• 한국직업건강간호학회지
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• 제25권3호
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• pp.188-198
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• 2016

Purpose: The present study was conducted to examine the effects of a health counseling program by occupational health nurses on the unemployed visiting the Employment Welfare Plus Center. Methods: The one-group pretest-posttest design was used. The study presented a secondary analysis of the data collected in a health counseling program run by occupational health nurses for the unemployed visiting the Employment Welfare Plus Center. Kolmogorov-Smirnov, Shapiro-Wilk test, ${\chi}^2$ test and Wilcoxon signed rank test were used to analyze 158 data collected between October 5, 2015 and January 5, 2016. Results: After the intervention, the participants showed a significant decrease in the level of stress index (uBioMacpa), stress (discomfort), musculoskeletal pain and depression. In addition, the participants showed a significant increase in self-rated general health, exercise and regular eating behavior. Conclusion: The health counseling program offered by occupational health nurses is an effective intervention to improve the physical and mental health of the unemployed individuals visiting the Employment Welfare Plus Center.

• 한국융합학회논문지
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• 제9권9호
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• pp.271-284
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• 2018

본 연구는 RPG(Role Playing Game) 형식을 활용한 이야기치료 집단상담 프로그램이 아동의 행복감과 부정적 정서에 미치는 영향에 대한 연구이다. 연구 대상은 서울 소재 정신건강증진센터 및 초등학교에서 정서 및 행동 문제로 의뢰된 30명의 아동으로, 각 15명씩 처치집단과 대조집단에 무작위 배정하였고, 처치집단에는 8주간 주당 1회기(60분), 총 8회기의 프로그램을 실시하였다. 그 결과 처치집단의 우울, 상태불안, 특성불안이 대조집단과 비교하여 통계적으로 유의미하게 감소하였고, 행복감은 유의미하게 증가하였다. 이는 프로그램 종료 20일 후 재측정 시에도 유지되었다. 결론적으로 본 연구에서 사용된 RPG형식을 활용한 이야기치료 집단상담 프로그램은 부정적 정서를 감소시키고, 행복감을 증가시키는데 효과가 있는 것으로 나타났다.

• 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.

• 한국응용과학기술학회지
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• 제36권3호
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• pp.954-965
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• 2019

본 연구는 저소득층 초등학생을 대상으로 MMTIC를 활용한 집단상담 프로그램을 시행하여 심리적 안녕감, 자아존중감 및 우울에 미치는 효과를 검증하고자 시도된 비동등성 대조군 전 후 설계 유사실험 연구이다. J-do, J시에 거주하는 저소득층 가정 내 초등학생 5~6학년을 대상으로 편의표집 하였으며 실험군 28명과 대조군 28명이었으며, 2016년 8월 3일부터 8월 31일까지 주 2회(1회 60분), 10회기 동안 MMTIC를 활용한 집단상담 프로그램을 시행하였으며 심리적 안녕감, 자아존중감 및 우울의 변화를 비교하였다. SPSS 18.0 프로그램을 이용하여 왜도와 첨도, 실수와 백분율, ${\chi}^2$-test, t-test로 분석하였고, 심리적 안녕감과 자아존중감은 유의하게 향상되었으며 우울 점수는 감소하였다. MMTIC를 활용한 집단상담 프로그램은 저소득층 초등학생의 심리적 안녕감과 자아존중감 향상 및 우울 감소를 통해 정서적 안정을 증진시킬 수 있는 효과적인 간호중재로서 활용이 가능할 것으로 사료된다.

• 대한간호학회지
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• 제35권1호
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• pp.164-176
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• 2005

Purpose: This study was conducted to develop and evaluate a Web-based program for the maternal role of primiparas who use the internet. Method: The study process was a systems requirements analysis, design and development of a program, program testing by experts, program implementation, and program evaluation by users. A nonequivalent control group non-synchronized design was used. The data was collected from October 5th, 2002 to February 24th, 2003. Result: 1. Based on inquiries into mothers' needs, a Web-based support program was developed. The program was then modified from feedback received from experts. 2. In a sub-scale analysis of mothers' perception of a baby, amenability and persistence was significantly higher in the intervention group. The differences in the mean score of maternal self-confidence and maternal satisfaction were significant. 3. Cyber counseling was done for a total of 73 cases and the most frequent problems for counseling were feeding and nutrition (28.8%), followed by baby care, and health problems. Conclusion: It was proven that a Web-based support program provided appropriate support to primiparas and was effective in promoting their maternal role. Therefore, this study suggests that a Web-based support program for primiparas can become a powerful nursing intervention on virtually all mother and infant health concerns.

• 한국보건간호학회지
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• 제21권1호
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• pp.46-56
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• 2007

Purpose: This study attempted to identify the sexual function (ALARM: Activity, Libido, Arousal and orgasm, Resolution, Medical history) of patients who have had an ostomy for the development of an ALARM sexual counseling program. Method: Subjects for this descriptive study were recruited from the outpatient clinic of a university affiliated medical center and peer group. Fifty-two subjects who have had an ostomy and lived with their spouse were selected. Instruments were developed by researchers based on the ALARM model by Anderson (1990). Results: In the subject group, 32.7% patients were not sexually active and 76.9% hesitated to have sexual activity because of the stoma. The mean score of resolution was 13.2 (range: 8-32), with a higher score for couple's intimacy indicating a higher level of libido and resolution. Conclusion: This study presents a series of clinical guidelines that nurses can use to accurately assess sexual health issues and select appropriate sexual counseling for patients with an ostomy.

• 융합정보논문지
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• 제12권3호
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• pp.302-310
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• 2022

본 연구는 청소년의 학습상담 관련 연구 동향을 텍스트 마이닝 방법을 활용하여 얻어진 결과를 살펴보고 후속 연구 방향을 제시하였다. 한국 청소년 고민의 상위 1, 2위는 학습과 진로이다. '학습상담', '학업상담'키워드로 RISS를 통하여 KCI 등재 후보 이상의 학술논문 201편을 대상으로 연구자의 주관과 편견을 최소화할 수 있는 텍스트 마이닝 기법으로 모델링 분석하였다. 학습상담 토픽 결과 상담 경험[토픽1], 집단상담 연구[토픽2], 부모상담[토픽3], 학습기술 프로그램 개발[토픽4]로 나타났다. 학습상담 관련 연구는 정서적인 안정을 위한 상담, 집단상담, 부모상담과 학습기술 프로그램이 개발되고 있다. 청소년의 고민을 해결하기 위한 학습상담은 심리 정서, 부모상담, 학습기술 전문가의 협업을 통한 통합적인 지원을 위한 연구가 지속되기를 기대한다.

• 대한간호학회지
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• 제34권6호
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• pp.1129-1142
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• 2004

Purpose: This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers. Method: The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional NICU education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively. Result: All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar. Conclusion: A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.

• 대한불안의학회지
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• 제13권1호
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• pp.17-24
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• 2017

Objective : The purpose of this study was to investigate the effectiveness of the mental health improvement program in Korean firefighters. Methods : A total of 502 firefighters working at Daegu, Ulsan and Gumi participated in the mental health improvement program for an 8-week period. The program included evaluation and counseling as well as psychoeducation for mental health awareness. Subjects were divided to two groups including the PTSD high risk group and PTSD non-high risk group. Results : The program resulted in a significant decrease in mean scores of depression and insomnia for all firefighters. PTSD high risk group showed a significantly higher level of depression, anxiety, and insomnia. Multiple logistic regression analysis with PTSD high risk group as a dependent variable indicated that moderate depression was a high-risk factor for PTSD in firefighters, as compared to no depression ; in addition, subthreshold and moderate insomnia was another risk factor. Conclusion : The evaluation and management of psychopathologies including depression and insomnia associated with traumatic events can be helpful to improve the mental health of firefighters.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.236-246
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• 2018

본 연구의 목적은 자기조절 집단상담 프로그램이 보호관찰소 청소년의 자아존중감과 자기통제력에 어떠한 영향을 미치는가를 검증하고자 하였다. 본 연구결과 자기조절 집단상담 프로그램은 보호관찰소 청소년의 자아존중감 하위 영역 가운데 총체적 자아존중감, 사회적 자아존중감, 가정적 자아존중감 모든 영역에서 통계적으로 유의미한 차이를 보였다. 또한 자기조절 집단상담 프로그램은 보호관찰소 청소년의 자기통제력 하위 영역 가운데 충동억제, 정서통제 등의 모든 영역에서 통계적으로 유의미한 차이를 보였다. 이와 같은 연구결과는 자기조절 집단상담 프로그램이 보호관찰소 청소년의 자아존중감과 자기통제력 향상에 유의미한 영향을 미치는 것을 경험적으로 증명한 것이다. 따라서 자기조절 집단상담 프로그램을 통해서 보호관찰소 청소년들의 자아존중감과 자기통제력이 향상이 되면, 청소년들의 재범 확률이 크게 떨어 질 것으로 기대된다. 앞으로 보호관찰소 청소년들의 자아존중감과 자기통제력 향상을 위해 더욱더 활발한 자기조절 집단상담 프로그램에 대한 연구가 필요하며 실제로 활용도를 높여 가야 할 것이다.