• Tuberculosis and Respiratory Diseases
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• 제82권1호
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• pp.1-5
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• 2019

Quitting smoking helps smokers maintain their health and extend their lifespan by 10 or more years. Treatment strategies for smoking cessation should be tailored to individual smokers with special needs based on their specific circumstances. It is recommended that pregnant women adopt smoking cessation through counseling and behavioral interventions because the safety of medications has yet to be established. Counseling is the main strategy for smoking cessation in adolescents and nicotine replacement therapy can be used with caution in individuals with serious nicotine dependence. It is important for smokers with psychiatric diseases to quit smoking following accurate assessment of their depression status. Nicotine replacement therapy, varenicline, and bupropion can be used for smoking cessation in smokers with psychiatric disorders. The incidence of cardiovascular disease decreased according to the smoking status and the duration of smoking cessation. In smokers with chronic obstructive pulmonary disease (COPD) who used a combination of counseling and pharmacotherapy the quitting rate was more than twice as high as subjects who used behavioral interventions alone. Varenicline can be used as the most effective anti-smoking drug by most smokers including those with psychiatric disorders, cardiovascular disease, and COPD.

• 산업진흥연구
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• 제7권2호
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• pp.51-58
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• 2022

본 연구는 프로이트의 정신분석에 기반을 두고 이를 적용한 정신분석상담을 실제를 다루고자 한다. 특히 상담과정과 상담기법에 대하여 연구하고자 한다. 연구결과는 다음과 같다. 상담과정은 내담자를 선정하고 상담상황을 구성하면, 다음과 같이 시작, 전이발달, 훈습, 전이해결의 4단계를 거친다. 시작단계에서는 내담자의 중요한 과거 역사에 대하여 청취한다. 전이발달 단계에서는 전이가 나타나는 시기부터이다. 훈습단계는 내담자가 통찰한 것을 실제 생활로 옮겨서 변화를 일으키는 단계이다. 전이해결 단계는 전이분석과 해석이 종결되는 시기다. 상담기법은 자유연상, 공감, 저항, 전이와 역전이, 해석 등이 있다. 자유연상(free association)은 정신분석적 치료의 핵심 기법이고, 분석적 틀을 유지하는 과정에서 중요한 역할을 한다. 공감은 치료자 자신을 내담자와 동일시하고 치료자의 공감적인 경험을 내담자에게 전달하는 능력은 그 자체로 변화의 핵심적인 기제이다. 저항이란 내담자가 상담에 협조하지 않는 모든 행위를 말한다. 전이와 역전이는 정신분석의 주요한 기법이다. 왜냐하면 정신분석자는 치료과정에서 내담자로 하여금 전이를 유도하고 전이를 해결하는 작업을 수행하기 때문이다. 해석이란 내담자의 사고나 감정, 행동의 이면에 감추어진 욕구나 의미, 동기 등을 파악해서 이런 것을 내담자가 깨닫도록 하기 위해 언어적으로 대응하는 기법을 말한다. 결론적으로 정신분석상담의 상담과정은 내담자를 선정하고 상담상황을 구성하여 효과적인 상담을 시행하고자 함을 말한다. 또한 상담기법에서 정신분석의 원리는 사례의 성질에 따라 다양하게 변하는 치료절차에 적용되며, 동일한 내담자를 치료하는 동안에도 가변적으로 적용될 수 있다.

• 대한영양사협회학술지
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• 제7권2호
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• pp.138-143
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• 2001

Microalbuminuria is a strong predictor of diabetic nephropathy and is also associated with increased mortality in people with non-insulin-dependent diabetes mellitus(NIDDM) patients. Improved glycemic control and dietary protein restriction are recommended to retard and avoid developing microalbuminuria. The purpose of this study was to measure the dietary counseling effects for diabetes mellitus patients with microalbuminuria. To investigate the effects of the dietary counseling effect, thirty NIDDM patients with microalbuminuria were selected from outpatient diabetic clinic of Seoul National University Hospital for this study. None of them had evidence of renal and heart complications. For 24 weeks, they received individualized dietary counseling 3 times. The results of this study can be summarized as follows 1) Dietary protein and calorie intake decreased significantly from 79.8$\pm$29.9g/d to 66.6$\pm$16.5g/d, from 1845.4$\pm$631.9kcal to 1515.7$\pm$392.7kcal after dietary counseling, respectively (p<0.05). 2)The glycosylate hemoglobin level showed significantly decreased after dietary counseling(p<0.05). However there were no change in lipid profiles and blood pressure after counseling. 3) There was a significant correlation between the duration of disease and the amount of microalbuminuria. Any other cardiovascular risk factors, such as duration of diabetes, total cholesterol level and systolic blood pressure were not correlated with microalbuminuria. These results shown that dietary counseling can be used as an effective therapy to control blood sugar levels for NIDDM patients who are poorly controlled with microalbuminuria.

• 문화기술의 융합
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• 제9권3호
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• pp.347-358
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• 2023

본 연구는 2000년대 이후 전 세계적으로 개인 한 명의 내담자를 두고 상담과 코칭의 융합적 적용에 대한 중요성이 학계와 임상을 중심으로 급속히 진전됨에 따라 가족치료와 가족코칭의 융합적 접근을 시도해 보았다. 이를 위해 국내·외 선행 문헌 연구를 바탕으로 가족치료의 주요 이론 가운데 코칭과 접목하여 임상 만족도와 효과성을 높일 수 있는 코칭 기술을 제시하였다. 또한 가족치료가 가족코칭과 융합적 적용이 가능한지, 가족치료의 주요 이론들이 임상현장에서 코칭과 접목하여 활용될 때 어떤 유익이 있는지를 살펴보았다. 이를 위해 이중구속과 의사소통 코칭, 가짜 친밀성과 진실한 라포, 부부 균열과 갈등 중재, 분화와 객관적 관조를 비교·분석해 보았다. 본 연구를 기반으로 가족 치료뿐만 아니라 상담 및 심리치료 현장에서 코칭과의 융합적 접근을 시도함으로써 새로운 임상 치료모델과 가족코칭의 학문적 정립을 구축해 나가는 데 기여하기를 바란다.

• 대한영양사협회학술지
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• 제18권1호
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• pp.59-71
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• 2012

The purpose of this study was to evaluate the patient perception of clinical nutrition service. The research was performed by using questionnaires and conducted from February 14 to March 15 at 42 hospitals (over 400 beds). 41.7% of patients experienced nutritional education and counseling. The mean score of the patients' perception on clinical nutritional service was 4.62/5.00 for "nutrition care is important for treatment of the disease", 4.49/5.00 for "diet therapy is necessary for treatment of the disease", 4.16/5.00 for "nutritional counseling call-centers are necessary", 4.13/5.00 for "nutritional consultation fee is required to apply insurance benefits", 4.12/5.00 for "one-to-one nutrition system is necessary", and 3.56/5.00 for "nutrition services I am willing to pay". The patients who had no past experience in nutritional education and counseling showed significantly higher scores for "nutrition care is important for treatment of the disease", "one-to-one nutritional care system is necessary", and "nutritional counseling call-centers are necessary" (P<0.05). The mean scores for the importance (4.26/5.00) and performance (3.88/5.00) of nutrition counseling service were significantly different (P<0.01). "Nutritional counseling is available whenever I want" had the highest gap score between performance and importance among nutrition counseling service items. The importance and performance grid showed that highly important items had high performance (doing great area) and less important items have low performance (low priority).

• 대한후두음성언어의학회지
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• 제33권3호
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• pp.130-141
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• 2022

Voice and speech therapy can be performed in various ways depending on the situation, although it is generally performed in a face-to-face manner. Telepractice refers to the provision of specialized voice and speech therapy by speech-language pathologists for assessment, therapy, and counseling by applying telecommunication technology from a remote location. Recently, due to the pandemic situation and the active use of non-face-to-face platforms, interest in telepractice of voice and speech therapy has increased. Moreover, a growing body of literature has been advocating its clinical usefulness and non-inferiority to traditional face-to-face intervention. In this review, the existing discussions, guidelines, and preliminary studies on non-face-toface voice and speech therapy were summarized, and recommendations on the tools for telepractice were provided.

• 산업진흥연구
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• 제5권4호
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• pp.55-61
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• 2020

본 연구는 학교폭력을 해결하기 위한 학교폭력상담을 실시하는 데 있어서, 올바른 또래관계의 형성을 통해 학교폭력을 해결하기 위한 학교폭력상담의 활용 방안을 연구하였다. 본 연구를 통해서, 학교폭력상담에서 또래관계는 학교폭력을 예방하는 데 중요한 요소임을 알 수 있다. 연구결과는 다음과 같다. 첫째, 학교폭력상담은 우선적으로 피해자를 보호하고 치유해야 한다. 학교폭력상담의 1차적인 목표는 피해자에 대한 배려에서 시작되어 피해자의 올바른 또래관계 형성이 계속되는 데 두어야 한다. 그만큼 또래관계는 중요하다. 둘째, 학교폭력상담 피해자뿐만 아니라, 가해자도 내담자 대상에 포함되어야 한다. 즉, 상담개입 시에 통상적으로 피해자에게만 집중되는 일이 많을 수 있다. 따라서 학교폭력 후에도 또래관계는 계속 지속될 수 있으므로 피해자뿐만 아니라, 가해자에 대해서도 맞춤형 상담이 필요하다. 셋째, 학교폭력상담은 또래관계의 회복과 삶에 대한 통찰이 중요하다. 따라서 징계나 훈계 위주의 통제적 관점이 아닌, 자기성찰을 통한 반성과 당사자들 간의 관계회복에 중점을 두어야 한다. 넷째, 학교폭력에서 또래관계의 중요성을 인식하고, '또래상담 프로그램'을 활성화해야 한다. 따라서, 학교폭력상담자는 그 역할에 있어서, 정서적 조력자, 문제해결자, 공감배려 문화촉진자로서의 활동을 할 수 있도록 현장 요구를 반영하여 프로그램을 최적화시켜야 한다. 결론적으로 학교폭력상담은 기본적으로 또래관계에서 개입되어야 한다. 학교폭력상담은 학교폭력을 근절하기 위해 올바른 또래관계의 형성에 초점을 맞추어 프로그램을 개발하고, 실행하여야 한다.

• 초등상담연구
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• 제6권1호
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• pp.247-268
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• 2007

This thesis aims to examine the influences of self-regulatory group counseling on self-regulation and school life satisfaction of the higher grade students in Elementary school. To achieve this aim, the following research questions were posed: First, What kind of influence does the self-regulatory group counseling have on the self- regulation of the higher grade students in Elementary school. Second, What kind of influence does the self-regulatory group counseling have on school life satisfaction scale of the higher grade students in Elementary school. In order to verify these research questions, the self-regulation test and school life satisfaction scale were conducted to both the experimental group and control group in pre-test, next, self-regulatory group counseling was practiced to the experimental group. And finally, a post-test was given to both the experimental group and control group. For this study, 200 students from 6th-grader of S Elementary school located in Incheon were given the self-regulation test and chosen 50 students who received low marks. Then, 50 students were researched into the school life satisfaction scale and chosen 16 students who got average-below score again. It was two matching groups through consideration of their score of the school life satisfaction scale, 8 students were arranged to the experimental group and the rest to the control group. The Self-Regulatory Group Counseling program developed by Eun Hyuck-gi(1999). The program was based on the following three programs: "The development. of the Cognitive-Behavioral Counseling therapy and their reports" by Kim HyeSuk(1996), Group counseling" by Brigman and Early(1991) and the study on the improving program in human relation" by Park KyeongAe(1998). The Self-Regulatory Group Counseling program activity was conducted during 6 weeks. Each session was 60 minutes and it continued for 8 sessions. The data collected to find out a difference in self-regulation and the degree of school life satisfaction between the experimental and control groups were processed by means of SPSSWIN program, and the post-test between both the groups were comparatively analyzed through t-test, a mean difference test. The following conclusions were drawn from the results of this study. First, the self-regulatory group counseling program has obvious effect of improving the self-regulation of the higher grade students in Elementary school. Second, the self-regulatory group counseling program has obvious effect of improving the school life satisfaction of the higher grade students in Elementary school. Particularly, this study shows statistical significance in cognitive facts of the self-regulation and the degrees of satisfaction with general school life, teacher, friend and facilities. Since the self-regulatory group counseling program has positive effects on self-regulation and satisfaction with their school life, It is required to utilize the structured self-regulatory group counseling program in school more widely to help students.

• 동의신경정신과학회지
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• 제18권2호
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• pp.143-151
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• 2007

This study report the good reslut for chronic Idiopathic thrombocytopenic purpura(ITP) patient with Herbal medication treatment and Counseling therapy. The case was a 56 years old female who worried about small matters too much. This patient treated in western medicine, However, didn't see any improvement. So, the patient admitted in our hospital. We diagnosied this patient as 'The Defiency of the Spleen energy', caused by too much thinking and concern. Herbal medication(Nokyonggunbitang)and psychotherapy applied to this patient for hospitalized 22 days. The result showed that blood platelet increased at discharged moment(37,000 / ${\mu}{\ell}$) compared with the admission time(19,000 / ${\mu}{\ell}$). The present result indicated that Herbal medication treatment and psychotherapy may play a role elevate and maintain the number of blood platelet.

• 디지털콘텐츠학회 논문지
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• 제18권3호
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• pp.443-455
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• 2017

본 연구는 청소년 우울증 측정 및 관리를 위한 스마트폰 어플리케이션 콘텐츠 개발(박정선 외, 2016) 연구의 후속 연구로, 인지행동치료이론에 기반하여 스마트폰 어플리케이션을 설계하고 구현했다. 이 앱은 우울증에 대한 분석과 간편하고 연속적인 자기점검을 가능하게 하며, 이를 통해 우울의 단발적 분석 및 진단이 위주였던 이전 앱과 달리 심리 상태의 지속적 관리가 가능하도록 하였다. 더불어 실질적인 상담 서비스가 연계되도록 하였다. 이러한 목표를 달성하기 위해 청소년 우울증에 대한 선행연구 뿐만 아니라, 우울증 관련 모바일 어플리케이션을 조사하였다.