• 여성건강간호학회지
• /
• 제20권3호
• /
• pp.195-203
• /
• 2014

Purpose: The objective of this study was to investigate the relationship between fatigue, sleep disturbance, and gestational stress in women during late stage of pregnancy. Methods: This study was conducted with 113 healthy pregnant women at gestational age greater than 27 weeks who were registered at community health centers and received prenatal care. A structured questionnaire regarding fatigue, sleep disturbance, and gestational stress was used. The data was analyzed using a t-test, an ANOVA, and Pearson correlation coefficients. Results: The subjects with unplanned pregnancies and irregular exercise patterns showed a higher level of fatigue than those with planned pregnancies and regular exercise patterns. Pregnant women with caffeine intake manifested higher levels of gestational stress and sleep disturbance than those without. The levels of sleep disturbance and gestational stress increased as the fatigue levels increased. The fatigue levels increased with increased levels of sleep disturbance. Conclusion: Planned pregnancy, regular exercise patterns, and caffeine intake were related with fatigue, sleep disturbance, and gestational stress in women during late stages of pregnancy. Fatigue, sleep disturbance, and gestational stress had close associations to each other. In the future, such results should guide development of nursing intervention programs for women in late stages of pregnancy.

• 지역사회간호학회지
• /
• 제23권2호
• /
• pp.155-164
• /
• 2012

Purpose: The purpose of this study was to investigate Seoul teacher's satisfaction with and needs for health examination and health promotion programs. Methods: The participants were 3,186 teachers in Seoul. Data were collected through an on-line survey system from November 16 to December 7, 2008. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe's test using PASW 18.0 program. Results: Teacher's satisfaction with teacher health examination was low and needs for detailed tests of cancer and vocal cord disorders were high. Teacher's satisfaction with teacher health promotion programs was low and needs for stress management, exercise and vocal cord protection program were high. Conclusion: Vocal cord disorders should be included in teacher health examination and vocal cord protection program should be provided for teacher's health promotion. Stress management and exercise program should also be provided for teacher's health promotion.

• Physical Therapy Rehabilitation Science
• /
• 제9권4호
• /
• pp.244-251
• /
• 2020

Objective: Physical therapy techniques are required for patients with temporomandibular joint disorder (TMD), but the effects of treatment have not been compared. Therefore, effects of transcutaneous electrical nerve stimulation (TENS) and low level laser (LLL), which are most commonly used interventions, were compared. Design: Randomized controlled trial. Methods: Thirty-six participants with pain in the temporomandibular joint were enrolled, and 12 participants were randomly assigned to either the TENS group, LLL group, or placebo group. Each intervention was performed for a total of 6 sessions for 2 weeks. For the evaluation of the participants, the mouth opening (MO), pressure pain threshold (PPT), and stress were measured at three time periods: baseline, post-test, and follow-up at 2 weeks. Results: Significant interaction between groups according to each evaluation point was found only in PPT-masseter (p<0.05). The evaluation time point at which a significant difference appeared was at the post-test and follow-up at 2 weeks time periods. As a result of the post-test, the LLL group showed a significant improvement compared to the TENS group (p<0.05), and at 2 weeks follow-up, the TENS group showed a significant improvement compared to the placebo group (p<0.05). Conclusions: In this study, an experiment was conducted to compare the treatment effects when TENS, LLL, and placebo were given to patients with TMD. In addition, by quantitatively presenting the effect size of each treatment, this study suggests clinical use of TENS and LLL treatment for TMD.

• 한국학교ㆍ지역보건교육학회지
• /
• 제22권1호
• /
• pp.11-24
• /
• 2021

Objectives: The purpose of this study was to examine the Path modeling effect among depression, Post-Traumatic Stress Disorders (PTSD), resilience, and social support on the quality of life (QoL) of natural disaster victims. Methods: This is a cross-sectional study with 1,979 disaster victims' cases by using the 4th Disaster victims panel survey in Korea. Data were collected from october 2018 to december 2018 and analyzed using regression analysis and path way analysis. Results: Perceived health, depression, social support, PTSD, resilience, and QoL showed significant correlations. PTSD was directly affected by depression and QoL was affected by PTSD. Social support was directly affected by depression and resilience was also directly affected by depression. QoL was affected by social support and resilience. Conclusion: This analysis highlighted that the relation between lower depression and QoL was mediated by greater social support and resilience and lower degree of PTSD. These results suggest that community health interventions and education that incorporate social support and resilience may improve the quality of life of natural disaster victims.

• 한국도서관정보학회지
• /
• 제42권4호
• /
• pp.243-262
• /
• 2011

이 연구는 근골격계 질환의 발생에 영향을 미칠 것으로 예상되는 요인들에 대해 20개 대학도서관 300명(266명 응답)의 사서들을 대상으로 설문조사를 실시하여 그 결과를 분석하였다. 응답자의 62.5%가 근골격계 질환 자각증상을 호소하였다. 근골격계 증상의 요인들을 분석한 후, 각 부위별로 유의미한 영향을 미치는 주요 요인들을 독립변수로 하여 다중회귀분석을 한 결과는 아래와 같다. 즉, 목의 증상에 영향을 미치는 변수는 근무조건 만족도였으며, 근무 만족도가 높을수록 목 부위의 증상 정도가 낮은 것으로 나타났다. 어깨부위의 증상에 대해서는 근무만족도, 작업강도, 식사시간이 설명변수로 선택되었다. 식사시간이 불규칙적일수록, 작업강도가 높을수록, 근무만족도가 낮을수록 증상의 정도가 높은 것으로 나타났으며, 이중에서도 특히 근무 만족도의 영향이 큰 것으로 나타났다. 팔 팔꿈치에서는 숙련도가 설명변수로 선택되었으며, 업무 숙련도가 높을수록 증상 정도가 높게 나타났다. 손가락 손목을 설명해주는 설명변수로는 업무 스트레스가 선택되었으며, 업무 스트레스가 많을수록 증상 정도가 높은 것으로 나타났다. 등 허리에서는 작업강도, 직장 만족도가 설명변수로 선택되었고, 작업강도가 높을수록, 직장 만족도가 낮을수록 증상이 높은 것으로 나타났다. 마지막으로 무릎 다리의 경우 흡연여부가 선택되었으며 비흡연자일수록 증상이 낮은 것으로 나타났다.

• 대한인간공학회지
• /
• 제32권6호
• /
• pp.495-501
• /
• 2013

Objective: The purpose of this study was to survey of the subjective health status of the elderly farmer. Background: With increase of aged population, the health of the elderly farmer has become main concerns of the elderly in the rural community. For the effects of the factors related to quality of life, subjective health condition showed the largest influence. Method: The survey was conducted by 326 elderly farmers aged 50 and older in rural areas through structured questionnaires. Survey questionnaire consisted items of general characteristics, health-related life habits, levels of stress(SF-PWI), symptom of musculoskeletal diseases and general level of health(SF-36). For the data analysis, SPSS 19.0K was used, and analysis was conducted by using frequency, percentage, mean, and standard deviation. For the symptom prevalence of musculoskeletal disorders and comparison of average level of health, chi-square test and t-test were used. Results: The results of the study are as follows. It was shown that the symptom prevalence of musculoskeletal disorders had a significant difference in gender (p<0.01). Frequency analysis on presence of musculoskeletal symptoms in each part of body showed that leg/knee region was 28.1%, back region was 26.6%, shoulder region was 18.0%, arm/elbow region was 11.9%, hand/wrist region was 8.2% and neck region was 7.2%. According to comparison of average level of health, a social functioning were the highest as score 87.3, followed by mental health(65.6) and role limitation-emotional(65.5). Conclusion: Health promotion program for the elderly and female in the rural are needed. Application: The survey of the subjective health status of the elderly should be used for planning factors to make a health improvement plan in elderly farmer.

• Journal of Oral Medicine and Pain
• /
• 제45권2호
• /
• pp.23-28
• /
• 2020

Purpose: Temporomadibular disorders (TMDs) can result in chronic pain, which is often associated with psychological and sleep disturbance. Increased levels of psychological and sleep impairments are often related with poor treatment outcomes. The purpose of the present study was to evaluate clinical features, psychological profiles and the prevalence of clinical insomnia in TMD patients with chronic pain and to suggest an effective treatment approach. Methods: A total of 200 TMD patients who had visited the Pusan National University Hospital dental clinic for treatment of their pain were recruited from June 2018 through December 2019. TMD patients were classified into an acute (n=100) and chronic (n=100) group and compared the clinical symptoms. The primary diagnosis of TMD were categorized as TMD with joint pain group (TMD_J), TMD with muscle pain group (TMD_M) and TMD with joint-muscle mixed pain group (TMD_JM). Self- report measures of sleep quality and psychological profiles were evaluated via the Insomnia Severity Index (ISI) and the Korean Stress Response Inventory (SRI). Independent t-tests, Mann-Whitney U-tests, and chisquared test were used for the statistical analysis. Results: Chronic TMD patients showed higher pain intensity, as well as higher prevalence of related symptoms (headache, musculoskeletal pain) and myogenous pain. They also had significantly higher scores in all SRI parameters and a higher percentage of clinical insomnia than acute TMD patients. Conclusions: Based on the above results, psychological profiles and sleep quality assessments are necessary to provide essential data that will allow for improved treatment of chronic TMD patients.

• 한국응용약물학회:학술대회논문집
• /
• 한국응용약물학회 2004년도 Annual Meeting of the Korean Society ofApplied Pharmacology
• /
• pp.18-34
• /
• 2004

This paper will review data obtained primarily from our preclinical investigations that show that exposure to stress has a significant impact on drug taking. Stress increases reward associated with psychomotor stimulants, possibly through a process similar to sensitization, and a growing clinical literature indicates that there is also a link between substance abuse and stress in human addicts. One explanation for the high concordance between stress-related disorders and drug addiction is the self-medication hypothesis, which suggests that a dually-diagnosed person often uses the abused substance to cope with tension associated with life stressors or to relieve symptoms of anxiety and depression resulting from a traumatic event. However, another characteristic of drug self-administration is that drug delivery and its subsequent effects on the HPA axis are under the direct control of the individual. This controlled activation of the HPA axis may result in the production of an internal state of arousal or stimulation that is actually sought by the individual (i.e., the sensation-seeking hypothesis). During abstinence, however, exposure to stressors or drug-associated cues can stimulate the HP A axis to remind the individual about the effects of the abused substance, thus producing craving and promoting relapse. Stress reduction, either alone or in combination with pharmacotherapies targeting the HPA axis may prove beneficial in reducing cravings and promoting abstinence in individuals seeking treatment for addiction. Of primary importance is to reduce the impact of cocaine-associated environmental stimuli on the HPA axis so that they no longer function as triggers for relapse.

• 대한불안의학회지
• /
• 제10권2호
• /
• pp.151-156
• /
• 2014

Objective : The aim of this study is to analyze the relationship among job stress, depression, and suicidal ideation in firefighters, particularly the mediating effects of depression. Methods : The subjects were 2,136 firefighters in Gangwon-do, who completed the short form of Korean occupational stress scale (KOSS-SF), Korean version of the Beck depression inventory (K-BDI), and the revised scale for suicide ideation (SSI) online in mental health promotion service of firefighters. The data was analyzed with correlation analysis among the variables, and the multiple regression analysis method of Bar-on and Kenny (1986) was used. Results : Job stress showed positive correlations with depression (r=0.493, p <0.01) and suicidal ideation (r=0.296, p<0.01). Depression showed a positive correlation with suicidal ideation (r=0.561, p<0.01). The result of analyzing the mediating effect of depression showed that depression was a full mediator variable between job stress and suicidal ideation. Conclusion : Based on the results, it is very likely that job stress may affect suicidal ideation via depression. These results suggested that the preventive interventions emphasized on depression may be helpful for reduction of suicide in firefighters.

• Perspectives in Nursing Science
• /
• 제9권2호
• /
• pp.83-93
• /
• 2012

Purpose: The purpose of this study was to describe the post-traumatic stress experiences of firefighters and paramedics. Methods: The participants were 20 fire fighters and paramedics who belong to the Busan Fire Department. Data were collected through in-depth, unstructured audio-taped interviews by the investigator over a six-month period. The participants were asked to describe their post-traumatic stress. The data were analyzed according to Giorgi's method for phenomenological analysis. Results: The interview data were organized by theme into 7 categories that emerged from the analysis. Participants faced various post-traumatic stresses working as fire fighters or paramedics. The categories were suffering from disastrous situations, feeling of fear and helplessness in the face of death, re-experiencing vividly the past traumatic situation, avoiding painful reminders of the trauma, emotional numbing as time passes, suffering from emotional arousal and increased anxiety, and struggling to cope with the post-traumatic stress. Conclusion: This study provides a better understanding of post-traumatic stress experiences from fire fighters and paramedics and the knowledge gained from this study will help in developing appropriate post-traumatic stress management programs.