• Title/Summary/Keyword: Stress care

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Related Factors of Depression according to Individual Attributes and Regional Environment: Using Multi-Level Analysis (다수준분석을 활용한 개인특성 및 지역환경에 따른 우울증 관련 영향요인 분석)

  • Moon, Seok-Jun;Lee, Ga Ram;Nam, Eun-Woo
    • Health Policy and Management
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    • v.30 no.3
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    • pp.355-365
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    • 2020
  • Background: This study is aimed to verify individual and regional-level factors affecting the depression of Koreans and to develop social programs for improving the depressive status. Methods: This study used individual-level variables from the Korean Community Health Survey (2018) and used the e-regional index of the Korean Statistical Information Service as the regional-level variable. A multi-level logistic regression was executed to identify individual and regional-level variables that were expected to affect the extent of depressive symptoms and to draw the receiver operating characteristic curve to compare the volume of impact between variables from both levels. Results: The results of the multi-level logistic regression analysis in regards to individual-level factors showed that older age, female gender, a lower income level, a lower education level, not having a spouse, the practice of walking, the consumption of breakfast higher levels of stress, and having high blood pressure or diabetes were associated with a greater increase in depressive symptoms. In terms of regional factors, areas with fewer cultural facilities and fewer car registration had higher levels of depressive symptoms. The comparison of area under the curve showed that individual factors had a greater influence than regional factors. Conclusion: This study showed that while both, individual and regional-level factors affect depression, the influence of the latter was relatively weaker as compared to the first. In this sense, it is necessary to develop programs focused on the individual, such as social prescribing at the local or community-level, rather than the city and nation-level approach that are currently prevalent.

Increasing Work Efficiency with Prevention of Reinspection for Bone Mineral Density (BMD) Exams (골밀도 검사의 재검사 방지에 따른 업무효율 향상)

  • Kim, Ho-Sung;Dong, Kyung-Rae
    • The Journal of the Korea Contents Association
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    • v.9 no.5
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    • pp.174-181
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    • 2009
  • Recently hospitals are implementing a One Stop Service as part of patient-care service. With the One Stop Service, medical treatment including consultation, inspection, and results are changing to be made available in one visit. Therefore most examinations are reserved for the same day; however, there are cases in which additional visits are necessary because of certain properties related to exams. This study compares and analyzes the number of reinspections before and after reforms. By designating the order of priority for BMD examinations and implementing education from information obtained in the OCS E-manual update, the number of reinspections for wards was reduced from 58 to 21, Outpatient departments were reduced from 51 to 12, and errors in reservations made by employees in the department of radiology were reduced from 98 to 11. Reinspections can be reduced with full understanding the factors related to reinspection and a background check prior to inspection in order to determine the order of priority for inspections. This will also reduce workers' stress and increase their efficiency and at the same time decease patient dissatisfaction and improve hospital reliability.

The Stories of Pre-service Childcare Teachers' Practicum Experiences : Focusing on pre-service Childcare Teacher Training Centers (예비보육교사들의 실습경험에 대한 이야기 -보육교사교육원을 중심으로-)

  • Lim, Kyung-Ok
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.750-761
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    • 2016
  • This study attempted to analyze the practicum experiences of pre-service childcare teachers (level 3) and their meaning and set a direction for efficient childcare practicum for the level 3 childcare teachers. For this, 16 trainees from 'P' Pre-service Childcare Teacher Training Center and 'S' Pre-service Childcare Teacher Training Center in Gyeonggi-do were investigated, and there was an interview with them for qualitative analysis. The study results found the followings: This study is showed that child care and teaching practice is the difficulty of training institutions selected, lack of preparation exercise, disagreement between training courses and related field, the stress of exercise, difficulties in infants teaching and experience the reality in the field. In terms of the meaning of childcare practicum, it helped the pre-service childcare teachers set their career path and establish values. In addition, it was helpful in building practical knowledge. In addition, there was a discussion on how to operate the childcare practicum in a well-organized and systematic manner, focusing on the derived topics.

The Impact of Stress and Woking Environment on Occupation Satisfaction of Skin Care Experts (피부미용사의 스트레스와 근무환경이 직업만족도에 미치는 영향)

  • Choi, Woi-Sook;Min, Kyung-Jin
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.663-666
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    • 2011
  • 본 연구는 피부미용사들을 대상으로 근무환경에 대한 만족도와 스트레스가 직업 만족도에 영향을 미치는 요인을 분석하고 근무환경 만족도, 스트레스, 직업 만족도 간의 인과관계를 규명하여 피부미용사들의 직업적 긍지를 높이고 그들의 삶의 질 증진에 기여하고자 시도 되었다. 전국의 여성 피부미용사 351명을 대상으로 설문 조사한 후 분석한 결과, 조사 대상자의 근무환경에 대한 만족도는 40세 이상, 유배우자, 부부와 자녀가 같이 사는 경우, 대졸이상의 학력자, 고소득자, 질병이 없고 건강할수록 높았고, 직업특성별 근무환경 만족도는 복합 상가, 1~2명의 직원수, 10년 이상 근무기간, 경영자가 가장 높게 나타났다. 스트레스는 30~39세, 무배우자, 혼자 사는 경우, 고졸이하 학력, 저소득자, 질병이 있고 건강하지 않는 경우가 가장 높았다. 또한 5명 이상의 직원수, 근무기간이 짧은 경우, 경영자직책이 가장 높았다. 직업만족도는 40세 이상 연령이 가장 높았고 배우자 유무와 동거형태에 따라서는 유배우자와 부부와 자녀가 같이 사는 경우, 학력에서는 대졸 이상, 월 소득은 소득이 많은 경우, 거주지역에서는 대도시, 건강상태와 질병 유무에 따라서는 질병이 없고 건강한 경우 직업만족도가 높았다. 직장위치는 복합상가가 가장 높고 근무기간과 직책에 따라서는 근무기간이 길고 경영자, 직원 수는 1~2명, 피부미용업 선택이유와 장래 근무계획에서는 적성에 맞아서와 계속근무가 직업만족도가 높았다. 근무환경, 스트레스, 직업만족도에 관하여 공분산 구조분석을 한 결과 근무환경이 좋을수록 스트레스가 적었고(p<0.001), 근무환경이 좋을수록, 스트레스가 적을수록 직업만족도가 높았다(p<0.001).

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A Systematic Review on Role Conflicts of Medical Service Workers (의료서비스종사자의 역할갈등에 관한 체계적 문헌고찰)

  • Lim, Soon-Ryun;Lee, Soon-Young
    • Journal of Convergence for Information Technology
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    • v.8 no.5
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    • pp.1-10
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    • 2018
  • This study systematically collected and analyzed the results of previous studies on the role conflict of medical service workers. The data were collected according to the systematic review guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis). Among the collected documents, 33 were used for the final analysis. The documents using the tools of Kim Mun-sil and Park Sang-yeon were 14,, 12 articles using Rizzio et al's tool, and 3 articles using Eun-hee Lee et al. Qualitative research methods were used in five of the 33 references. As a result of literature analysis, the higher the conflict of roles, the lower the job satisfaction, the employee 's intention, and organizational commitment. The higher the role conflict, the more burnout, job stress, and turnover intention increased. In this study, there are limitations in analyzing the relationship between role conflict and various variables. Based on the results of this study, it is expected that the research on the countermeasures and mediation strategies of the role conflict of medical service workers will be actively conducted.

Anti-Oxidative and Anti-inflammatory Effect of Combined Extract and Individual Extract of GamiSaengmaeksan (가미생맥산(加味生脈散) 및 개별약재의 항산화 및 항염증 효능에 대한 비교 연구)

  • Ji, Joong-Gu
    • The Korea Journal of Herbology
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    • v.31 no.1
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    • pp.69-75
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    • 2016
  • Objectives : The aim of this study is to investigate the various effects of individual or combined extract of GamiSaengmaeksan (GSS) on cell viability, anti-inflammatory and antioxidant activityMethods : In order to evaluate cytotoxicity, MTT assay was performed. We investigated the levels of proinflammatory cytokines such as tumor necrosis factor (TNF)-α and interleukin (IL)-6 and interleukin (IL)-1β, and nitric oxide(NO) in LPS-induced RAW 264.7 cells to check the effects on anti-inflammatory activity. The level of NO production in RAW 264.7 cells was measured by using Griess reagent. The levels of cytokines and ROS were measured by Luminex and Flow cytometry, respectively.Results : At concentration of 200 ㎍/㎖ GSS, cytotoxicity was observed in RAW 264.7 cells. However, at concentration less than 100 ㎍/㎖ of both combine and individual GSS, cytotoxicity was not observed in Raw 264.7 cells. However, the level of ROS in RAW 264.7 cells were decreased at both extract of 100 ㎍/㎖ GSS. Also, the level of NO in RAW 264.7 cells were decreased from extraction of concentration of 100 ug/ml in GSS and individual-extraction of Liriopis Tuber, White Ginseng and Glycyrrhizae Radix. In addition, productions of pro-inflammatory cytokines (TNF-α) in LPS-induced RAW 264.7 cells were decreased from extraction of concentration of 10 and 100 (㎍/㎖) in GSS and individual-extraction of Liriopis Tuber.Conclusions : It is concluded that combined extract of GSS appears to be more effective in anti-oxidation and anti-inflammatory effect than those in individual-extraction of GSS. These results may be developed as a raw material for new therapeutics to ease the symptoms related with inflammatory and oxidative stress.

Convergent Effect of Psychological Health and Physical Health on Health-related Quality of Life in Korean Echo Generation: Using Korea Health Panel Data 2013 (에코세대의 정신건강 및 신체건강이 건강관련 삶의 질에 미치는 융복합적 영향: 2013년도 한국의료패널 자료를 이용하여)

  • Choi, So-Eun;Park, Min-Jeong
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.283-295
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    • 2017
  • The purpose of this study was to identify the effect of psychological health and physical health on health-related quality of life(HRQoL) in Korean Echo Generation by using Korea Health Panel Data 2013. The Korea Health Panel Data 2013 were collected from February to October 2013 and 2,261 respondents were analyzed. The data were analyzed by Independent t-test, ANOVA and multiple regression using SPSS WIN 24.0 program. he mean score of HRQoL was 0.98. The effect of unmet medical needs, psychological & physical stress, unmet basic needs, anxiety about the future, depression, suicidal ideation, smoking, sleeping time, hearing problem, eating problem, restriction of activity, and self-rated health status) were significant on HRQoL. Health care providers should consider the effect of psychological and physical health when they design program for the improvement of HRQoL for Korean echo generation in community.

An Exploration of the Experience of Compassion Fatigue in Nurses Working with Oncology Patients (암환자를 돌보는 병동 간호사의 공감피로 경험 탐색)

  • Kim, Soo Hyun;Kim, Min Ah
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.581-593
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    • 2020
  • This study aimed to understand experiences of compassion fatigue reported by nurses providing services to oncology patients and families. We conducted in-depth interviews with 8 nurses currently working in oncology. Three main themes and 13 subthemes were extracted from the thematic analysis suggested by Braun and Clarke. Participants experienced compassion fatigue while feeling the sufferings transferred from patients and caregivers. The stress resulted from unique nature of oncology work added to their compassion fatigue. Participants became running low on empathy towards oncology patients and caregivers because of external work environments and negative perceptions on compassion. The results of the study inform health care professionals about increasing awareness of compassion fatigue of nurses working with oncology patients and families and the importance of providing interventions to promote their individual and professional quality of life.

A Study on the Urinary Incontinence, Lower Urinary Tract Symptoms, Lifestyle and Sexual Matters of Women in an Urban Area (도시지역 여성의 요실금, 하부요로증상과 일상 및 성생활과의 관계)

  • Yang, Seung-Ae;Park, Sun-Young;Shin, Soo Jin
    • Korean Journal of Adult Nursing
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    • v.16 no.3
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    • pp.398-408
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    • 2004
  • Purpose: The purpose of this study was to identify the frequency of urinary incontinence and lower urinary symptoms, to identify lifestyle and sexual matters for UI of adult women in an urban area. Method: The sample consisted of 364 educated women from a women's health education program in a public health center. For data collection, the Bristol Female Lower Urinary Tract Symptoms Questionnaire developed by Jackson, et. al.(1996) and the demographic questionnaire were used. For data analysis, SAS 8.2 program was used. Result: The results were as follows: 1. the prevalence rate of UI was 73.63%. 45.88% of them were stress incontinence and 27.75% of them were urge incontinence. 2. Remarkable differences were found between the type of UI and LUTS in the case of urgency($x^2=42.0585$, P<0.001), unexplained incontinence($x^2=59.0585$, P<0.001), noctural incontinence($x^2=18.8080$, P<0.001) and catetherization($x^2=10.7207$, P= 0.004), burning sense($x^2=27.7400$, P<0.001). 3. Remarkable differences were found between the type of UI and lifestyle matters in the cases as follows fluid intake restriction($x^2=31.0532$, P=0.008), interference in physical activity($x^2=36.7481$, P=0.001), interference in relation with others($x^2=22.2729$, P=0.034). 4. Remarkable differences were found between the type of UI and sexual matters with difficulty of sexual intercourse($x^2=16.1898$, P=0.002), and urine leakage during sexual intercourse($x^2=17.9752$, P=0.001). Conclusion: Based on the results, developing and carrying out an adequate UI care and education program is needed.

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Health Promotion Behaviors and Related Psychosocial variables among High School Students in Seoul (서울시 고등학생들의 건강증진행위 실천에 관한 연구)

  • Lee, Tae-Wha;Shin, Sun-Mi
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.459-467
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    • 2001
  • Although much has been written about the health status of adolescents, little is known about adolescents perception of their own health. family support and risk behaviors. The purpose of this study is to describe the perceived health status. family support and risk behaviors in urban high school students in Korea. and to examine the relationships between those variables. Design for the study is descriptive-correlational. The sample consisted of 600 10th-grade students who were randomly selected from 12 urban high schools located in Seoul. Data were collected on demographic characteristics, perceived health status, family support, and health risk behaviors such as tobacco use, alcohol use. eating habits, exercise, stress and coping skills. Preliminary findings of the study were as follows. In terms of perceived health status. 54.2% of the students reported that they are healthy. Students with higher socioeconomic status perceived themselves healthier than the students with lower socioeconomic status (p<.05). Overall. frequently reported health concerns were eating habits (17.2%), depression (4.8%), tobacco use(0.8%), and alcohol use (0.7%). The mean score of family support of the students was 7.67 (SD=2.43) within the range of 1-12. Gender was significantly associated with a higher level of family support among girls than boys. Data will be further analyzed in detail. The results will suggest that health promotion program should consider involving adolescents in planning. both (1) to ensure congruence of the plan of care with adolescentsconcerns and (2) to clarify the interpretation and meaning of their health risk behaviors.

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