• Title/Summary/Keyword: Spiritual Well-Being

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What Should We do with Korea's Biomedical Model of Medicine? - From Biomedical to Biopsychosocial Model - (우리나라 의료의 생의학적 모델 어떻게 할 것인가? - 생의학적 모델에서 생물정신사회적 모델로 -)

  • Lee, Sang-Yeol
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.1
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    • pp.3-8
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    • 2012
  • Understanding the biopsychosocial model of illness is crucial for any meaningful advance of health. The maintenance and promotion of health is achieved by different combinations of physical, mental, social and spiritual well-being. Health is not an objective of living. It is not only a state, but also a resource for everyday life. Health is a positive concept that emphasizes personal and social resources, as well as physical capacities. Understanding the biopsychosocial model of health and disease is very important in the medical system. George Engel challenged the medical profession to reconsider a strict biomedical approach to medical education and care, and to embrace a "new medical model," the biopsychosocial model. He argued that humans are at once biological, psychological, and social beings who behave in certain ways that can promote or harm their health. Although understanding the biopsychosocial model of illness is important, Korea's medical system have mainly been focusing on the biomedical model of illness. I would like to highlight the importance of biopsychosocial model of illness for Korea's medical system and real clinical field according to the 20th anniversary of Korean Society of Psychosomatic Medicine.

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Effects of Dignity Interventions on Psychosocial and Existential Distress in Terminally ill Patients: A Meta-analysis (존엄중재가 말기 환자의 심리적.실존적 디스트레스에 미친 효과: 메타분석)

  • Oh, Pok Ja;Shin, Sung-Rae
    • Journal of Korean Academy of Nursing
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    • v.44 no.5
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    • pp.471-483
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    • 2014
  • Purpose: This study was done to evaluate the effects of dignity interventions on depression, anxiety and meaning of life in terminally ill patients. Methods: PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms indicating dignity intervention, presence of terminal illness and study design. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.2.11 program of Cochrane Library. Results: Twelve clinical trials met the inclusion criteria with a total of 878 participants. Dignity intervention was conducted for a mean of 2.2 weeks, 2.8 sessions and an average of 48.7 minutes per session. Effect sizes were heterogeneous and subgroup analysis was done. Dignity interventions had a significant effect on depression (ES= -1.05, p<.001, $I^2$=15%) and anxiety (ES= -1.01, p<.001, $I^2$=0). For meaning of life, dignity interventions were effective (ES= -1.64, p=.005) and effect sizes were still heterogeneous. Conclusion: Results support findings that dignity interventions can assist terminal ill patients in reducing emotional distress and improving meaning of life. Further well-designed dignity studies will lead to better understanding of the effects of treatments on spiritual well-being.

Family coping of family who has a hospitalized child (입원 환아 가족의 대처)

  • Tak Young Ran;Yo Ji Young;Park Young Yee
    • Child Health Nursing Research
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    • v.6 no.2
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    • pp.240-248
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    • 2000
  • Nurses working with families who has a hospitalized child are aware of the complexity of the tasks and stresses they deal with new setting of environment. The challenge is to assess the family coping activity that require the most immediate intervention for the effective nursing care for child and family. This study describe the family coping inventory for the clinical guidance to identify a family coping with stressors. The purpose of this study was to look at the factors related to the family's coping activity when the child was hospitalized. The data were collected with a questionnaire between July and August, 1999, in a sample of 106 families who have hospitalized child. Family coping was assessed using Family Crisis Oriented Personal Evaluation Scale(F-COPES). Data was analyzed using correlation coefficient and analysis of variance. Positive correlation was found between social support, reframe with mobilizing the family to acquire and accept help in sub-domain of family coping. Strongest correlation existed between the family's spiritual support and total family coping. The type of diagnosis, the level of family income, religion, and child's age were significantly different in family coping. The result show that the family coping is affected by the characteristics of child and family, as well as the factors of coping activity. Therefore, early assessment of family coping skill and activity is important to the prevention of problem with function toward wholeness as a unit and child's well being. It can be used with a broad range of child's hospitalization process. It also serve as a nursing record and planning tool for documenting issues that may become priorities for future interventions.

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Research on Definition and Economics of Organic Farming Methods (유기농업의 정의와 경제성에 관한 연구)

  • 김종무
    • Korean Journal of Organic Agriculture
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    • v.1
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    • pp.19-28
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    • 1992
  • The definitions of organic farming method has rather philosophical meaning than application of agricultural practices. The meaning of organic farming method has certainly basic differences in comparison with the conventional farming methods. The main definitions of organec farming method have certainly to reduce or not to apply any kinds of farm inputs materials by increasing quality of agricultural prod-ucts. However, the quality of produced food by organic farming method should be improved in compari-son with cinvethional farming method. By applying organic method, the qualith of food, envir-onment as well as spiritual attitude of human being should be improved in future. Actually, there are very wide fields of research on organic farming methods such as production tech-niques, soil and water conservation, plant and animal production, marketing and consumers behavior on organic products. In this article the present situation of organic farming methods in the United States of Americal is investigated in cimparison with conventional rice production. The production cost of rice per acre in the United States of America mde 58, 788 Won in 1986, while it was 121, 699 Won in Korea having about 107 percent higher in Korea than tham the U.S.A There is a larger rice farm cost analysis between conventional and organic rice farm in California. The cash cost pre 1 lbs of conventional rice made 4.86 $, while the organic rice was 6.96$ showing about 43.2%higher level of cost in organic products(1 lbs=0.45359kg) At present, there is less econmic advantage of organic rice production in California because of lower yields as well as price levels, Therefore, the total net return over cash cost peracer/yeat was a little lower in organic rice production than conventional rice prouction.

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현대 패션에 나타난 Eroticism 에 관한 연구-초현실주의와 팝 아트의 Eroticism을 중심으로

  • 이효진
    • Journal of the Korean Society of Costume
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    • v.23
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    • pp.111-130
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    • 1994
  • The purpose of this study was to illuminate eroticism represented din modern fashion. Art based on sex is very important like all of the other cultural values. But we feel that erotic art, neglected, suppressed , and persecuted for centuries, has an important contribution to make to the understanding of art, the social history of mankind, and human happiness and progress. It is our deep personal conviction that erotic art serves important social and therapeutic functions. Erotic art expresses the demand for sexual freedom-a freedom vital to individual happiness and mental well-being, And sexual freedom, in turn, cannot exist without a high degree of political and economic freedom as well. In that sense , erotic art came a truly revolutionaly message ; it demands no less than extension of freedom , not only in the sexual are, but in every sphere of social life. What is eroticism \ulcorner Eroticism must be distinguished from a mere animal reproduction . Eroticism is deeply rooted in the cultural tradition of myth, religion , customes and art. It also has a close relationship with psychological activities of our life. Eroticism is a kind of psychological revolution in the development of human civilization. Eroticism is related to different kinds of art, which express internal spirit of human especially Surrealism. Surrealism is above all a movement of the conquest and deepening of the unconscious. The exploitation of Freud's discoveries opended a new, practically unlimited path for artistic studies to Surrealism . Especially all theory of mental psychoanalysis a affected artists greatly in western art, Freud was appraised highly on his achievements by art critics in art history on his achievements by art critics in art history. As far as erotic subject matter was concerned, Surrealism provided a means of presentig it. Pop Art is not actually a movement , born at a specific time and place, nor is it an easy concept to define. The term first appeared in Great Britain during the fifties, when it referred, particularly in the decorative arts, to an inclination to go back and imitate the stereotyped images of the mass media : film, advertising , cartoons, and other popular consumer products. The eroticism expressed in Pop Art calls the modern's attentions to their devastated minds, taking advantage of the commercialized sex. Fashion has developed constantly reflecting the spiritual aspiration and social and cultural phenomona of man , and artistic steam. Eroticism in fashion is the style which expresses the internal meanings of sexuality through the texture, color, pattern , silhouette etc.

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The Analysis of Research Trend about Hospice in Korea ($1991{\sim}2004$) (국내 호스피스 논문 분석($1991{\sim}2004$))

  • Kim, Sang-Hee;Choi, Sung-Eun;Kang, Sung-Nyun;Park, Jung-Suk;Sohn, Sue-Kyung;Kang, Eun-Sil;Lee, Young-Eun
    • Journal of Hospice and Palliative Care
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    • v.10 no.3
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    • pp.145-153
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    • 2007
  • Purpose: This study was to analyze the research trend centering on the theses to hospice released in Korea. Methods: The researcher collected the academic degrees and theses published on the book of the academic society from 1991 to 2004, and examined 110 domestic papers of hospice. Results: 1) The number of articles increased 3 years after 1997, 52 (47%) theses were published in $2000{\sim}2002$. 97 (88%) articles were quantitative studies, and 13 (12%) were qualitative studies. 2) As for the subject, the results were: patients with end stage 44 (40%), nurse 18 (16%), hospice care system, facilities, and literature review 12 (10%). 3) As for main concepts of correlational studies 15 (13%), the results were: quality of life, activities of volunteers, suffering experience of nurse, and so on. 4) The subjects and contents of survey, the results were: pain control and need for nursing care in patients, need for spiritual and physical care in family, and so on. 5) The treatment of experimental research, the results were: hospice nursing, educational program, informational support, spiritual nursing, supportive nursing intervention, home hospice care, information services for control of cancer pain, and so on. 6) In the theme of the qualitative studies, the results were: experience of dying patients, perceive of hospice care and death, experience of family of terminal ill patients, meaning of dying in Korean. 7) In the instrument in studies, the results were: MQOL, EQOL, QOL, NIC, Need Scale, Spiritual Well-being Scale, Spiritual Perspective Scale, Coping for Grief Scale, K-CPAT, VAS, BPI, Depression Scale, Strait-anxiety Scale, Care-giver Burden Inventory, Burnout Inventory, Mental quality. Conclusion: More research needs to be encouraged in experimental and qualitative research fields. Researches should be conducted for the establishment of the basis of practical and theoretical framework and hospice polices.

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Relationship Between Death Orientation of First Care Giver and Quality of Life of Hospice Patients (호스피스환자 주 수발자의 죽음에 대한 인식과 호스피스 환자의 삶과 질과의 관계)

  • Choe, Yeong-Sun
    • Korean Journal of Hospice Care
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    • v.6 no.2
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    • pp.55-68
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    • 2006
  • In Korea, there are constantly increasing number of cancer patients with reaching 65,000 deaths and it was 26.3% of the total number of death in 2004. Many cancer patients suffer from surgery, chemotherapy, and radiotherapy after being diagnosed as cancer. And many of them are facing fear of death because they can't be perfectly cured. Due to patients' physical, psychological, and spiritual pain, quality of life drops dramatically. Patients' families also suffer from huge medical expenses while they have to take care of patients's suffering from pain. At the same time, family's attitude can influence on the quality of patients' life. The purpose of this study is to investigate the relationship between the death orientation of first care giver and the quality of life of hospice patient. The subjects of the study were 80 hospice patients registered at ten hospice institutions with hospice team and medical practitioners in six cities including Seoul as well as their first care givers. This study used 13 questions for the hospice patients and nine questions for the first care givers to recognize general characteristic. To measure death orientation of the first care giver the tool developed by Noh, Soon-hee (2003) was used. And to measure quality of life of the hospice patients Yoo, Seung-yeon's structured tool was used. The data were collected for a month through interview method. SPSS win 12.0 was used to analyze the data by using frequency, percentage, t-test, Pearson correlation. The study result is as follows. In relationship between general characteristic of hospice patient and quality of life, the highest suffering was pain (60%) and the second suffering was anorexia (23.8%). There was no significant relationship between physical pain and general characteristics of hospice patient. In psychological aspects, religion (p=.044) showed significant difference (p<.05). In existential aspects, age (p=.035) showed significant difference (p<.05). There was no significant difference variable in support aspects. And religion (p=.000) was statistically significant variable in spiritual aspects (p<.001). Age (p=0.025) and religion (p=.050) were the variable showed significant difference according to general characteristics of first care giver's death orientation. Although the relation between death orientation of first care giver and quality of life of hospice patient was not statistically significant correlation. In conclusion, while death orientation of first care giver and hospice patient's quality of life are not statistically significant in correlation analysis.

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Spirituality and Stress in Mental Health Social Workers (정신보건사회복지사의 영성과 스트레스)

  • Kim, Chang-Gon
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.253-263
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    • 2013
  • Purpose: This study was conducted to analyze the association between spirituality and stress of mental health social workers, which could be used in development of a program to help them manage stress and offer spiritual support. Methods: Participants were 154 mental health social workers in Korea. Data were collected from November 1 through November 30, 2011. The study employed the Korean version of the Spirituality Scale and Psychosocial Well-being Index-Short Form (PWI-SF). Data were analyzed using SPSS/Windows 17.0. Results: The mean score for the Spirituality Scale was 3.63 and for PWI-SF 18.78. Spirituality scores showed a significant difference among participants by age, education, religion and marital status. Psychosocial stress scores also significantly differed by marital status. Spirituality scores were negatively correlated with psychosocial stress scores (r=-0.548, P<0.001). Conclusion: In this study, a significant negative association was found between spirituality and stress in mental health social workers in Korea. A follow-up study with a larger sample of participants is needed to confirm these findings.

Koreans' Traditional View on Death (한국인의 전통 죽음관)

  • Kwon, Ivo
    • Journal of Hospice and Palliative Care
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    • v.16 no.3
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    • pp.155-165
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    • 2013
  • Koreans' traditional view on death has been much influenced by Confucianism, Taoism, Buddhism, and shamanism since ancient times. Confucianism emphasizes the importance of the real life in this world and highly praises doing good deeds for the family and the community. It also praises people who are enlightened by education and self-discipline. Confucian scholars admit that death cannot be understood by rational thinking although it is unavoidable as a cosmic order. Taoism sees life as the same entity as death; Both are two different aspects of the same cosmos or the wholeness. However, the disciples of Taoism became much interested in a long life and well being that may be achieved by harmonizing with the cosmic order. Buddhism thinks that death and life are an "illusion". It says that people can be enlightened by recognizing the fact that "Nothing is born and nothing is dying in this world. Everything is the product of your mind occupied with false belief." However, secular Buddhists believe in the afterlife and metempsychosis of the soul. This belief is sometimes connected with the view of the traditional shamanism. Shamanism dichotomizes the world between "this world" and "that world". After death, the person's soul travels to "that world", where it may influence life of people who reside in "this world". And shamans who are spiritual beings living in "this world" mediate souls and living people. In conclusion, there are various views and beliefs regarding death, which are influenced by a number of religions and philosophies. They should be seriously considered when making a medical decision regarding the end of patients' life.

Deforestation Patterns Analysis of the Baekdudaegan Mountain Range (백두대간지역의 산림훼손경향 분석)

  • Lee, Dong-Kun;Song, Won-Kyong;Jeon, Seong-Woo;Sung, Hyun-Chan;Son, Dong-Yeob
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.10 no.4
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    • pp.41-53
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    • 2007
  • The Baekdudaegan Mountain Range is a backbone of the Korean Peninsula which carries special spiritual and sentimental signatures for Koreans as well as significant ecological values for diverse organisms. However, in spite of importance of this region, the forests of Baekdudaegan have been damaged in a variety of human activities by being used as highland vegetable grower, lumber region, grass land, and bare land, and are still undergoing destruction. The existing researches had determined the details of the damage through on-site and recent observations. Such methods cannot provide quantitative and integrated analysis therefore could not be utilized as objective data for the ecological conservation of Baekdudaegan forests. The goal of this study is to quantitatively analyze the forest damage in the Baekdudaegan preservation region through land cover categorization and change detection techniques by using satellite images, which are 1980s, and 1990s Landsat TM, and 2000s Landsat ETM+. The analysis was executed by detecting land cover changed areas from forest to others and analyzing changed areas' spatial patterns. Through the change detection analysis based on land cover classification, we found out that the deforested areas were approximately three times larger after the 1990s than from the 1980s to the 1990s. These areas were related to various topographical and spatial elements, altitude, slope, the distance form road, and water system, etc. This study has the significance as quantitative and integrated analysis about the Baekdudaegan preservation region since 1980s. These results could actually be utilized as basic data for forest conservation policies and the management of the Baekdudaegan preservation region.