• Title/Summary/Keyword: hospital anxiety

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희망증진 집단 상담치료가 암환자의 불안 우울 및 삶의 질에 미치는 효과 (Effect of Group Psychotherapy for Promotion of Hope on Anxiety, Depression, and Quality of Life in Cancer Patients)

  • 조종관;손창규;조정효;유화승;서경숙
    • 대한한의학회지
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    • 제29권4호
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    • pp.39-46
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    • 2008
  • Objectives: The aim of this study is to develop a program adapted to cancer patients with reality therapy and evaluate the efficacy for anxiety, depression and quality of life in cancer patients. Methods: We developed a group psychotherapy, the promotion of hope program (PHP) adapted reality therapy and evaluated if it is effective on improving anxiety, depression, and quality of life in cancer patients. Results: PHP decreased anxiety (9.54 vs. 5.62, p<0.01) and depression (8.84 vs. 5.84, p<0.01) of cancer patients, and improved quality of life (3.77 vs. 4.13, p<0.01). Qualitative analysis results also showed the same supportive results. Conclusions: PHP can be an effective program for cancer patients to explore inner world and improve their own self-confidence.

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스마트폰을 이용한 개별화된 관심전환 중재가 수술 전 환아의 불안에 미치는 영향 (Effects of a Smart Phone Individualized Distraction Intervention on Anxiety in Pre-Op Pediatric Patients)

  • 이경아;권미경;김혜원;임지은;표창옥;박찬숙
    • Child Health Nursing Research
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    • 제21권2호
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    • pp.168-175
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    • 2015
  • Purpose: The purpose of this study was to identify whether individualized distraction intervention using a smart phone affected pre-op anxiety of children. Methods: This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 30 children in the experimental group and 30 in the control group. In experimental group, a smart phone individualized distraction intervention was given to children from the reception area to the operation room. Results: For heart rate, there were no statistically significant differences between the experimental group and control group. In the behavioral anxiety response, there were statistically significant differences between the experimental group and control group (t=-3.11, p=.003). Conclusion: The finding suggest that, for pre-op children, the individualized distraction intervention using a smart phone had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to relieve pre-op anxiety and improve health of children in their care.

코로나바이러스감염증-19 사태에 따른 전공의 및 수련의의 스트레스 인지도가 불안 및 우울에 미치는 영향과 회복탄력성의 매개효과 (The Effect of Stress on Anxiety and Depressed Mood and the Mediating Effect of Resilience in Medical Residents and Interns During Coronavirus Disease-19 Event)

  • 조호영;김승준;김지웅;오홍석;임우영;이나현
    • 정신신체의학
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    • 제30권1호
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    • pp.22-29
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    • 2022
  • 연구목적 본 연구는 코로나바이러스감염증-19 대유행 중 전공의 및 수련의의 스트레스와 불안 및 우울 간 상관관계를 파악하고 회복탄력성의 매개효과를 평가하고자 한다. 방 법 코로나바이러스감염증-19 대유행 기간 중 일개 대학병원에서 근무한 전공의 및 수련의를 대상으로 자가보고식 설문 조사를 통해 스트레스 인지도, 불안 및 우울, 회복탄력성 정도를 평가하였다. 이후 각 변인 간 상관관계를 평가하고 회복탄력성의 매개효과 검증절차를 시행하였다. 결 과 총 74명의 참여자에게서 스트레스 평균 18.79점, 불안 총점 평균 6.24점, 우울 총점 평균 7.81점으로 나타났고, 불안과 우울의 고위험군은 각각 28명(37.8%), 41명(55.4%)로 나타났다. 스트레스 총점이 높을수록 불안과 우울의 총점이 높게 나타났으며, 회복탄력성 총점이 높을수록 스트레스 총점, 불안 및 우울 총점 모두 낮게 나타났다. 회복탄력성의 매개효과는 스트레스와 우울 총점 간 상관관계에서만 통계적으로 유의했다. 결 론 코로나 바이러스 감염증-19 유행 기간 중 전공의 및 수련의에게서 높은 수준의 스트레스를 보였고, 이들 중 상당수가 불안 및 우울장애의 고위험군으로 확인되었다. 스트레스는 우울 및 불안을 증가시키며 이중 우울은 회복탄력성에 의해 완화될 수 있음을 보였다.

위장관 증상을 동반한 불안장애 환자의 한방 치험 2례 (Two Case Reports of Anxiety Disorder Patients with Gastrointestinal Symptoms Treated with Traditional Korean Medicine)

  • 박진서;길봉훈;김동원;정다해;조혜미;김창완;홍욱기;정윤경
    • 대한한방내과학회지
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    • 제41권2호
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    • pp.177-185
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    • 2020
  • This study investigated the clinical effect of Korean medicine treatments on two patients who experienced gastrointestinal symptoms with anxiety disorder. The patients were treated with herbal medicine (Yukgunja-tang, Banhabakchulchunma-tang) and acupuncture for 11 days and 26 days, respectively. The Beck Anxiety Inventory (BAI) and Gastrointestinal Symptom Rating Scale (GSRS) scores on the day of hospital admission and after treatment were compared; both the BAI and GSRS scores decreased after treatment. Moreover, the grade of the gastrointestinal symptoms changed from severe to mild or none. Therefore, these cases are useful for describing Korean medicine treatments for anxiety disorders in patients who experience gastrointestinal symptoms. However, additional case reports and studies are be needed in the future to confirm these findings.

우울, 불안, 스트레스와 병적 도박 (Depression, Anxiety and Stress in Pathological Gambling)

  • 신영철;최삼욱
    • 대한불안의학회지
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    • 제2권2호
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    • pp.86-93
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    • 2006
  • Depression, anxiety and stress are important components of theories of pathological gambling and are often foci of treatment with patients with gambling problems. In the present review we attempt to examine the relationship between anxiety, depression, stress and pathological gambling. Although the previous studies on this subject are limited and the relationship is unclear and complex, our review on the previous studies and clinical experiences on this subject could offer new insights for the assessment and treatment of pathological gamblers.

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Factors Affecting the Death Anxiety Levels of Relatives of Cancer Patients Undergoing Treatment

  • Beydag, Kerime Derya
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.2405-2408
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    • 2012
  • This descriptive study was performed to determine levels of the death anxiety levels of relatives of patients who being treated in a public hospital located in the Asian side of Istanbul and influencing factors. The sample was 106 patient relatives of patients from oncology or chemotherapy units of the hospital. Data were collected between May-June 2011 with the 15-item Death Anxiety Scale developed by Templer (1970) and adapted to Turkish by Senol (1989) and evaluated by number-percentage calculations, the Kruskal Wallis, Anova and t tests. Some 36.8% of the included group were aged 45 years and over, 57.5% were female and 65.1% were married. A statistically significant difference was found between the age groups, genders of the patient relatives, the period of cancer treatment regarding the death anxiety levels (p<0.05). The death anxiety levels of the patient relatives who were in the 17-39 age group, female and had a patient who was under treatment for less than 6 months were found to high as compared to others.

국소마취에 의한 척추수술 환자가 지각한 수술 중 돌봄과 불안정도 (Intraoperative Caring Behavior and Anxiety as Perceived by Patients Undergoing Spinal Surgery under Local Anesthesia)

  • 하정숙;이은남
    • 근관절건강학회지
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    • 제22권2호
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    • pp.96-104
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    • 2015
  • Purpose: The purpose of this study was to identify the relationship between intraoperative level of caring and anxiety among patients who underwent spinal surgery under local anesthesia. Methods: The study participants included 162 patients who had spinal surgery under local anesthesia at a general hospital in B metropolitan city between July 20 and September 20, 2014. To measure the caring behaviors of patients under local anesthesia, we used the Caring Behavior Measurement, and state anxiety was measured by the State Trait Anxiety Inventory. The collected data were analyzed using a SAS program. The differences in anxiety levels based on participants' characteristics were analyzed with t-test and an analysis of variance. The correlation between levels of caring and anxiety was tested with Pearson's correlation coefficient. Results: Education and caring levels showed significant relationship with the anxiety level of patients with spinal surgery under local anesthesia. Conclusion: To decrease the level of anxiety in patients undergoing spinal surgery under local anesthesia, it is necessary to educate and train operating nurses about the intra-operative caring behavior.

수술실의 소음차단이 산부인과 복강경 수술 환자의 불안과 활력징후에 미치는 영향 (Effects of Noise Block on Anxiety and Vital Sign of Patients with Gynecologic Laparoscopic Surgery in Operating Room)

  • 최미선;이은자
    • 한국직업건강간호학회지
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    • 제21권3호
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    • pp.317-325
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    • 2012
  • Purpose: This study was to examine the effects of noise block on anxiety and vital sign of gynecologic laparoscopic surgery. Methods: The data were collected from March to May 2011. Participants were sixty patients with gynecologic laparoscopic surgery, divided into 30 of experimental group and 30 of control group at C University hospital located in I city. The day before surgery, demographic data, trait-state anxiety and vital signs were measured at ward. After noise block, the data were measured using VAS anxiety and vital signs before anesthesia and in recovery room. And then state anxiety and vital signs were measured in ward after surgery. The data were analyzed by $x^2$-test, t-test, repeated measured ANOVA and Bonferroni comparison method using SPSS/WIN 19.0. Results: After conducting noise block program, the experimental group showed significant decrease in state anxiety and heart rate compared to those of the control group. But there were not significant differences in VAS anxiety, systolic pressure and diastolic pressure between two groups. Conclusion: This program can be regarded as an effective nursing intervention for the management of anxiety with gynecologic laparoscopic surgery.

두경부암 환자의 우울과 불안증상 유무에 따른 증상의 심각성 (Symptom Severity according to the Presence of Depressive and Anxiety Symptoms among Patients with Head and Neck Cancer)

  • 김현주;조옥희;유양숙
    • 성인간호학회지
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    • 제28권2호
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    • pp.148-155
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    • 2016
  • Purpose: The purpose of this study was to compare symptom severity and the impact of presence of depressive and/or anxiety symptoms among patients with head and neck cancer (HNC). Methods: One hundred and fifteen patients diagnosed with HNC completed two questionnaires: Hospital Anxiety and Depression Scale (HADS) and the M. D. Anderson Symptom Inventory-Head and Neck Cancer (MDASI-HN). Results: Of the total sample, 55.6% reported depressive symptoms and 33% reported anxiety symptoms. Patients who reported either depressive or anxiety symptoms also had significantly more severe symptoms. The most severe symptom was dry mouth. Participants who were depressed reported that interference in the enjoyment of life due to symptoms was the most distressing whereas participants with anxiety reported symptom interference in work was of most concern. Of patients reporting moderate to severe symptoms, more than 60% reported depressive symptoms. Of patients reporting moderate to severe feelings of being distress and feeling sad, more than 70% reported anxiety symptoms. Conclusion: Patients with HNC reporting moderate to severe symptoms also report depressive and/or anxiety symptoms. The results suggest the need to develop an integrated nursing intervention of both physical and emotional symptoms for patients with HNC.

개심술 환자 가족의 불안에 관한 연구 (A Study on the Anxiety of Open Heart Surgery Patient's Family)

  • 최영희
    • 대한간호
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    • 제31권5호
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    • pp.29-38
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    • 1992
  • The purpose of this is to find the anxiety score of OHS pt's family and general surgery pt's family and to offer basic data. The subjects of this study were 80 : 40 were OHS pt's family in Seoul Hospital and remaining 40 were OS pt's family in Capital Hospital. The data was collected between March 1, through May 30, 1992. The instruments used for this study were Zung's The Self-Rating Anxiety Scale. The collected daLa were analyzed using percentage, descriptive statistics, $X^2-test$, t-test and Two-way Anova. The finding's were as followed: 1. Test of hypothesis "The anxiety score of the Ol-lS pt's family were similar to as pt's family" was rejected (L=0.772 P>.05) 2. The mean score of anxiety of the OHS pt's family was 1.772, The mean score of anxiety of the OS pt's family was 1,790. 3. The relationship between anxiety of the OHS pt's family and GS pt's family and family's age was significant (P<.Ol) and the relationship between anxiety and age interaction effect. (F=242.0 P<.01) In conclusion, the anxiety score of the OI-IS pt's finding and GS pt's family was all high.

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