• Title/Summary/Keyword: Illness Experience

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알레르기 질환 청소년의 정신건강: 2020 청소년 건강 행태 온라인 조사 활용 (Mental Health in Adolescents with Allergic Diseases-Using Data from the 2020 Korean Youth's Risk Behavior Web-based Study)

  • 박초희
    • 산업융합연구
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    • 제20권1호
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    • pp.87-96
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    • 2022
  • 본 연구는 알레르기 질환을 가진 청소년들의 실태와 정신건강과 관련된 요인을 파악 하고자 한다. 질환 관리를 위한 기초자료를 제공 하고자 함이다. 연구방법은 제16차 청소년 건강행태 조사 빅데이터를 이차분석 하였으며, SPSS 25 프로그램을 이용하여 x2-test를 사용하고 연관 정도를 파악하기 위해 오즈비와 95% 신뢰구간을 구하였으며, 다중 로지스틱 회귀분석을 시행하였다. 연구 결과 알레르기 질환을 가지고 있는 청소년의 37.1%가 스트레스 인지가 있는 것으로 나타났으며, 우울감 경험률이 27.6%, 자살 생각률이 12.5% 처럼 알레르기 질환을 가지고 있는 청소년의 스트레스 인지, 우울감 경험 및 자살생각의 가능성이 알레르기성 질환을 가지고 있지 않은 청소년에 비해 높았다. 본 연구 결과로 청소년의 알레르기 질환 유무에 따라 정신건강에 많은 영향을 미치는 것을 알 수 있었고 정신질환을 초래할 수 있는 질환 및 청소년 정신건강 관련 예방과 연구에 기초 자료로 삼고자 한다.

중증 환자 퇴원에 대한 설문연구: 한국의 일개 상급종합병원 전공의를 대상으로 (A Survey Study on Discharge Process of Critically Ill Patients: for Residents at a Tertiary Hospital in Korea)

  • 정혜진;이선영;조비룡;신정미;김민선
    • 한국의료질향상학회지
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    • 제30권1호
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    • pp.15-32
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    • 2024
  • Purpose: The number of severely ill patients requiring post-acute care has been increasing. Careful discharge planning minimizes unplanned emergency room visits and readmissions. This study aimed to survey the knowledge, experience, confidence, and obstacles faced by medical residents and fellows regarding the discharge process of severely ill patients. Methods: A survey consisting of 27 questions was sent electronically to residents and fellows who had experience in discharging severely ill patients from a tertiary hospital in Korea. The survey was conducted over a two-week period from September 29, 2022. Results: A total of 98 residents and fellows responded to the survey. Of these, 94% experienced difficulties related to the discharge process. The main obstacle was changes in the patient's condition during discharge planning (92.3%). Although 95% of the respondents acknowledged the need for providing discharge information, only 53.1% of the residents and fellows practiced this. Only 42.9% of the respondents and 20.4% of residents and fellows explained local community healthcare and welfare resources to patients because of a lack of relevant knowledge (69.7%) and feeling no responsibility to explain (40.4%). Conclusion: This study revealed that residents and fellows experienced difficulties in devising discharge plans and providing post-acute care related information, despite recognizing the importance of these. These gaps result from the lack of a discharge planning curriculum regarding critically ill patients and appropriate training in the discharge process. This suggests that an integrated discharge planning curriculum should be developed and adopted in residents' training programs for the differentiated treatment of critically ill patients.

노인간호에 대한 간호원의 태도조사연구 (A Study of the Attitudes of Nurses toward the Geriatric Nursing Care)

  • 최경옥
    • 대한간호학회지
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    • 제6권2호
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    • pp.1-9
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    • 1976
  • Presently, there is increasing demand for geriatric nursing care because of increasing preparation of elderly population due to extended age. Of particular importance in determining the effectiveness of nursing care given to the elderly is the attitude of the nurse toward the elderly patient. Knowledge of the various changes that usually occur with aging will enable the nurse to help an aged Person maximize his potential in illness and in health. The objectives of this study were : 1. To delineate the attitudes of nurses toward the geriatric nursing care. 2. To learn the influencing factors affecting the attitudes of nurses toward the geriatric nursing care. The study population defined and randomly selected is 225 nurses at one general hospital, one private hospital, two national hospitals in Seoul during the period of October l0th -20th, 1975. The questionnaire method was used. Respondents were 140 nurses. X$^2$- test and t- test were employed in analyzing the data. The questionnaire form included 54 statements which concerned the attitudes of nurses to-ward geriatric nursing care. It was divided into five areas : 1) General characteristics of study population. 2) The nurse's concepts of elderly. 3) Care of the geriatric patient. 4) Interpersonal relationship with geriatric patient. 5) Teaching of the geriatric patient. Each of the 54 statements of the questionnaire was considered to be either Positive or Negative. A Positive response was assigned the value of+1 , and a Negative response or no response was assigned the value of O. The results of the study were as follows : 1. The Investigation of attitudes of nurses toward geriatric nursing care. a. Data indicated , respondents have negative attitudes in their. concepts of elderly (74.3%) b. Data indicated respondents have positive attitudes in care of geriatric patient (64.3%). c. Data indicated respondents have positive attitudes in interpersonal relationship with geriatric patient (85% ). 4. Data indicated respondents have positive attitudes in teaching of geriatric patient (89.3%). 2. The results of study regarding the five hypothesis were as follows : a There was significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and level of education of the nurse. b. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and clinical experience, but there was significant difference between care of the geriatric patient and clinical experience. c. There was no significant difference between the attitudes of nurses toward the geriatric nursing care and shift most frequently worked, but there was significant difference between care of the geriatric patient and shift most frequently worked. d. There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and marital status, but there was significant difference in the mean scores between interpersonal relationship, teaching of geriatric patient and marital status. e, There was no significant difference in the mean scores between the attitudes of nurses toward the geriatric nursing care and experience with elderly, but there was significant difference in the mean scores between care of geriatric patient and experience with elderly.

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숲 치유를 통한 감정노동의 질적 연구 : 여행사 종사원을 중심으로 (Qualitative Analysis of Emotional Labor by Forest Healing - Focused on Travel Agency Employees -)

  • 김동준;강희석;서예정
    • 한국엔터테인먼트산업학회논문지
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    • 제13권2호
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    • pp.47-56
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    • 2019
  • 본 연구는 서울지역의 3개 여행사에서 서로 다른 업무를 하며 입사연도도 다른 종사원을 대상으로 개별 심층인터뷰를 진행하였다. 그리고 감정노동의 해결을 위해 숲 치유프로그램이 어떤 긍정적인 영향을 미치는지 대해 조사분석하였고, 연구결과가 여행사와 숲 치유 운영자에게 모두 도움을 주고자 하였다. 분석결과, 먼저 H 여행사 대상자는 2018년 4월 가평지역 숲 치유 체험장에서 인터뷰를 실시하였고 입사 5년차 여성으로 직무는 오퍼레이터였다. 고객서비스 과정에서의 감정노동으로 우울증까지 오는 어려움을 겪었고 숲 치유를 통해 긍정적인 효과가 있다고 하였다. 다음으로 M 여행사 대상자는 2018년 5월 의왕지역 숲 체험장에서 인터뷰를 실시하였고 여성으로 입사 7년차로 직무는 상품기획이었다. 고객과의 업무 속에서 감정노동이 발생하여 신체적인 병까지 얻은 사례로 참가자는 숲의 안정감, 사람들의 인간미 특히 목공예에 관심이 많았다. 프로그램에 대해 만족감을 보였고 재방문의 의지도 있었다. 마지막으로 R 여행사 참가자는 2018년 6월 서울지역 숲 체험장에서 인터뷰를 실시하였고 남성으로 입사 10년차이고 직무는 투어컨턱터였다. 출장과 복잡한 업무 속에서 감정 노동을 경험하였고 심지어 분노라는 감정으로 참을 수 없는 상황까지 느꼈던 어려움이 있었다. 그러한 어려움을 해결하고자 지리적으로 가까운 곳에서 숲 체험을 하였고 큰 도움을 받았다고 하였다.

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

  • Tuncay, Tarik
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권9호
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    • pp.4005-4012
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    • 2014
  • Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

만성질환을 지닌 여성 노인의 몸 체험 (Illness and Experiences of the Body Among Aged Women)

  • 조명옥
    • 성인간호학회지
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    • 제19권3호
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    • pp.365-378
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    • 2007
  • Purpose: The purpose of present study was to discover the experience of the body of aged women, having had disease. Thus, the researcher tried to explore the perception of the informants and the context in which this perception emerged. Methods: 9 aged women who had disease or trauma were recruited by snow balling and theoretical sampling methods. The iterative data collection and analyzing process proceeded between September, 1999 and January, 2005. Questions posed to the informants included: "What major change in your body comes from the disease?" "How did you feel about yourself after having had disease?". Data from interviews and participant observation was taken as text. The text was analyzed using the ongoing process of qualitative content analysing method and taxonomy of Spradley. Results: Disease gives aged women a chance to reinforce the meaning of their body: the body as the most low valued component of a human, the body as a wholistic field of interacting each component of human and with natural environment and cosmos, and the body as a source of group identity. These meanings were constructed in their life world by the rules of hierarchy, reciprocity, and group cohesiveness. Conclusions: The human body is constructed as a cultural being by a social process. Nursing is concerned with the biological body and the social body. The results of this study can serve to help understand the socialization of the body and to construct a somology of nursing.

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Stressful Life Event, Close Relationship, Self-Esteem, and Depression in College Women

  • Kim, Su-Nah;Oh, In-Ohg
    • 대한간호학회지
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    • 제29권5호
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    • pp.1021-1029
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    • 1999
  • Koreans rarely complain of depression or other psychological problems because mental illness is viewed as a stigmatizing and threatening experience. This study examined the relationships among stressful life events, close relationships, self-esteem. and depression in 400 college women aged 18 to 30 years. Depression was positively related to stressful life events (r=.21, p=<.01). Depression and stressful life events were negatively associated with self-esteem (r=-.67; r=-.11, p<.01; p<.05 respectively). Close relationships with women and men friends were each negatively associated with depression (r=-.24; r=-.16, p<.01; p<.05). Close relationships with women and men friends were positively associated with self-esteem (r=.23; r=.20, p<.01). Forty nine percent of variance in depression rates in this sample was explained. After adjustment for degrees of freedom, a total of 49% of the variance in depression was explained by self-esteem and stressful life events. This investigation into the relationships among the variables influencing depression for college women is a critical issue as health professionals need to be aware that college women are at considerable risk for depression. Effective psychosocial interventions are those designed for specific populations to meet unique care needs and since young Korean women may be at considerable risk for depression.

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스트레스의 사회 심리적 이해 (Understanding Stress : Psychosocial Aspect)

  • 정상근
    • 정신신체의학
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    • 제9권1호
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    • pp.66-80
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    • 2001
  • 인생을 살아가는 동안 누구든지 스트레스를 경험한다. 심리사회적 스트레스 요인은 매우 다양하다. 또한 그에 대한 개인의 스트레스평가, 대응, 반응들도 매우 다양하다. 여기에는 개인차가 많이 있는데, 개인적 자원이나 취약성 인자와 같은 개인적 소인의 영향을 받기 때문이다. 이러한 스트레스과정의 결과로서, 개인은 정신적 성장의 기회가 되거나, 정신적, 신체적 적응(안녕)에 변화가 없을 수도 있으며, 또는 부적응(질병) 상태를 초래할 수 있다. 따라서 개인에게 맞는 스트레스 예방관리나 치료법이 필요하다. 진료의사가 임상현장에서 스트레스 관련 환자들을 진료할 때 스트레스의 전반적인(특히 심리사회적) 이해가 필수적이다. 저자는 그러한 이해를 돕기 위해서 심리사회적 측면의 스트레스와 관련된 문헌들을 포괄적으로 고찰하였다.

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대구지역 초등학생의 학교급식 위생에 대한 인식, 지식, 실천 수준 및 위생교육 요구도 분석 (Analysis on perception, knowledge, and practice level for school food hygiene and need for hygiene education of elementary school students in Daegu)

  • 박혜진;김효정;김미라
    • 한국생활과학회지
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    • 제24권3호
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    • pp.371-386
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    • 2015
  • The purpose of this research was to investigate perception, knowledge, and practice level for school food hygiene and need for hygiene education with 300 students of elementary schools in Daegu. The average of correct answer percentage on knowledge about food hygiene of the respondents was 65.3%. For practice level of personal hygiene in school food, the average score was 3.75 out of 5 points. The ratio of educational experience of hygiene and dietary behaviors at home was 73.2%. Almost half of the respondents answered that 'food ingredients' should be the most hygienic. About 90% of the respondents recognized 'hand washing' had effect on prevention of foodborne illness. In addition, the respondents wanted to get the information about food hygiene from 'cooking practice at school', 'school broadcasting', 'education program on TV', and 'school newsletter' in order. These results suggest that continuous education on food hygiene for elementary school students are required and supervision to let them have proper hygiene habit is needed.

만성정신분열환자 가족의 체험 - Parse의 인간되어감 연구방법론 적용 - (Family Experiences of Living with Chronic Schizophrenic Patients - Application of Parse's Human Becoming Research Methodology -)

  • 이옥자;최영숙
    • 대한간호학회지
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    • 제37권1호
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    • pp.26-34
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    • 2007
  • Purpose: This study was aimed at understanding the nature of the suffering of families with patients in mental health nursing homes and hoped to contribute to the rehabilitation process of those with a chronic mental disorder. Method: Research methodology was based upon Parse's human becoming research methodology. Results: a) Despite the despair the family feels by the violence caused by their now-institutionalized relative, they also realize anew the importance of their role as protectors b) Although they fear social stigmatization they also try to be supportive, out of guilt feelings; c) They regret their severe rearing style and wish to be more sympathetic, d) They find courage and hope through family therapy, which leads to a better understanding of the illness, e) With hopes of rehabilitation, the family members feel happy and go through an emotional release, by sharing the pain with each other. Conclusion: Families of nursing home residents share a focus on the process of human-health-universe. This is a positive,'human-becoming' process with which, based on past feelings of despair, fear, resignation, and pain, one can render meaning into his or her experiences in the present in the pursuit of love, conquest, hope, liberty and success.