• 제목/요약/키워드: Emotional Stress

검색결과 1,092건 처리시간 0.025초

진단 직후 유방암환자의 디스트레스 관리를 위한 심리교육프로그램의 효과 (Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer)

  • 박진희;전미선;정용식;배선형;정영미
    • 대한간호학회지
    • /
    • 제48권6호
    • /
    • pp.669-678
    • /
    • 2018
  • Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

광주지역 중년여성의 코로나바이러스 감염증 19 시대 식생활 및 라이프 스타일 변화 연구 (A Study on the Dietary and Lifestyle Changes of Middle-Aged Women in the Gwangju Area in the COVID-19 Era)

  • 김문순;정복미
    • 대한지역사회영양학회지
    • /
    • 제26권4호
    • /
    • pp.259-269
    • /
    • 2021
  • Objectives: This study aimed to investigate the changes in the eating habits and lifestyle of middle-aged women in Gwangju during the COVID-19 pandemic. Methods: A total of 428 middle-aged women aged between 40 and 60 participated in a survey relating to general information, food and lifestyle, health functional food, and menopausal symptoms. The correlation between the variables was analyzed. Results: In the positive habits, the intake of nutritional supplements for immunity enhancement increased the most, followed by the use of media to learn healthy eating tips, and diets including healthy food. Negative habits increased in the order of frequency of taking delivery orders, levels of stress or anxiety, and time spent sitting or watching movies. In the case of recommended foods, the intake increased the most in the order of eggs, fruits, vegetables, milk/dairy products, and seaweed. Non-recommended foods increased in the order of meat, bread, rice, and noodles. The awareness of health functional foods was in the increasing order of interest, knowledge, consumption experience, and purchase amount. The type of health functional food intake was in the increasing order of probiotics, multivitamin and mineral supplements, vitamin C, collagen, and omega-3. Menopausal symptoms were in the increasing order of bone and joint pain, poor sleep quality, emotional ups and downs, loneliness, and feeling of emptiness. In the correlation of major variables, positive habits showed a significant positive correlation with recommended food intake and the recognition of health functional foods. Negative habits showed a significant positive correlation with non-recommended food intake and a significant positive correlation with menopausal symptoms. Recommended food intake showed a significant positive correlation with health functional food recognition and intake and menopausal symptoms. Conclusions: This study suggests that it is necessary to establish social measures to reduce the negative effects of the COVID-19 pandemic on middle-aged women and to ensure effective self-management through a healthy lifestyle since the pandemic has a long-term impact.

좌절된 소속감의 개념분석 (Thwarted belongingness: Concept Analysis)

  • 김수현
    • 한국융합학회논문지
    • /
    • 제12권4호
    • /
    • pp.359-367
    • /
    • 2021
  • 본 연구는 좌절된 소속감에 대한 개념분석 연구로 개념의 속성을 확인하고 명확히 정의하기 위해 Walker & Avant의 개념분석 방법을 근거로 하였다. 좌절된 소속감의 속성은 왜곡된 신념, 소속욕구 불충족, 소외감, 상호교류와 애정욕구의 불충족으로 도출되었다. 선행요인은 사회적 고립, 대인관계에서 배제 또는 갈등 경험, 완벽주의적 성향, 거부민감성이며, 결과는 자살생각, 행복 및 삶의 만족 감소와 거부에 대한 불안, 우울, 수치심, 외로움, 스트레스 또는 분노, 공격성, 적대감 같은 부정적 정서 및 자기비난, 절망감, 자포자기, 정서표현 억제, 무기력, 관계에서 스스로 배제, 정체성 혼란이다. 본 연구는 대인관계와 관련된 개인의 정신적 건강 및 자살생각과 관련된 예방 가능한 간호중재의 범위를 파악할 수 있었다는 것에 의의가 있고, 향후 좌절된 소속감을 측정할 수 있는 도구개발 및 현장연구를 통해 본 연구의 속성을 검증해 볼 수 있는 후속 연구를 제언한다.

특수고용형태근로종사자들의 건강문제와 대처: 학습지 교사, 보험설계사, 신용카드회원모집인을 중심으로 (Health Problems and Coping of Workers under Special Employment Relationships: Home-visit Tutors, Insurance Salespersons, and Credit Card Recruiters)

  • 박보현;조연재;오상호
    • 한국직업건강간호학회지
    • /
    • 제28권4호
    • /
    • pp.208-220
    • /
    • 2019
  • Purpose: This study aimed to determine health problems experienced by workers in special employment relationships (WSER) and identify coping strategies used when such problems occur. Methods: This qualitative study used the focus group interview method. Thirteen study participants included five home-visit tutors, five insurance salespersons, and three credit card recruiters. The interviews were conducted from November 2018 through January 2019, with each occupational group interview lasting about 2 hours. Analysis based on phenomenological research was independently performed by two researchers. Results: Most participants had common health problems involving vocal cord symptoms, and stress related to emotional labor and traffic accidents. The unique health problems included cystitis, musculoskeletal, and digestive symptoms in home-visit tutors; reduced vision and hearing in insurance salespersons; and mental distress in credit card recruiters. There was no protection system for their health coverage, and the company emphasized their self-employed status to avoid taking responsibility for them. Twelve participants did not purchase occupational accident insurance owing to both not having adequate information and economic burden concerning premium status. Conclusion: WSER experienced both physical and mental health problems. These problems were caused by their unstable employment status, and the social security system for their coverage being non-functioning.

서비스업 근로자들의 긍정심리자본이 완벽주의와 역할갈등을 통해 서비스 성과에 미치는 영향 (Effects of Positive Psychological Capital of Service Industry Workers on the Service Performances through Perfectionism and Role Conflict)

  • 박철훈;이신복;박찬욱
    • 한국인터넷방송통신학회논문지
    • /
    • 제19권5호
    • /
    • pp.195-203
    • /
    • 2019
  • 본 논문에서는 서비스업 근로자들의 긍정심리자본이 서비스업 근로자들 개인의 완벽주의와 역할갈등을 통해 서비스 성과에 어떻게 미치는 지에 관하여 연구하였다. 이는 기존 서비스업 근로자들이 겪고 있는 감정노동이나 업무 스트레스 등의 문제점들을 실제적인 해결방안을 제시하고자 서비스업 근로자를 중심으로 분석하였다. 연구결과 긍정심리자본 요인 중 자기효능감과 희망, 복원력은 완벽주의와 역할갈등에 영향을 미치는 것으로 나타났으며, 낙관성만 아무런 영향을 미치지 않는 것으로 나타났다. 본 연구를 토대로 서비스업 근로자들이 가지는 실태와 문제점에 대해서 알 수 있었으며, 좀 더 나은 서비스를 제공받기 위해서는 서비스업 근로자들의 근로 환경적인 부분들을 개선 및 지원 해야 할 것으로 보여진다. 다시 말해 이러한 결과는 서비스업 근로자들의 자기효능감을 높이고 복원력을 증진 시켜야 한다는 것에 대한 부분을 의미하는 결과로 보여지며, 서비스업 관련자들이나 관련 기관에 기초자료로 제공하고자 한다.

수요자 중심의 산업안전보건교육 과정 개발을 위한 요구분석 -관리감독자 정기안전보건교육을 중심으로- (Analysis of Educational Needs for Developing a Consumer-oriented Regular Safety and Health Education Curriculum - Focusing on Management Supervisors)

  • 최아름;황정호;김진아
    • 한국산업보건학회지
    • /
    • 제30권4호
    • /
    • pp.364-375
    • /
    • 2020
  • Objectives: The purpose of this study is to suggest a direction for consumer-oriented curriculum development by analyzing the priorities of subjects and their preference for educational methods. Methods: The participants included 773 management supervisors and education practitioners in the workplace, and a survey was conducted from April 17 to August 30, 2019. Frequency analysis, t-test, Borich's Needs Analysis, and Locus for Focus Model analysis were performed using Microsoft Excel 2019 and IBM SPSS 21.0. Results: The highest perceived priorities for education subjects were as follows: ① 'CPR and First Aid Practice' and 'Occupational Disaster Prevention and First Aid Basics' in the manufacturing industry; and ② 'Emotional Labor and Job Stress Prevention', 'Occupational Disaster Prevention and First Aid basics, and 'Musculoskeletal Disorder Prevention' in the service industry. 'Collective education' was the most preferred method of education. 'School-type' was preferred for the seating arrangement, and the proper number of trainees was considered to be about 30. Respondents said the contents of the education was a top priority when they applied for education, and curriculum and appropriate textbooks should be considered in calculating the cost of education. Conclusions: Practical subjects and subjects related to major hazards by industry were required for management supervisor education. It was proposed in this study that the contents and operating methods of education be changed so that workers can easily comprehend essential subjects such as the Occupational Safety and Health Act. In conclusion, it is necessary to design the curriculum and apply educational methods suitable for each subject's characteristics in consideration of the priorities for subjects reflected in the needs of trainees.

임신성 당뇨병을 가진 임산부를 위한 간호중재 프로그램의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰 (Effects of nursing intervention programs for women with gestational diabetes: a systematic review of randomized controlled trials)

  • 김주희;정재원
    • 여성건강간호학회지
    • /
    • 제27권1호
    • /
    • pp.14-26
    • /
    • 2021
  • Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

단순 및 복합외상 유형 집단의 자기-와 타인-개념의 차이: 자극 제시시간에 따른 정보처리 편향을 중심으로 (Differences in Self- and Other-concept in the Single and Complex Trauma Type Groups)

  • 김예슬;이종선
    • 한국융합학회논문지
    • /
    • 제12권2호
    • /
    • pp.233-246
    • /
    • 2021
  • 본 연구에서는 외상 유형(단순 외상과 복합 외상)에 따라 PTSD 증상의 심각도와 자기 및 타인개념에 차이가 있는지를 확인하고자 하였다. 총 166명의 대학생 및 대학원생들 중 단순 외상(n=31)과 복합 외상(n=30)으로 분류된 참여자들의 자료를 최종 분석에 포함하였다. 참여자들은 생활사건 체크리스트(LEC), 개정된 사건 충격 척도(IES-R)와 E-prime으로 제작된 정서 스트룹 과제를 수행하였다. 결과는 다음과 같다. 첫째, 단순 외상 집단보다 복합 외상 집단에서 더 높은 수준의 PTSD 증상이 나타났다. 둘째, 스트룹 과제에서 부정적인 자기개념을 반영하는 단어를 2초 제시한 조건에서 복합 외상 집단이 단순 외상 집단보다 반응시간이 더 길었다. 이러한 결과는 복합 외상 집단과 단순 외상 집단이 적어도 PTSD 증상 및 자기개념에 다른 특성을 가지고 있다는 것을 제안한다. 마지막으로, 본 연구의 의의와 한계점에 대해 논의하였다.

Academic Procrastination As A Challenge For Students' Mental Health In The Context Of Distance Learning And The Virtual World During The Covid-19 Pandemic

  • Stoliarchuk, Olesia;Khrypko, Svitlana;Olga, Dobrodum;Ishchuk, Olena;Kokhanova, Olena;Sorokina, Olena;Salata, Karina
    • International Journal of Computer Science & Network Security
    • /
    • 제22권3호
    • /
    • pp.276-284
    • /
    • 2022
  • The research aims to study the dynamics of academic procrastination and its impact on the mental health of students during the transition to distance learning during the COVID-19 pandemic. At the beginning of the COVID-19 pandemic, it was identified a declining tendency of overall rates of academic procrastination and at the same time increase in the number of carriers of mid and high levels of academic procrastination. The decline in the general rates of academic procrastination at the beginning of 2021 testifies to the adaptation processes experienced by students to the conditions of distance learning. It was documented that students' academic procrastination is accompanied by a steady negative emotional tension. During the transition to distance learning, the intensity of students' learning activity has increased, which altogether causes stress as one of the main reasons for the academic procrastination among future psychologists. The study identified a risk of academic procrastination manifestation among students for their mental health, which provides a basis for developing and testing a program to prevent the phenomenon of academic procrastination among degree-seeking students.

Psychosocial Risks Assessment in Cryopreservation Laboratories

  • Fernandes, Ana;Figueiredo, Margarida;Ribeiro, Jorge;Neves, Jose;Vicente, Henrique
    • Safety and Health at Work
    • /
    • 제11권4호
    • /
    • pp.431-442
    • /
    • 2020
  • Background: Psychosocial risks are increasingly a type of risk analyzed in organizations beyond chemical, physical, and biological risks. To this type of risk, a greater attention has been given following the update of ISO 9001: 2015, more precisely the requirement 7.1.4 for the process operation environment. The update of this normative reference was intended to approximate OHSAS 18001: 2007 reference updated in 2018 with the publication of ISO 45001. Thus, the organizations are increasingly committed to achieving and demonstrating good occupational health and safety performance. Methods: The aim of this study was to characterize the psychosocial risks in a cryopreservation laboratory and to develop a predictive model for psychosocial risk management. The methodology followed to collect the information was the inquiry by questionnaire that was applied to a sample comprising 200 employees. Results: The results show that most of the respondents are aware of the psychosocial risks, identifying interpersonal relationships and emotional feelings as the main factors that lead to this type of risks. Furthermore, terms such as lack of resources, working hours, lab equipment, stress, and precariousness show strong correlation with psychosocial risks. The model presented in this study, based on artificial neural networks, exhibited good performance in the prediction of the psychosocial risks. Conclusion: This work presents the development of an intelligent system that allows identifying the weaknesses of the organization and contributing to the enhancement of the psychosocial risks management.