• 제목/요약/키워드: State-Anxiety

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유산 가능성 임부의 정서, 불편감 및 간호요구에 관한 연구 (A Study on Emotions, Feelings of Discomfort, and Nursing Needs of the Women in the Possibility of Abortion : Centered on the Threatened Abortion and Habitual Abortion during Hospitalization)

  • 윤인숙
    • 여성건강간호학회지
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    • 제1권1호
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    • pp.119-137
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    • 1995
  • Maternity nurses' roles are to find out women's various responses related to the health problems during pregnancy, to intervene adequate nursing and supports, and to help them adapt satisfactorily to new situation, such as hospitalization. The purposes of this study are : firstly, to inquire about women's emotional status, feeling of discomfort, and the nursing need during hospitalization because of discomfort, and the nursing needs during hospitalization because of the possibility of abortion by threatened and habitual abortion : secondly, to provide fundamental data for developing adequate nursing intervention and improving hospital management. The subjects of this study were 62 women who were hospitalized, visited out-patient clinic for follow-up, and stayed at home after discharge since August, 1993 from one hospital located in Seoul, from March 23 to April 13, 1994. The questionnaire was consisted of 21 items of emotion(Reliability Cronbach's alpa, .77), 19 items of feeling of discomfort(.79), and 21 items of nursing needs (.89), and nurses' performance according to nursing needs,(.90). These were measured by using Likert Scale and analyzed by using SPSS / $PC^+$ with the descriptive statistics, $X^2$-test, and ANOVA. Research findings are as follows : 1) The subjects' average age, hospitalized days, and gestational age are 32.2, 15.7, 12.9 by respectively. 2) 88.7% of the subjects are getting antepatal care, 66.1% are experiencing 1.75 times of spontaneous abortion, and 82.3% are nuclear family. 3) The Emotions were mainly comprized negative and subjective state of minds such as uneasiness, anxiety, and discomfort. The domains of emotions were related to 'fetus', 'herself', 'hospitalization', and 'husband's 'families', in rank. The highest scored item was "I, above anyone else, am mostly stressed from abortion." 4) The feelings of discomforts were firstly related to 'personal discomfort arising from absolute bed rest', 'meals provided', Usage of hospital, perse', 'health team', in rank. 5) The nursing needs frequently pointed out were 'Nurses kindly explain of me the purpose, method, and results of the lab. test', 'Nurses sincerely pay attention to my word in communication'. The least nursing needs were 'Nurses observe my feces and whether I have constipation or not'. 'When I can't move, nurses help me by holding my arms or pulling my bed'. 6) The highest performed items were 'Nurses observe whether I bleed or not', and 'Nurses give me drug with exact dose in time'. The least performed items was about hospital environment, such as 'Temperature, ventilation & humidity in the room should be controlled'. 7) Besides religion that is related to nursing need with statistically significant difference, none of general characteristics were related to emotion, feeling of discomfort, and nursing needs.

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중년층의 구강건강지식, 실천 및 보철치료 만족실태 조사 (A study for middle-aged on oral health knowledge, oral health care and satisfaction with prosthetic treatment)

  • 고은정;이용환;박광환
    • 한국치위생학회지
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    • 제11권5호
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    • pp.671-683
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    • 2011
  • Objectives : The purpose of this study was to examine the oral health knowledge and actual oral health care of the selected subjects, their decision making about prosthetic treatment, the state and characteristics of their prosthetic treatment and their satisfaction with prosthetic treatment in an attempt to provide some information on the improvement of the quality of life related to oral health and the promotion of oral health. Methods : The subjects in this study were 250 people who received education in two different lifelong education institutions in the city of Busan. After a survey was conducted from May 23 to June 15, 2011, the answer sheets from 217 respondents were analyzed. Results : 1. As for the general characteristics of the respondents, the men(52.1%) outnumbered the women. Those who were in their 60 and up(47.5%) made up the largest age group, and the married people(65.4%) outnumbered the unmarried ones. By occupation, the company employees(20.3%) made up the biggest group. By education, the greatest group was high-school graduates(36.1%). By monthly mean income, the biggest group gained an income of 2.01 million won or more(36.9%). As to medical security, community-based insurance was most prevailing (36.9%). In terms of health promotion, the largest group worked out to stay fit(52.4%). 2. Regarding oral health knowledge, they had a good knowledge about the cause of dental caries(56.7%), but they weren't well aware of the right time for regular dental checkup(47.9%). In relation to oral health care, regular scaling wasn't prevailing(16.9%). 3. Regarding connections between the general characteristics and satisfaction with prosthesis, the less-educated respondents expressed significantly more dissatisfaction(p=0.015). By monthly mean income, those who had a smaller income were dissatisfied in general(p=0.028). Conclusions : The findings of the study illustrated that it's required to spread awareness of the importance of oral health among people in general, and that differentiated incremental oral health care should be provided for different age groups. In order to raise the satisfaction of patients with prosthesis, how to relieve their pain and anxiety and how to adjust prosthetic treatment cost properly should carefully be considered. In addition, the government should take measures to offer assistance for the low-income classes in preparation for an increase in the elderly population.

자조그룹에 대한 개념 분석 (Concept Analysis of Self-help Groups)

  • 이은남;엄애용;은영;조경숙;이경숙;송라윤;김종임;신계영;임난영;이명숙;박원숙;오두남;최미경;최희권
    • 근관절건강학회지
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    • 제21권1호
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    • pp.1-10
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    • 2014
  • Purpose: The purpose of the study was to identify the attributes of self-help groups, their antecedents and consequences relating to self-help groups. Methods: We used the Walker and Avant (2010) method using the key word "self-help groups" the Korea Education and Research Information Service (www.riss4u.net), Pubmed, CINAHL and ProQuest for articles on this topic published between January 2000 and March 2013 were searched. Ultimately, 64 domestic and 21 foreign papers were selected for in-depth analysis. Results: The attributes of self-help groups are as follows: 1) members share common experiences and are supportive of each other; 2) members set goals for individual change; 3) groups are self-monitoring; 4) groups learn problem-solving processes through voluntary and active participation; and 5) groups are small and meet regularly. The antecedents of self-help groups are as follows: 1) an intervention by an expert; 2) a diagnosis of their illness; 3) motivation to change individuals' state; and 4) educational desire. The consequences of self-help groups are the relief of symptoms, the improvement of physiological parameters and quality of life, the decrease in depression, stress, and anxiety, the improvement of illness-related knowledge and self-help activity, and a change in beliefs. Conclusion: Self-help groups can be used as an intervention strategy to help people with chronic illness manage their own problems.

다문화가정 청소년의 자아탄력성과 가족기능, 문화적응 스트레스가 정신건강에 미치는 영향 (Effects of Ego-Resilience, Family Function and Acculturative Stress on Mental Health of the Youth of Multicultural Families)

  • 송순택;최희철
    • 융합정보논문지
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    • 제10권2호
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    • pp.116-125
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    • 2020
  • 본 연구는 경기도 다문화가정 청소년들이 인식하는 자아탄력성과 가족기능 및 문화적응 스트레스가 정신건강에 미치는 영향을 알아보고 이들의 정신건강 증진을 위한 효과적인 원조방안을 제시하고자 하는데 그 목적이 있다. 이를 위해 경기도에 거주하는 다문화가정 중학생 304명을 대상으로 기술통계분석, T검증과 일원분산분석, 위계적 회귀분석을 실시하였다. 연구결과, 다문화가정 청소년들이 문화적응 스트레스 하위변인인 과정스트레스를 높게 지각할수록, 자아탄력성의 하위변인인 감정조절을 낮게 지각할수록 우울불안이 높아져 정신건강 수준이 낮아지는 것을 알 수 있었다. 본 연구결과를 토대로 다문화가정 청소년의 정신건강을 증진시키기 위한 자아탄력성을 고취시킬 수 있는 다양한 심리정서 프로그램의 개발과 문화적응 과정의 스트레스를 극복할 수 있는 지원방안 마련, 다문화가정을 지원할 수 있도록 관련 법률의 제도적 보완 등을 논의하고 제언하였다.

월경전 불쾌기분장애 환자의 광치료 임상 시도 (A Clinical Trial of Light Therapy on Patients with Premenstrual Dysphoric Disorder)

  • 조숙행;김진세;김승현;김린
    • 수면정신생리
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    • 제6권1호
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    • pp.46-51
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    • 1999
  • 목 적 : 광치료는 계절성 기분장애, 약간의 비계절성 주요 우울장애 및 월경전우울증 등의 치료에 이용되고 있다. 저자들은 일중주기리듬의 장애가 병인론으로 제시되고 있는 월경전 불쾌기분 장애에 대한 광치료 효과를 평가하기 위하여 광치료의 임상시도를 하였다. 방 법 : DSM-IV의 월경전 불쾌기분장애 진단기준에 충족되는 4명의 환자에서 광박스(light box,Apolo bright lite III)를 이용한 저녁 광치료(6:30-8:00pm) 시도하였다. 결 과 : 연구대상은 광치료 후, 그 정도에는 차이가 있으나, 월경전기 증상과 더불어 우울기분과 불안이 감소하는 변화를 보였다. 본 연구는 임상시도로 연구대상이 적고, 위약 효과의 통제가 없으며, 증상 평가 방법에 있어 어려움 등 한계가 있으나, 이러한 변화는 특히 비정형 우울증상이 있는 환자에서 두드러졌으며, 신체증상보다는 심리증상에 보다 효과적인 결과를 보였다. 결 론 : 광치료는 월경전불쾌기분 장애 환자의 약물학적 치료에 대안적 방법으로 볼 수 있겠다. 향후 보다 많은 수의 환자를 대상으로, 위약대조 교차연구(아침, 저녁 광치료)가 필요할 것으로 사료된다.

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산림 내 호수 주변에서의 산책과 경관감상이 인체에 미치는 생리적, 심리적 영향 (Physiological and Psychological Effects of Walking Around and Viewing a Lake in a Forest Environment)

  • 송초롱;이주영;;;;박범진
    • 한국산림과학회지
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    • 제104권1호
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    • pp.140-149
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    • 2015
  • 본 연구는 산림 내 호수 주변에서의 산책과 경관감상이 인체에 미치는 생리적, 심리적 영향을 과학적으로 밝혀내고자 수행되었다. 실험지는 일본 아오모리현에 위치한 주니코(十二湖)주변의 산림으로 하였으며, 대조실험은 역 주변의 도시부에서 실시하였다. 실험 대상은 일본인 남자 대학생 11명($22.0{\pm}1.2$세)으로 하였다. 생리평가의 측정지표로 심박변이도, 심장박동수, 혈압, 맥박수 및 타액 중 코티솔 농도를 사용하였으며, 심리평가의 측정지표로 간이형 SD법, 스트레스-리프레쉬감 조사, POMS 및 STAI 상태불안을 사용하였다. 피험자는 산림과 도시에서 각각 1회씩 15분 동안 보행 및 경관감상을 실시하였다. 그 결과, 산림 내 호수 주변에서의 보행 및 경관감상은 도시와 비교하여, 부교감신경활동의 활성, 교감신경활동의 억제, 심장박동수, 혈압, 맥박수의 저하, 타액 중 코티솔 농도의 저하를 유발시키는 것을 알 수 있었다. 심리평가 결과, 쾌적감, 진정감, 자연감 및 리프레쉬감의 상승, 기분상태의 개선, 그리고 불안감의 저하를 보였다. 결론적으로, 산림 내 호수 주변에서의 산책 및 경관감상은 생리적, 심리적 안정 효과를 유발시킨다는 것을 알 수 있었다.

노인에서 한국판 성격 5요인 척도의 표준화 및 타당도 (Standardization and Validation of Big Five Inventory-Korean Version(BFI-K) in Elders)

  • 김선영;김재민;유준안;배경열;김성완;양수진;신일선;윤진상
    • 생물정신의학
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    • 제17권1호
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    • pp.15-25
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    • 2010
  • Objectives : The Big Five Inventory(BFI) and the Big Five Inventory-10(BFI-10) are widely used instruments for the evaluation of personality in various cultures, while they have not been formally validated in Korea. This study aimed to develop the Korean versions of BFI(BFI-K) and BFI 10(BFI-K-10) with a Korean elderly population. Methods : The study sample consisted of 1,038 community dwelling elders. BFI-K and BFI-K-10 were administered. For the reliability analyses, scores on Guttmans' split half and Cronbach's ${\alpha}$ were estimated. For the validity analyses, the Korean version of Geriatric Depression Scale(KGDS) and the State-Trait Anxiety Inventory(STAI) were investigated. Results : The reliability of the BFI-K was good(Guttmans' split half=0.59-0.78, Cronbach's ${\alpha}$=0.52-0.75). Scores on the BFI-K-10 were significantly correlated with the scores on BFI-K. Scores on the BFI-K and the BFI-K-10 were significantly correlated with the scores on KGDS and STAI. Conclusion : Both BFI-K and BFI-K-10 might be reliable and valid instruments to evaluate the personality in Korean community elders. BFI-K-10 is short and easy to be administered, and therefore it would be very convenient to use.

동추금침(東樞金鍼)에 의한 비침습적 백회혈(百會穴) 자극이 뇌파에 미치는 영향 (The Effect of Non-ivasive Baihui($GV_{20}$) Point Stimulus by 'Dong Chu Gold Chim' on Electroencephalogram)

  • 마정훈;한창현;박수진;최우석;이상남;박지하
    • Journal of Acupuncture Research
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    • 제27권1호
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    • pp.87-100
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    • 2010
  • Background : Recently a discussion about Qi including a study about the effect or the theory of acupuncture is getting prevailing in various angles. In most of studies about acupuncture stimulus, 'Filiform acupuncture'(毫鍼) is used. A study about Nine kinds of acupuncture(九鍼), except 'Filiform acupuncture'(毫鍼) has not been reported yet, and there is no study about using a special acupuncture made for controling Qi either. Objectives : 'Dong Chu Gold Chim(DCG-chim, 東樞金鍼)' can be used for patients who are scared of a pain because it is a medical Qi-gong tool and non-invasive stimulus one. To assess a effect of Qi-gong operation using DCG-chim objectively Methods : The present study was performed to elucidate the effects of DCG-chim stimulation of an acupuncture point Baihui($GV_{20}$) on the Electroencephalogram(EEG). Twenty healthy subject were treated with DCG-chim one time accompanied by the light and vertical pressure and EEG were measured during five minutes for three times (before, during and after treatment). The EEG results of DCG-chim treatment were compared with those of 'Filiform acupuncture(毫鍼)'. Results : EEG power spectra changed significantly after both kind of acupuncture stimulation. Significant increase of $\alpha$ wave and decrease of $\beta$ wave were observed but interestingly, Mid-$\beta$ and SMR of $\beta$ wave which mean the state of concentration were increased with statistically significant. According to these results, DCG-chim stimulation of Baihui($GV_{20}$) seems to lead to relaxation with antianxietic effect and improvement of concentration at the same time. Conclusions : It would be expected that the doctor can apply DCG-chim for treating anxiety, tension, symptom caused by stress and also can use it clinically for patients who have needlphopia or children as a non-invasive procedure. It is suggested that additional studies about the effect of DCG-chim on other acupuncture points and comparison study about the effect of DCG-chim with those of the finger-pressure treatment using other tool should be done in the future.

초등학교 실과수업 기피요인에 대한 연구 (A study on the causes of the dislikes of elementary school students regarding Practical Arts classes)

  • 유난숙
    • 한국가정과교육학회지
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    • 제24권2호
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    • pp.1-15
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    • 2012
  • 본 연구는 학생들을 대상으로 실과수업 기피요인을 알아봄으로써 학생들이 실과수업에 보다 적극적이고 즐겁게 참여하게 하기 위한 방안을 마련하기 위해 수행되었다. 이를 위해 초등학생 273명의 개방형질문에 대한 응답과 초등학교 교사 5인을 대상으로 한 면담 자료를 수집하였으며 NVivo를 이용하여 자료를 분석하였다. 학생 자료 분석에 초점을 맞추었고, 학생 자료 분석을 통해 얻게된 변수를 중심으로 교사 자료를 분석하였으며, 연구 결과는 다음과 같다. 첫째, 학생들의 실과수업 기피요인 중 외적 요인에는 수업운영, 수업내용, 교수자료, 교사특성 등이 있었고 그 중 실습기구 부족이나 실과실 관련 문제와 같은 교수자료에 대한 언급이 제일 많았다. 내적 요인에는 기대에 대한 불만, 교과에 대한 부정적 인식, 학생 흥미 및 능력, 불안이 있었다. 둘째, 실과전담교사 유무에 따라 다른 기피요인을 살펴본 결과, 실과전담교사가 있는 학교의 초등학생들은 수업운영 및 내용, 교사특성에 대한 응답을 많이 하였으며, 실과전담교사가 없는 학교의 초등학생들은 실과실이 없기 때문이라는 답변을 많이 하였다. 학생들이 인식하는 기피요인 중에서 실습기구 및 시설 부족, 실습할 기회가 적어서, 불안 등은 교사 면담에서도 공통된 내용과 맥락적인 설명을 찾을 수 있었다.

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구강 내 소수술에 있어 Midazolam을 이용한 의식하진정 치료원칙 (Conscious Sedation Protocol with Midazolam in Minor Oral Surgery)

  • 김성민;김지혁;박영욱;장재현;권광준;김세정;남대우;권기열
    • 대한치과마취과학회지
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    • 제3권1호
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    • pp.19-27
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    • 2003
  • Background: Conscious sedation is a minimally depressed level of consciousness that retains the patient's ability to maintain the airway continuously and to respond appropriately to physical stimulation and verbal command at any time, produced by a pharmacologic or nonpharmacologic method or a combination thereof. In dental anesthesia, a state of sedation in which the conscious patient is rendered free of fear, apprehension, and anxiety through the use of pharmacologic agents. Midazolam is a useful drug of benzodiazepine on minor operation of dentistry. The purpose of this study is to estimate the appropriate dosage protocol of midazolam to the patient receiving intravenous sedation at the department of oral and maxillofacial surgery. Methods: Total subject was fifty-one patients and fifteen patients of this subject were decided to control group (Group I) that they were not received intravenous sedation. The experimental group was randomly subdivided into two groups and each of those groups was administrated to 0.05 mg/kg (Group II) and 0.08 mg/kg (Group III) each other. All patients of the subject were surveyed with postoperative one day questionaire to evaluate the level of sedation. Results: In view of antegrade amnesia, 1. Group II and III were statistically different compared to Group 1, respectively. 2. Group II and III were not statistically different. Conclusions: Apparent antegrade amnesia was found in both groups 0.05 mg/kg and 0.08 mg/kg intravenously administered. So we present the protocol of the department of oval and maxillofacial surgery, Kangnung National University Dental Hospital. But further studies concerning patient's age, body weight, and general condition will be carried out.

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