• 제목/요약/키워드: Clinical Practice Anxiety

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한방신경정신과 영역의 수면장애 관련 연구현황 (The Current Status about Sleep Disorder in the Journal of Oriental Neuropsychiatry for Evidence Based Medicine)

  • 정진형;하지원;김보경
    • 동의신경정신과학회지
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    • 제23권4호
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    • pp.11-36
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    • 2012
  • Objectives : Sleep Disorders are very common in clinical stages and there are many reports and papers regarding this subject. I try to understand the present state of sleep research in JON (The Journal of Oriental Neuropsychiatry) for the benefits of clinical practice. Methods : We searched and read every article on JON from 1990 to 2012 and selected ones that are related to Sleep Disorder; then analyzed the data to 5 categories, like literature study, case study, Clinical Data-Analysis study, experimental study, and clinical trial. Results : 1. We Found 41 articles relating to sleep disorder in JON form 1999 to 2012, and there were 9 literature studies, 13 case studies, 13 Clinical Data-Analysis studies, 4 experimental studies, and 2 clinical trials. 2. There were Sa-Am Acupuncture Method, Pharmacopuncture, electroacupuncture, and Auricular acupuncture to treat Sleep Disorder. 3. There were many additional treatments like Purgative Therapy, etc. 4. They reported the ordinary sleep pattern of Soeumin and Soyangin, too. 5. In the experimental study, they reported several herbs, herbal prescription on the expression of melatonin receptors, and Punsimgeimgamibang on insomnia, anxiety, emotionality in rats. 6. There were 2 clinical trials, one for Hwabyung-patient with insomnia by acupuncture treatment and another for insomnia in the elderly by ETF-I program. 7. There were 2 case of other sleep disorder (enuresis, sleepwalking) and 2 literature study of dream. Conclusions : In JON regarding sleep disorder, the majority was due to insomnia. Therefore, we also have to expand our sight into other sleep diseases. We need more clinical trials and experimental researches for the construction of EBM Sleep Disorder in Oriental Neuropsychiatry.

임상치과위생사의 직업인식 및 직업윤리 의식정도 (The levels of the vocational awareness and the professional ethics recognition in clinical dental hygienists)

  • 이선미;천석연
    • 한국치위생학회지
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    • 제17권3호
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    • pp.515-526
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    • 2017
  • Objectives: This study was carried out for the purpose of examining the levels of vocational awareness and the professional ethics recognition in the clinical dental hygienists. Methods: A survey was conducted targeting 500 members who participated in the supplementary education program for dental hygienists in the first half of 2017. Total 328 subjects' materials were analyzed. Results: A reason for working in terms of the occupational identity was very high with 81.4% in 'aiming to earn money'. A goal of working was the highest with 41.5% in 'financial independence'. The professional ethics approach level was indicated to be the highest with 3.33 points in the domain of human relation. It was shown to be in order of the job satisfaction level with 3.21 points, followed by the lifelong working with 3.17 points, the vocational ethics observance with 2.95 points, the workplace satisfaction level with 2.82 points, and the job anxiety level with 2.65 points. The domain in the job anxiety level according to general characteristics was indicated to be significantly high in the higher age and work career in case of the married and in case of Seoul as a workplace. The domain in the professional ethics observance was shown to be significantly high in the higher work career in case of the married and in case of Gyeonggi Province as a workplace. The domain in the lifelong working was indicated to be significantly high in case of the married. Conclusions: For the establishment of the right professional ethics as a dental hygienist and for the securement of its practice starting from the education for the dental hygiene department, the development of educational program will be needed aiming at the approach to the professional ethics and the reinforcement in the vocational ethics recognition.

A comparative study on eating habits and mental health of Korean middle school students according to their bedtime across regions: using data from the 2020-2022 Korea Youth Risk Behavior Survey

  • Sarim Kim;Jiyoung Jeong;Juyeon Kang;Jihye Kim;Yoon Jung Yang
    • Nutrition Research and Practice
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    • 제18권2호
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    • pp.269-281
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    • 2024
  • BACKGROUND/OBJECTIVES: The objective of this study was to compare dietary habits and mental health among middle school students in urban and rural areas based on bedtime, and to provide evidence supporting appropriate bedtime for Korean middle school students in relation to their healthy dietary habits and mental well-being. SUBJECTS/METHODS: The study population consisted of 25,681 second-year middle school students who participated in the Korea Youth Risk Behavior Survey in 2020-2022. Participants were asked about their bedtime and wake-up time during the past 7 days and were classified into five categories. The study compared the general characteristics, academic factors, dietary habits, and mental health of urban and rural students based on their bedtime. RESULTS: Bedtime was found to be later in the following order: urban female students, rural female students, urban male students, and rural male students. As bedtime got later, the rates of smoking and alcohol consumption increased. Students who went to bed before 11 p.m. had lower academic performance, while rural male students who went to bed after 2 a.m. had lower academic performance. Later bedtime was associated with increased smartphone usage, skipping breakfast, consuming fast food, and drinking carbonated beverages. Later bedtime was also associated with higher perceived stress levels, particularly among students who went to bed after 2 a.m., higher rates of suicidal ideation, experiencing sadness and despair, as well as the prevalence of clinically significant anxiety disorders. CONCLUSION: These results suggest that middle school students who go to bed too late have higher rates of smoking and alcohol drinking, as well as unhealthy eating habits, stress, suicidal ideation, sadness, and anxiety. Therefore, it is necessary to provide educational and social institutional support to promote adequate sleep for the health of adolescents.

Novel dental anesthetic and associated devices: a scoping review

  • Kyung Hyuk Min;Zac Morse
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제24권3호
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    • pp.161-171
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    • 2024
  • The efficient management of pain and discomfort is essential for successful dental treatment and patient compliance. Dental professionals are commonly evaluated for their ability to perform treatment with minimal patient discomfort. Despite advancements in traditional local dental anesthesia techniques, the pain and discomfort associated with injections remain a concern. This scoping review aims to provide a comprehensive overview of the literature on novel dental anesthetics and associated devices designed to alleviate pain and discomfort during dental procedures. The Joanna Briggs Institute and the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews guidelines were used to prepare the review. Six databases and two sources of gray literature were searched. This review analyzed 107 sources from 1994 to 2023. Local anesthesia devices were grouped into computer-controlled local anesthetic delivery (CCLAD) systems, intraosseous anesthesia (IOA), vibratory stimulation devices, and electronic dental anesthesia (EDA). CCLAD systems, particularly the Wand and Single-Tooth Anesthesia, have been the most researched, with mixed results regarding their effectiveness in reducing pain during needle insertion compared to traditional syringes. However, CCLAD systems often demonstrated efficacy in reducing pain during anesthetic deposition, especially during palatal injections. Limited studies on IOA devices have reported effective pain alleviation. Vibrating devices have shown inconsistent results in terms of pain reduction, with some studies suggesting their primary benefit is during needle insertion rather than during the administration phase. EDA devices are effective in reducing discomfort but have found limited applicability. These findings suggest that the CCLAD systems reduce injection pain and discomfort. However, the evidence for other devices is limited and inconsistent. The development and research of innovative technologies for reducing dental pain and anxiety provides opportunities for interdisciplinary collaboration and improved patient care in dental practice.

간호학생의 임상실습경험 (A Study of the Clinical Experience of Nursing Students)

  • 손수경;정복례;정승은;박진미;이수연
    • 한국간호교육학회지
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    • 제3권
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    • pp.59-77
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    • 1997
  • Nursing students have identified the clinical experience as one of the hardest and most anxiety producing components of their nursing program. Nurse educators play a critical role in assisting students to apply their knowledge skillfully in the clinical area. In order to help students through their clinical experience, faculty must first understand more fully the meaning of this experience for nursing students. A phenomenological study was conducted to explore the actual reality of the nursing students' clinical experience. The research was done through indepth interviews. Fifteen Pusan senior nursing students who had completed their clinical practice described their experiences. The data were collected during the period from October 1994 to January 1995. The data were analyzed by Colaizzi's method of phenomenological analysis. Six theme clusters emerged : the experience of emotional difficulties ; the experince of physical diffuculties ; the perception of deficiencies of knowledge and skill ; the disappointments and regrets perceived during the experience ; the awareness of various sources of joy and gratitude ; the experience of personal growth. The results of this study enable us to understand nursing students better. Also through these results, we should be better placed to help nursing students during their clinical experience and to help their gain more from this experience.

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간호학과 편입생의 체험 (The Lived Experience of a Student Transferring into the Nursing Program)

  • 신경림;차은정;김영혜
    • 대한간호학회지
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    • 제33권6호
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    • pp.722-730
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    • 2003
  • Purpose: This study attempted to describe the essential structure of the lived experience of a students transferring into the nursing program. Method: The data was collected from 14 graduates and undergraduates who enrolled in nursing school as transfer student. The analysis of the data was made by phenominological analytic method suggested by Colaizzi(1978). Result: In this study, 6 essential themes were extracted: ‘Constant anxiety of being a stranger’, ‘Feeling of constant burden’, ‘Thankfulness of a clinical practice group’, ‘Being supportive with each other between transferring students’, ‘Pleasure of studying a desired major’, ‘Feeling the responsibility of own choice of a new major’, Conclusion: With rapidly increasing number of transferring students, the significance of this study in the field of nursing is that by understanding the transferring experience of nursing students, it describes the need of systematic and emotional support for transferring students.

한국어판 치과 불안 및 공포 지수의 타당도와 신뢰도 (Validity and Reliability of the Korean Version of the Index of Dental Anxiety and Fear)

  • 임은정;임순연
    • 치위생과학회지
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    • 제17권1호
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    • pp.20-29
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    • 2017
  • 본 연구는 $IDAF-4C^+$를 국내 실정에 적절하게 적용할 수 있도록 수정 보완하여, 치과 방문 환자의 치과 불안 정도를 평가할 수 있는 도구를 개발하고 타당도와 신뢰도를 평가하고자 시행하였다. 치과 불안 및 공포 원 도구 23문항을 번역한 후 번역 정확도, 내용분석 및 내용타당도 검증을 통하여 3문항을 삭제하고 14문항을 수정하여 총 20문항을 분석하였다. 연구 결과 탐색적 요인분석에 의한 요인 적재량이 0.4 이하인 1개의 문항이 삭제되었으며, 선행연구의 이론구조에 맞지 않게 적재된 1개의 문항이 삭제된 결과 18문항들이 추출되었다. 치과 불안 및 공포 측정 도구의 하위요인으로는 치과 불안, 공포, 자극으로 구분되었다. 또한 확인적 요인분석을 통한 측정 도구의 각 하위별 적합지수를 충족시키기 위해 4개 문항이 삭제되어, 최종 3개의 하위요인의 14문항으로 구성된 측정 모델의 적합도는 기준을 충족하였다. 모든 요인의 개념신뢰도, 표준화 회귀 계수값이 일반적 기준을 충족시켜 집중타당도가 입증되었다. 모든 요인의 평균분산추출값은 각 요인 간 상관관계 제곱값보다 크게 나타나 판별타당도도 입증되었다. 내적일관성을 검증한 결과 Cronbach's ${\alpha}$는 치과 불안 항목 0.920, 공포 항목 0.613, 자극 항목 0.866으로 나타나 신뢰할 만한 수준의 측정도구임을 나타냈다. 한국어판 $IDAF-4C^+$의 타당도와 신뢰도는 적합하다고 검증되었다. 향후 국내 환자의 치과 불안 및 공포 조절 도구로 임상과 연구에 활용되어 구강건강 증진에 도움을 줄 수 있을 것으로 생각된다.

임상간호연구 게재논문 분석: 2009년부터 2015년까지 (Bibliographic Analysis of Articles Published in Journal of Korean Clinical Nursing Research from 2009 to 2015)

  • 김연희;정금희;권인각;김광성;문성미;이정림;박영아
    • 임상간호연구
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    • 제23권1호
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    • pp.73-82
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    • 2017
  • Purpose: The aim of this study was to identify bibliographic characteristics and research trends of articles published in the Journal of Korean Clinical Nursing Research from 2009 to 2015. Methods: Descriptive statistics were used to analyze 268 articles. Bibliographic characteristics, appropriateness of methods for quantitative and qualitative studies, and key concepts of articles were analyzed. Results: A clinical nurse was the first author for 184 (66.7%) articles. The number of collaborative works between hospital and university was 184 (68.7%). Study participants were patients (120, 38.1%), nurses (115, 36.5%) and others. IRB approval was given for 156 articles (58.2%). Written informed consent was obtained in 125 articles (46.7%). Quantitative research accounted for 98.6% of the articles but qualitative studies only 4 (1.4%). Types of interventions in the experimental studies were nursing skills (43, 42.6%) and health education (32, 31.7%). Major keywords were nurses, pain, knowledge, intensive care unit, anxiety, depression, fatigue, and stress. Conclusion: Articles in this journal deal with topics and concepts confronted in nursing practice so experimental studies on applicability of nursing interventions were frequently published. Findings in this study indicate that the authors published in the journal contribute to the development of nursing with characteristics distinctive from other nursing journals published in Korea.

산후혈풍탕을 포함한 한방치료로 호전된 산후다한 치험 3례 (Three Cases of Postpartum Hyperhidrosis Patients Treated with Korean Medical Treatment Including Sanhuhyulpung-tang)

  • 윤효원;황덕상;이창훈;장준복;이진무
    • 대한한방부인과학회지
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    • 제36권3호
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    • pp.211-225
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    • 2023
  • Objectives: The purpose of this study is to report the effects of Korean medical treatment including Sanhuhyulpung-tang on three postpartum patients who suffered from hyperhidrosis. Methods: We treated three patients complained of postpartum symptoms including hyperhidrosis. The patients were treated by Traditional Korean Medicine including herbal medicine, acupuncture, moxibustion, and cupping therapy. Sanhuhyulpung-tang is a herbal medicine prescription which is used in clinical practice for the treatment of postpartum sweating, anxiety, flushing, and joint pain. Three patients were hospitalized for treatment for 6, 8, and 19 days respectively. During hospitalization, patients took Sanhuhyulpung-tang three times a day, and acupuncture, moxibustion, and cupping were performed once a day. To evaluate the degree of improvement, we used VAS score of the patient's chief complaint during hospitalization. Results: After the treatment, symptoms including hyperhidrosis were improved. The degree of excessive sweating decreased to 30% in two patients, and 55% in one patient. Combined symptoms including lower coldness, burning sensation, chilling, and multiple site pain also improved on discharge day. Conclusions: This case report shows that Korean medicine treatment including Sanhuhyulpung-tang can improve postpartum symptoms including hyperhidrosis.

Influence of Religious Beliefs on the Health of Cancer Patients

  • Tsai, Tai-Jung;Chung, Ue-Lin;Chang, Chee-Jen;Wang, Hsiu-Ho
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권4호
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    • pp.2315-2320
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    • 2016
  • Background: This study investigated the influence of religious beliefs on the health of cancer patients and identified the factors contributing to the influence. Materials and Methods: A questionnaire survey was conducted using a convenient sampling method. A structured questionnaire was used to the samplings, and the data of 200 cancer patients were collected. Results: The effects of religion on the health of cancer patients achieved an average score of 3.58. The top five effects are presented as follows: (a) Religion provides me with mental support and strength, (b) religion enables me to gain confidence in health recovery, (c) religion motivates me to cope with disease-related stress positively and optimistically, (d) religion helps me reduce anxiety, and (e) religion gives me courage to face uncertainties regarding disease progression. Moreover, among the demographic variables, gender, type of religion, and experience of religious miracles contributed to the significantly different effects of religion on patients. Specifically, the effect of religion on the health of patients who were female and Christian and had miracle experiences was significantly (p< .01) higher than that on other patients. Conclusions: These results are helpful in understanding the influence of religious beliefs on the health of cancer patients and identified the factors contributing to the influence. The result can serve as a reference for nursing education and clinical nursing practice.