• 제목/요약/키워드: structured interview

검색결과 570건 처리시간 0.027초

한국판 성인용 웩슬러 지능검사 4판(K-WAIS-IV)으로 살펴본 병무용 진단서 대상 주요우울장애 환자의 특성 : 후향적 연구 (Clinical Characteristics of Patients with Major Depressive Disorder on Military Service and Conscription Issues Using K-WAIS-IV : A Retrospective Study)

  • 김지영;박은희
    • 대한불안의학회지
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    • 제16권1호
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    • pp.32-40
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    • 2020
  • Objective : The purpose of this study was to investigate the cognitive performance of major depressive disorder (MDD) in military service/conscription personnel who visited the psychiatric clinic for a medical certificate to consider the situation from the perspective of Korea's unique compulsory military system. We used the Korean Wechsler Adult Intelligence Scale-IV (K-WAIS-IV) as the test for verifying the suitable level of cognitive functioning for military service and as the embedded measure with reflecting suboptimal effort. Methods : The study was conducted on 56 (28 males, age 19-34) in/out-patients admitted to the psychiatry department and diagnosed with MDD (DSM-IV). All participants completed a structured clinical interview (MINI-Plus), as well as self-report questionnaires related to demographics and severity of clinical symptoms. K-WAIS-IV was administered to each subject to assess cognitive characteristics. Results : Military group showed significantly lower processing speed index (PSI) score including subtests of symbol search (SS) and coding (CD) score, compared to the control group. There was no other significant differences in the Full Scale IQ (FSIQ), Verbal Comprehension Index (VCI), Perceptual Reasoning Index (PRI), Working Memory Index (WMI) scores including sub-tests comprised of the above indices, and Reliable Digit Span (RDS), Enhanced-RDS-Revised (E-RDS-R) between the study and control groups. Conclusion : This study was the first effort to verify the characteristics of Korea's military group with MDD and suggest the applicability of PSI and processing speed of K-WAIS-IV as an embedded performance index to test sub-optimal effort or low motivation beyond the purpose of testing cognitive deficits.

Relationship between G-protein ${\beta}$3 Subunit C825T Polymorphism and Citalopram Responses in Korean Patients with Major Depressive Disorder

  • Kang, Rhee-Hun;Hahn, Sang-Woo;Choi, Myoung-Jin;Lee, Hwa-Young;Chang, Hun-Soo;Jeong, Yoo-Jung;Paik, Jong-Woo;Lim, Se-Won;Kim, Young-En;Lee, Min-Soo
    • Molecular & Cellular Toxicology
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    • 제4권4호
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    • pp.355-359
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    • 2008
  • This study aimed to determine the relationship between the C825T polymorphism in the G-protein ${\beta}$3-subunit (GNB3) gene and the response to citalopram in a Korean population with major depressive disorder (MDD). Citalopram was administered for 8 weeks to the 84 MDD patients who completed this study. All subjects were examined using the Structured Clinical Interview for DSM-IV, and the severity of depression was assessed using the 21-item Hamilton Depression Rating (HAMD-21) scale. A main effect of an interaction of genotype with time on the decrease in the HAMD-21 score during the 8-week study period was not found. ANOVA revealed no significant effects of the GNB3 C825T polymorphism on the decrease in the HAMD-21 score at each time period. Although the C825T polymorphism of the GNB3 gene may affect the pathogenesis of MDD, our results do not support the hypothesis that this polymorphism is involved in the therapeutic response to citalopram in Korean patients with MDD.

말기암 환자들의 의료이용행태 (Behavior Patterns of Health Care Utilization in Terminal Cancer Patients)

  • 한태형;조병진;신백효
    • The Korean Journal of Pain
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    • 제12권1호
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    • pp.101-107
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    • 1999
  • Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

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노인들의 구강관리 실태 및 치과공포 수준 (Actual oral condition and dental fear level of the elderly)

  • 박정순;주온주
    • 한국치위생학회지
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    • 제14권6호
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    • pp.895-902
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    • 2014
  • Objectives: The purpose of the study was to investigate the actual oral health status and dental fear level in the elderly. Methods: Data were collected by questionnaire interview method from June 15, 2013 to December 14, 2013. The subjects were elderly over 65 years old in Jeonbuk province. The study instrument was structured questionnaire including general characteristics of the subjects(3 questions), oral health management status(16 questions), Dental Fear Survey(DFS, 9 questions). Cronbach alphas were 0.804 and 0.959 in the study. Higher score of oral health management status showed good oral health care and higher DFS showed higher level of dental fear. Data were analyzed by t-test, one way ANOVA, post-hoc Scheffe test, and Pearson correlation analysis. Higher dental fear was defined below 33.3%. Results: Women tended to have better oral health than male. Women brush their teeth more frequently than male. Most of the elderly answered that it was important to brush teeth for 3 minutes, to use dental floss and to have oral health education(p<0.05). Score of dental fear level was similar in men and women. Those who were above 69 years old tended to have dental fear. Poor oral health condition was closely related to dental fear. Conclusions: The oral care in the elderly showed considerable differences between the groups and affected the dental fear. It is important to implement the nationwide dental care for the elderly in the future.

스핑크스퍼즐로 모든 삼각형 해법 찾기 과제에서 나타나는 학생들의 수학적 사고 특성 분석 (Analysis of Students' Mathematical Thinking Characteristics Appeared in the Process of Searching for All type of Triangle that Can be Made with Sphinx Puzzle)

  • 방신영;송상헌
    • 한국초등수학교육학회지
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    • 제17권1호
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    • pp.165-184
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    • 2013
  • 본 연구는 van Hiele이 소개한 7조각 모자이크퍼즐(이하 스핑크스퍼즐)을 도형 교육이나 수학적 사고 교육에 효과적으로 적용하는 방안을 모색하고자 한다. 이를 위해 Dienes의 수학학습 6단계 이론을 적용한 수업에서 학생들의 수학적 사고 특성을 분석하는 것을 목적으로 한다. 총 3차시에 걸쳐 학급 전체를 대상으로 한 수업에서 연구자는 수업의 진행자 및 관찰자로 활동하였다. 보다 세밀한 분석을 위해 관찰 대상은 학업성취도가 상위권 및 중위권인 초등학교 6학년 4명의 학생으로 제한하였다. 학생들에게 제시한 최종 과제는 <스핑크스퍼즐로 만들 수 있는 서로 다른 크기의 모든 삼각형의 개수와 그 도형들의 보다 깔끔한 해법 찾기>이다. 이 과제를 해결하는 동안 학생들에게서 나타나는 수학적 사고 특성을 편동중남(片桐重男)의 수학적 사고 태도 중 조작의 사고, 연역적 사고, 보다 나은 방법을 알아보려는 태도를 중심으로 분석하고 이로부터 시사점을 도출하였다.

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노인도서관 설립과 운영에 관한 연구 (A Study on the Establishment and Management of a Library for Older Adults)

  • 임성관
    • 한국문헌정보학회지
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    • 제54권2호
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    • pp.323-348
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    • 2020
  • 본 연구는 노인도서관 설립과 운영 방안 제시라는 목적을 갖고 있다. 따라서 노인도서관은 65세 이상의 노인들을 주 이용자로 하고 노인에게 필요한 자료를 구축하여 특화된 서비스를 제공하는 곳이라는 개념을 정립했고, 노인도서관 설립을 위한 기본 방향, 세부 추진 방향, 조직 구성안, 설치 및 운영에 관한 조례도 작성해 제시하였다. 또한 공공도서관을 이용한 경험이 있는 65세 이상 노인 30명을 대상으로 사전 준비된 질문지를 기초로 반구조화 면담을 진행 후 그 결과를 분석한 결과, 도서관 이용 목적은 프로그램 참여를 위해서라는 응답이 20명으로 가장 많았고, 노인도서관에 꼭 필요한 서비스로는 자서전 쓰기 등 노인들에게 필요한 프로그램이라는 응답이 12명으로 가장 많았다. 마지막으로 노인 학습실과 건강 정보실을 운영하고 있는 공공도서관 두 곳의 운영 사례를 조사한 결과, 노인도서관의 운영은 지역적 특성과 노인이라는 대상의 특징을 잘 반영할 필요가 있다는 결론을 얻었다.

농촌주민의 건강상태와 영양지식.태도.실천과의 관계 (Relationship Nutritional Knowledge.Attitude.Practice and Health Status of Rural Residents)

  • 조유향;정해옥
    • 보건교육건강증진학회지
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    • 제23권1호
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    • pp.77-92
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    • 2006
  • Objectives: This study is to investigate and to test the overall level of nutritional knowledge. attitude. practice and health status of the residents in rural area. Methods: The interview survey was performed in March 2004 with structured questionnaires to 510 respondents of the residents who lived in Muan-Gun of Jeonnam province. The questionnaire was the abridged Scale of the Nutritional Knowledge Attitude Practice(SNKA) and health status as the morbidity, subjective health status, health management, and health examination. The covariate, F-test or t-test, and Chi-squire method were used for some of the cross-sectional data. Results: Average weight of nutritional knowledge was $10.64{\pm}5.98$ by SNKA of the 20 items(0-20). Average weight of nutritional attitude practice was $64.59{\pm}7.72$ by SNKA of the 20 items(20-80). The level of the nutritional knowledge was lower than the level of the nutritional attitude practice. 77.3% of the respondents have been health management, 49.6% of the respondents have been health examination. A majority of the respondents(31.3%) had disease, while 13.5% of the respondents had chronic disease, and 17.8% of the respondents had acute disease. The level of nutritional knowledge and general characteristics was positively correlated while the relationships were positive between nutritional knowledge and health status, and between nutritional attitude practice and health status. Conclusion: These results suggested that education programs of the nutritional knowledge were necessary for the residents of rural area. And behavior change of the nutritional knowledge were necessary for the residents of rural area. Further research would be required to specify the necessities and operation researches.

댄스게임 체험에 따른 신체적·정서적 무용교육효과 (The Effect of Dance Educational of Physical and Emotional on Experience Dance Game)

  • 이지설;안병주
    • 한국게임학회 논문지
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    • 제12권4호
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    • pp.65-75
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    • 2012
  • 본 연구는 Xbox-360게임 "댄스센트럴"을 통해 댄스게임의 신체적 정서적 무용교육효과를 살펴보았다. 이에 질적연구 방법 중 사례연구방법을 선정하여 댄스게임 무경험자이자 N세대에 속하는 성인 8인을 동일집단대상으로 연구하였다. 연구는 2011년 7월 18일부터 8월 15일까지 5주 동안 총 15회 댄스게임 체험을 통해 관찰자료, 반구조화 면담, 자기보고서, 참여영상을 수집하여 분석하였다. 그 결과 신체적('선행된 리듬의 익숙함', '반복된 동작의 표현성 향상', '신체활동이 활발한 댄스게임'), 정서적('단계변화에 따른 자신감 형성과 몰입 변화', '스트레스 해소', '중독성 없는 댄스게임')으로 도출되었다.

뇌졸중 환자의 추후관리가 주간호제공자의 삶의 질에 미치는 영향 (A Study of the Effects of Follow-up Care for Stroke Survivors on Primary Caregivers' Quality of Life)

  • 정현주;조복희
    • 재활간호학회지
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    • 제3권2호
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    • pp.169-181
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    • 2000
  • The purpose of this study was to identify the effect of follow-up care for stroke survivors on primary caregivers' quality of life. Quasi-experimental research was conducted in which an experimental group and a control group-each of 15 stroke survivors and their primary caregivers-were consecutively sampled. Data collected from July to September, 1999 by interview using a structured questionnaire with both the experimental and the control groups. After a month, the two groups were given the same questionnaire. The experimental group was also given a telephone follow-up every week for a month, as well as a home visit. The survey instruments used in this study were Saha and Cooper's "Modified Barthel Index" (11 items) for checking the stroke survivors' level of activities of daily living, and a modified form of Jeong's "Quality of life" (18 items) for primary caregivers' QOL level. The obtained data were analyzed by percentage, t-test, $X^2$-test, Kruscal-Wallis test, Spearman correlation coefficient by SAS/PC program. The results were as follows: 1. There was no significant difference in the stroke survivors' ADL level, though the level of the experimental group was higher than that of the control group. 2. There was a statistical difference in the before and after treatment of the primary caregivers' QOL level. In conclusion, the follow-up care program had a useful effect on the quality of life of primary caregivers.

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영화방송예술분야 종사자의 직업안전보건 특성 및 건강 보호방안 연구 (Research on the Health Protection and Characteristics of Working Conditions and Occupational Safety & Health in the Film and Television Artist)

  • 이관형
    • 대한안전경영과학회지
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    • 제16권4호
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    • pp.237-246
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    • 2014
  • The purpose of this study is to identify the overall occupational safety and health status and the characteristics of the workers engaged in the field of the film and television artists, and to take appropriate measures to prevent industrial accidents, profession and working environment, safety recognition and education, safety activities, accident experience, and job stress survey. Survey using a structured questionnaire is to be used for 302 worker directly interview research. Safety awareness level of himself or herself was "middle level" of 3.1 points. Those of colleagues and the general public were evaluated to be low as 2.8 points and 2.5 points, respectively. During the last 12 months, 4.6% of total workers have received an industrial safety health education for work-related accident or disease. Regarding cases of having experienced work-related accident or having been exposed to work-related disease over the past 1 year, 20.2% of total respondents have experienced accident. 16.2% of total respondents have experienced work-related disease. And the workers are approximately one's own subjective feeling of physical symptoms that have appeared. In addition, the film sector workers in particular occupations men than women have higher job stress. Preventive education for industrial safety is required to be expanded and strengthened. Safety education is urgently required in order to prevent, and to reduce accident. Safety and health guideline is required to be developed and disseminated in order to prevent accident in advance. Finally, the actor and their staff members to reduce the stress, mental health care and education carefully needs to be in parallel. Also, when taking measures to reinforce safe work environment, it needs to be protected.