• 제목/요약/키워드: Illness Experience

검색결과 256건 처리시간 0.026초

다문화 및 북한이탈주민 가정 자녀의 정신건강 (Children's Mental Health in Multicultural Family and North Korean Defectors in South Korea)

  • 이소희;이선혜
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제24권3호
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    • pp.124-131
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    • 2013
  • South Korea is changing into a multi-cultural society, due to an increase in international marriage, foreign workers and transcultural immigration. In addition, the number of North Korean defectors entering South Korea has increased and now, there are approximately 25000. Therefore, this review have focused on a research that pertains to adaptation and mental health concerns of their children. Children who have immigrated themselves or whose parents have immigrated, might experience language barriers, difficulties in school adjustment, identity confusion and mental health problems. However, their academic performance and developmental status are known to be variable and be affected by socioeconomic status and their parents' educational level. Studies that evaluated the psychological problems of North Korean adolescent refugees' indicated the need for interests in both emotional and behavioral problems. The risk factors of North Korean adolescent refugees' mental health are suggested to be past traumatic experiences, long duration of defection and short period of adaptation. When mental health professionals provide assessment and treatment, they should consider the pre- and post-migration experiences & cultural background that affect the illness behaviors and attitudes toward mental illnesses. Lastly, the majority of children with multi-cultural background are still under an adolescent period and we should follow up with long-term perspectives.

이분척추 환아의 어머니가 인식한 질병관리의 어려움: 질적 서술적 접근 (Mothers' Perceived Difficulties in the Management of Chronic Conditions of Children with Spina Bifida: A Qualitative Descriptive Approach)

  • 임승화;이명선
    • Child Health Nursing Research
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    • 제22권4호
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    • pp.247-256
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    • 2016
  • Purpose: The purpose of the study was to identify and describe the caregiving difficulties that mothers of children with spina bifida experience from their own perspectives. Methods: A qualitative descriptive study was designed. Data were collected from five mini-focus group interviews and four individual interviews using open-ended questions. Nineteen mothers of children with mild spina bifida participated in the study during 2014-2015. Data were analyzed using qualitative content analysis to identify major difficulties perceived by the mothers. Results: Five domains were identified with 12 subdomains. "Daily routine continence management" describes difficulties arising in bladder and bowel management for the child with spina bifida. "Management of school life of child" deals with difficulties in relation to the school facilities, such as the toilets, as well as teachers and friends. "Relationship with family and neighbors" illustrates problems in relations with their spouse, normal children, relatives and neighbors. "Maintaining physical and psychological health" includes physical and psychological problems of the mothers. "Finance" describes economic burden that the mothers face in the management of child's illness. Conclusion: The findings from this study provide insight into the practical issues related to the management of chronic conditions of children with spina bifida from the mothers' perspectives.

소아 장중첩증에서 임상양상과 수술소견과의 관계에 관한 분석 (Analysis of Clinical Factors and Operative Findings in Childhood Intussusception)

  • 최금자
    • Advances in pediatric surgery
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    • 제2권2호
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    • pp.81-87
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    • 1996
  • Although nonoperative reduction plays a major role in the management of uncomplicated intussusception in the pediatric age group, surgical treatment is still a necessary alternative when nonoperative reduction is unsuccessful. The author analyzed the clinical features of 68 patients requiring operation in order to identify factors which might influence the type of operative management. A nine-year experience at Ewha Womans University Hospital was reviewed, and the findings compared to previous reports. Barium was used for the initial reduction attempt in 33 cases, saline in 35. Manual reduction by milking at operation achieved success in 41 cases(60.3%). Fifteen cases(22.1%) required resection of bowel, and 12 patients(17.6%) were found to have spontaneous and complete reduction of the intussusception at operation. Two cases had pathologic leading points. There were no perforations due to nonoperative reduction. There were no significant differences in demographic data, clinical findings, laboratory data, and anatomic type of intussusception between barium and saline reduction groups. However, a significant number of cases with spontaneous reduction were in saline reduction group(p<0.05). There was a slight chance of spontaneous reduction in infants under 6 month of age(p<0.001). Age under 6 month. body temperature over $38^{\circ}C$, symptom over 24 hours, and ileo-colic and ileo-ileo-colic intussusception contributed significantly to the necessity for bowel resection(p<0.05-0.001). The author believes that the age, body temperature, duration of illness, and anatomic type of intussusception strongly influence operative management.

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농촌지역 당뇨병 환자의 당뇨지식 및 자가관리에 대한 연구 (A Survey on Knowledge of Diabetes and Self-care Behavior of Rural Patients with Diabetes Mellitus)

  • 이혜란
    • 한국농촌간호학회지
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    • 제8권1호
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    • pp.13-24
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    • 2013
  • Purpose: The purpose of this study was to examine the knowledge of diabetes and self-care behavior of patients with diabetes mellitus living in rural area. Methods: Participants in this study were 94 patients with type 2 diabetes mellitus. Data were collected from July 13 to September 14, 2012. The instruments were the knowledge of diabetes measurement developed by Park Oh Jang and the measurement of self-care behavior for patients with diabetes developed by Kim Young Ok. Data were analyzed using the SPSSWIN 18.0 program for t-test, one-way ANOVA and Scheffe test. Results: There were significant differences in knowledge of diabetes according to education level (p=.011), alcohol use (p=.010), regular exercise (p=.046), and duration of illness (p=.045). There were significant differences in self-care behavior of patients with diabetes according to satisfaction with income (p=.031), regular exercise (p<.001), experience with diabetes education (p=.001), number of diabetes education sessions (p<0.001), and complications (p=.001). Conclusion: Based on the result of this study, there is a need to develop and confirm the efficacy of education programs by examining their fit to characteristics of patients with diabetes mellitus living in rural areas.

네이버 지식인을 통해 본 한의학 인터넷 건강 상담의 현황 (Internet Health Counseling for Korean Medicine in the NAVER Jisik-iN)

  • 김윤경;임병묵
    • 대한예방한의학회지
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    • 제17권1호
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    • pp.51-63
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    • 2013
  • Objectives : This study aimed to investigate the current situation of Internet health counseling in Korean Medicine by analyzing the contents and pattern of the questions and answers in NAVER Jisik-iN. Methods : 1,121 questions answered by Korean Medicine doctors in NAVER Jisik-iN from January 2012 to June 2012 were extracted and analyzed. The contents and pattern of the questions and answers were classified. Then statistical analysis was performed and the research findings were compared with other studies. Results : Korean Medicine (KM) accounted for 1.73 percent of health counseling in NAVER Jisik-iN. Analyzing the questions and answers of KM counseling, questions about symptoms and answers providing medical knowledge were most common. The most frequently asked symptom was digestive disorder. Applying to Suchman's "Stage of Illness and Medical Care" model, 'the symptom-experience' stage took the first place. Conclusions : KM counseling in NAVER Jisik-iN has served as guidance for potential Korean Medicine consumers by providing medical knowledge about symptoms. For more effective guidance there should be a systematic Internet counseling system offering reliable information by KM doctors to meet the needs of medical consumers.

한국형 ACSC에 대한 실증분석 및 건강보험 적용 가능성에 관한 연구 (The Empirical Ambulatory Care Sensitive Conditions Study & its Potential Health Insurance Applicability in Korea)

  • 김양균;성주호
    • 보건행정학회지
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    • 제15권3호
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    • pp.79-93
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    • 2005
  • The purpose of the study is to identify Ambulatory Care Sensitive Conditions (ACSC) and their potential health insurance applicability in Korea, using the correlation and regression analysis with the empirical data provided by Korean Health Insurance Review Agency(KHIRA). Here, ACSC would be thought of as conditions that when timely and effectively treated in the outpatient medical services can help reduce the risk of hospitalizations. As for ACSC, reducing accessibility for outpatient visit results in increasing hospitalization. In this respect, the ACSC concept is popularly adopted as one of the performance indicators of the national health system. As one of main results, fortifying the accessibility to necessary health care in a way of sharing appropriately the role with private health insurance can lead to the efficiency of national health care delivery systems in view of total health care expense, in particular in a case of ACSC children. Lastly, we would like to strongly suggest that the disease treatment data set reported to KHIRA needs to be opened to private insurance companies only for illness experience investigation.

직무만족도가 근로자의 질병결근에 미치는 영향 : 불건강증상 경험수의 조절효과 (Sickness absence and job satisfaction)

  • 이경용;박원열
    • 대한안전경영과학회지
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    • 제16권4호
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    • pp.203-213
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    • 2014
  • Sickness absence is one of the most important indicators for worker's health and occupational safety and health performance. Sickness absence is primarily depended upon sickness but psycho-social factors in workplace may moderate sickness absence. Even though worker is falling into illness, sickness absence can be prevented by job satisfaction. In Korea it is very difficult to find research output about the association of sickness absence with job satisfaction. This study is planned to investigate the effect of job satisfaction on sickness absence. The third Korean Working Conditions Survey done by Occupational Safety and Health Research Institute in 2011 was used to analyze by logistic regression analysis. The result has shown that job satisfaction has statistically significant effect on sickness absence and simultaneously diminish the effect of symptoms experience on sickness absence. The effect of job satisfaction is greater in short term sickness absence than in long term sickness absence. This study has some limitation because of the cross sectional data of Korean Working Conditions Survey. In future, sophisticated statistical analysis may be done with modelling.

성인의 건강개념과 건강행위에 대한 서술적 연구 (Exploratory Study of The Korean Health Concept and Health Behaviors)

  • 김애경
    • 대한간호학회지
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    • 제24권1호
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    • pp.70-84
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    • 1994
  • People experience health behaviors for themselves and theses have diversity according to each culture and people and further there is an inherent meaning in health behavior The purpose of this study was to explore the health cconcept of Korean people and their pattern of health behavior The research method was a questionaire including open questions and the subjests were 164 adults age from 21 to 61. The result of this study are as follows : 1. Perceived health concepts by adults were “possibility”, “responsibility”, “being free”, “happiness”, “brightness”, “power”, “life”, “importance”, “mental rest”, “state of nnonilliness”, “death” 2. Health behaviors carried out by Korean adults were “maintance of psychological comfort”, “exercise”, “work”, “maintance of balanced diet”, “having a hobby”, “eating health food”, “health check up”, “prevention of hazards”, “eating natural food”, “maintenance of personal relationships”, “rest”, “having religion”, “making contract with nature”, “relaxation”, “limit one’s tastes”. 3. The perceived purposes of health behavior by Koran adults were maintenance of a joyful life, health maintenance, health restoration, prevention of illness, achievement of reponsibility, haying a hobby, longevity, peaceful death. Korean health concepts in this study showed a trend that reflects the rule of family and forcused harmony and eating habits. Korean health behavior in this study showed a trend that forcuses on emotional comfort which reflects oriental thinking. The result of this study will contribute to build a theory of health behavior and to derive strategies of health behavior to promote health.

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우울증 환자에서 외상 사건 경험과 주관적 수면 문제의 특성 (Subjective Sleep Problems of Depressed Patients with Different Types of Life-Time Traumatic Stress Events: An Explorative Study)

  • 김민섭;허휴정;채정호
    • 대한불안의학회지
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    • 제12권1호
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    • pp.21-27
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    • 2016
  • Objective : The aim of this study was to investigate the relationship between subjective sleep problems and various types of traumatic events of patients with depressive disorder. Methods : A total of 411 patients diagnosed with depressive disorders were recruited in this study. The participants filled out Life Time Events Checklist (LEC), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI). We used the independent t-test and analysis of covariance to compare each component of PSQI between depressive patients with and without traumatic experiences. Results : The groups of patients who experienced a serious accident at work, home or during recreational activity, sexual assault, other unwanted or uncomfortable sexual experience, life-threatening illness or injury, and sudden, unexpected death of a near and dear one showed lower scores in a few components of PSQI. Sleep disturbance was a common problem in all five groups. Lower subjective sleep quality and longer sleep latency was observed in three groups. There were no differences in the other components of PSQI among groups. Conclusion : This study showed that various types of traumatic events may have different effects on subjective sleep quality as a consequence of the traumatic event which they had experienced.

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Big Data Decision Analysis of Stress on Adolescent Mental Health

  • Park, Jinhyeok;Kang, Un Gu;Lee, Youngho
    • 한국컴퓨터정보학회논문지
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    • 제22권11호
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    • pp.89-96
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    • 2017
  • This study analyzed how mental health affects stress in adolescents. The subjects of the study were data of about 60,000 middle and high school students living in the country, using cross-tabulation data and chi - square test to analyze the relationship between stress and mental health of adolescents. As a result of the research, it was found that the adolescents exposed to the excessive stress showed a poor correlation with the recovery of the fatigue, while the adolescents with relatively low stress showed the good recovery of fatigue. In the case of mental illness, depression or despair, the students who answered that they were stressed showed a lot of experience. In the case of suicide ideation, suicide attempt, and suicide attempt, the number of attempts to commit suicide was high when the level of perceived stress was high similar to the result of previous analysis. This finding confirms that stress is an important factor in the quality of life in adolescent mental health. It can be used as a strategy and business to prevent the problem of youth suicide in modern society in advance by stress management.