• 제목/요약/키워드: symptom management

검색결과 764건 처리시간 0.029초

사회심리적 건강측정도구를 이용한 치과기공사의 스트레스 평가 (Assessment of Job stress and Psychosocial stress level using Psychosocial health measurement tool in dental technicians)

  • 김욱태;한태영
    • 대한치과기공학회지
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    • 제31권3호
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    • pp.67-85
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    • 2009
  • This study aims to provide the research for dental technician's stress prevention and management with basic materials by understanding dental technician's psychosocial stress level and examining relevant factors. The subject of this study is 255 dental technologists who work mainly in Seoul Gyeonggi district for a month of April of 2009 and I conducted cross-sectional study through self administered survey. The contents of survey include general feature, occupational feature, health behavior feature. I used Karasek's Job Content Questionnaire, JCQ and Psychosocial well-being index, PWI-SF as means of measurement. To compare the level of dental technician's psychosocial stress, I conducted t-test and ANOVA and I measured the factors that are related with psychosocial stress symptom with step by step multiple regressive analysis. According to the result of Cronbach's a value which is yielded to verify the reliability of means of measurement, the reliability of concept is sufficient. The detailed result of this study is as follows. 1. According to the result of analyzing the stress symptom in accordance with general feature and occupational feature, those dental technologists who are older and not married, graduate from junior college, have lower position, work at university hospital or general hospital show lower stress(p<0.05). There is no difference in the level of psychosocial stress with regard to duty related feature, period of service, daily average working hours, monthly average pay. 2. With regard to health behavior feature, those dental technologists who control weight better and have meal more regularly show lower stress(p<0.05). Those dental technicians who smoke, drink liquid and take a suitable sleep show low stress but the difference does not have significance statistically. 3. With regard to the factors of stress in the workplace, those dental technicians who have lower duty related requirement, have higher duty related control ability, have higher social support, have less instability of employment and have less workload and physical burden show lower stress(p<0.05). 4. According to the result of analyzing the factors that influence dental technologist's stress symptom, social support has the most enormous influence on stress symptom. Unstable employment, regular exercise, regular eating, daily average sleeping hours and technological capacity are also important in this order. According to the result of this study, those dental technicians who have higher social support, less instability of employment, do exercise more regularly, take enough sleep more soundly and have higher technological capacity show lower psychosocial stress symptom. Therefore, to adjust appropriately the dental technician's stress and properly maintain and improve the dental technician's mental health, effective management plan that enables dental technicians to maintain smooth human relationships for dental technicians should be sought. In addition, heath education and health management for dental technicians should be given more thoroughly so that they can establish desirable health behavior in daily life.

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중년여성의 폐경 증상, 폐경증상에 대한 주관적 인식, 폐경태도 및 폐경관리와의 관계 (The Relationship between Menopausal Symptoms, Perceived Awareness of Menopausal Symptom, Menopausal Attitude and Menopausal Management in Middle Age Women)

  • 김성주;김영란;이옥숙;최소영
    • 한국융합학회논문지
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    • 제12권2호
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    • pp.347-356
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    • 2021
  • 본 연구의 목적은 중년여성의 폐경증상, 폐경증상에 대한 주관적 인식, 폐경태도 및 폐경관리 정도를 확인한 후 변수 간의 관계와 폐경증상에 미치는 영향요인을 파악하고자 함이다. 본 연구의 대상자는 3개 도시에 거주하는 만 40세 ~60세 중년여성 중 연구의 목적을 이해하고 연구 참여에 동의한 242명이었으며 자료수집 기간은 2019년 4월 10일부터 2019년 5월 30일까지 이었다. 수집된 자료는 SPSS/WIN 25.0을 이용하여 t-test, ANOVA, Pearson's 상관계수 및 단계적 회귀분석으로 분석하였다. 본 연구결과 중년여성의 폐경증상에 영향을 주는 요인은 폐경증상에 대한 주관적 인식(β=. 51, p<.001), 월경상태(β=. 23, p<.001), 지각된 건강상태(β=. 19, p=. 002), 삶의 만족(β=. 14, p=. 019) 및 종교 유무(β=. 10, p= .045) 이었으며 그 중 가장 영향을 미치는 요인은 페경증상에 대한 주관적 인식으로 확인되었다. 따라서 중년여성의 폐경증상을 완화하기 위해서는 폐경증상에 대한 주관적 인식을 긍정적으로 변화시키기 위한 간호중재 전략이 필요할 것이다.

강한 산성토양에서 Al의 과잉 흡수에 의한 오이 생육장해 양상 (Growth Inhibition of Cucumber by Absorbing Excess Al at Low Soil pH)

  • 김유학;김명숙;강성수;이형용
    • 한국토양비료학회지
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    • 제45권6호
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    • pp.925-927
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    • 2012
  • 산성화된 토양에서 생육하는 오이가 황백화 되면서 시드는 증상이 발생하여 현장에서 토양을 검사하여 진단하고 현장에서 토양 pH를 측정한 결과 4.2로 매우 낮은 강산성이었고, 실험실에서 분석한 결과 4.5로 나타났다. 토양을 풍건하여 토양 pH를 측정한 결과 4.5로 강산성이었다. 그래서 토양을 포화추출법으로 용액을 채취하여 분석한 결과 Al이 해리되어 나오고 있었고 식물체를 분석한 결과 Al이 고농도로 흡수되어 있었으며 질소와 Ca의 함량이 매우 낮았다. 현장에서 pH를 교정하기 위하여 소석회 포화액과 탄산칼슘을 처리한 결과 pH를 6.5로 조절할 수 있는 소석회 450 mL $plant^{-1}$를 처리한 주에서 어린 잎부터 정상적인 생육을 하였다. 이 결과로부터 강한 산성토양에서 나타난 오이의 황백화 증상은 Al이 해리되어 식물체로 과잉 흡수되고 이로 인하여 질소와 칼슘의 부족으로 야기된 것으로 나타났다.

성인 천식환자의 자가감시 연계 활동계획서 교육이 자가관리 이행, 지식, 증상조절 및 삶의 질에 미치는 효과: 무작위대조시험설계 (Effects of Education about Action Plans according to Self-Monitoring on Self-Management Adherence, Knowledge, Symptom Control, and Quality of Life among Adult Asthma Patients: A Randomized Controlled Trial)

  • 최자윤;권영란
    • 대한간호학회지
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    • 제47권5호
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    • pp.613-623
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    • 2017
  • Purpose: This study was conducted to identify the effects of education regarding action plans according to a self-monitoring program on self-management adherence, knowledge, symptom control, and health-related quality of life (HRQoL) among adults with asthma. Methods: Thirty-four patients were randomly assigned to the intervention group and thirty-two to the control group in this study. A tailored 50-minute intervention based on the contents of self-monitoring and action plans developed by the National Heart Lung and Blood Institute was provided to the intervention group. Structured and well developed questionnaires were used to measure the dependent variables. Results: There were no differences in all general and clinical characteristics, and the dependent variables between two groups in the pre-test. In the post-test, there were differences in the level of self-management adherence (t=4.41, p<.001), knowledge (t=2.26, p=.027), symptom control (t=-2.56, p=.013), and total HRQoL (t=2.14, p=.036) between the two groups, although there was a difference only in the sub-domain of emotion (t=2.03, p=.047) in HRQoL. Conclusion: This study found that action plans according to self-monitoring that enhance a participatory interaction in the treatment and care could help patients with moderate to severe asthma to engagead equately in self-care, to control their symptoms, and to improve their HRQoL. Further studies are still needed to identify longitudinal effects of this program.

사무직 근로자의 역할 관련 스트레스 요인과 대처전략, 스트레스 반응간의 관계 (The Relationships of Role-Conflict and Role-Overload, Coping Strategies, and Stress Response of Clerical Workers)

  • 김정희;김숙영
    • 한국직업건강간호학회지
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    • 제8권1호
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    • pp.56-67
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    • 1999
  • This study was designed to identify the relationships of role-conflict and role-overload, coping strategies, and stress response of clerical workers. The subjects were 115 clerical workers from two company. The instruments were the role-conflict and role-overload scale developed by Lee(1989), coping scale developed by Latack(1986), and the stress response scale developed by Chang(1993). Analysis of data was done by descriptive statistics, Cronbach's $\alpha$, Pearson correlation coefficietnt, ANOVA. The results of this study were summarized as follows ; 1. The average score for the level of stress response was $83.6({\pm}9.1)$. The high risk stress group was 86.1% of the clerical workers, the latent stress group members was 13.9%, and healthy group was 0%. The overall stress level was very high. 2. Considering the coping strategies by sociodemographic factors, the use of control coping strategies showed significant differences by work-time. The use of symptom management coping strategies showed significant differences by sex, age, married status, year of career, pay, and type of work. The organizational coping strategies showed significant differences by year of education and type of work. 3. The clerical workers who had worked below 44 hours per week complained significantly lower stress response(F=4.942, p<.05). 4. Above 65% of all respondents answered that they needed all of organizational level coping strategies. 5. The role-confilct positively related to escape and organizational level coping strategies(r=.562, r=.495, p<.05). The role-overload didn't related to individual level coping strategies, but positively related to organizational level coping strategies(r=.320, p<.05). 6. The control coping strategies and the escape coping strategies positively related to symptom management, organizational level coping strategies(r=.409, r=.324, r=.316, r=.339, p<.05). 7. The relationship between role-related stress and stress response revealed positive correlation(r=.482, r=.431, p<.05), and the relationship between stress response and control, symptom management coping strategies revealed negative cor-relation(r=-.3204, r=-.3146, p<.05). In conclusion, this study revealed that relationship of role related stress, coping strategies, stress response was statistically significant. The result of this study support that coping strategies vary across situation of stress. Based on survey results, future studies should consider coping strategies in specific stress situation and concept of symptom management coping strategy. Also organizational or training interventions could be developed and initiate to help to increase the use of adaptive coping strategies in light of individual and situational differences.

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일반 간호사의 대처전략이 조직유효성에 미치는 영향 (The Relationship between Coping strategies and a nursing organizational effectiveness in staff nurses)

  • 김정희;박성애
    • 간호행정학회지
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    • 제8권1호
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    • pp.97-105
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    • 2002
  • The purposes of this study is to identify the relationship between coping strategies and the nursing organizational effectiveness in hospital nurses and to provide the basic data concerning the development of job stress management program for hospital nurses. The subjects showed that the twenties and single nurses who had worked under one year used more frequently 'the avoid and the symptom coping strategies' better than 'the control'. Also, they showed significantly lower satisfaction and higher 'the intent to leave' than others. The main factors that affected the satisfaction and 'the intent to leave' were age and the control coping strategies.In conclusion, this study showed that the staff nurses who were twenties, single, and new employed used more frequently 'the avoid and symptom management coping strategies' than others. Also they showed lower satisfaction and higher 'the intent to leave' than others. So Age and the control coping strategies should be considered in the development of staff nurses' stress management program. Especially, it was needed to focused on the nurses who were twenties, single, and new employed.

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일대일 퇴원교육이 만성폐쇄성 폐질환자의 증상경험 및 자가간호수행에 미치는 효과 (Effects of the Nurse-led Discharge Education on Symptom Experience and Self-Care Compliance in Patients with Chronic Obstructive Pulmonary Disease)

  • 조은혜;황선영
    • 성인간호학회지
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    • 제23권6호
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    • pp.595-604
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    • 2011
  • Purpose: This study was conducted to examine the effects of the nurse-led one-on-one discharge education on the levels of symptom experience and self-care compliance among patients with chronic obstructive pulmonary disease (COPD) who had not previously participated in an education or respiratory rehabilitation program. Methods: This study used a quasi-experimental pre-and post-test design with nonequivalent control group. Sixty seven hospitalized patients (34 for experimental and 33 for control groups) were recruited from in-patient units of a general hospital from August to November, 2010. The one-on-one education session of symptom management and daily self-care was administered to experimental group for 50 minutes along with a follow-up phone call. Self-administered questionnaire was administered at the pretest and at 1 month after discharge. Results: The subjects were 67.43(${\pm}10.24$)years old in average. The mean differences of symptom experience (t=3.39, p=.001) and self-care compliance (t=-38.13, p<.001) in the experimental group was significantly higher than those of the control group. Conclusion: Nurse-led one-on-one discharge education was effective in reducing the level of symptom experience and enhancing self-care compliance at home within one month after discharge. Therefore, this form of one-on-one education provided by nurses might be applicable effectively for COPD patients who do not have access to respiratory rehabilitation programs.

유방암 생존자의 신체적 증상, 정서적 증상과 삶의 질 (Symptom Experience and Quality of Life in Breast Cancer Survivors)

  • 박진희;전은영;강미영;정용식;김구상
    • 대한간호학회지
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    • 제39권5호
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    • pp.613-621
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    • 2009
  • The purposes of this study were to evaluate symptom experience and quality of life (QOL) and to identify the predictors of QOL among breast cancer survivors. Methods: A cross-sectional study was conducted on 200 disease-free breast cancer survivors at two hospitals between December 2007 and July 2008. Functional Assessment of Cancer Therapy Scale-B, Memorial Symptom Assessment Scale-short Form and The Linear Analogue Self Assessment Scale were used to assess symptom experience and QOL in these patients. Data were analyzed using the Pearson correlation, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 12.0. Results: The mean score of QOL for breast cancer survivors was 95.81 (${\pm}18.02$). The highest scores among physical and psychological symptoms were sexual interest and anxiety. Year since treatment completion was significantly associated with QOL in sociodemographic variables. Physical and psychological symptoms have a significant negative association with QOL. The results of the regression analyses showed that physical and psychological symptoms were statistically significant in predicting patients' QOL. Conclusion: Symptom experience and QOL are essential variables that should be acknowledged when delivering health care to breast cancer survivors. More attention to the reduction and management of psychological distress could improve QOL among breast cancer survivors.

치매단계평가검사의 유용성과 상관성에 대한 임상연구;청주 지역사회 치매환자를 중심으로 (The research of utility and relation on the dementia rating test)

  • 최강욱;임정화;정인철;이상룡
    • 동의신경정신과학회지
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    • 제17권3호
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    • pp.11-19
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    • 2006
  • Objective : This study was to investigate the utility and relation of dementia rating test(K-DRS and IADL, NPI-Q(symptom), NPI-Q(suffering), CCDR, SDS Method : For this study, we carried out dementia assessment examination of 34 patients with memory disturbance who have come to Cheongju oriental hospital of Daejeon university from April 2005 to February 2006. This study classified the patients as none-dementia(ND), questionable dementia(QD), and dementia(DA) groups and analyzed the result of examination. Results: 1. K-DRS and SDS, K-DRS and SDS, NPI-Q(symptom) and NPI-Q(suffering), NPI-Q(symptom) and CCDR showed clear correlations statistically each other. 2. K-DRS scores showed the significant differences from that of ND and the other groups ; attention and conceptualization showed the significant differences between ND and DA, management and memorization showed the significant differences between DA and the other groups. 3. IADL scores showed the significant differences from that of DA and the other groups, NPI-Q(symptom) scores showed the significant differences between QD and DA, NPI-Q(suffering) scores showed no differences among all groups. 4. CCDR scores showed the significant differences from that of DA and the other groups, SDS scores showed the significant differences between ND and DA 5. MMSE- K and K-DRS showed strong correlations statistically each other. Conclusion : The study results suggest that dementia rating tests is useful to esteem the dementia and the dementia rating tests have strong corelations each other. We use the above mentioned tests for correct diagnosis.

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