• 제목/요약/키워드: life stress symptoms

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PTSD 증상의 조건비율에 근거한 한국 성인의 트라우마 경험에 관한 연구 (A Study on Trauma Experiences among Korean Adults based on Conditional probability of PTSD symptoms)

  • 김지윤;이동훈;김시형
    • 한국심리학회지 : 문화 및 사회문제
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    • 제24권3호
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    • pp.365-383
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    • 2018
  • 본 연구에서는 높은 수준의 PTSD 증상을 유발하는 사건을 탐색하기 위해 외상사건을 DSM-IV-TR의 진단기준을 충족시키는 '진단기준사건'과 '생활스트레스 사건'으로 구분하고, 가장 고통스러운 사건 대비 PTSD 고위험군의 비율인 PTSD의 조건비율(conditional probability)을 확인하였다. 이를 위해 전국의 인구센서스 기준에 따라 성별 및 연령비율을 고려하여 표집한 성인 1,000명을 대상으로 외상사건을 조사하였고, 998명의 자료를 분석하였다. 진단기준사건을 살펴보면, '16세 이전의 성추행', '기타사고 목격', '16세 이전의 성폭행', '16세 이전의 가정폭력 목격', '재난', '교통사고 겪음', '교통사고 목격', '기타사고 겪음'인 것으로 나타났으며, 생활스트레스 사건은 '법적 구속 또는 수감(본인 및 가족)', '부모의 별거나 이혼', '심각한 스트레스를 야기하는 실패나 절망', '가족과의 극심한 갈등 또는 잦은 다툼'인 것으로 나타났다. 마지막으로 인구사회학적 특성 중 연령, 혼인상태, 종교유무가 PTSD 증상수준에 영향을 미치는 것으로 확인되었다. 주요 연구결과를 토대로 논의 및 시사점을 제시하였다.

갱년기 여성을 위한 발건강 관리방법에 관한 문헌연구 (A Study on Foot Reflexology Therapy for Climacteric Women)

  • 이계숙
    • 한국패션뷰티학회지
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    • 제2권2호
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    • pp.12-22
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    • 2004
  • The purpose of this study is to present various ways for women to prevent and remedy the climacteric symptoms and to increase the health and quality of life of the women. The reason of this study focuses on this matter is that the conditions of climacteric era is connecter into the health of golden age. After examining the symptoms of the period, the researcher went over the foot heal care even recognized to the public. When the study considered the foot care as a medical service for the climacteric women, the method was expected as a way to improve the symptoms related to the climacteric diseases. This effect is also supported by the results of the clinical experiment and book media materials concerned. The main symptoms of climacteric period such as insomnia, irregular menstruation, stomach chill, stress were able to be decreased by feet bathing, and massage therapy on feet could also decrease pain of arms and legs, menstruation, headache and insomnia. The foot reflexology therapy made strengthen the periphery nerve, capillary vessels, and immune system, and increased the elasticity of blood vessels and the speed of the blood corpuscle, so they could enable to the blood circulation. The study expects the foot care to be positively method for climacteric symptoms with regular breathing, muscle relaxing exercise, acupuncture, exercise and alimentotherapy. The foot care doesn't have any side effects and could ives up to the modern people who want to keep their health and live long.

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여자고등학생의 학업스트레스와 우울과의 관련성 (Relationship Between Academic Stress and Depression Symptoms Among Female High School Students)

  • 배진성;최지현
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.547-557
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    • 2020
  • 본 연구는 일부 여자고등학생들의 학교생활 및 가정생활 특성별 우울수준을 알아보고, 특히 학업스트레스와 우울수준과의 관련성을 파악하고자 시도하였다. 조사대상은 D광역시의 인문계 여자고등학교 1, 2, 3학년 학생 438명으로 하였으며, 조사는 2019년 8월에 구조화된 무기명 자기기입식 설문지를 사용한 설문조사에 의하였다. 연구결과, 조사대상자의 우울수준의 분포는 「정상군」이 78.8%, 「우울군」이 21.2%이었으며, 학업스트레스가 낮은 군보다 높은 군에서 「우울군」의 분포가 유의하게 높았다. 한편, 학업스트레스와 우울수준과의 상관관계에서는 학업스트레스가 높을수록 우울수준이 높아지는 유의한 양의 상관관계를 보였으며, 로지스틱회귀분석에서도 학업스트레스가 낮은 군에 비해 높은 군에서 「우울군」이 나타날 위험비가 유의하게 증가하였다. 다중회귀분석 결과, 우울수준에 영향을 미치는 요인으로는 교우관계, 학교생활에 대한 만족도, 주관적인 건강상태, 시험에 대한 스트레스, 공부에 대한 스트레스 및 진로에 대한 스트레스가 유의한 변수로 선정되었다. 이상과 같은 연구결과는 여자고등학생들의 우울수준은 학교생활 및 가정생활 특성의 여려 변수들뿐만 아니라, 학업스트레스와도 유의한 관련이 있음을 시사하고 있어 학생들의 학업스트레스 요인을 적절하게 통제할 수 있는 프로그램의 개발 및 운영이 필요하다고 생각된다.

신규간호사의 임상적응 경험에 관한 연구 (A Study on New Graduate Nurses' Clinical Experience of Adaptation)

  • 윤숙희
    • 간호행정학회지
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    • 제8권1호
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    • pp.55-72
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    • 2002
  • Purpose : This study aimed at understanding the lived experience of new graduate nurse in hospital setting.Method : This study was based on a phenomenological approach. For this study, 8 new graduate nurses participated. The unstructured in-depth interviews were carried out from June to October, 1998. The data was analyzed Van Kaam's method.Results : Clinical new graduate nurses experienced clinical adaptation and endeavor, professional conflict of nursing, disability of nursing performance, work stress and management, maladaptation of human relationships, diverse emotions of interpersonal relationships, change of personal identity, difference between theory and reality of nursing.Clinical adaptation and endeavor included to get familiar with hospital life, satisfaction and worth for nursing, to get familiar with scoldings, calm down by oneself, efforts for self-development. Professional conflicts of nursing included future uncertainties in the hospital, dissatisfactions in work, doubts and regrets in nursing.Disability of nursing performance included lack of knowledges and skills, desolate working, stresses from mistake in working. Work stress and management included psychological signs and symptoms, physical signs and symptoms, management of stress. Maladaptation of human relationships included unsuitabilities in nursing unit climate, difficulties in human relationship. Diverse emotions of interpersonal relationships included regrets and absurdities to clients, thanks and regrets to colleagues, difficulties with doctors, sense of rivalry with colleague nurses. Change of personal identity included to become narrowing life circle, change of personality. The differences between theoretical knowledge and practice included needs of systematic pre-education for clinical nursing practice, differences between nursing educations and clinical practices.Conclusion : Therefore, the human resource management reflecting new graduate nurses' experiences should be developed.

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사업장 근로자의 정신건강 관련 삶의 질 영향요인 (Factors Associated with Mental Health-related Quality of Life in Workers)

  • 이영주;노경민
    • 한국직업건강간호학회지
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    • 제29권3호
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    • pp.173-183
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    • 2020
  • Purpose: The purpose of this study was to identify factors associated with the mental health-related quality of life (MHQoL) of Korean workers. Methods: This was a cross-sectional study of 192 Korean pay workers who worked in the Daegu and Gyeongbuk Province, Korea. Data were collected from May 15 to July 2, 2019, through selfreported questionnaires. The survey had a total of 87 questions including individual, organizational, and psychosocial factors. MHQoL was measured using short form-36 version 1. Data were divided into four domains of MHQoL and analyzed using a hierarchical linear regression model. Results: From the hierarchical linear regression analysis, when the psychosocial factors were included in the regression model, the R2 change in the four domains of MHQoL increased significantly by 19~47%. A common predicting factor associated with the four domains of MHQoL was identified as perceived stress symptoms. Other factors affecting MHQoL showed slight differences in each domain. Conclusion: Based on the study results, it is necessary to monitor the psychosocial symptoms to improve MHQoL of Korean workers. Considering each factor affecting the four areas of MHQoL, workplace-based interventions to improve MHQoL should be provided to workers.

전립선비대증환자의 건강 관련 삶의 질 영향 요인 (Factors Influencing Health-related Quality of Life in Patients with Benign Prostatic Hyperplasia)

  • 김정선;문빛나
    • 대한간호학회지
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    • 제40권2호
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    • pp.287-297
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    • 2010
  • Purpose: This study was done to examine the relationship of low urinary tract symptoms (LUTS), depression, sexual function, and health-related quality of life (HRQoL), and to identify factors influencing HRQoL in patients with benign prostatic hyperplasia (BPH) living in the community. Methods: A total of 218 patients with BPH were recruited into the study. The data were collected by personal interviews using questionnaires and were analyzed with SPSS (version 17.0) computer program, and included descriptive statistics, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The relationship between HRQoL and LUTS with depression had a significant negative correlation, whereas the relationship between HRQoL and sexual function had a significant positive correlation. Depression, age, LUTS, number of chronic disease, and excercise were found to be significant predictors (35.6%) of the Physical Component Summary of HRQoL. Depression, stress, smoking, LUTS, and sexual function were found to be significant predictors (48.2%) of the Mental Component Summary of HRQoL. Conclusion: To improve HRQoL of patients with BPH, nurses should focus on the factors identified in this study when doing nursing assessments, and should develop nursing intervention programs for BPH prevention and symptoms management in primary care settings.

뇌혈관질환 환자를 돌보는 가족원의 신체증상과 스트레스 (Actual Physical Symptom and Stress in Caregivers of Patients with Cerebrovascular Disease)

  • 김희승;박현애;오미정
    • 대한간호학회지
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    • 제28권3호
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    • pp.695-704
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    • 1998
  • This study aims for examines the actual physical symptom and stress in caregivers of patients with cerebrovascular disease. The data were collected by a survey conducted from August to September, 1997 which included 65 caregivers of cerebrovascular disease patients in 4 hospitals located in Seoul. The caregiver's stress was measured by Choi (1992)'s instrument and the actual physical symptoms were investigated. The data were analyzed using ANOVA, Scheffe test, Pearson correlation coefficient and stepwise multiple regression. The results were as follows : 1. The mean number of caregiver's physical symptom was 3.5. There were significantly higher number of physical symptom in women, those of who have a religious affiliation, those of who perceive their own health status perceived as bad, and those of who perceived their patients disease condition as serious than in their counterparts. Also, the number of caregiver's physical symptom was significantly higher in caregivers whose patients have a paralysis sypmtom and the disease onset as accident than in caregivers whose patients have no paralysis symptom and the disease onset as spontaneous. 2. The average of caregiver's stress was 57.9. The caregiver's stress was the highest in between the ages of 50 and 59. There were also significantly higher level of stress in women, those of who perceived the disease condition of their patients as serious than in their counterparts. 3. The most common caregiver's physical symptom was fatigue(87.7%). This was followed by insomnia(58.5%) and muscle pain(47.7%). 4. Caregiver's physical sypmtom was positively correlated with caregiver's stress and negatively correlated with patient's activity of daily life. 5. The most important vairable affecting the caregiver's physical symtom was patient's activity of daily life which accounted for 12.7% of the total variance in stepwise multiple regression analysis. The most important vairable affecting the caregiver's stress was the patient disease condition perceived by the caregiver that accounted for 12.1% of the total variance.

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성인의 구강건강관련 삶의 질 영향 요인 (Factor associated with oral health-related quality of life in adults)

  • 윤혜정;김선숙
    • 한국치위생학회지
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    • 제15권6호
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    • pp.1117-1123
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    • 2015
  • Objectives: The purpose of the study was to examine the influencing factors of oral health-related quality of life in adults. Methods: A self-reported questionnaire was completed by 300 adults in Seoul and Gyeonggido from June to July, 2015 by convenience sampling method. Except 19 incomplete answers, 281 data were analyzed by t test, one way ANOVA, Pearson's correlation coefficient analysis, and multiple linear regression analysis using SPSS 18.0 program. The questionnaire consisted of general characteristics of the subjects, health-related characteristics, whole body dry symptoms and subjective perception of dry mouth. The oral health-related quality of life was measured by Likert five points scale, and a higher score indicated a lower quality of life. Results: The oral health-related quality of life in adult varied by age, systemic diseases, oral health status, missing tooth, stress, decayed tooth, gingival disease. The oral health-related quality of life had positive correlations with the subjective perception of dry mouth and whole body dry symptoms. The subjective perception of dry mouth(${\beta}$=0.245) had the influence on the oral health-related quality of life, oral health status(${\beta}$=-0.209), gingival disease(${\beta}$=-0.151), and decayed tooth(${\beta}$=-0.146) in order. Conclusions: The oral health-related quality of life was closely related to the subjective perception of dry mouth and the oral health status. It is necessary to develop the quality of life improvement programs including oral health prevention and care program in the adults.

심장이식 수혜자의 삶의 질 관련 요인에 대한 메타분석 (A Meta-Analysis on Factors Related to Quality of Life in Heart Transplant Recipients)

  • 장미라;임세라;최모나
    • 임상간호연구
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    • 제25권3호
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    • pp.251-264
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    • 2019
  • Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.

독거노인생활관리사의 외상 후 스트레스 관리 실태와 개선 방안: 서울 지역 종사자를 중심으로 (The Status of Managing Posttraumatic Stress in Life Managers for Elderly People Living Alone and Measures for its Improvement: Focusing on Employees in Seoul)

  • 김근홍;양재석;이경진;김정연
    • 한국노년학
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    • 제37권2호
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    • pp.293-308
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    • 2017
  • 돌봄 서비스를 수행하는 독거노인생활관리사는 사회안전망 서비스 구축에서 매우 중요한 역할을 감당하고 있다. 그러나 독거노인생활관리사들이 독거노인들을 관리하면서 나타나는 역할갈등이나 그들의 욕구와 불만들을 직접적으로 받아들이고 해결하는 상황에서 받고 있는 외상 후 스트레스나 압박감이 높다는 실천 현장의 목소리가 많다. 따라서 독거노인 돌봄 서비스의 성공적 정착을 위해서라도 독거노인생활관리사의 심리적 소진에 대한 개입 필요성 연구는 중요할 수밖에 없다. 이에 본 연구에서는 서울 지역 독거노인생활관리사를 대상으로 외상 경험 및 외상 후 스트레스에 대한 장애현황 실태를 파악하여 이를 바탕으로 개선 방안을 마련하는데 목적을 두고 있다. 연구방법은 서울 지역 독거노인생활관리사를 대상으로 외상경험 여부, 외상경험 유형, 외상 후 스트레스 진단, 외상경험에 대한 대처 실태 등을 자기기입식 설문조사 방식으로 진행하였다. 연구결과 응답자 중 186명 (37.57%)이 부분 혹은 완전 외상 후 스트레스 증상을 갖고 있는 것으로 조사되었다. 그럼에도 이에 대한 대처 실태는 매우 열악한 것으로 나타났다. 이에 다음과 같이 몇 가지 의미 있는 대안들을 제시하였다. 첫째, 외상 후 스트레스 장애를 갖고 있는 독거노인생활관리사를 발견하고 이들을 지속적으로 관리할 수 있는 시스템을 마련하여야 한다. 둘째, 외상 경험 및 외상 후 스트레스 관리에 대한 교육을 활성화해야 한다. 셋째, 외상 경험을 하였거나 외상 후 스트레스 장애군으로 진단을 받은 독거노인생활관리사를 위한 지원 체계 구축이 시급하다. 넷째, 전문적인 지식과 기술을 가진 전문가 양성 및 배치가 필요하다. 다섯째, 의료기관과의 네트워크를 구축하여 신속한 진단과 전문적인 치료를 받을 수 있도록 해야 한다.