• Title/Summary/Keyword: counseling therapy

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A Case Study Evaluating the Effectiveness of an Interdisciplinary Team-Based Integrated Medical Service Model in Improving the Quality of Life of a Fibromyalgia Patient and Caregiver through Psychological and Various Counseling Interventions (섬유근통 환자와 보호자의 삶의 질 증진을 위한 의·한 협진 기반의 통합의료서비스모델 적용평가 사례 연구: 심리 및 매체 상담개입을 중심으로)

  • Moon Joo Cheong;Do-Eun Lee;Myeung Su Lee;Chang Hoon Lee;Jung Han Lee;Won Bae Ha;Hyung Won Kang;Chong Hyuk Chung
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.2
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    • pp.191-203
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    • 2024
  • Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.

The Development of Marital Enhancement Program Based on Reality Therapy (RT를 적용한 부부관계향상 프로그램 개발)

  • Jeon, Young-Ja
    • Korean Journal of Human Ecology
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    • v.14 no.2
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    • pp.241-250
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    • 2005
  • The purpose of this study is to develop a marital enhancement program based on reality therapy. The program consists of 8 session contents: program orientation, need strength profile between husband and wife, quality world and marital life, perception about marital life, comparison between quality world and perceived world, total behavior in marital life, communication between husband and wife, integration and application. This study mainly focuses on applying counseling theory (choice theory and reality therapy) to family life education for enhancing a conjugal relationship. In this way, participants of Marital Enhancement Program can experience a therapeutic effect as well as an educational effect.

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Development of a Solution-Focused Brief Play Therapy and Children's Responses to Its Therapeutic Techniques (해결중심단기놀이치료의 개발과 치료 기법에 대한 아동의 반응)

  • Kim, Tae-Eun;Chung, Moon-Ja
    • Journal of the Korean Home Economics Association
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    • v.49 no.3
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    • pp.39-53
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    • 2011
  • The purpose of this study was to develop a 'Solution-Focused Brief Play Therapy' and analyze children's responses to its various therapeutic techniques. The participants were three boys and three girls, all aged between 11 and 10 years, living in an orphanage on the outskirts of Seoul. Each child received 7-10 therapy sessions, each lasting 90 minutes. All sessions were video-taped and recorded verbatim. These data, along with the observational notes recorded by the researcher, were subjected to a qualitative data analysis(Creswell, 2002). The results showed not only that children set their goals and evaluated themselves objectively but also suggested solutions to meet their goals by doing something meaningful to themselves.

A Case Study of Play Therapy for Aggressive 2 Years Old Boy (2세 남아의 공격적 행동에 대한 놀이치료 사례)

  • Lee, Sook;Roh, Myoung-Hee;Choi, Jung-Mi
    • Korean Journal of Human Ecology
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    • v.1 no.1
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    • pp.1-13
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    • 1998
  • This case study was designed to test the effect of eclectic play therapy with parent's counseling and education programs for aggressive 2 years old boy. It was found that the boy had some important problems about emotion control ability, social problem-solving skill, and basic daily living practices adding to aggressive behavior. After the treatment of 10 sessions which taken once in a week, he showed much improved ability about emotion control, social problem-solving skill and basic daily living practices, and didn't show any more aggressive behavior without proper reason. (Korean J Human Ecology 1(1) : 1∼13, 1998)

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Effectiveness of Nutrition Intervention : Systematic Review & Meta-Analysis (임상영양서비스의 효과성 평가 : 체계적 검토와 메타분석을 통하여)

  • 이해영;김현아;양일선;남정모;박은철
    • Korean Journal of Community Nutrition
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    • v.9 no.1
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    • pp.81-89
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    • 2004
  • A systematic review and meta-analysis of the literatures was conducted to evaluate the effectiveness of nutrition intervention by dietitian. The 31 studies that were all randomized controlled trials, were identified from computerized search of published researches on MEDLINE, Embase database until January, 2003 and review of reference lists. The main search terms were the combination “dietitian”, “dietary intervention”, “nutrition intervention” or “nutritional intervention” and “effectiveness”. The subgroup analysis was performed by the publication year, quality score, type of disease, content of intervention, intervention provider, type of intervention (nutritional counseling and education/nutrilion counseling and education + diet modification), method of intervention (individual/group/individual + group) and follow-up period. Two reviewers independently selected trials for inclusion, assessed the quality and extracted the data. The meta-analysis of 31 studies based on the random effect model showed that the medical nutrition therapy was significantly effective in treating the diseases (effect size 0.1715 : 95% confidence interval 0.0938-0.2491). This study showed the clear evidence of the effectiveness of nutrition intervention through the meta-analysis. So the nutrition intervention by dietitian should be recommended and recognized as the effective therapy of treating the diseases. Also the nutrition intervention should be conducted regularly to maintain the effectiveness of the nutrition intervention. The nutrition intervention was significantly effective in treating the diseases on the random effect model (effect size 0.1715 : 95% confidence interval 0.0938-0.2491).

Analysis on Research of Narrative Therapy in Korea (이야기치료 관련 국내연구의 분석)

  • Lee, Mi-Ryon
    • Journal of Korean Clinical Health Science
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    • v.2 no.3
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    • pp.167-175
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    • 2014
  • Purpose. The purpose of this study was to analyze the trend of the narrative therapy research on 42 studies, the master's and doctor's dissertations in Korea and to propose a direction of the narrative therapy study. Methods. The material used for this study were 42 studies collected from National Digital Library database. The analytic frame of this study is on the year of study, research design, research subjects, key concept, major of researcher and narrative therapy program. Results. Regarding research design, quasi-experimental study was the most used and survey study, program development research in this order. As a research subject, adolescents were the most used and child, aged, in this order. As the key concept, self-esteem was the most used and there were aggression, depression, self-efficacy, etc. As the major of researcher, counseling were the most used and theology, pedagogy, in this order. Conclusions. As a result on the research above, following recommendation can be made. Narrative therapy program should be develop the verify on effect of variables. Narrative therapy study needs to expanded to various subjects. In education field, we should be develop the various methods to apply narrative therapy.

Needs Assessment of Nutrition Programs in Public Health Center by General Characteristics and Body Mass Index of Community Residents (지역사회 주민의 일반적 특성 및 체질량 지수에 따른 보건소 영양사업 요구도 평가)

  • Joung Hyojee;Ahn Byung Chul
    • Korean Journal of Community Nutrition
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    • v.10 no.1
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    • pp.122-131
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    • 2005
  • The purpose of this study was to assess the needs for nutrition programs in the public health centers by general characteristics and body mass index (BMI) of community residents. Information of general characteristics of study participants including age, education, income, marital status, residence, and job, and resident's interest in nutrition programs, the preferred educational methods and the willingness to participate in nutrition programs were collected by an interview. Weight and height were measured and were used to calculate the BMI. The program that resident's were most interested in was 'diet therapy for chronic disease and counseling' ($28.5\%$), followed by 'nutritional management for the elderly' ($21.1\%$), and 'obesity and weight control' ($17.1\%$). 'Education and counseling by nutrition professionals' was the most preferred educational method. Among the programs that the subjects would participate in, if they were offered in public health centers, $65.8\%$ subjects would participate in 'diet therapy for chronic disease and counseling' programs, $64.9\%$ would participate in 'nutritional management for the elderly' programs and $52.2\%$ would participate in 'obesity and weight control' programs. The contents of programs that the subjects were interested in, the preferred methods and their willingness to participate nutrition programs differed significantly by age, income, education, marital status, and body mass index. The results imply that the planning of nutrition interventions in the public health centers must be tailored and targeted group specific by taking the participants general characteristics and body mass index into consideration. This would surely increase the nutrition program's effectiveness

Attempting Tobacco Cessation - An Oral Physician's Perspective

  • Pai, Anuradha;Prasad, Shesha
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.10
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    • pp.4973-4977
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    • 2012
  • Introduction: Tobacco use is a global health care problem. Repetitive exposure to nicotine produces neuroadaptation resulting in nicotine dependence. Smoking is associated with a range of diseases, causing high levels of morbidity and mortality and is one of the leading causes of preventable deaths, with more than 4.6 million smokers worldwide dying each year from smoking related illnesses. Stopping smoking has major health benefits. Quitting at any age provides both short and long term benefits. Materials and methods: 45 patients attending the outpatient department at the Oxford Dental College, Bangalore, were randomly allocated to three groups of interventions namely placebo, counseling and nicotine replacement therapy (NRT). Initially each one was assessed for carbon monoxide levels using a breath analyser (pico smokerlyser bedfont UK). They were followed up for six months and the carbon monoxide levels were again assessed using the same instrument. The paired t test was used to compare the results before and after the intervention. Results: The scores before the initiation of intervention and after treatment were compared and all three interventions were found to be statistically significant after six months. It was noticed that patients with very low or low dependence followed by high dependence had good response in the placebo group (68% and 47.6% respectively), in the counseling group maximum response was seen in the medium followed by the very low group (61% and 59% respectively), and maximum response was seen in very high followed by the very low group with NRT (78.7% and 60.5% respectively). Conclusion: The inference that can be drawn from the present study is that non-invasive, non pharmacological methods like placebo and counseling are effective in low to medium groups, and NRT is effective with higher nicotine dependence.

Needs of Home Care Nursing Services for Hospital Patients (재원환자의 질환군에 따른 가정간호 요구도)

  • Han, Sung-Suk;Kim, Soon-Lae;Lee, So-Young;Kwon, Eun-Ha
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.165-176
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    • 2007
  • Purpose: The purpose of this study was to investigate the needs of home care nursing services in relation to the patients in hospital. Method: Subjects were 129 patients who admitted hospital and were selected through convenience sampling. Data were collected using the Home Health Care Need Assessment Questionnaire constructed by the Korea Health Industry Development Institute. Data were analyzed using SAS 8.12 program by applying percentage. Results: 1. According to the diagnosis of the subjects, the majority had cancer (25.0%), followed by musculoskeletal disease (15,6%), neuro/cerebral vascular disease (14.1%), digestive (10.9%) and respiratory disease (10.9%). 2. With regard to fundamental nursing service, subjects wanted to receive home care services for the following reasons: Problem identification and diagnosis (77.5%), vital sign check (49.6%); and intake and output measure (20.9%). 3. With regard to clinical laboratory tests, 62.8% wanted to receive blood tests, and followed by urine tests 26.4%, and wound drainage 26.4%. 4. With regard to medication and treatment service, 40.3% of the subjects wanted to receive intravenous fluid therapy, 26.4% intravenous antibiotics, and 26.4% the monitoring of fluid therapy. 5. With regard to therapeutic nursing service, 33.3% wanted to receive wound care, 26.4% ROM exercise, and 27.9% foley catheter change and care. 6. With regard to educational needs, 42.6% wanted education on infection monitoring, 41.4% on medication, and 34.9% on diet. 7. With regard to counseling needs, 65.9% wanted to receive telephone counseling about patient condition, 52.7% counseling about re-admission and 51.9% direct counseling about patient condition. In the group of injury and toxicity, and cardiovascular/circulatory diseases, 100% wanted telephone and direct counseling about the patient condition. Conclusion: Therefore, in order to improve the quality of hospital based home health care services, various factors that affect to the need of home health care should be analyzed and specified nursing care should be looked into.

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Development and Effect of Sexuality Education Group Counseling Program for Christian Young Adults (기독청년을 위한 성교육 집단상담 프로그램 개발과 효과)

  • Kim, Jeong Hwa;Kang, Yeon Jeong
    • Journal of Christian Education in Korea
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    • v.64
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    • pp.237-287
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    • 2020
  • This study was developing group counseling program for sexual education for Christian young adults. and its effects were proven. For this purpose, this study of unmarried Christian young adults ranging 30 from the age 20~35 years old who are attending church C and S located in city of C at Kyungnam province. The subject and control group each had 15 people who separately participated in this program once a week for 120 minutes, 12 times in total. The control group did not receive any feedback after the sessions. group counseling program for sexual education was based on Crabb's biblical counseling model and McMinn's cognitive therapy. Using 12 kinds of cognitive therapy techniques. for its effects were verified. used The sexual knowledge scale standardized model of a college student set by Jeon Gyungsook, Lee Hyoyoung, Lee Seonja, The sexual attitude scale standardized model for a college student set by Ho Seonmin, The sexual decision making scale developed by Sun Mikyung. The data analysis consisted of Cronbach's α test, χ2-test, Mann-Whitney U test, Friedman test, a χ nd Wilcoxon signed-rank test. The result of this study is improve the sexual knowledge, show the conservative tendency of sexual attitudes, and prove the increase in the ability to make responsible sexual decisions of Christian young adults. Following up, this study spreads awareness of the true meaning of sexual being as illustrated from the bible and implies a beneficial program within the church that promotes a healthy life and reconciliation between self, neighbors, and God in a life according to the purpose of creation and order.