• Title/Summary/Keyword: Clinical stress

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A Clinical Report of Three Patients with Acute Stress Disorder, Post-Traumatic Stress Disorder Treated by Oriental Medical Treatments (급성 스트레스장애 및 외상후 스트레스장애의 한의학적 치료 3례)

  • Hwang, Jeong-Hyun;Ko, Jae-Sang;Bae, Jae-Ik;Koo, Byung-Soo;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.3
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    • pp.75-85
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    • 2011
  • Objectives : In this case report, we will present three patients diagnosed with acute stress disorder or post-traumatic stress disorder improved by application of oriental medical treatments. Methods : We treated three patients with acute stress disorder or post-traumatic stress disorder by oriental medical treatments. The effect of oriental medical treatments were evaluated by STAI and clinical symptoms such as anxiety, insomnia, palpitation, startle response. Results : As a result of oriental treatments, clinical symptoms such as anxiety, insomnia, palpitation, startle response were improved, and STAI scores also decreased. Conclusions : These results suggest that oriental treatments may have an effect on acute stress disorder and post-traumatic stress disorder.

The Trends in Clinical Trials about Effects of Acupuncture on Anxiety, Depression and Mental Stress - In Medline, Pubmedcentral & Oriental Medicine Journal since 2004 - (침치료가 불안, 우울 및 정신적 스트레스에 미치는 효과에 대한 임상시험 연구 경향 - 2004년 이후의 Medline, Pubmedcentral 논문 검색과 국내 한의학 학술지 중심으로 -)

  • Kang, Hee-Chul;Lee, Seung-Gi
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.137-148
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    • 2009
  • Objectives : The purpose of this study is to review the recent trends in the clinical trial studies that have been published since 2004. Methods : We reviewed the Medline & Pubmedcentral databases by using searching word of "acupuncture". Then 20 articles were selected within total 803 articles. In oriental medicine journals in Korea, we investigated 6 journals represented Korean Oriental medicine and chose 13 articles. Results & Conclusions : 1. We found 33 articles in journals. 2. The patterns of study were as follows: Randomized Controlled Trials(18), Single case series clinical study(9), Case-Control clinical study(4), Randomized crossover Trial(1) and Prospective Clinical analysis(1). 3. The fields of study were as follows: Combined anxiety, depression & other psychiatic symptoms(18), Stress & heart rate variablity(5), The single study of anxiety(5), The single study of depression(3), Stress & pupil variablity(1), Stress and heart rate & pupil variablity(1). 4. The methods of acupuncture were as follows: Acupuncture on points of 14 meridians(24), Auricular acupuncture(3), Electro acupuncture(2) and Both Auricular & Electro acupuncture(1). 5. Stomach meridian(足陽明胃經) and ST36(足三里) were used mostly.

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Impacts of Menstrual Attitudes, Premenstrual Syndrome and Stress on Burnout among Clinical Nurses (임상간호사의 월경태도, 월경전증후군, 스트레스가 소진에 미치는 영향)

  • Hwang, Ji-Hye;Sung, Mi-Hae
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.233-240
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    • 2016
  • Purpose: The purpose of this study was to investigate factors which effect clinical nurses' exhaustion. Methods: This research was conducted targeting 140 clinical nurses. Data were collected from 18 September to 30 September 2015. Data were analyzed using the program SPSS/WIN 18.0. Descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and Stepwise multiple regression analysis were used. Results: Burnout was significantly different by age (F=7.99, p=.001), marital status (t=8.69, p=.004), department area (F=7.65, p<.001), frequency of night work in a month (F=7.65, p=<.001), and clinical career (F=3.68, p=.028). There was positive correlations between menstrual attitudes of participants and premenstrual syndrome (r=34, p<.001), menstrual attitudes and stress (r=.40, p<.001), and menstrual attitudes and burnout (r=.16, p=.031). There were positive correlations between premenstrual syndrome and stress (r=.46, p<.001), between premenstrual syndrome and burnout (r=.35, p<.001), and between stress and burnout (r=.36, p<.001). Factors influencing burnout were premenstrual syndrome (${\beta}=.335$) and age (${\beta}=.216$), with an explanatory power of 18.0%. Conclusion: There is a need to develop and apply program for reducing clinical nurses' pre-menstrual syndrome. In addition, policies are needed to allow for menstruation leave, thereby making it legal.

The Effects of a Group Art Therapy on Job Stress and Burnout among Clinical Nurses in Oncology Units (집단미술치료가 암병동 간호사의 직무스트레스와 소진에 미치는 효과)

  • Jang, Ok Jeom;Ryu, Ui Jeong;Song, Hyun Jeong
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.366-376
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    • 2015
  • Purpose: The purpose of this study was to evaluate the effects of a group art therapy on decreasing job stress and burnout of clinical oncology nurses. Methods: The study was conducted using a non-equivalent control group, non-synchronized design with repeated measures. A total of 29 clinical oncology nurses participated in the study; 15 were assigned in the experimental group, and 14 in the control group. Data were collected from May to July, 2014. The study questionnaires were administered in three different time points (pretest, 8th week, and 12th week). Data were analyzed using $x^2-test$, Fisher's exact test, t-test, paired t-test, and repeated measures ANOVA. Results: The first hypothesis "the experimental group with group art therapy will have lower job stress than that of the control group" was support (F=7.88, p=.003). The second hypothesis, "the experimental group will have lower burnout than that of the control group" was not statistically supported (F=1.80, p=.188). Conclusion: The findings of the study indicated that the group art therapy for oncology nurses may positively influence in decreasing job stress, which open a venue for developing a nursing intervention with group art therapy for clinical nurses in future.

Effects of a Neonatal Nursing Practice Program on Students' Stress, Self-efficacy, and Confidence

  • Kim, Yunsoo;Park, Horan;Hong, Sung Sil;Chung, Hee Jin
    • Child Health Nursing Research
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    • v.24 no.3
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    • pp.319-328
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of a neonatal nursing practice program for nursing students on students' stress, self-efficacy, and confidence. Methods: A 1-group pre- and post- study design was used. The participants consisted of 64 nursing students who were in a pediatric nursing clinical practicum at a nursing college in Seoul from September 2015 to May 2016. The program consisted of 3 stages-orientation, practice, and debriefing-and was conducted for 3 hours during a 2-week period of the pediatric nursing clinical practicum. The dependent variables were neonatal nursing practice stress, self-efficacy, and confidence. Data were analyzed using the paired t-test, the Pearson correlation coefficient, the $x^2$ test, and descriptive statistics with SPSS for Windows version 22.0. Results: The neonatal nursing practice program was effective at decreasing clinical practice-related stress and increasing confidence and self-efficacy regarding neonatal nursing practice. Conclusion: The neonatal nursing practice program may effectively promote the integration of theoretical knowledge and practice. In the future, we propose to develop various educational programs that reinforce basic nursing skills for neonates as part of an effective pediatric nursing clinical practicum.

Suggested Clinical Reasoning Strategies Using a Mnemonic Device for Patients with Neurological Disorders (연상법을 이용한 신경계 환자의 임상적 추론 전략 제안)

  • Woo, Young-Keun
    • PNF and Movement
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    • v.17 no.1
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    • pp.145-156
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    • 2019
  • Purpose: This study suggests clinical reasoning strategies for therapists with little experience in clinical reasoning for the evaluation and treatment of patients with neurological disorders. Methods: The suggested method was the mnemonic PT STRESS whose initials represent the body structure and functions that can affect the activity limits and the items that can cause problems at the functional level in patients with neurological disorders. Results: PT STRESS stands for pain (P), ability of the trunk (T), sensation (S), tone (T), range of motion (R), emotion and endurance (E), muscular strength (strength), and stability (S). It tests and measures problems in the body structure and functions. Conclusion: This study suggests easy clinical reasoning strategies that can be used by therapists who have insufficient experience in the evaluation or treatment of patients with neurological disorders. However, more factors need to be considered in the future with regard to clinical reasoning of the diverse problems of patients with neurological disorders.

Effects of clinical practice and major satisfaction of dental hygiene students on career preparation behavior (치위생(학)과 학생들의 임상실습과 전공만족도가 진로준비행동에 미치는 영향)

  • Kim, Soo-Kyung;Kang, Ri-U;Kim, Eun-Yong;Moon, Jung-Eun;Jang, Ji-Hee;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.2
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    • pp.239-251
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    • 2018
  • Objectives: The purpose of this study was to investigate the effects of dental hygiene students' clinical practice stress, satisfaction and major satisfaction on career preparation behaviors. Methods:This study was conducted targeting the dental hygiene students who have clinical practice experience. The final 305 subjects were analyzed using SPSS 22.0 program. Results: The correlation between clinical practice stress and career satisfaction and career preparation behavior decreases with the higher degree of clinical practice and career preparation behavior. Analysis results about the affecting factors on the level of satisfaction with major satisfaction factors showed the highest factor of preparation behavior, followed by clinical practice and clinical practice stress in order. Analysis results about the affecting factors on the showed the highest factor of preparation behavior, followed by clinical practice and clinical practice stress in order. Conclusions: The results of this study showed that the higher the satisfaction of clinical practice and the higher the satisfaction of career, the more positive the career preparation behavior. Therefore, it's recommended to support continuous education programs to be coherent with dental hygiene student's career preparation behavior based on reinforcing individual competency by obtaining self-confidence and satisfaction from clinical practice.

The Relationship between Anxiety, Anger and Fatigue among Stress factor of Nursing Students in Clinical Practice (간호학생들의 임상실습시 스트레스에 따른 불안, 분노 및 피로경험)

  • Han, San-Young;Lee, Young-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.2
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    • pp.554-561
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    • 2012
  • The purpose of this study was to identify the relationship between anxiety, anger and fatigue among stress factor in clinical practice of nursing students. The subjects were 197 nursing students who have practiced at the hospital in T city. Data was analyzed by using descriptive statistics, ANOVA, t-test and pearson's correlation coefficient. The mean score for stress was 3.82. The mean score for anxiety was 48.82. The mean score for anger was 1.17. The mean score for fatigue was 30.96. The factor of stress was a significant difference of anxiety according to conference, theory and practice, satisfaction of clinical practice. The factor of stress was a significant difference of anger according to report, theory and practice, orientation, nurse, environment. The factor of stress was a significant difference of fatigue according to conference, orientation, environment, patient relationship. In results, This study revealed that there was a significant correlation among stress, anxiety, anger and fatigue of nursing students in clinical practice.

Role Stress, Organizational Commitment and Job Involvement in Clinical Nurses (임상간호사의 역할스트레스, 조직몰입, 직무몰입의 관계)

  • 이명하
    • Journal of Korean Academy of Nursing
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    • v.26 no.2
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    • pp.467-482
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    • 1996
  • This study was carried out to measure the degree of organizational commitment, job involvement, and role stress of clinical nurses, and to identify the relationships among personal characteristics, role stress, organizational commitment and job involvement in clinical nurses. The subjects were consisted of 412 nurses who were working at three General Hospitals in Chonbuk. The data were collected by self-reporting questionnaire from Sept. 20 to Sept. 31, 1995. The instruments used in this study were Organizational Commitment Scale developed by Mowday et al. and Job Involvement Scale developed by Kanungo. The role stress was measured by the scale developed by Rizzo( : role conflict, role ambiguity) and Beehr( : role overload). T-test, one-way ANOVA, Scheffe test and pearson's correlation coefficient were used for data ana1isis. Major findings were as follows : 1. Mean scores for organizational commitment were 3.008, job involvement 3.074, and role stress 2. 815( :role conflict 2.802, role ambiguity 2.253, role overload 3.294) on a 5 point scale. 2. All of personal characteristics were significantly related to the level of organizational commitment : age(r=.481, p=.000), clinical experience(r= .479, p=.000), educational level(t=4.11, p= .000), position(F=30.867, p=.000), marital status(t=-5.63, p=.000) and hospital agency (F=21.374, p=.000). 3. All of personal characteristics were significantly related to the level of job involvement : age(r= .381, p=.000), clinical experience(r=.393, p= .000), educational level(t=3.72, p=.000), position(F=18.004, p=.000), marital status(t=-4. 91, p=.000) and hospital agency(F=39.441, p= .000). 4. There was a negative relationship between role stress and organizational commitment(r=-.519, p=.000). 5. There was a negative relationship between role stress and job involvement(r=-.256, p=.000). 6. There was a positive relationship between organizational commitment and job involvement (r=.591, p=.000).

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Effects of Type D Personality on Compassion Fatigue, Burnout, Compassion Satisfaction, and Job Stress in Clinical Nurses (Type D 성격 유형에 따른 간호사의 공감 피로, 소진, 공감 만족 및 직무 스트레스)

  • Kim, Sung Reul;Kim, Hye Young;Kang, Jeong Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.3
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    • pp.272-280
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    • 2014
  • Purpose: This study was done to identify the effects of Type D personality on compassion fatigue, burnout, compassion satisfaction, and job stress in clinical nurses. Methods: A descriptive cross-sectional design was used. Data were collected from a convenience sample of 172 clinical nurses working in two tertiary hospitals. The structured questionnaires included Type D personality scale, compassion fatigue, burnout, compassion satisfaction, and job stress scales. Results: About 79.7% of participants were classified as Type D personality group. The Type D personality was not related to general characteristics of clinical nurses. The Type D personality group showed statistically significant higher compassion fatigue, burnout, and job stress and lower compassion satisfaction compared to the non-Type D personality group. In addition, compassion fatigue and burnout were positively correlated with job stress and compassion fatigue was positively correlated with burnout. However, compassion satisfaction was negatively correlated with burnout. Conclusion: As the prevalence of Type D personality is high in clinical nurses, it is necessary to assess stress-related personality. In addition, management for the nurse with Type D personality is required to alleviate compassion fatigue, burnout, and job stress and to improve compassion satisfaction.