• Title/Summary/Keyword: Psychosocial intervention

검색결과 248건 처리시간 0.033초

알코올중독자 가정 청소년 자녀의 성인아이성향과 심리사회적 문제 (Association between Psychological Characteristics of Adult-Children of Alcoholics and Psychosocial Problems)

  • 박현선;이상균
    • 한국사회복지학
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    • 제46권
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    • pp.118-144
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    • 2001
  • To examine association between psychological characteristics of Adult-Children of Alcoholics and psychosocial Problems was a purpose of this study. The data were collected on a written questionaire completed 765 adolescents who were consisted of children of alcoholic and nonalcoholic parents. Parental alcoholism was established using CAST and psychosocial problems were assessed by Youth Self Report. Psychological characteristics of ACOA were identified by Adult Children of Alcoholics Screening Test. This study showed that children of alcoholics possess distinct psychological characteristics and they have experienced a variety of psychosocial problems. Hierarchical regression analysis was conducted in order to determine the extent to which characteristics of ACOA affected on psychosocial problems. As a results, psychological characteristics of ACOA were significantly associated with them after controlling for the correlates of family structure, level of family functioning, and parental alcoholism. In addition, two group of ACOA were created on the basis of scores of ACAST. High-risk group had significantly higher YSR scores than low-risk group and it revealed that clinical intervention was needed for many adolescents in high-risk group. The results underscored the importance of ACOA syndrome in adaptation of children with alcoholic parents and suggested the need of future research focusing on development process of subtypes of ACOA.

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Effects of Spinal Mobilization with Leg Movement and Neural Mobilization on Pain, Mobility, and Psychosocial Functioning of Patients with Lumbar Disc Herniation: A Randomized Controlled Study

  • Seung Jin Kim;Ho Young Jang;Suk-Min Lee
    • Physical Therapy Rehabilitation Science
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    • 제12권2호
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    • pp.92-104
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    • 2023
  • Objective: The purpose of this study was to investigate the effect of spinal mobilization with leg movement (SMWLM) and neural mobilization (NM) in patients with lumbar disc herniation (LDH) accompanied by radiating pain. Design: Three-group pre-test-post-test control group design. Methods: We enrolled 48 participants, whom we randomly assigned to three groups. The SMWLM group (n=16) underwent 20 min of conventional physical therapy (CT) and 20 min of SMWLM. The NM group (n=16) underwent 20 min of CT and 20 min of NM. The control group (n=16) underwent 20 min of CT. These interventions in all the groups were performed three times a week for 4 weeks. Numeric pain rating score (NPRS), body grid chart score (BGCS), passive straight leg raise (PSLR), active lumbar flexion range of motion (ALFROM), korean version oswestry disability index (KODI), and korean version fear avoidance beliefs questionnaire (KFABQ) were measured pre- and post-intervention. Results: In all three groups, the NPRS, PSLR, KODI, and KFABQ scores were significantly different pre- and post-intervention (p<0.05). Significant differences were observed in BGCS and ALFROM in the SMWLM and NM groups pre- and post-intervention (p<0.05). The SMWLM group showed more improvement in the NPRS of leg pain, ALFROM, and KFABQ score than that exhibited by the NM and control groups (p<0.05). Conclusions: Both SMWLM and NM were effective for improving back and leg pain, centralization of symptoms, mechanical sensitivity, lumbar mobility, lumbar functional disability, and psychosocial functioning in patients with LDH with radiating pain.

허리 불안정성이 있는 허리통증 환자에게 실시한 자가-복합 운동프로그램이 통증과 기능, 심리사회적, 균형 능력 그리고 배가로근에 미치는 효과 (Effect of Self-Complex Exercise Program on Pain, Function, Psychosocial, Balance Ability, and TrA Muscle in Patients with Lumbar Instability: A Randomized Controlled Trial)

  • 윤종혁;정대근;박삼호
    • 대한통합의학회지
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    • 제10권2호
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    • pp.73-83
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    • 2022
  • Purpose : Low back pain (LBP) is reported as a risk of experiencing musculoskeletal disorders due to muscle stiffness and hypokinetics. The lumbar spine in an unstable state causes imbalance and lumbar instability. Therefore, This study examined the effects of lumbar stabilization exercise and self-complex exercise program on pain, function, psychosocial level, static balance ability, and transverse abdominal muscle (TrA) thickness and contraction ratio in patients with lumbar instability. Methods : The design of this is a randomized controlled trial (RCT). Twenty-six LBP patients participated in this study. Screening tests were performed and assigned to the experimental group (n=13) and control group (n=13) using a random allocation program. Both groups underwent a lumbar stabilization exercise program. In addition, the experimental group implemented the self-complex exercise program. All interventions were applied three times per week for four weeks. The quadruple visual analog (QVAS), the Korean version of the Oswestry disability index (K-ODI), Korean version of fear-avoidance belief questionnaire (FABQ), static balance ability, TrA thickness, and contraction ratio were compared to evaluate the effect on intervention. Statistical significance was set at 𝛼=.05. Results : Both groups showed significant differences before and after the intervention in QVAS, K-ODI, FABQ, static balance ability, and TrA thickness in contraction (p<.05). In addition, significant differences in K-ODI and FABQ were observed between the experimental group and control group (p<.05). Conclusion : A lumbar stabilization exercise and self-complex exercise program resulted in reduced dysfunctions, psychosocial stability in patients with lumbar instability. Therefore, Lumbar stabilization exercise and self-complex exercise program for patients with lumbar instability are effective method with clinical significance in improving the function and psychosocial stability.

Psychosocial adjustment and quality of life of adolescents and adults with congenital heart disease

  • Kim, Gi Beom
    • Clinical and Experimental Pediatrics
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    • 제57권6호
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    • pp.257-263
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    • 2014
  • The incidence of people living with congenital heart disease (CHD) has been increasing every year owing to remarkable advances in surgical and catheter intervention techniques and devices, and improved knowledge of critical care for patients with CHD. However, these patients continue to face physical, psychosocial, and environmental challenges, and a number of studies have shown higher rates of depression and anxiety disorders than the general population. To improve psychosocial functioning and quality of life for adults with CHD, health care providers are recommended to inform CHD patients of an accurate diagnosis, and overall treatment process, beginning in adolescence to facilitate a smooth transition from adolescence to adulthood. Active cooperation with psychiatrists, psychologists, social workers, chaplains, and family members is highly recommended to help CHD patients feel normal and optimistic and to promote good social interactions, close family relationships, and a strong sense of coherence.

작업현장에서 안전문제의 분석절차에 관한 연구 (A Study on the Procedure of Analizing the Safety Problems at the Workplace)

  • 홍상우
    • 산업경영시스템학회지
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    • 제23권54호
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    • pp.129-135
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    • 2000
  • This paper proposes six systematic steps that aimed at eliminating safety problem as far as possible. In the proposed steps, it is emphasized that attention should be paid not only to physical conditions but also to psychosocial conditions, as unsatisfaciory psychosocial work environment in many cases has proved to contribute to safety problems. The most common obstacles to obtaining positive intervention results are also described. These are lack of commitment from the line managers point of view, neglecting to engage technicians and employee concerned, ignoring to take psychosocial conditions into consideration, and ignoring the impact of the proposed changes on the wage system and the organizational system The proposed steps are based upon gradually developed and empirically tested existing method aimed at solving the problems.

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지역사회 노인의 심리사회적 스트레스, 기억과 성공적 노화 (Psychosocial Stress, Memory, and Successful Aging of the Community-Residing Elderly)

  • 이혜경;이계희
    • 농촌의학ㆍ지역보건
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    • 제46권2호
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    • pp.89-97
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    • 2021
  • 대상자의 인구사회학적 특성에 따른 성공적 노화의 차이는 나이에 따라서 차이가 있었고, 대상자의 성공적 노화는 기억과 정적관계가 있고, 심리사회적 스트레스와 부적관계가 있었다. 심리사회적 스트레스와 기억 간에 부적 관계가 있었다. 성공적 노화에 영향을 주는 요인은 심리사회적 스트레스로 나타났다. 따라서 본 연구의 결과는 지역사회 노인의 심리사회적 스트레스가 성공적 노화를 예측하는 중요한 변인임을 입증했다는 점에서 의미가 있다. 따라서 노인의 성공적 노화를 위한 스트레스 개입 프로그램의 경험적 근거자료가 될 수 있다.

신생아 스크리닝이 부모에게 미치는 사회심리적 영향: 주제범위 문헌고찰 (Psychosocial Impacts of Newborn Bloodspot Screening on Parents: A Scoping Review)

  • 유경은;김진선
    • 산업융합연구
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    • 제22권5호
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    • pp.137-153
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    • 2024
  • 본 연구는 신생아 스크리닝(newborn bloodspot screening, NBS) 과정이 부모에게 미치는 사회심리적 영향과 관련 요인을 파악하기 위한 연구이다. Arksey와 O'Malley (2005)가 제시한 방법론을 사용한 주제범위 문헌고찰을 시행하였다. 검색에 사용된 데이터베이스는 PubMed, CINAHL, RISS, KISS, DBpia였으며, 2000년부터 2023년까지 출판된 논문을 포함하였다. 총 749편이 검색되었으며, 32편이 최종분석에 포함되었다. 대부분의 연구는 설문지나 면담을 통한 서술적 조사연구였고, 부정적인 사회심리적 영향을 감소시키기 위한 중재연구는 거의 없었다. 연구결과 부모들은 특히 NBS 양성 결과 통보시 의사소통 방법 및 시기적절하고 신뢰할 만한 정보을 얻기 어려운 것과 관련하여 부정적인 사회심리적 영향을 받았다. NBS에 대한 지식, 교육 및 의사소통의 질과 만족도, 정보의 근원 및 정보제공자의 역량이 NBS로 인한 부모의 사회심리적 영향의 관련 요인이었다. 산전 및 산후의 반복적 교육, 시기적절하고 신뢰할만한 정보제공 및 건강관리제공자와 부모와의 효과적인 의사소통이 NBS 과정의 부정적인 사회심리적 영향을 감소시키는데 중요하다. 간호사는 NBS의 질 향상을 위해 중요한 역할을 할 수 있다.

전신진동자극을 동반한 점진적 균형훈련 프로그램이 무릎뼈 관절염 환자의 무릎관절 통증과 기능장애 수준, 심리사회적 수준 그리고 균형능력에 미치는 효과 (Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis )

  • 윤상우;김선엽
    • 대한물리의학회지
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    • 제19권1호
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    • pp.81-94
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    • 2024
  • PURPOSE: This study aimed to investigate the effect of a progressive balance training program with whole-body vibration stimulation on knee joint pain, dysfunction, psychosocial status, and balance ability in individuals aged ≥ 65 years with knee osteoarthritis. METHODS: A total of 40 individuals aged ≥ 65 years with osteoarthritis of the knees participated in the study. Using a randomization program, participants were assigned to an experimental group (n = 20) or a control group (n = 20). Both groups were assigned a knee strength training program, and a progressive balance training program with whole-body vibration stimulation was assigned to the experimental group. All interventions were conducted three times a week for four weeks. Participants were evaluated for the following: pain (numeric rating scale, NRS), knee dysfunction (Korean version of the Western Ontario and McMaster Universities Arthritis Index, K-WOMAC), fall efficacy (Korean Version Falls Efficacy Scale, K-FES), quality of life (Euro Quality of life 5 Dimension, EQ-5D), and advanced balance scale score (Fullerton advanced balance scale, FAB) before and after the intervention, and the effects of the intervention were compared accordingly between groups. RESULTS: Both groups showed significant differences in the results of the NRS, K-WOMAC, K-FES, and EQ-5D assessments before and after the intervention, and there was a significant difference in the amount of change between the two groups (p < .05). There was a significant improvement in FAB in all but items FAB 8 and FAB 9 after the intervention in the experimental group. In the control group, there was a significant improvement in FAB 1, FAB 2, FAB 7, and FAB total after the intervention (p < .05). In addition, there was a significant difference in the amount of change between the two groups in all items except FAB 8 and FAB 9 (p < .05). CONCLUSION: The progressive balance training program with whole body vibration stimulation is an effective intervention method with clinical significance in improving knee joint pain, knee disability index, psychosocial level, and balance ability in adults aged ≥ 65 with osteoarthritis of the knees.

가정 호흡재활 프로그램 관련 연구 논문 분석 (The Analysis of Research on the Home-Based Pulmonary Rehabilitation Program)

  • 오의금;김소희;김순희;박희옥;이춘화
    • 성인간호학회지
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    • 제14권3호
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    • pp.368-377
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    • 2002
  • Purpose: The purpose of this study was to analyze the trend of research on the use of home-based pulmonary rehabilitation. Method: Using Medline and CINAHL search engine, experiemental research, titled as 'home-based pulmonary rehabilitation' and 'chronic lung disease', statistics were collected. The total 29 experimental studies published between 1981 to 2000 were selected and analyzed according to the ATS guidelines. Result: 1) The study samples in research were mostly of men, whose lung function was moderate to severe. 2) The total period of the intervention program varied from 5 to 12 week. The program included excercise intervention and educational intervention. Psychosocial intervention was minimal. 3) The outcome of the home-based pulmonary rehabilitation had been measured mostly by physical aspects. Quality of life and cost were less frequently measured. 4) In terms of effectiveness of the home based pulmonary rehabilitation program, physiologic outcome, such as lung function and hematologic markers, there was more 'no effect' than 'positive effect', whereas there was more 'positive effect' in decreasing dyspnea, improving excercise capacity, and improving quality of life. Conclusion: Based on these findings, future research on home-based pulmonary rehabilitation should be emphasized and provide standardized protocol, including psychosocial intervention, and analyses on cost and quality of life.

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