• 제목/요약/키워드: Positive psychological

검색결과 2,175건 처리시간 0.03초

빈곤노인의 노화경험에 대한 현상학적 연구 (A Phenomenological Study on the Lived Experience of Aging of the Poor Elderly)

  • 장경은
    • 한국사회복지학
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    • 제61권4호
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    • pp.355-380
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    • 2009
  • 본 연구는 빈곤노인의 노화경험의 의미를 발견해내고 이를 바탕으로 빈곤노인을 위한 복지정책을 제시하고자 하였다. 이러한 목적을 위해 빈곤노인을 기준표집방법으로 총 16명 선정하여 심층면접을 진행하였고 Colaizzi(1978)의 현상학적 연구방법을 사용하였다. 연구결과, 빈곤노인의 노화경험의 의미는 27개 주제, 10개 주제묶음과 4개의 범주로 나타났다. 4개의 범주는 '죽음으로 향해 가기', '초라해지는 마음', '험한 인생살이', '삶의 끈을 지켜나가기'이었다. 이러한 의미를 통합해볼 때 빈곤노인의 노화경험의 본질은 '정부로부터 생계비를 받을지언정 제 힘으로 살아가기'로 발견되었다. 빈곤노인의 노화경험은 의존적이라기보다는 독립적이고 긍정적인 삶의 의미를 강하게 드러냈고, 생계비가 최소한의 생존비용임을 보여주었고, 심한 죽음불안을 나타냈으며, 가(家) 중심의 유교문화적 맥락을 통해 이해될 수 있었다. 이에 빈곤노인복지정책은 이들의 독립적이고 긍정적인 생활지원을 위한 사회활동의 촉진, 최저생계비의 현실화, 심리정서적 서비스의 강화, 죽음준비교육의 실시, 빈곤노인복지정책의 매뉴얼 구축 등으로 제시되었다.

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임상간호교육의 일실험방법의 효과측정 (Experimental Study of. Clinical Obstetric Nursing Education)

  • 최연순
    • 대한간호학회지
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    • 제2권1호
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    • pp.217-236
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    • 1971
  • Introduction: The integration of theoretical material in the classroom with clinical practice in the field is an important concept in nursing education. nursing students at all levels need to acquire individual patient's needs, and applying creativity in the comprehensive nursing care. Problem solving and observation skills are important aspects in the development of nursing skills. Nursing students during their clinical work in maternal and child health observed that the major difficulties experienced by new mothers centered around psychological and physiological changes. Breast engagement and throbbing breast pain were the most frequent complaints by primiparas during the postpartum phase. In order to understand the factors affecting the discomfort, and to devise appropriate nursing care, these complaints were experimented. resent study represents an attempt to evaluate the impact of antepartal care (including breast care) on the subsequent of breast feeding difficulties. For the research purposes, hypotheses were made as follows: 1. There is a relationship between breast care and anthemata care attendance. 2. If primiparas practice treat care during their anthemata relied, they will have less throbbing breast pain during the postpartum phase. 3. If primiparas practice breast care during their antenatal period, they will have less breast engagement during the postpartum phase. Method: The researcher selected two highly specialized nurses in maternity clinical ward. They checked mother's chest circumference on the top line of breast every morning including mother's fever, caked breast, and lymphnodes on axillae. These nurses checked mother's breast while they staying hospital for four days. The total number of primiparas were 62 during June 5th to July 15th in 1971 at the Severance Hospital. For 40 days among 62 members of new mothers, 28 of them had breast care during antenatal period. Rest of them did not have breast care during antenstal period. Result: The result of this research revealed that the first hypothesis was accepted that the group which had breast care during antenatal period, had positive relationship with antenatal care. If the mothers were more educated, the more anticipated to antenatal care including breast care. For the second hypothesis, on the delivery day, there was no change on breast between two groups. On the first day of delivery, there were breast throbbing pains to the group who did not receive breast care, than the group who received the breast care. Therefore, second hypothesis was also accepted. For the third hypothesis, there was no breast engagement difference between two groups for the entire period. The third hypothesis was rejected.

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구강 작엽감 증후군 (BMS)의 임상적 특징 및 치료에 관한 연구 (A Study on The Clinical Characteristics and Treatment in Burning Mouth Syndrome)

  • Mi-Jung Yeom;Chong-Youl Kim
    • Journal of Oral Medicine and Pain
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    • 제20권1호
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    • pp.39-52
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    • 1995
  • Burning mouth syndrome is characterized by a burning sensation in oral cavity without clinical signs. There has b een no established theories about the diagnosis and treatment. The purpose of this article is to examine the clinical feature of BMS patients of Korean and to present a treatment protocol that can be helpful in clinical applications. The subjects chosen for the study were 52 patients who had visited Department of Oral Diagnosis at Yonsei University Dental Hospital and were diagnosed as BMS. We did questionnaires and precise oral exam, laboratory exam, grouping of our patients, individual treatment for the groups and classification of responses to the treatment. The following results were obtained: 1. Chief complaints were throbbing (71.2%), pricking, stinging, tingling (30.8%), burning(25a%). The tongue is the most frequently affected site (82.7%), followed by full mouth, gingiva, palate, buccal mucosa, lips, throat, labial mucosa and floor of mouth. 2. The average age of onset was 48.1 year and the male to female ratio was 1 to 3. The average duration of symptom was 11.69 months for male and 23.07 months for female. 3. 32.7% of patients had appealed continuous pain, which was the most cases. Aggravating factors were peppery food, salty food, hot food, fatigue, tension conversation, sour food, cold food and toothpaste. Reducing factors were cold food, diet, going to sleep and smoking. 4. Associated symptoms were dry mouth, other life problem, altered taste perception, bad taste, throat pain, tingle and difficulty in swallowing. 5. Most of patients had appealed that there was not associated event on onset of symptom, and the order of prevalence is as fallow; dental treatment, stress, denture wearing, an attack of a systemic disease. 92.3% of patient appealed that there was no psychological withering and 7.7% of patients appealed positively. 6. There were eight males and four females that had jobs. 7. There was no family history in 100% of patients in questions about presence of family history. 8. 96.2% of patients appealed that there was no oral habits. 13.5% of patients had dryness of oral mucosa in oral exam. A significant relation to dental prosthesis was not observable, but incidence of diseases due to stress appeared high in BMS which had the clinical characteristics as above. A group having low serum iron was 63.5% and in this group period of potential iron deficiency appeared high in incidence just before move to anemia. A group represented positive response was 38.5% in fungus study for Candida albicans. Since we can expect high treatment response by prescription of iron-contained drug and antifungal drug in these patients, diagnosing patients' condition of BMS can be achieved in more various aspects through study for serum iron and Candida albicans. Furthermore, it is expected that treatment protocol can be made.

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암환아 부모의 질병에 대한 불확실성, 자기효능감 및 대처정도 (Uncertainty, Self-Efficacy & Coping in Parents′ of Children with Cancer)

  • 오원옥;박은숙
    • Child Health Nursing Research
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    • 제4권2호
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    • pp.274-285
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    • 1998
  • Improvements in therapy have resulted in increasing numbers of children being successfully treated for cancer. However the agrressiveness of therapy & uncertainty about prognosis are associated with many adverse effects, psychological as well as physical for both the child & family. The purpose of this study were to measure the degree of perceived uncertainty, self-efficacy & coping, and then to examine the relationship between the perceived uncertainty, self-efficacy & coping in parents of children cancer patients. The subjects of this study consist of 140 parents with pediatric cancer, registered at pediatric cancer ward & Out Patient Department. Data was collected from July 1st to August 15th 1998. The tools used in this study were Mishel's the Parents' Perception of Uncertainty Scale (28 item, 4 likert scale), Shere's Self-Efficacy Scale (17 item, 5 likert scale) & Folkman & Lazarus Ways of Coping Checklist(34 items, 4 likert scale). Data was analyzed by t-test, Anova, Pearson Correlation coefficient. Results of this study are summerized as follows 1. Parents perceived their uncertainty to be slightly high(Mn 2.41). The degree of perceived uncertainty by the four components were followed as lack of clarity (2.60), unpredictability(2.59), ambiguity(2.51) & lack of information(1.90). The degree of perceived uncertainty of parents with pediatric cancer revealed to be influenced significantly by the family outcome, reliability about health care provider & perceived severity of illness. 2. The range of parents' self-efficacy was measured iron 35 to 85 point, so revealed slightly high. The degree of self-efficacy related to be Influenced signiicantly by the sequency of child birth, family religion & degree of perceived support. 3. The degree of parents' coping was measured slightly high (Mn 2.78). The degree of coping related to be influnced significantly by the sequency of child birth, number of sible & degree of perceived support. 4. parents' uncertainty was related inversely to the parents' self-efficacy(r=-.38, p<.001) & coping(r=-.26, p<.001). And also parents' self-efficacy was positively related to coping(r=.56, p<.001) From the above results, it can be concluded that predicting & controlling parents' uncertainty with children cancer are necessary to improve positive coping strategies. This information may be used as a foundation for developing nursing interventions to decrease perceived uncertainty & to foster self-efficacy & coping for parents with children cancer.

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학교 밖 청소년의 생활실태와 행복감 관련 변인 (The Current Status of Life and Happiness of Out of School Youth)

  • 황연경;홍은영
    • 디지털융복합연구
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    • 제16권2호
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    • pp.57-64
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    • 2018
  • 본 연구는 천안시의 학교밖 청소년 250명을 대상으로 생활실태와 심리적 특성을 분석하고 행복감에 영향을 주는 요인을 파악하여, 학교밖 청소년들의 행복감 증진을 위한 정책적 제언을 하고자 수행되었다. 분석 방법은 SPSS PC+ Win. 21.0을 활용하여 기술통계분석, 신뢰도분석, 평균비교분석, 상관분석 및 다중회귀분석을 하였고, 연구의 결과는 다음과 같다. 첫째, 가정문제로 학업을 중단한 청소년의 자아존중감이 다른 이유로 학업을 중단한 청소년보다 낮았고, 행복감은 학업중단 기간이 2년 이상인 청소년이 가장 낮았다. 둘째, 학교밖 청소년들은 하루 중 수면 7.9시간, 일 3.91시간 등으로 사용하였고, 활동 장소는 집 10.73시간, 일터 3.66시간 등이었으며, 장래계획은 취업계획이 가장 많았고, 친구는 함께 게임 놀이할 친구가 가장 많았다. 셋째, 학교밖 청소년의 자아존중감, 희망 및 행복감 간에는 정적 상관관계가 있었다. 넷째, 학교밖 청소년의 행복감에 대한 상대적 영향은 자아존중감이 가장 높았고, 희망, 취업계획, 가정소득수준 순이었다.

노인의 계획된 운동이 자아효능감, 우울, 생활만족도에 미치는 영향의 메타분석 (A Meta-analysis of the Effect of Planned Exercise on their Self Efficacy, Depression, Life Satisfaction)

  • 장봉우;장태영
    • 디지털융복합연구
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    • 제16권2호
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    • pp.293-298
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    • 2018
  • 본 연구는 남여 65세 이상 계획된 운동이 자아효능감, 우울, 생활만족도에 어떤 영향의 크기가 있는지 2004-2014년 국내외 석사 및 박사 학위논문 관련 14문헌을 토대로 메타분석법을 통하여 신뢰성 높은 통합적인 자료 제시에 있다. 노인피험자 대상은 계획된 운동 경험이 없는 문헌을 선정하였다. 또한 운동기간은 12주-24주 사이이며, 매주 3회씩 한회 50분정도의 운동량이었다. 운동 강도는 피험자가 평소 하던 유산소성 운동이었다. 노인의 계획된 운동은 운동전에 비하여 후에 자아효능감의 평균효과크기는 0.793(26.1%증가), 우울은 -0.91(31.9%감소), 생활만족도는 1.506(43.4%증가)로 큰 영향이 있는 크기이었다. 이는 운동 전의 심리적 변인이 계획된 운동 후에 우울감은 낮추고 자아효능감과 생활만족도에 긍정적인 큰 영향을 미친다는 의미이다. 노년기에 건강하고 행복한 삶을 영위하기 위해서는 원활한 움직임이 지속가능하도록 구체적인 자료 제공과 적극적인 독려가 병행되어야 하겠다. 이 결과는 노인의 일상생활에 적절한 운동에 최선을 다하도록 동기부여 자료가 될 것이며, 여성 나아가 연령별로 구체적인 자료가 더 제공되어 예방의학적 건강한 삶을 영위할 수 있도록 실질적인 자료가 많이 확충하여야 하겠다.

호스피스병동 입원 환자의 간호요구도와 간호만족도 (Nursing Need and Satisfaction of Patients in Hospice Ward)

  • 김정아;김경희;강희선;김지수
    • Journal of Hospice and Palliative Care
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    • 제17권4호
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    • pp.248-258
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    • 2014
  • 목적: 본 연구는 호스피스병동 입원 환자의 간호요구도와 간호만족도를 확인하여 궁극적으로는 호스피스 서비스의 질을 향상시키기 위한 기초자료를 제시하기 위해 실시되었다. 방법: 연구대상자는 S시에 소재한 2개 호스피스병동에 입원한 말기암환자 80명이다. 수집된 자료는 IBM SPSS 20.0을 이용하여서 기술통계, t-검정, ANOVA 및 Pearson correlation coefficient 등을 실시하였다. 결과: 호스피스병동 입원 환자의 간호요구도는 $3.58{\pm}0.31$점, 간호만족도는 $3.25{\pm}0.20$으로 간호요구도에 비해 간호만족도는 낮은 수준이었다. 대상자의 일반적 특성중 교육상태, 직업, 종교 및 기능 상태에 따라 호스피스 간호요구도에 유의한 차이가 있었으며, 성별과 치료비 부담자와 기능 상태에 따라 호스피스 간호만족도에 유의한 차이가 있었다. 대상자의 간호요구도와 간호만족도는 양의 상관관계가 나타났다. 결론: 호스피스병동 입원 환자의 간호만족도는 간호요구도에 비해 낮은 수준으로 호스피스 서비스를 받는 환자의 서비스의 질을 높이기 위해서는 신체적, 심리/사회적, 영적 및 교육/의뢰 영역별로 구체적인 간호중재 방안이 마련되어야 한다.

백수오(白首烏)의 항산화 효능 및 모유두 세포의 5α-reductase mRNA 발현 억제 효능 (Investigation of Antioxidant Activity of Cynanchi Wilfordii Radix and Inhibitory Effect of 5α-reductase mRNA in Human Dermal Papilla Cells)

  • 조남준;최영호;전해리;이웅희;김기광;한효상
    • 동의생리병리학회지
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    • 제31권6호
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    • pp.374-379
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    • 2017
  • Hair loss affects interpersonal relationships and causes psychological stress. In this study, we investigated the antioxidant activity of Cynanchi Wilfordii Radix (CWR) and its effects on dermal papilla (DP) cells. Antioxidant efficacy was examined by ABTS assay. To confirm the effect on cell activity, MTS assay was performed and cell count was directly measured by hemocytometer. The mRNA expression of genes involved in hair formation and hair loss formation was confirmed by quantitative RT-PCR. CWR has a strong antioxidant activity. Cell viability of DP cells was increased to 118.5% by treatment of 0.5 mg/ml CWR for 24 hours, but the effect on the cell number was insignificant. These results suggest that CWR increases mitochondrial activity without promoting cell proliferation. Treatment of DP cells with 0.5 mg/ml CWR resulted in 48.5% reduction of mRNA expression of type 2 $5{\alpha}$-reductase, a major cause of male hair loss. In addition, mRNA expression of bone morphogenetic pretein (BMP), fibroblast growth factor (FGF)7, and FGF10, which are closely related to hair growth, was also decreased. Reactive oxygen species (ROS) acts as a cause of hair loss. The excellent antioxidant efficacy of CWR is thought to be able to effectively remove ROS. The dihydrotestosterone produced by type 2 $5{\alpha}$-reductase in DP cells is a potent inducer of male pattern hair loss. The inhibitory effect of type 2 $5{\alpha}$-reductase mRNA on DP cells induced by CWR may induce a positive therapeutic effect of male pattern hair loss.

119구급대원의 업무스트레스와 피로 및 직무만족도에 관한 연구 (A Study on Job Stress, Fatigue and Job Satisfaction of 119 Emergency Medical Technician)

  • 박대성
    • 한국응급구조학회지
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    • 제8권1호
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    • pp.71-86
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    • 2004
  • This study selected emergency medical technicians at 24 fire police boxes in Jeonnam in order to examine the relationship between job stress, fatigue and job satisfaction of 119 emergency medical technicians. Data were collected from Apr. 10 to May 9, 2004, questionnaires were mailed and returned by mail. Total 109 questionnaires were distributed and 89 questionnaires were collected and 80 except 9 omitting answers and showing inappropriate answers were used for final analysis. The results of this study are as follows. A. The total mean of areas composing job stress in the degree of job stress of 119 emergency medical technicians was over the average as 2.54 (SD .44) of 4 full marks. According to the degree of job stress by each area, the highest area of job stress was crisis situation (2.98), followed by role conflict as professional job (2.58), social factors (2.57), involvement in organization (2.55). To the contrary, the areas of the lowest job stress were professional knowledge and technique (2.35), psychological burden of medical limitation (2.38), conflicts in personal relationship and services (2.45) and improper treatment (2.53). B. The degree of fatigue of 119 emergency medical technicians by areas was over mean as 2.09(SD .49) of 4 full scores and physical fatigue was highest (2.18), followed by mental fatigue (2.11) and neurosensory fatigue (1.99). C. The degree of job satisfaction of 119 emergency medical technicians was 2.71 of 5 full scores and working condition area (3.70) showed the highest job satisfaction, followed by requirement of organization (2.85) and the lowest job satisfaction area was job itself (2.18), followed by desire for job (2.49). D. According to differences in demographical characteristics of 119 emergency medical technicians, there was no variable of statistical difference at job stress and job satisfaction in significance level .05, but fatigue showed statistical difference at final education (F=2.393, p=.046). E. According to differences related to job characteristics of 119 emergency medical technicians, job stress showed statistical differences at motif of current services (F=4.935, p=.003), fatigue showed those at health conditions (F=2.732, p=.008), job satisfaction at overtime (F=3.038, p.034) and the greatest reason of having job (F=3.217, p=.017), F. As a result of analyzing correlations between job stress. fatigue and job satisfaction of the subject, job stress showed positive correlations (r=.411, p=.000) with fatigue and negative correlation (r=-.267, p=.008) with job satisfaction. Fatigue showed negative correlation (r=-.287, p=.005) with job satisfaction. Therefore, the hypothesis of this study. "There will be relationship between degree of stress, fatigue and job satisfaction of subjects." was supported.

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도시주부의 가사노동 조직화 및 관리자 유형 분석 (Some Determinants of manager Style and household Work Organization on the Urban Homemakers in Korea)

  • 채옥희
    • 가정과삶의질연구
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    • 제6권1호
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    • pp.189-203
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    • 1988
  • The main objective of this dissertation is to find out the measurement methods of household work organization and manger style and the quantitative analysis methods of influential factors on household work organization and manager style. Subjects were homemakers living in metropolitan , medium and small cities. Questionnaires were sent to subjects and usable responses were 1139 out of 1239 received questionnaires. Data collected through both preliminary and main survey were analyzed by using frequencies, percentage, analysis of variance, chi-square test and pearson's correlation analysis. Results are as follows; 1) The degree of household work organization was distributed on upper middle level exceeding middle score. Among subsystems of household work such as task assignment , test regularization, task arrangement and task standardization. subjects show the highest positive attitude in task standardization. 2) The characteristics of management in household work have task centered orientation. By the prority of task centered orientation, the order was integrated style. dedicated style. It means that the most ideal style is an integrated style which accounts for one-third of the total homemakers. 3) Household organization's subsystems and household work manager style are related with socio-demographic variables. Integrated style is significantly related with homemaker's employment and having helpers for household work. homemakers who are employed and have helpers for household work exhibit high scores in task assignment and task arrangement. Dedicated style is significantly related with homemaker's age and the number of children. Homemakers who are older and have many children exhibit high scores in task assignment. Related style is significantly related with marriage duration, education level and income level. Homemakers who have a long marriage duration exhibit high scores in task assignment and who have high education and income level exhibit high scores in task regularization. Seperates style is significantly related with homemaker's age m marriage duration an family life cycle. homemakers who ar older, have a long marriage duration and are of late stage in family life cycle exhibit seperated style and high scores in organization. To summarize research findings, household work manger and household work organization are related with family life experiences, and task assignment is an influential variable on manager style. in conclusion, it is evident that household work organization emphasizes efficiency as cognitive component and such organization. Finally it is necessary to broaden this research considered social psychological variables. And also it needs to build household manger style models appropriate fro the characteristics of each style.

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