• 산업진흥연구
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• 제7권3호
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• pp.65-70
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• 2022

본 연구는 분노감정이 주된 정서조절 이슈의 5세 여아에 대한 아동중심놀이치료 이론을 근거로 한 아동상담 사례이다. 아동 분노의 빈도 및 강도로 인하여 유치원 적응 및 어머니의 양육에 어려움이 있었다. 아동상담은 Full Battery 심리검사 실시 후, 2021년 3월 29일부터 2022년 6월 15일까지 14개월 동안 주 1회씩 아동상담 40분 부모상담 10분의 총 47사례회가 진행되었다. 아동은 주도적인 놀이를 통해 상담사례회기 동안 공격성, 통제성, 애정 및 힘의 욕구를 나타냈으며, 상담실에서 안정감을 느끼며 정서조절능력의 향상이 관찰되었다. 아동은 부모에게 자신의 감정과 요구에 대한 언어와 행동적 표현능력의 향상을 나타내었고, 초등학교 입학 후 원만한 학교적응 양상을 보였다. 어머니는 아동양육이 전보다 편안하다고 보고하였다. 본 연구는 아동의 초등학교 입학 한해 전 14개월 동안 정서조절에 대하여 개입 한 상담사례연구의 결과로, 1학년 학기초 동안 적응적 학교생활양식을 확인한 연구로서도 의의가 있다.

• 대한영양사협회학술지
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• 제5권1호
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• pp.64-73
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• 1999

Carbohydrate(CHO) counting is a meal planning approach used with diabetic patients that focuses on carbohydrate as the primary nutrient affecting post-prandial glycemic response. However, it has not been used in meal management of diabetic patients in Korea. CHO counting can be used by clients with type 1 and 2 diabetes. The purpose of the study was to determine the barriers to utilize the CHO counting when three levels of CHO counting were educated to type 2 diabetic patients who started continuous subcutaneous insulin infusion (CSⅡ) therapy by nutrition lectures and counseling. And the CHO-to-insulin ratios were determined for the individual patients who followed the carbohydrate counting as a meal management, and the factors to influence the CHO-to-insulin ratios were selected through the stepwise regression analysis. Twenty- four subjects were received three lectures, and one or two nutritional counseling for a month. The average age of the subjects was 50.7 years, and the duration of diabetes was 9.4 years. Their body mass index (BMI) was 21.5 kg/$m^2$. The difficulties of using CHO counting were 1) confusing the CHO exchange system to diabetic food exchange system, 2) lack of basic nutrition and not distinguishing nutrients such as CHO, fat and calorie, and 3) lack of motivation to make effort to count and record the amount of carbohydrates eaten. Nutritional counseling replenished the nutrition education and made patients practice CHO counting. Average CHO-to-insulin ratios at breakfast, lunch and dinner were 4.1$\pm$3.3, 2.9$\pm$2.6 and 2.9$\pm$3.0units/23g of CHO, respectively. CHO-to-insulin ratios were influenced by gender, age, BMI, post-prandial blood glucose levels and post-prandial c-peptide levels. The effective education and nutritional counseling of CHO counting can make CHO counting applicable to type 2 diabetic patients as meal management for improving glycemic control with less hypoglycemic episode.

• 가정과삶의질연구
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• 제24권5호
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• pp.113-128
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• 2006

This study was to verify the effectiveness of the Life Review-Narrative group therapy program on decreasing depression and death anxiety in the elderly. The program was organized according to a course of life from childhood to old age. The objectives were for the elderly to enhance self-worth, to become aware of their solitary existence, to accept aging and death, to accept the life: both past and present, and to make the most of experiences in overcoming difficulties. For the most part, the program used reminiscence and re-authoring of the narrative therapy as counseling techniques. Thirty-two elderly people(16 in the experimental group, 16 in the control group) aged 60 years and over were randomly selected from patients at the Daegu Metropolitan City General Welfare Center. Two groups were identified as equivalents for the study in the pre-test. The program for the experimental group was implemented twice a week for 90 minutes per session over a 6-week period(Sep. 8-Oct.14. 2005). The pre-test(Sep. 8 2005), the post-test(Oct. 14. 2005) and the follow-up test(Nov. 14. 2005) were implemented in order to verify the effectiveness of the programs. The instruments used in the study were the Geriatric Depression Scale Short Form(Korean Version) and the Death Anxiety Scale. The data were analyzed using t-testing and One-Factor Repeated Measures ANOVA. This study supplemented other qualitative research methods in order to verify the variation in the depression and death anxiety in the elderly. The findings of the study were as follows: Significant decrease in the depression and death anxiety were reported in the experimental group. The control group however did not show any significant changes in the depression and death anxiety rates. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy program has lasted effects on decreasing of the death anxiety. Nevertheless, the effects of the life review-narrative group therapy program on decreasing depression are not lasting. The study has limitations so further research is suggested.

• Journal of Nutrition and Health
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• 제34권1호
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• pp.69-78
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• 2001

The purpose of this study was to investigate the effect of nutritional education on the knowledge and the practice & Perception of diet therapy, and on the level of FBG and HBAlc. The subjects were selected among the patients treated in the Inha University Hospital from June of 1996 until April of 1998. Educated group consisted of 20 patients who visited the diet-counseling department as a part of diabetic treatment. Non-educated group consisted of 20 patients who visited the diet-counseling department ignoring doctors prescription purpose. The knowledge and the practice & perception of diet therapy drinking & smoking habits, regular exercise, and general characteristics including family history were analyzed by questionnaires. FBG and HbAlc were measured before and 4 months after the treatment. The results were as follows : Both groups were composed of 12(60%) male and 8(40%) female respectively. The mean age of subjects was 51.4 years in educated group and 51.9 tears in non-educated group. The duration and %IBW were 5.9 years and 109.8 % in educated group and 5.5 years and 111% non-educated group respectively. There were no significant differences in drinking & smoking habits and regular exercise between groups. The diet therapy knowledge score was significantly higher in educated group(p<0.001, 5.8$\pm$2.3/10.0 vs 3.4$\pm$2.0/10.0). The diet therapy practice & perception score was also significantly higher in educated group(p<0.001, 5.6$\pm$2.3/10.0 vs 2.8$\pm$2.2/10.0). Levels of FBG and HbAlc in both group were reduced at 4 month after the treatment(-74.2 mg/dl and -1.4% in educated group vs -58.7 mg/dl and -2.0% in non-educated group). However, the reduced amounts of them were not significantly different. Therefore, nutritional education seems to be very important in improving the knowledge and the practice & perception of the diet therapy. However, it appears no direct influence in reducing FBG and HbAlc levels. Further studies on diabetic management by using more efficient, consecutive and intensive nutritional education methods are needed. (Korean J Nutrition 34(1):69-78, 2001)

• 융합정보논문지
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• 제8권5호
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• pp.189-197
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• 2018

본 연구는 인형치료 프로그램이 상담사의 심리적 소진과 자아탄력성에 미치는 효과성을 검증함으로써 인형치료의 활용가능성을 융복합적인 측면에서 살펴보고자 하였다. 이를 위해 인형치료 집단프로그램을 근거로 경기지역 2개 지역의 일반상담센터 이용자 11명을 대상으로 상담자의 심리적 소진, 자아탄력성의 변화를 독립표본 t검증과 대응표본 t-검증을 통해 살펴보았다. 그 결과 심리적 소진의 평균값에서 약간 차이가 있었으며, 자아탄력성은 평균값이 상승하였다. 또한 자아탄력성의 하위요인인 자신감과 대인관계 효율성의 평균값이 상승하고 통계적으로 유의하게 나타났다. 이를 바탕으로 상담사의 자아탄력성을 향상시키기 위해 다양한 인형치료 프로그램 개발의 기초자료로 적용될 것이다.

• 대한가정학회지
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• 제44권5호
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• pp.157-169
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• 2006

The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.

• 한국생활과학회지
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• 제18권1호
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• pp.41-53
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• 2009

The purposes of this study are to search for counselor's change process and factors in Theraplay, and to explore how they are changed into experts. This study used a method of qualitative study to reveal a concrete context of child counseling. The results are as follows. Therapist or counselor subjects realized that therapy(counseling) was not focusing on activities, but on meanings. In the beginning, therapist subjects acted according to the situation rather than according to the child's reactions and their own strategy. It was expressed into long and boring explanations, trials to flatter a child. Therapist subjects were often depressed because of their incompetence, they even did overpraise for the undistinguished behavior of children, but gradually they have changed into expert therapists through ceaseless interaction with Theraplay community, reflection, trial and practice.

• 동의신경정신과학회지
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• 제16권1호
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• pp.201-209
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• 2005

The purpose of this study was to investigate the clinical application of oriental medical therapy(OMT) and Myers-Briggs Type Indicator(MBTI) to Bipolar disorder. We treated the patient with OMT and Counseling. Counseling with the MBTI helped the patient to solve the life stress induced by the spouse conflict. Following the treatment, the patient's symptoms(somatic & mental) were improved. The applicability of Counseling with the MBTI has positive effects on the patient with Bipolar disorder.

• 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.

• 대한지역사회영양학회지
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• 제18권4호
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• pp.402-412
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• 2013

The purpose of this study was to evaluate the effectiveness of nutrition education and counseling on the salty taste assessment, nutrition knowledge and dietary attitude of 21 hemodialysis patients. Five times of the nutrition education and three times of nutrition counseling were performed for a period of 5 months. Biochemical analysis revealed that creatinine was significantly high (p < 0.001), blood urea nitrogen and serum albumin were significantly low (p < 0.05, p < 0.01) and Na, K, Cl, K, P and uric acid were not significantly different. The distribution rate of unsalty taste preference were significantly high and the distribution rate of salty taste preference were significantly low after nutrition education and counseling (p < 0.001). Nutrition knowledge significantly improved following 5th month of education and counseling (p < 0.01). Particularly, the scores for questions related to sodium were improved. The dietary attitude was significantly improved during the counseling period (p < 0.05). There were improvements in responses to 'use food exchange list on diet' and 'habitually add salt or soy sauce before the meal'. According to these results, salty taste assessment, nutrition knowledge and dietary attitude were significantly improved by the hemodialysis diet therapy practices of hemodialysis patients. Therefore, we conclude that there was a need for low-salt diet education and nutrition counseling to help them recognize the taste of low-salt foods and strive towards a preference for less salty tasting foods and the consumption of a low-salt diet.