• 제목/요약/키워드: Group counseling

검색결과 847건 처리시간 0.033초

소방공무원에서 정신 건강 증진 프로그램의 효과 (The Effect of Mental Health Improvement Programs for Firefighters)

  • 김재준;최태영;김소연;박주현
    • 대한불안의학회지
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    • 제13권1호
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    • pp.17-24
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    • 2017
  • Objective : The purpose of this study was to investigate the effectiveness of the mental health improvement program in Korean firefighters. Methods : A total of 502 firefighters working at Daegu, Ulsan and Gumi participated in the mental health improvement program for an 8-week period. The program included evaluation and counseling as well as psychoeducation for mental health awareness. Subjects were divided to two groups including the PTSD high risk group and PTSD non-high risk group. Results : The program resulted in a significant decrease in mean scores of depression and insomnia for all firefighters. PTSD high risk group showed a significantly higher level of depression, anxiety, and insomnia. Multiple logistic regression analysis with PTSD high risk group as a dependent variable indicated that moderate depression was a high-risk factor for PTSD in firefighters, as compared to no depression ; in addition, subthreshold and moderate insomnia was another risk factor. Conclusion : The evaluation and management of psychopathologies including depression and insomnia associated with traumatic events can be helpful to improve the mental health of firefighters.

대학생의 진로유형별 진로스트레스 대처방식 및 진로결정몰입의 차이 (Differences of Career Stress Coping Strategy and Commitment to Career Choice among the Career Types for College Students)

  • 황지영;고미나
    • 수산해양교육연구
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    • 제27권4호
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    • pp.1041-1052
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    • 2015
  • The purpose of this study was to analyze group differences of Commitment to career choice and Career stress coping strategy by the Career decision and Career preparation behavior for College Students. Through the results of this study we wanted to look for discriminatory implications for the counseling intervention. The data of 720 college students were collected for the study. The distinction of four types was revealed by the results from Crosstabs and One-way ANOVA. The frequency of upper grades indicated ideal type. But the immature type was fourth grade. There were significant differences in accordance with the two-dimensional typology of Commitment to career choice and Career stress coping strategy by One-way ANOVA. Discussion focused on effective intervention strategies in career counseling based on group differences by the Career decision and Career Preparation Behavior.

상담이론과 실제 교과목에서 사례기반 역할극을 활용한 교육이 간호대학생의 공감 및 의사소통 능력에 미치는 효과 (The Effects of Education Using Case-Based Role Playing in Counseling Theory and Actual Subjects on the Empathy and Communication Ability of Nursing Students)

  • 김선희;강문희
    • 한국엔터테인먼트산업학회논문지
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    • 제15권3호
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    • pp.221-229
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    • 2021
  • 본 연구는 간호대학생들에게 상담이론과 실제 교과목을 전통적인 방법의 강의식 교육과 사례기반 역할극 교육을 적용하여 공감 능력과 의사소통 능력에 미치는 효과를 파악하기 위해 단일그룹 사전-사후 실험설계를 이용하였다. 연구대상자는 G 지역의 C간호대학에 재학 중인 2학년 전체 학생 중 상담이론과 실제 교과목을 수강하고 연구의 목적을 이해하며 연구 참여에 자발적으로 동의한 학생 66명을 대상으로 하였다. 교육과정은 총 15주의 수업에서 첫 오리엔테이션, 중간고사 및 기말고사 주를 제외하고 6주간 강의식 교육, 이후 6주간 사례기반의 역할극 교육을 하였고, 교육 전, 강의식 교육이 끝난 후, 사례기반의 역할극 교육이 끝난 후 3차례 설문조사를 실시하였다. 수집된 자료는 SPSS 26.0 프로그램을 이용하여 반복측정 분산분석을 이용하여 분석하였다. 본 연구의 결과, 간호대학생 20-29세로 선정하여 성별과 시점에 따라 프로그램의 효과를 비교해 보았을 때 대상자의 공감 능력은 그룹 또는 시점에 따라 유의한 차이가 없었다. 의사소통 능력은 그룹에 따라 유의한 차이가 없었으나 시점에 따라 유의한 차이가 있는 것으로 나타났다(F=4.20, p=.017). 따라서 상담이론과 실제 교과목에 사례기반 역할극을 활용한 교육의 적용은 강의식 교육보다 간호대학생의 의사소통 능력에 긍정적인 효과가 있음이 입증되었다.

영양교육이 당뇨병환자의 식사요법에 대한 지식과 실천 및 인지도, 혈당관리에 미치는 영향 (Effect of Nutrition Education on Diabetic Management in Diabetic Patients)

  • 임현숙;천종희;김용성;남문석
    • Journal of Nutrition and Health
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    • 제34권1호
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    • pp.69-78
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    • 2001
  • The purpose of this study was to investigate the effect of nutritional education on the knowledge and the practice & Perception of diet therapy, and on the level of FBG and HBAlc. The subjects were selected among the patients treated in the Inha University Hospital from June of 1996 until April of 1998. Educated group consisted of 20 patients who visited the diet-counseling department as a part of diabetic treatment. Non-educated group consisted of 20 patients who visited the diet-counseling department ignoring doctors prescription purpose. The knowledge and the practice & perception of diet therapy drinking & smoking habits, regular exercise, and general characteristics including family history were analyzed by questionnaires. FBG and HbAlc were measured before and 4 months after the treatment. The results were as follows : Both groups were composed of 12(60%) male and 8(40%) female respectively. The mean age of subjects was 51.4 years in educated group and 51.9 tears in non-educated group. The duration and %IBW were 5.9 years and 109.8 % in educated group and 5.5 years and 111% non-educated group respectively. There were no significant differences in drinking & smoking habits and regular exercise between groups. The diet therapy knowledge score was significantly higher in educated group(p<0.001, 5.8$\pm$2.3/10.0 vs 3.4$\pm$2.0/10.0). The diet therapy practice & perception score was also significantly higher in educated group(p<0.001, 5.6$\pm$2.3/10.0 vs 2.8$\pm$2.2/10.0). Levels of FBG and HbAlc in both group were reduced at 4 month after the treatment(-74.2 mg/dl and -1.4% in educated group vs -58.7 mg/dl and -2.0% in non-educated group). However, the reduced amounts of them were not significantly different. Therefore, nutritional education seems to be very important in improving the knowledge and the practice & perception of the diet therapy. However, it appears no direct influence in reducing FBG and HbAlc levels. Further studies on diabetic management by using more efficient, consecutive and intensive nutritional education methods are needed. (Korean J Nutrition 34(1):69-78, 2001)

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Effect of Group Psychotherapy for Promotion of Hope on Positive Emotion in Cancer Patients

  • Cho, Jung-Hyo;Seo, Kyoung-Suk
    • 대한한의학회지
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    • 제32권6호
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    • pp.95-102
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    • 2011
  • Objectives: The purpose of this study is to develop a program of group psychotherapy named "the promotion of hope program (PHP)" that will provide effective emotional support for cancer patients. Methods: In order to develop a group counseling program for cancer patients, this study utilized reality therapy based on Oriental medicine theory which is the mind affect the body. We established four steps for making positive changes to individual behavior: creating soil for hope, watering hope, sprouting hope, and the blossoming flower of hope. To verify the effectiveness of the program, we conducted a comparative clinical trial. Patients were divided into two groups by unrestricted randomization: the intervention group (n=20) and the control group (n=17). The members of each group did not exceed seven patients. We divided the trial period into three sections. The intervention group received group psychotherapy twice a week for 4 weeks. The control group watched hope-related videos and talked about members for two hours each week for four weeks. We evaluated the scale of anxiety and depression, self-esteem, and hope, both before and after the examination. Results: PHP decreased the level of anxiety and depression in the intervention group (1.21 vs. 0.75, p<0.01). PHP also improved the level of both self esteem (2.80 vs. 3.34, p<0.01) and hope (2.69 vs. 3.23, p<0.01). In contrast, the control group showed no interval change at any point in time. Conclusion: Following the above results, PHP can be seen as an effective program for helping cancer patients to increase positive emotions and behaviors while reducing negative thoughts.

아스트롤로지를 활용한 상담과 위기 청소년의 자기인식 변화 (Counseling on Astrology on the Self-awareness Change of Youth at Risk)

  • 이영숙;박선숙
    • 한국콘텐츠학회논문지
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    • 제14권11호
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    • pp.272-284
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    • 2014
  • 본 연구는 아스트롤로지가 예언적이고 점술적인 기능을 하는 비과학적이라는 의미를 벗어나, 청소년의 자기인식의 변화에 사회과학적 측면에서의 상담도구로서 가치가 있음을 보여주기 위한 것이다. 아스트롤로지에서 사적 자기인식이란 태양이 위치한 본성과 연관이 있고 공적 자기인식이란 상승궁 즉 페르소나와 연관이 있다고 할 수 있다. 또한 감정을 관장하는 달의 위치와 기본 좌상 및 부수 좌상을 해석함으로써 사회적 불안과 연관하여 상담 장면에 적용하였다. 본 연구의 연구대상은 경남 C시에 소재하는 청소년 종합 지원센터에 의뢰된 지각, 흡연, 무단조퇴, 수업 태도 불량, 집단 폭행 등의 학교부적응을 보이거나 절도, 폭행등으로 보호 관찰중인 24명의 위기청소년들이다. 이를 무작위로 실험집단(12명)과 통제 집단(12명)으로 나누었다. 연구 결과는 아스트롤로지를 활용한 상담이 위기 청소년의 자기인식에 유의미한 효과가 있는 것으로 밝혀져, 아스트롤로지가 상담 도구로써 유의미한 가치가 있다는 것을 알 수 있었다.

자기성장집단상담프로그램이 여중생의 자아존중감 및 학교생활적응에 미치는 융복합적 효과 분석 (The Convergent Effects of Self Growth Group Counselling Program on Self-Esteem and Adaptation to School Life of Middle School Girls)

  • 김정경;김인홍
    • 디지털융복합연구
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    • 제16권10호
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    • pp.323-332
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    • 2018
  • 본 연구는 자기성장집단상담프로그램을 실시하여 여중생의 자아존중감과 학교생활적응에 미치는 효과를 규명하는데 목적을 두었다. 이를 위하여 자료수집은 G도, K시에 소재한 여자중학교 1학년 24명을 대상으로 2017년 10월 19일부터 12월 28일 까지 진행하였다. 연구도구는 자아존중감, 학교생활적응 척도를 사용하였으며, 자료분석은 실수와 백분율, 평균 및 표준편차, t검증을 이용하였다. 주요 연구결과는 다음과 같다. 자기성장집단상담프로그램이 자아존중감에 미치는 효과는 프로그램 사후에 실험집단이 통제집단보다 높게 유의한 차이(p<.01)가 나타났으며, 학교생활적응에 미치는 효과는 교사관계와 학교수업에서 프로그램 사후에 실험집단이 통제집단보다 높게 유의한 차이(p<.05)를 보였다. 이러한 결과는 자기성장 집단상담프로그램을 통해 여중생의 자아존중감과 학교생활적응의 향상을 보이므로 자기성장집단상담프로그램의 과학적 근거를 제시하는 의미가 있다고 시사된다. 추후 다양한 청소년을 대상으로 한 자기성장집단상담프로그램의 개발 연구의 필요성을 제언한다.

노년기 우울과 죽음불안 감소를 위한 생애회고적 이야기치료 집단프로그램의 효과 (Effects of the Life Review-Narrative Group Therapy Program on Decreasing Depression and Death Anxiety in the Elderly)

  • 여인숙;김춘경
    • 가정과삶의질연구
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    • 제24권5호
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    • pp.113-128
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    • 2006
  • This study was to verify the effectiveness of the Life Review-Narrative group therapy program on decreasing depression and death anxiety in the elderly. The program was organized according to a course of life from childhood to old age. The objectives were for the elderly to enhance self-worth, to become aware of their solitary existence, to accept aging and death, to accept the life: both past and present, and to make the most of experiences in overcoming difficulties. For the most part, the program used reminiscence and re-authoring of the narrative therapy as counseling techniques. Thirty-two elderly people(16 in the experimental group, 16 in the control group) aged 60 years and over were randomly selected from patients at the Daegu Metropolitan City General Welfare Center. Two groups were identified as equivalents for the study in the pre-test. The program for the experimental group was implemented twice a week for 90 minutes per session over a 6-week period(Sep. 8-Oct.14. 2005). The pre-test(Sep. 8 2005), the post-test(Oct. 14. 2005) and the follow-up test(Nov. 14. 2005) were implemented in order to verify the effectiveness of the programs. The instruments used in the study were the Geriatric Depression Scale Short Form(Korean Version) and the Death Anxiety Scale. The data were analyzed using t-testing and One-Factor Repeated Measures ANOVA. This study supplemented other qualitative research methods in order to verify the variation in the depression and death anxiety in the elderly. The findings of the study were as follows: Significant decrease in the depression and death anxiety were reported in the experimental group. The control group however did not show any significant changes in the depression and death anxiety rates. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy program has lasted effects on decreasing of the death anxiety. Nevertheless, the effects of the life review-narrative group therapy program on decreasing depression are not lasting. The study has limitations so further research is suggested.

신생아 돌보기 교육 프로그램이 초산모의 신생아 돌보기 지식, 자신감, 행동 정확도에 미치는 효과 (The Effect of Education Program on Primiparas로 Knowledge, Confidence and Accuracy of Behavior in Newborn Care)

  • 서영미
    • 대한간호학회지
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    • 제28권4호
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    • pp.1060-1074
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    • 1998
  • This study was to find whether the educational program contributed to the increase of knowledge, confidence, and accuracy of behavior in newborn care of the primiparas. The educational program consistes of individual lectures, demostrations, discussion, and practice of newborn care. Also two telephone counseling with the subjects after they are discharged from hospital. This study is a quasi-experimental design using non-equivalent control group pretest-posttest design. Data collection was done from July 21 to Oct 4 in 1997. The subjects were selected from 2 general hospitals and 1 university hosipital in C city, Subjects were 44 primiparas(control group 22, experimental group 22). they were tested on knowledge, confidence, and accuracy of behavior in newborn care. A pretest was done 2-3 days after vaginal delivary(5-6 days after c-sec delivary). A posttest was done 21-28 day(vaginal delivary, c-sec delivary) after delivary. The instruments used for this study were knowledge scale about newbon care developed by the reserarcher, Pharis' confidence scale modified by the researcher and accuracy of behavior scale developed by the reserarcher. Primiparas' knowledge and confidence was tested by questionnaire and Primiparas' accuracy of behavior was tested by structured observational method. Analysis of data was done by using of χ²- test, t -test, paired t -test. The results of this study are summarized as follows : 1) Knowledge of the experimental group was significant higher than the control group(t=-4.94, P=.000). 2) Confidence of the experimental group was significant higher than the control group(t=-.262, P=.012). 3) Accuracy of behavior of the experimental group was significant higher than the control group (t=-.969, P=.000). In conclusion, the newborn care education along with intensive telephon counseling shows a significant promotion of newbon care in primiparas. Thus this program can be recommended as an intervention model for the newborn and primiparas.

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생애회고적 이야기치료 집단프로그램이 노인의 자아통합감 증진에 미치는 효과 (Effects of Life Review-Narrative Group Therapy Program to Increase Ego-Integrity in the Elderly)

  • 여인숙;김춘경
    • 대한가정학회지
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    • 제44권5호
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    • pp.157-169
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    • 2006
  • The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.