• 한국가족복지학
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• 제55호
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• pp.91-128
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• 2017

본 연구는 결혼이주여성에 대한 가족치료에서의 효과적인 개입전략을 마련하는 것을 목적으로하였다. 이를 위해 성공적으로 상담을 종결한 전문성 있는 상담자의 상담사례를 수집하여 치료 개입 전략과 효과에 대한 질적 분석을 시도하였다. 총 6회기가 진행된 상담 과정에서 행한이주여성의 진술에서 의미 단위를 구분하여 연구결과를 도출하였다. 상담자는 다음과 같은 개입 전략을 시도한 것으로 분석되었다. 첫째, 미해결 정서문제 탐색을 통한 정서적 분화 돕기, 둘째 가족투사과정과 삼각관계로 인한 미분화 다루기, 셋째 원가족 관계 패턴 및 대처기제의다세대전수과정 다루기를 시도하였고, 넷째 MRI의 의사소통모델을 적용한 정서적 억압에 따른비일치적 의사소통방식의 비효과성 조명, 다섯째 재구성을 통한 내담자의 인식 전환하기, 여섯째 진짜 자기로 이끄는 의사소통방식 제안을 시도하였다. 상담자의 이와 같은 시도로 긍정적인 변화가 일어났는데, 치료 효과로는 첫째, 인지적 통찰 및 변화 동기의 촉발, 둘째 의사소통능력의 향상, 셋째 불안감소와 자기분화로 나타났다. 결혼이주여성의 경우 남편의 상담 참여거부로 보통 혼자서 상담에 참여하게 되는 경우가 많아 가족치료의 효과가 낮을 것으로 우려하는 경향이 있으나 상담자의 적절한 개입이 이루어지면 부인의 갈등해결능력을 향상시켜 가정폭력과 같은 문제 해결에 커다란 도움이 될 수 있다는 점을 확인하였고, 본 연구는 그에 필요한 적절한 치료 개입 전략을 제공하였다는데 의미가 있다.

• 대한간호학회지
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• 제39권2호
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• pp.157-165
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• 2009

Purpose: The purpose of this study was to analyze the effects of a cognitive-behavioral nursing intervention on anxiety and depression of patients with breast cancer undergoing radiotherapy. Methods: A nonequivalent control group design was used for the study. The research participants were patients with breast cancer (N=71; experimental group=35, comparison group=36) who received radiotherapy at P university hospital. The experimental group received a 6-week cognitivebehavioral nursing intervention (2 hr/week), which included nursing counseling, education about treatment choices for breast cancer and possible side effects and management strategies during radiotherapy, and rehabilitation exercise. Results: Following the intervention, the experimental group showed significantly lower levels of anxiety (Experimental group=$34.60{\pm}6.35$, Comparison group=$44.63{\pm}9.93$, t=3.552, p<.001) and depression (Experimental group=$10.20{\pm}6.61$, Comparison group=$17.81{\pm}10.85$, t=3.542, p<.001) than the comparison group. Conclusion: The findings from this study showed that cognitive-behavioral counseling applied by nurses is very effective to reduce anxiety and depression among patients with breast cancer. Therefore, providing nursing counseling to broader spectrum of patients with cancer should be considered. Further research would warrant future clinical application of nursing counseling.

• Journal of Preventive Medicine and Public Health
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• 제43권3호
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• pp.265-273
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• 2010

Objectives: Due to the economic crisis and globalization, many workers have been suffering from severe occupational stress due to job insecurity and struggles related to downsizing and restructuring. This study aims to assess the stress levels among workers involved in fierce labor disputes and massive layoffs and to evaluate their specific needs and satisfaction with counseling services set up to help workers cope with severely stressful situations? Methods: The authors provided crisis intervention to workers in traumatic situations to compare the differential level of stress responses and needs among the workers remaining employed in a large auto factory, those laid off by it, and those laid off by other companies in the same region (Pyeongtaek, Gyeonggi Province). We measured stress levels using the worker's stress response inventory (WSRI) and heart rate variability (HRV), and assessed workers' satisfaction with the counseling services. Results: 502 workers participated in the program. Fifty-seven percent of them consulted with occupational problems. The mean WSRI score of the workers remaining employed in the automobile factory was higher than that of the unemployed (employed: $39.8{\pm}19.9$ unemployed: $29.3{\pm}18.8$). Ninety-five percent of workers responded that they were satisfied or very satisfied with the counseling services. Conclusions: This study suggests the urgent need for the establishment of a national crisis intervention program dedicated to supporting workers in severely stressful situations.

• 한국콘텐츠학회논문지
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• 제11권2호
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• pp.466-476
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• 2011

본 연구는 또래상담 프로그램이 고등학생의 의사소통과 사회적 효능감에 어떠한 효과를 미치는지를 알아보기 위하여 경기도 A시에 소재한 C고등학교 1학년 학생 중 연구에 참가를 희망하는 16명을 모집하여 실험집단 8명, 통제집단 8명으로 무선 배정하였다. 실험집단과 통제집단 간의 사전 검사 검정과 사후 검사 검증, 그리고 실험집단과 통제집단의 집단내 사전-사후 검증에 대해서는 비모수적 통계인 Mann-Whitney U test와 Wilcoxon Signed Ranks test로 분석하였다. 연구의 결과는 다음과 같다. 첫째, 또래상담 프로그램을 경험한 실험집단은 통제집단보다 의사소통에서 통계적으로 유의미한 효과가 있었다. 둘째, 또래상담 프로그램을 경험한 실험집단은 통제집단보다 사회적 효능감에서 통계적으로 유의미한 효과가 있었다. 따라서 또래상담 프로그램이 고등학생의 의사소통과 사회적 효능감에 긍정적인 방향으로 영향을 미친다는 사실을 알 수 있다. 이로 인하여 또래상담 프로그램은 고등학생들에게 유익한 프로그램이라 여겨지며 학교에서 적극적으로 이 프로그램이 활용되어야 한다고 본다.

• 비만대사연구학술지
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• 제2권1호
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• pp.11-16
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• 2023

Nutrition counseling and dietary intervention are essential to obesity management because weight reduction is the consequence of negative energy balance. The first step of the nutrition counseling in patients with obesity is thorough evaluation of the nutritional status. During the nutritional evaluation, amount of energy consumption, dietary habits, and medical and socioeconomic factors influencing diets should be evaluated. Diet interventions including low calorie diet, low fat diet, low carbohydrate diet, and high protein diet are all effective in weight reduction as long as decrease in energy consumption is accompanied. Amount of energy restriction and choice of diet interventions should be individualized based the medical condition and characteristics of each patient.

• 한국학교보건학회지
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• 제23권2호
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• pp.308-316
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• 2010

Purpose: In this study, the researchers analyzed Adolescence's physical symptoms, self esteem and self identity to identify the effects and development of Maumgongbu group counseling on adolescents. Methods: There were two groups involved in this study: the group counseling team and the individual counseling group. Group counseling program was performed with 14 sessions, involving the students who applied for the program. Individual counseling was performed with 14 sessions through one-on-one session by students and their counselors. The data were collected three times: during the pre-treatment, post- treatment and 8 weeks after post-treatment using questionnaires. SPSS/WIN. 11.5 program was used for data analysis. Results: After the intervention, Group counseling prevented physical symptoms from getting worse. Self esteem improved during the pre-post treatments, and Self identity improved during the pre-8weeks after post-treatment in group counseling. Physical symptoms, Self esteem and Self identity aggravated during individual counseling groups. Conclusion: In this study, it was confirmed that the group counseling program was useful for the respondent's individual development through the improvement of their Physical symptoms and establishment of their Self identities through Maumgongbu group counseling.

• 근관절건강학회지
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• 제30권3호
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• pp.254-262
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• 2023

Purpose: This study was to determine the effect of Individualized education-counseling program on the performance of Health behavior and Cardiovascular risk after discharge inpatients with percutaneous coronary intervention. Methods: This study is a quasi-experimental study of the non-equivalence control group and the subjects of this study were patients who underwent percutaneous coronary intervention for coronary artery disease and had no complications due to severe arrhythmia or heart failure. The purpose of the study was explained to the subjects who met the selection conditions, and written consent was obtained, and 50 randomized experimental groups and 50 control groups were selected and assigned. Results: Compared to the control group, health behaviors were significantly higher after 1 week (F=33.63, p<.001) and 12 weeks (F=23.63, p<.001). The cardiovascular risk score based on Framingham risk score differed significantly depending on the measurement period (F=26.18, p<.001), there was no significant difference in the interaction between the two groups and the measurement period (F=0.72, p=.469). Conclusion: It was confirmed that the Individualized education counseling program provided to patients with Percutaneous coronary intervention was effective in increasing the subject's health behavior, but not in lowering the cardiovascular risk.

• 정신신체의학
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• 제30권1호
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• pp.1-6
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• 2022

최근 학교상담에서 비자살성 자해가 상당히 증가하고 있다. 청소년 상담복지 개발원에 따르면, 전국 230개 청소년 상담복지 센터의 상담 건수를 분석한 결과 2018년 자해 청소년 상담 지원 건수는 전년보다 3배 이상 높았으며, 자해 행동이 처음 나타난 시기는 평균적으로 12.43세였다고 한다. 이처럼 최근 청소년 자해가 계속 증가하고 있으며, 그 연령 또한 점차 낮아지는 추세를 보이고 있다. 그럼에도 불구하고 현재 국내 청소년을 대상으로 자해의 동기와 특징에 관한 연구는 아직 부족한 상황이다. 이는 자해 행동이 은밀하게 이루어지기 때문에 연구를 수행하기 어렵기 때문이라고 볼 수도 있다. 하지만, 이러한 현실이 학생들의 정신건강 문제가 점점 심각해지는 상황에서 이들에 대한 상담적 개입과 예방이 시급하게 요구되는 학교 현장의 또 다른 한계가 있는 것도 사실이다. 또한, 학교장면에서 자해 상담은 상담교사들의 가장 큰 소진 원인이 되고 있는데, 이는 그들이 학교 상황에서 상담자이자 교사라는 이중적인 역할 속에서 반복되는 자해에 대처해야 하는 매우 큰 스트레스를 겪고 있기 때문이다. 이에 본 연구에서는 선행 연구 분석을 통해 비자살성 자해의 원인과 특징을 살펴보고, 학교상담자로서 겪게 되는 여러 가지 어려움과 함께 학교상담에서 비자살성 자해 사안의 효과적인 개입 방법을 함께 고찰해 보고자 한다.

• 가정과삶의질연구
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• 제31권5호
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• pp.47-63
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• 2013

This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.

• Asian Pacific Journal of Cancer Prevention
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• 제14권2호
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• pp.1133-1139
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• 2013

Background: In India, tobacco consumption is responsible for one of the highest rates of oral cancer in the world, the annual oral cancer incidence is steadily increasing among young tobacco users. Studies have documented efforts taken by physicians, doctors and even dentists, in the form of individual or group counseling to curb tobacco use in smoke or smokeless form. However, which one is more effective, still remains an unanswered question. The aim of the study was to compare the effectiveness of individual and group counseling for cessation of the tobacco habit amongst industrial workers in Pune and to compare quit rates. Materials and methods: An interventional study design was selected for 150 industrial workers which were stratified randomly into three groups (control, individual and group counseling groups) and interventions were provided to individual and group counseling groups over a period of six months, which were then compared with the control group that received brief intervention at the start of the study. Results: There was significant difference in the quit rates of the participants in the individual counseling group (ICG) and group counseling group (GCG) when compared at 6 months with the control counseling group (CCG). In the individual counseling group was 6% while in group counseling group it was 7.5% after six months of counseling. Conclusions: No conclusion could be drawn whether individual or group counseling were better interms of quit rates. Individual and group counseling groups were definitely better than the control group when compared at 3 and 6 months, respectively.