• 정신신체의학
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• 제19권2호
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• pp.109-114
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• 2011

연구목적: 시상하부-뇌하수체-부신 축의 이상은 다양한 정신과적 증상과 연관이 있으며, 우울 증상도 나타날 수 있다. 저자들은 뇌하수체 기능저하 및 이차성 부신기능저하와 연관된 두통, 무의욕, 무기력, 정신운동 저하, 식욕 저하, 불면 및 걱정 등의 우울 증상을 주소로 정신과에 입원한 71세 남자 환자에 대해 증례 보고하고자 한다. 환자는 정신과 입원 후 두통, 불면, 불안 및 소화기 증상은 호전되었으나, 무기력감은 지속되었다. 퇴원 후 고열 및 의식 혼탁으로 감염내과에 재입원을 하였으며, 부신기능 저하소견을 동반한 범뇌하수체기능저하증이 진단되었고, 코티졸 투여로 전반적인 증상이 호전되었다. 뇌하수체 기능저하에 따른 갑상선 기능저하, 부신기능저하, 성장호르몬 저하 등은 무기력, 피곤, 불면, 체중 감소, 식욕 저하 등의 여러 가지 비특이적 증상들을 나타내고, 임상에서 이러한 비특이적 우울 증상을 가진 환자의 경우, 내분비 질환에 대한 감별이 필요하다.

• 한국지구과학회지
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• 제27권3호
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• pp.260-268
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• 2006

학생의 정의적 태도는 지적 성취에 의미있는 영향을 줄 뿐 아니라, 정의적 영역에 대한 성취 그 자체도 학교교육의 중요한 목표이다. 본 연구에서는 학생들의 과학 흥미도에 대한 국내 외의 선행 연구 자료 분석과 초 중 고 학생들의 과학 흥미도 설문 조사를 통하여 초등학교, 중학교, 고등학교로 올라가면서 우리나라 학생들의 과학에 대한 관심과 흥미가 어떻게 달라지는지를 고찰하였다. 조사 결과를 종합하여 (1) 과학에 대한 흥미와 즐거움, (2) 과학에서 도구적 동기유발, (3) 과학(학습)에서의 긴장감, (4) 과학에서 자아 개념 등의 측면에서 우리나라 학생들의 과학 교과목에 대한 태도 측면의 문제점을 분석하였다. 주요 연구 결과로는 내적 동기인 학생들의 과학에 대한 흥미와 즐거움, 도구적 동기 유발 및 과학에 대한 가치 인식, 과학에 대한 자신감 등은 학교급이 높아질수록 낮아지는 것으로 나타났다. 과학에 대한 학생들의 이러한 부정적 인식은 결국 이공계 기피 현상으로 연결되는 것으로 보인다. 학생들은 학교급이 높아질수록 또는 작년보다는 올해 수업이 더 재미없는 이유로 내용이 어려우며, 실험이나 활동을 하지 않고, 교사가 설명위주로 진도를 나가기 위한 지루한 수업을 하기 때문이라고 지적하였다. 연구 결과를 토대로 일상 생활과 관련된 교육과정 내용 구성, 교수학습 방법 개선, 최소한의 과학 수업 시수 확보 등의 측면에서 정의적 영역 교육 개선 방안을 제안하였다.

• 한국지역사회생활과학회지
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• 제13권2호
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• pp.37-51
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• 2002

This study was performed to investigate the degree of different stresses and to search the influence of food habit and nutrient intakes at stress situation in university students and secondary school teachers. The data was collected by questionnaire method and searched nutrient intakes by 24 hours recall. The subjects were 282 students and 152 high school teacher in Kyunggi do. Physical status was no difference with two groups. Energy intake of teachers was lower than that of students, but the intakes of vitamin A and C were high in teachers' group. The university students had more stress situation than teachers in almost kind of stresses except overload stress. Self-diagnosed dietary habits were better in the group of teacher. Especially smoke and alcohol drink behavior were correlated with nutrient intakes in male teachers and students. The quantity of nutrient of nutrient intakes was correlated with different kind of stress. The stress of life event was correlated with the intakes of carbohydrate, minerals, thiamin and riboflavin, and the deprivation was with iron and vitamin A in teachers' group. The intake of almost nutrients was correlated with the stress of noise in students' group. By the analysis of stepwise multiple regression, although the $R^2$ values were very low, vitamin C intake was influenced in the factor at the stress of life events($R^2$=0.025), self-efface($R^2$=0.030) and noise($R^2$=0.020), thiamin was at food induced stress ($R^2$=0.021) and vitamin A was at the stress of type A behavior($R^2$=0.022) and anxiety response($R^2$=0.014). Therefore, we could concluded that different kind of stresses were influenced in dietary behavior and nutrient intakes. More research would be needed at the aspects of health promotion in the stressful situation of modern society.

• 동의신경정신과학회지
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• 제31권2호
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• pp.63-76
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• 2020

Objectives: The purpose of this study was to verify the clinical effects of herbal medicines on patients with depressive disorder. Methods: A prospective observational study on patients with depressive disorder was conducted. The patients were treated with herbal medicines for eight weeks. The Korean Hamilton Depression Rating Scale (K-HDRS) was evaluated as the primary outcome and the Korean Beck's Depression Inventory (K-BDI), Instrument on Pattern Identification for Depression, Korean Symptom Checklist-95 (KSCL-95), Insomnia Severity Index (ISI), Korean State-Trait Anxiety Inventory (STAI-K), Korean State-Trait Anger Expression Inventory (STAXI-K), EuroQol five-dimensional Questionnaire (EQ-5D), Minnesota Multiphasic Personality Inventory-2 (MMPI-2), Heart Rate Variability (HRV) were measured as the secondary outcome. Adverse events were assessed for safety. Results: A total of 35 participants were observed for 12 weeks. The K-HDRS improved significantly in four, eight, and 12 weeks and the K-BDI showed significant differences in four, and eight weeks. There were no significant improvements in other evaluation scales. Gyejibongnyeong-hwan was the most frequently and continuously prescribed, showing significant improvements of K-HDRS after eight weeks of treatment. Conclusions: In our observational study, herbal medicine was effective for relieving the depression of patients with depressive disorder and Gyejibongnyeong-hwan showed the most significant effectiveness.

• 한국수학교육학회지시리즈E:수학교육논문집
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• 제29권4호
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• pp.723-743
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• 2015

본 연구는 수학학습 상담 시 활용할 사전 진단 검사지를 개발하기 위한 연구이다. 이를 위하여 학생들을 진단하기 위한 발문들을 도출해 내어 검사지를 구성하고, 이에 대한 표준화 작업을 실시하여 초등 5~6학년용과 중등 1~2학년용의 진단 검사지를 제작하였다. 검사지는 총 3부로 나누어, 1부 수학학습심리, 2부 수학학습 방법, 3부 수학학습 개인 성향으로 구성하였다. 수학학습심리는 '수학학습능력 자신감', '수학불안', '수학학습 태도' 요인으로, 수학학습 방법은 '수학학습 자기관리'와 '수학학습 전략' 요인으로, 수학학습 개인 성향은 '수학학습 습관'과 '수학학습 관리 방법', '동기', '성향'을 묻는 문항으로 구성하였다. 이러한 진단 검사지는 학생들의 수학학습 상담을 위한 기초자료로 활용할 수 있다.

• 대한간호학회지
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• 제7권1호
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• pp.55-62
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• 1977

Varieties of literatures were reviewed in regard to the fundamental concept of day hospital, historical trends, the recipient of its care, facilities and personnel, therapeutic programmes and the follow-up care plans. Through the research the advantages of day hospital were highlighted in order to provide the reference for those who consider planning such health care institution. Since the introduction of the concept of day hospital and its implementation in 1930, many psychiatric patients world over are treated and cared. Patients with specific health problems ; alcoholism, acute or serious psychiatric disease, tendencies of humidor suicidal attempts, and with serious physical problems were excluded from the general recipient. Day hospital were annexed to the psychiatric hospitals in most in instances ; facilities, personnel, except nursing personnel, were shared. All therapeutic care were planned in daley, weekly programmes, and were focussed on socialization. The follow-up care were provided for those participating post- therapy club activities which were planned and introduced ahead. Many advantages of day-hospital care in contrast to the traditional hospitalization care were found: 1. The abrupt discontinuity of his family and other social role is prevented. 2. Therapeutic progress is faster. 3. Lessened economic burden to the family. 4. Behavioral regression is lessened and the lessened fear of hospitalization. 5. Less injury to the patients, self- respect, through lessened anxiety of hospitalization. 6. Incidents of secondary crisis believed to be existing in long term cases are decreased. 7. Therapeutic care implemented in freer atmosphere, better Patient-personnel relationships are created. 8. Varieties of group activities are Induced which enable faster recovery. 9. Patients could engage himself with social activities including getting job on part-time basis. 10. Rehabilitation of patient could be implemented.

• 한국가정과교육학회지
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• 제16권2호
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• pp.85-97
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• 2004

본 연구는 초등학교 저학년 아동을 대상으로 아동의 방과 후 보호형태(자기보호 및 성인보호)에 따른 생활실태를 파악하고, 사회인구학적 변인과 방과 후 보호형태에 따라 아동의 심리적 복지의 차이를 살펴보고자 하였다. 연구 결과는 다음과 같다 첫째, 초등학교 저학년 아동의 방과 후 생활실태를 조사한 결과 자기보호 아동은 42.3%로 나타났다. 하루 평균 4시간 이상 자기보호 상태에 있는 아동이 2/3이상으로 성인보호 아동에 비해 외로움을 더 많이 느끼고, 무섭거나 집에 들어가기 싫어하는 등 불안한 정서상태를 보임을 알 수 있었다. 둘째, 사회인구학적 변인에 따른 아동의 심리적 복지의 차이를 알아본 결과, 불안에서는 아동의 성별, 부모의 직업, 모학력에서 유의한 차이가 나타났고, 외로움에서는 학년에 따라서 차이를 보였다. 셋째, 방과 후 보호형태에 따라 아동의 심리적 복지에 차이가 있는지를 알아본 결과, 아동이 지각하는 외로움과 자아유능감에서 유의한 차이가 나타났다.

• Safety and Health at Work
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• 제10권1호
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• pp.80-86
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• 2019

Background: Emigration of health-care workers is a problem within global health systems which affects many countries, including Peru. Several factors have caused health-care workers to emigrate, including burnout syndrome (BS). This study aims to identify the association between BS and its dimensions with the intention of physicians and nurses to emigrate from Peru in 2014. Methods: A cross-sectional study, based on a secondary analysis of the National Survey of Health Users (ENSUSALUD - 2014) was conducted. Sampling was probabilistic, considering the 24 departments of Peru. We include the questionnaire for physicians and nurses, accounting for 5062 workers. BS was measured by the Maslach Burnout Inventory-Human Services Survey. Adjusted odds ratio (OR) was calculated using multiple logistic regression. Results: Of the study population, 44.1% were physicians, 37.7% males, and 23.1% were working in Lima. It was found that 2.8% [95% confidence interval (CI): 2.19-3.45] of health-care workers had BS. The overall prevalence of intention to emigrate among health-care workers was 7.4% (95% CI: 6.36-8.40). Association was found between BS and intention to emigrate in Peruvian health-care workers (OR = 2.15; 95% CI: 1.05-4.40). Emotional exhaustion was the BS dimension most associated with intention to emigrate (OR = 1.80; 95% CI: 1.16-2.78). Conclusion: Physicians and nurses from Peru who suffered from BS were more likely to have intention to emigrate. Policies should be established to reduce BS as a strategy to control "brain drain" from health-care workers of Peru.

• Journal of Korean Biological Nursing Science
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• 제23권4호
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• pp.276-286
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• 2021

Purpose: The purpose of this study was to investigate the factors influencing osteoporosis awareness depending on the family structure in postmenopausal women aged over 50 years with osteoporosis. Methods: The study was a cross-sectional study that used secondary data. Postmenopausal women with osteoporosis aged over 50 years (n= 567) from the National Health Nutrition Survey of the 5th (2010, 2011) were selected for analysis. Data were analyzed by complex sampling design multiple regression analysis. Results: Among the patients with osteoporosis, the osteoporosis awareness was very low at 29.0%, and 32.5% for single households and 28.1% for household with spouses. There were significant differences in the factors influencing osteoporosis awareness depending on the family structure. For single household, factors that influenced osteoporosis awareness included sleeping for more than 9 hours (OR, 4.32), anxiety and depression (OR, 3.21), a history of fracture (OR, 0.29), and a family history of osteoporosis (OR, 0.29). In the household with a spouse, osteoporosis awareness was highest in women in their 60 seconds (OR, 3.45), unhealthy group (OR, 2.27), and underweight group (OR, 5.31). Other factors that influenced osteoporosis awareness included pain/discomfort (OR, 2.31), smoking (OR, 7.71), and a history of fracture (OR, 0.36). Conclusion: It is necessary to improve osteoporosis awareness for effective osteoporosis management through osteoporosis screening and counseling, and continuous osteoporosis education programs.

• 한국융합학회논문지
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• 제12권4호
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• pp.377-387
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• 2021

본 연구는 후기 중년 남성의 우울에 미치는 영향 요인을 규명함으로써 우울을 완화시킬 수 있는 프로그램 개발을 위한 기초자료를 제공하고자 하는 연구로 2018년 <전후기 중년 남성의 삶의 질 영향 요인에 대한 융합적 연구>인 일차연구 자료와 추가 수집한 자료 총 124부를 이용한 이차분석 연구이다. 연구결과, 후기 중년 남성의 우울에 미치는 영향요인은 직업 스트레스가 가장 높은 영향을 주는 것으로 나타났고 그 다음 가족유대감, 노후 생활의 불안정도, 학력(고등학교 졸업) 순으로 나타났으며 전체 설명력은 70.8%로 나타났다. 따라서 후기 중년 남성의 우울을 감소시키기 위해 직업 스트레스에 대한 긍정적인 대처와 가족 간의 유대관계를 강화하기 위한 방안이 마련되어야 할 것이며 다가오는 노후생활을 긍정적으로 받아들일 수 있도록 프로그램 개발 및 적용이 필요하고 프로그램 개발 시 학력별 차이를 감안한 맞춤형 프로그램을 통해 우울에 취약한 대상자의 대처 기능을 좀 더 강화시킬 필요가 있다.