• 제목/요약/키워드: distressed

검색결과 89건 처리시간 0.021초

국내 수의과대학생의 스트레스 경험 연구 (A study on stress experiences of Korean veterinary students)

  • 김재은;주설아;천명선;이동혁;남상섭
    • 대한수의학회지
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    • 제60권2호
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    • pp.69-77
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    • 2020
  • The quality of a veterinary service depends on the veterinarian's physical and mental health. However, a veterinarian's mental health is generally considered to be more vulnerable than that of other health care professionals. As many veterinary students will enter the veterinary profession in near future, it is necessary to investigate their psychological status. This study examined stressors affecting student life in one veterinary school. Anxiety, depression, and stress levels were assessed using questionnaires and qualitative research techniques. The results obtained from questionnaires showed that the proportion of veterinary students with psychological distress was higher than expected. The major stressors experienced by the veterinary students were academic, economic, and environmental. Qualitative study using a photovoice method revealed that the students in this study felt relatively deprived compared with those in other veterinary schools. In addition, they were distressed by the school environment and limited human relationship. Our results suggest that veterinary school administrators should be aware of students' psychological distress and should undertake systematic improvement in their educational system by altering counseling programs, curricula, and school culture principles.

조난자의 구조를 위한 구명조끼 장착 다중대역 안테나 설계 (Design of Life-jacket Integrated Multiband Antenna for Rescuing Distressed People)

  • 박용진;양규식;정성훈;박동국
    • 한국항해항만학회지
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    • 제39권6호
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    • pp.473-478
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    • 2015
  • 본 논문에서는 어선원 및 일반인들이 해상에서 조난을 당하였을 경우 구조를 위해 조난신호 및 위치정보를 송신할 수 있으면서, 팽창식 구명조끼에 장착이 가능한 유연한 다중대역 안테나를 제안한다. 이 안테나는 VHF-DSC 대역(156MHz), COSPAS-SARSAT 대역(406MHz) 및 GPS대역(1,575MHz) 에서 동작하는 3중대역 안테나이다. GPS대역은 사각형 슬롯 링(square slot-ring) 형태의 평판 구조로 구현하였고, COSPAS-SARSAT 대역과 VHF-DSC 대역은 모노폴 구조로 구현을 하였다. 또한 기판은 구명조끼 장착을 위한 유연성 확보를 위해 0.2mm 두께를 가지는 FR4-epoxy 기판을 사용하였다. 제작된 안테나는 최종적으로 사람이 구명조끼를 장착한 상태에서 VHF-DSC, COSPAS-SARSAT, GPS 대역에서 각각 -8.8dB, -20.4dB, -10.7dB의 반사손실 특성을 나타내었다.

노인의 음식물 섭취와 주관적 행복감: 포커스그룹 면담 (An Integrative Study on The Subjective Happiness by Eating Foods in The Elderly: Focus Group Interview)

  • 강경희;김광환
    • 한국산학기술학회논문지
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    • 제20권8호
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    • pp.75-82
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    • 2019
  • 본 연구는 노인의 치아상태와 음식물 섭취가 주관적 행복감에 미치는 영향을 분석하기 위한 포커스그룹 면담을 적용한 질적 내용분석연구이다. 연구대상자는 D시의 종합사회복지관을 방문한 65세 이상 노인 중 연구 참여에 동의한 10명을 대상으로 수행하였으며, 5명을 한 그룹으로 하여 그룹 당 약 40분의 면담을 진행하였다. 본 연구결과 '치아상태', '구강건강관리방법', '구강 내 불편감', '음식물 섭취', '음식물 섭취와 주관적 행복감'의 5개의 주제가 도출되었으며, 핵심 주제로는 노인의 음식물섭취와 주관적 행복감에 대한 핵심주제는 첫째 '치아상태'로 틀니, 보철, 임플란트, 건전치아를 제외한 구강 내 결손치아는 1개에서 4개로 식사를 하거나 발음, 생활하는데 활용하는 치아는 24개 - 28개로 대답하였다. 본 연구에 참여한 노인 연구대상자들은 좋아하는 음식을 보고도 먹지 못하는 경우 속상하고 짜증나며, 본인이 나이가 들었다는 생각을 하게 된다고 대답하였으며 심지어 그만 살고 싶을 것 같다고도 대답하였다. 본 연구결과를 토대로 추후 노인의 연령, 성별, 소득수준, 교육수준, 건강상태 등에 따른 맞춤형 구강건강관리 프로그램개발 및 전문가양성을 해나가야 할 것으로 사료된다.

Foreign Body Removal in Children Using Foley Catheter or Magnet Tube from Gastrointestinal Tract

  • Choe, Jae Young;Choe, Byung-Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제22권2호
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    • pp.132-141
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    • 2019
  • Foreign body (FB) ingestion of children is a common pediatric emergency requiring medical attention. Pediatric emergency physicians and gastroenterologists often encounter nervous and distressed situations, because of children presenting with this condition in the common clinical practice. When determining the appropriate timing and indications for intervention, physicians should consider multiple patient- and FB-related factors. The utilization of a flexible endoscopy is considered safe and effective to use in these cases, with a high success rate, for the effective extraction of FBs from the gastrointestinal tract of a child. Additionally, a Foley catheter and a magnet-attached Levin tube have been used for decades in the case of FB removal. Although their use has decreased significantly in recent times, these instruments continue to be used for several indications. Using a Foley catheter for this purpose does not require special training and does not necessarily require sedation of the patient or fluoroscopy, which serve as advantages of utilizing this method for foreign object retrieval. An ingested magnet or iron-containing FB can be retrieved using a magnet-attached tube, and can be effective to retrieve an object from any section of the upper gastrointestinal tract that can be reached. Simple and inexpensive devices such as Foley catheters and magnetattached tubes can be used in emergencies such as with the esophageal impaction of disk batteries if endoscopy cannot be performed immediately (e.g., in rural areas and/or in patients presenting at midnight in a facility, especially in those without access to endoscopes or emergency services, or in any situation that warrants urgent removal of a foreign object).

관경서분변상도(觀經序分變相圖)의 연구(硏究) (A Study on the Buddhist Paintings of the Legend of Ajātasatru)

  • 유마리
    • 헤리티지:역사와 과학
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    • 제33권
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    • pp.182-208
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    • 2000
  • Kwan-gyongdo is a pictorial presentation of a $s{\bar{u}}tra$ that teaches the Buddhist way for a person to be reincarnated in the paradise of $Amit{\bar{a}}bha$ Buddha. It consists of a preface (Kwan-gyong sobun pyonsangdo) and 16 scenes of $S{\bar{a}}kyamuni$ preaching. The preface, a painting illustrating the motivation behind the production of tile kwan-gyongdo, illustrates the "Legend of King $Aj{\bar{a}}tasatru$", a tragic story in which the prince of India's Magadha kingdom murders his father, the king, to usurp the throne. The 16 subsequent scenes show $S{\bar{a}}kyamuni$ teaching the distressed queen how a person can be reborn in paradise through meditation and praying. In the kwan-gyongdo in the Mogao Cave No. 17 in Dunhuang, China, painted during the Tang dynasty (618-907), the preface and the 16 scenes are presented in one painting, whereas they are presented in two paintings in those painted in Korea during the Koryo period (918-1392). The difference is attributed to the stylistic disparity of the two periods. Despite the temporal gap between the Koryo paintings and the Mogao Cave paintings, a comparison of the two can show the characteristic development of kwan-gyongdo. Kwan-gyongdo of the Koryo period do not have the "enmity created in the previous life" scene featuring a heavenly figure and a hare, a result that shows the influence of the Tang school that deleted the scene. The scene of $S{\bar{a}}kyamuni$ preaching on the Mountain of Spirit is included in kwan-gyongdo of both the Koryo period and the Mogao Cave, but the scene of $S{\bar{a}}kyamuni$ emerging from the earth to the Magadha palace is not included in Koryo kwan-gyongdo. Kwan-gyongdo of Koryo are generally a simpler but more faithful rendering of the $s{\bar{u}}tra$.

Impact of Coping and Communication Skills Program on Physician Burnout, Quality of Life, and Emotional Flooding

  • Penberthy, Jennifer K.;Chhabra, Dinesh;Ducar, Dallas M.;Avitabile, Nina;Lynch, Morgan;Khanna, Surbhi;Xu, Yiqin;Ait-Daoud, Nassima;Schorling, John
    • Safety and Health at Work
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    • 제9권4호
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    • pp.381-387
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    • 2018
  • Background: Physician behaviors that undermine a culture of safety have gained increasing attention as health-care organizations strive to create a culture of safety and reduce medical errors. We developed, implemented, and assessed a course to teach physicians skills regarding effective coping and interpersonal communication skills and present our results regarding outcomes. Methods: We examined a professional development program specifically designed to address unprofessional or distressed behaviors of physicians, and we evaluated the impact on burnout, quality of life, and emotional flooding scores of the physicians. Assessments of burnout, quality of life, and emotional flooding were assessed preintervention and postintervention. Results: Results demonstrated statistically significant reductions over time in physicians' emotional flooding and emotional exhaustion (EE). Specifically, using a Wilcoxon Signed-Rank test, results revealed that flooding scores at follow-up were statistically significantly lower than at baseline, V = 590, p < 0.05, and EE and personal accomplishment distributions were found to significantly deviate from normal as indicated by Shapiroe-Wilks tests (p < 0.05). A Wilcoxon signed-rank test indicated that EE scores were significantly higher at baseline compared to follow-up 1, V = 285, p < 0.05. Conclusion: We conclude that the physician participants who enrolled in the educational skills training program improved scores on emotional flooding and EE and that this may be indicative of improved skills related to their experiences and learning in the program. These improved skills in physicians may have a positive impact on the overall culture of safety in the health system setting.

한국어판 부부 만족도 측정도구 및 단축형의 타당도와 신뢰도 (Validity and Reliability of the Korean Version of the Couple Satisfaction Index)

  • 김석선;길민지;김다은;김선해;허다연;문난영
    • 대한간호학회지
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    • 제52권2호
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    • pp.228-243
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    • 2022
  • Purpose: The study aimed to translate the Couple Satisfaction Index (CSI 32) into Korean, to evaluate the reliability and validity of CSI 32 and short-form (CSI 16, 4) in the Korean context, and to determine a cut-off score for Korean couples. Methods: Korean Versions of the Couple Satisfaction Index (K-CSI) 32 was translated, back-translated, and reviewed by five bilingual experts. Confirmatory factor analysis (CFA) was conducted with data from a sample of 218 couples (N = 436) to test construct validity. Validity and reliability were evaluated. The receiver's operating characteristics curve analysis was used to obtain the cut-off score. Results: The construct validities of K-CSI 32, 16, and 4 were verified using one-factor structures. The results of CFA showed a slightly better fit for K-CSI 16 and 4 than for K-CSI 32. Convergent validity was supported by significant positive correlations of K-CSI with Kansas Marital Satisfaction Scale, Dyadic Adjustment Scale, and Family Relationship Assessment Scale. Moreover, the significant differences in K-CSI between normal and depressive group demonstrated known-group validity. Cut-off scores of 105.5 on K-CSI 32, 50.25 on K-CSI 16, and 13.25 on K-CSI 4 were validated to identify distressed couple relationships. Conclusion: For clinical practice, the reliable and valid K-CSI 32 has the potential to measure changes in couple satisfaction after couple therapy or interventions. Applying K-CSI 32 may facilitate research on couple and family relationships in nursing and contribute to the discussion on the role of couple satisfaction in mental health.

비소세포폐암 환자에서 발생한 지속성 딸꾹질 1예 (A Case of Persistent Hiccup in a Patient with Non-small Cell Lung Cancer)

  • 박혜성;심윤수;임소연;조정연;권성신;노선희;김유리;천은미;이진화;류연주;송동은;문진욱
    • Tuberculosis and Respiratory Diseases
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    • 제64권1호
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    • pp.39-43
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    • 2008
  • 저자 등은 종격동 림프절 비대를 동반한 비소세포폐암환자에서 발생한 지속성 딸꾹질을 경험하였기에 이에 대한 임상적 특성과 치료에 관한 문헌 고찰과 함께 보고하는 바이다.

뇌졸중환자의 희망 (The Hope of the Stroke Patients)

  • 김이순
    • 대한간호학회지
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    • 제27권1호
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    • pp.212-227
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    • 1997
  • Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increased rapidly. It marked the 2nd cause of specific death rates in 1993. The stroke causes physical function disorder due to hemiparalysis and emotional disorder, and stroke patients experience helplessness, powerlessness. sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The subjects of the study were seven citizens who live in Pusan, are over 50 years old and belong to low income-level. The data were collected from Jan. to Sep. 1995. The researcher as a caregiver and volunteer made confidence of them and asked for their agreement on the purpose of the study. The subjects expressed their experience as openheartedly as possible. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi, which is as follows ; as an unit of description which include the subject' expressions and the researcher's observation, it is examined the theme that express the hope experience with the subject's language(underlining), and the focal meanings are identified. The focal meaning is the crystalization of the theme, which is written in the language of the researcher. After intergrating the focal meaning and make the situated structural description as the meaning of the hope experience identified on each subject's point. After intergrating the situated structural description and make the general structural description as the meaning of the hope experience identified on total subject's point then the systemizing of the structure of the hope experienced phenomena and the flowing of the conciousness was researched. The conclusions of this study was as follows : The ten sources of hope which the subjects experienced were sorted as under 〈mutual relations to others : spouse, children, relatives, fellow believer. health professioner. associate patient group〉, 〈spiritual dependence〉. 〈recovery of physical function〉. 〈rumination of the past life〉, 〈expectation of the future〉. 〈economic power〉, 〈belief〉, 〈ability〉. 〈spontaneous participation〉 and 〈recovery of roles〉. Their hope was spoken out by the following two kinds of linguistics. First. the hope was expressed in the affirmative expression as follows : 〈 to be dependable〉, 〈to make efforts〉, 〈to keep under control〉, 〈to desire〉, 〈to be pleasant〉, 〈to be peaceful〉, 〈to be grateful〉, 〈to give help〉, 〈self-confidence. Courage〉, 〈to be happy〉, 〈to satisfy oneself〉, 〈to share with others〉, 〈to understand〉 and 〈to be affected, be impressed〉 Second, the hope was expressed in the negative on pression as under : 〈to be distressed〉, 〈to be uneasy〉, 〈to be sorry, be unsatisfied〉 〈despair〉, 〈to abandon〉, 〈to be fearful〉, 〈to suffer〉, 〈to bear a burden〉 〈to be confused〉, 〈to be solitary〉, 〈chest trouble〉, 〈to feel heavy〉 〈grief〉, 〈to be daunted〉, 〈to get angry〉, 〈to be uncomfortable〉, 〈to have something regretable〉 and 〈to feel guilty〉. And their hope was expressed by the following four behavioral expressions : 〈physical sphere〉, 〈psychological sphere〉, 〈social support sphere〉 and 〈spiritual sphere〉. The reaction patterns of their hope experience appeared in the following 4 coping method : 〈conquest type〉, 〈dependence type〉, 〈adaptation type〉 and 〈fate type〉. Finally, in the hope structure the sense of certainty don't always coexict with the sense of uncertainty, When the stroke patients try to search for the best quality of life, the senses of certainty and uncertainty make a continual cyclic system in the hope structure.

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말기 암 환자에서 감염에 대한 항생제 사용 - 대한가정의학회 완화의학연구회 세미나에 기초한 - (Antibiotics Use in Infected Patients with Terminal Stage of Cancer - Based on Seminar of Korean Family Medicine Palliative Medicine Research Group -)

  • 정휘수;김대영;송경포;대한가정의학회 완화의학연구회;서상연
    • Journal of Hospice and Palliative Care
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    • 제10권1호
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    • pp.43-47
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    • 2007
  • 말기 암 환자에서 감염에 대한 항생제 사용은 의학적 문제에 대해 해결해야 하는 의무와 임종을 앞둔 시점에 생명 연장으로 인한 환자의 고통증가에 대한 부담으로 명확하게 결정하기 어려운 문제이다. 대한가정의학회 완화의학연구회 세미나에서는 65세 남자환자로 직장암 말기에 악취를 동반한 광범위한 피부감염증으로 입원 후 국소 항생제 치료로 증상 호전 중 임종을 맞이한 증례를 토의하였고, 이를 통해 말기 암 환자에서 항생제 치료에 대한 문헌고찰과 토론 후 다음과 같이 의견을 제시하고자 한다. 항생제 치료 목적에 있어 증상조절을 고려해야 하며, 특히 요로계 감염이 있는 경우는 증상조절을 위해 항생제를 사용한다. 또한 감수성 검사를 통해 적절한 항생제를 처방해야 한다. 무엇보다도 우선적으로 고려되어야 할 점은 환자입장에서 무엇이 가장 득이 되는지를 생각하고, 항생제 사용에 대해 환자와 가족들의 의견을 존중하여 판단하며, 환자나 가족이 적극적으로 치료를 요구하는 경우에는 치료로 인한 득실에 대해 환자와 토의를 한 후 사용한다.

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