• 인간행동과 음악연구
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• 제10권2호
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• pp.35-54
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• 2013

본 연구는 음악치료 전공생들이 수퍼비전에서 경험하는 성장을 살펴보고자 하였다. 이를 위해 국내 3개 대학의 음악치료전공 대학원생 중 수퍼비전을 3학기 이상 이수한 9명을 대상으로 심층 면담을 실시하여 변형된(modified) 근거이론 방식으로 연구를 수행하였다. 연구 결과, 수퍼비전 경험에서 음악치료 전공생은 개인으로서의 성장과 전문가로서의 성장을 획득하는 것으로 나타났다. 개인적 성장의 요소로써, 자기방어, 자기애적 상처, 자기회피 및 불안 등은 성장을 저해하는 요소로 나타났으며, 개인의 삶, 음악적 자아, 자신의 욕구와 개인 내적 문제를 탐색하고 적극적으로 문제를 해결하고자 하는 것이 성장의 지지/매개요인으로 나타났다. 그 결과 자신을 수용하고, 자기 인식의 변화가 나타남을 통해 수퍼바이지는 개인으로서 성장을 하였다. 전문성의 성장 요소로써, 타인의식, 신뢰의 어려움, 수행불안 및 정체성의 혼란은 전문적 성장을 저해하는 요인으로 작용하였다. 반면, 수퍼바이저 및 동료에 대한 신뢰와 동맹을 형성하며 관계 및 태도의 변화를 경험하였다. 이는 동기강화로 이어지며 적극적이고 개방적인 자세로 발전하고자 노력하고 효과적인 학습이 일어났다. 그 결과로 수퍼바이지는 음악치료의 전문성을 형성, 음악의 치료적 힘을 인식하고, 정체성을 확립하며 전문가로 성장해 가는 것으로 나타났다.

• 디지털융복합연구
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• 제15권5호
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• pp.253-262
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• 2017

본 연구는 뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성을 알아보고, 치료적 몰입에 영향을 미치는 요인을 파악하기 위하여 실시하였다. 총 15개 기관에서 뇌졸중 환자 168명을 대상으로 우울, 스트레스, 자기효능감, 재활동기와 치료적 몰입을 평가하였다. 결과로 뇌졸중 환자의 치료적 몰입은 우울(r=-.349, p<.001), 스트레스(r=-.290, p<.001)와 음의 상관관계를 나타내었으며, 자기효능감(r=.528, p<.001)과 재활동기(r=.186, p<.05)간에는 양의 상관관계를 나타내었다. 최종적으로 치료적 몰입에 영향을 미치는 요인을 알아본 결과, 자기효능감(${\beta}=.443$, p<.001)과 우울(${\beta}=-.155$, p<.05)로 분석되었다. 이상의 결과를 통하여 뇌졸중 환자의 치료적 몰입과 심리사회적 요인은 유의한 관계가 있다고 확인된바, 향후 이에 대한 연구가 지속적으로 필요할 것이다.

• 대한물리치료사협회지
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• 제13권1호
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• pp.5-17
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• 1992

Depression in Spinal Cord Injury Patients Kang, Soon Hee, M.Ed., R.P.T. Dept. of Rehabilitation Medicine, Kyung-Hee University Medical Center Depressions have the potential to affect adversely the rehabilitation of patients with spi-nal cord iniury. The present study examined depression, functional independence, and demographic and medical characteristics for 49 spinal cord injury(SCI) patients. This investigation involved the administration of the Beck Depression Inventory, the Modified Barthel Index, and aquestionnaire consisted of 14 items, The results were as follows .1. Compared to normal subjects, SCI patients had significantly higher BDI scores.2. When the cut-off point of HDI scores was assumed 21, 26.1% of normal subjeets and 75.5% of SCI patients appeared to be depressed. Depression in SCT patients were not related with age, sex, marital status, injury evel, severity, duration, pain, functional independence and medical charge. Depression in SCI patients were related with education level, economic level, age at injury, motivation. Depression in normal subjects were related with age, education level, economic level, but not related with sex, marital status. There were significant differences at 30 items of BDI between normal subjects and SCI patients. The items were as fellows . 1 sadness, 2 pessimism, 3 failure, 4 dissat-isfaction, 5 guilt, 6 punishment. 7 self-dislike 9 suicidal, 10 crying, 11 irritability, 12withdrawl, 13 indecisive, 14 self-image, IS work inhibition, 16 insomnia, 17 fatigue,18 anorexia, 19 weight loss, 20 hypochondria, 21 libido loss.

• Child Health Nursing Research
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• 제7권3호
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• pp.342-358
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• 2001

The purpose of the study is both to develope the group counseling program applying Reality Therapy, by which positive body image could be conceived by adolescent women, by helping them identify their bodies as what they are, and then admit their real bodies, and also find out some practical methodologies of self-esteem, and to verify the program to show how effectively this program can be applied to them. Data were collected by self-reported questionnaires(body image and depression) from 59 high school girls in Seoul who were selected by criteria of this study, from the 1st of September to 10th of November, 2000. The experimental group participated in the group counseling by applying Reality Therapy with 8 sessions for 4 weeks. Descriptive statistics, homogeneity test, hypothesis testing, reliability were performed statistically by utilizing SAS pc program, and additionally the reaction due to the change of body image by adolescent women was also analyzed. The results drawn through the present study are as follows: 1. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get higher points on body image than adolescent women who did not participated' has been adopted (t=6.73, p=.000). 2. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get lower points on depression than adolescent women who did not participated' has been adopted (t=5.28, p=.000). 3. After applying the group counseling program, the degree of depression for upper group who obtained higher preliminary points on depression has decreased rather meaningfully more than that for lower group who obtained higher preliminary points(t=5.58, p=.000). 4. Reactions associated with positive change in body image of adolescent women who participated in the group counseling program by applying Reality Therapy has been shown to be body acceptance, enhancement of self-esteem, and change of value judgment of beauty. 5. The difference in the motivation and attitude of each group has been observed, by analyzing the reactions obtained from those who show the highest change of body image and those who show the lowest change of body image through the group counseling program by applying Reality Therapy. According to the present studies, it can be concluded that the group counseling program by applying Reality Therapy has turned out as an effective strategy for nursing intervention for adolescent women, by helping them form positive body images and reducing depression.

• The Journal of Korean Physical Therapy
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• 제23권1호
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• pp.67-75
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• 2011

Purpose: This study aimed to analyze factors that influence the job satisfaction of physical therapists working in hospitals. Methods: The study was done using a self-administered questionnaire associated with job satisfaction, which was completed by 352 physical therapists working in hospitals. Results: The average job satisfaction score was 3.16. Sub-items scores for job satisfaction were higher for overall satisfaction (3.21) and lower for job satisfaction of achievement (3.12) than the average score. Job satisfaction of subjects showed statistically significant differences with regard to differences in sex, marriage, type of hospital, year of total career, type of patients and motivation level (p<0.05). The average job stress score was 2.38. The sub-items of job stress consisted of problems pertaining to physical environment (2.28), job demand (2.54), job autonomy (2.31), social support (2.14), job instability (2.36), organized management system (2.44), inner motive (2.24), and job culture (2.26). Multiple regression analysis revealed that job satisfaction became significantly lower with increasing levels of job stress. Conclusion: These results suggest that the job stress of physical therapists is closely related to their job satisfaction. An effort to reduce job stress may be helpful in improving the health and quality of life of physical therapists who work in hospitals.

• The Korean Journal of Pain
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• 제11권1호
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• pp.96-100
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• 1998

Bakground: At our institution, We have controlled pain during vaginal delivery with epidural block since 1986. We designed a questionaire for parturients to analyze the degree of satisfaction of epidural block. Method: The self-questionaire were sent to parturients(N=200), who had epidural block to control labor pain during vaginal delivery. The questionaire covered topics dealing with motivation, fear, satisfaction and complications, of epidural block. Results: Motivation by an experienced person was 72.5%(145 parturients), fear of epidural block was 66%(132 parturients), and satisfactory response was 84%(168 parturients). Parturients who knew the role of anesthesiologist numbered 105(52.5%). Scarcely, 46 parturients displayed confidence for safety of fetus; 111 parturients experienced more than one complications. But special therapy for complications were not necessary. Conclusions: Publicity through mass-media and direct contact will improve the recognition and merit of epidural block by parturients as well as the role of the department of anesthesiology.

• Perspectives in Nursing Science
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• 제15권1호
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• pp.29-40
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• 2018

Purpose: The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs. Methods: We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected. Results: Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation. Conclusion: CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

• 국제물리치료학회지
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• 제9권4호
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• pp.1576-1585
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• 2018

Regularly participating in physical activity is known to improve quality of life and body composition in elderly with stroke. However, comparatively less physical activity is performed by the stroke survivors. The factors related to inactivity in elderly female stroke survivors have not been elucidated. Therefore, this study aims to compare the quality of life factors and limb compositions between the active and inactive elderly female stroke survivors. Forty nine subjects between the ages of 65 to 75 years were selected from the KNHANES data between the years 2009 to 2011. In addition, 186 agematched healthy peers were also selected for limb composition comparisons. The subjects were groups based on walking days per week: walkers; 3 days or more, non-walkers; less than 3 days per week. BMI and waist circumference were within the obesity ranges for both the non-walkers and walkers. As results, the trend for greater fat (${\pm}10%$) and lean mass (${\pm}30%$) differences were observed for non-walker and walkers, respectively. Significantly greater reasons for function limitation by stroke and hypertension were reported with significantly greater self-care difficulty was shown by the walkers. In conclusion, elderly female stroke survivals may require customized motivation and continuous support to participate in physical activity regularly.

• 원예과학기술지
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• 제28권5호
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• pp.884-890
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• 2010

반신마비 뇌졸중 환자의 심리적 정서적 재활에 대한 원예작업치료의 효과를 확인하고자 40명의 반신마비 뇌졸중 환자 가운데 20명을 대상으로 원예치료와 작업치료를 시행하였다(치료군). 나머지 20명을 대상으로 작업치료만을 실시하였다(대조군). 원예치료 프로그램은 다양한 실내원예활동으로 구성되었으며 1주일을 기본으로 4주 단위로 3단계 즉 3개월 동안 실시하였다. 선정된 원예작업은 동기유발, 적응, 사회성, 관계와 소통의 4개의 단위로 구성되었다. 원예작업치료의 효과 분석을 위해 손기능척도(GPT), 노인우울척도(GDS), 일상생활동작검사(FIM)를 실시하였다. 그 결과 대조군과 달리 원예작업 치료를 받은 처리군에서 재활 효과가 우수하였으며 GPT, GDS, FIM 모두 통계적으로 고도로 유의한 결과를 나타냈다. 또한 원예작업치료를 통해 환자들의 재활치료에 대한 동기부여는 물론 FIM의 하부요소인 의사소통, 사회인지도, 자기보호 항목도 크게 향상되었다. 본 연구를 통해 원예작업치료가 반신마비 뇌졸중 환자에 대한 작업치료 프로그램으로 활용될 수 있다는 것을 확인 가능하였다.

• 지역사회간호학회지
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• 제28권2호
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• pp.196-205
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• 2017

Purpose: Art program has been found to enhance mood such as increasing motivation, self-expression and decreasing depression in older adults. This study was conducted to investigate the effects of clay art and drawing on depression and self-expression among elderly people at a long-term care center. Methods: The research was a pre-test and post-test non-equivalent design. Sixty older patients (clay art program=28. Drawing art program=32) over the age of 65 were recruited from 2 long-term care hospitals to participate in the 5 weeks program. Each group was scheduled with 10,120-minute evaluation sessions, twice per week. Test measures were completed before and after the 5 week intervention period for all participants. The data was collected from April 27 to May 29, 2015. It was analyzed with SPSS 22.0 using chi-square, t-test and paired t-test. Results: There were no significant difference in the levels of depression (t=0.21, p=.830) and total score of self-expression (t=-0.10, p=.919) between the two groups. However, the pre-post scores of self-expression in the clay art program (t=0.22, p=.826) were improved compared to the drawing art program (t=0.80, p=.430). Conclusion: Further studies are needed to evaluate the effectiveness of clay art program for extended senior care applications.