• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.549-562
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• 2017

본 연구에서는 사회적 낙인이 학교 밖 청소년의 심리사회적 적응에 미치는 영향을 살펴보고, 사회적 낙인과 심리사회적 적응의 관계에서 자기개념 명확성의 조절효과를 알아보고자 하였다. 이러한 연구목적을 달성하기 위해 부산시에 거주하는 학교 밖 청소년들을 대상으로 설문조사를 실시하였다. 그 결과 다음과 같은 사실이 밝혀졌다. 첫째, 사회적 낙인은 자기개념 명확성에 부(-)의 영향을 미치는 것으로 나타났다. 둘째, 사회적 낙인은 심리사회적 적응에 부(-)의 영향을 미치는 것으로 나타났다. 셋째, 자기개념 명확성은 심리사회적 적응에 정(+)의 영향을 미치는 것으로 나타났다. 넷째, 사회적 낙인과 심리사회적 적응의 관계에서 자기개념 명확성은 조절효과가 있는 것으로 나타났다. 이와 같이 본 연구는 사회적 낙인과 심리사회적응의 관계에서 자기개념 명확성의 조절효과를 알아봄으로써 학교 밖 청소년들의 심리사회적 적응 방안을 모색하고, 자기개념 명확성을 높일 수 있는 상담적 개입을 촉구하였다는 점에서 연구의 의의가 있다.

• 근관절건강학회지
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• 제24권3호
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• pp.159-170
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• 2017

Purpose: The purposes of this study were to identify musculoskeletal symptoms and to investigate factors associated with musculoskeletal symptoms in small and medium sized hospital nurses. Methods: The data were collected from 206 nurses working in Jeonnam. We used self administration questionnaires of KOSHA GUIDE H-9-2012 for musculoskeletal symptoms, PWI-SF for psychosocial stress, KOSS for job stress, and HPLP-II for health behaviors. The collected data were analyzed using the $x^2$, t-test, and logistic regression analysis in SPSS Ver. 23.0. Results: Sixty-six percent of the subjects had musculoskeletal symptoms. The shoulder had the highest symptom at 38.3%, followed by lower back at 32.5%, and neck at 29.1%. The mean and standard deviation score of psychosocial stress were $24.06{\pm}6.01$, those of job stress were $2.38{\pm}0.23$, and those of health behaviors were $2.14{\pm}0.39$. The items that were significantly different according to musculoskeletal symptoms were career ($x^2=6.67$, p<.036), one week overtime ($x^2=7.27$, p<.026), subjective health status ($x^2=4.29$, p<.038), and psychosocial stress ($x^2=7.99$, p<.010). In logistic regression analysis, career, and psychosocial stress were found to affect musculoskeltal symptoms. Conclusion: It is necessary to conduct preventive intervention to reduce musculoskeletal symptoms according to career and psychosocial stress for small and medium sized hospital nurses.

• Safety and Health at Work
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• 제9권2호
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• pp.216-223
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• 2018

Background: Many studies have reported negative psychological or physical effects of emotional labor. Relationship between work-related musculoskeletal disorder and psychosocial factors has been reported. To manage organizational and psychosocial factors of musculoskeletal disorder with work place intervention among emotional laborers, the factors contributing to musculoskeletal pain must be identified and clarified. Methods: Data from the fourth Korean Working Conditions Survey was analyzed. Based on the questionnaire, we selected emotional laborers and included 3,979 participants, excluding participants whose variables were of interest to the researcher. Weight variable was applied. The association with musculoskeletal pain and psychosocial factors, such as workload, monotonous work, job control, social support, and job satisfaction, was investigated. Results: Univariate analysis demonstrated that there was a statistically significant relationship between social support, job satisfaction, and musculoskeletal pain. In multivariate analysis, job satisfaction showed a strong correlation with musculoskeletal pain at all sites. Social support was significantly associated with backache. Monotonous work seemed to reduce the pain in the neck and/or upper limbs. Job control and work intensity were not significantly associated with musculoskeletal pain. Conclusion: In this study, job satisfaction was significantly associated with musculoskeletal pain, and social support among the social psychological stressors could reduce musculoskeletal pain. However, unlike previously known, the presence of monotonous work resulted in reduced musculoskeletal pain. The results of this study will help to establish the direction of improvement of atmosphere in the workplace to prevent the musculoskeletal pain of emotional laborers.

• 대한간호학회지
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• 제28권2호
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• pp.291-302
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• 1998

The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of people with kidney transplantation. Initially, nine individual interviews were conducted to gather data regarding their subjective experiences. And two focus group interviews were utilized to validate or discard the themes that were emerged from the analysis using Colaizzi's method. Among 17 participants, 13 had living related kidney donations, one living unrelated, and the remaining two cadavor donations. About 130 significant statements were extracted and these were clustered into 11 themes. All participants felt anxiety and fear toward the rejection of transplantation and the complication of immunosuppressive drugs. Although they were initially satisfied with their life after kidney transplantation, most of them lost a self-confidence and experienced loneliness, depression, and despair. Most of the participants also felt guilty for not being able to accomplish their appropriate roles in the family, They also had financial difficulties and social restrictions. However, they overcame these psychosocial distress by exercising, working and sharing love with others. They also could overcome it by living a religious life and by working to help others with kidney transplantations. Most of them felt gratitude toward the donor and did not have a psychological rejection toward the kidney transplanted. The results of the study might help nurses who work with people with kidney transplantations in establishing and implementing an effective nursing intervention by understanding their lived experience.

• 대한간호학회지
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• 제43권5호
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• pp.658-668
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• 2013

Purpose: The purpose of this study was to investigate the effects of psychosocial interventions on pain in cancer patients. Methods: Eight studies published between 1980 and 2012 in Korean and ten studies published between 2002 and 2012 in English met the inclusion criteria with a total of 1539 participants. Methodological quality assessed by Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. The data were analyzed by the RevMan 5.2 program of Cochrane library. Results: Overall, study quality was moderate to high. Effect sizes were heterogeneous and subgroup analysis was done. Cognitive behavioral therapy (CBT) were effective for pain (ES= -0.35; 95% CI= -0.56, -0.13). Pain education studies measured with NRS and VAS were effective for pain (ES= -0.77; 95% CI= -1.01, -0.52). Publication bias was not detected. Conclusion: This study support the use of psychosocial interventions administered to cancer patients for their pain management. However, more well-designed studies are needed.

• 간호행정학회지
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• 제17권4호
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• pp.493-507
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• 2011

Purpose: The aim of this study was to investigate the effect of sense of coherence (SOC) on occupational stress, psychosocial stress and quality of life (QOL) of nurses working in a hospital. Methods: The participants were 401 nurses working in S hospital in Seoul. A stratified random sampling was performed for the all nurses in S hospital which were grouped by age and work unit. Data were collected by a self-report survey. Data analyses included descriptive statistics, t-test, Pearson correlations, multiple linear regressions, and ANOVA. Results: This study showed nurses' occupational stress was at high risk and their psychosocial stress, at low risk. It also showed that those two types of stress are mutual predictors for each other and that SOC was a predictor for both types of stress. For QOL, SOC was also a predictor in SF-36 and MCS (Mental Component Summary). Therefore, SOC may be considered as a major controlling factor for stress and QOL. Conclusion: The results indicate the need to develop programs that enhances nurses' SOC, programs that could be utilized as an intervention to reduce nurses' stress and to promote nurses' QOL.

• 성인간호학회지
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• 제18권3호
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• pp.357-366
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• 2006

Purpose: The purpose of this study were to examine the incidence of lymphedema and to compare to physiological and psychosocial symptoms between breast cancer patients with lymphedema and without lymphedema. Method: Four hundreds fifty women with breast cancer receiving mastectomy were recruited from two out-patient breast clinics of A and S university hospitals in Seoul, Korea from October, 2004 to May, 2005. Lymphedema was defined by circumferential measurement. Differences greater than 2cm between the affected arm and normal arm were considered to be lymphedema. A descriptive design was used for this study and data was collected using a structured questionnaire. The data were analyzed using descriptive statistics and independent t-test. Results: Lymphedema developed in 112(24.9%) of the 450 subjects. Subjects with lymphedema reported more severe sensation change of arm and more depression and confusion than subjects without lymphedema. Range of motion of shoulder as a physical indicator and social support, however, were not significantly different between the two groups. Conclusion: Lymphedema is recognized as an unpleasant and uncomfortable consequence of breast cancer-related treatment. Therefore, more research is needed to evaluate the impact of lymphedema on quality of life in patients with lymphedema and the efficacy of nursing intervention.

• Safety and Health at Work
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• 제2권2호
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• pp.183-193
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• 2011

Objectives: A rapid increase in the population of migrant workers in Korea has brought new challenges regarding the possible effects of acculturation on health. The purpose of this study was to examine the influence of acculturation- and work-related psychosocial factors on work-related musculoskeletal disorders among migrant female workers living in Korea. Methods: A cross-sectional survey design was used. A translated, structured questionnaire was administrated to 156 southeastern Asian female full-time workers living in Korea. Results: About 35% of the participants experienced some type(s) of work-related musculoskeletal disorder(s), which were more prevalent in Vietnamese women than in Thai and Filipino women. Women who preferred to maintain their own heritage and to reject the host country heritage were at risk for work-related musculoskeletal disorders. Conclusion: Acculturation strategy and nationality were found to be significant factors associated with work-related musculoskeletal disorders. Health professionals need to accommodate acculturation contexts into risk assessment and intervention development for work-related musculoskeletal disorders separately for different nationalities.

• 의학교육논단
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• 제24권3호
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• pp.215-230
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• 2022

The purpose of this study was to explore the psychosocial characteristics of academically maladjusted students and the College's current status regarding academic maladjustment based on 4-year medical student cohort data collected from 2018 to 2021 and through interviews with 10 medical education experts using the integrated research method. This study included 223 students who consented to inclusion in the student cohort and participated in the emotional behavior test and college adaptability test of whom 65 students experienced academic maladjustment. Academically maladjusted students had significantly higher scores for social stress, anxiety, sense of inadequacy, attention, hyperactivity, and school maladjustment, and significantly lower scores for relationships with parents, interpersonal relationships, self-esteem, self-confidence, and self-strength. Academic and social integrity, emotional stability, university satisfaction, and university service satisfaction were all significantly lower in the academically maladjusted students than in the non-maladjusted group. The expert interviews indicated that academic maladjustment was mainly recognized as a personal problem, with causes such as lack of motivation and learning methods, vulnerability to stress, lack of social relationships and alienation, lack of support from the family, and insufficient resilience. Systematic support other than counseling for academically maladjusted students is required, and an early diagnosis and preventive intervention are important.

• 한국콘텐츠학회논문지
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• 제15권2호
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• pp.301-312
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• 2015

본 연구는 여대생의 신체상과 외모관리 행동 및 심리사회적 건강과의 관련성을 확인하기 위한 연구이며, 2014년 9월부터 10월까지 일부 도시의 여대생 총 198명의 자료를 분석하였다. 자료는 SPSS 21.0을 이용하여 분석한 결과는 다음과 같다. 첫째, 신체상은 5점 만점에 $3.12{\pm}1.06$점으로 조사되었다. 외모관리 행동은 5점 만점에 $2.82{\pm}1.00$점이며, 대상자들은 메이크업과 의복관리 행동을 많이 하지만 운동, 섭식 행동은 평균보다 낮은 것으로 조사되었다. 또한, 심리사회적 건강 점수는 평균 $22.90{\pm}5.96$점으로 대상자의 73.2%가 잠재적 위험군이며, 고위험군은 25.8%로 전체 대상자가 위험군으로 나타났다. 둘째, 연령, 학년, 전공, 비만도, 건강관심도 및 체중조절 의도는 주요 변수들과 통계적으로 유의한 차이를 나타냈다. 셋째, 대상자의 신체상은 외모관리 행동과 심리사회적 건강과 유의한 정적 상관관계를 보였다. 외모관리 행동 하위 영역에서도 운동은 섭식과, 섭식은 헤어관리행동과, 헤어는 메이크업, 의복관리행동, 메이크업은 의복관리행동과 유의한 정적상관관계를 보였다. 한편, 심리사회적 건강은 신체상 및 헤어관리행동과 정적 상관관계를 보였다. 넷째, 신체상, 건강 관심도, 학년 순으로 대상자의 심리사회적 건강을 14.4% 설명하였다. 즉, 신체에 대한 불만족이 높을수록, 건강 관심도가 낮을수록, 학년이 낮을수록, 심리사회적 건강이 좋지 않았다. 따라서, 본 연구는 대학생들이 자신의 건강에 대해 관심을 갖도록 하며 자신의 외모와 신체에 대해 긍정적인 이미지를 형성하고, 심리사회적 건강을 위한 프로그램 개발을 위한 기초자료로 활용될 것이라 기대한다.