• 제목/요약/키워드: psychological crisis

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COVID-19: "영양 아젠다" (Nutrition agenda during the era of the COVID-19 pandemic)

  • 이명숙
    • Journal of Nutrition and Health
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    • 제54권1호
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    • pp.1-9
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    • 2021
  • This review describes the risk factors of the nutrition crisis in coronavirus disease 2019 (COVID-19) infections and suggests precision nutrition against long-term psychological and physiological stress. The mandatory quarantine and the social distancing are associated with an interruption of the lifestyle routine, resulting in psychological (i.e., boredom) and physiological stress. The stress with multiple causes and forms induces over-compensation of energy-dense food, such as sugary comfort food, and is defined as "food craving" because carbohydrates positively affect the psychological stability with serotonin secretion. The consumption of foods that promote an immune response against viral infections (vitamins & minerals; Cu, folate, Fe, Se, Zn, and Vit A, B6, B12, C, and D), reduce inflammatory cytokines (w-3 fatty acids, Vit D, fibers, and Mg), contain antioxidants (beta-carotene, Vit E, C, Se, and phenolics), and sleep-inducing proteins (serotonin, melatonin, and milk products) is essential. In addition, a reduced Vit D deficiency in winter due to less time spent outdoors under quarantine has been reported to be associated with viral infections. The case fatality rate of COVID-19 was significantly dependent on age, sex, race, and underlying health condition. To prevent malnutrition and cachexia in elderly people, weight loss and muscle wasting should be monitored and controlled. Inadequate protein intake, sedentary lifestyle, and inflammation are significant risk factors for sarcopenia. Moreover, relatively high intakes of fat or carbohydrate compared to low protein intake result in abdominal obesity, which is defined as "sarcopenic obesity." Keeping the food-safety guidelines of COVID-19, this study recommends the consumption of fresh and healthy foods and avoiding sugar, fat, salt, alcohol, and commercially frozen foods.

암환자의 심리사회영적 간호

  • 최화숙;김수지
    • 호스피스학술지
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    • 제6권1호
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    • pp.24-31
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    • 2006
  • Psycho-social-spiritual care should be included with comprehensive nursing care of cancer patient. Because of human being have four dimensions as physical, psychological, social and spiritual dimension and they do interactional relationship with themselves, others and God. So caregivers of cancer patient have to recognize what they have psycho-social-spiritual needs and have to consider how caregivers can combine these in comprehensive nursing care. Cancer patient will be experienced shock, feeling of crisis and fear of death and will be showed denial, anger, bargaining, depression, accept or give-up, hope, spiritual distress and spiritual needs to which help them to do some rituals or interactions according their religion. Loving attitude is essential of cancer patient care especially of psycho-social-spiritual care. Dr. Kim and her some colleques investigated about this and find out 10 concepts(Caring Behaviors) by Graunded Theory Methodology. They are Noticing, Participating, Sharing, Active Listening, Complimenting, Companioning, Comforting, Hoping, Forgiving, Accepting.

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중환자실 입원환자 가족의 경험 (The Lived Experiences of Inpatients' Families in the Intensive Care Units)

  • 황혜남;김귀분
    • 성인간호학회지
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    • 제12권2호
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    • pp.175-183
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    • 2000
  • The study was done by applying a phenomenological study, which is qualitative research methods, in order to understand the meaning of the lived experiences, to confirm and describe the meaning structure, and to prepare nursing interventive strategies centering around the meanings of the inpatients' families in the intensive care units. In the study, the family members were the main important nursing providers for in the inpatients' who were admitted in the neurosurgical intensive care unit in K-university hospital and who agreed to participate in the study after being given on explanation about the purpose of the study. The data were collected from the seven participants who had feelings of trust and intimacy favorable toward the researcher as they were families of patients who had been cared for by the researcher in the ICU where the researcher has been assigned. The data were collected from April to October, 1999. The participants described their experiences as candidly as possible. The researcher described closely the lived experiences with their own words and the observations of the researcher. A tape recorder was used with the consent of the participants to prevent nursing information and communication. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi; as an unit of description, which include the participants' expressions and the researcher's observations, the analysis was used based on the data described from the expressions of the participants and the details of observations of the researcher. The conclusions of the study were as follows : The meanings of the lived experience of the inpatients' families in the ICU was confirmed by indepth interviews and observations including these of the participatants : (1) Psychological impact: confusion, impatience, surprise, insensibility; (2) Physical suffering: fatigue, discomfort, indigestion; (3) Psychological suffering: heartbreaking emotion, anxiety, annoyance, fear, compassion, grief; (4) Economical suffering: economical difficulties; (5) Psychological disagreement: escape from reality, personnel avoidance, grudge, powerlessness, carefulness, transposition of life-tract, abandonment, role-crisis, hope, lack of understanding, regret, feeling of ambivalence(progressive process, medical personnel interest); (6) Psychological dependency; self-reliance group support, family support, religious support; (7) Psychological acceptance; acquaintance, gratitude, reassurance; The study will offer better understanding of experiences therefore, based on the experiences confirmed by the study, it may facilitate more appropriate nursing interventive strategies for health maintenance and to prevent occurrence of possible problems with the inpatients' families in the ICUs.

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일본의 재난관리체계 및 재난심리지원체계 고찰과 시사점 (The Current Status and Implications of Disaster Management System and Psychological Support System in Disaster Response in Japan)

  • 이동훈;김지윤;강현숙;이혜림
    • 한국콘텐츠학회논문지
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    • 제16권7호
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    • pp.73-90
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    • 2016
  • 본 연구에서는 일본 재난관리 및 재난심리지원 체계를 살펴보고, 국내 재난심리지원체계의 구축 및 개선에 대한 시사점을 얻고자 한다. 이를 위해 일본과 한국의 재난심리지원 체계에 대한 국 내외 문헌을 중심으로 문헌연구가 이루어졌다. 일본에서는 대규모 재난 초동기에는 중앙에서 파견된 재난심리지원 인력인 재해파견정신의료팀(DPAT)에 의한 정신의료적 지원과 함께 적십자사에 의한 심리사회적 지원이 이루어지고, 재난 이후 중장기개입에 있어서는 마음케어센터에 의한 지원이 이루어지고 있다. 재난심리지원의 중앙 컨트롤타워 역할을 하는 재해시마음의정보지원센터는 재난정신건강정보지원시스템을 통해 전국적인 재난관련 데이터를 수집 분석 관리하여 전국적 수준에서 재난상황을 파악하고, 정보의 취합을 통해 중앙에서의 재난심리지원 활동을 관리한다. 일본 재난심리지원체계는 대규모 재난 시 마다 이를 계기로 하여 문제점들을 보완하고 수정하여 현재의 모습을 갖추어 왔다는 점에서 우리나라에 시사점을 준다. 연구결과에 기초하여 논의 및 시사점이 제시되었다.

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.

국내 주택시장 참여자의 거래의사 결정과정 및 시장 파급효과의 동태적 분석 - 금융위기 이후의 주택시장 침체원인 및 주택정책을 중심으로 - (Housing Market Participants' Decision Process and The Dynamics of Ripple Effect on Korean Housing Market - Focusing on The Cause of Housing Market Stagnation and Housing Policies After 2008 Global Financial Crisis -)

  • 현호상;이현수;박문서;황성주
    • 한국건설관리학회논문집
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    • 제15권5호
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    • pp.147-159
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    • 2014
  • 2008년 글로벌 금융위기 이후 국내의 주택시장은 침체기를 겪고 있으며 이에 따라 주택가격의 하락, 임대주택가격의 상승등과 같은 주택시장의 문제점이 발생하였다. 주택시장의 정상화를 위해 정부에서는 다양한 주택정책을 발표하였으나 주택시장은 아직 회복세를 보이지 않고 있다. 따라서 본 연구는 주택시장의 침체 원인 분석하기 위해 주택 시장의 주요 참여자인 주택공급자와 주택 수요자를 기존의 수요 공급 원리에 의해서 분석하며 이들의 거래의사에 영향을 미치는 심리적 요인을 행동경제학 이론을 바탕으로 분석한다. 이의 분석 결과를 바탕으로 시스템다이내믹스 시뮬레이션 방법론을 사용하여 발표된 정책의 실효성을 검증한 결과 정책의 입안 기간에 따라 주택 거래량과 주택담보대출 총액이 영향을 받는 것으로 나타났다.

The Trends in the U.S. and Korean Science Curriculum Reforms

  • Kwak, Young-Sun;Choe, Seung-Urn
    • 한국지구과학회지
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    • 제23권2호
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    • pp.194-206
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    • 2002
  • This article describes the major themes to change in historical and philosophical perspectives of science education that lead the US and Korean science curriculum reform movements since 1957. Inquiry teaching and criticism of teaching science as inquiry in the late 1950s and the 1960s, Science-Technology-Society (STS) Curricula, and Science Literacy and the 1980s science literacy crisis are discussed. In the US, three major curricular projects as responses to the scientific literacy crisis are exemplary such as the Project 2061 sponsored by the American Association for the Advancement of Science, the Project on Scope, Sequence, and Coordination (SS&C) initiated by the National Science Teachers Association (NSTA), and the National Science Education Standards (NSES) published by the National Research Council. To identify how each set of national content standards differ, we compared specific content standards related to the theory of plate tectonics in Earth and Space science in grades 9-12 over the three national standards: Benchmarks of AAAS, NSES of the NRC, and SS&C of the NSTA. Against this historical background of the US science education reform movements, the curriculum reform movements in Korea is briefly discussed. In general, Korean science curriculum reform movements have reflected and resembled the recommendations of the US reform movements. In addition, it is important to note that throughout the history of curriculum revision in Korea, there have been continuing pendulum swings between a theoretical, discipline-centered curriculum and a liberal, humanistic, and student-centered curriculum, which pays more attention to students in terms of their interest and psychological preparedness. In conclusion, the sixth and seventh national science curriculum revisions reflect rather a student-centered movement by reducing technical and sophisticated topics, taking constructivism learning theory into consideration, and adding more STS related topics.

코로나19 대유행 시기에 집단주의 성향과 사회적 거리두기 행동 간의 관계: 사회적 거리두기에 관한 주관적 규범의 매개효과 (The Relationship between Individuals' Collectivistic Orientation and Social Distancing during the COVID-19 Crisis in Korea: The Mediating Role of Subjective Norm)

  • 한지민;최훈석
    • 한국심리학회지 : 문화 및 사회문제
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    • 제27권3호
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    • pp.217-236
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    • 2021
  • 2020년 9월 코로나19 대유행으로 인한 사회적 거리두기 수도권 2.5단계와 전국 2단계 시기에 국내 거주 성인(N = 445)을 대상으로 조사를 실시하여 개인의 집단주의 성향과 사회적 거리두기 행동 간의 관계를 사회적 거리두기에 관한 주관적 규범이 매개한다는 가설을 검증했다. 연구 결과, 집단주의 성향이 강한 사람들은 사회적 거리두기에 관한 규범을 강하게 지각했고, 그에 따라 사회적 거리두기에 참여하는 매개경로가 유의했다. 그리고 이 결과는 코로나19와 관련하여 지각하는 개인적 취약성에 관계없이 관찰되었다. 개인주의-집단주의와 행동면역, 그리고 코로나19 확산을 차단하는 효과적인 조치로서 사회적 거리두기와 관련하여 본 연구 결과가 지니는 시사점 및 장래 연구 방향을 논의하였다.

Social Media and Communication in Times of Public Health Crisis: Analysis of COVID-19 YouTube Vlog activities in the sharing of patient experience and information

  • 강복;손승혜;이귀옥
    • 인터넷정보학회논문지
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    • 제24권4호
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    • pp.107-115
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    • 2023
  • This study analyzes the content of YouTube Vlog videos created by patients of Coronavirus disease 2019 ("COVID-19") in South Korea and viewer comments on those videos. As this new infectious disease started to sweep the world in late 2019 and early 2020, the public started facing fear and uncertainty stemming from the lack of sufficient and accurate information about the virus. At the same time, as COVID-19 patients in South Korea were treated in isolation to prevent the spread of the virus, the patients themselves were experiencing anxiety and exclusion from the society. During this period, there was an increase in YouTube Vlog videos created by the patients in which they shared their experiences going through the treatment and recovery processes. To understand how these YouTube Vlog videos were being used by the patients to connect with the society and seek support in a state of isolation and anxiety, this study conducted a qualitative multi-case analysis of three sample YouTube Vlog video channels to analyze their content, as well as a lexicon-based sentiment analysis of viewer comments to understand the experiences and reactions of viewers. The patients' YouTube Vlog videos showed that they shared similar stages of progress, despite each emphasizing a different main theme. Overall, the tone of the viewer comments became increasingly positive over time, although with some variance among different patient cases and stages. The results confirmed that Vlogs of patients played a significant role in reducing the uncertainty around COVID-19 and strengthening social support for the patients. The findings of this study can improve an understanding of the psychological and behavioral aspects of patient experience in isolated treatment and the impact of shared communication among members of society in times of crisis.

The Analysis of Self-Mutilation in Adolescence Based on the Theory of Mentalization: From Sukhvinder in the Novel 'Casual Vacancy'

  • Oh, Mi Ae;Park, Chanmin;Lee, Yeon Jeong;Hong, Minha;Han, Ju Hee;Oh, Soo Hyun;Park, Jun Heon;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제30권3호
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    • pp.100-108
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    • 2019
  • Objectives: Adolescence involves a number of developmental processes, as well as unique psychological characteristics and behaviors. An increased rate of internet and game addictions, school violence, and suicide may either represent aspects of adolescence or a psychopathological phenomenon. There is an urgent need to develop software programs that can prevent and resolve adolescent behavioral problems. We applied the mentalization theory to interpret and find solutions for problems faced by adolescent characters in literature. Methods: In Joan Rowling's novel "Casual Vacancy," Sukhvinder is a girl with problems representative of those encountered by modern adolescents; she is a victim of bullying and engages in self-mutilation. We targeted her problematic behaviors as representative of a prementalized state. Results: Born into an upper-class English family with Pakistani origins, Sukhvinder, unlike her siblings, fails her parents' expectations. Whenever she faces a psychological crisis, she regresses into the teleological mode (the most primitive pre-mentalization stage) and regains her sense of self by cutting herself. After her friend's suicide, however, she begins to communicate with her parents and moves toward mentalization. Conclusion: By analyzing Sukhvinder's behavior, we assessed patterns of attachment, empathy, and mentalization, and identified corrective approaches for problematic behaviors. We believe that the presented interpretation may serve as a foundation for the development of models for understanding adolescent deviant behaviors.