• 제목/요약/키워드: psychological status

검색결과 964건 처리시간 0.023초

외상으로 인한 슬개골 골절을 가진 환자의 국소진동을 동반한 물리치료 중재가 신체기능에 미치는 영향: 사례군 연구 (The Effects of Physical Therapy Intervention with Local Vibration on Physical Function in Patients with Traumatic Patella Fracture: Case Series)

  • 안승원
    • 대한정형도수물리치료학회지
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    • 제28권3호
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    • pp.89-99
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    • 2022
  • Background: The purpose of this study was to investigate the effects of physical therapy intervention with local vibration on the physical function of patients with traumatic patella fractures. Methods: This study recruited 6 subjects who had suffered traumatic patella fractures. The study was conducted for an average of 12.8 weeks. Before the treatment (2 weeks post-surgery), they were evaluated using the numeric pain rating scale (NPRS), the Korean-version of the impact of event scale-revised (IES-R-K), pressure pain threshold (PPT), range of motion (ROM) of the knee joint, and the Korean knee injury and osteoarthritis outcome score (K-KOOS) and were reevaluated after 7 and 12 weeks, post-surgery. This study was conducted according to ORIF Patella Fracture Post-Operative Rehabilitation Protocol after applying local vibration. The protocol consists of Phases 1~5 and this study has been applied from phase 2. Results: A comparison of the performance of the participants before and after the intervention showed a decrease in NPRS (9.83±.41→4.83±.98), IES-R-K (68.67±2.73→23.83±2.40), and K-KOOS (Function, Daily living: 70.5±5.96→34.0±3.35, Function, Sports and Recreational activities: 22.83±2.32→10.77±1.37, Quality of Life: 19.33±7.33→7.33±.52) scores. And the ROM (Knee flexion: 30.0±4.47°→128.73±3.6°, Knee extension: -6.83±2.48°→-1.33±1.03°) and PPT (9.67±.52kg/cm2→22.44±2.33kg/cm2) scores increased. Conclusion: These results show that physical intervention with local vibration using a Blackroll® booster and head can help to improve pain, physical function, and psychological status. Also, it was possible to select interventions depending on the patient's condition and the desired goal, using physical intervention with the Blackroll® booster technique.

대인 간 관용과 불관용에 영향을 주는 요인 (Factors Affecting Interpersonal Tolerance and Intolerance)

  • 정주리
    • 한국심리학회지 : 문화 및 사회문제
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    • 제28권3호
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    • pp.307-329
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    • 2022
  • 본 연구는 대인 간 관용과 불관용을 구분하여 관용과 불관용에 영향을 미치는 요인을 탐색하고자 하였다. 구체적으로 인구통계학적 변인, 사회적 바람직성, 공감(인지적 공감, 정서적 공감), 타인을 향한 자비불안, 사회신뢰, 제로섬 신념이 관용과 불관용을 예측하는지를 알아보고자 하였다. 연구대상은 전국에 거주하는 성인 445명(남성 218명, 여성 227명)으로 온라인 설문조사를 통해 자료를 얻었다. 자료분석은 인구통계학적 변인과 사회적 바람직성의 영향을 통제하기 위해 위계적 회귀분석 방법을 사용하였다. 연구결과, 관용을 유의하게 예측하는 것은 성별, 주관적 사회경제적지위, 사회적 바람직성, 인지적 공감, 사회신뢰로 나타났고, 불관용은 사회적 바람직성, 타인을 향한 자비불안, 제로섬 신념이 유의하게 예측하는 것으로 나타났다. 이를 통해 관용과 불관용의 개념이 구분되며, 각각을 예측하는 요인도 다르다는 것을 확인할 수 있었다. 따라서 관용을 높이기 위한 개입과 불관용을 낮추기 위한 개입방안을 함께 모색함으로써 다문화·다양성 사회에서 현실적인 공존방안을 마련해나갈 필요가 있을 것이다.

음악 활동을 통한 청소년 마음 치유 효과 (Adolescent Mind Healing Effect Through Music Activity)

  • 이신영
    • 한국엔터테인먼트산업학회논문지
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    • 제15권8호
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    • pp.443-456
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    • 2021
  • 본 연구는 서울시 소재 청소년들을 대상으로 음악 예술교육이 코로나-19, 사회적 거리두기로 인해 발생된 우울증 및 스트레스 해소에 어느 정도 영향이 있는지를 도출하기 위하여 진행되었다. 이를 위해 서울시 교육청의 협조하에 서울시 소재 초·중·고등학교에 공문을 시행하여 약 1,745여명의 학생들을 대상으로 현황 연구를 실시하였다. 주지하다시피 코로나-19가 지속됨에 따라 특히 청소년들의 우울증과 스트레스가 점점 높아지고 있는 추세이다. 이는 무엇보다 감염의 차단을 위한 대외 활동의 제한이 큰 비중을 차지한다. 그런 이유로 청소년들의 정서의 안정과 자존감 형성을 도모하기 위해서 문화예술교육이 반드시 필요하다. 이에 있어 무엇보다 장르의 특성상 음악 예술교육은 청소년들의 우울증 및 스트레스 해소에 상당히 기여할 수 있음을 본 연구를 통해서 확인할 수 있었다.

의과대학 임상교수 직급에 따른 일과 삶의 균형 차이 (Differences in Clinical Professors' Work-Life Balance by Position in Medical Schools )

  • 김유라;이환호;윤소정
    • 의학교육논단
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    • 제25권1호
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    • pp.45-54
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    • 2023
  • We investigated the work-life balance of clinical professors in charge of patient care, research, and education at medical schools and the demand for work-life balance support according to position (professor, associate professor, or assistant professor). In total, 163 clinical professors completed the consent form and participated in the study. They filled out an online survey consisting of questions about essential characteristics, a work-life balance test, stress, burnout, work-life satisfaction, and work-life balance support needs. We analyzed the results by analysis of variance and cross-tabulation using IBM SPSS ver. 23.0. Differences were found in work-life balance, stress, burnout, and satisfaction with life and work by position. The requirements for support for work-life balance also varied by professional status. Professors had a higher balance between life and work than associate professors or assistant professors. The specific requirements for work-life balance support were also slightly different for each position. Overall, there was a high demand for work process simplification and efficiency for work support, flexible working hours and sabbatical years for family and leisure, and career management consulting and training support for growth. Assistant professors and associate professors had a lower level of work-life balance than professors, as well as higher levels of stress and burnout. Professors' job satisfaction was also higher than that of the other groups. Based on the results of this study, we hope that a healthy work environment can be established through work-life balance support suitable for clinical professors' positions.

The Outcomes of an e-Wellness Program for Lupus Patients in Thailand: A Participatory Action Research Approach

  • Nop T. Ratanasiripong;Steven Cahill;Christine Crane;Paul Ratanasiripong
    • Journal of Preventive Medicine and Public Health
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    • 제56권2호
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    • pp.154-163
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    • 2023
  • Objectives: Systemic lupus erythematosus (SLE) or lupus patients usually experience various physical and psychological challenges. Since the coronavirus disease 2019 pandemic, these challenges have become even harsher. Using the participatory action research approach, this study evaluated how an e-wellness program (eWP) impacted SLE-related knowledge and health behaviors, mental health, and quality of life among lupus patients in Thailand. Methods: A 1-group, pretest-posttest design study was conducted among a purposive sample of lupus patients who were members of Thai SLE Foundation. The 2 main intervention components were: (1) online social support, and (2) lifestyle and stress management workshops. Sixty-eight participants completed all the study requirements, including the Physical and Psychosocial Health Assessment questionnaire. Results: After being in the eWP for 3 months, participants' mean score for SLE-related knowledge increased significantly (t=5.3, p<0.001). The increase in sleep hours was statistically significant (Z=-3.1, p<0.01), with the percentage of participants who slept less than 7 hours decreasing from 52.9% to 29.0%. The percentage of participants reporting sun exposure decreased from 17.7% to 8.8%. The participants also reported significantly lower stress (t(66)=-4.4, p<0.001) and anxiety (t(67)=-2.9, p=0.005). The post-eWP quality of life scores for the pain, planning, intimate relationship, burden to others, emotional health, and fatigue domains also improved significantly (p<0.05). Conclusions: The overall outcomes showed promising results of improved self-care knowledge, health behaviors, mental health status, and quality of life. It is recommended that the SLE Foundation continues to use the eWP model to help the lupus patient community.

Influencing Factors for Sleep Quality among Firefighters: Based on Objective and Subjective Evaluation

  • Jeon, Yeseul;Choi, Heeseung
    • 지역사회간호학회지
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    • 제33권4호
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    • pp.396-407
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    • 2022
  • Purpose: The purpose of this study was to assess insomnia and the quality of sleep, investigate the concordance between objective and self-report sleep patterns, and identify physiological, psychological, and situational factors influencing insomnia and sleep quality among firefighters. Methods: A descriptive, cross-sectional study was conducted with 103 firefighters in Korea. The collected data were analyzed using SPSS 23.0. Descriptive statistics, the independent t-test, and hierarchical logistic regression analysis were performed. Results: Insomnia was found in 66 (64.1 %) of the total subjects, and the average quality of sleep (PSQI) was 5.65 (SD=2.57). Total sleep time (401.00 minutes) and sleep latency (21.60 minutes) measured using self-reported scales were longer than the ones measured using objective measurements by approximately 48.70 and 17.10 minutes, respectively. Factors related to insomnia included the role as a paramedic (OR=4.28, 95% CI: 1.02~17.92), anxiety (OR=1.12, 95% CI: 1.01~1.24), and sedentary lifestyle (OR=0.85, 95% CI: 0.78~0.94), and factors related to sleep quality were physical illness status (OR=5.17, 95% CI: 1.53~17.51) and social support (OR=0.86, 95% CI: 0.78~0.95). Conclusion: The results show a high prevalence of insomnia, poor quality of sleep and the discrepancy between objective and subjective sleep patterns among firefighters. To promote sleep quality and health, early screening and treatment of anxiety and physical illness are required. It is necessary to conduct further studies examining the relationship between physical activity level and sleep.

바이러스 전파 대응을 위한 119구급대원 방역복 디자인 개발 -COVID-19를 중심으로- (Development of 119 Paramedics' Quarantine Suit Design to Respond to Virus Transmission -Focusing on COVID-19-)

  • 나현숙;이옥희;배수정
    • 패션비즈니스
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    • 제27권2호
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    • pp.26-38
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    • 2023
  • This study aimed to develop a visually differentiated quarantine suit design for giving 119 paramedics comfort to work and psychological stability and to awaken awareness without fear or pressure of the public through literature review and practical research. Basic research was conducted on firefighting uniforms and quarantine suits in Korea and abroad, focusing on domestic and foreign related literature. An interview survey was conducted to identify the current status, problems, and preferences of the design. Research subjects were eight dispatched paramedics and two executives in Seoul and Gwangju. The survey period was from September 15, 2022 to October 10, 2022. Interviews were conducted through phone calls. Results of this study were as follows. Most of the quarantine suits currently worn were Level D style ready-made clothes without coverall patterns. The current quarantine suit was designed without reflecting the symbolism of the National Fire Agency. They were wearing a generous size without having to think about the fit. Most of these quarantine suits were white. In addition, the quarantine suit could not be equipped with a camera for the safety of paramedics. After identifying improvements based on results of the above interview analysis, the following quarantine suit design was proposed. First, it would be differentiated from other institutions by designing suits with symbolism. Second, the convenience of size, camera equipment, and better breathability and style than Level D should be considered. Based on these results, a total of five quarantine suits were designed.

The Status of Teachers of Students with Intellectual Disabilities in Practicing Strategies for the Modification of Aggressive Behaviour in Saudi Arabia

  • Alqurashi, Yasser O.;Bagadood, Nizar H.
    • International Journal of Computer Science & Network Security
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    • 제22권1호
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    • pp.241-247
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    • 2022
  • This study examines teachers' implementation of strategies to modify the aggressive behavior of students with intellectual disabilities in Saudi Arabia, to determine the obstacles to their real-world execution. In addition, it presents potential approaches to overcome the obstacles to implementing strategies with this group of students. The research employed a qualitative design using semi-structured interviews as a data collection tool and applied a thematic analysis. The study population comprised 35 teachers of students with intellectual disabilities and the study sample numbered six teachers. The interviews were conducted via different methods: three by phone, two face-to face, and one using the Zoom platform. The results revealed inadequate understanding among teachers of intellectual disability and behaviour modification strategies, and this affected their capacity to develop plans that were compatible with the needs of students with intellectual disability. The findings also identified multiple obstacles that impede teachers' implementation of strategies to modify aggressive behaviour among students with intellectual disabilities; the most important being the lack of input from a psychological specialist when developing programs to modify aggressive behaviour. In general, it is apparent that programs for modifying aggressive behaviour are neither structured nor complementary, due to the scarcity of administrators with sufficient knowledge and familiarity with the characteristics and personalities of students with intellectual disabilities. This study presents several recommendations, the most important of which is that teachers of students with intellectual disability should develop themselves through training courses to enable them to deal with these students and create treatment plans that include strategies and clear steps to modify the aggressive behaviour of students with intellectual disabilities. To support teachers, it is also necessary to remove the obstacles facing education centres by providing financial support to create an environment in which they can access the required devices and equipment in their classes.

PTSD 증상의 조건비율에 근거한 한국 성인의 트라우마 경험에 관한 연구 (A Study on Trauma Experiences among Korean Adults based on Conditional probability of PTSD symptoms)

  • 김지윤;이동훈;김시형
    • 한국심리학회지 : 문화 및 사회문제
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    • 제24권3호
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    • pp.365-383
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    • 2018
  • 본 연구에서는 높은 수준의 PTSD 증상을 유발하는 사건을 탐색하기 위해 외상사건을 DSM-IV-TR의 진단기준을 충족시키는 '진단기준사건'과 '생활스트레스 사건'으로 구분하고, 가장 고통스러운 사건 대비 PTSD 고위험군의 비율인 PTSD의 조건비율(conditional probability)을 확인하였다. 이를 위해 전국의 인구센서스 기준에 따라 성별 및 연령비율을 고려하여 표집한 성인 1,000명을 대상으로 외상사건을 조사하였고, 998명의 자료를 분석하였다. 진단기준사건을 살펴보면, '16세 이전의 성추행', '기타사고 목격', '16세 이전의 성폭행', '16세 이전의 가정폭력 목격', '재난', '교통사고 겪음', '교통사고 목격', '기타사고 겪음'인 것으로 나타났으며, 생활스트레스 사건은 '법적 구속 또는 수감(본인 및 가족)', '부모의 별거나 이혼', '심각한 스트레스를 야기하는 실패나 절망', '가족과의 극심한 갈등 또는 잦은 다툼'인 것으로 나타났다. 마지막으로 인구사회학적 특성 중 연령, 혼인상태, 종교유무가 PTSD 증상수준에 영향을 미치는 것으로 확인되었다. 주요 연구결과를 토대로 논의 및 시사점을 제시하였다.

현대 사회의 저출산에 대한 진화적 분석 (Evolutionary Approaches to Low Fertility in Modern Societies)

  • 전중환
    • 한국심리학회지 : 문화 및 사회문제
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    • 제18권1호
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    • pp.97-110
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    • 2012
  • 19세기부터 현재까지 산업화된 국가들을 중심으로 출산율이 급락하고 있는 전세계적인 현상은 진화적인 관점에서 선뜻 이해하기 어렵다. 왜 자원이 더 풍부해진 현대에 들어서 사람들은 자식수를 자발적으로 줄이는가? 본 논문은 현대의 저출산 현상을 설명하는 다양한 진화적 접근들을 요약하고, 이를 토대로 우리 사회의 저출산 문제를 해결할 실마리를 얻고자 한다. 1) 현대의 극히 낮은 출산율은 수렵-채집 생활에 맞추어진 우리의 심리적 적응이 진화적으로 낯선 환경과 불협화음을 일으킴에 따른 부적응적인 부산물이라는 가설, 2) 사회적으로 성공한 사람들이 자녀를 적게 낳는 행동이 전파되거나, 가족 중심의 네트워크가 붕괴하여 출산의 중요성이 덜 강조됨에 따라 저출산이 야기되었다는 유전자-문화 공진화 가설, 그리고 3) 부모가 자녀에게 투자하는 양이 대단히 많이 요구되는 현대의 환경에서 극심한 저출산은 부모의 장기적인 적합도를 최대화하는 적응적인 형질이라는 가설을 차례대로 검토한다. 저출산에 대한 진화적 관점은 저소득층의 출산을 지원하는 정책보다는 모든 사회경제적 계층에서 자녀를 장차 경쟁력 있는 성인으로 키우기 위한 비용을 줄이는 정책을 추진하는 것이 더 효과적임을 시사한다.

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