• 제목/요약/키워드: Anxiety-management

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통증학설에 대한 문헌적 고찰 (Literature consideration on pain theory)

  • 김성원
    • 대한물리치료과학회지
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    • 제9권1호
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    • pp.153-158
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    • 2002
  • Pain, which is the most significant issue for the physical therapist, is the cause of various diseases until it disappears, and results in a lot of obstructions to treatment. Pain is very complicated. It is a subjective symptom that informs of a pathologic condition in the body, and one of the unpleasant experiences that people have. It is accompanied with anxiety and fear. Many researchers including Krause(1987) have identified the pain mechanism based on pain perception for many centuries and they have suggested many theories as they believed that pain management was possible. Reviewing the contents of psychoanalysis, uncontrollable pain that can't be explained is described as a defense mechanism to an unconscious psychological conflict. That is, mental pain is transferred to the body and the pain becomes unbearable. What is important is, like Keefe(1992) said, that the pain experience itself is primary stress and one should cope with it, whatever the cause of the pain. This paper investigates the background of the psychological theory of pain. Based on the efforts of previous studies, the next research generation will understand the treatment process for pain more dearly and will contribute to the prevention and protection from pain that humans undergo.

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Wisdom teeth extraction in a patient with moyamoya disease

  • Seto, Mika;Aoyagi, Naoko;Koga, Sayo;Kikuta, Toshihiro
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권6호
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    • pp.289-291
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    • 2013
  • Moyamoya disease is a rare neurovascular disorder that involves constriction of certain arteries in the brain. In patients with moyamoya disease, it is very important to prevent cerebral ischemic attacks and intracerebral bleeding caused by fluctuating blood pressure and increased respiration. A 40-year-old woman with moyamoya disease was scheduled for extraction of her right upper and lower impacted wisdom teeth. Her lower impacted wisdom tooth was situated close to the inferior alveolar nerve. We decided to continue her oral antiplatelet therapy and planned intravenous sedation with analgesic agents administered approximately five minutes prior to extraction of the root of the mandibular wisdom tooth. Oral analgesic medications were regularly administered postoperatively to alleviate pain and anxiety. During the perioperative period, no cerebrovascular event occurred, and the wisdom teeth were successfully extracted as per the planned procedure. It is thought that the perioperative risks of wisdom tooth extraction in patients with moyamoya disease can be minimized with the use of our protocols.

Influence of Shiftwork on Greek Nursing Personnel

  • Korompeli, Anna;Muurlink, Olav;Tzavara, Chara;Velonakis, Emmanouel;Lemonidou, Chrysoula;Sourtzi, Panayota
    • Safety and Health at Work
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    • 제5권2호
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    • pp.73-79
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    • 2014
  • Background: The aim of this study was to investigate the burden experienced by nursing personnel working irregular shifts in Greece and to conduct the first test of a Greek version of the Standard Shiftwork Index (SSI). Methods: A cross-sectional survey was carried out. The SSI was completed by 365 nurses and nursing assistants working shifts, including nights. Results: Female nursing personnel and those suffering from a chronic disease were most affected by working rotating shifts as they had elevated scores on the majority of the SSI scales, such as sleep, chronic fatigue, digestive and cardiovascular problems, general health questionnaire, cognitive and somatic anxiety, shift time satisfaction, engagement and disengagement strategies, languidity, flexibility, and neurotisicm. Nurses with longer working experience and those with family responsibilities also scored higher on some of the SSI scales, such as the sleep, shift time satisfaction, social and domestic disruption, disengagement strategies, morningness, and languidity scales. Conclusion: Shiftwork affects female nurses, those with chronic disease, older age, and domestic responsibilities more severely. Therefore management should take these factors into account when designing work schedules to alleviate the burden caused by shiftwork.

초등학생 학부모들의 잔류농약 인식에 기초한 안전 식생활 교육용 앱 개발 (Development of an Educational App for Safe Dietary Life based on Elementary School Parents' Perceptions on Pesticide Residue)

  • 채현자;김정원
    • 한국식품조리과학회지
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    • 제29권2호
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    • pp.161-168
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    • 2013
  • The purpose of this study was to develop an educational app that informs parents of elementary students with correct information on pesticide residue based on their awareness and information needs on pesticide residue. A survey was conducted from 918 parents living in 8 different districts of Korea. The results of the survey indicated that a majority of parents felt uncomfortable with pesticide residue and wanted to have the proper information regarding it. Based on the above results, an app named 'Perfect Conquest of Pesticide Residue' consisting of 5 main menus of 'Pesticide residue, Is it safe?', 'Safe management of pesticide residue', 'Perfect removal of pesticide residue on fruits and vegetables through washing', 'Shopping without anxiety', 'Playground' and their own sub-menus was developed. When the app was applied to 30 parents using smart phones, a majority of them were satisfied with the contents of detailed information and fun activities. Therefore, this app could be utilized as an effective educational tool for the parents of elementary students by allowing them to have proper awareness on pesticide residue. Furthermore, more apps could be developed on other food risk factors to promote safe dietary life.

혈액투석 환자의 증상 클러스터와 삶의 질 (Symptom Clusters and Quality of Life in Patients on Hemodialysis)

  • 차지은;이명선
    • 임상간호연구
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    • 제20권1호
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    • pp.123-133
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    • 2014
  • Purpose: The purpose of the study was to investigate symptom clusters experienced by patients on hemodialysis and to identify relations between symptom clusters and quality of life. Methods: Data were collected from 127 patients at 10 local hemodialysis clinics. Symptoms were measured using 10-item physical symptom checklist as well as the Hospital Anxiety depression Scale. Quality of life was measured with the Satisfaction with Life Scale. Data were analyzed using factor analysis, Pearson correlation, and stepwise multiple regression. Results: The most frequently reported symptoms included fatigue, itching, depression, numbness/tingling, and insomnia. Four distinct symptom clusters were identified: cluster 1 was comprised of dry mouth, headache, nausea (gastrointestinal); cluster 2 of decreased appetite, insomnia (basic need); cluster 3 of itching, numbness/tingling (sensory-comfort); and cluster 4 of fatigue, depression (mood-vitality). Among the clusters, the 'basic need' cluster and 'mood-vitality' cluster had a significant negative association with quality of life. The 'mood-vitality' cluster, explained 17.4% of the variance in quality of life. Conclusion: The results of the study indicate that comprehensive symptom assessment provides better symptom management for patients on hemodialysis. Further studies are needed to verify symptom clusters identified in this study.

지지개념 분석 (Concept Analysis of Support)

  • 강경숙;김미영;장수현;정미영
    • 지역사회간호학회지
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    • 제13권3호
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    • pp.566-573
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    • 2002
  • A concept is a building block of a theory. The purpose of a concept analysis is to clarify the critical attributes of a concept and identify its real meaning, particularly if the concept is not understood in a clear and accurate manner. This study was conducted to analyze the concept of support, which has been adopted from another discipline and unclearly used in nursing science. For concept analysis of this study, Walker and Avant's method was used. Support is defined as a domain with emotional. informational. material and evaluative aspects. Critical attributes of the concept of support included (1) an experience of support between a support provider and a client, (2) communication, (3) a relationship of mutual interchange of emotional, informational, material, evaluative support, and (4) intention, Cases related to the concept of support included model cases and appendix cases (against. boundary, and related). Antecedents of support were anxiety, depression, and loss of self-esteem, and consequences of support were comfort, increase of self-esteem, and trust. Based on these results, a nursing intervention that can provide a better quality of life for the prevention of diseases, health management, and health promotion may be developed in the future.

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아이핀(i-PIN)의 지속적 사용의도에 영향을 미치는 요인에 관한 실증적 연구 (An Empirical Study on the Factors that Affect the Continuous Use Intention of i-PIN)

  • 임혁;김태성
    • Journal of Information Technology Applications and Management
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    • 제22권4호
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    • pp.159-179
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    • 2015
  • In 2005, Korean government created the Internet Personal Identification Number (i-PIN) for a new online personal identification system to protect citizens' personal information against criminal abuse. However, i-PINs have not been widely in use over a decade. Although many people joined the i-PIN service, its actual use rate has been low. This study intends to identify the factors necessary to boost the continuous use of i-PINs. It was shown that government support and perceived security had a positive effect on the perceived ease of use and perceived usefulness of the i-PIN, respectively. Perceived security also directly affected the continuous use intention of the i-PIN. The perceived ease of use significantly affected the perceived usefulness, but it did not affect the intention to continuously use the i-PIN. The factor that had the most significant influence on the continuous use intention of the i-PIN was perceived usefulness. To increase the i-PIN use rate, Korean government must reduce users' anxiety through strict security functions, and must attempt to help people use the i-PIN easily.

아동의 문제행동 유형에 따른 또래 놀이행동 (Differences of Interactive Peer Play According to the Problem Behaviors Types)

  • 신혜영;최혜영
    • 가정과삶의질연구
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    • 제29권4호
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    • pp.175-186
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    • 2011
  • The purpose of this study was to explore the differences in interactive peer play according to the type of problem behavior. The subjects were 112(67 boys, 45 girls) S-year-old children at 25 daycare centers in Seoul, Gyeonggi, and Gyeongsang areas. Instruments included the Preschool Behavior Questionnaire(PBQ; Behar & Stringfield, 1974) and the Penn Interactive Peer Play Scale(PIPPS) in both the teacher version(Choi & Shin, 2008) and the parent version(Fantuzzo, Mendez, & Tighe, 1998). The data were analyzed with descriptive statistics, cluster analysis, t-test, and one-way ANOVA using the SPSS 18.0 software program. The results showed that the clusters of problem behaviors on the PBQ could be grouped into four categories; 'hostility-aggressiveness', 'hyperactivity- distractibility', 'anxiety-fear', and 'combined'. In addition, group differences among the problem behaviors were significantly found in 'play disruption' and 'play disconnection' but not in 'play interaction' of the PIPPS on teachers' and parents' ratings. Specifically, group differences were not found in the parental reports, while significant group differences were noted in the 'play disconnection on PIPPS component of the teachers' reports.

Brain Stimulation of Elderly with Dementia Using Virtual Reality Home

  • Park, Sung-jun
    • Journal of Information Technology Applications and Management
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    • 제26권4호
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    • pp.1-18
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    • 2019
  • The virtual reality (VR) is an immerging technology used in the serious games industry to treat psychological disorders like dementia. We created a system named as Virtual Reality Home (VRH) for the elderly who lived with Alzheimer's disease (or other form of dementia) and cognitive impairment using virtual reality technology. The purpose of our study is to measure the long-time immersion and retention of VRH on the moods and apathy, enhancement in physical and brain stimulation as well as a decision making with peoples of dementia and explore the experience of aged care home staff's member. The VRH shows a positive impact on the elderly participants and staff members. During the VRH experience, excitement and a great level of alertness were observed among the participants but few of them were feeling anxiety. Furthermore, we observed the improvement in physical, memory and brain stimulation, but the participants have a low focus on decision making because they wanted to explore all interactable objects in the VRH. This study suggests that the VR may have the potential to improve the quality of life, and these results can assist to expand the future development in the enhancement of efficiency of people with dementia.

On the Relationship between College Students' Attitude toward the Internet and their Self-directed English Learning Ability

  • Park, Kab-Yong;Sung, Tae-Soo;Joo, Chi-Woon
    • 한국컴퓨터정보학회논문지
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    • 제23권2호
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    • pp.117-123
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    • 2018
  • This article is to investigate the possibility that project-based classes introducing mobile phones can replace the monotony of traditional classes led by teachers as well as they can encourage students to take active part in the classes to some extent. The students in groups choose a genre for their own video projects (e.g., movie, drama, news, documentary, and commercial) and produce the video contents using a mobile phone for presentation made at the end of a semester. In the sense that the students are allowed to do video-based mobile phone projects, they can work independently outside of class, where time and space are more flexible and students are free from the anxiety of speaking or acting in front of an audience. A mobile phone project consists of around five stages done both in and outside of the classroom. All of these stages can be graded independently, including genre selection, drafting of scripts, peer review and revision, rehearsals, and presentation of the video. Feedback is given to students. After the presentation, students filled out a survey questionnaire sheet devised to analyze students' responses toward preferences and level of difficulty of the project activity. Finally, proposals are made for introduction of a better mobile phone-based project classes.