• 제목/요약/키워드: Anxiety-management

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Effects of Doin Gigong Exercise on Recovery from Facial Paralysis, Pain and Anxiety of Bell's palsy Patients (도인기공체조(導引氣功體操)가 구안와사(口眼喎斜)환자의 안면마비 회복정도, 통증 및 불안에 미치는 효과)

  • Sin, Mi Sook;Kim, Yi Soon;Lee, Mi Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.52-62
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    • 2012
  • Purpose: This study was done to evaluate the effects of Doin Gigong Exercise on the Recovery from Facial Paralysis, pain and anxiety in patients with Bell's palsy. Methods: A nonequivalent control group posttest-only non-synchronized design was used for this study. Participants were contacted at the oriental medicine ward of D hospital in Busan and assigned to either the experimental group (25) or control group (25). Collected data were analyzed for changes in recovery from facial paralysis, in pain and in anxiety between pre and post Doin Gigong Exercise. Data analysis was done using t-test, Fisher's exact test, $x^2-test$ with the SPSS 12.0 Win program. Results: There were significant decreases in the lip paralysis status pain and in anxiety between pre and post Doin Gigong Exercise. Conclusion: The results indicate that Doin Gigong Exercise is effective for patients with Bell's palsy to decrease lip paralysis, pain and anxiety and therefore, an effective intervention for use with patients with Bell's palsy.

The Effects of Visual Information on Anxiety and Uncertainty in Elderly Patients after the Total Knee Arthroplasty (시각적 정보제공이 슬관절 전치환술 노인 환자의 수술 후 불안과 불확실성에 미치는 효과)

  • Ryu, Kyung;Cho, Sook-Hee
    • Journal of muscle and joint health
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    • v.22 no.1
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    • pp.48-56
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    • 2015
  • Purpose: The purpose of this study was to verify the effects of visual information on nursing management to elderly total knee arthroplasty (TKA) patients. Methods: A quasi-experimental study with a non-equivalent control group pretest-posttest design was used in this study. Participants of this study were 60 elderly patients with TKA admitted to one hospital: the control group (30) between July and September, 2013, and the experimental group (30) between April and July, 2013. Anxiety and uncertainty were determined at baseline and at 3 days after TKA in both groups. Results: Two days after the visual information, the experimental group showed a significant decrease in anxiety and uncertainty compared with the control group. Conclusion: The results of this study show that providing visual information was effective in decreasing postoperative patient anxiety and uncertainty in elderly TKA patients. Therefore, when an elderly patient is hospitalized for TKA, positive and systematic provision of visual information may provide a positive effect by reducing postoperative patient anxiety and uncertainty.

Relationships between Anxiety, Depression, Low Anterior Resection Syndrome, and Quality of Life Following Lower Anterior Resection for Rectal Cancer (저위전방절제술을 받은 직장암 환자의 불안, 우울, 저위전방절제증후군, 삶의 질과의 관계)

  • Lee, Eun;Kim, Keum Soon
    • Perspectives in Nursing Science
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    • v.11 no.1
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    • pp.74-85
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    • 2014
  • Purpose: The purpose of this study was to investigate the relationships between anxiety, depression, low anterior resection syndrome, and quality of life after lower anterior resection for rectal cancer. Methods: The participants of this study were 105 rectal cancer patients who visited the outpatient department of a hospital in Seoul for treatment or follow-up consultations. Data were collected using self-reported questionnaires and clinical records. To measure the variables, the Hospital Anxiety and Depression Scale, Low Anterior Resection Syndrome Score, and Quality of Life Questionnaire-Core 30 were utilized. Data were subsequently analyzed using the SPSS/WIN 20.0 program. Results: Low anterior resection syndrome was more severe among patients whose cancer was located closer to the anus, and had a greater range of resection in those who received neoadjuvant treatment. When anxiety, depression, and low anterior resection syndrome score were higher, quality of life scores were lower. Conclusion: These results suggest that low anterior resection syndrome may negatively impact quality of life. Therefore, it is necessary to provide patients with symptom management support/assistance through evidence-based nursing interventions, and evaluations of low anterior resection syndrome to relieve anxiety and depression, and thus enhance quality of life.

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The Influence of Career Identity, Job-seeking Stress, Self Control on Test Anxiety in Nursing Students (간호대학생의 진로정체감, 취업스트레스, 자기통제력이 시험불안에 미치는 영향)

  • Yeom, Eun Yi;Seong, Ji A
    • The Journal of Korean Society for School & Community Health Education
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    • v.17 no.2
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    • pp.57-69
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    • 2016
  • Objectives: This study examined the relationships among career identity, job-seeking stress, self control, and test anxiety in nursing students. Methods: Data were collected through self reported structured questionnaire form nursing students using convenient sampling methods form November 15 to December 10, 2015. The data were analyzed with SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation, and stepwise multiple regression. Results: Factors that had an influence on test anxiety included job-seeking stress(${\beta}=0.40$ p<0.001), career identity(${\beta}=-0.17$, p=0.010), fourth grade(${\beta}=-0.14$, p=0.020). These factors together explained 25% of the test anxiety in nursing students(F=25.48, p<0.001). Conclusion: The findings of this study indicate that job-seeking stress management strategies and academic career identity enhancement programs should be developed to reduce test anxiety in nursing student and that further study should be done on the effects of such programs.

Relationships among Lifestyle, Depression, Anxiety, and Reproductive Health in Female University Students (여대생의 생활습관과 우울, 불안 및 생식건강과의 관계)

  • Nho, Ju-Hee;Yoo, Sung-Hee
    • Women's Health Nursing
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    • v.24 no.1
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    • pp.80-89
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    • 2018
  • Purpose: To identify relationships among lifestyle, psychological distress, and reproductive health in female university students. Methods: We used a descriptive cross-sectional design. A total of 275 subjects were enrolled. Subjects agreed to undergo a face-to-face interview, including administration of structured questionnaires to determine health promotion lifestyle profile II (HPLP-II), depression anxiety stress scale for depression and anxiety (DASS-D, DASS-A), and reproductive health (knowledge, attitude, behavior, menstruation irregularity, dysmenorrhea, and gynecologic symptoms). Results: The mean age of subjects was 21.2 years. Those with low HPLP-II score showed significantly high menstruation irregularity. Those with high depression and anxiety had significantly high reproductive symptoms. In addition, high HPLP-II score was correlated with low depression, anxiety, and high reproductive health. Conclusion: The life style of female university students is associated with depression, anxiety, and reproductive health. To improve female university students' reproductive health, life style interventions including healthy nutritional habit, physical activity, and stress management are important.

Effects of the Neurofeedback Program on Psychogenic Factors in Breast Cancer Patients (뉴로피드백 훈련이 유방암 환자의 심인성 변화에 미치는 영향)

  • SeungKeun Oh;JaeCheol Park
    • Journal of Korean Physical Therapy Science
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    • v.30 no.4
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    • pp.44-53
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    • 2023
  • Background: This report determines the effects of a neurofeedback program on patients with breast cancer through a study of psychogenic factors(distress, depression, anxiety). Design: Randomized controlled trial. Methods: The study selected 28 patients with breast cancer and divided them into two groups: 14 subjects in the neurofeedback program group and 14 subjects in the exercise intervention program group. Both groups conducted one-and-hour training per session five times a week for a total of five weeks. The experimental group performed neurofeedback, and the control group performed a exercise intervention. The distress was measured using the distress management Test. Beck's Depression Inventory was used to measure depression. Beck's Anxiety Inventory was used to measure Anxiety Results: Both the experimental and control groups showed significant differences in distress, depression, and anxiety after the intervention (p<0.05) in the within-group comparisons. It was found that the experimental group showed more significant differences in distress, depression, and anxiety than the control group (p<0.05) when the two groups were compared. Conclusion: The results obtained in this study show that the neurofeedback program had a positive effect on distress, depression, and anxiety of life in patients with breast cancer. The study thereby proposes that the neurofeedback program should be applied as an intervention method for clinical use on patients with breast cancer.

Association of Depressive/Anxiety Symptoms with Ego Resilience and Social Conflict/Support in Patients with Diabetes Mellitus (당뇨병 환자에서 우울 및 불안증상과 자아탄력성, 사회적 갈등 및 지지 사이의 연관성)

  • Jung, Hoe-Woon;Kim, Sang Hoon;Park, Sang Hag;Kim, Seung-Gon;Kim, Jung Ho;Seo, Eun Hyun;Yoon, Hyung-Jun
    • Anxiety and mood
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    • v.16 no.1
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    • pp.9-17
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    • 2020
  • Objective : The purpose of this study was to investigate the association of depressive/anxiety symptoms with psychosocial factors including ego resilience, social conflict, and social support as well as hemoglobin A1c in patients with diabetes mellitus (DM). Methods : The subjects were 144 patients with DM. Depressive/anxiety symptoms were evaluated by the Hospital Anxiety and Depression Scale. Sociodemographic factors, hemoglobin A1c, ego resilience, social conflict, and social support were measured. Multiple regression analyses were performed to examine the impact of hemoglobin A1c, ego resilience, social conflict, and social support on depressive/anxiety symptoms. Results : A total of 32.6% and 24.3% of participants were identified with depressive and anxiety symptoms, respectively. Depressive/anxiety symptoms positively correlated with the social conflict score. Conversely, ego resilience and social support negatively correlated with depressive/anxiety symptoms. In the final model of the multiple regression analyses, ego resilience was associated with a lower level of depressive (β=-0.083, p=0.019)/anxiety (β=-0.125, p=0.001) symptoms whereas social conflict was related to a higher level of depressive (β=0.353, p=0.011)/anxiety (β=0.460, p=0.003) symptoms. Also, hemoglobin A1c positively associated with anxiety symptoms (β=0.495, p=0.012) whereas social support negatively related to depressive symptoms (β=-0.464, p=0.004). Conclusion : We found possible risk and protective psychosocial factors of underlying depressive/anxiety symptoms among patients with DM. Our findings suggest that enhancing ego resilience and social support as well as decreasing social conflict would be crucial in the prevention and management of depressive/anxiety symptoms in patients with DM.

Health-Related Quality of Life, Depression and Anxiety in Hospitalized Patients with Tuberculosis

  • Santos, Ana Paula Cere dos;Lazzari, Tassia Kirchmann;Silva, Denise Rossato
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.1
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    • pp.69-76
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    • 2017
  • Background: Much of the attention of tuberculosis (TB) programs is focused on outcomes of microbiological cure and mortality, and health related quality of life (HRQL) is undervalued. Also, TB patients have a significantly higher risk of developing depression and anxiety compared with those in the general population. We intend to evaluate the HRQL and the prevalence of symptoms of depression and anxiety in hospitalized patients with TB. Methods: Cross-sectional study in a tertiary care hospital in Brazil. Adult patients with pulmonary TB that were hospitalized during the study period were identified and invited to participate. HRQL was measured using the Medical Outcomes Study Short Form-36 (SF-36) version 2. Hospital Anxiety and Depression Scale (HADS) was used to record symptoms of anxiety and depression. Results: Eighty-six patients were included in the analysis. The mean age of all patients was $44.6{\pm}15.4$ years, 69.8% were male, and 53.5% were white. Thirty-two patients (37.2%) were human immunodeficiency virus positive. Twenty-seven patients (31.4%) met study criteria for depression (HADS depression score ${\geq}11$) and 33 (38.4%) had anxiety (HADS anxiety score ${\geq}11$). Scores on all domains of SF-36 were significantly lower than the Brazilian norm scores (p<0.001). Conclusion: The present study shows that TB patients may have a poor HRQL. Additionally, we found a possible high prevalence of depression and anxiety in this population. Health care workers should be aware of these psychological disorders to enable a better management of these patients. The treatment of these comorbidities may be associated with better TB outcomes.

Effects of pain catastrophizing and anxiety on analgesic use after surgical removal of impacted mandibular third molars

  • Altan, Ahmet;Akkoc, Sumeyra;Erdil, Aras;Colak, Sefa;Demir, Osman;Altan, Halenur
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.6
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    • pp.379-388
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    • 2019
  • Background: In dentistry, pain is a factor that negatively affects treatments and drug use. The aim of this study was to evaluate the correlations of the postoperative analgesic use with pain catastrophizing and anxiety in patients who underwent removal of an impacted mandibular third molar. Methods: We recruited 92 patients who underwent the extraction of impacted mandibular third molar. In this study, the Pederson index was used to preoperatively determine the difficulty of surgical extraction. Patients were asked to note the number of analgesics used for 7 postoperative days. Patients were divided into two groups based on the Pain Catastrophizing Scale: low and high score groups. State-Trait Anxiety Inventory-trait and State-Trait Anxiety Inventory-state questionnaires were used to determine the anxiety levels of the patients. The obtained data were examined to evaluate the correlations of pain catastrophizing and anxiety with the postoperative analgesic use. Results: In this study, 92 patients, including 60 women and 32 men, were recruited. The analgesic use was higher in women than in men but with no significant difference (P > 0.05). Pain Catastrophizing Scale scores were higher in women than in men but with no significant difference (P > 0.05). The analgesic use was higher in patients with high pain catastrophizing than in those with low pain catastrophizing but with no significant difference (P > 0.05). State-Trait Anxiety Inventory-trait scores were higher in women than in men but with no significant difference. However, state-Trait Anxiety Inventory-state scores were significantly higher in women than in men (P < 0.05). Conclusion: The postoperative analgesic use may be higher in patients who catastrophize pain than in others. Knowing the patient's catastrophic characteristics preoperatively would contribute to successful pain management and appropriate drug selection.

The Effects of Adolescents' Social Anxiety on Their Internet Game Flow : Moderating Effect of Self-Discrepancy (청소년의 사회불안이 인터넷 게임 몰입에 미치는 영향 : 자기불일치의 중재효과를 중심으로)

  • Lim, Kang Hee;Kim, Jung Min;Jung, Hye Kyung
    • Journal of Families and Better Life
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    • v.34 no.3
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    • pp.85-94
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    • 2016
  • The study aims to investigate the effects of social anxiety and self-discrepancy on the internet game flow of adolescents, and to explore the moderating effect of self-discrepancy on the relationship between social anxiety and internet game flow. For this purpose, questionnaires on social anxiety, self-discrepancy and internet game flow were administered to 900 middle and high school students in the Gyeonggi region. The data were analyzed through frequency analysis, t-test, Pearson's correlation analysis, stepwise multiple regression analysis, and hierarchical regression analysis using SPSS Win 21. The major findings of the research are as follows. First, social anxiety and internet game flow of adolescents showed a significant difference by gender. The level of social anxiety was higher for girls than that of boys, while the level of internet game flow was higher for boys than that of girls. Self-discrepancy showed a significant difference by grade. The level of self-discrepancy was higher for middle school students than high school students. Second, self-discrepancy was the most significant predictor of the internet game flow in adolescents. Also, gender and social anxiety were significant predictors. Third, the moderating effect of self-discrepancy was found in the relationship between social anxiety and internet game flow in adolescents.