• 제목/요약/키워드: Psycho-social

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노인의 자아통합감과 우울의 상호 순환적 관계에 대한 모형 검정: 다차원적 영향요인을 중심으로 (Mutual Reciprocal Relationship between Ego Integrity and Depression in Elderly: Multi-dimensional Influencing Factors)

  • 정혜선;오현수
    • 성인간호학회지
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    • 제27권3호
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    • pp.262-272
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    • 2015
  • Purpose: This study was conducted to examine the mutual reciprocal relationship between elders' ego integrity and depression including physical and psycho-social predictors of both variables. The study also investigated the significant predictors of elders' ego integrity and depression. Methods: Data were collected using a structured questionnaire from 137 elders. Results: Perceived health status, self-esteem, family interaction, and depression were significant predictors of ego integrity, whereas pain, self-esteem, and ego integrity were significant factors of depression. The results also showed that ego integrity and depression had reciprocal relationship with each other. Conclusion: Psycho-social factors might be more important to improve ego integrity and to alleviate depression in elderly subjects than physical factors.

에코세대의 사회인식 및 건강상태가 사회적지지에 미치는 융복합적 영향 (The Convergent Influence of Social Awareness and Health Status on Social Support in Korean Echo Generation)

  • 송효정;박민정
    • 디지털융복합연구
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    • 제15권8호
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    • pp.247-256
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    • 2017
  • 본 연구는 성인용 한국사회의 사회 심리적 불안 실태조사 자료를 이용하여 에코세대의 사회인식 및 건강상태가 사회적지지에 미치는 융복합적 영향을 파악하기 위하여 실시되었다. 성인용 한국사회의 사회 심리적 불안 실태조사 자료는 2015년 8월 8일부터 9월 22일까지 실시되었고, 분석대상자는 1,653명이었다. 수집된 자료는 SPSS WIN Version 23.0을 이용하여 기술통계, Independent t-test, ANOVA, 위계적 중회귀분석을 실시하였다. 연구결과, 에코세대의 사회적지지 평균점수는 19.60점이었다. 에코세대 사회적지지 영향요인은 이웃관계 원만함, 계층인식, 행복감 유무, 사회의 평등성 여부, 사회의 안정성 유무, 자존감 정도, 의사소통 정도 및 스트레스 정도로 나타났다. 에코세대의 사회적지지를 향상시키기 위하여 에코세대의 사회인식 및 건강상태의 특성을 반영한 지역사회네트워크프로그램을 개발하고 지역사회 연계 체계를 구축하며 지속적인 상담과 교육이 필요하다.

의학적 충고에 반한 퇴원의 특성과 퇴원결정 요인에 관한 연구 - 사회사업가의 개입사례와 역할을 중심으로 - (A Study on the Characteristics of DAMA(Discharge Against Medical Advice) Case and Causal Factors of DAMA - Perspective of Medical Social Worker's Role and Intervention -)

  • 강흥구;이상진;조경기
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1620-1627
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    • 2000
  • Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

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간호원의 역할인식과 환자의 기대 -기본 간호역할의 가치의식을 중심으로- (Value orientation and the relationship between nurse′s role perception and patient′s expectation on selected routine nursing activities)

  • 한윤복;김순자;이인자
    • 대한간호학회지
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    • 제4권2호
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    • pp.144-158
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    • 1974
  • This study was undertaken in an attempt to; 1) measure value orientation of nursing activities, 2) identify the relationship between nurse's role perception and patient's expectation, and 3) evaluate the pattern of nursing education and nursing service administration. 203 hospitalized adults and 203 professional nurses from 11 general hospitals in Seoul during the period of July to December 1973 were tested according to questionnaire based on 4 categories of clinical nursing activities, 1) physical care, 2) observation and control, 3) psycho-social care and 4) therapeutic measures. Results of the study are as follows: 1. Nurses were more concerned than patients in the physical care category. Significant difference was revealed by p<.01 level (t=2.800). Mean value score of nurses was average (2.84), and mean value score of patients was relative' y low (2.49). None of the physical care category questionnaire items were over 3.5. 2. Respondents from hospitals of total care system revealed significant difference in the physical care category by P〈.025 level. (t=2.242). Mean value score of both group were average level (nurse 2.90, patient 2.53), nurses showed higher concern. 3. Difference between nurse's role perception and patient's expectation in observation and control category was revealed non- significance by p〉0.05. level (t=1.238). Mean value score of both group revealed relatively high (nurse=3.44, patient 3.19). 4. Difference between nurse's role perception and patient〉expectation in psycho-social cart category revealed non- significance by p〉.05 level (t=0.758), Mean value score of both group revealed average level (nurse =2.71, patient =2.53), 5. Non- significant difference was noted between B. S. N. and diploma nurse's role perception in the psycho- social care category by p> 0.1 level (t=0.316). 4. Difference between nurse's role perception and patient's expectation in the rapeutic me assures category revealed non- significance by p〉0.05 level) t=0.503). Horses showed high concern by mean value score 3.56 level and patients relatively high by 3.41. All items of this category revealed very high or relatively high value score.

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한국 청소년의 편의식품 섭취 경험의 영향요인 : 생물-심리-사회 모델을 바탕으로 (Factors Influencing the Intake of Convenience Foods among Korean Adolescents: Based on the bio-psycho-social model )

  • 강문희;김순옥;정연희
    • 한국응용과학기술학회지
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    • 제40권3호
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    • pp.547-559
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    • 2023
  • 본 연구는 제15차(2019) 청소년건강행태조사의 원시자료를 활용하여 생물-심리-사회 모델을 바탕으로 우리나라 청소년의 편의식품 섭취 경험의 영향요인을 파악하고자 하였다. 연구 결과 생물학적 요인으로 성별, 학년, 아토피 피부염이 주요 요인으로 분석되었으며, 심리학적 요인으로는 스트레스 인지 수준, 우울감 경험, 자살 생각 여부, 주관적 수면충족, 주관적 건강상태, 신체활동, 현재 흡연과 음주 경험이 영향요인으로 확인되었다. 또한 사회학적 요인으로는 영양 및 식이 교육, 아침식사 여부, 학업 성적, 주관적 경제상태, 동거가족 여부가 청소년의 편의식품 섭취 경험에 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 청소년의 건강한 식습관 관리를 위해서는 실효성 있는 영양 및 식이교육 프로그램 제공과 정서적 지지가 필요하며, 가족 구성원을 교육 대상에 포함시키는 등 다각적이고 체계적인 대책마련이 필요하다.

그룹홈 청소년이 맺는 대리양육자와의 애착관계가 심리사회적응에 미치는 영향 -낙관성의 매개효과를 중심으로- (Influence of Attachment Relationship Between Group-home Adolescents and Surrogate Care-givers on Psycho-social Adjustment - The Mediating Pathway of Optimism -)

  • 이수천;김형태
    • 사회복지연구
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    • 제43권2호
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    • pp.87-111
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    • 2012
  • 본 연구에서는 '청소년의 부모와의 애착관계는 낙관성을 매개로 심리적응과 사회적응에 영향을 미친다'는 이론적 모형을 그룹홈 청소년에게 적용하여 검증하였다. 그룹홈 청소년은 여러 가지 이유로 친부모와 함께 살지 못하고, 대신 부모의 역할을 대행하는 그룹홈 생활교사(대리양육자)와 함께 살기 때문에 '대리양육자와의 애착관계'가 낙관성을 매개로 심리적응과 사회적응에 미치는 영향을 알아보았다. 분석 결과, 심리적응 모형과 사회적응 모형 모두에서 낙관성은 애착관계와 심리적응 및 사회적응 사이에서 완전 매개변인으로 작동하는 것으로 나타났다. 이러한 결과는 그동안 사회복지 연구에서 많은 관심을 받지 못했던 '낙관성'의 효과에 관심을 갖게 하며, 이에 대한 연구가 활발히 이루어질 필요성을 시사한다.

성조숙증 여아와 정상발달 여아의 심리사회적 행동특성 비교 (The Comparison of Psycho-Social Behavior Characteristics between Girls with Precocious Puberty and Normal Girls)

  • 문우진;권호장;황만기
    • 한국산학기술학회논문지
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    • 제19권2호
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    • pp.357-369
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    • 2018
  • 본 연구는 성조숙증 여아와 정상 발달 여아의 심리사회적 행동특성에 대한 조사를 실시하여 성조숙증과의 관련성을 파악하고 비교분석하여 성조숙증 예방 및 기초 자료를 제공하고자 함이다. 연구대상 조사기간은 2016년 6월 1일부터 2017년 2월 25일까지였으며, 연구의 대상자는 서울시 소재 어린이전문 H한의원과 S한의원에 성조숙증으로 내원한 환자군 여아 104명과 대조군 A그룹 104명, 지방 군단위 소재 초등학교 여아의 대조군 B그룹 104명으로, 성별과 연령을 짝지은 총 312명과의 비교를 통해 성조숙증 여아와 정상 발달 여아의 심리사회적 행동특성을 파악하고자 집단 간 특성을 t-test, ${\chi}^2test$, ANOVA분석을 통해 비교하고, 성조숙증의 영향요인은 이항로지스틱(Multinomial logistic)회귀분석으로 분석하였다. 연구결과 성조숙증에 미치는 주요 영향요인은 첫째, 행동특성의 식습관에서 고기류 섭취횟수(p<.05)와 외식빈도(p<.05)인 것으로 나타났다. 둘째, 행동특성의 일상생활에서 TV시청(p<.001)과 스마트폰 사용시간(p<.01), 수강학원 수(p<.05)인 것으로 나타났다. 셋째, 심리적 특성에서 정서상 및 신체상의 지수가 대조군에 비해 낮게 나타남으로써 병리를 더 지닌 것으로 도출되었다. 넷째, 사회적 특성에서 가족 및 친구관계의 지수가 대조군에 비해 낮게 나타남으로써 병리를 더 지닌 것으로 도출되었다. 따라서 증가하는 여아의 성조숙증에 대해 부모와 학교 나아가 사회적 관심이 중요하며 성조숙증에 대한 발생원인과 발생빈도를 밝히는 광범위한 연구수행이 필요하다.

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

  • Tuncay, Tarik
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권9호
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    • pp.4005-4012
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    • 2014
  • Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

청소년의 이성교제에 따른 사회심리적 특성 비교 (The Comparison of Psycho-Social Environment Between Adolescents With and Without Romantic Partners)

  • 안월분;이재구;김영희
    • 한국가정과교육학회지
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    • 제14권2호
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    • pp.53-66
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    • 2002
  • The purpose of this study was to examine the differences of Psycho-social environments by the variables of sex and type of school. Subjects in this study were consisted of 1.011 adolescents drawn from 11 high schools in Cheongiu city and Choeongwon gun. For data analysis. t-test and three-way ANOVA were conducted by SPSSWIN program. This results were as following: Boys' high school students who having romantic partners had lower school adjustment and behavioral adjustment than those without romantic partners. Girls' high school students who having romantic Partners had lower peer relationships and behavioral adjustment than those without romantic partners. Also. regardless of school types. students with romantic Partners had lower school adjustment and behavioral adjustment than those without romantic partners. In an academic high school. students with romantic Partners had negative family relationships. whereas in commercial high school. students with romantic partners had Peer relationships more negatively than those without romantic Partners. This results suggest that adolescents' romantic partners be important factor of social-Psychological development. Especially. romantic partnership would be critical to induce problem behavior such as maladjustment and negative relationships in the environments of family and school.

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