• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.207-214
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• 2016

In Malaysia, data on components suitability the established smoking cessation module is limited. This exploratory study aimed to evaluate the suitability of the components developed in the module for group behavioural therapy in workplace smoking cessation programs. Twenty staff were identified but only eight individuals were selected according to the study criteria during the recruitment period in May 2014. Focus group discussion was conducted to identify themes relevant to the behavioural issues among smokers. Thematic analysis yielded seven major themes which were reasons for regular smoking, reasons for quitting, comprehending smoking characteristics, quit attempt experiences, support and encouragement, learning new skills and behaviour, and preparing for lapse/relapse or difficult situations. As a result, the developed module was found to be relevant and suitable for use based on these themes.

• Journal of Preventive Medicine and Public Health
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• 제38권1호
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• pp.82-92
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• 2005

Objective : To evaluate the relationships among sociodemographic characteristics, health behaviors, levels of pros and cons and stages of change in Pap testing for uterine cervical cancer. Methods : A questionnaire survey was performed on 560 randomly sampled people who were assigned to participate in a Pap testing program by the National Cancer Screening Project in 2003' between 25 September and 10 October in Gyeonggi, Korea. Data about the behaviors and intentions of Pap testing, sociodemographic characteristics, health behaviors, and levels of acknowledged benefit (pros) and barrier (cons) for Pap testing was collected. The stages of change were grouped according to behaviors and intentions of Pap testing as passive, active, and relapse. Results : Logistic analysis between the passive and active groups showed that city dwellers, 'high' and 'middle' groups in terms of the individual s health belief, those who had undergone a health examination within the past 2 years, and those who had undergone hormone replacement therapy had a higher odds ratios to be in the active group. As the 'benefit' scores increased and the 'Unnecessity' scores decreased, the probabilities to be in the active group increased. According to the logistic analysis results between the active and relapse groups, those who were 60 years or older, members of the National Heath Insurance, and those who had not undergone a health examination within the past 2 years had a higher odds ratio to be in the relapse group. The 'Benefit' scores were not significant in this relationship. The probabilities of being in the relapse group increased as the Unnecessity and 'Shamefulness' scores increased. Conclusions : In conclusion, health planners should inform women in the passive group of the benefits and necessity of Pap testing. It would be better to reduce the barriers to the active group of undergoing Pap smear. This study might be a useful guide for future planning of Pap testing program.

• 디지털정책학회지
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• 1권1호
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• pp.1-5
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• 2022

본 연구의 목적은 마음 챙김에 기반한 인지치료가 불안장애 환자의 불안, 우울에 미치는 영향을 알아보기 위해 수행되었다. 본 연구는 24명의 불안장애 환자를 대상으로 하였으며, 인구사회학적 특성은 빈도, 평균과 표준편차으로 분석하였고 마음챙김 명상에 기반한 인지 치료 전후 불안과 우울은 Wilcoxon signed rank test를 이용하였다. 본 연구 결과 한국형 마음 챙김 명상에 기반한 인지치료는 불안과 우울을 유의하게 감소시킬 수 있었다(Z=-1.9, p=.06, Z=-2.9, p<.001). 본 연구 결과를 통하여 마음 챙김 명상을 불안장애 환자에게 적용하고 이들의 삶의 질을 향상시키는 방법을 모색하는 것이 필요하다고 할 수 있다.

• 재활간호학회지
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• 제16권1호
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• pp.27-36
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• 2013

Purpose: This study was performed to analyse the trends of risk factor management programs for patients with coronary artery disease. Methods: Using PubMed, 35 intervention studies related to risk factor management programs among randomized controlled trials searched with the key words of coronary artery disease and coronary heart disease. Collected studies were analysed according to the characteristics of studies and participants, method and content of intervention, and outcome indicator and its effects. Results: The mean period of intervention was $28.7{\pm}26.8$ weeks, the mean frequency was $3.0{\pm}2.0$ times per week, and the duration of one session was below 60 minuets in 65.8% of the reviewed studies. The interventions were counselling, exercise, education, and cognitive behavior therapy. Counselling was applied most frequently in previous studies. The outcomes of intervention had been measured with anthropometric, physical, physiological, psychological, behavioral, and cognitive aspects, but the effect of the intervention was inconsistent among the studies. Conclusion: Based on the results of this study, systematic and comprehensive cardiac rehabilitation program consisted of counselling, exercise, and education should be developed and performed for health management and relapse prevention of patients with coronary artery disease.

• 한국산림과학회지
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• 제98권1호
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• pp.26-32
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• 2009

현대 사회에는 도시 생활과 환경으로 인한 건강 문제가 증가하고 있는데 자연환경은 이러한 문제에 좋은 대안으로 대두되고 있다. 특히 숲과 나무는 예전부터 치유를 위한 공간으로 알려져 왔다. 주요우울장애는 매우 일반적이고 만성적인 질병으로 치료방법에는 약물치료와 다양한 심리치료가 포함되어 있다. 그러나 이러한 치료들은 환자들의 기능과 활동을 복귀시키는 것 보다는 기분 증상을 치료하는 것에 집중되어 있다. 본 연구에서는 우울증 환자들의 재활을 위한 산림활동 심리프로그램을 개발하였다. 본 연구에는 약물치료로 우울 증상은 개선되었으나 활동과 기능이 회복되지 못한 9명의 우울증 환자들이 참여하였다. 산림치유 프로그램은 4회기가 진행되었으며 매 회기마다 환자들의 우울증상과 심박변이도를 측정하였다. 4주간의 산림활동 심리프로그램 후 HRSD(Hamilton Rating Scale for Depression)로 측정된 우울감이 유의하게 감소하였으며, 건강관련 삶의 질을 측정하는 SF-36의 하위 척도의 점수가 상승하였고 심박통일성이 증가하였다. 본 예비적 연구 결과, 산림환경을 이용한 활동과 심리치료적 프로그램은 약물치료 중인 우울증 환자들의 기능회복과 재발방지에 긍정적인 역할을 할 가능성을 확인하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.1601-1607
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• 2013

A determination of circulating tumor cell (CTC) effectiveness for prediction of progression-free survival (PFS) and overall survival (OS) was conducted as an adjunct to standard treatment of care in breast cancer management. Between November 2008 and March 2009, 22 metastatic and 12 early stage breast carcinoma patients, admitted to Ankara Oncology Training and Research Hospital, were included in this prospective trial. Patients' characteristics, treatment schedules and survival data were evaluated. CTC was detected twice by CellSearch method before and 9-12 weeks after the initiation of chemotherapy. A cut-off value equal or greater than 5 cells per 7.5 ml blood sample was considered positive. All patients were female. Median ages were 48.0 (range: 29-65) and 52.5 (range: 35-66) in early stage and metastatic subgroups, respectively. CTC was positive in 3 (13.6%) patients before chemotherapy and 6 (27.3%) patients during chemotherapy in the metastatic subgroup whereas positive in only one patient in the early stage subgroup before and during chemotherapy. The median follow-up was 22.0 (range: 21-23) and 19.0 (range: 5-23) months in the early stage and metastatic groups, respectively. In the metastatic group, both median PFS and OS were significantly shorter in any time CTC positive patients compared to CTC negative patients (PFS: 4.0 vs 14.0 months, Log-Rank p=0.013; and OS: 8.0 months vs. 20.5 months, Log-Rank p<0.001). OS was affected from multiple visceral metastatic sites (p=0.055) and higher grade (p=0.044) besides CTC positivity (log rank p<0.001). Radiological response of chemotherapy was also correlated with better survival (p<0.001). As a result, CTC positivity was confirmed as a prospective marker even in a small patient population, in this single center study. Measurement of CTC by CellSearch method in metastatic breast carcinoma cases may allow indications of early risk of relapse or death with even as few as two measurements during a chemotherapy program, but this finding should be confirmed with prospective trials in larger study populations.

• 한국산학기술학회논문지
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• 제16권12호
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• pp.8525-8534
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• 2015

본 연구는 신체적, 정신적, 사회적 요인이 뇌졸중환자의 건강증진행위에 미치는 효과를 파악하고자 실시하였다. 연구 대상자는 뇌졸중으로 진단받고 병원에 입원중인 환자 223명이었다. 자료분석은 기술적 통계, t-tset, ANOVA, pearson correlation과 Structural Equation Analysis을 사용하였다. 그 결과 건강증진행위와 상관관계에서는 주관적 건강(r=.56, p=.000), 가족지지(r=.68, p=.000), 의료적 지지(r=.65, p=.000), 피로(r=.27, p=.004), 행위의도(r=.75, p=.000)와 상관관계가 있었다. 뇌졸중환자의 건강증진행위에 영향을 미치는 요인으로는 신체적 요인인 수면(${\beta}$=-.156, p=.014), 정신적 요인인 주관적 건강(${\beta}$ =.283, p=.001), 행위의도(${\beta}$=.362, p=.000), 사회적 요인인 가족지지(${\beta}$=.219, p=.010), 의료적지지(${\beta}$=.246, p=.004)가 유의한 영향요인임을 알 수 있었다. 결론적으로, 뇌졸중환자의 건강증진행위는 수면이 좋을수록, 주관적 건강, 행위의도, 가족지지 의료적 지지가 높을수록 건강증진행위 점수가 높게 나타나 정신적, 사회적 요인이 건강증진행위에 중요한 요인임을 알 수 있었다. 그러므로, 사회심리적인 맞춤형 접근이 뇌졸중환자 건강을 유지, 증진, 재발예방을 위한 건강증진행위 프로그램 기초자료로 활용할 수 있다는데 의의가 있다.

• 디지털융복합연구
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• 제12권2호
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• pp.423-430
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• 2014

환자안전 문화에 대한 종합병원 방사선사의 인식을 조사하여 방사선사의 환자안전관리를 위한 기반을 제공하고 안전 활동을 위한 프로그램을 개발하는데 기초자료로 제공하고자 한다. 환자안전 문화에 대한 종합병원 방사선사의 인식을 조사하여, 본 연구의 조사기간은 2012년 6월 13일부터 6월 20일까지 대전광역시 소재 5개 종합병원에 근무하는 방사선사들을 대상으로 198명의 자료를 분석하였다(SPSS 19.0v). 환자안전 활동에 영향을 미치는 요인을 부서 내, 직속상관, 의사소통, 의료사고, 병원 별, 환자안전도에 대한 안전문화와 보고된 사고, 위험하다고 느끼는 환자 안전사고, 가장 많이 발생한 환자 안전사고를 평가한 결과 의료사고 보고체계에 따른 환자안전 문화에 관한 인식에서는 근무기간 25년 이상에서 가장 높게 나타났고 환자안전도 평가에서는 근무기간 10년~15년에서 가장 높게 나타났다. 그러므로 종합병원 방사선사의 환자안전문화를 개선하기 위해서는 충분한 인력 배치, 환자안전문제에 대한 적극적인 접근, 그리고 안전사고의 재발 방지를 위해 방사선사의 근무기간을 고려한 임무 부여 등으로 체계적인 의료사고 보고 체계를 활성 시켜야 할 것이다.