• 한국직업건강간호학회지
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• 제29권3호
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• pp.173-183
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• 2020

Purpose: The purpose of this study was to identify factors associated with the mental health-related quality of life (MHQoL) of Korean workers. Methods: This was a cross-sectional study of 192 Korean pay workers who worked in the Daegu and Gyeongbuk Province, Korea. Data were collected from May 15 to July 2, 2019, through selfreported questionnaires. The survey had a total of 87 questions including individual, organizational, and psychosocial factors. MHQoL was measured using short form-36 version 1. Data were divided into four domains of MHQoL and analyzed using a hierarchical linear regression model. Results: From the hierarchical linear regression analysis, when the psychosocial factors were included in the regression model, the R² change in the four domains of MHQoL increased significantly by 19~47%. A common predicting factor associated with the four domains of MHQoL was identified as perceived stress symptoms. Other factors affecting MHQoL showed slight differences in each domain. Conclusion: Based on the study results, it is necessary to monitor the psychosocial symptoms to improve MHQoL of Korean workers. Considering each factor affecting the four areas of MHQoL, workplace-based interventions to improve MHQoL should be provided to workers.

• 한국게임학회 논문지
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• 제20권1호
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• pp.83-92
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• 2020

세계보건기구는 게임 이용 장애를 중독 행동에 따른 장애로 규정했는데 이에 학계의 상이한 관점 위에서 찬반 논쟁이 일어나고 있다. 본 논문은 게임 과몰입을 바라보는 질병 모델적 관점과 심리사회적 관점, 문화적 관점의 시각차를 확인하고 이를 간학문적 태도로 상호 보완하여 게임 과몰입에 대한 해결방안을 중층적으로 제시하고자 하였다. 그 해결방안으로는 첫째, 다수의 게임 이용자에게 1차 예방, 즉 리터러시 교육을 통한 선용적 관점을 적용하고 둘째, 게임 과몰입 사용자들이 대안활동을 찾을 수 있게 돕는 2차 예방을 실시하며 셋째, 3차 예방으로 게임 과몰입의 폐해가 명확한 대상자들에게는 치료적인 개입을 해야 한다고 주장하였다.

• 한국직업건강간호학회지
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• 제22권1호
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• pp.1-12
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• 2013

Purpose: This study aims to test the validity and criteria-related reliability of the Korean version of the Copenhagen Psyco-social Questionnaire version II (COPSOQ-K) assessing the psychosocial working environment. Methods: The COPSOQ-K was developed through forward-backward translation techniques, and revision based on feedback from focus groups. Survey data were collected from 311 office workers who worked in one workplace. An internal consistency reliability was estimated by Cronbach's ${\alpha}$. The impacts of the COPSOQ-K scales on job satisfaction, self-rated health, stress, sleeping troubles, burnout, and sickness absence were analyzed with multiple regression model or multiple logistic regression model, adjusted age and gender using SAS version 9.3. The Pearson correlation coefficients between the COPSOQ-K scales and Korean job stress and its subdomain were identified. Results: Cronbach's ${\alpha}$ of COPSOQ-K scales was adequate or good (0.66~0.87). The major COPSOQ-K scales predict job satisfaction, self-rated health, stress, sleeping troubles burnout, and sickness absence. The major COPSOQ-K scales were correlated with Korean job stress and its subdomain. Conclusion: The COPSOQ-K scales have satisfactory reliability and criteria-related validity. The COPSOQ-K scales will be useful for the future studies and practices associated with psychosocial working environment.

• International Journal of Contents
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• 제14권1호
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• pp.12-17
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• 2018

This study explored potential therapeutic mechanisms of playing preferred online games as predictors of therapeutic interventions for players' psychosocial factors (i.e., aggression, depression, and loneliness). Based on theories of catharsis, the generic model of psychotherapy, we took a therapeutic approach to integrate these perspectives. We created a path model describing how therapeutic catharsis-seeking, online game self-efficacy, and life self-efficacy were associated with psychosocial factors of aggression, depression, and loneliness, including generalized sub-constructs of each factor as multi-dimensional sources. We analyzed the path model using data of 1,227 online game players in Korea. Our results indicated that therapeutic catharsis-seeking could alleviate aggression via favorite game playing. Life self-efficacy was a primary predictor for alleviating depression and loneliness. However, online game self-efficacy was positively associated with depression and loneliness. Implications of these findings are discussed.

• 성인간호학회지
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• 제18권3호
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• pp.488-499
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• 2006

Purpose: Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes. Method: Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD. Results: Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment. Conclusion: The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.

• 정신신체의학
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• 제16권1호
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• pp.17-24
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• 2008

소아청소년에서의 정신신체의학은 자문조정 정신의학이라고도 불리며 신체적 질환이 있는 소아청소년에서의 정신건강 서비스를 제공하는 것으로, 정신과에서는 정신사회학적 질병모델에 익숙한 반면 타과 의료진의 경우 생의학적 질병모델에 입각하여 접근하기 때문에 원활한 의사소통을 통한 타과 의료진과의 협업 체계 구축이 중요하다. 신체질환이 있는 소아청소년의 정신과적 문제에 대해서는 개별 질환에 초점을 맞추고 의학적 심리적 정신과적 인자들의 상호작용과 그 영향을 밝히는 범주적 접근법과 질병에 걸렸다는 사실로 인하여 스트레스를 경험하는 아동 자체에 대한 접근에 주안점을 두는 비범주적 접근법으로 나눌 수 있다. 이러한 신체질환이 있는 소아청소년의 치료에 그들의 발달단계에 맞는 고유한 치료기법의 적용이 필요하다. 비약물학적인 치료의 경우 경험적으로 입증된 치료(empirically supportive therapy)들을 구분하려는 시도도 이루어지고 있다.

• 대한간호학회지
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• 제28권2호
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• pp.403-413
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• 1998

The Resilience is described as the personal capacity which brings psychosocial comeback. The role of nursing is to do its best to rehabilitate patients and to explore the individual in order to promote patients psychosocial change. However, as the current nursing is heavily physical nursing oriented, the identity of the nursing would be lost. Therefore this researcher reviewed if the concept of resilience can be applied to the nursing after examing the concept of resilience by Documents and Fieldwork. The methodology of this research is Hybrid Model developed by Schwartz-Barcott and Kim for the concept development and analysis. The process and procedure consist of The Theoretical Phase, The Fieldwork Phase and The Final Analytical Phase in accodance with the Hybrid Model. The followings the summary of the Research. 1. The Concept of Resilience Finally Analyzed by Documents and Fieldwork (1) The Redefinition of Resilience The resilience is the latent psychosocial capacity which minimize the negative emotion and promote the adaptation under adversity. Resilience appears as cognitive, emotional and behavioral response in the course of changing from negative response to positive response through the interaction of the individual and the enviroments in a given time. Resilience changes and decreases according to time and situation and it can be nurtured. Resilience is the higher concept including hardiness, sense of coherence and self-strength which maintain the health under stress. (2) The Attribute of Resilience The attribute of resilience was devided into psychological and social dimension. In psychological attributes, there are admittion of reality of situation, denial of negative emotion, desire to live, responsibility, confidence, courage, hope, pursuit of positive meaning, identification and pursuit of goal, self-esteem, reception, spontaneity, planning, positiveness, will power, flexibility and creativity. In social attributes, there are a sense of belonging, perception of social support and active social relations. (3) The Process of Resilience There are 4 resilience phases which were the process minimizing the possibility of the negative chain reactions under adversity, the process minimizing the negative emotion under adversity, the process gaining the desire to live and the process exposing the active social relations. 2. The Application Possibility of Resilience Concept to Nursing The resilience concept is the psychosocial capacity with which an individual manages adversity. As many nursing scientists have developed nursing theory based on this capacity and the identification of nursing has been established in this field, resilience is not the new conception in nursing. However, since resilience appears in the attributes related with the resilience process concretely, it would help a lot when nurses execute psychosocial nursing.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.7126-7137
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• 2015

본 연구는 종합병원에 근무하고 있는 간호사의 사회심리적 요인(A형 행동유형, 자기존중감, 통제신념, 불안), 직무스트레스 및 피로수준이 간호서비스의 질에 미치는 영향을 규명하고자 시도하였다. 연구대상은 대전광역시의 6개 종합병원에 근무하고 있는 간호사 503명으로 하였으며, 자료 수집은 2014년 4월 1일부터 6월 30일까지의 기간 동안에 구조화된 무기명 자기기입식 설문조사에 의하였다. 공분산 구조분석에 의한 연구결과, 사회심리적 요인은 직무스트레스나 피로보다 간호서비스의 질에 더 큰 영향을 미쳤으며, 사회심리적 요인에서 자기존중감이 높고, 불안감이 낮으며, 직무스트레스와 피로도가 낮을 수록 간호서비스의 질을 높이는 효과가 있는 것으로 나타났다. 이 같은 연구결과는 종합병원 간호사들의 간호서비스의 질은 사회심리적 요인(자기존중감, 불안), 직무스트레스 및 피로와 유의한 관련성이 있음을 시사한다.

• 대한간호학회지
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• 제34권1호
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• pp.172-181
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• 2004

Purpose: This study was designed to construct a structural model for explaining negative outcomes of anger in female adolescents. Methods: Data was collected by questionnaires from 199 female adolescents ina female high school in Seoul. Data analysis was done with SAS for descriptive statistics and a PC-LISREL Program for Covariance structural analysis. Results: The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 7 paths and adding free parameters to it. The modified model withthe paths showed a good fit to the empirical data($x^2$ =5.62, p=.69, GFl=.99, AGFl=.97, NFI=.99, NNFI=l.01, RMSR=.02, RMSEA=.00). Trait anger, state anger, and psychosocial problems were found to have a significant direct effect on psychosomatic symptoms. State anger, psychosocial problems, and learning behaviorswere found to have direct effects on depression of female adolescents. Conclusion: The derived modelis considered appropriate for explaining and predicting negative outcomes of anger in female adolescents. Therefore, it can effectively be used as a reference model for further studies and is a suggested direction in nursing practice.

• Journal of Community Nutrition
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• 제3권1호
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• pp.21-29
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• 2001

This study was conducted to examine factors with attendance in hyperlipidemia nutrition eduction program among 101 hyperlipidemic outpatients (38 males 63 females) at Samsung Medical Center We employed the Health Belief Model (HBM) as the theoretical framework The individual nutrition education and counseling program was scheduled with 4- half hour session sin 2 to 4 weeks intervals. Upon initiation of the program a trained dietitian surveyed HBM constructs and psychosocial factors. The following were included perceived susceptibility to cardiovascular disease(CVD) perceived severity to CVD percieved benefits to diet modification perceived barriers to persistence in maintaining therapy and self efficicacy and social support from family Sociodemographic data health factors stress level nutrition knowledge, and 24-hour dietary recall behavior were also surveyed All these data was analyzed according to the number of nutrition sessions attended The subjects were 55.9$\pm$9.4 year old and 24.6$\pm$kg/㎡ Sociodemographic factors were not associated with the number of nutrition sessions attended HBM constructs and psychosocial factors were significantly associated with the number of nutrition sessions attended. According to Spearman correlation coefficients. From stepwis regression analyses using HBM constructs as independent variables perceive barriers to persistence in maintaining diet therapy (negative) proved to be the strongest predictors for the number of nutrition sessions attended (partial R$^2$= 72.3%) followed by perceived severity to CVD and self efficacy (model R$^2$=76.6% The findings indicate that HBM constructs and psychosocial factors were closely associated with patient attendance It suggests that information and guidance to minimize patients perceived barriers to diet therapy might help to improve patients to scheduled appointments in nutrition education programs.