• 제목/요약/키워드: Mental status changes

검색결과 98건 처리시간 0.027초

해양자원을 활용한 의미중심, 마음챙김기반의 집단스트레스중재프로그램이 중증장애환자 간병가족의 정서, 수면, 삶의질 및 인지기능 향상에 미치는 효과 : 예비연구 (Effects of Meaning-Centered and Mindfulness-Based Stress Management Program with Using Marine Resources on the Improvement of Emotion, Sleep Quality, Quality of Life and Cognitive Function in Family Caregiver of Patients with Severe Physical Disability : Preliminary Study)

  • 유정아;이재헌;신선한;조휘영;유미;신호진;김성현;김효진;육영숙;이성재
    • 정신신체의학
    • /
    • 제27권2호
    • /
    • pp.191-201
    • /
    • 2019
  • 연구목적 해양자원을 활용한 의미중심-마음챙김 기반의 집단스트레스중재프로그램이 기분, 수면, 삶의 질, 인지 기능의 긍정적인 변화에 미치는 효과를 알아보고자 하였다. 방 법 9명의 중증장애환자 간병가족을 대상으로 경상북도 울진군 해안 일대에서 3박4일간 해양자원을 활용한 집단프로그램을 시행하였다. 프로그램에 참여하기 전과 참여한 후, 그리고 6주 후에 기분, 수면, 삶의질, 인지기능 영역의 변화를 살피기 위해 주관적설문과 객관적평가를 실시하고 이를 통계분석하였다. 결 과 프로그램에 참여한 후 우울증을 비롯한 기분 상태가 유의하게 호전되었고, 이 효과는 6주 후까지 지속되었다. 참여자의 수면의 질과 삶의 질 및 인지기능은 참여 직후보다 프로그램 참여 6주 후에 보다 유의하게 향상되었다. 결 론 중증장애환자 간병가족 대상의 해양자원을 활용한 의미중심-마음챙김 기반의 집단스트레스중재프로그램은 정신적인 건강과 삶에 대한 만족도를 향상시키고, 인지적 효율성을 높인다는 측면에서 향후 유용하게 활용 가능한 프로그램으로 기대된다.

Impact of postoperative dietary types on nutrition and treatment prognosis in hospitalized patients undergoing oral and maxillofacial surgery: a comparative study

  • Sung Bin Youn;Se-Hui Ahn;Dong-Ho Cho;Hoon Myoung
    • 대한지역사회영양학회지
    • /
    • 제29권2호
    • /
    • pp.129-143
    • /
    • 2024
  • Objectives: The objective of this study is to compare a nutritionally balanced soft blend diet (SBD) with a soft fluid diet (SFD) on the health of inpatients who have undergone oral and maxillofacial (OMF) surgery, ultimately aiming to enhance care outcomes, improve health-related quality of life (QOL), and increase satisfaction with the hospital. Methods: Thirty-two patients were randomized into two groups: sixteen received SFD and sixteen received SBD. Anthropometric, laboratory evaluations were conducted upon admission and discharge. Patients filled out questionnaires on demographics, diet satisfaction, food intake amount, and health-related QOL on the day of discharge, assessed using the EuroQoL 5 Dimensions 3 Level and EuroQoL Visual Analogue Scale (EQ-VAS) instruments. Data were analyzed with descriptive statistics, χ2 tests for group differences, and paired nonparametric t-tests for within-group comparisons. The Mann-Whitney U test evaluated inter-group differences in preoperative weight and body mass index (BMI), postoperative changes, meal satisfaction, intake, health-related QOL, and self-assessed health status. P-values were set at a significance level of 0.05. Results: The SBD group had higher dietary intake (63.2% vs. 51.0%) and greater diet satisfaction (80.6 vs. 48.1, P < 0.0001) compared to SFD group. Health-related QOL, measured by EQ-VAS, was better in SBD group (70.3 vs. 58.8, P < 0.05). Postoperative weight and BMI decreased in SFD group but increased in SBD group (P < 0.01). Changes in laboratory results showed more stability in the SBD group. No postoperative infections were reported in SBD group, whereas SFD group had a 31.25% complication rate. Conclusions: While SFD is often recommended after OMF surgery to protect oral wound healing process, our study reveals that SBD not only enhances physical and psychological outcomes but also, somewhat unexpectedly, supports wound healing and reduces complications. Essentially, SBD promotes physical recovery and enhances health-related QOL than SFD by supporting both somatic and mental healing aspects.

동양회화에 있어서 형상관점의 심미 (The beauty of form in Oriental painting from a realistic point of view)

  • 정진룡
    • 조형예술학연구
    • /
    • 제6권
    • /
    • pp.119-139
    • /
    • 2004
  • The intention of the research is to look into the form reflecting the spiritual image due to Oriental aesthetic from a realistic point of view. In this regard, I will pay attention to examining the process from figurative perspectives, in which painting image by subject acquires the beauty of form. Of the main subjection this paper, figure is an image itself appearing in painting. At this point, I will attempt to show how the meaning and value of image have been interpreted and judged on the aesthetic standard in Oriental painting in particular. For this process, I generalize the conception of the image as 'figure' and through this I will reconsider the standard of understanding and the value of perception regarding painting images on the method which are more applicable to the expressions of Oriental painting. The reason why I try to find out the true nature of images in Oriental painting from a figurative viewpoint is to convert a conventional sense of value which recognizes the images of Oriental painting only as results of idealism, into more practical field. If the true nature of Oriental painting is fixed and restricted to natures of idealism, any productive development and any changes in form for future couldn't be expected at all. In fact, what the ideological and aesthetic values of art suggest is clearly a proof of real art form. However, it is not a hard thing to prospect that only a superficial idealism will be ceaselessly produced, while the practical study about aesthetic values, meaningful results of painting expressions, is totally ignored, if ideology itself is used as criteria to judge the identity of it or if only the idealistic aesthetic values are emphasized while any clue to show a real existence of oriental paintings is not certain. Actually, nobody can deny the fact that interests about real natures regarding art expressions have been relatively ignored while armed with mental ideology for esthetic view of oriental painting in traditionalism Therefore, it is clear that 'spiritual status' itself can generate any form. Traditionally, in the Orient, the standard of judging a real value of things, which put a focus on a spiritual view of value rather than on a materialistic view of it, has been vaguely positioned the identity of images in painting As a result, the aesthetic convention has finally committed to an error that for images of oriental painting, ideological criteria like so called spiritualism are applied as a judging way, and esthetic meanings and values of real painting are considered as strategic results and spiritual intentions.

  • PDF

Radiological Apoplexy and Its Correlation with Acute Clinical Presentation, Angiogenesis and Tumor Microvascular Density in Pituitary Adenomas

  • Lee, Jung-Sup;Park, Yong-Sook;Kwon, Jeong-Taik;Nam, Taek-Kyun;Lee, Tae-Jin;Kim, Jae-Kyun
    • Journal of Korean Neurosurgical Society
    • /
    • 제50권4호
    • /
    • pp.281-287
    • /
    • 2011
  • Objective : Pituitary apoplexy is life-threatening clinical syndrome caused by the rapid enlargement of a pituitary tumor due to hemorrhage and/or infarction. The pathogenesis of pituitary apoplexy is not completely understood. We analyzed the magnetic resonance imaging (MRI) of pituitary tumors and subsequently correlated the radiological findings with the clinical presentation. Additionally, immunohistochemistry was also performed to determine whether certain biomarkers are related to radiological apoplexy. Methods : Thirty-four cases of pituitary adenoma were enrolled for retrospective analysis. In this study, the radiological apoplexy was defined as cases where hemorrhage, infarction or cysts were identified on MRI. Acute clinical presentation was defined as the presence of any of the following symptoms: severe sudden onset headache, decreased visual acuity and/or visual field deficit, and acute mental status changes. Angiogenesis was quantified by immunohistochemical expression of fetal liver kinase 1 (Flk-1), neuropilin (NRP) and vascular endothelial growth factor (VEGF) expression, while microvascular density (MVD) was assessed using Endoglin and CD31. Results : Clinically, fourteen patients presented with acute symptoms and 20 for mild or none clinical symptoms. Radiologically, fifteen patients met the criteria for radiological apoplexy. Of the fifteen patients with radiologic apoplexy, 9 patients presented acute symptoms whereas of the 19 patient without radiologic apoplexy, 5 patients presented acute symptoms. Of the five biomarkers tracked, only VEGF was found to be positively correlated with both radiological and nonradiological apoplexy. Conclusion : While pituitary apoplexy is currently defined in cases where clinical symptoms can be histologically confirmed, we contend that cases of radiologically identified pituitary hemorrhages that present with mild or no symptoms should be designated subacute or subclinical apoplexy. VEGF is believed to have a positive correlation with pituitary hemorrhage. Considering the high rate of symptomatic or asymptomatic pituitary tumor hemorrhage, additional studies are needed to detect predictors of the pituitary hemorrhage.

21세기 초 한국의 인구구조 및 질병양상 (Perspective on Population Characteristics and Health Problems of Koreans in 21st Century)

  • 김정순
    • Journal of Preventive Medicine and Public Health
    • /
    • 제27권2호
    • /
    • pp.175-185
    • /
    • 1994
  • In order to anticipate disease pattern and health problems of Koreans in the 1st part of 21st century (by the year 2020), transition of population characteristics, mortality and morbidity data during the last 30 years Koreans have experienced were reviewed. On the actual basis of epidemiologic transition process that has undergone during last 30 years since 1960 along with socioeconomic development and successful implementation of selective national health policies (family planning, medical insurance and etc.), following changes can be expected in the 21st century in Korea, under the assumption that the current rate of progress is maintained. The population of South Korea alone will be doubled the population of 1960 by the year 2013 : aged Population older than 65 years will be increased from 3.3% in 1960 to 11.4% in 2020 with increased average age of the population from 23.6 year in 1970 to 39.2 year in 2020; urban population from 28% in 1960 to 83% in 2005. GNP/capita has increased tremendously from U.S. $120 in 1970 to $6,749 in 1992, and the government estimated it would be 519,350 in 2010 and $29,460 in 2020. Growth and developmental indices of children, educational achievement and social status of women also showed a remarkable improvement and anticipated to make futher progress. Leading causes of mortality and morbidity have shown a striking change during the last 30 years, from infectious diseases to chronic degenerative diseases and man-made injuries. Occurrence of communicable diseases may become minimal although viral hepatitis, venereal diseases Including AIDS, and well adapted herpes virus infections will maintain their endemic level. Newly evolving infectious agents, however, should be carefully monitored because of rapidly changing environments and human behaviours. Tuberculosis may increase up to the epidemic level when AIDS prevails. Ischemic heart diseases may increase steadily with increasing occurrence of hypertension and diabetes mellitus whereas cerebrovascular diseases may be decreased slowly. Musculaskeletal diseases which contribute a lot to the disability of aged people may be a major health problems due to increased aged population. Mental diseases, particularly that caused by alcohol and drug abuse, and senile dementia may become a prominent health problem. On the other hand injuries caused by traffic and industrial accidents that have shown most striking increase till now may be decreased considerably by intensive intervention. The health policies in the 21st century will be oriented to the health promotion for good quality life rather than life-savings.

  • PDF

걷기, 경관감상 그리고 향기를 이용한 산림치유프로그램이 독거노인의 치매예방에 미치는 효과 연구 (A Study of Walking, Viewing and Fragrance-based Forest Therapy Programs Effect on Living Alone Adults' Dementia Prevention)

  • 김일두;구창덕
    • 한국환경생태학회지
    • /
    • 제33권1호
    • /
    • pp.107-115
    • /
    • 2019
  • 본 연구의 목적은 숲 환경을 이용한 산림치유 6대 요법 중 걷기, 경관 감상, 숲속 향기를 이용한 산림치유프로그램 체험활동이 독거노인의 인지기능, 우울, 삶의 질에 미치는 영향을 검증하기 위한 것이다. 연구대상은 삼척시에 거주하며 우울증과 건망이 심하다고 호소하는 독거노인 17명이 연구에 참여하였다. 이들은 각 두 집단으로 나뉘어 각 집단은 매 주 1회(총 6회기) 산림치유프로그램에 참여하여 설문조사를 하였다. 이들은 모두 인지기능, 우울, 삶의 질에서의 변화를 관찰하기 위해 한국형 간이 정신상태 검사(MMSE-K), BDI(Beck Depression Inventory 한국판), SF-36(Short Form 36 health survey questionnaire)에 대한 사전-사후(one-group pre-post test design) 설문지 검사를 받았다. 연구결과 치유 프로그램 참여 후 응답자의 정신상태와 우울 수준 그리고 삶의 질이 모두 유의미하게 높아진 것으로 나타났다. 이 결과를 통해서 산림환경을 이용한 치유프로그램 활동 참여가 은둔형 독거노인에게 인지기능 향상과 우울 해소 그리고 삶의 질 개선에 도움이 됨을 알 수 있었다. 따라서 홀로 남겨져 외부활동을 기피하는 은둔형 독거노인을 대상으로 정기적인 산림치유 프로그램에 참여토록 유도할 경우 나이와 환경으로 인한 치매 예방에 기여할 것으로 생각한다.

국내 산후 비만과 산후 우울증 관련 요인 연구 (A Study on Factors on Postpartum Obesity and Postpartum Depression in Korea)

  • 구정은;김규리
    • 디지털융복합연구
    • /
    • 제19권6호
    • /
    • pp.429-438
    • /
    • 2021
  • 본 연구는 국내 산후 복과 산후 우울증 및 스트레스 등의 실태조사를 통해 원인을 분석하고, 산모의 사회적 고립를 예방하고자 시도한 서술적 조사연구이다. 연구방법-전국에 거주하는 1살 이하의 자녀를 둔 주 대상인 20-40대 여성을 표본으로 선정하였고, 총 111부를 최종 분석 자료로 사용하였다. 연구결과-산모들의 일반적 특성 -일반적 특성으로 사회 경험을 묻는 말에서는 91.1%(102명)가 사회 경험이 있다고 응답하였고, 8%(9명)만이 사회 경험이 없다고 응답하였다.(사회경험유 91.1%(102명), 사회경험 무 8%(9명) 사회 복귀를 여부를 묻는 질문에서는 17.9%의 산모가 복귀하였다고 응답하였고, 54.5%의 산모는 복귀하지 않았으며, 18.8%의 산모는 출산 휴가 중인 것으로 나타났다. 출산 전과 후의 BMI 변화와 일반적 특성의 교차분석(카이제곱 검정) 산모들의 BMI 증가 수준을 살펴본 결과 Table 3과 같이 BMI가 평균 이하로 증가한 산모가 55%, 평균 이상으로 증가한 여성이 45%로 조사되었다. 연구결과- 임신과 출산으로 인해 여성들은 신체적 변화로 인해 과체중이 될 확률이 높다. 연구결과-임신과 출산으로 산후비만은 산후 정신적, 신체적 문제에 영향을 미치는 개인의 중요한 원인으로 확인되었다. 연구 결과를 바탕으로 산모비만관리와 우울증관리에 적극적인 정부 정책이 필요하다고 사료된다.

가미귀비탕을 포함한 한방치료로 회상기억이 향상된 뇌졸중 후 인지저하 환자 2례 (Two Cases of Gami-Guibitang on Cognitive Impairment after Stroke with Improved Recall Memory including Korean Medicine)

  • 김정화;이형민;신희연;김하리;양승보;조승연;박성욱;고창남;박정미
    • 대한중풍순환신경학회지
    • /
    • 제19권1호
    • /
    • pp.21-30
    • /
    • 2018
  • ■ Objectives This case study is to report the two cases of Gami-Guibitang on cognitive impairment after stroke with improved recall memory. ■ Methods We used Korean medicine treatments including Gami-guibitang, acupuncture and moxibustion to treat patients who had cognitive impairment after stroke for at least two months. We observed the changes of symptoms by measuring Korean version of Mini-mental status examination (MMSE-K), Clinical Dementia Rating (CDR) and Global Detration Scale (GDS). ■ Results After treatment, the patient's symptoms were improved including MMSE-K, CDR and GDS. Improvement appeared to be prominent in recall memory. The general condition were also improved after treatment. ■ Conclusion This clinical case study suggests that Korean medicine including Gami-guibitang could be used to treat patients who had cognitive impairment after stroke especially suffering from degraded recall memory.

  • PDF

한국.중국.일본 여성의 색조대장문화 (A Study on Make-up Culture of Korea, China and Japan)

  • 박보영;황춘섭
    • 복식
    • /
    • 제39권
    • /
    • pp.217-237
    • /
    • 1998
  • The present research is to study the make-up culture of Korea and its neighboring countries such as China and Japan during the period from the prehistoric age to the 19th cen-tury. The research was made by documents analysis. The results are summerised as follows : (1) A man has a basic instinct to beautify himself. There was not a significant difference between the make-up behavior of men and women in its primal stage. It was by the start of farming and the division of labor that made the make-up behavior as a feminine culture. The difference of sexual role caused the con-ceptual difference between manly beauty and womanly beauty. It was very natural for women to regard the make-up as the best way for showing their feminine beauty. In Korea, China and Japan, there were vari-ous kinds of primal actions such as tattooing, body-painting, and tooth make-up which were used in the purpose of body protection, incantation, ornament, and so on. Ass their ornamental purpose was becoming more important, these primal actions became the basis of the feminine make-up culture. Nowadays make-up, having mental and emo-tional function, is helpful to increasing self-satisfaction, promoting good personal relation-ship, and attracting attention from the other sex. It also has other functions of showing social status, wealth, age, sex, courage, power, and so on. (2) The representative make-up product used widely in the three countries was Boon (powder) which decides the overall color of face. The key point in the production of Boon was to increase its power of adsorption. The invention of Yunboon (power mixed with lead) solved this major problem of Boon. Yeonji which decides the color of cheek was the mixture of Boon and the powder of Honghwa (a kind of red-colored flower or tree). Mimook (eyebrow pencil) was developed to match up with the various and changing currencies of penciling eyebrows in each nation and times, Yeonji and Joosa (red sand) were used as Jinji (lip stick). The predominant color of Jinji was red. As miscellaneous methods of partial make-up, there were Kon-ji used in a wedding cer-emony in korea, Aek-hwang, Hwa-jeon, Sa-hong, and Myun-yup in China, and Chi-heuk, a peculial method of partial make-up in japan. (3) There were various factors which decided the characteristics of make-up culture usually reflects international atmosphere, the form of government, economic situation, re-ligious and social ideology, aesthetic sense, symbolizing meanings of colors, and so on. The up and down of an influentian country was one of the major factors which decided the characteristics of the make-up culture of its neighboring countries. When a country took a liberal form of government, it had diverse and splendid tendencies in its make-up culture. The better a nation's economic situation is, the more abandant and various its make-up culture is, and sometimes, the more eccentric and decadents it was. In the field of make-up production, the three countries had their own characteristics. But, as a whole, China was the leading nation who spread the culture and products of make-up to Korea and Japan. Though the Chinese make-up culture and products were usually spread to Japan through Korean, there was some evidence of direct exchanges between China and Japan through its dispatches of Kyun-Tang-Sa(Japanese delegation to the Tang Dynasty). While religion had a positive influence on the development of make-up culture by introducing new methods of make-up, Confucianism exercised strict control over the make-up cul-ture. The currencies in arts and changes of esthetic sense introduced new methods and booms to the make-up culture. Literature made people pay increasing attentions to the countenances of women and changed the standards of esthetic sense. We can find out that the social status of woman was also reflected in the make-up culture. As the social status of women became higher, the feminine make-up culture also developed more then ever. As mentioned above, the make-up cultures of the three countries reflected their social values, esthetic senses, and emotional feelings. Through their cultural exchanges, the three countries could develop various make-up products and methods.

  • PDF

코로나 블루와 여가 활동 : 한국 사례를 중심으로 (Corona Blue and Leisure Activities : Focusing on Korean Case)

  • 사혜지;이원상;이봉규
    • 인터넷정보학회논문지
    • /
    • 제22권2호
    • /
    • pp.109-121
    • /
    • 2021
  • 세계적으로 코로나19 팬데믹이 장기화되면서 코로나19와 우울감(blue)이 합쳐진 코로나 블루(Corona Blue) 현상이 심화되고 있다. 본 연구의 목적은 코로나19 전과 후의 스트레스와 여가활동과의 연관성에 대해 알아보고, 스트레스에 따른 여가활동의 도움에 관하여 분석하는 것이다. 본 연구는 토픽모델링방법을 통한 코로나 블루 뉴스기사 분석과 설문조사의 2가지 연구방법을 활용하여 분석하였다. 즉, 첫째, 코로나19가 "경계"단계로 격상된 2020년 1월부터 사회적 거리두기 2.5단계까지 강화된 9월까지의 신문 기사를 토대로 총363건의 뉴스 기사를 토픽모델링을 통해 분석하였다. 연구 결과 총 28개의 토픽이 추출되었으며, 비슷한 주제끼리 멘탈데믹(mentaldemic), 세대확산, 우울증 가속 원인, 피로감 증가, 장기전에 대처하는 자세, 소비변화, 우울 극복을 위한 노력 총 7개로 그룹화하였다. 둘째, SPSS 통계 프로그램을 활용하여 코로나19 전, 후 여가활동에 따른 스트레스 변화수준과 여가활동에 따른 주된 도움을 분석하였다. 연구 결과 코로나19 전 여가활동 참여에 따른 스트레스 감소 평균 차이가 코로나19 후 보다 큰 것으로 확인할 수 있었으며, 코로나19 후에도 여가활동은 스트레스 완화에 효과가 있는 것으로 나타났다. 또한, 코로나 19전 여가활동에 따른 주된 도움이 신체적, 사회적 활동을 통한 기분전환, 재충전의 의미였다면, 코로나19 후에는 자연, 야외 활동, 지적 활동을 통한 기분전환, 잠깐 잊음과 같은 심리적 역할이 큰 것으로 나타났다. 결론적으로 본 연구는 코로나 블루 현황 파악과 극심한 스트레스 상황에서 여가 대처를 통해 완화 효과가 있음을 확인하였다. 본 연구 결과는 향후 코로나 블루 극복을 위한 현실적이고 바람직한 여가 정책 및 대응방안 마련에 기초 자료가 될 수 있을 것이다.