• 대한불안의학회지
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• 제13권2호
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• pp.100-107
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• 2017

Objective : The purpose of this study was to investigate strategies used to cope with stress and the cognitive characteristics of somatic symptom perception in patients with generalized anxiety disorder(GAD). Methods : A total of 55 patients meeting DSM-5 criteria for GAD and 55 normal controls were recruited for participation in this study. We evaluated subjects using The Way of Stress Coping Questionnaire (SCQ), Somato-Sensory Amplification Scale (SSAS), Symptom Interpretation Questionnaire (SIQ), and the Generalized Anxiety Disorder for 7 Item (GAD-7). We analyzed data using an independent t-test and Pearson's correlation analysis. Results : In terms of SCQ, GAD patients presented significantly lower scores on seeking social support and higher scores on wishful thinking than normal controls. GAD patients had significantly greater amplification of physical sensation in SSAS and higher scores in physical, psychological interpretation subsets of SIQ than normal controls. GAD-7 scores were positively correlated with physical interpretation scores on SIQ. Conclusion : Results reveal that patients with GAD have insufficient coping strategies for stress, greater amplification of body sensations, and tendency towards a physical, psychological interpretation of somatic symptoms.

• Journal of Korean Biological Nursing Science
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• 제16권2호
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• pp.133-140
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• 2014

Purpose: The purpose of this study was to investigate the comparison of blood biochemical parameters, physical activity, stress, and sleep management between obese and non-obese subjects according to the body mass index (BMI). Methods: Data were collected from February 1 to May 31 in 2012. This research involved 403 subjects who visited an obesity clinic in Korea. They were divided into 4 groups: normal weight 100 ($18.5{\leq}BMI$ < $23.0kg/m^2$), overweight 100 ($23.0{\leq}BMI$ < $25.0kg/m^2$), obese 100 ($25.0{\leq}BMI$ < $30.0kg/m^2$), and severely obese 103 ($BMI{\geq}30.0kg/m^2$). Data were analyzed using SPSS version 19.0. Results: There were significant differences on the SGPT (F=22.98, p<.001), SGOT (F=12.91, p<.001), creatinine (F=4.82, p=.003), triglyceride (F=20.17, p<.001), and total cholesterol (F=6.55, p<.001) among the subjects according to the BMI. There was no significant association between frequency of physical activity according to the BMI. There was significant association regarding the management of sleep (F=5.13, p=.002), but no significant association regarding the management of stress. Overall, there were significant association regarding the management of stress and sleep (F=3.79, p=.011) among the groups. Conclusion: The result of this study suggests that it is possible to use the information as basic data for educational and nursing intervention programs based on the BMI.

• 사상체질의학회지
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• 제18권3호
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• pp.185-194
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• 2006

1. Objecrives Although Lee Je-Ma emphasized it is important to be aware of our own Nature & Emotion(性情) and control them properly, there is few case report about Taeyangin focused on their psychological sides. This report is about a Taeyangin patient who had Hae Yuk and Yul Gyuk syndrome caused by her stress from the work place and relationship with her seniors 2. Methods We observed the female patient had hospitalized in the Oriental Hospital of Dongguk University more than twice has been followed up for the last one year. We prescripted Mi-hoo-teung-shik-chang Tang as her physical symptom. The improvement of her physical conditions were checked through her sleep, meal, menstruation, stool and urine. And MMPI has been tested three times for the last one year to analyze her psychological progress. 3. Results and Conclusions Working in a group can cause hard stress for Taeyangin who is not good at adjusting themselves to whatever environment they are in. Mi-hoo-teung-shik-chang Tang could improve Taeyangin's physical conditions such as Hae Yuk, Yul Gyuk, insomnia, nausea, anorexia and hypouresis. But as her psychological aspect, she was getting more anxious, depressed and avoiding contact with others due to the stress. It is necessary to rake care of patients' psychological sides as well as physical conditions through managing their Nature & Emotion(性情).

• 대한간호학회지
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• 제13권3호
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• pp.75-85
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• 1983

This study was done to research the relationship between general characteristics and stressor, stress situation, Nursing Intervention of pregnant woman. The subjects for this study were 70 pregnant woman from 3 clinics of Obstetrics and Gynecology located in J city. The data was collected through questionaires which was developed by Norman J. Chestnut. The content of the questionaire consist of following 3 categories; (1) stressor (2) stress situation (3) Mental and Physical support of husband. Analysis of data was done by use percentage, x²-test. (through EDPS) The findings of this study are as follows; 1, Stressors of pregnant woman are stresses associated with fetus, socioeconomic problem, herself, delivery, abortion and prematureity, husband, change of appearances, management of home, a woman's parents-in-law. Stress situations of pregnant woman are when she is doing on the heavy management of home, limit of life, socioeconomic discomfort, taking medicine, difficult relationship with a woman's parents-in-law, being sign of abortion and prematurity, her physical discomfort, family desire of delivery of son baby. 2. Husband's mental support that pregnant woman desired are careful husband's role, More love and interest about pregnant, cooperation of child reaing, maintenance of healthy life, understaning of diffical pregnancy, early return home, giving up drinking, positive feeling about changed appearance, unconcern about sex of fetus. And husband's mental supports that pregnant woman desired are cooperating of homework and childrearing, limit of intercouse, release behavior of pregnant woman's physical discern-fort, a walk, behavior with pregnancy together, socioeconomic stability. 3. Stressor of pregnant woman was significant with education, number of son, economic status, personality of husband, dowelling. (P<.05) And stress situation of pregnant woman was significant with personality of husband, dwelling, husband's desired sex .of baby. (P<.05) 4. Husband's mental and physical supports that pregnant woman desired was significant with number of daughter. (P<.05).

• 대한정형도수물리치료학회지
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• 제24권2호
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• pp.43-49
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• 2018

Background: In this study, the importance of constipation and back pain was assessed by regression analysis of the effects of stress, dietary habits, and water intake on constipation in women in their twenties and the influence of constipation and body mass index (BMI) To provide basic data. Methods: This study selected 109 having constipation of 120 students attending G University in Gwangju and eating habits, water intake level, stress and BMI. Trigger point at the tip of erector spina was palated with tenderness set in order to examine whether muscle tenderness and actual low back muscle tenderness level were same and left and right parts were measured three times and average of Max values was used. We examined the effect of constipation on low back pain and examined constipation and BMI to determine whether they affected low back pain. Results: There was no significant difference in eating habit although there was a significant difference in the effect of stress and water intake on constipation. Constipation had significant difference in back pain. However, there was no significant difference in BMI, normal weight, overweight, and obesity except for low body weight. Conclusions: This study found that constipation was associated with stress levels, water intake, and back pain. In conclusion, this study suggests basic data to prevent and treat constipation-related back pain, and recommends plenty of water intake, proper exercise and stress management to prevent constipation.

• 한국전문물리치료학회지
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• 제30권3호
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• pp.184-193
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• 2023

Background: Studies investigating the immediate effects of a single intervention to correct forward head posture are rare. Objects: This study aimed to compare the changes in treatment effects in patients with forward head posture and neck pain after manual and self-exercise therapy over a 1-hour period. Methods: Twenty-eight participants were randomly divided into manual and self-exercise therapy groups. Following the initial evaluation, manual or self-exercise therapy was applied to each group for 30 minutes each in the prone, supine, and sitting positions. The variables measured were the craniovertebral angle (CVA), stress level, pain level, and sternocleidomastoid (SCM) stiffness. After the intervention, re-evaluation was conducted immediately, 30 minutes later, and 1 hour later. Two-way analysis of variance (ANOVA) was used to compare the maintenance of treatment effects between the two groups. Results: Based on the two-way mixed ANOVA variance, there was no interaction between the groups and time for all variables, and no main effects were found between the groups. However, a significant effect of time was observed (p < 0.05). Post hoc tests using Bonferroni's correction revealed that in both groups, the CVA, pain, and stress showed significant improvements immediately after the intervention compared with before the intervention, and these treatment effects were maintained for up to 1 hour after the treatment (p < 0.0083) in the manual therapy group. However, the stress level was maintained until 30 minutes later (p < 0.0083) in the self-exercise group. There was no significant decrease in right SCM stiffness before and after the intervention; however, left SCM stiffness significantly decreased after the self-exercise intervention (p < 0.0083). Conclusion: Both manual and self-exercise therapy for 30 minutes were effective in reducing forward head posture related to the CVA, pain, and stress levels. These effects persisted for at least 30 minutes.

• 대한간호학회지
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• 제46권4호
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• pp.523-533
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• 2016

Purpose: This study was done to examine physical, psycho-social, and individual factors influencing musculoskeletal symptoms among Korean military trainees. Methods: Using a correlation study design, military trainees who had completed almost of all the basic combat training (BCT) days were recruited from two military training units selected by convenience sampling. Data from 415 participants were analyzed. Results: Prevalence of musculoskeletal symptoms was 29.6% defined as a participant having pain or discomfort in one or more body parts during training hours for more than seven consecutive days. Back/pelvic (10.8%), knees (10.1%), shoulders (7.7%), feet/toes (5.6%), ankles (4.8%) were prone to musculoskeletal symptoms. Musculoskeletal symptoms appeared to be related to physical exertion during BCT, stress during BCT, social support from fellow trainees, or previous musculoskeletal injuries. In the logistic regression model, physical exertion during BCT (OR=2.27, 95% CI: 1.42~3.65), stress during BCT (OR=1.79, 95% CI: 1.15~2.78), and previous musculoskeletal injuries (OR=1.58, 95% CI: 1.01~2.47) were the significant factors affecting prevalence of musculoskeletal symptoms. Conclusion: Findings indicate that physical exertion and psycho-social stress should be managed to prevent musculoskeletal symptoms in military trainees with more attention being given to trainees having a history of musculoskeletal injuries.

• 대한물리치료과학회지
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• 제9권2호
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• pp.49-66
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• 2002

This study was designed to evaluate the effect of pelvic floor muscle strengthening exercise treatment program for the older women with stress incontinence. The researcher developed 8 weeks training program which was implemented at a social welfare center in Seoul. The exercise method followed the Kegel criteria. Verbal instructions were given to the subjects. Subjects were confirmed of the exercises and evaluated by description of the exercise method. Fourteen elderly women(mean age 75.7) with stress incontinence participated and completed this program. The training sessions were held twice a week and each session took 45 minutes ; 15 minutes for pelvic floor muscle strengthening program and 30 minutes for other physical therapy. Pelvic floor muscle strengthening exercise program was applied using verbal instruction and practice at social welfare center, twice a week and daily home exercise program were given to each individual. The results were as follows ; 1. There was significant decrease of lower urinary symptoms in the subjects (p = 0.00) 2 But there was no significant change in the sexual matters (p = 0.44) and the life style (p = 0.41) In conclusion, further study with larger sample group is suggested in order to confirm the study result. Because of limited sample size, the study results were not conclusive. But the pelvic floor muscle strengthening exercise treatment program could be a safe and effective program and is suggestive for the community residing older women with stress incontinence as a geriatric physical therapy intervention.

• 대한간호학회지
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• 제4권2호
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• pp.44-56
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• 1974

Very few studies regarding the effects of preoperative nursing intervention on children's welfare after surgery have been conducted. The purpose of this study was 1) to evaluate the effects of preoperative nursing instructions on children's physical recovery and emotional state after surgery and 2) to analyse the relationship between the effects of preoperative nursing instructions and the age and general anxiety of child. The study was conducted flow: August 15th to October 30th at Severance Hospital, Seoul, Korea. A total of 41 Pediatric surgical Patients, between the age of 4 to 14, participated in the study. Twenty patients, randomly selected, were visited by the experimenter in the evening before, surgery and received specific preoperative nursing instructions. These instructions were designed to alleviate emotional stress and were adopted to the age of child. The postoperative recovery of these patients were then compared with a randomly selected control group of 21 patients who received only the routine preoperative care by the staff in the hospital Dependent variable were vomiting, pain medication, ability to void, elevation of temperature, infection, the between surgery and hospital discharge and postoperative emotional stress which was measured by the vital signs. Because of the limitation of the sample size it was difficult to obtain valid statistical results. However, the analysis of the raw data indicates that: 1) the preoperative nursing instructions appears to promote physical recovery and it seems especially effective in preventing elevation of temperature and shortening the length of the hospital stay, 2) the preoperative nursing instruction also seems to be effective in relieving the child's emotional stress(situational anxiety) after surgery, 3) the patient's general anxiety level preparatively seems to be a predictor of postoperative problems, 4) the preoperative nursing instructions were an effective means of promoting physical recovery in every age group as long as the child understood the instructions. The above data would seem to indicate that all preoperative pediatric patients four years of age or older, if they can understand, should have preoperative nursing instruction in order to alleviate postoperative stress and enhance physical recovery. The level of general anxiety preparatively deserves special attention since the amount of nursing instruction needed seems to vary with tile level of anxiety.

• 한국융합학회논문지
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• 제8권6호
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• pp.65-73
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• 2017

본 연구의 목적은 간호대학생의 삶의 질에 미치는 영향을 파악하기 위한 경로모형 연구이다. 연구대상은 B시와 G시에 소재하고 있는 간호학과 재학중인 학생 209명을 대상으로 하였다. 수집된 자료는 SPSS 22.0과 Amos 22.0 프로그램을 이용하여 분석하였다. 연구결과 간호대학생의 삶의 질에 직접적으로 영향을 미치는 변수로는 건강상태, 스트레스였으며, 스트레스에 직접적으로 영향을 미치는 변수는 경제상태, 건강상태로 확인되었다. 즉, 경제상태가 낮을수록(${\beta}=-,067$ p=.030), 건강상태가 나쁠수록(${\beta}=-.109$, p=.003) 스트레스를 많이 받는 것으로 나타났으며, 건강상태가 좋을수록(${\beta}=.083$, p=.013) 스트레스가 적을수록(${\beta}=.-213$, p=.001) 삶의 질이 높은 것으로 나타났다. 본 연구결과를 토대로 간호대학생들의 삶의 질을 향상시키기 위해 정보적 지지와 정서적 지지를 고려한 교육 프로그램 개발이 이루어져야 하겠다.