• 제목/요약/키워드: Mental Stress

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ADHD 치료에서 가족치료캠프의 적용 (Application of Family Treatment Camp in Treatment of ADHD)

  • 황병주;안동현;이재영
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권2호
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    • pp.82-89
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    • 2012
  • Objectives : Demands for comprehensive and intensive treatment programs for treatment of children with attention-deficit hyperactivity disorder (ADHD) who suffer from serious impairment in various psychosocial areas are increasing. The aim of this study was to evaluate the possibility of developing new types of camp programs focused on improving social adjustment of children and helping parents effectively manage their children's problem behaviors. Methods : Fifteen children diagnosed as ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV (mean age 9.5 years) and their parents participated in this program. Eight consecutive camps were held at two-week intervals, from Jun 2007 to Oct 2007 in an adolescent training center located at Chungtaesan, in Korea. Each camp program included social skills training in the classroom and outdoor activities in the forest for children, as well as parent training for mothers. In addition, after the sixth camp, we conducted one parental session for fathers and a three-day booster family camp three months later. Finally, eleven families adhered to the program. Results : All children, parents, and therapists rated questionnaires or checklists at baseline, intra-, and post-treatment. Parenting burden rated using the Parenting Stress Index showed a significant decrease, from 57.89 to 46.22 (p=.019). And, overprotection rated using the Parenting Bonding Instrument showed a significant decrease, from 16.56 to 12.44 (p=.046). However, no significant improvement in children's behavioral and emotional problems was observed. Conclusion : In this study, the consecutive ADHD family camp program was effective for empowerment of parental competency, but not for general improvement of children's behavioral and emotional symptoms.

VDT 증후군(症候群)과 견비통(肩臂痛)의 문헌적(文獻的) 고찰(考察)을 통(通)한 상관성(相關性) 연구(硏究) (A study of similarities between VDT syndrome and Kyunbitong (jianbeitong, 肩臂痛) on the ground of medical records)

  • 송인광;김갑성;이승덕
    • Journal of Acupuncture Research
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    • 제18권2호
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    • pp.37-50
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    • 2001
  • Objects : This study is to be applied effectively to the acupuncture treatment for VDT syndrome. Methods : I referred to occidental and oriental medical records. Results and Conclusion : VDT syndrom is the concept focalizing work environment and labor load, and named all that symptoms according to excessive VDT works. The disorders of VDT syndrome is divided into 2 groups with muscaloskeletal disorders and non-musculoskeletal disorders, and non-musculoskeletal disorders is secondly divided into 3 groups with visual disorders, stress disorders and others. The risk factor of VDT syndrome is divided 4 groups with repetitive acts, consistent works, uncomfortable work postures, unprofitable light environments, jobs needs for excessive power and mental or physical fatigues. In oriental medicine area, I apply VDT syndrome to Kyunbitong(jianbeitong, 肩臂痛) to base on similarities of the risk factors and disorders between VDT syndrome and Kyunbitong(jianbeitong, 肩臂痛), that is painful illness on shoulders, arms, hands and fingers. And, Kyunbitong(jianbeitong, 肩臂痛) is divided 3 groups into Susamuhm(shousanyin, 手三陰), Susamyang(shousanyang, 手三陽) and Joktaeyang(zutaiyang, 足太陽) on the ground of meridian. Disorders related to Kyunbitong(jianbeitong, 肩臂痛) is grounded on kyungmaek(Jingmai, 經脈) disorder called sidongbyung(shidongbing, 是動病) and sosaengbyung(suoshengbing, 所生病) and Kyungkeun(Jingjin,經筋) disorder related to Kyunbitong(jianbeitong, 肩臂痛). As a result of this study, there is many similarities between VDT syndrome and Kyunbitong (jianbeitong, 肩臂痛). On acupuncture treatment, VDT syndrome can be applied to Kyunbitong(jianbeitong, 肩臂痛)'s on the basis of meridians, because of similarities of risk factors and disorders between VDT syndrome and Kyunbitong(jienbeitong, 肩臂痛).

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입원시 정보수집을 위한 간호면담 방법의 효과에 대한 연구 (Effectiveness of Nursing Interviews on Initial Contacts with In- patients)

  • 이평숙
    • 대한간호학회지
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    • 제7권1호
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    • pp.88-98
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    • 1977
  • This study was designed to identify a more effective method of nursing interview in gathering informations by comparing the two, the structured and unstructured methods. May through October, 1976, 40patients on psychiatric wards of Korea University Hospital and National Mental Hospital, Seoul, were sampled and interviewed on their admission/within one week of admission. Both methods were used simultaneously by different interviewers ; 48 hour interval were kept between the two approaches of interview. Contents of informations gathered were grouped according to the criteria developed by the researcher, frequency, percentile score and the means were scored, and the two methods were compared; the amount of information gathered, number of questions used, time spent and the general response towards the methodologies. Results of the study are summarized as follows ; 1. 1. 5 times as many informations were gathered through the structured interview. (1366 ; 849) 2. 68.32% of informations gathered through the unstructured interview and 42.46% of the structured interview revealed to be overlapping; through structured interview, more unique informations (57.54%) were gathered. 3. The average of 33.25 minutes were consumed for the structured interview while 95, 50 minutes for the unstructured. Much higher time consumption is revealed in the unstructured. 4. Majority of patients showed positive response towards both approaches of interview (90% each), however, interviewers responded to experience of certain degree of tension (stress) in the unstructured method (35%) 5. The average of 0.88 question were used to gather one information in the structured while 1.87questions for the unstructctured were used. 6. The average of 0.97 minutes were consumed to gather one information in the structured while 4.50minutes for the unstructured. 7. The average of 1.11 minutes were consumed for one question for the structured while 2.41 minutes for the unstructured. The results of the study revealed that the structured interview were more effective in gathering informations; a larger quantity of informations were gathered in shorter time. Recommendations for further in investigations are as follows ; 1. Comparative analysis of informations gathered through the two methods by experienced professional nurse- interviewers is recommended. 2. Comparative analysis of the quality of informations is recommended. 3. Comparative analysis of the interviewing process (interactions) in relation to the characteristics of patients'health problems is recommended.

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정상 신생아 어머니와 고위험 신생아 어머니의 신생아에 대한 지각 및 교육요구도 비교 (The Educational Needs and Perception of the Mothers of High Risk Infant and Normal Neonate)

  • 이미자;서현선;홍유희;김소연;유은주;박송자
    • Child Health Nursing Research
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    • 제9권1호
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    • pp.18-27
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    • 2003
  • The purpose of this study is to compare the educational needs and perception of mothers of normal neonates and high risk infants. This research was designed as a descriptive study. Data were collected for two months from April 2002 to March 2002. Subjects were 41 mothers of high risk infants and 60 mothers of normal neonates in one general hospital in Seoul participated in the study. Measurement tools used in this study were the educational needs scale developed by Cho Kyoul Ja et al and the neonatal perceptive inventories scale developed by Broussard. They ask mothers to rate each item on a four point Likert type scale. The collected data were analyzed using SPSS 8.0 program. The variables were listed as frequency, mean, standard deviation, X2 test, t-test, ANOVA. The results were as follows: The educational needs of the mothers of primi pregnancy was higher than the mothers of multi pregnancy. The educational needs on management of diseases such as prevention of infection, symptoms of disease, mental development, attachment promotion, congenital metabolism test, management of convulsion, care of vomiting and fever were higher than general care of infants such as immunization, measurement of temperature, hiccough care, follow up care. The informations must be included in nursing intervention program to reduce the mothers' stress level. In conclusion, in order to promote positive mother infant relationship, nurse need to give information and educate the mothers of high risk infant and normal neonate.

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종합병원 간호사들의 피로자각증상과 요통 (Industrial Fatigue and Low Back Pain of the Nurses in General Hospital)

  • 김순례;조동란
    • 한국직업건강간호학회지
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    • 제8권2호
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    • pp.162-168
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    • 1999
  • To investigate industrial fatigue and low back pain, the questionaire survey for subjective symptoms of fatigue and low back pain was carried out 305 nurses in general hospital in Korea. Nurses participated to this study were divided into low back pain group(LBP) and control group, according to the self-reports by written questionaires. The subjective sysptoms of fatigue comprised three groups of 10 items each, representing dullness and sleepiness(level of cerebral activation), difficulty in concentration(level of motivation) and bodily projection of fatigue. The resultant data were processed for $x^2$-test, t-test to confirm the associations. The results were as follows: 1. 28 items of fatigue subjective symptoms exept two item, 'feel thirsty and 'feel ill', were directly associated with low back pain. 2. The percentage of fatigue complaint were significantly higher in LBP group than control. 3. Of the 30 items of fatigue subjective symptoms, the highest percentage was accounted for 'legs feel heavy', 'eye strain', 'feel stiffness in the neck or the shoulders' followed by 'feel like lying', 'whole body feels tired', 'feel a pain in the low back', 'feel drowsy' and in the order of sequence. 4. The average weighted score for the first group of fatigue items(dullness and sleepiness) was the largest among three groups and was followed by the second group(difficulty in concentration) and the third group (bodily projection of fatigue) in the order of sequence, suggesting the heavier mental and shift work stress of the female workers.

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서울시 어린이 전문병원 외래진료부의 공간구성방식과 대기공간의 치유환경 구축방안에 관한 연구 (A Study on the Spatial Organization Methods of O.P.D & the Construction of Healing Environment on O.P.D Waiting Area in Children's Hospital in Seoul Metropolis)

  • 김건형;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제16권3호
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    • pp.37-48
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    • 2010
  • This study analyzes the present condition of the elements of a healing environment of the waiting rooms in outpatient clinics of children' hospitals (3 hospitals in Seoul) so as to propose a design to build a healing environment within the children' hospital. And analyzing the importance, satisfaction and preference of the healing environment in the waiting rooms, this paper has come to the following conclusions: 1)The study shows that the space structure of outpatient clinics in children' hospitals are composed of 1 story or 2 stories and designed in a duplication design or a dispersed alcove design. 2)The waiting room of the SC Hospital, with an area of 66.56$m^2$, and the waiting room of the SU Hospital, with an area of 38.78$m^2$ received the highest score for its space. 3)As most patients visit the hospital with their guardian, the waiting room should also be someplace families can rest and share information with others. 4)It is essential to build an environment that eliminates stress elements that patients may come to face by minimizing noise and elements that obstruct the view for mental stability. 5)The results show that those who took part in the survey preferred the following, respectively, healing environment design for the waiting room in the outpatient clinic at children' hospital: Pleasantness>Easiness in finding one' destination>Artificial materials>Natural materials>Environment like that at home>Co-promotion spaces>Space that supports the patients'activities>Openness>Sociality>Safety/Security>Approachability and Privacy. The results also show that healing conditions respect these preferences.

포도즙가산조인탕(葡萄汁加酸棗仁湯)의 스트레스 해소효과에 대한 임상적(臨床的) 연구(硏究) (A clinical study on the relaxative effect of Sanjointang(酸棗仁湯) added Grape Juice)

  • 이중휘;최승훈;오민석;김재식;윤상원
    • 혜화의학회지
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    • 제12권1호
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    • pp.129-137
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    • 2003
  • Clinical studies were carried out 29 cases through administration of Sanjointang added Grape Juice(ST+GJ) from December 1st 2002 to December 30th 2002. The results were summarized as follows; 1. There were significant decreases in physical symptoms of fatigue from $4.34{\pm}2.70$ to $2.34{\pm}1.78$ by administration of ST+GJ. 2. There were significant decreases in mental symptoms of fatigue from $5.10{\pm}2.74$ to $3.76{\pm}2.23$ by administration of ST+GJ. 3. There were significant decreases in neuro-sensory symptoms of fatigue from $3.66{\pm}2.13$ to $2.69{\pm}2.07$ by administration of ST+GJ. 4. There were significant decreases in total subjective symptoms of fatigue from $13.14{\pm}6.18$ to $8.79{\pm}4.63$ by administration of ST+GJ. 5. There were significant decreases in VAS of fatigue ratio, but not significant changes in VAS of concentration ratio by administration of ST+GJ. According to the results, we could suggest that ST+Gj is able to be applied to the relaxion of stress.

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한국 여성의 알코올사용장애 영향요인 (The Factor Affecting Alcohol Use Disorder in Korean women)

  • 김지인
    • 디지털융복합연구
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    • 제17권12호
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    • pp.367-374
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    • 2019
  • 본 연구는 한국 여성의 알코올사용장애 영향요인을 파악하여 한국 여성의 알코올사용장애 중재를 위한 기초자료를 제시하고자 수행되었다. 본 연구는 제6기 국민건강영양조사 자료를 활용하였으며 만 19세 이상 여성을 대상으로 인구사회학적 특성, 건강관련 특성 및 알코올사용장애 여부를 파악하였다. 자료분석은 IBM SPSS 25.0 프로그램을 이용하여 복합표본설계를 적용하였다. 연구 결과 한국 여성의 알코올사용장애 유병률은 14.7%였으며 알코올사용장애군과 정상군은 연령, 결혼 여부, 교육수준, 경제활동 여부, 흡연 여부, 스트레스 인지 정도, 우울증상 여부에 따라 유의한 차이가 있었다. 알코올사용장애 영향요인을 분석한 결과 알코올사용장애 유병 위험은 연령이 낮을 경우 4.0배, 미혼일 경우 1.6배, 경제활동을 하는 경우 1.6배, 흡연을 하는 경우 4.3배, 우울증상이 있는 경우 1.9배 높은 것으로 나타났다. 본 연구의 결과에 따라 경제활동을 하는 미혼 여성의 음주와 흡연 여부, 우울증상을 파악하고 함께 접근하는 것이 필요하며, 추후 다양한 변수를 포함한 경제활동을 하는 미혼 여성의 알코올사용장애 위험요인에 대한 연구를 제언한다.

역류성 식도질환 환자의 생활습관 및 식습관 조사연구 (Survey of Life and Dietary Styles on Patients with Gastroesophageal Reflux Disease)

  • 김현수;손민지;손의동
    • 한국임상약학회지
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    • 제24권4호
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    • pp.248-254
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    • 2014
  • Objective: It was surveyed how to help patients get better treatment for their disease by making complements based on the survey outcomes when the pharmacists guide how to administer medicine. Methods: A total of 142 gastroesophageal reflux disease (GERD) patients answered the self-answering questions consist of 15 items about their general characteristic, lifestyle and dietary style. The frequency of survey materials was analyzed to find out specific figures of surveyed patient's general characteristic, lifestyle and eating habits. Results: Based on the outcomes on analysis there was no difference between female and male patients. The characteristic based on the age group, as ones grow older, the number of GERD patients also increased. In case on the characteristic in lifestyle, many patients had improper habit to treat GERD. The items were smoking habits, stress control habit, sleeping postures and the way in wearing outfits. In case of postures after having a meal, they had right lifestyle. Patients had improper habit in eating food. They enjoyed pungent food and drinks which can hinder the treatment. In case of the time of having meal, eating habit of meat and vegetables and eating food less than an hour before go to bed, this research showed that they have the right lifestyle. Conclusion: This research indicate that pharmacists give guidance GERD patients to stop smoking that is causative of GERD and guide patients have mental stability, and patients avoid pungent food and drinks such as coffee, soda, chocolates and mint candies.

농촌지역 초등학교 보건실의 공간구성 및 특성 -청원군 지역을 중심으로- (The Characteristics and Spatial Configuration for a Nurse's Office in an Elementary School in a Rural Area -Focused on Cheongwon Gun Area-)

  • 이재형;정진주
    • 한국농촌건축학회논문집
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    • 제12권1호
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    • pp.9-16
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    • 2010
  • As the importance of health and school health grows, the purposes of this research are to investigate the differences between the characteristics and the utilization of the nurse's office of an elementary school in an urban area and the nurse's office of an elementary school in a rural area, and to provide the data for the planning of construction of a nurse's office convenient for students to use after grasping the regional characteristics. The methods of this research include the interview and the survey conducted to the heath teachers after visiting 20 nurse's offices in 13 eups and myeons, and examined and analyzed the differences between the characteristics and the utilization of the nurse's office of elementary schools in an urban area and the nurse's office of an elementary school. The nurse's offices of the elementary schools in Cheongwon, a rural area, are worse in access to health care institutions and in the connection to the placement than those of the elementary schools in urban areas, so most of eups and myeons were not allowed for easy access to medical service. Depending on the bad personal surroundings of each elementary student, mental stress and the lack of heal care of each student should be taken care of along with the educating of the parents and the children. Also because of the difficulties in access to the health care institutions, it is suggested that a lot of support and interest should be provided for the nurse's offices and that a lot of changes with functions should occur to the nurse's offices so that the nurse's office of an elementary school can play the role as a local health care institution. Besides, the health teachers also should be able to provide more professional medical services by taking in-service training courses.