• 제목/요약/키워드: psychological health.

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노인환자의 수술후 회복패턴에 관한 연구 (Post-Surgical Recovery Patterns of the Elderly)

  • 변영순;정은주
    • 기본간호학회지
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    • 제6권1호
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    • pp.51-63
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    • 1999
  • This study examined two differences in physical and psychological recovery patterns after surgery in the elderly. The sample consisted of 40 patients with abdominal surgery In five large hospitals in Seoul. The data for this study were collected from Apr. 20 to Nov. 26 by structured questionnaire, chart review and call. Physical recovery was assessed by ADL, a Cantril Ladder Scale and a Visual Analogue Scale. Psychological recovery was measured by the Geriatric depression Scale and a Cantril Ladder Scale. The data were analyzed using frequency, percentage, Pearson Correlation Coefficient, and MANOVA by SPSS/WIN. The result are as follows : 1. Physical recovery indicated significant improvement over time with the exception of ADL(F=.812 p=.449). Perceived physical health were significantly improved(F=6.189 p=.004). Pain & discomfort was significantly decreased(F=3.927 p=.025). 2. Perceived psychological health was significantly improved over time(F=20.648 p=.000), but depression showed no statistical significance improvement over time(F=1.393 p=.256). 3. There were no significant effects of sex, age, complication and combined chronic diseases on physical and psychological recovery patterns. 4. There were significant correlations between operation time and pain(r=-.331 p=.020), recovery time and perceived psychological health(r=-.320 p=.024), recovery time and pain(r=.404 p=.005). There were significant correlations between admision period and ADL(r=-.418 p=.004), perceived physical health(r=-.354 p=.014), depression(r=.280 p=.042), and perceived psychological health(r=-.447 p=.002). BRAS showed significant correlation with ADL(r=-.458 p=.002). 5. With an increase in the degree of perceived health(physical and psychological), ADL was significantly increased. With an increased in the degree of depression and pain, ADL and perceived health(physical and psychological) were significantly decreased. In conclusion, the elderly patient recovered significantly over time with the exception of ADL and depression. It these we suggested to considered when planning care for elderly patients.

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A지역 의과대학생의 문화성향, 도덕성, 그리고 정신건강과의 관계 (Relationships among Cultural Disposition, Morality, and Psychological Health of Medical Students in a Province of Korea)

  • 이선영;안병덕
    • 의학교육논단
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    • 제18권1호
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    • pp.26-37
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    • 2016
  • This study aimed to investigate the relationship among the cultural disposition, morality, and psychological health of medical students to determine how these factors might relate to curriculum planning in medical education. Data was collected from a total of 186 medical students. The questionnaire used included the individual cultural disposition scale, the symptom checklist-90-revised, and the defining issues test. To evaluate individual cultural disposition, we classified students into four categories-low, individual, collective, or mixed cultural disposition-using individualism/collectivism and vertical/horizontal dimensions. We found that those who were younger and in earlier academic years had higher collectivism than individualism and the males had higher individualism than the females. There was no difference in morality or psychological health by the students' sex, age, or academic year. Horizontal collectivism and moral judgment showed a statistically significant correlation (r=0.150, p<0.05), as did stage 6 morality and symptoms of damaged psychological health (r=-0.156, p<0.05). Other than these relationships, no significant correlations between cultural disposition and morality or between morality and psychological health were found. Cultural disposition did have correlations with various aspects of psychological health; specifically, the highest correlation coefficients were found in the relationships between phobic anxiety and horizontal individualism, psychoticism and vertical collectivism, and hostility and horizontal collectivism. The four cultural disposition categories showed relationships not with morality but with psychological health factors including depression, anxiety, hostility, and phobic anxiety. We hope the results of this study can be used to improve the curriculum of medical education.

Impact of COVID-19 Pandemic on Psychological Well-Being of Firefighters

  • Elisabetta Riccardi;Luca Fontana ;Daniela Pacella;Fabio Fusco;Ilaria Marinaro;Giovanna Costanzo;Francesco Vassallo ;Maria Triassi ;Ivo Iavicoli
    • Safety and Health at Work
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    • 제14권3호
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    • pp.317-324
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    • 2023
  • Background: COVID-19 pandemic represented a unique stressful event that affected the physical health and psychological well-being (PWB) of individuals and communities. Monitoring PWB is essential not only to clarify the burden on mental health effects but also to define targeted psychological-supporting measures. This cross-sectional study evaluated the PWB of Italian firefighters during the pandemic. Methods: Firefighters recruited during the pandemic period filled out a self-administered questionnaire, the Psychological General Well-Being Index, during the health surveillance medical examination. This tool is usually used to assess the global PWB and explores six subdomains: anxiety, depressed mood, positive well-being, self-control, general health, and vitality. The influencing roles of age, gender, working activities, COVID-19, and pandemic restrictive measures were also explored. Results: A total of 742 firefighters completed the survey. The aggregate median PWB global score was in the 'no distress"" range (94.3 ± 10.3), which was higher than that observed in studies conducted using the same tool in the Italian general population during the same pandemic period. Similar findings were observed in the specific subdomains, thus suggesting that the investigated population was in good PWB condition. Interestingly, significantly better outcomes were detected in the younger firefighters. Conclusion: Our data showed a satisfactory PWB situation in firefighters that could be related to different professional factors such as work organization and mental and physical training. In particular, our results would suggest the hypothesis that in firefighters, maintaining a minimum/moderate level of physical activity (consisting of even just going to work) might have a profoundly positive impact on psychological health and well-being.

중학생의 식생활 태도가 심리적 성취 및 자아관리에 미치는 영향 (The Effects of Eating Attitudes on Psychological Achievement and Self Control in Middle School Students)

  • 오성천
    • 한국식품영양학회지
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    • 제25권3호
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    • pp.483-489
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    • 2012
  • In this study, a survey was carried out on 208 students at middle schools in Gyeonggi-do through May 1 to July 20, 2011, with the purpose of figuring out how eating attitudes of middle school students affect their psychological achievement and self control. The results were as follows. First, the effect of eating attitudes on the psychological achievement of middle school students demonstrated that regular dietary life, dietary life and health had a statistically significant positive effect on psychological achievement. Second, the effect of eating attitudes on self control in middle school students showed that balanced dietary life, dietary life and health had a statistically significant positive effect on self control. The above findings confirmed that regular and healthy dietary life connected directly with health, which was a factor that makes them think positively about psychological achievement. Besides, for eating self control, as balanced dietary life in eating attitudes was important. And as this had a positive effect on their self control, could improve their eating attitudes. Consequently, the regular eating attitudes and balanced dietary life in eating attitudes of middle school students can make their psychological achievement and eating self control for the nutrition and health care.

노인요양기관종사자의 심리적 자본이 이직의도 및 직무만족에 미치는 영향 (An Effect of Aged Care Facility Worker's Psychological Capital on Turnover Intension and Job Satisfaction)

  • 전상남
    • 한국학교ㆍ지역보건교육학회지
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    • 제16권3호
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    • pp.79-89
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    • 2015
  • Objectives: This study aims to examine the effect of psychological capital on turnover intension and job satisfaction by aged care facility workers. Methods : Samples were obtained from 147 aged care facility workers in one county of Kyungsangbukdo. The study conducted a correlation and a regression analysis to learn how psychological capital (self-efficacy, hope, optimism, resilience) would affect turnover intension and job satisfaction. Results : First, age and marital status turned out to have a positive (+) influence on job satisfaction which would be negative (-) affected by tenure of office. Second, hope, sub-variable of Psychological Capital, affected a negative (-) influence on turnover intension. Third, resilience, sub-variable of Psychological Capital, affected a positive(+) influence on job satisfaction. Conclusions: It is suggested to develop the psychological capital of aged care facility workers, effective welfare system and educational program are required for better job satisfaction.

Association of Psychological Health and Perceived Oral Health in Elderly Individuals: Focusing on Depression, Stress, and Suicidal Ideation

  • Lee, Hyun-Ok;Kim, Sun-Mi;Park, Ji-Young
    • 치위생과학회지
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    • 제17권5호
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    • pp.398-404
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    • 2017
  • The present study aimed to examine the influence of mental health factors on oral health factors using data from the Korean National Health and Nutrition Examination Survey (KNHANES). A total of 1,548 elderly individuals aged over 65 years who completed the screening and health questionnaire were selected as the final study participants. The psychological health factors related to perceived oral health status were depression and stress when the gender was controlled, and in terms of gender, both elderly male and female individuals were stressed and depressed. These results suggested that the psychological health of elderly individuals negatively affects not only perceived oral health but also the quality of life. In addition, the psychological health of the elderly individuals should be systematically managed along with oral health care and overall health care and lifestyle. If a comprehensive health management system is available for low-income groups or an elderly person living alone, it should positively affect and improve the quality of life of elderly individuals.

남북한의 심리적 통일을 위한 심리학적 고찰 (A Psychological Consideration for Psychological Unification of North and South Korea)

  • 김명식
    • 디지털융복합연구
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    • 제13권1호
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    • pp.555-562
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    • 2015
  • 본 연구에서는 남북한의 심리적 통일방안의 중요성과 그 구체적 실현 방법, 남북한 정신건강의 현황과 문제점에 대해 살펴보았다. 지금까지 남북통일에 대해 김대중의 남북연방제와 3단계 통일론 등 여러 주장과 연구들이 제시되었다. 본 연구에서는 남북한의 이질성과 동질성, 북한주민의 심리사회적 특성과 정신건강, 남북한의 심리학적 통일에 대한 기존의 심리학적 방안과 연구, 한국의 정신보건 현황 등을 개관했다. 남북한 통일의 문제는 점진적으로든 갑작스럽든 우리민족에게 필연적으로 다가올 수 밖에 없는 역사의 과정이라 할 수 있다. 남북한 통일에 대한 정치경제적 준비도 중요하지만, 분단 60여년의 심리적 상처와 고통을 치유할 수 있는 심리적 차원의 대비와 연구도 매우 중요하다. 향후 남북한 통일에 대비한 정신보건 정책 마련과 제도개선, 탈원화와 지역사회 통합을 강조하는 세계적인 정신보건 기준이나 OECD 권고에 부응하기 위한 각고의 노력이 필요한 상황이다. 본 연구의 의의와 한계점, 향후 연구방향이 논의되었다.

한국 여성 이민자의 사회적 지지와 심리적 복지 (The Social Networks and Psychological Well-Being of Korean Women Immigrants)

  • 서리나
    • 가족자원경영과 정책
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    • 제10권4호
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    • pp.87-107
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    • 2006
  • A study of 117 Korean immigrant women who had husband and(or) children in Hawaii found the relation between social networks and psychological well-being. Social networks composed supporters, support structure, and support contents. Psychological well-being examined family life satisfaction, family life stability, and women's psychological health. Results showed as followed. First, the choice of immigration place among Korean immigrant women and her family based on other family members and friends lived in there. Second, her supporters were family and relatives, Korean friends, foreign friends, religions, belonged organizations and groups, public agencies in Hawaii, and mass-media. The best supporters of them was family and relatives and they mostly provided mental health to Korean immigrant women. Family, Korean friends, foreign friends, and religions tended to support emotional assistance. Third, the level of psychological well-being was higher. Her level of psychological health was higher than the others. Fourth, the best predictors of psychological well-being were child existence, occupation, and immigration duration. Fifth, psychological well-being significantly distinguished different relations of supporters from support structure of social network. The number and support duration with foreign friends supporter and the support duration and the level of perceived useful support content highly related with psychological well-being.

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조현병 환자를 위한 수용전념기반 인지행동 프로그램 개발 및 효과 (Development and Effects of an Acceptance Commitment-based Cognitive Behavioral Program for Patients with Schizophrenia)

  • 이재운;박현숙
    • 정신간호학회지
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    • 제27권4호
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    • pp.342-354
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    • 2018
  • Purpose: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment. Methods: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for $x^2$ test, Fisher's exact test, independent t-test, and repeated measurement ANOVA. Results: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight. Conclusion: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

노인의 연령정체감이 실존적 정체감과 심리적 안녕감에 미치는 영향 (Influence of Age-Identity on Existential Identity and Psychological Well-Being of the Elderly)

  • 이신숙
    • Human Ecology Research
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    • 제52권2호
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    • pp.151-164
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    • 2014
  • This study was conducted to explore the relationships between the elderly's existential identity and psychological well-being in accordance with the elderly's age-identity so as to improve the quality of life in the elderly with prolonged lives. The data were collected from respondents who were more than 60 years in age who live in city Suncheon. The statistics used for the data analysis were reliability, frequency, percentage, mean, standard deviation, one way analysis of variance, and multiple regression. The results of this study were as follows: (1) A majority of the elderly (49.8%) acknowledged psychological age as actual age. (2) The degrees of the elderly's existential identity was 54.90, while the degree of the elderly's psychological well-being was 33.07. (3) The elderly's existential identity level was significantly affected by economic state, spouse, age-identity, monthly living expenses, household, religion, career, age, and health state. Further, the elderly's psychological well-being level was significantly affected by existential identity, economic state, spouse, health state, age-identity, monthly living expenses, household, education, career, and age. (4) The variables that affect the elderly's existential identity were age-identity, economic state, health state, religion, monthly living expenses, and career, indicating an explanatory power of 38%. Moreover the variables that affect the elderly's psychological well-being were existential identity, age-identity, economic state, health state, and monthly living expenses, explaining approximately 55% of the total variance.