• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.373-373
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• 2005

• The Korean Journal of Pain
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• 제5권2호
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• pp.273-278
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• 1992

With the medical progress that has given spinal cord injured(SCI) individuals greater longevity and better overall health, chronic pain is emerged as major challenge in treating this population. According to past reports, estimates of prevalance of severe/disabling chronic pain in SCI patients have ranged from 18% to 63%. In etiologies of chronic pain in SCI patients, psychic or psychogenic pain categories should be included and more recent data have demonstrated that the persistant pain is directly related to higher levels of psychosocial distress and impairment. Recently, neurophysiological classification of the SCI pain syndrome into three etiologic groups(a; mechanical pain, b; radicular pain, c; deafferentation pain) is more frequently adopted for the classification of chronic SCI pain syndrome. The deafferentation pain is most common of the pain syndromes associated with SCI. After cervical epidural anesthesia for the surgical intervention of decubitus ulcer on the hip of two SCI patients, there were much reduction of existing chronic deafferentation character pain.

• 성인간호학회지
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• 제18권2호
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• pp.272-283
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• 2006

Purpose: This research was done to explore the meaning of 'well-being' as experienced by middle aged people. Method: The data were collected by individual in-depth interviews with 107 middle aged adults and it was analysed using qualitative content analysis. Results: 4 components of the meaning of well-being as perceived by the participants were identified as follows: the life of free without physical discomfort and psychosocial distress; the life of comfort with plenty of time, space, material, and mind; the life of purity with natural material and honest mind; the life of harmony with extended consciousness. Conclusion: Therefore the identified meanings of the well-being in this study should be reflected to the nursing education and the nursing practice.

• 대한두개안면성형외과학회지
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• 제20권6호
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• pp.408-411
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• 2019

Hairless scalp areas can occur due to trauma, tumors, or congenital disease. This aesthetically unpleasing condition can lead to psychosocial distress, and thin skin flaps may be prone to scarring. Treating the hairless scalp by simple excision is challenging because of skin tension. Tissue expanders are a good option for hairless scalp resurfacing. However, a single expansion may be inadequate to cover the entire defect. This report describes good results obtained using a serial resurfacing method involving re-expansion of the flap with a tissue expander to treat two patients with large lesions: one due to aplasia cutis congenital and another who underwent dermatofibrosarcoma protuberance resection. The results suggest that scalp resurfacing by serial tissue expansion using a tissue expander can be used for extensive lesions.

• 종양간호연구
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• 제9권1호
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• pp.23-30
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• 2009

Purpose: This study was to identify the relationship between mental adjustment to cancer and anxiety. Method: This study used a cross-sectional descriptive design. A total of 124 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale and Hospital Anxiety and Depression Scale (HADS). Data were analyzed using descriptive statistics, t-test, ANOVA and Pearson correlation. Results: There was a significantly negative correlation between anxiety and fighting spirit which was adaptive adjustment to cancer (r=-0.29, p<0.001). However, anxiety had significantly positive correlation with helplessness/hopelessness (r=0.38, p<0.001), anxious preoccupation (r=0.55, p< 0.001), and fatalism (r=0.22, p<0.05) to cancer. Conclusion: Cancer patients' mental adjustment is correlated with the degree of the psychosocial distress. Anxious preoccupation and helplessness/hopelessness are the most maladaptive adjustments whereas fighting spirit is one of the most adaptive adjustment to cancer.

• Journal of Digestive Cancer Research
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• 제3권2호
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• pp.70-75
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• 2015

Along with the recent trend of improved survival in patients with colorectal cancer (CRC), health-related quality of life (HRQoL) has become a significant outcome measure and its improvement is an important goal. The most widely adopted CRC specific HRQoL questionnaires are the European Organization for Research and Treatment of Cancer Qualityof-Life Questionnaire (EORTC QLQ-CR38) and the Functional Assessment of Cancer Therapy (FACT-C). CRC survivors without serious comorbidity or recurrence experience only minor deficits of overall HRQoL when compared to the general population. However, disease recurrence, progression, and more specific limitations, including weight loss, reduction in energy, and psychosocial problems like psychological distress and depression, could result in lower HRQoL. To improve HRQoL, further research is required to develop appropriate health education regarding lifestyle changes and personalized intervention strategies for CRC survivors.

• Journal of Preventive Medicine and Public Health
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• 제42권2호
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• pp.82-88
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• 2009

Objectives : Our objective was to examine and evaluate the psychological health of the residents of Taean during the cleanup of the Hebei Spirit(HS) oil spill and to review some factors associated with the results. Methods : A community survey of 71 men and women was conducted 8 weeks after the HS oil spill. Questionnaires used were the PWI(Psychological Well-being Index) scale for psychosocial distress, the CES-D(Center for Epidemiologic Studies-Depression) scale for depressive symptoms, and a questionnaire created to assess suicidal impulses. Results : The overall prevalence of high-risk psychosocial distress among the study group was 64.2%. The percentages of respondents with scores on the CES-D Scale above 16 and above 21 were 77.6% and 62.7%, respectively. The percentage of respondents categorized as having suicidal impulses was 18.3%. When compared with unexposed groups in the general population taken from various sources, the residents of Taean were 6.5 times as likely to have high stress and 9.4-9.7 times as likely to be depressed. No significant difference in the rate of suicidal impulse was found between the residents of Taean and the general population. Factors associated with high stress, depression, and suicidal impulses were age, a change in income, educational level, number of days working on the cleanup, and positive responses to questions about "affected daily activity" and "hospital visit due to work on cleanup". Conclusions : The results suggest that the HS oil spill had a significant impact on the psychological health of residents of Taean, but the comparability of the unexposed groups is a limitation of the study.

• 한국심리학회지ㆍ건강
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• 제16권1호
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• pp.169-187
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• 2011

본 연구의 목적은 생식기 기형의 대표적인 하위유형인 요도하열과 잠복고환 영유아와 양육자의 심리 사회적 특성을 탐색하는 것이다. 생후 6~38개월 요도하열(103명), 잠복고환(48명)을 대상으로 생식기 기형과 관련한 걱정과 사건 충격, 수치심을 탐색하였다. 이들을 정상통제군(131명) 양육자와 비교하여 영아의 기질과 양육자의 정신 건강, 양육자의 사회적 지지와 결혼 만족도, 양육 스트레스와 대처기제를 비교하였다. 결과, 요도하열군 모는 '배뇨와 신체기능'과 '출산 능력'을, 잠복고환 모는 '마취에 대한 부담'과 '출산 능력'을 가장 걱정하였다. 또 요도하열 모는 임상수준의 심리적 충격을 보고하였다. 정상군과의 비교에서, 요도하열 영아는 정상영아에 비해 부정적 정서가 높았고, 잠복고환 영아는 주의 전환성이 유의하게 낮았으며, 요도하열과 잠복고환 모는 정상군모보다 대인 예민성이 낮았다. 사회적 지지에서 세 집단 간 차이는 없었으나, 잠복고환 모는 정상군 모에 비해 원가족과의 갈등이 적다고 보고하였다. 요도하열과 잠복고환 모는 정상군 모보다 양육 스트레스 중 부모의 고통은 낮았고, 대처 전략을 많이 사용하였다. 양육 스트레스 총점이나 까다로운 자녀, 역기능적 상호작용에서는 집단 간 차이는 나타나지 않았다. 결과에 대해 임상적 함의와 연구적 함의를 논의하였다.

• 한국사회복지학
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• 제59권3호
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• pp.99-124
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• 2007

본 연구는 '유방완전절제술을 받은 여성의 심리사회적 경험은 무엇인가'라는 연구 질문을 가지고 유방완전절제 후 자조집단에 참여하는 여성의 심리사회적 경험을 심층면담과 참여관찰로 탐색한 것이다. 특히 현상학적 이론과 분석방법을 바탕으로 여성이 갖는 유방의 의미와 본질 그리고 유방완전절제술을 받은 후 겪게 되는 독특한 경험을 연구하고자 하였다. 연구 분석을 통해 '삶과 죽음과의 기로', '성(性) 정체성으로 인한 아픔', '사회의 이중적 시각에 억울함', '신체적 장애와 심리적 장애 사이의 갈등', '지지체계에 대한 고마움과 아쉬움', '현실적으로 바라는 소망과 바램'의 본질을 찾게 되었다. 연구 참여자는 여성으로서의 정체성 혼란을 가지지만 삶에 대한 열망으로 자아와 타인과의 끊임없는 내면적 투쟁을 경험하고 있다. 연구 결과에 대한 요약과 제언은 계속 증가하는 유방암 환자들에 대한 정부의 정책과 사회복지 서비스를 현실화 하고 구체화 하는데 유용한 자료가 될 것으로 기대한다.

• Journal of Endocrine Surgery
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• 제18권4호
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• pp.219-227
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• 2018

Purpose: The primary objective of the present study was to investigate the course of anxiety and depression in thyroidectomy. The second objective was to investigate the association between somatic symptoms and psychological symptoms, and the final objective was to identify the sociodemographic, clinical, and psychosocial factors that affect psychiatric morbidity. Methods: This prospective study, 101 patients who were admitted to the Endocrine Surgery Clinic of the Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul, with thyroid pathology were included in the study. Data were collected before surgery, and in the early, and late periods after surgery. Data were collected using a semi-structured interview form, a visual analogue scale, and the Hospital Anxiety and Depression Scale. Results: The average scores of anxiety and depression before surgery were statistically significantly higher compared with the early and late periods after surgery (P<0.001). Psychological morbidity was identified about 10% of patients before surgery and remained after thyroidectomy. A poor positive correlation founded between somatic symptoms and psychological condition in period surgery (P<0.05). Various sociodemographic features and psychosocial parameters affected anxiety and depression level (P<0.05). Conclusion: Anxiety and depression level in thyroid diseases decreased after thyroidectomy. These patients may express psychologic distress through somatic symptoms. Screening of psychological morbidity is suggested in patients planned thyroid surgery, especially in women, low-educated, inadequate social support, attributed to psychological causes.