• 제목/요약/키워드: anxiety level

검색결과 1,141건 처리시간 0.026초

담요제공이 Brain MRI 검사를 받는 환자의 불안에 미치는 간호중재적 접근 (Nursing Approach of an Offered Blanket on the Anxiety of Patients Undergoing Brain MRI)

  • 박진영;김계하
    • 한국콘텐츠학회논문지
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    • 제16권11호
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    • pp.623-632
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    • 2016
  • 본 연구의 목적은 담요 제공이 Brain MRI 검사를 받는 환자들에게 미치는 효과를 알아보기 위한 것이다. 연구대상은 G시에 소재한 일 대학병원에서 Brain MRI 검사를 받는 52명의 환자였다. 실험군(n=26)은 검사 전에 담요를 제공받았다. 자료는 2015년 3월부터 12월까지 수집되었으며, chi-squared test, the independent t-test, repeated measures ANOVA를 이용하여 분석되었다. STAI로 측정된 불안은 두 집단 간에 유의한 차이가 없었으나 시각적상사척도로 측정된 불안 정도는 실험군에서 유의하게 감소되었다(t=-2.75, p=.008). 혈압과 맥박에서는 실험군과 대조군 간에 유의한 차이가 없었다. 따라서 추후에는 Brain MRI 검사를 받는 환자의 불안 정도를 경감시켜줄 수 있는 연구가 필요하다.

유발된 정서가 대학생의 부정적 어휘정보 처리에 미치는 효과 (The Effects of Priming Emotion among College Students at the Processes of Words Negativity Information)

  • 김충명
    • 융합정보논문지
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    • 제10권10호
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    • pp.318-324
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    • 2020
  • 본 연구는 정상 및 불안 집단 대학생을 대상으로 하나 또는 그 이상의 부정적 어휘를 포함하는 서술어의 의미추론 과정에서 정서유형 및 부정어휘 출현의 정도가 과제처리 속도에 미치는 영향을 알아보고자 수행되었다. 정서 3유형, 자극 2유형 그리고 부정어휘 횟수 3유형을 피험자 내 변인으로, 벡(Beck) 불안척도로 구분된 불안수준을 피험자 간 변인으로 혼합반복측정 설계를 적용하여 피험자 반응시간에 대해 분석한 결과, 정서유형과 자극의 종류 그리고 부정어휘 횟수에 대한 주효과를 확인하였으며, 불안수준 x 부정어 횟수에서 상호작용이 발견되었다. 긍정적 정서에 비해 부정적 정서에서, 비언어 자극보다는 언어 자극 환경에서 과제처리에 더 효율적이었지만, 부정어휘 변인에서는 그 횟수의 증가가 정상집단의 신속한 반응과 불안집단의 지연된 반응으로 분기되면서 부정어휘처리 반응시간의 지체로 나타났다. 또한 유입 정서유형 및 자극의 종류와 상관없이 불안수준은 과제처리 속도를 지연시키는 요인으로 확인되었다. 아울러 추후 연구를 위한 함의와 한계를 논의하였다.

학령기 아동이 지각한 가족 특성, 경험한 아동 학대와 정신 건강과의 관계 (An Analysis of Relations between Perceived Family Characteristics, Experienced Abuse and Mental Health in Childhood)

  • 김희걸
    • 지역사회간호학회지
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    • 제8권2호
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    • pp.289-303
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    • 1997
  • This study analyzes the relations between perceived family characteristics, experienced abuse and mental health in childhood. For this, this study used row data by questionnaire, analysis, and frequency, ANOVA, t - Test, Pearson' correlation analysis. The sample was 118 children 10-12 years old in primary school. The findings are as follows. First, children perceived family cohesion and family adaptability highly, family adaptability showed a significant difference from the relations with a parent's job, a parent's academic level, and type of residence. Second, it appeared that some children experienced physical, emotional, and sexual abuse. Third, in general the mental health of children was good. Their mental health showed a significant relation to economic level of family, and type of residence, creating problems such as depression, anxiety, phobic anxiety, psychoticism. By family size, their mental health showed a significant relation to somatization, interpersonal sensitivity, depression, hostility, phobic anxiety, paranoid ideation, and psychoticism, Fourth, family cohesion and mental health perceived by children supported a linear relation to phobic anxiety, and family adaptability and mental health perceived by children supported the reverse -linear relation to somatization, anxiety, paranoid ideation, etc. Fifth, connections with perceived abuse and mental health as well as emotional abuse and mental health were also supported. Further more, on somatization, interpersonal sensitivity, depression, hostility, phobic anxiety, paranoid ideation, psychoticism, etc, a reverse-linear re lation existed. Physical abuse supported a reverse-linear relation with interpersonal sensitivity, depression, paranoid ideation, etc. and sexual abuse supported a reverse-linear relation with depression. These findings suggest that school and family have to concern themselves with the mental health of children because experienced abuse and family characteristics do indeed affect the mental health of children.

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차문화치료 프로그램을 통한 지적장애인의 불안감소 효과 (Anxiety Reduction Effect of Tea-Culture Therapy Program for Mentally Retarded People)

  • 김인숙
    • 한국콘텐츠학회논문지
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    • 제15권6호
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    • pp.392-398
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    • 2015
  • 지적장애인들이 성인으로 새로운 환경에 사회적응하기 위해 내재되어 있는 불안을 감소해 줄 필요가 있다. 이를 위하여 정서적으로 안정되어있는 차문화의 분위기 속에서 불안을 자연스럽게 감소하여 자신을 이해하고 존중하며 사랑할 수 있게 도와주는 차문화치료 프로그램을 구성하고 실시하였다. 연구대상자는 프로그램 참가를 지원한 P시 지역의 장애인 복지관에 소속된 장애인 1-3등급(사회적응반 소속) 22명(실험군 11명, 대조군 11명)으로 하였다. 연구결과, 실험군의 불안 척도 점수는 사전검사에서 평균 46.82(표준편차 2.32) 였으며, 사후검사에서는 평균 34.55(표준편차 2.98)로 나타나 12.27점이 낮아졌다. 차문화치료 프로그램에 참여한 지적장애인들의 불안 척도 점수는 프로그램 이후 통계적으로 유의하게 감소된 것으로 나타났다.

사전정보제공과 진정제투여가 기관지내시경 검사 대상자의 불안 감소에 미치는 영향 (The effects of Preparatory Information and According to Premedication on the Level of Anxiety of Patients undergoing Bronchoscopy)

  • 장영미;한진숙
    • 한국산학기술학회논문지
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    • 제12권9호
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    • pp.4061-4067
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    • 2011
  • 본 연구는 기관지내시경 검사 시 사전정보제공과 진정제 투여가 환자의 불안 감소와 생리적 변수에 미치는 영향을 확인하기 위하여 2007년 6월 4일부터 12월 28일까지 기관지내시경 검사를 받는 환자 102명을 대상으로 시행되었다. 불안척도는 Spielberger의 STAI를 이용하였고, 사전정보제공소책자를 제작하여 사용하였다. 수집된 자료는 SPSS 14.0을 이용하여 분석하였다. 그 결과, 기관지내시경 검사에 대한 사전정보제공군, 진정제 투여군, 사전정보제공과 진정제를 함께 적용한 세 실험군은 대조군에 비해 수축기(p=.062), 이완기 혈압(p=.189) 변화에 영향을 주지 못하였으나, 환자의 불안(p=.005)과 맥박(p=.033), 호흡(p=.006)의 변화에는 효과적이었으므로 임상에서 적용할 가치가 있을 것으로 본다.

Causal Attributions, Social Support and Psychological Morbidity in Patients Undergoing Thyroid Surgery

  • Yildirim, Nazmiye Kocaman;Ozcinar, Beyza;Dogan, Selim;Aksakal, Nihat;Sahbaz, Nuri Alper;Tutal, Firat;Torun, Bahar Canday;Ozkan, Mine;Erbil, Yesim
    • Journal of Endocrine Surgery
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    • 제18권4호
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    • pp.219-227
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    • 2018
  • Purpose: The primary objective of the present study was to investigate the course of anxiety and depression in thyroidectomy. The second objective was to investigate the association between somatic symptoms and psychological symptoms, and the final objective was to identify the sociodemographic, clinical, and psychosocial factors that affect psychiatric morbidity. Methods: This prospective study, 101 patients who were admitted to the Endocrine Surgery Clinic of the Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul, with thyroid pathology were included in the study. Data were collected before surgery, and in the early, and late periods after surgery. Data were collected using a semi-structured interview form, a visual analogue scale, and the Hospital Anxiety and Depression Scale. Results: The average scores of anxiety and depression before surgery were statistically significantly higher compared with the early and late periods after surgery (P<0.001). Psychological morbidity was identified about 10% of patients before surgery and remained after thyroidectomy. A poor positive correlation founded between somatic symptoms and psychological condition in period surgery (P<0.05). Various sociodemographic features and psychosocial parameters affected anxiety and depression level (P<0.05). Conclusion: Anxiety and depression level in thyroid diseases decreased after thyroidectomy. These patients may express psychologic distress through somatic symptoms. Screening of psychological morbidity is suggested in patients planned thyroid surgery, especially in women, low-educated, inadequate social support, attributed to psychological causes.

빈곤이 위험한 지역사회 환경을 통해 청소년의 우울 및 불안에 미치는 영향 (Poverty, Risky Environments of Disadvantageous Neighborhoods, and Adolescents' Depression and Anxiety)

  • 강현아
    • 사회복지연구
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    • 제41권3호
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    • pp.327-348
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    • 2010
  • 본 연구는 청소년에 대한 빈곤의 영향을 주로 가족의 측면에서 연구하였던 기존의 관점에서 탈피하여, 빈곤청소년이 거주하는 지역사회 환경의 위험성과 폭력성에 주목하였다. 즉, 본 연구는 빈곤으로 인해 더 위험한 환경에서 거주하게 되는 청소년이 일반 청소년보다 폭력에 더 많이 노출되는지를 살펴보고, 이것이 그들의 우울과 불안을 높이는지 분석하였다. 분석 자료로 '한국청소년패널데이터' 중2 패널자료 중에서 3-5차년도 종단데이터가 활용되었으며, 통계방법으로는 구조방정식모형이 이용되었다. 분석 결과, 청소년의 빈곤 자체가 폭력피해 경험을 직접적으로 증가시키지는 않았으나 빈곤으로 인해 위험한 지역사회 환경에 거주하게 됨으로써 더욱 많은 폭력피해와 두려움을 경험하게 되며 이는 우울 및 불안으로 이어지는 것으로 나타났다. 이 결과를 바탕으로 청소년에 대한 빈곤의 부정적 영향을 줄이는 데에 지역사회의 역량 강화의 중요성을 함의로 지적하였다.

Effects of Mindfulness Based Stress Reduction Program on Depression, Anxiety and Stress in Patients with Aneurysmal Subarachnoid Hemorrhage

  • Joo, Hye-Myung;Lee, Sung-Jae;Chung, Yong-Gu;Shin, Il-Young
    • Journal of Korean Neurosurgical Society
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    • 제47권5호
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    • pp.345-351
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    • 2010
  • Objective : In this study, the Mindfulness Based Stress Reduction (MBSR) program was applied to patients presenting with depression and anxiety after surgery from spontaneous subarachnoid hemorrhage (SAH) and the effects were assessed. Methods : The subjects were patients admitted for cerebral aneurysm rupture and treated by means of surgery from March to December, 2007. More than 6 months had passed after surgery, without any special lesions showing up on computed tomography (CT), and the Glasgow outcome scale (GOS) was 5 points. Among patients with anxiety and depression symptoms, 11 patients completed the program. The MBSR program was conducted once a week, 2.5 hours each, for 8 weeks. The evaluation criteria were : 1) the Beck Depression Inventory (BDI): it measures the type and level of depression, 2) the State-Trait Anxiety Inventory : the anxiety state of normal adults without mental disorder, and 3) Heart Rate Variability (HRV) : the influence of the autonomous nervous system on the sinoarterial node varies continuously in response to the change of the internal/external environment. Results : The BDI value was decreased from 18.5 ${\pm}$ 10.9 to 9.5 ${\pm}$ 7.1 (p = 0.013) : it was statistically significant, and the depression level of patients was lowered. The state anxiety was decreased from 51.3 ${\pm}$ 13.9 to 42.3 ${\pm}$ 15.2; the trait anxiety was reduced from 50.9 ${\pm}$ 12.3 to 41.3 ${\pm}$ 12.8, and a borderline significant difference was shown (p = 0.091, p = 0.056). In other words, after the treatment, although it was not statistically significant, a decreased tendency in anxiety was shown. In the HRV measurement, standard deviation normal to normal (SDNN), square root of the square root of the mean sum of squared differences between adjacent normal to normal intervals (RMSSD), and total power (TP) showed significant increase, Physical Stress Index (PSI) showed a significant reduction, and thus an improvement in the homeostatic control mechanism of the autonomic nervous system was ween. Conclusion : The MBSR program was applied to the patients showing anxiety and depression reaction after SAH treatment, and a reduction in depression symptoms and physiological reactions were observed. The application of the MBSR program may be considered as a new tool in improving the quality of life for patients after surgery.

Effect of Pre-Procedural State-Trait Anxiety on Pain Perception and Discomfort in Women Undergoing Colposcopy for Cervical Cytological Abnormalities

  • Baser, Eralp;Togrul, Cihan;Ozgu, Emre;Esercan, Alev;Caglar, Mete;Gungor, Tayfun
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권7호
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    • pp.4053-4056
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    • 2013
  • Background: Colposcopy is the gold standard procedure for evaluating cervical cytological abnormalities. Although it is essentially a minimally invasive intervention, referral for colposcopy may cause significant distress on patients. In this study, we aimed to determine if pre-procedural anxiety levels have a significant association with procedure related pain and discomfort in women undergoing colposcopy for evaluation of abnormal cervical cytology. We also assessed the impact of various clinical factors on anxiety, pain and discomfort in these patients. Materials and Methods: This prospective study was performed at the gynecologic oncology department of Zekai Tahir Burak Women's Health Education and Research Hospital in Ankara, Turkey between January and June 2013. After taking informed consent, State-Trait Anxiety Inventory (STAI) form and a 14-item questionnaire were filled for women who were admitted to our outpatient colposcopy unit for evaluation of abnormal cervical cytology. STAI scores were calculated for each participant. Immediately after the procedure, visual analog scale (VAS) scores for procedure-related pain and discomfort were obtained. Associations between STAI and VAS scores were investigated using correlation analyses. The effect of various contributing factors on anxiety, pain and discomfort were evaluated with linear regression analysis. The p values less than 0.05 were considered statistically significant. Results: A total of 222 women met the inclusion criteria within the study period. Mean patient age was $38.5{\pm}9.6$. Median state and trait anxiety scores were 47 and 46, respectively. Median VAS scores for pain and discomfort were 4 for both variables. State anxiety had a significant correlation with procedure related discomfort (p=0.02). Colposcopy related pain VAS scores were significantly affected by state anxiety level, marital status and prior gynecological examination (p<0.05). Colposcopy related discomfort VAS scores were significantly affected by state anxiety level, marital status, prior gynecological examination and educational status. Conclusions: Additional measures should be implemented in women that carry higher risk for experiencing pain and discomfort. Social, cultural and lifestyle issues may also affect women's experiences during colposcopy, therefore further studies are needed to define specific determining factors in various populations.

주의력 결핍 과잉행동장애 아동에서 어머니의 상태불안이 아동의 신체증상에 미치는 영향 (The Effect of Maternal State Anxiety on the Children's Somatic Symptom in Attention-Deficit/Hyperactivity Disorder)

  • 김경미;신동원;이근문
    • 생물정신의학
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    • 제14권4호
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    • pp.256-261
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    • 2007
  • Objectives : The aim of the present study was to examine whether anxiety and depression of children and mothers were associated with the children's medically unexplained somatic symptoms in attention-deficit/hyperactivity disorder(ADHD). Methods : 83 clinic-referred boys with ADHD and 52 boys without ADHD were included in this study. The frequency of the medically unexplained somatic symptoms, such as general-ache, headache, nausea, eye problems, skin problems, abdominal pain, vomiting was evaluated using the somatic symptom domain of the Child Behavior Checklist(CBCL). Children's anxiety and depression were evaluated using Kovacs Children's Depression Inventory(CDI) and Spielberger's State-Trait Anxiety Inventory(STAI) for children. Maternal anxiety and depression were measured by Spielberger's State-Trait Anxiety Inventory(STAI) and Beck's Depression Inventory(BDI). Stepwise linear regression analysis was used to examine the hypothesis. Results : Score of maternal state anxiety affects the T score of the somatic symptom domain in CBCL significantly(adjusted $R^2$=0.057 ; p=0.026). Conclusion : The frequency of medically unexplained somatic symptom of children perceived by mothers was associated with the high level of maternal state anxiety in ADHD. Frequent maternal report of the children's somatic symptom may be a warrant for the evaluation and management of the maternal state anxiety in ADHD.

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