• 제목/요약/키워드: old age anxiety

검색결과 110건 처리시간 0.025초

일반건강측정표를 이용한 일부지역 주민의 스트레스 수준에 관한 연구 (Community screening for stress by using General Health Questionnaire)

  • 오수성;이광섭;손석준;최진수;이정애
    • Journal of Preventive Medicine and Public Health
    • /
    • 제28권1호
    • /
    • pp.123-139
    • /
    • 1995
  • This study investigated the stress of community residents in Kwang-Ju and Chonnam areas by using the General Health questionnaire(GHQ-60) as a instrument of stress measurement. The number of subjects were 445 residents who lived in three areas(large city, middle city, and rural area) and they were individually interviewed in March, 1994. The results of study showed that the degrees of stress measured by GHQ-60 were statistically significant in the residents' area, age, sex variables: (a) the residents in middle city among three areas had the highest level of stress; (b) the residents who were more than 60 in age had the highest level of stress: (c) the female residents had more stress than male residents, (d) particularly, the residents who were more than 60 years old in the middle city had the highest level of stress. Further, the results of factor analysis showed that there were three factors of social dysfunction, depression and anxiety and psychosomatic symptom. The social dysfunction factor was statistically significant in both age and resident area variables. The depression and anxiety factor was statistically significant in the residents' area, age, sex variables. The psychosomatic symptom factor was statistically significant in both age and sex variables. The study suggested that they should give a special attention to solve the old people's stress because stress was closely related to residents' age.

  • PDF

Pain and Anxiety Management in Minimally Invasive Repair of Pectus Excavatum

  • Ghionzoli, Marco;Brandigi, Elisa;Messineo, Antonio;Messeri, Andrea
    • The Korean Journal of Pain
    • /
    • 제25권4호
    • /
    • pp.267-271
    • /
    • 2012
  • The Nuss procedure for the correction of Pectus Excavatum (PE) is associated with intense postoperative pain. Our strategy to control early postoperative pain is to combine epidural with intravenous analgesia. Our aim was to analyse our pain control strategy by reviewing all the PE cases treated at our institution. Sixty consecutive patients, aged between 12 and 26 years old, received the PE operation at our institution from January, 2007 to September, 2010. The median age was 16 (12-27) with a male/female ratio of about 7/1. An epidural catheter was employed in all the cases, with 38 patients (63%) requiring additional drugs to control pain, which remained in place for 74 hours (72-96). The pain score was higher in male patients, but lower in those younger than 16 years old. Moreover, patients that consumed benzodiazepines had a significant decrease in cumulative opioid intake (P = 0.0408). Both gender and age had an impact on pain control, while we noticed a synergistic effect between opiates and tranquillizers.

유아의 어머니에 대한 나레이티브 표상 발달 (The Development of Preschoolers' Narrative Representations of Mothers)

  • 민성혜;신혜원;이영
    • 아동학회지
    • /
    • 제25권6호
    • /
    • pp.153-170
    • /
    • 2004
  • This study explored age and sex differences in preschoolers' narrative representations of their mothers. Subjects were 120 3-, 4-, 5- and 6-year-old children, with 15 boys and 15 girls in each age group. Using the MacArthur Story Stem Battery(Bretherton et al., 1990), observations were made to obtain children's narrative representations of their mothers. content themes and emotional responses. Boys' representations were more negative and less positive than girls' regardless of their age. Boys talked about more aggressive themes and showed more anxiety and less joy. Five and 6-year-old children had less negative and disciplinary representations of their mothers than 3- and 4-year-olds. Six-year-olds showed less prosocial themes than 3- and 5-years, and fewer aggressive themes than 3-and 4-year while they showed less joy, distress and concern responses than 3-years.

  • PDF

틱 장애에서 습관뒤집기 훈련의 임상효과 (Habit Reversal Training in Tic Disorder)

  • 홍종우;도진아;김현우;임명호
    • 대한불안의학회지
    • /
    • 제6권1호
    • /
    • pp.24-30
    • /
    • 2010
  • Objectives : Tic disorder is known to be a chronic neuro-behavioral disease, cognitive behavioral treatment (CBT) strategies, like habit reversal training (HRT), are introducing recently. We report the effectiveness of HRT in Tourette disorder, which are very common in clinical settings. Methods : The DSM-IV clinical diagnosis applied by child psychiatrist. YGTSS, Kovac's children's depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners' Rating Scales, Dupaul ADHD Rating Scales are used. Ultimately, totally 10 children were evaluated. Subject group are consist of 6 boys and 4 girls, and the mean age was $10.90{\pm}1.73$ years old. This study is treatment-refractory 10 patients (from 9-14 years old) though 1 years drug treatment and psychiatric consultation were taken. We administered 5 times of HRT for 4 weeks. Results and Conclusion : There were improvement of scores in Yale Global Tic Severity Scale, Clinical Global Improvement. Our observations indicate that HRT might be effective in the treatment of Tourette disorder.

Behavioral and intelligence outcome in 8- to 16-year-old born small for gestational age

  • Yi, Kyung Hee;Yi, Yoon Young;Hwang, Il Tae
    • Clinical and Experimental Pediatrics
    • /
    • 제59권10호
    • /
    • pp.414-420
    • /
    • 2016
  • Purpose: We investigated behavioral problems, attention problems, and cognitive function in children and adolescents born small for gestational age (SGA). Methods: Forty-six SGA children born at term and 46 appropriate for gestational age (AGA) children born at term were compared. Psychiatric symptoms were examined with reference to the Korean-Child Behavior Checklist, Korean-Youth Self Report, and Attention Deficit Hyperactivity Disorder Rating Scale (ADHD-RS). Cognitive function was estimated using the Wechsler Intelligence Scale. Sociodemographic data were recorded from interviews. Results: SGA children had high scores on delinquent behavior, aggressive behavior, and the externalizing scale, and they also showed a propensity for anxiety and depression. The SGA group had a higher mean ADHD-RS score than the AGA group ($10.52{\pm}8.10$ vs.$9.93{\pm}7.23$), but the difference was not significant. The SGA group had a significantly lower verbal intelligence quotient (IQ) than the AGA group, but the mean scores of both groups were within normal limits. Conclusion: This study indicates marked behavioral problems, such as delinquency, aggressiveness, and anxiety and depression, as well as low verbal IQ in the SGA group than in the AGA group. Even in cases in which these symptoms are not severe, early detection and proper treatment can help these children adapt to society.

노년기 정서인식명확성이 사회적 상호작용 불안에 미치는 영향: 자존감과 자기효능감의 매개효과 (The Effect of Emotional Clarity on Social Interaction Anxiety among Senior Citizens: The Mediating Role of Self-Esteem and Self-Efficacy)

  • 조명현;남상희
    • 감성과학
    • /
    • 제26권2호
    • /
    • pp.85-102
    • /
    • 2023
  • 본 연구의 목적은 노년기 정서지능을 나타내는 대표적인 요인인 정서인식명확성이 노인들의 낮은 사회적 상호작용 불안을 예측하는지를 확인하고, 그 경로에서 자존감과 자기효능감이 매개하는지를 검증하는 것이다. 대한민국 노인 217명을 대상으로 정서인식명확성, 사회적 상호작용 불안, 자존감, 자기효능감을 측정하는 설문을 온라인으로 실시하였다. 분석 결과, 노인의 정서인식명확성은 사회적 상호작용 불안을 부적으로 예측하였다. 또한 매개분석 결과, 자존감은 정서인식명확성과 사회적 상호작용 불안의 관계를 매개한 반면, 자기효능감은 결과가 일관되지 않았다. 즉, 자신의 정서를 명확하게 인식하는 것은 개인의 자존감을 높여 사회적 상호작용 불안을 줄이지만, 이러한 매개효과는 자기효능감을 통해서는 명확하게 확인할 수 없었다. 이 결과는 노년기에 타인과의 상호작용을 원활하게 하기 위해서는 명확한 정서인식이 필요하다는 점을 강조하면서, 이것이 특히 건강한 자기 개념 중 자신에 대한 존중감을 높이기 때문이라는 점을 보여주고 있다. 끝으로 본 연구의 함의와 추후 연구에 대한 방향을 논의하였다.

중년여성의 노화불안 측정도구 개발 (Development of an Aging Anxiety Scale for Middle-Aged Women)

  • 이혜진;유미애
    • 대한간호학회지
    • /
    • 제49권1호
    • /
    • pp.14-25
    • /
    • 2019
  • Purpose: This was a methodological study that aimed to develop a measurement scale for aging anxiety among middle-aged women. Methods: In this study, construct factors were extracted, and a conceptual framework was established through an extensive literature review and in-depth interviews with middle-aged women. Under the conceptual framework, 44 preliminary items were constructed, and a preliminary scale of 25 items was completed after two rounds of expert validation and item review. For this study, data were collected from 201 women aged 40~59 years, and the construct validity and reliability of the preliminary scale were verified. Results: To verify the construct validity, exploratory factor analysis was conducted. Four factors containing 19 items were extracted. Concurrent validity of the developed scale was verified with Pearson's correlation analysis. The final scale comprised 4 factors ("Social valueless", "Physical weakness", "Concern about changes in appearance", and "Expectations of old age") and 19 items. The Cronbach's ${\alpha}$ value was .91. Conclusion: The scale for measuring aging anxiety in middle-aged women developed in this study validly reflected the peculiarities of aging anxiety in middle-aged women, who experience many physical, emotional, and social changes. The scale can be said to reflect the cultural background, as it reflected real experiences gained through in-depth interviews with middle-aged women.

의식하진정법을 적용한 성인 환자의 치과공포 및 불안의 변화 (Changes of dental anxiety and fear in adult patients applying conscious sedation)

  • 이시하;이수영
    • 한국치위생학회지
    • /
    • 제21권1호
    • /
    • pp.53-63
    • /
    • 2021
  • Objectives: The purpose of this study was to determine the relationship between conscious sedation, a moderate sedation method used to reduce dental fear, and anxiety. Methods: The previously developed modified dental anxiety investigation scale (MDAS) and dental fear investigation scale (DFS) were investigated using a self-administered survey for adults aged 19 to 65 years old who visited a dental clinic located in Daegu City from April to November 2020. Those who met the ASA Recommendation Level 1 to 2 were the subjects of this study. The participants were evaluated using the sedation severity rating scale (OAA/S) during the implementation of conscious sedation. A lot of 106 valid questionnaires were analyzed using SPSS. Results: Dental fear and anxiety decreased significantly after dental care with conscious sedation. Dental fear after dental care accompanied by conscious sedation was statistically significant in females, those under the age of 40, those with a bachelor's degree or higher, and those who weighed 60 kg or less. Conclusions: Dental care using conscious sedation was found to have an effect on the reduction of dental fear after the dental procedure. Dental fear can occur in people of all ages, and, regardless of the individual's general and physical characteristics, conscious calming is considered an effective intervention for dental fear in all adults.

화상환자가 지각하는 통증과 불안에 관한 연구 (A Study on Pain and Anxiety of Burn Patients)

  • 박영숙;김은희
    • 한국보건간호학회지
    • /
    • 제15권1호
    • /
    • pp.83-95
    • /
    • 2001
  • The purpose of this study is to examine intensity of pain and anxiety of burn patients. This study selected 99 adult patients of 18 years old or older who have been hospitalized and treated for a second-degree burn at the surgery ward or burn ward of 3 university hospitals which are located in 2 metropolitan cities, and a university hospital in Seoul Special City from July 1 to October 20, 2000. This study used STAI(State-Trait Anxiety Inventory) developed by Spielberger, and translated by Kim, Jung Taek and Shin, Dong Kyun to examine the degree of anxiety and VAS to examine the pain. This study was carried out by interview and using SPSS 9.0 statistical program. Results were as follows : 1) As for general characteristics of the subjects, they were mostly male. 30s-40s, married, and high school graduates. 2) Forty-seven patients were burned by fire and $49.6\%$ of the patients had burn 10 to $20\%$ of BSA. seventy-nine percents of patients received one dressing change a day and $74.3\%$ received medication once or twice a day. 3) As for intensity of anxiety and pain. the mean intensity of pain was 6.41. The intensity of trait anxiety and the state anxiety were 39.76. and 51.81. 4) Subject's age was significantly different in their pain intensity and other variables were insignificant. Correlations between trait-anxiety and state-anxiety(r=.286, p=.004), and state-anxiety and VAS(r=.294, p=.003) showed weak correlation. There wasn't statistically any significance in trait- anxiety and VAS(r=.183, p=.070).

  • PDF

위내시경 검사 목적에 따른 검사 전 불안 정도와 불안 경험: 혼합연구방법의 적용 (Mixed Method Study on Patients' Level and Experience of Anxiety before Undergoing Esophagogastroduodenoscopy)

  • 조성희;서은영
    • Perspectives in Nursing Science
    • /
    • 제17권2호
    • /
    • pp.61-71
    • /
    • 2020
  • Purpose: This mixed method study aimed to investigate patients' level of anxiety and their experience of this before undergoing esophagogastroduodenoscopy (EGD). Methods: A total of 125 patients answered a questionnaire assessing their pre-EGD level of anxiety, and a total of 17 patients participated in individual interviews regarding their experience of EGD-related anxiety. The SPSS Software program was used for survey data analysis and content analysis was used for qualitative data. Results: The mean anxiety score was 40.00±9.86 and the factors related to anxiety levels were being female (p<.001) and being a relatively young age (20-30 years old, p=.004). There were no significant differences shown in level of anxiety according to the purpose EGD was performed for: screening, diagnosis, or disease follow-up. In the qualitative analysis, however, patients who underwent a follow-up procedure as a result of stomach cancer exhibited more complicated feelings of anxiety and helplessness than others. For those who underwent EGD for diagnostic reasons, they worried about the test results and were concerned about possible life changes after diagnosis. Those for whom EGD was performed for screening purposes expressed concern only in the event of EGD complications. Conclusion: This study explored the nature of pre-EGD anxiety according to the purpose of the procedure. Nurses and doctors should be aware that patients undergoing EGD may have different levels and experiences of pre-procedure anxiety.