• 한국산학기술학회논문지
• /
• 제16권7호
• /
• pp.4656-4667
• /
• 2015

본 연구는 요양시설 노인들의 삶의 질과 건강상태, 신체적 기능, 정신적 기능, 사회적 지지의 관련성을 파악하고자 실시하였다. 연구대상자는 일부 도시 지역에서 요양시설에 거주하는 만 65세 이상의 노인을 대상으로 하였다. 분석대상은 260명 이었고, 자료는 기술적 통계, t-tset, ANOVA, pearson correlation과 stepwise multiple regression으로 분석 하였다. 그 결과 매우 취약한 대상군인 요양시설 노인들의 삶의 질은 입주기간과 수면상태가 만족스러운 경우, 주관적 건강상태가 높은 경우, 치아 부자유함이 없는 경우, 건망증이 없는 경우, 우울이 낮을수록, 인지기능이 좋을수록, 사회적 지지가 높을수록 삶의 질 평균이 높게 나타났다. 삶의 질과의 상관관계에서는 수면상태(r=-.20, p<.001)와 주관적 건강상태(r=-.24, p<.001), 우울(r=-.30, p<.001), 사회적 지지(r=.30, p<.001)와 상관관계가 있었다. 요양시설 노인들의 삶의 질 예측 요인으로는 사회적지지(${\beta}=.30$, p<.001), 우울(${\beta}=-.25$, p<.001), 주관적 건강상태(${\beta}=-.22$, p<.001), 입소기간(${\beta}=-.22$, p<.001), 수면상태(${\beta}=-.12$, p=.025)가 삶의 질과 밀접하게 관련되고 예측요인임을 알 수 있었다. 결론적으로, 요양시설 노인들의 삶의 질은 여러 요인이 관련되어 있으며, 삶의 질에 대한 간호중재 및 관리는 신체적 활동이나 질병관리와 함께 정신적, 사회적 접근이 필요하며 노인의 개별적 이해를 중점으로 전인적 접근이 중요하다고 하겠다.

• 디지털융복합연구
• /
• 제14권4호
• /
• pp.459-469
• /
• 2016

본 연구는 학교폭력 가해 학생의 심리적 특성에 따른 유형을 알아보기 위한 것이다. 이를 위하여 문헌 조사를 통해 6요인(인지충동성, 무계획충동성, 우울, 불안, 또래동조성, 주장성), 19문항의 설문지를 구성하여, 86명의 가해 학생들을 대상으로 설문을 실시하여 최종 74명의 자료로 2단계 군집분석을 실시하였다. 분석 결과, 3개의 군집으로 구분되었으며 각각 '충동적 취약성 유형(군집1)', '정서적 취약성 유형(군집2)', 그리고 '사회적 취약성 유형(군집3)'으로 명명하였다. 각 군집의 특성은 첫째, 군집1은 다른 집단에 비해서 인지충동성과 무계획충동성의 점수는 높은 반면, 우울과 불안 점수는 낮았다. 둘째, 군집2는 다른 집단에 비해서 우울과 불안 점수는 높은 반면, 인지충동성과 무계획충동성 점수는 낮았다. 셋째, 군집3은 다른 집단에 비해서 또래동조성 점수는 가장 높았으며 동시에 주장성 점수는 가장 낮은 반면, 인지충동성과 무계획충동성, 우울과 불안은 낮았다. 본 연구 결과는 현장에서 가해학생들을 지도하고 상담하는 교사들 및 상담자들과 보호자에게 가해학생들의 심리적인 특성을 이해하고 개입할 수 있는 유용한 기초 자료가 될 것이다.

• 한국산학기술학회논문지
• /
• 제22권4호
• /
• pp.430-440
• /
• 2021

본 연구는 난청 고령자의 우울정도, 인지기능, 의사소통능력 및 정량뇌파를 분석하고, 관련성을 규명할 목적으로 시도하였다. Y 시 소재의 S 청능재활 센터를 내원한 60세 이상의 난청 고령자 중 모집공고문을 통해 남성 37명, 여성 26명이 2020년 6월 20일부터 2020년 9월 3일까지 자발적으로 참여했다. 구조화된 설문지를 통해 대상자의 전반적인 특성, 우울정도, 인지기능을 평가하였다. 의사소통능력의 척도인 단어인지도는 한국표준 단음절어를 사용하여 진단용 청력검사기로 평가하였다. 정량뇌파는 전전두엽 Fp1과 Fp2에 건식 전극을 사용하여 2채널 뇌파 측정기로 측정하였다. 수집된 자료는 SPSS/WIN 25.0 프로그램으로 인구 사회학적 특성 파악을 위한 빈도분석, 변수간 Pearson's correlation분석, 3분할 집단 간 One-way ANOVA분석을 하였다. 결과를 요약하면 다음과 같다. 의사소통능력은 전전두엽 좌우 대칭성(**p<.01)과 정(+)적 상관관계를 보였고, 우뇌 정신적 산만 및 스트레스(*p<.05)와 부(-)적 상관관계를 보였다. 그러나 우울정도와 인지기능과는 유의한 상관관계는 없었다. 의사소통능력에 따른 3분할 집단별 차이 검정에서도 전전두엽 좌우 대칭성(**p<.01)이 우울정도와 인지능력보다 높은 수준의 상관관계를 보였다. 이상의 결과는 정량뇌파에서 측정된 전전두엽 좌우 대칭성이 난청 고령자의 의사소통능력의 강력한 생체적 지표 가능성을 시사 하였다.

• 한국산학기술학회논문지
• /
• 제22권1호
• /
• pp.520-530
• /
• 2021

목표: 본 연구는 음악요법이 치매 노인의 인지기능, 초조행동, 불안, 우울에 미치는 영향을 규명하는 것을 목적으로 한다. 방법: 2010년부터 2019년까지 PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar, PsycINFO에서 종합적인 문헌검색을 하였고 메타분석에서는 RevMan 5.4 프로그램을 사용하여 표준화된 평균 차이(Hedge's g)와 95% 신뢰 구간은 요약 측정으로 산출하고 랜덤 효과 모델과 역분산 방법을 적용하였다. 총 13개의 연구가 포함되었으며, 모두 오류 위험 평가를 위한 코크란 평가도구를 근거로 질 평가를 하였다. 결과: 효과 크기(Hedge's g)는 1차 결과 변수인 인지기능 0.31[95% CI:-0.02, 0.65], 초조행동 -0.03[95% CI: -0.17, 0.11], 2차 결과 변수인 불안 -0.61[95% CI: -1.17, -0.05], 우울 -0.44[95% CI: -0.88, 0.00]이었다. 음악중재 유형별 하위그룹 분석 결과 복합음악요법이 치매 환자의 인지기능(g=0.45[95% CI: 0.03, 0.87])에 유의한 증가 효과가 있는 것으로 나타났다. 결론: 음악요법은 불안과 우울을 감소시키는 데 유의한 효과를 보였으며, 복합음악치료는 치매 환자의 인지기능 개선 효과를 보였다.

• 국제물리치료학회지
• /
• 제1권1호
• /
• pp.5-9
• /
• 2010

The purpose of this study is to investigate the effects of group exercise program on depression in the elders with dementia. Subjects of this research were selected from the patients of Hyoja hospital(Yongin, Korea). They were elders with dementia having minor to moderate degrees of cognitive function. Twenty-four subjects were randomly assigned into two groups, each with 12 people; exercise group and the control group. The control group only performed general physiotherapy, while the exercise group performed exercise program and general physiotherapy for 8 weeks. Depression of the exercise group and the control group were measured at baseline before the study, at 4 weeks, and at 8 weeks after the study. Depression was measured by Geriatric Depression Scale Short Form Korea Version(GDSSF-K). Firstly, when comparing the levels of depression within the same group, depression was significantly lower in the exercise group, after the group exercise program. However, depression of the control group did not show significant changes before or after the study. Secondly, when comparing the levels of depression of the control group and the exercise group, differences between the levels measured before the study and 8 weeks after the study, was a statistically significant decrease of depression. Thirdly, effects of group exercise program according to the applied period were analyzed showing 8 weeks of group exercise to be more beneficial than 4 weeks. People who performed continuous group exercise program showed decrease in depression compared to the absence of group exercise program. This can infer beneficial effects of group exercise program. Group exercise program had desirable influence on decreasing the level of depression.

• 성인간호학회지
• /
• 제12권1호
• /
• pp.147-162
• /
• 2000

Predicting factors of post-stroke depression were investigated. The subjects were 254 stroke patients who had been discharged and visited regularly the outpatient clinic for follow up care. The influencing factors were classified into five categories : demographic, disease-related, current state, social support, and illness intrusiveness. Sex, age, job, and educational level were defined as the demographic factor. The disease-related factors included stroke type, illness duration, attack frequency, and NIH score. ADL, cognitive function, and social activity were considered as the current state factors. The social support was measured as the perceived amount of social support. Illness intrusiveness means the perceived illness induced life style disruptions. Demographic, disease-related, current state, and social support were hypothesized to directly and indirectly affect post-stroke depression through illness intrusiveness. The illness intrusiveness was hypothesized to directly affect post-stroke depression. The hierarchial multiple regression was used to identify significant factors. The result showed that this model explained 43.3% of variance of post-stroke depression. And the prevalence of post-stroke depression was 38.8%. Among the demographic factors, job was identified as a main contributor to indirectly increase the post-stroke depression. Among the disease-related factors, stroke type, attack frequency, and NIH score were found to indirectly affect the post-stroke depression. Among the current state factors, ADL and social activity indirectly affected the post-stroke depression through illness intrusiveness. Social support and illness intrusiveness were identified to directly affect the post-stroke depression. This study has proved the factors likely to be implicated in the development of post-stroke depression. Based upon these results, it is recommended that the nurses who take care of post-stroke patients consider the risk factors such as social support, illness intrusiveness et al. Also programs which decrease the illness intrusiveness and increase the social support to reduce post-stoke depression recommended to be developed.

• International Journal of Advanced Culture Technology
• /
• 제6권4호
• /
• pp.323-330
• /
• 2018

The growth of the older population is expected to further increase social problems associated with population aging, such as isolation, poverty, and depression. The emerging issues associated with the older population are also expected to provide further momentum on studies about the dwelling environment as factors that ensure the health of older people as well as improve their quality of life. Therefore, approaches for explaining the issues of the older age group should be diversified using a variety of factors and appropriate analytic tools. Studies on measuring depression have principally focused on assessing an objective self-report questionnaire, usually in a highly structured, textual form which may not reflect the cognitive impairment of older adults. The aim of this study was to define and measure dwelling depression among older adults in Korea. There are two specific hypotheses in this study as follows: (a) there will be statistically significant relationships with dwelling dissatisfaction and depression, and (b) dwelling depression tools containing text and images will be, respectively, assessment tools that have a good construct with content validity and reliability. In the first experiment, to define and measure dwelling depression, 301 people over 65 years old living in single and two-person households were surveyed using a text-based dwelling depression questionnaires from September 1-30, 2017. In the second experiment, to examine whether the projective image questionnaire could serve as a suitable replacement for the text-based questionnaires, the same participants were surveyed from January 22 to February 2, 2018. The results show that depression has a close correlation with dwelling dissatisfaction. In addition, the geriatric dwelling depression index (GDDI) based on the projective image was refined. Additionally, the projective image questionnaire has a close correlation with the text-based questionnaire. Finally, through ROC curve analysis, it was found that the projective image questionnaire can accurately predict a depression group. To this end, this preliminary study examined the validity of the projective image questionnaire in older adults to make this instrument feasible for older populations and to contribute to a profound understanding of geriatric depression due to the living environment. We hope they will provide a basis for further research on psychological diagnoses using projective images.

• 대한간호학회지
• /
• 제42권1호
• /
• pp.56-65
• /
• 2012

Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

• 기본간호학회지
• /
• 제18권3호
• /
• pp.317-327
• /
• 2011

Purpose: The purpose of this study was to contribute data toward prevention from advancing dementia and also prevention of deterioration in cognitive impairment by constructing an optimal prediction model and verifying factors influencing cognitive impairment in elders with dementia who reside at home. Methods: The participants in this study were 351 elders who were registered at dementia day care centers in 11 regions of Metropolitan Incheon. Collected data were analyzed using SPSS Statistics 17.0 and SAS 9.1. Bootstrap method using the Clementine program 12.0 was applied to build an optimum prediction model. Results: Gender and education (general characteristics), alcohol, urinary/fecal incontinence, exercise, weight, and ADL (state of health), and depression (psychological state) were found to have an affect on cognitive impairment in these elders. Conclusion: Study results indicate nine key factors that affect cognitive impairment of elders with dementia who reside at home and that could be useful in prevention and management nursing plans. These factors could also be used to expand the role of nurses who are working in community day care centers, and can be applied in the development and provision of various programs to aid retention and improve cognitive function as well as preventing deterioration of cognition.

• 대한한의학회지
• /
• 제43권3호
• /
• pp.181-194
• /
• 2022

Objectives: The purpose of this study is to investigate the effect of music therapy combined with hand manipulation on depression and cognition in elderly women with mild depression. Methods: In order to investigate the effects of a music therapy program through hand, 20 elderly women with a GDS-K score of 14-18 were selected among women aged 65 to 84 living in Busan. The 10 subjects in the experimental group were given the music therapy program 3 times a week for 4 weeks, 12 sessions, and the 10 subjects in the control group were not given it. GDS-K and K-MoCA were performed before and after the experiment, and data analysis was performed through Wilcoxon's test using the SPSS 24.0 statistical package program. Results: The music therapy program through hand manipulation is effective in reducing depression in elderly women with mild depression, and there was a significant decrease. The sub-domains of depression, such as tension and depressive emotions, life dissatisfaction, lethargy, cognitive difficulties, low energy, and loss of motivation, were significantly reduced. In addition, it has an effect on cognition, and it significantly increased in attention, delayed recall ability, which are sub-domains of cognition. There is a significant difference in depression between the experimental group and the control group, and there is a significant difference in cognition between the two groups. Conclusions: The music therapy program with hand manipulation has a positive effect on depression and cognition in elderly women with mild depression.