyzed by t-test, chi-square and hierarchial multiple regression using SPSS WIN 23.0 program. The mean score of social support was 19.60. The influencing factors on social support were neighborhood relations, perceived class, euphoria, equality in society, stability in society, self Esteem, communication, and stress, respectively. Therefore, it is necessary to establish strategies to strengthen social support of echo generation. A more careful examination may be warranted.

Community Based Study for Stress and It's Related Factors (일부 지역 주민들의 스트레스 관련요인에 대한 연구)

  • Lee, Jeong-Mi;Kil, Sang-Sun;Kwon, Keun-Sang;Oh, Gyung-Jae
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.2
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    • pp.125-130
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    • 2003
  • Objectives : This study evaluated the stress of community residents using the General Health Questionnaire, GHQ-60, as an instrument of stress measurement. Methods : The study included 2100 residents, aged 20 and over, living in three areas, a large city, a medium sized city and a rural area, between June and September 2001. A questionnaire interviewing method was used to collect data. The data were analyzed using a t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis. Results : In this study, the degree of stress, as measured by the GHQ-60, was shown to be significantly higher in the following categories: females, people over 60 years old, people engaged in the primary industries and labor work, low incomes, the divorced and the bereaved, people who received no more than an elementary education, people who suffer from chronic diseases and non-exercisers. A factor analysis suggested that there were three factors of social dysfunction factors; psychosomatic symptom, and depression and anxiety, The social dysfunction factors was statistically significant for the groups described above. The factor of psychosomatic symptoms was statistically significant in the rural residents, and in the groups describedabove. The depression and anxiety factor was statistically significant in the large city residents, people aged between 20-29 years, students, unmarried persons, university graduates and those having suffered from chronic diseases. From the multiple linear regression analyses, chronic disease, exercise, gender and income, proved to be significant stress related factors Conclusions : This study suggests that special attention should be given to the management of the chronic invalided, non-exercisers, females and snail income earners, in order to maintain and promote the psychological health of residents in a community.

Related Factors of Quality of Life in Middle-male with Chronic Liver Disease (중년기 남성 만성 간 질환자의 삶의 질 관련요인)

  • Do, Eun-Su;Lee, Sun-Mi;Seo, Young-Sook
    • Journal of Digital Convergence
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    • v.13 no.2
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    • pp.267-277
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    • 2015
  • Purpose: The purpose of the study was to examine the related factors of quality of life (QOL) among middle-male with chronic liver disease. Method: The participants in this study were 110 patients with chronic liver disease who were recruited from the outpatient clinic of hospital. Between March and May 2014, data were collected through questionnaires and medical record review. Data analysis was performed using PASW (SPSS) 19.0 program, and one-way ANOVA, Pearson correlation coefficients, and enter multiple regression analysis. Results: The mean QOL of this study was 48.16/100. The significant correlates of QOL were anxiety-depression (${\beta}$=.33, p<.001), symptom experience (${\beta}$=.15, p=.001), health perception(${\beta}$=.31, p<.001), disease status(${\beta}$=.17, p=.022), spouse (${\beta}$=.23, p=.001), and these variables explained 68.6% of variance in QOL. Conclusion: The study suggests that psychological aspects are an important factor in explaining QOL of the middle-male with chronic liver disease. Screening and minimizing anxiety-depression could be effective strategies in enhancing QOL of middle-male with chronic liver disease.

Chronological Changes in Quality of Life after Distal Gastrectomy for Gastric Cancer

  • Park, Ki Bum;Lee, Seung Soo;Kwon, Oh Kyoung;Chung, Ho Young;Yu, Wansik
    • Journal of Gastric Cancer
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    • v.17 no.2
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    • pp.110-119
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    • 2017
  • Purpose: Patient quality of life (QoL) may be severely disrupted following distal gastrectomy for gastric cancer. This issue should be addressed to improve postoperative care. Materials and Methods: QoL data from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and its gastric cancer-specific module, were administered to 202 patients preoperatively, and 5 years postoperatively. Patients were classified into subgroups based on their answers to each questionnaire item: group I (good), answering "not at all"; group II (fair), answering "a little"; group III (poor), answering "quite a bit" or "very much." Results: At 5 years post-operation, the proportion of patients in group III on the functional scales ranged from 4.3% to 5.7%. The proportions of patients in group III with fatigue, insomnia, diarrhea, and financial difficulties were 8.9%, 9.0%, 11.5%, and 9.1%, respectively. The proportions of patients in group III with anxiety, dry mouth, body image concerns, and hair loss were 12.8%, 10.5%, 9.9%, and 12.6%, respectively. These proportions were less than 5% for other QoL symptom scales/items and for the gastric cancer-specific module. Conclusions: Most patients reported good or fair QoL following surgery. However, symptom management of fatigue, insomnia, diarrhea, anxiety, dry mouth, body image, and hair loss should be specifically targeted for long-term patient care in approximately 10% of patients.

Alcohol Use Disorder, Stress, Mental Health and Suicide among Seoul Citizens (서울시 지역주민의 알코올장애와 스트레스, 정신건강 및 자살)

  • Sohn, Ae-Ree;Legaspi, Sherme Villasurda;Hong, In-Ok;Kim, Tae-Kyung;Ryu, Eun-Jung;Oh, Gyung-Jae
    • Korean Journal of Health Education and Promotion
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    • v.26 no.4
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    • pp.71-81
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    • 2009
  • Objectives: This study furthers the currents understanding of alcohol use disorders, stress, mental health status and suicide among Seoul citizens. This study is to identify differences according to socio-demographic variables and variables which affect stress, mental status and suicide for developing mental health programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and psychosocial wellbeing index-short form (PWI-SF) was utilized. Results: Three findings in this study were discussed: (1) The prevalence of problem drinking and alcohol dependence and AUDIT score were significantly higher among male, younger age, and high level of education and income; (2) AUDIT score were related with stress, all 9 symptoms of SCL-R and suicide plan; (3) Problem drinkers were more likely to have 2.5 times of anxiety, 3.0 times of hostility, and 2.4 times psychoticism than non alcohol problem drinkers. Alcohol dependence drinkers were more likely to have 1.9 times of high risk group of stress, 4.1 times of obsessive-compulsive, 4.7 times of anxiety, 5.5 times of hostility, and 2.3 times psychoticism than non alcohol dependence drinkers. Conclusion: The findings suggest that the future intervention of Mental Health programs should be carefully designed and tailored by socio-demographic variables.

A Meta-Analysis of the Effects of Aromatherapy Hand Massge (아로마테라피 손마사지 효과에 대한 메타분석)

  • Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.469-479
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    • 2015
  • Purpose: The purpose of this study is to explore the effect of nursing intervention of aromatherapy hand massage. Method: In order to conduct a meta-analysis, a total of 124 studies were retrieved. From these studies, fifteen studies met the inclusion criteria with a total of 733 participants. And these studies published from January 2004 to July 2013 were included in the journal articles published in Korea. Results: In fifteen studies, Random effect model for the aromatherapy hand massage that 95% confidence level, significant level of p-valve on less than 0.001. Standardized Mean Difference reported systolic blood pressure(d=-9.5320), diastolic pressure(d=-8.8730), pulse(d=-9.1241), anxiety(d=-0.1469), and depression(d=-0.4489) All measurement variables were significantly decreased in the negative direction. Conclusion: This study suggests that aromatherapy hand massage can reduce the level of blood pressure(systolic, diastolic), pulse, anxiety and depression.

A Study on Premenstrual Syndrome (PMS), Nutrient Intake, Psychological Index according to the Obesity Degree of College Women (여대생의 비만도에 따른 월경전증후군 증상, 영양섭취 실태 및 심리지수 연구)

  • Kang, Se-Na;Park, Jung-Hwa;Hwang, Hye-Jin
    • Korean Journal of Community Nutrition
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    • v.16 no.1
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    • pp.14-22
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    • 2011
  • This study was designed to compare the incidence and severity of premenstrual syndrome (PMS) between normal (N = 85) and overweight or obese (N = 28) college female students and investigated correlation between PMS, nutrient intake, hematological index and psychological index (depression, anxiety, stress). Each subject was asked a Menstrual Discomfort Questionnaire (MDQ) for PMS by 5 Likert scale. The PMS scores of women in the normal weight subjects ranked in order of severity were water retention (2.71), followed by behavioral change (2.58), negative affect (2.46), pain (2.31), autonomic reaction (2.27), decreased concentration (2.16). The symptoms of 'pain' and 'behavioral change' of overweight or obese subject were significantly higher than those of normal subject (p < 0.05). And total cholesterol concentration of overweight or obese subjects was significantly higher than in normal subject (p < 0.05). There was a significant positive correlation (p < 0.05) between the symptoms of 'negative effect' and BMI. And the triglyceride concentration was positively related with 'water retention (p < 0.01)'. The symptoms of 'decreased concentration' were negatively correlated with calcium (p < 0.01) and vitamin B6 intake (p < 0.05). The depression score were positively related with symptoms of 'behavioral change (p < 0.05)', 'negative affect' (p < 0.01), and the anxiety score was positively correlated with 'behavioral change (p < 0.05)' and 'decreased concentration (p < 0.05)'. The stress score was positively correlated with 'decreased concentration (p < 0.01)', 'behavioral change (p < 0.05)' and 'negative affect (p < 0.05)'. This suggests that PMS represents the clinical manifestation of a calcium, vitamin $B_6$ deficiency and psychological disorder. Therefore we concluded that nutrient supplementation, depression and stress management may help to relieve PMS symptoms.