• 성인간호학회지
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• 제15권1호
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• pp.78-87
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• 2003

Purpose: The purposes of the study were 1) to examine what relationships exist between PTE(perceived treatments effect) and PPS (perceived physical suffering) as the independent variables and hope as the dependent variable and 2) to examine whether PTE and PPS predict hope in cancer patients in their post-operative period within the Stotland's hope theory. Method: The Visual Analog Scale was used for measuring PTE and PPS and the Kim & Lee's Hope Scale which had acceptable reliability and validity was used for measuring hope. The data was collected from 38 hospitalized cancer patients who were in the post-operative period with a convenient sampling method. Result: There was a significant positive relationship between hope and the PTE in the low PTE group. There was a significant negative relationship between hope and the PPS in the low PPS group. There were no significant relationships between hope and the PTE in the high PTE group, and between hope and the PPS in the high PPS group. And the PTE explained hope with 71.2% of the variance in the low PTE group. Conclusion: PTE in the low PTE group and PPS in the low PPS group were identified as the factors to explain hope.

• 근관절건강학회지
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• 제6권2호
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• pp.226-241
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• 1999

This study was undertaken to find out the causal perception of rheumatoid arthritis patients, and to understand the typology. The Q-population consisted of 236 statements of causal perception were collected. Thirty eight Q-samples of causal perception were selected. The P-sample for this study were made up of 28 first visiting female rheumatoid arthritis patients from a rheumatoid arthritis specialty hospital. Each respondent responded Q-set of causal perception according to 9-point scale. The result of Q-sorting were coded and analyzed using QUANL PC program. 1) Typological Observation on Causal Perception (1) Physical Fatigue Type : Type 1 perceived that the illness occurred due to excessive work requiring physical labor or strain that had occurred from not resting after excessive physical labor, therefore, thinking the origin of the illness was from physical strain. (2) Physical origin Type : Type 2 perceived that the major cause for the illness is not only excessive physical labour but also fecundity and old age. (3) Causality to Environment Type : Type 3 perceived that rheumatoid arthritis occurred from injury to the joints or bad and humid weather. (4) Conscience of Guilty Type : Type 4 consisted of people with guilty conscience for lack of religious commitment. They perceived that the illness was a punishment from God for not praying or because of bad luck. (5) Rationally Perceiving Type : People who belong in type 5 perceived the cause of illness in light of scientific facts such as genetics, unbalanced diet or lack of exercise. (6) Psychological Stress Type : People who belong in type 6 believed that excessive stress was the cause of the illness. 2) Emotions of Rheumatoid arthritis patients Rheumatoid arthritis patients' positive emotions included determination, courage, coping, acceptance, hope, and adoption ; and their negative emotions were prostration, worry, stupor, conflicts, grievance, giving-up, resignation, depression, loss, solitariness, fear, anxiety, avoidance, anger and loneliness. Rheumatoid arthritis patients experience different level of emotions from their suffering experience from the severe pains. Rheumatoid arthritis patients also experience negative emotions when they could not perform self-care and lose their self-esteem from painful suffering ; however, they regain positive emotions when they recover from pain with the use of drugs, physical therapy or exercise. Their emotional states are closely connected to level of and presence of pain.

• 한국전문물리치료학회지
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• 제15권2호
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• pp.1-10
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• 2008

This study compared the effect of therapeutic exercise with conservative treatment in women with chronic neck pain. Subjects were allocated to control, neck isometric exercise, and cervical stabilization exercise groups consisting of 29, 32, and 31 patients, respectively. The conservative treatment for the control group consisted of hot packs, ultrasound, interferential current therapy, and intermittent cervical traction. The neck isometric exercise group performed a neck isometric exercise and the cervical stabilization exercise group performed a cervical stabilization exercise. To compare the three groups, the levels of perceived pain, neck disability, and psychological depression were assessed on admission, at discharge, and one month after discharge. On admission and at discharge, the pain and neck disability scores did not differ significantly among the groups. However, one month after discharge, both the neck isometric and cervical stabilization exercise groups had significantly improved perceived pain levels as compared to control (p<.05). The improvement in the degree of neck disability was most significant in the cervical stabilization exercise group (p<.05). On comparing the changes in the variables at the three assessments for each group, there was a significant difference between the control and cervical stabilization exercise groups (p<.05). The findings indicate that therapeutic exercises, especially cervical stabilization exercises, are more effective for improving pain and neck disability than conservative treatment.

• Journal of Hospice and Palliative Care
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• 제23권3호
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• pp.151-161
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• 2020

Purpose: This study aimed to describe the meaning of spiritual care as perceived by nursing students. Methods: This study used a descriptive research design, and the participants were 126 fourth-year nursing students from three nursing colleges. Data were collected from August to September 2019, and were analyzed using the content analysis method. Results: Four themes of spiritual care with 15 sub-themes were extracted from the content analysis: 1) "promoting spiritual well-being" (sub-themes: "providing religious help", "caring for the patient as a spiritual being", and "presupposing human dignity regardless of religion"); 2) "taking place in actual nursing practice" (representative sub-themes: "considering the perspective of the patient", "reducing suffering"); 3) "caring for the multifaceted needs of human beings" (representative sub-themes: "providing physical, mental, and spiritual care", "caring for both the mental and physical health of the patient"), and 4) "growing together" (sub-themes: "positively affecting patient well-being", "beginning with the nurse's self-transcendence"). Conclusion: These results suggest that nursing students consider spiritual care to be a highly positive and practical form of nursing care. However, because few students have been exposed to religion and spirituality, more systematic training should be provided.

• 한국학교보건학회지
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• 제33권3호
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• pp.139-147
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• 2020

Purpose: The study aimed to identify factors affecting unintentional injuries at school focusing on violent experiences in adolescents. Methods: The study used the raw data of the Korea Youth Risk Behavior Web-based Survey (2019). A total of 60,040 students were included in the analysis. Descriptive statistics, χ2 test, and multiple logistic regression were performed, using SPSS version 25.0. General characteristics, gender, school, academic achievement, living with family, socioeconomic status, vigorous physical activity, perceived stress, sleep satisfaction, high caffeine drinking, risky alcohol drinking, smoking, sexual experience, drug use, and safety education, were adjusted for and the relationship between unintentional injuries and violence was analyzed. Results: The results showed 2.4% of the adolescents had experienced violence and 24.7% had suffered unintentional injuries. Violent experiences had a significant effect on unintentional injuries among adolescents. Injuries were 1.93 times higher among adolescents who had experienced violence. Gender, school levels, high-intensity physical activity, stress, sleep satisfaction, high caffeine drinks, dangerous drinking, drug use, and safety education were associated with unintentional injuries among adolescents. Conclusion: Adolescents at high risk of suffering violence and injuries should be identified and assessed preemptively. In addition, it is necessary to implement systematic school health-centered safety education programs in order to prevent violence and injuries.

• The Journal of Korean Physical Therapy
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• 제26권6호
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• pp.442-448
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• 2014

Purpose: The objective of this study is to evaluate the effect of neuro-feedback training and transcutaneous electrical nerve stimulation (TENS) on stress, quantitative sensory threshold and pain in patients suffering from tension type headache. Methods: 22 participants who passed the preliminary evaluation were enrolled in the study and 11 participants were randomly assigned to each group. The control group (n=11) was subject to the TENS treatment of which was composed of a 20-minute session for 5 times a week during 4 weeks, and the experimental group (n=11) was subject to both neuro feedback training and TENS treatment for 10 minutes a day and 5 days a week during 4 weeks. The Perceived Stress Scale (PSS) was used to measure a level of stress and the quantitative sensory testing (QST) was used for the measurement of cold pain threshold (CPT) and heat pain threshold (HPT); A degree of pain was evaluated through the headache impact test-6 (HIT-6). Results: In comparision of all dependent variables between the control and subject groups, there were significant differences in stress, quantitative sensory threshold and pain after the treatment (p<0.05), and the experimental group showed significant differences in stress, CPT, HPT and pain (p<0.05) and the control group showed only a significant difference in HPT (p<0.05). Conclusion: Findings of this study demonstrate that the concomitant administration of the TENS treatment and neuro feedback training is effective on alleviation of stress, quantitative sensory threshold and pain in patients with tension type headache.

• 디지털융복합연구
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• 제14권3호
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• pp.473-481
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• 2016

본 연구는 평소 피부 건조함으로 인한 소양감을 가지고 있는 30~40대 남성들을 대상으로 식습관, 기호품습관, 샤워습관 등을 조사하고, 이러한 생활습관과 지각하는 피부 건조함과의 관련성을 파악하여 일상의 불편함을 해결하고 건강한 피부 관리 방향을 제시하고자 하였다. 조사대상자들은 대부분 건성 피부로 인해 발생된 일상의 불편함 정도가 매우 높게 나타났으나, 피부 가려움과 건조함 개선을 위해 병원 방문 경험을 묻는 문항에는 '아니오'를 응답한 자가 다수를 차지하였다. 규칙적인 식사 여부를 살펴보면 '그렇지 않다'는 80.0%, '하루 식사 횟수를 보면 '2끼'가 42.5%로 높은 비중을 차지하고 있었다. 피부 건조함과의 상관관계 분석 결과 식습관, 기호품습관, 샤워습관의 대부분 항목이 영향을 미치는 것으로 나타났으며, 특히. 흡연량이나 단맛 선호수준이 높아지면 피부 건조수준도 높아지는 것으로 나타났다. 따라서 본 연구를 통해 식습관 및 흡연은 피부 건강과 관련성이 있음을 알 수 있고, 피부 건강은 겉으로 드러나는 신체적 건강의 지표라는 점에서 기호 식품의 조절과 규칙적인 식습관을 평소에 갖는 것이 아름답고 건강한 피부를 오래 유지 할뿐 아니라 피부 건조함을 해소하는데 도움이 될 것으로 판단된다.

• 혜화의학회지
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• 제11권1호
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• pp.151-162
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• 2002

Objective Many literature-based researches and clinical studies have been thus far reported of wha-byuong in Oriental medicine but acupunctural approaches to it have been little executed, which motivated this study to be conducted through acupunctural treatment. For that purpose, this study carried out incessant treatment on wha-byuong-having outpatients of this hospital who were suffering from gunhwa of wha in the saam acupuncture in order to inquire into the features of wha-byuong represented recently, and thereupon this got some intellect and knowledge out of clinical cases, which led this study to report them. Methodology Two wha-byuong outpatients were taken as subjects for this study who visited this hospital from January 10, 2002 through May 20, 2002. As for the contents of treatment and the administration of medicine, acupuncture utilized size $30{\times}50mm$ needles and the performance of treatment depended upon yuchim for 20 to 40 minutes at one time by means of simseunggyok (eumgok, sohae bo, taebaek, sinmun sa) on both right and left sides of the outpatients. As the case may be, sobu, baekhoi, and pungji were used at the same time. Bosa of simseunegyok took youngsu bosa. In order to evaluate treatment, symptoms were classified with diagrams into physical symptoms, dorgan symptoms, urinogenital organs symptoms, dermatological symptoms, cardiopulmonary symptoms, musculoskeletal symptoms, somnipathy symptoms, caput and sensual organ symptoms, psychomotor activity symptoms, and other symptoms, and then signs and marks were given to indicate the most objective values according to symptoms of the patients perceived in different sessions both prior and posterior to treatment. Conclusion As a result of having conducted treatment on two outpatients who visited this hospital for their wha-byuong from January 10, 2002 through May 20, 2002, conclusions were obtained, as follows: 1. Treatment depended very largely upon simseunggyok of the saam acupuncture, and as the case may be, baekhoi, pungji and sobu were utilized at the same time. 2. Much more effects were produced only when the patients had got rid of the causes of wha-byuong they had. Furthermore, the perceived seriousness of the symptoms presented had not been improved, regardless of their wha-byuong, 3. The main symptoms complained by the patients such as sangyeolgam, anxieties, impatience, hungmin, difficulty in breathing, cardiopalmus, insomnia, digestive troubles, etc. showed for the most part conspicuous therapeutical effects upon the symptoms of wha-byuong. In particular, a high degree of improvement was represented from melancholia and pyrexia.

• 한국콘텐츠학회논문지
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• 제11권11호
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• pp.296-312
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• 2011

급속한 저출산과 고령화 추세를 보이고 있는 우리나라는 IMF 외환위기 이후 저성장과 저금리가 장기적으로 지속되면서 경제적으로 어려움을 겪고 있다. 이러한 여건에서 현재 중년층은 다가올 노년기에 대비하기 위해 신체적, 심리적, 사회적, 경제적 은퇴준비를 체계적으로 해야 하는 것이 매우 중요한 과업이다. 따라서 본 연구는 중년층의 직업특성과 활동특성이 신체적, 심리적, 사회적, 경제적 은퇴준비 영역에 미치는 영향을 파악하고자 한다. 수도권과 충청권 지역의 회사원, 공무원, 자영업, 전문직에 종사하는 30~50대 344명을 대상으로 구조화된 설문지를 이용하여 자료를 수집하였으며 분석한 결과를 정리하면 다음과 같다. 첫째, 연령이 높고 건강이 좋을수록 직장에서의 역할이 안정적이고 여가활동을 많이 할수록 신체적 준비를 더 많이 하고 있었다. 둘째, 남성에 비해 여성이 직장동료와 좋은 관계를 유지할수록 직업에 대한 태도가 긍정적이고 여가활동을 중요시할수록 심리적 준비를 더 많이 하는 것으로 나타났다. 셋째, 자신의 직장이 안정적이라고 인식하며 사회활동과 여가활동을 많이 할수록 사회적 준비를 더 많이 하는 것으로 나타났다. 넷째, 경제적으로 여유가 있을수록 경제적 준비 정도가 높았지만 직업특성과 활동특성은 경제적 준비에 영향을 미치지 않는 것으로 나타났다. 이러한 분석결과는 최근 사회적 이슈가 되고 있는 은퇴준비가 직업 특성과 활동특성에 의해 영향을 받고 있음을 보여주며, 향후 중년층의 은퇴준비를 위한 구체적인 정책과 프로그램이 다양하게 준비되어야 함을 의미한다.

• 정신신체의학
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• 제15권1호
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• pp.29-34
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• 2007

통증은 주관적인 증상이며 이전의 경험에 의해 많이 영향을 받지만, 환자가 없는 증상을 만들어내는 것이 아니라 실재하는 것이다. 객관적인 병리가 뒷받침되는 통증은 쉽게 설명되고 치료할 수 있지만 그렇지 않은 통증은 많은 혼란과 좌절을 초래한다. 통증의 종류는 1) 해부학적인 특징과 객관적인 소견이 있는 경우 2) 해부학적인 특징이 있고 객관적인 소견이 없는 경우 3) 해부학적인 특징이 없고 스트레스, 신체화 증상과 연관된 경우 4) 해부학적인 특징이 없고 신체적인 손상과 연관이 있는 경우로 나눌 수 있다. 만성 통증의 경우 감정적, 신체적 또는 성적인 학대를 당한 병력이 있는 경우가 많다. 심리적으로 신체화 증상은 고통스런 기억을 억압하고 관심을 구하는 과정에서 나타난다. 또한 학대의 병력이 생리학적인 변화를 유발하거나 발달과정 중에서 통증에 대한 감수성을 높이고 유기적인 변화를 일으키는 것으로 생각된다. 스트레스와 연관된 통증의 치료에는 운동, 명상, 인지치료, 약물치료, 바이오피드백 치료 등의 다각적인 방법이 필요하다. 인지치료는 통증에 대한 환자의 인식과 대처방식을 바꿈으로써 통증을 경감시키는 방법으로 스트레스로 인해 발생하는 통증치료에 효과적이다. 약물치료로는 주로 항우울제 계열의 약물이 효과적인데, 항우울제는 기분증상의 호전과 무관하게 통증을 경감시키는 효과를 갖고 있다. 긴장이완 훈련과 병행하는 바이오피드백 치료 역시 통증치료에 효과적일 수 있으며, 그밖에 적절한 운동과 명상요법 같은 방법 역시 통증치료에 도움이 될 수 있다.