• 지역사회간호학회지
• /
• 제27권2호
• /
• pp.106-113
• /
• 2016

Purpose: The purpose of this study was to determine the relationship between unhealthy eating behavior and depression in adolescents, with confounding variables adjusted. Methods: This study is a secondary analysis of the data collected from the 2013 Korean Youth Risk Behavior Web-based Survey (KYRBWS). The analysis included 72,435 participants (36,655 male and 35,780 female). The data were analyzed by $x^2$ test, t-test, and logistic regression analysis using SPSS Version 21 by complex samples analysis. Results: Compared with male adolescents with healthy eating behavior, those who with unhealthy eating behavior were more likely to suffer depression with other factors controlled (OR=1.37, 1.07~1.75). On the other hand, female adolescents with unhealthy eating behavior were less likely to feel depressed compared with female adolescents with unhealthy eating behavior and with other factors controlled (OR=0.98, 0.64~1.50). However, it was not statistically significant. Conclusion: Our findings suggest that healthy eating behavior may be a protective factor against depression in male adolescents, but not in female adolescents. Furthermore, our results suggest that the longitudinal associations between mental health and healthy eating behavior and other lifestyle factors are complex.

• 한국학교ㆍ지역보건교육학회지
• /
• 제22권4호
• /
• pp.61-75
• /
• 2021

Objectives: This study aimed to compare the level of depression and the factors affecting depression among marriage immigrant women and Korean married women living in A town. Methods: The study subjects were women living in A town. Marriage immigrant women were purposively sampled subjects who visited the Multicultural Family Support Center and conducted 1:1 face-to-face interviews. Korean married women were randomly sampled and conducted an online survey due to COVID 19. The final analysis subjects were 115 marriage immigrant women and 186 Korean married women. Data were analyzed by descriptive analysis, mean comparison(t-test, ANOVA), correlation anaylsis(Pearson's correlation coefficient) and multiple regression using SPSS 27.0. As a result of comparing the depression levels measured using the CES-D, there was no significant difference in the depression levels between the two groups of marriage immigrant women and Korean married women Results: The significant influencing factors on depression of marriage immigrant women were age(p<.01), religious status(p<.01), period of residence in Korea(p<.1), husband's job (p<.05), subjective health status(p<.1), experience of domestic violence(p<.01), and family relationships(p<.05) and the significant influencing factors on depression of Korean married women were subjective health status(p<.01), age difference with husband(p<.05), experience of domestic violence(p<.05), and family relationship (p<.001). Conclusions: Based on the results of this study, a program for mental health promotion was proposed for marriage immigrant women and Korean married women in community.

• 수면정신생리
• /
• 제24권2호
• /
• pp.97-105
• /
• 2017

목 적 : 본 연구의 목적은 불면증과 정신병적 증상이 지속되는 조현병 환자의 수면 장애와 연관된 요인과 수면의 특징을 평가하는 것이다. 방 법 : 지역사회 정신보건 시설에 거주 중이며 불면증과 정신병적 증상이 동반된 조현병 환자들이 참여하였다(n = 63). The Korean version of Insomnia Severity Index (ISIK)와 the Korean Version of Pittsburgh Sleep Quality Index (PSQI-K)와 같은 수면 척도가 평가되었고, ISI-K 점수가 15점 이상인 대상자들이 연구에 참여하였다. 정신병적, 불안, 우울 증상은 각각 Brief Psychotic Rating Scale (BPRS), the Korean Version of Anxiety Sensitivity Index (K-ASI) 그리고 the Korean Version of Beck Depression Inventory-I(K-BDI)로 평가하였다. 사회인구학적 자료와 ISI-K 그리고 PSQI-K 사이의 상관관계를 확인하기 위해 Pearson correlation analysis를 시행하였다. ISI-K와 PSQI-K에 영향을 미치는 각각의 요인을 확인하기 위하여 다중회귀분석으로 분석하였다. 결 과 : ISI-K와 PSQI-K의 평균 점수는 각각 $18.1{\pm}2.6$점과 $12.0{\pm}2.2$점이었다. Pearson correlation analysis 결과에서 발병 연령과 ISI-K사이의 음의 상관관계와 BPRS와 PSQI-K 사이, K-ASI와 모든 수면 척도 사이의 양의 상관관계를 확인하였다. ISI-K와 PSQI-K에 대해 K-ASI와 발병연령, K-ASI와 BPRS를 각각 단계적으로 입력한 모든 다중회귀분석에서 K-ASI만이 유의한 요인으로 남았다. 결 론 : 본 연구는 조현병 환자의 불면 증상이 우울 또는 정신병적 증상과 무관한 반면, 불안 증상과 관련이 있다는 점을 제안한다.

• 한국보건간호학회지
• /
• 제27권2호
• /
• pp.384-398
• /
• 2013

Purpose: This study was conducted in order to identify the effect of a community based health promotion program for elders in Korea. Methods: The PICO-SD (Participants, Intervention, Comparison, Outcome, and Study Design) strategy was established. A search of the electronic bibliographic database of NDSL, RISS, KMbase, and KoreaMed etc. was performed and 28 articles met inclusion criteria. Results: Both exercise and health education were in most programs and were more effective than one of the two. The health education included stress management, mental health, health promotion lifestyle, chronic disease, and medication. Various exercises such as walking, stretching, gymnastics, rhythmic activity, muscle strength, and joint exercise were performed. The programs for elders showed an association with significantly improved muscular strength, flexibility, depression, quality of life, subjective health status, satisfaction with life, self-efficacy, and health promotion behavior. Conclusion: Intervention programs including both exercise and health education are effective in improving health promotion behavior and physical and psychological health status in elders. Therefore, these results could provide useful guidelines for development of effective health intervention programs for the elderly.

• 동서간호학연구지
• /
• 제20권2호
• /
• pp.160-166
• /
• 2014

Purse: The purpose of this study was to examine the effect of a laughter therapy on mental health promoting like depression, laughing index of elderly. Methods: The study was conducted based on the non-equivalent control group pretest-posttest design. The participations included 12 older adults in the control group and 11 in the experiment group. Data was collected from October 1 to November 22, 2013. Experimental group participated in laughter therapy six times, once a week for 60 minutes of each session. Questionnaires were used to measure pretest and posttest levels of depression and laughing index. Results: At the end of six-week intervention, depression score (z=-2.95 p=.003) and laughter index score (z=-2.81 p=.005) was significantly decreased in the experimental group compared to the control group. Futhermore, there was a significant difference in the depression scores of the experiment group at the posttest, but no signigicant difference was found between the two groups. Conclusion: The study results suggest that the laughter therapy is an effective intervention to reduce the depression but helpful to enhance the laughing index. Therefore, it is expected that laughter therapy will serve as an emotional nursing intervention for elderly patients with depression.

• 의학교육논단
• /
• 제23권3호
• /
• pp.154-159
• /
• 2021

The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted all aspects of undergraduate, postgraduate, and continuing medical education. Only the focus of medical education-care for patients and communities-has remained an integral part of all of the above sectors. Several challenges have been experienced by learners and educators as the education and training of future doctors has continued in the midst of this crisis, including the cancellation of face-to-face classes and training, reduced patient encounter opportunities, fairness issues in online assessments, disruption of patient interview-based exams, reflections on the role of doctors in society, and mental health-related problems linked to isolation and concerns about infection. In response to these disruptions, educators and institutions have rapidly deployed educational innovations. Schools have adopted educational strategies to overcome these challenges by implementing novel education delivery methods in an online format, providing clinical experiences through simulation or telehealth methods, introducing online assessment tools with formative purposes, encouraging learners' involvement in nonclinical activities such as community service, and making available resources and programs to sustain learners' mental health and wellness. During the COVID-19 pandemic, educators and institutions have faced drastic changes in medical education worldwide. At the same time, the quantitative expansion of online education has caused other problems, such as the lack of human collaboration. The long-term effects of the COVID-19 pandemic on medical education need to be studied further.

• 정신간호학회지
• /
• 제28권2호
• /
• pp.114-123
• /
• 2019

Purpose: The aim of the study was to investigate associations of spiritual well-being, attitude toward death, and quality of life among Alcoholics Anonymous (AA). Methods: This study was cross-sectional and descriptive in design. The data was collected from August to September 2018 with 133 AA members drawn from two provinces of South Korea. The data were analyzed using descriptive statistics, independent t-tests, one-way ANOVA with Turkey tests, Pearson's correlation coefficients, and hierarchical multiple linear regression analyses using SPSS/WIN 20.0 program. Results: The existential spiritual well-being (β=.52, p<.001), attitude toward death (β=.24, p<.001), dual diagnosis (β=-.17, p=.003), occupation (β=.12, p=.035) of the participants were significant factors, which explained 63.7% of the variance of quality of life. Conclusion: The study findings highlight the need to develop psychological nursing strategies to enhance the spiritual well-being and improve a positive attitude toward death based on the job and dual diagnosis among AA members to improve their better quality of life.

• 한국지역사회생활과학회지
• /
• 제28권2호
• /
• pp.257-271
• /
• 2017

The purpose of this study was to suggest basic data for prevention of child abuse by examining the patterns and characteristics of child abuse observed at child-care centers. Data was collected by pre-service early childhood teachers majoring in child studies in an education practice session from May 1 to May 31, 2015 based on examined information and class discussion. This study shows that emotional abuse was performed most often, followed by neglect and physical abuse. Physical abuse was observed as a form of punishment and beating, whereas emotional abuse was observed in the form of force, sarcastic remarks, verbal attacks, and disregard. Neglect was observed as exclusion and indifference. Most crucial prevention against child abuse lies in teachers' personality education and concerns with their own mental health as well as children's rights education.

• 재활복지
• /
• 제22권2호
• /
• pp.83-102
• /
• 2018

본 연구는 정신장애인의 자기 낙인과 자존감, 삶의 질과의 관계를 살펴보고, 자기 낙인과 다양한 삶의 질 영역과의 관계에서 자존감의 매개효과를 분석하기 위해, D와 K지역에 위치한 정신건강복지시설을 이용하는 정신장애인 254명을 통해 자료를 수집하였다. 수집된 자료는 SPSS 19.0을 활용하여 분석하였으며, 분석결과, 자기 낙인과 자존감, 삶의 질은 유의한 부적관계가, 자존감과 삶의 질은 유의한 정적관계가 있는 것으로 확인되었다. 또한, 자기 낙인과 삶의 질 하위영역과의 관계에서 자존감의 매개효과를 분석한 결과, 자존감은 자기 낙인과 삶의 질의 신체적, 심리적, 환경적 영역과의 관계에서 유의한 부분매개효과를 가지는 것으로 나타났다. 한편, 자기 낙인과 삶의 질 사회관계 영역과의 관계에서 자존감은 통계적으로 유의한 완전매개효과를 가지는 것으로 나타나, 정신장애인의 자기 낙인이 삶의 질에 미치는 부정적 효과를 저하시키는데 자존감이 매우 중요한 역할을 담당하는 것을 확인할 수 있었다. 이러한 연구결과를 근거로 정신장애에 관한 사회적 편견과 차별의 감소를 위한 개입뿐 만 아니라 정신장애인의 스스로 장애에 관한 부정적 인식의 전환과 자존감 증진을 위한 프로그램개발의 필요성 및 향후 연구를 위한 방향을 제시하였다.

• 한국학교ㆍ지역보건교육학회지
• /
• 제23권3호
• /
• pp.1-13
• /
• 2022

Objectives: The purpose of this study is to identify the life satisfaction of women with disabilities and the factors affecting their life satisfaction to improve their quality of life. Methods: This study used secondary data, the 2020 Survey of the Disabled. The subjects were 2,725 women with disabilities aged 20 or older who responded to the survey. The SPSS Windows 26.0 program was used for data analysis. Technology analysis, chi-test, and multi-logistic analysis were performed to identify the factors affecting the life satisfaction of women with disabilities. Results: Age, education level, marital status, type of medical insurance type, subjective economic status, disability severity, subjective health status, health screening, chronic disease, stress, depression, suicidal ideation, and variables that can go out alone. As a result of multi-logistic regression analysis on factors affecting life satisfaction of women with disabilities, it was analyzed that education level, marital status, subjective economic status, subjective health status, health screening, chronic disease, stress cognitive status, depression, suicide ideation, and variables that can go out alone had a statistically significant effect. Conclusion: Based on the analysis results of this study, it is required to develop and operate health education and health promotion programs for physical and mental health management of women with disabilities.