• 제목/요약/키워드: Quality Of Sleep

검색결과 955건 처리시간 0.03초

만성관절염 환자의 일상생활 기능에 영향을 미치는 요인에 관한 연구 (A Study of Activities of Daily Living and Its Influencing Factors in Patients with Chronic Arthritis)

  • 송경애;강성실
    • 한국보건간호학회지
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    • 제14권2호
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    • pp.342-354
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    • 2000
  • This study was conducted to identify the characteristics of activities of daily living(ADU) and its influencing factors in patients with chronic arthritis. The data were obtained from 104 patients with chronic arthritis in one university hospital from May to August. 2000. For analysing data. SAS program was used for t-test. ANOVA, Schefte test. Pearson correlation. and stepwise multiple regression. The results were as follows: 1. The variables which influenced self-efficacy were duration of disease. number of painful joint, quality of sleep and alcohol drinking. 2. The variables which influenced fatigue were diagnosis and number of painful joint. 3. The variables which influenced ADL were age. duration of disease. diagnosis. number of painful joint. number of exercise and alcohol drinking. 4. ADL was positive correlation with self-efficacy and negative correlation with fatigue. And self-efficacy was negative correlation with fatigue. 5. The predictors to explain ADL were self-efficacy. number of painful joint. lupus. duration of disease and religion. These predictors explained $66.01\%$ of the activites of daily living. According to these findings. the most significant influencing factor of ADL was self-efficacy. therefore the development of nursing intervention for enhancing self-efficacy would be needed. Also. it is suggested that an exercise program should be recommended as one of useful and appropriate nursing intervention for reducing fatigue and increasing ADL.

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정신분석적 관점에서의 불안 (Psychoanalytical View of Anxiety)

  • 박용천
    • 대한불안의학회지
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    • 제1권1호
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    • pp.14-17
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    • 2005
  • By the influence of the descriptive approach of DSM-III, the anxiety became the same thing as the anxiety disorder to the clinicians. This unfortunate result sacrificed psychodynamic model of symptom formations and simplified the anxiety as one of the disease entity not as the overdetermined symptoms. These phenomenon awakened the psychoanalytic interest which was in sleep. Freud was the first major articulator of the basic significance of anxiety in human behavior. He attributed the particular quality of the anxiety experience to the trauma of birth, and subsequently to the fear of castration. Such classification of the anxiety according to the psychosexual development is helpful for the clinicians in understanding the origin of anxiety which the patient shows during the psychotherapy. The other analytical view of interpersonal psychoanalysis came from Sullivan. A large part of his therapy is taken up with recognizing and correcting parataxic distortions that interfere with realistic self-appraisal of events and of oneself in relation to others. Perhaps no explanation is the 'most basic' explanation for human anxiety. Anxiety is a multifaceted entity consisting of aspects of realm of discourse. Existential anxiety is inescapable in Western culture but it can be transcended by the cultivation of mind in Eastern culture. The analysts need to stay attuned to their own propensities for anxiety and must permit their own experiences with anxiety to be the grist for the psychotherapeutic mill.

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말기 담낭암 환자의 통증조절을 위해 MS Contin 투여중 발생한 호흡억제 -증례 보고- (Respiratory Depression during Oral MS-Contin Administration for Pain Management of Gall Bladder Cancer)

  • 이철우;이병호;이용희
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.239-243
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    • 1996
  • MS-Contin is an oral controlled-release preparation of morphine sulfate that has been used widely in the management of advanced cancer pain. It prolongs plasma concentration of morphine with no observable accumulation properties following repeated dosing, thereby promoting uninterrupted sleep and hopefully improving patient's quality of life. The common side effects of MS Contin are nausea, vomiting, drowsiness and constipation. But these symptoms are usually mild and respiratory depression is a rare problem. We experienced respiratory depression during oral administration of MS contin for the pain management of advanced gall bladder cancer of 76 years old male patient with metastasis at liver, intestine and cervical lymph node. After we increased the dosage of MS Contin from 160mg to 220mg per day, due to abdominal pain, we observed morphine reaction of MS Contin overdose such as pinpoint pupil, deeply slow respiration below 8/minute, and drowsiness. After intravenous bolus injection of 0.4 mg naloxone followed by continuous administration of 0.2 mg/hr for 4 hours, the patient regained consciousness. The administered route of morphine was changed to intravenous PCA (patient controlled analgesia). There was no aspiration sign as confirmed by chest x-ray. The patient was comfortable and delayed no signs of respiratory depression until now.

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성남시 외식사업자의 건강의식과 식습관 (A Study on the Health Consciousness and Eating Habits of the Seongnam Dining Owners)

  • 조우균
    • 한국식생활문화학회지
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    • 제30권4호
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    • pp.447-456
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    • 2015
  • The purposes of this study were to determine health consciousness and eating habits of dining business owners from Seongnam city. To figure out their health levels, this study focused on quality of sleep, current state of health, health care, smoking, drinking, regular exercise, working hours, dietary behavior pattern, dietary habits, and food intakes patterns. Out of 200 subjects, 104 (52.0%) were males and 96 (48.0%) were females. Their average age was 46.60. For education level, a majority of males graduated from college, whereas a majority of females graduated from high school. Average combined ratios of overweight and obese were 62.5% for males and 25% for females. A majority worked less than 3 years in the dining business area, but 37% of subjects worked more than 10 years. Average health level was favorable, but 38.9% of subjects had hypertension. Males' percentages for smoking and drinking were higher than those of females. Regular physical activity was high, but regular exercise rate was low. Males' average eating speed was faster than that of females and had low scores for desirable eating habits. The study shows that local business owners need to take care of their health.

외국인 근로자의 사회적 지지가 직무만족에 미치는 영향 (The Influence of Social Support on Job Satisfaction of Migrant Workers)

  • 이꽃메;정혜선;이윤정;현혜진;김희걸
    • 한국직업건강간호학회지
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    • 제18권2호
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    • pp.165-173
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    • 2009
  • Purpose: In Korea, the number of migrant workers is increasing. However, migrant workers have low job satisfaction due to poor working environment, and insufficient social support. This study aimed to investigate the role of social support for job satisfaction of migrant workers. Method: We have analyzed the survey data of 397 migrant workers collected from free clinic for migrant workers located in Seoul, Gyeonggi-do and Chungcheong-do. Result: When the migrant workers received monetary and emotional supports from supervisors and colleagues, their job satisfaction turned out to be significantly high. The factors that influence job satisfaction of migrant workers are as follows: involvement in manufacturing industry, over 9 hours of daily sleep, monetary and emotional support from supervisors. Their job satisfaction strongly influenced by these factors. Conclusion: Social support will increase job satisfaction of migrant workers and it will subsequently decrease job turnover rate and increase productivity as well as quality of life.

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특급호텔 근로자의 건강의식과 식습관에 관한 연구 - 서울경기지역을 중심으로 - (Study on Health Consciousness and Eating Habits of Workers at Deluxe Hotels in Seoul and Gyonggi-do regions)

  • 김재중;이은정;이경란
    • 한국식생활문화학회지
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    • 제31권6호
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    • pp.587-596
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    • 2016
  • The purpose of this study was to determine health consciousness and eating habits of workers at Deluxe hotels in Seoul and Gyonggi-do. To determine health levels, this study focused on quality of sleep, current state of health, smoking, drinking, regular exercise, dietary behavior patterns, dietary habits, and food intake patterns. Out of 228 subjects, 145 (63.6%) were males and 83 (36.4%) were females. Majority of workers (86.9%) graduated from university. A majority (57.0%) worked more than 10 years. Average health condition was 'little tired', whereas 18.4% of subjects were 'always tired'. Male percentages for smoking and drinking were higher than those for females. A total of 44.3% of workers ate twice a day. Regular physical activity was high, but regular exercise rate was slightly low. Male average eating speed was faster than that of females and had lower scores for desirable eating habits. Shift workers ate night meals more than non- shift workers. This study shows that workers at Deluxe hotels need to take better care of their health.

활혈거어법(活血祛瘀法)으로 호전된 중풍환자(中風患者)의 불면(不眠) 2례 (Two Cases of Insomnia in Stroke Patients, Treated with Enhanced Blood Circulation)

  • 정기현;김영석;강경숙
    • 대한한방내과학회지
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    • 제23권2호
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    • pp.313-320
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    • 2002
  • Insomnia is defined as an experience of inadequate or poor-quality sleeping habit, coupled with more than one of the following symptoms : having difficulty sleeping, waking up too early in the morning or not having sound sleep. Insomnia is one of the most common complications that stroke patients experience, which interfere the patients' recovery. The authors observed two improved cases of insomnia in stroke patients by administrating traditional Korean medicine. The patients suffered from insomnia with nocturnal irritation, constipation, petechia of the tongue, thready or weak pulse. These symptoms, were diagnosed as blood stasis and we administered Hyulboochucke-tang three times a day, to improve blood circulation to remove blood stasis. After the administration, nocturnal irritation disappeared and the insomnia improved. Based on this experience, it is considered that enhancing blood circulation to remove blood stasis can be applied to the treatment of insomnia that stroke patients suffer.

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불면(不眠)과 신체증상(身體症狀)을 호소하는 화병 환자에게 한의학적(韓醫學的) 치료(治療)와 마음챙김명상을 병행하여 호전된 1례 (An improved case by operating the traditional oriental medical remedy with mindfullness to the Hwa-Byung patient suffering from insomnia and physical symptoms)

  • 박세환;석선희;김근우;구병수
    • 동의신경정신과학회지
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    • 제19권3호
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    • pp.231-244
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    • 2008
  • Insomnia is one of the highest frequency neuropsychosis of neuropsychiatry patients and is primarily caused by major depressive disorder. This case study is about a remedy for a 33 year-old woman who has insomnia and intense depressed mood caused by the continuous family jar. Also, she had the feeling of squeezing her body, pouring cold water into her body, anorexia and feeling cold and hot turn and turn. I operated mindfullness with accupuncture, herb-medication and aroma theraphy. Especially, mindfullness and Gagamguibi-tang were effective for relaxation and the sound sleep in quality and quantity. According to this study, the traditional oriental medical remedy such as accupuncture, herb-medication is effective for the cure of insomnia and mindfullness fortifies the oriental medical remedy.

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중학교 여학생의 스마트폰 장시간 사용 관련요인 및 고위험군 특성 (The Factors related to Long Hours of Smartphone Usage and the Characteristics of High-risk Group in Female Middle School Students)

  • 박성희;이지선
    • 한국학교보건학회지
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    • 제31권3호
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    • pp.135-145
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    • 2018
  • Purpose: The study aimed to investigate the factors associated with long hours of smartphone usage and to identify the characteristics of the high-risk group among female middle school students in South Korea. Methods: The study analyzed the data of 13,648 female middle school students using their own smartphone extracted from the 13th Youth Health Behavior Online Survey (2017). The factors related to using smartphones for a long time was analyzed by binomial logistic regression. The characteristics of the high-risk group was defined by a decision tree analysis. Results: The average hours spent on smartphone usage was 269.54 minutes per day. The significant factors associated with the long hours of smartphone usage were grade, living with parents, perceived household economic status, perceived academic achievement, stress, sadness and hopelessness, the main purpose of smartphone usage, drinking, body mass index, breakfast, and satisfaction with sleep quality. The subjects showing low academic performance and having breakfast four times a week or less were more likely to use their smartphone for a long time. Conclusion: Based on the results of the research, we need to establish intervention strategies focusing on the factors influencing long-time usage of smartphone. Particularly, the subjects who show poor academic performance and skip breakfast frequently should be considered as the high-risk group for spending long hours on smartphone usage.

금융사무원의 심리사회적 작업환경과 정신건강 (Psychosocial Working Environment and Mental Health of Financial Clerks)

  • 이복임;이주현
    • 한국직업건강간호학회지
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    • 제30권4호
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    • pp.224-231
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    • 2021
  • Purpose: The purpose of this study was to identify the psychosocial working environment and mental health of financial workers, and analyze the impact of the former on the latter. Methods: Data of 257 financial clerks were extracted from the 2017 5th Korean Working Conditions Survey. Psychosocial working environment was divided into five fields: demands at work, work organizations, interpersonal relations, workplace violence, and working hour quality. Mental health included sleeping problems, psychological well-being, and job stress. Results: A total of 6.1% subjects reported sleep problems, 28.2% experienced poor psychological well-being, and 39.6% had job stress. More than half the subjects were exposed to tight deadlines, complex tasks, hiding feelings at work, fair treatment, fair distribution of work, colleagues' support, and managers' support. Tight deadlines, workplace violence, long working hours, hiding feelings at work, and managers' support had a significant impact on the mental health of financial clerks. Conclusion: Based on the results of this study, we propose that employers, workers, and health managers in the financial industry should work together to establish a respectful organizational culture, prevent long working hours through recruitment, and conduct programs to protect emotional health.