• Title/Summary/Keyword: psychological status

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Perioperative Comprehensive Supportive Care Interventions for Chinese Patients with Esophageal Carcinoma: a Prospective Study

  • Zhang, Xiao-Dan;Zhao, Qing-Yu;Fang, Yi;Chen, Guan-Xuan;Zhang, Hui-Fang;Zhang, Wen-Xiao;Yang, Xiao-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7359-7366
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    • 2013
  • Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative I and postoperative II), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

Psychological Aspects of Burning Mouth Syndrome

  • Kim, Cheul
    • Journal of Oral Medicine and Pain
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    • v.40 no.1
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    • pp.3-9
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    • 2015
  • The etiopathogenesis of burning mouth syndrome (BMS) seems to be complex and many patients probably involves interactions among local, systemic, and/or psychological factors in the pathophysiologic mechanism. Although there are controversies over whether the psychological factor is a cause or a result of BMS, several studies have supported strong relationships between psychological factors and chronic pain. It has been suggested that somatic complaints from unfavorable life experiences may influence both individual personality and mood changes; however, initiation of BMS symptoms is not necessarily correlated with stressful life events despite their elevated psychological stress. If the psychological distress is not a causal factor of BMS, it seems that BMS patients may be particularly vulnerable to psychological problems, primarily depression, anxiety, and hostility due to the characteristic entities of BMS such as chronic persistent pain itself. It seems likely that both physiological and psychological factors play a role in causing, perpetuating and/or exacerbating BMS; therefore, both two components of the patient's symptoms must be addressed. The acceptance of psychological factors by the patient is often an important element of BMS, management. The evaluation of psychological and emotional status of BMS patient enables clinicians to recognize prolonged negative and subclinical factors which can complicate the management of pain or indirectly perpetuate other physical factors. This evaluation improves the doctor-patient relationships, motivation, and compliance through a correct understanding of the clinical problem. Appropriate emotional and psychological evaluation may be required prior to developing a treatment plan in order to gain the successful treatment outcome.

Association of Anger Expression Patterns and Health Status in Health Care Workers (일 의료기관 종사자의 분노표현유형과 건강상태)

  • Lee Won-Hee;Kang Duck-Hee;Park Jin-Hee;Kim Soo-Hyun;Min Sung-Gil;Nho Jae-Hun
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.821-828
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    • 2006
  • Purpose: The purpose of this study was to examine anger-expression patterns and their association with state and trait anger and physical and psychological health status in health care workers. Method: Four hundred and forty eight nurses, physicians and technicians from a large medical center completed standardized questionnaires of anger, anger-expression patterns and mood. They also had blood pressure, cholesterol, blood glucose and body mass index measured during their annual physical examinations. Data was analyzed using descriptive statistics, independent t-test, chi-square and ANOVA. Results: Subjects showed two major clusters of anger-expression patterns: anger-control and anger-in/out. Subjects with the anger-in/out pattern reported higher state and trait anger and more anxiety, depression and fatigue than subjects with the anger-control pattern. Physical health indicators, however, were not significantly different between the two clusters of anger-expression patterns. Conclusion: Anger-expression patterns are associated with psychological health status but not with physical health status. Anger-expression patterns, however, need to be examined over time to assess their long-term effects on the physical and psychological health status in future studies.

Marital Instability of Wives Who Experienced Abuse from Their Husbands (학대 경험 아내들의 결혼불안정성에 관한 연구)

  • 정혜정
    • Journal of the Korean Home Economics Association
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    • v.40 no.9
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    • pp.17-33
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    • 2002
  • This study was to investigate the relationships of personal resources, individual psychological variables, and relational characteristics with marital instability of wives who experienced physical and/or psychological abuse from their husbands, and to analyze the relative significance of related variables on marital instability. Self-administered questionnaire method was used to collect data from 500 wives residing in Chonbuk-do province, and data from 306 wives who reported to be psychologically and/or physically abused during last three years were used in the final analyses. Results showed that there were significant differences in the levels of marital instability according to wives' employment status, number of children, and occupational status of husbands. Correlational analyses indicated that wives' economic dependence, all individual psychological variables, and three relational variables were significantly correlated with marital instability of abused wives. Finally, multiple regression analyses showed that marital comparison level and degree of abuse from husband were the most powerful predictors on marital instability, and all these variables accounted for 61% of the total variance of abused wives' marital instability.

A Study on the Reduction of Psychological Unrest Factors through the Improvement of Fire Service System (소방업무 제도개선을 통한 심리적 불안 요인 감소 방안)

  • Young-Jin, Reem;Ha-Sung Kong
    • Journal of the Korea Safety Management & Science
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    • v.25 no.4
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    • pp.105-115
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    • 2023
  • The purpose of this study is to identify psychological anxiety factors related to firefighters' field activities and suggest improvement measures. To investigate the actual status of psychological anxiety factors, a survey was conducted on approximately 3,500 current firefighters, and the responses of 505 people who participated in the survey were analyzed. As a research method, frequency analysis and cross-analysis were conducted according to the general characteristics of the participants to determine the actual level of psychological anxiety in each work field and the results were analyzed. As a result of the analysis, it was statistically confirmed that firefighters feel a lot of psychological burden due to legal and institutional inadequacies during dispatch, return, or field activities, and frequent friction with civil servants is also a major cause of psychological anxiety. Therefore, based on the results of this study, it is proposed to establish a permanent legal support team in each city and province, designate and operate a hospital dedicated to psychological treatment, and establish a special provision for traffic accidents during the return of fire trucks so that firefighters can concentrate on their duties without psychological anxiety. do.

A Study of Symptom of Health and Fatigue-regulation Behavior in Middle-aged Women (중년여성의 건강증상호소와 피로조절행위)

  • Park, Chai-Soon;Oh, Jeong-Ah;Yeoum, Soon-Gyo
    • Women's Health Nursing
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    • v.7 no.4
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    • pp.447-460
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    • 2001
  • The purpose of this study were to identify a relationship between symptom of health and fatigue-regulation behavior in middle-aged women. The subjects were 241 women living in Seoul and near the city, ranging in ages of 30-59(mean= 42.1 years) being interviewed during the month of Oct. to Dec., 2000. The following questionnaires were utilized in this study: a self reported symptom of health and a fatigue-regulation behavior scale originated from Kwon(1997). The analysis for the data was done by SAS program, t-test, ANOVA, and Pearson correlation. The results of this study were as follows 1. Total mean scores of health status were shown 29.1, physical symptom 17.9 and psychological symptom 11.2. According to symptom of body system were higher in muscular-skeletal sympom 5.5, neurologic symptom 3.5, and digestive symptom 2.7. 2. The mean scores of symptom of health were significantly different in duraion of marriage, status of menstruation, perceived fatigue, perceived cause of fatigue, perceived help of family, hours of sleep. Physical symptom was significantly different in years of educational, status of menstruation, perceived fatigue, perceived cause of fatigue, perceived help of family, hours of sleep. Psychological symptom was significantly different in parity, whether or not having past illness, perceived fatigue. 3. The neurologic symptom was significantly different in years of education, status of menstruation, perceived fatigue, time to rest The respiratory symptom was significantly different in years of education, status of menstruation and hours of physical exercise. The muscular-skeletal symptom was significantly different duration of marriage, status of menstruation, BMI. perceived fatigue, perceived cause of fatigue, perceived help of family. The cardiovascular symptom was significantly different in whether or not having religion, number of children, duration of marriage, number of pregnancy & abortion, parity, status of menstruation, BMI. The digestive symptom was significantly different in whether or not having religion and the number of children. The urologic symptom was significantly different in whether or not having job, type of family, status of menstruation, BMI, perceived fatigue, perceived cause of fatigue, perceived help of family. The score of fatigue was significantly different in number of pregnancy. 4. There were significantly positive relationships in the area of symptom on health, especially fatigue was significantly positive relationships in score of symptom of health, physical symptom and psychological symptom. 5. They choose fatigue-regulation behavior physical rest, method of diversion, management of stress, enough sleep, and psychological rest in order. In the near future, it is required that further studies investigate socio-environmental factors related to symptoms of health and develop programs motivating fatigue-regulation behaviors actively.

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The Relationship between Socioeconomic Status, Maternal Involvement in Learning, Parenting Behavior and Children's Self-Determination Motivation (사회경제적 지위, 어머니의 학습관여 및 양육행동과 아동의 자기결정동기 간의 관계)

  • Noh, Bo-Hay;Park, Seong-Yeon;Chee, Yeon-Kyung
    • Korean Journal of Child Studies
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    • v.32 no.4
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    • pp.83-97
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    • 2011
  • The purpose of this study was to examine the relationship between socioeconomic status, maternal involvement in learning, parenting behavior and children's self-determination motivation. The participants of this study consisted of 333 fifth- and sixth-grade elementary school children and their mothers living in Seoul. The results of this study indicated that mothers with a higher educational attainment reported greater autonomy support behavior and involvement in their offspring's learning. Conversely, mothers with low incomes were found to use psychological control and were also found to be involved in learning to a lesser degree. Hierarchical multiple regression analysis indicated that children whose mothers were less involved in learning showed higher levels of self-determination motivation. Additionally, maternal support for autonomy and psychological control had a number of moderating effects on the association between maternal involvement in learning and the child's self-determination motivation. Specifically, children tended to exhibit significantly lower levels of self-determination motivation when mothers were more involved in learning among those who received less support in terms of autonomy. Conversely, children had significantly higher levels of self-determination motivation when mothers were less involved in learning when it came to those children who were under less psychological control.

The Effects of Physical Therapy Intervention with Local Vibration on Pain, ROM and Psychological Status in Multiple Trauma Patients Caused by Traffic Accident (교통사고로 인한 다발성 외상 환자의 국소진동을 동반한 물리치료 중재가 통증 및 관절운동범위, 심리적 상태에 미치는 영향)

  • Ahn, Seung-won;Jung, Young-june;Jung, Sang-mo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.65-72
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    • 2019
  • Background: The purpose of this study was to investigate into the effects of physical therapy intervention with local vibration on pain, ROM (range of motion) and psychological status in multiple trauma patients caused by traffic accident. Methods: A patient with multiple trauma were recruited. Before treatment, he was evaluated using numeric pain rating scale (NPRS), Korean-version impact of event scale-revised (IES-R-K), Beck Depression inventory (BDI), passive and active range of motion, and were reevaluated after 4 and 8 weeks of treatment. Results: As a result of comparing the participant before and after the experiment, the score of the IES-R-K and BDI decreased. And the passive and active ROM increased. Conclusion: According to the results above, physical intervention with local vibration by Blackroll Releazer can help improve pain, physical function and psychological status. Also, physical intervention with Blackroll's Releazer technique was able to select interventions depending on the patient's conditional and the desired goal.

The Effect of Music Therapy on the Physiological and Psychological Status of Women College Students Based on Their Preference of Music (음악선호도에 따른 음악요법이 여대생의 생리적, 심리적 변수에 미치는 효과)

  • Jeong, Hyeon-Cheol
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.321-330
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    • 2008
  • Purpose: This study was intended to determine how the choice of music affects the physiological and psychological status of women college student during music therapy. Methods: A nonequivalent experimental group pretest-posttest design was used. 19 out of 54 subjects were assigned to listen to their favorite music and 17 to their unfavorite music for 20 minutes using MP3 players and headphones. Anxiety, blood pressure, pulse and blood glucose levels of the subjects were measured before treatment. The data was analyzed by Mann-Whitney and Wilcoxon signed rank test using the SPSS/WIN 10.0 program. Results: The result showed that systolic blood pressure, blood glucose and anxiety level decreased significantly in the favorite music group. however systolic blood pressure, pulse rate and anxiety level increased significantly in the unfavorite music group. The favorite music group showed a significantly higher level of satisfaction than the unfavorite music group. Conclusion: Choice of music affects the physiological and psychological status of an individual. Favorite music listening would enhance the effect of music therapy. Therefore, selection of music must be considered in light of the subject's preference and characteristics.

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Factors Influencing Self-Identity and Menopausal Symptoms on Level of Depression in Middle Aged Women (중년여성의 자아정체감, 갱년기 증상이 우울에 미치는 영향)

  • Han, Mi-Jeong;Lee, Ji-Hyun
    • Women's Health Nursing
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    • v.19 no.4
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    • pp.275-284
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    • 2013
  • Purpose: The purpose of this study was to identify the factors influencing self-identity and menopausal symptoms their influence on level of depression in middle-aged woman. Methods: Participants were 135 middle-aged women who were living in city B, were 45-60 years old, informed of study purpose, and agreed to participate. Data were collected from December, 2012 to January, 2013 using scales measuring depression, self-identity, and menopausal symptoms. Data were analyzed using t-test, ANOVA, Scheff$\acute{e}$ test, Pearson Correlation Coefficients, and Multiple Stepwise Regression. Results: Level of depression was low, self-identity was slightly high, and menopausal symptoms were relatively low in these middle-aged women. There were significant differences in depression by perceived health status and perceived economic status. Depression had a moderate negative correlation with self-identity (r=-.49, p<.001) and a moderate positive correlation with menopausal symptoms (r=.57, p<.001). Menopausal psychological symptoms were the factor most affecting depression and explained 37% of the variance in depression. A total of 51% of variance in depression was explained by menopausal symptoms (psychological and physical), self-identity, and perceived economic status. Conclusion: Thus, an effort to improve self-identity, especially a plan to attenuate menopausal psychological symptoms is needed to reduce depression.