• 사상체질의학회지
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• 제36권1호
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• pp.13-30
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• 2024

Objectives This study aimed to analyze the influence of various sleep-related factors that affect sleep quality by each Sasang type. Methods A total of 400 subjects were included for this study, 108 males and 292 females. Sasang type was diagnosed using the SCAT. Then, the characteristics of each Sasang type were analyzed using HRV, DITI, and PSQI, PSS, and SDFI questionnaires. Logistic regression analysis was used to predict sleep-related factors that affect sleep disorders by Sasang types. Results This study shows that the pathophysiological characteristics for stress and digestive function of each Sasang type can differentiate sleep management through a logistic regression model including subscales of PSS and SDFI. Stress had no effect on the occurrence of sleep disturbance within only So-Eum, since the stress level is originally high in the So-Eum regardless of sleep quality. Rather, decreased appetite and poor eating habits had a significant impact on the decline in sleep quality. In addition, poor digestion and eating habits in So-Yang had a greater impact and poor digestion in Tae-Eum had a greater impact on the decline in sleep quality. Conclusion The stress and subscales of digestive function provide differentiated sleep management in So-Yang, Tae-Eum, and So-Eum types. The individualized sleep management for each Sasang type with statistically validated PSS and SDFI would be useful for sleep-related experts planning safe and effective person-centered health care as well as for Western clinicians who want to incorporate Sasang typology into their treatments as integrative medical technique in the future.

• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.728-739
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• 1998

To improve wellness and quality of life by recognizing the health efforts of stress, the author estimated the relationships between stress, subjective symptoms and clinical diagnosis through a questionnaire and a battery of specified laboratory tests; electrocardiography, blood pressure, cholesterol, aspartate aminotransferase(AST), alanine aminotransferase(ALT), gamma glutamyl transferase$(\gamma-GTP)$, fasting blood sugar, gastro-endoscopy or UGI, abdominal sonography, etc. The data was gathered from 337 clients who were undergoing multiphasic screening program at a University Hospital from January to March 1998. The mean age of subjects was $46.5{\pm}11.2$ years and the mean of body mass index was $24.0{\pm}3.7kg/m^2$. The mean vol of stress was $18.5{\pm}6.0$ expressed as the score out of 40. By general characteristics and lift style among male, mean level of stress was significantly higher in case of lower socioeconomic status, habitual drug use, longer daily working time(>10 hours), no regular exercise, drinkers, irregular meal, skip-ping breakfast(p<0.05). In case of female, that was significantly higher in case of lower education, lowe. socioeconomic status, longer daily working time(>10 hours), no regular exercise, drinkers, smokers, irregular meal, skipping breakfast(p<0.05). Significant correlations were observed between stress and subjective symptoms in all kinds of organ system (p<0.01). Correlation coefficients of stress among male were relatively high with neuro-psychiatric symptom$(\gamma=0.476)$ and cardio-vascular symptom$(\gamma=0.361)$ in order, and correlation coefficients of stress among female was highest with neuro-psychiatric symptom$(\gamma=0.371)$. The prevalence of the diagnosis through the battery of laboratory tests was high in upper gastrointestinal disorders and hypercholesterolemia in order in both sex group. Among male the mean score of stress was significantly high in ulcerative peptic disorder of upper gastrointestine and hepatopathy in order (p<0.05) . Among female that was significantly high in diabetes mellitus. In summary, it is likely that there are associations between stress, subjective symptoms and clinical diagnosis. To promote wellness and quality of life it would be of value that periodic stress evaluation program and stress management including apropriate control of smoking and drinking, regular exercise and meal.

• 보건의료산업학회지
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• 제11권4호
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• pp.53-65
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• 2017

Objectives : The purpose of this study was to explore and describe the factors related to clinical nurses' organizational socialization, process and to find out the strategic information for successful organizational socialization. Methods : Data were collected with a structured questionnaires from 300 clinical nurses. The data were analyzed with SPSS/WIN 21.0. Results : First, the average score for the organizational socialization($2.95{\pm}0.37$), organization climate($3.28{\pm}0.43$), autonomy($3.23{\pm}0.43$), role stress($3.21{\pm}0.56$), professional self-concept($3.19{\pm}0.46$), organization value internalization($3.11{\pm}0.59$), and perceptional justice($2.91{\pm}0.50$). Second, influencing factor of organizational socialization of the participant were organizational climate, role stress, professional self-concept, Job esteem, Living arrangement type, collaboration between medical professionals in hospital, the other hospital work experience, role model or Mentor, total hospital career, perceived health status, spouse, perceptional justice, Adjusted $R^2=.702$. Conclusions : These results suggest that organizational socialization of clinical nurses could be enhanced by organizational climate. Thus creating a positive organizational climate are mandated for clinical nurses to have constructive organizational socialization.

• 대한불안의학회지
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• 제13권1호
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• pp.10-16
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• 2017

Objective : This study aimed to investigate differences in demographic, clinical characteristics, and quality of life between panic-disorder patients with generalized anxiety disorder (PD+GAD) and without generalized anxiety disorder (PD-GAD). Methods : We examined data from 218 patients diagnosed with PD+GAD (150 patients) and PD-GAD (68patients). The following instruments were applied: Stress coping strategies, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Panic Disorder Severity Scale (PDSS), Anxiety Sensitivity Index-Revised (ASI-R), Albany Panic and Phobia Questionnaire (APPQ), NEO-neuroticism(NEO-N), Short Form health survey-36 (SF-36). Results : Compared to the PD-GAD group, the PD+GAD group had higher scores in emotion-focused coping strategies and clinical severity, such as BDI, BAI, PDSS, ASI, APPQ, and neuroticism. The PD+ GAD group showed lower scores in most scales in SF-36 status than PD-GAD group. Conclusions : This study shows that PD+GAD patients are different from PD-GAD patients in coping strategies, clinical severity and quality of life. It emphasizes the need of personalized therapy in clinical approach among patients with PD+GAD.

• 한국간호교육학회지
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• 제25권2호
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• pp.197-205
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• 2019

Purpose: To identify the effects of a communication program on nursing students' incivility, critical thinking, and clinical practice stress. Methods: A randomized control group pretest-posttest study was conducted. Fifty randomly selected nursing students were divided into experimental and control groups. A 160-minute communication program was applied to the experimental group and a second survey was conducted two weeks later, shortly after their clinical practice. Results: There was a statistically significant difference in the incivility experienced in the clinical practice after application of the communication program, and refusal in the sub-categories of incivility was statistically significant in this group. Conclusion: It is necessary to foster communication skills for nursing students. Communication programs reduce incivility. Therefore, nursing educators need to recognize the importance of communication during clinical practice and consider incorporating it into their regular curricula.

• 한국콘텐츠학회논문지
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• 제22권8호
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• pp.570-578
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• 2022

본 연구는 임상간호사의 직무스트레스와 직무만족도, 정신건강, 그릿 정도와 이들 변수가 그릿에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료수집은 2021년 8월 1일부터 8월 31일까지 진행되었고, 연구대상자는 C시 종합병원에 근무하는 임상간호사 145명이었다. 수집된 자료는 t-test와 ANOVA, 피어슨 상관관계분석, 다중 회귀분석으로 분석하였다. 연구결과, 간호사의 그릿에 미치는 상대적 영향력은 직무만족(β= .20, p=.008), 정신건강(β= .04, p<.001), 순으로 나타났고 정신건강이 좋을수록 직무만족도가 높을수록, 그릿 정도도 높은 것으로 나타났다. 임상간호사의 정신건강과 직무만족도가 그릿의 영향요인으로 나타났으므로 임상간호사의 그릿을 증진시킬 수 있는 전략으로 정신건강, 직무만족도를 높일 수 있는 방안을 마련할 필요가 있다.

• 대한한방내과학회지
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• 제40권3호
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• pp.287-294
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• 2019

Objectives: This study aimed to investigate the clinical characteristics of patients with gastroesophageal reflux disease (GERD) according to globus sensation (GS). Methods: We reviewed the clinical records of 29 GERD patients who visited the Department of Digestive Diseases of Kyung Hee University Korean Medicine Hospital from March 1, 2018 to February 28, 2019. The subjects were classified according to the presence of globus sensation, and the two groups were compared in terms of heart rate variability (HRV) and the Ryodoraku results. Results: In comparing the GERD with GS group (GS group) and the GERD without GS group (non-GS group), a significant difference was found in the duration of symptom and several HRV parameters. The duration of the symptom in the GS group was significantly longer than that in the non-GS group. The non-GS group showed a significantly higher value of total power and high frequency than the GS group. Conclusions: The results suggest a significant difference in the stress level between patients with GERD with GS and those without GS. When approaching patients with GERD without GS, their stress status should be considered.

• 대한한의학회지
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• 제43권3호
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• pp.139-149
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• 2022

Objectives: This study was designed to investigate the clinical effectiveness of Ikgibohyeol-tang(Yìqìbǔxuè-tāng) granules and Deer antler granules on fatigue symptoms. Methods: This is a 39-patient case series from a retrospective chart review of outpatients who were treated with Ikgibohyeol-tang granules and Deer antler granules at a Kyung Hee University Korean Medicine Hospital (Seoul) between 1st, January 2015 to 1st, August 2021. We reviewed the patients who complained of fatigue and analyzed changes in the degree of discomfort with fatigue and accompanying symptoms and HRV (Heart Rate Variability) score before and after treatment. Results: After taking Ikgibohyeol-tang granules and Deer antler granules, the degree of discomfort with fatigue and accompanying symptoms decreased significantly compared to before taking them. After treatment, Autonomic nervous system activity, Stress resistance, Heart Stability increased, and Stress index, Degree of fatigue decreased significantly. Conclusions: This study showed subjective symptoms and objective indicator (HRV score) were improved by taking Ikgibohyeol-tang granules and Deer antler granules.

• 한국치위생학회지
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• 제13권1호
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• pp.21-29
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• 2013

Objectives : The purpose of this study was to examine the participation attitude of students toward pre-clinical practicums, their satisfaction with the practicums and related stress, and to investigate the influential factors for their participation attitude to practicums. Methods : The subjects in this study were three different groups of students who took pre-clinical practicums at different times. One group of students who entered college in 2008 took a practicum in December, 2009, and another group of students who entered college in 2009 took a practicum in June, 2010. The third group of students who entered college in 2010 took a practicum in June, 2011. Results : 1. As for participation attitude, the students who completed a practicum before they underwent field training in the second semester of their sophomore year got a higher mark of 3.44(p<0.05). 2 Concerning the operation of practicum, they felt a lot of stress when they took a practicum before they underwent field training in the first semester of their sophomore year and when they had no dental experience(p<0.001). 3. Regarding satisfaction with practicum, they scored higher when they took a practicum before they underwent field training in the second semester of their sophomore year(p<0.05). And the students who were more gratified with dental experience expressed better satisfaction(p<0.001). 4. As to the influential factors for the participation attitude of the students, those who were more satisfied with the content of practicum, the operation of practicum and evaluation took a more positive participation attitude(p<0.001). More stress about the operation of practicum and more stress about evaluation exerted a greater negative influence on participation attitude(p<0.05). Conclusions : Given the findings of the study, a pre-clinical practicum should be offered before field training is provided in the second semester of the sophomore year in order to ensure the efficiency of education, and a wide variety of information should be offered so that students could gain dental experience before they take a practicum.

• 한국치위생학회지
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• 제2권2호
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• pp.145-158
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• 2002

This is a section study for research of main cause and coping ways caused by stresses during the clinical experiment. It was researched by 231 students of third grade have finished clinical experiment until September though questionnaire. The methods for this study used the a stress measuring instrument thai was used by Hoa-Yun Jun and coping ways of stresses devised by Bell. We computed the frequency and the mean value by the SPSS 10.0 statistical data and we got the following result that from the experiment with t-test and the ANOVA analysis. 1. The mean value of stresses indicated rather higher states in figures 2,855 and the figures that were classified by each areas, indicated highest figures are affected by circumstances, that is 3.065. 2. As higher as the degree of satisfactions in their major, students feel stress less so, the result was not quite different between each of them (p=0.007). 3. The copping ways of stresses indicated, similar differences by using of long-term copping ways and short-term copping ways to cope with stresses(p=0.000). 4. In case of the students who failed college entrance exams and prepared for the next chance for more than one year, indicated highest figures that is 2.57 in short-term ways to cope with stresses, so it showed slightly differences between them(p=0.014). 5. According to the satisfactions of clinical experiments, there were not any statistical differences in long-term coping ways but, as smaller as the satisfactions, in that evidence of the students use short-term copping ways, it showed slightly differences between them(p=0.041). 6. According to the degree of stresses, low-stress groups use short-term coping ways more than high-stress groups, so it showed slightly differences between them(p=0.001). 7. As far as the using of long-term coping ways, the figures of between the lower stress groups and the higher stress groups indicated 2.89 and 2.97 respectably so, the figures were not so closed.