• 제목/요약/키워드: psycho-social problems

검색결과 46건 처리시간 0.019초

간질환자의 사회심리적 적응과 자기효능.사회적 지지와의 관계 연구 (The Relationship of Self Efficacy and Social Support to the Psychosocial Adjustment in People with Epilepsy)

  • 문성미
    • 대한간호학회지
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    • 제30권3호
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    • pp.694-708
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    • 2000
  • The main purpose of this study was to identify the relationship of self efficacy and social support to the psychosocial adjustment in people with epilepsy. Data were collected from October 1 to October 15, 1999 from 101 people with epilepsy who were being treated regularly at one of the university hospitals located in Seoul. The research instruments were a questionnaire to gather demographic and disease-specific data, the Epilepsy Psycho- Social Effects Scale developed by Chaplin et al(1990), the Epilepsy Self Efficacy Scale developed by DiIorio et al(1992a) and translated by Park(1999), the Norbeck Social Support Questionnaire developed by Norbeck et al(1981) and translated by Oh(1985). Data were analyzed using the SPSS program. The results are as follow : 1. Of the 14 psychosocial adjustment areas, 75 of 101 subjects experienced problems in ten or more areas and 28 in all 14 areas. The severity of the psychosocial adjustment problem was moderate or more in six areas. 2. The score for self efficacy was an average of 1103.86 out of a possible 1800, for social support 117.57 for total functional out of a possible 720, and 48.21 for total network out of a possible 264. There were an average of five people on the network. The main network people were parents, brothers and sisters, spouse, friends. 3. Of the 14 psychosocial adjustment areas, six areas correlated with self efficacy and 'problems with taking medication' area had a negative correlation with social support. In conclusion, people with epilepsy have various problems in psychosocial adjustment. Nursing interventions using self efficacy should be developed to improve psychosocial adjustment in people with epilepsy. Also, instruments and interventions for regimen-specific supports which are suitable for epilepsy should be developed.

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노인의 음주문제 발달궤적의 예측요인 : 다수준 성장곡선 모형의 적용 (Trajectories of Drinking problems of the elderly: A Longitudinal Multi-level Growth Curve Model for Change)

  • 안준희;장수미
    • 사회복지연구
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    • 제43권1호
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    • pp.389-411
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    • 2012
  • 본 연구는 노인들의 음주문제 발달궤적과 심리사회적 예측요인을 분석하는 데 그 목적이 있다. 이를 위해 한국복지패널 1차 조사에서 3차 조사까지에 해당하는 2006년부터 2008년까지의 자료에서 노인 연령에 해당하는 만 65세 이상의 남녀를 대상으로 연구를 진행하였다. 자료의 분석은 다수준 성장곡선 모델을 적용하여, 음주문제의 발달 궤적과 음주문제의 초기 값(intercept) 및 변화율(slope)의 예측요인을 밝히고자 하였다. 주요 연구결과는 다음과 같다. 첫째, 무조건적 다수준 성장곡선 모델을 수행한 결과, 노인의 음주문제는 첫 번째 측정시기인 2006년에서 세 번째 측정시기인 2008년까지 평균적으로 매년 조금씩 감소하고 있음을 알 수 있었다. 둘째, 조건형 다수준 성장곡선 모델을 수행한 결과, 연령이 낮을수록, 남성일수록, 결혼한 상태일수록, 종교가 없을수록, 빈곤층일수록, 스스로를 건강하지 않다고 인식할수록, 사회적 관계에 만족하지 않을수록 음주문제의 초기 값이 높은 것을 알 수 있다. 또한, 사회적 관계 만족도는 음주문제 변화율에 유의미한 예측요인으로 나타나 사회적 관계 만족도에 따라 노인의 음주문제 변화추이가 달라짐을 알 수 있다. 연구 결과를 바탕으로 다음과 같은 시사점을 얻을 수 있다. 첫째, 지역사회의 광범위한 사회복지현장에서 2차 예방차원으로 노인의 음주문제를 다룰 필요성이 있으며, 심리 사회적 위험요인들을 완화시킬 수 있는 다양한 프로그램의 개발이 필요하다. 둘째, 노인 문제음주자의 회복을 위해서 건강한 사회적 지지망의 유지 및 형성을 촉진시키는 것이 중요한 개입으로 필요함을 알 수 있다.

경관평가연구의 국내외 동향 (Domestic and Foreign Trends in the Study of the Landscape Evaluation)

  • 주신하;임승빈
    • 한국조경학회지
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    • 제28권2호
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    • pp.49-60
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    • 2000
  • The purpose of this study is to overview domestic and foreign trends in the study of the landscape evaluation through new framework of landscape evaluation studies. 108 studies on the landscape evaluation are summarized and categorized into theoretical studies, verification of theories, development of evaluation methods and applications in physical planning. Major theories in the landscape evaluation came from the psycho-physics, the evolutionary theory ann the cultural-learning theory, and were verified and applied into physical planning. Early experimental researches on landscape evaluation, based on psycho-physics, were focused on relatively simple responses to landscapes. But many studies have been gradually related to the evolutionary theory and the cultural learning theory, emphasizing biological and cultural effects on landscape evaluation. Especially, Appleton's Prospect-Refuge theory' and Kaplans' 'Information Processing model' have very strong influence in landscape evaluation. Relatively there have been many application researches in Korea, which tells there have been strong needs to solve pending practical problems caused by the rapid economic and social growth for several decades. Almost of applications in physical planning are focused on physical features of landscapes, but for more comprehensive landscape evaluation, many other factors such as cognitive and sociocultural variables should be integrated into the whole evaluation system. As a result of reviewing of landscape evaluation studies, I found the overall domestic and foreign trends and the necessity of more research on the applications in physical planning. Because this study mainly focused on academic researches, for more appropriate landscape evaluation and management there should be more practical researches including various approaches.

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신체적,심리적 안전과 삶의 질 (경험적 분석) (An Emperical Research on the Quality of Life and Psycho-Physical Safety)

  • 임현진;이재열;박광민;설동훈
    • 한국인구학
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    • 제20권1호
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    • pp.161-199
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    • 1997
  • 한국사회가 경험한 급속한 산업화의 이면에는 다양한 위험요소들이 자리잡고 있다. 본 연구는 제주도를 제외한 전국에서 표집한 일반국민 800명에 대한 경험적 조사자료를 토대로하여 신체적,심리적 안전의 실태와 구조, 그리고 안전이 삶의 질에 미치는 영향을 탐구하고 있다. 연구 결과는 삶의 질과 안전 모두 다차원의 복합적 구성을 갖는 현상임을 보여준다. 첫째, 삶의 질은 최소한 4가지의 요인으로 분해가 가능하며, 안전은 삶의 질의 주요 구성요소임을 알 수 있다. 둘째, 인간사회는 모험과 안전의 균형점을 상정하고 있으며, 그 균형은 문화나 사회체계, 그리고 하위집단별로 서로 다르게 형성된다. 셋째, 안전사고는 적어도 세가지 집락으로 분류되며, 각 유형에 따라 사고원인, 사고의 빈도, 문제의 해결방안등이 달라져야 함을 시사한다.

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북한이탈청소년의 문화변용 추적과 남한사회 적응에 관한 연구 (Follow-up Study on the Acculturation and Adataption to South Korea among North Korean Defecting Adolescents)

  • 홍순혜;이숙영;김선화
    • 한국사회복지학
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    • 제62권1호
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    • pp.343-365
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    • 2010
  • 본 연구는 북한이탈청소년의 문화변용 유형의 변동 추이를 추적하고 문화변용과 남한사회적응과의 관련성을 규명하는데 목적이 있다. 연구 참여자는 2003년 홍순혜 외의 연구(1차 조사)에 참여했던 90명의 9세-24세의 북한이탈청소년 중 추적이 가능했던 46명(2차 조사)이다. 1차 조사(2003) 결과 주변형이나 분리형이었던 북한이탈청소년의 약 37%는 2차 조사(2009)에서 동화형 또는 통합형으로, 동화형이나 통합형 중 약 21%는 주변형이나 분리형으로 전환된 것으로 나타났다. 남한문화 수용정도 및 북한문화 유지정도와 남한사회적응과의 관계를 분석한 결과, 남한문화 수용정도가 높을수록 심리사회적 문제는 적고 일상생활만족도는 높은 반면, 북한문화 유지성향이 높을수록 공격성이 높게 나타났다. 이상의 결과들을 중심으로 북한이탈청소년들의 문화변용 이해방안에 대한 논의를 전개하였으며 성공적인 남한사회적응을 위한 실천적, 정책적 대안들을 제시하였다.

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병원근로자의 직무스트레스와 작업자세 위험도가 각 신체부위의 근골격계질환에 미치는 영향 - 경로분석 모델을 중심으로 - (The Effects of Hospital Worker's Job Stress and Work Posture Risk on the Muscular Skeletal Disease related Consciousness Symptom - With Emphasis on Path Analysis Model -)

  • 최순영;임수정;이양호;박동현
    • 대한안전경영과학회지
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    • 제11권4호
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    • pp.57-67
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    • 2009
  • The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. As a result, as for body part(neck), (waist) and (arms) the degree of risk of work posture measured with the use of job stress(KOSS), psycho-social stress(PWI-SF) and REBA is significantly more affected by fatigue than muscular skeletal disease related consciousness symptom. However, regarding bod(wrist), the degree of risk of work posture measured with the use of job stress(KOSS) and REBA is directly affected by muscular skeletal disease related consciousness symptom. This study is meaningful in that the study clarified the causal relations of the degree of risk of work posture, degree of fatigue, and muscular skeletal disease related consciousness symptoms by each body part measured with the use of work stress(KOSS), psycho-social stress(PWI-SF) and REBA.

유방암 관련 국내 간호연구 동향 (Analysis of Nursing Research Trend Associated with Breast Cancer in Korea)

  • 박영미;이향련
    • 동서간호학연구지
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    • 제9권1호
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    • pp.91-103
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    • 2004
  • Purpose: This study was attempted to see the trends in breast cancer researches in Korea. Method: We collected a total of 94 articles associated with breast cancer and published in Korea from 1976 to August 2004 and analyzed the characteristics of those articles, the journals which published those articles in each year, the research designs, subjects, intervention effects in experimental studies, the subjects and concept distribution in comparative researches and themes of the articles. Result: 1. Articles published and associated with breast cancer have increased since 1990 and picked after 2000. 2. Most research designs are survey and correlation studies which are non-experimental research(70.2%) and next are experimental and qualitative researches. 3. In a total 17 articles which are experimental researches, intervention studies which use exercise programs are most(5 articles) and the next are education program, supportive nursing intervention, guided imagery, massage and rehabilitation programs. 4. In correlational researches, concepts such like social-psychological adaptation, partner support, health promotion behavior and family support are treated frequently. 5. Subjects in most comparative studies are patients with breast cancer and normal women. 6. Most nursing research themes are psycho/spiritual problems, 16 articles(17.0%). Conclusion: These results show that the researches related with breast cancer have actively increased and body functions and psycho-social variables have been improved through nursing intervention. Therefore, it seems that more systematic interdisciplinary studies and systematic complement are necessary for future breast cancer nursing researches.

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정신건강문제 해결자원의 유용성에 관한 신념: 우울증과 정신분열병의 비교 (Koreans' Beliefs on Helpfulness of Mental Health Resources: A Comparison between Depression and Schizophrenia)

  • 서진환;이선혜
    • 보건교육건강증진학회지
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    • 제26권3호
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    • pp.97-110
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    • 2009
  • Objectives: This study investigated Korean public's beliefs on helpfulness of various resources and preferred ways of addressing symptoms of mental health problems. Methods: A household survey was conducted on a stratified sample of adults aged between 18 and 74 (N=1,584). The participants were asked to provide their opinion on helpfulness of 39 resources for problems presented in the vignette, either depression(DEP) or schizophrenia(SPR). Descriptive statistics and factor analysis were conducted to summarize their opinion and to identify the underlying structure of beliefs about helpfulness of various resources. Results: Counselors/psychologists/social workers, family, psychiatrists, other therapists, and religious leaders were believed to be the most helpful. Methods that require one's initiatives marked percentages much higher than those of 'waiting to get better' or 'dealing with it alone'. The percentages for medications were lower than other methods in general, but higher than those of a western sample especially on antidepressants and anti-psychotics. Psycho/social approach was favored more for SPR than for DEP, and popular/cultural approach was favored much more for DEP than for SPR; physical/medical approach was strongly unfavored against DEP. Conclusion: Strategies need to be developed for utilizing various helpful resources to diversify modality of mental health services and facilitate referrals and gatekeeping. The differences in beliefs on helpfulness of various methods between DEP and SPR point to the need for problem-specific strategies.

『데이빗 코퍼필드』에서의 광대들 (Clowns in David Copperfield)

  • 박금희
    • 영미문화
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    • 제9권1호
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    • pp.185-219
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    • 2009
  • This article aims to illuminate the comic characters and their humor in Dickens's novel David Copperfield in Bakhtinian point, and to clarify what the humorous characteristics are, and how they contribute to his reinforcement of socially critical messages in this novel. So far this novel has been called the only one of Dickens's comic novels, even though it includes lots of social critical meanings. But it is true that Dickensian critics couldn't make sure of the clear reasons why it is both very interesting and critical. Furthermore, it is also true that this novel has been criticized as a clumsy one in the realistic, psycho-analytic, dramatic angle. This approach to Dickensian comic characters through Bakhtinian fool, clown, and rogue concepts here could make up for or correct such criticisms, and reevaluate Dickens's humor and social criticisms in the context of general public culture. Bakhtin believes oppression by social ideologies prevent us from having good mutual relationships and divides our society. He thinks laughter liberates us from such oppression and restores our good relationships. As he applied his concepts based on the laughter of Middle Ages to Rabelais's novels, and examined what the authentically liberating power in Rabelais's laughter is, this article could clarify the liberating power of laughter by Dickens's comic characters, such as Mr and Mrs Micawber, Dick, Miss Betsey Trotwood and Miss Mowcher. In this novel, they often lead comic happenings, and such happenings are very similar to carnival-amusements including burning the dummy of the czar who has oppressed his or her citizenry. Especially, Dickens's comic characters's social criticisms, in the case of this novel, contain many complaints of social marginers, even though he has been labelled as being conservative politically. They always criticize the ideological absurdities in their society through the humorous words and behaviors in their comic happenings, like those of a carnival fool or clown in his or her amusements. This shows Dickens achieves both laughter and social criticism in David Copperfield by using Rabelaisian characterization-devices based on his general public culture. Like Bakhtin and Rabelais, Dickens seems to have believed that when we all truly liberate ourselves from the oppression of social ideologies, we can have desirable relationships between ourselves, and also solve social problems positively.

중년여성의 건강증진을 위한 단전호흡 모형 개발 (Development of a Dan J eon Breathing Model for Health Promotion in Middle-aged Women)

  • 김경원
    • 대한간호학회지
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    • 제35권3호
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    • pp.565-574
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    • 2005
  • Purpose: The purpose of this study was to develop a Dan Jeon Breathing Model and to identify effects of the developed Dan Jeon Breathing Model for maintenance and promotion of health and improvement of health problems in middle-aged women. Method: This study was constructed with two procedures. The first procedure was to develop appropriate movements for middle-aged women, performing a focus group discussion and developing a Dan Jeon Breathing Model in qualitative research. The collected data from focus group discussions was categorized for fitting movements. The second procedure was to verify and conclude a Hypothetic Dan Jeon Breathing Model through a quasi-experimental nonequivalent control group pre-post test design. Result: The developed Dan Jeon Breathing Model was composed of 28 preparation movements to accept Ki comfortably, 10 breathing movements to accumulate Ki for activation of metabolic function in organs and 14 finishing movements to transmit activated Ki to organs. It took 40 minutes to do them. In the Second procedure, the score of physical health (t=4.205, p=.000), psycho-social health(t=3.292, p=.002) and physical strength of the experimental group(t=5.905, p=.000) was higher than that of the control group. Conclusion: The Dan Jeon Breathing Model developed in this study is the correct health promotion model for middle-aged women, their demand, developmental traits and health problems.