• 제목/요약/키워드: treatment-seeking behavior

검색결과 37건 처리시간 0.023초

기분장애 환자에서 자살 시도와 연관된 기질 및 성격 (Temperament and Character are Associated with Suicide Attemptsin Patients with Mood Disorders)

  • 박병선;한우상;장용이;최진숙
    • 대한불안의학회지
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    • 제4권2호
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    • pp.111-120
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    • 2008
  • Objective : This study investigated the temperament and character traits associated with suicide attempts in patients with mood disorders. Methods : The temperament and character inventory (TCI) was administered to 150 patients who visited psychiatric clinics seeking treatment for mood symptoms. The patients were divided into three groups as follows : non-suicide ideation, suicide ideation and suicide attempt. We also gathered socio-economic data in order to rule out confounding variables. MANOVA was performed to analyze differences in personal temperament and character scores on the TCI between the three groups. Results : The self-directedness and cooperativeness subscales of the TCI are most influenced by the clinical symptoms rated by Beck Suicide Ideation Scale and Hamilton Depression Rating Scale. In the temperament scale, the suicide attempt group scored higher on the novelty seeking and harm avoidance items than the other two groups. The specific temperaments associated with suicidal behavior in patients with depression are impulsivity (NS2) and anticipatory anxiety or pessimism (HA1). Conclusion : In this study, we found that more risky patients who had previously attempted suicide had a temperament of impulsivity or pessimism. This finding suggests that a more cautious approach is needed to assess mood disorder patients with impulsive or pessimistic temperaments in order to prevent suicide attempts.

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대사증후군 환자의 구강보건지식, 태도, 행위가 구강건강영향지수에 미치는 영향 (Effects of oral health knowledge, attitude, and behavior on oral health impact profile of metabolic syndrome patients)

  • 임미희
    • 한국치위생학회지
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    • 제18권6호
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    • pp.1079-1090
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    • 2018
  • Objectives: This study aims to provide fundamental data on seeking more effective programs for metabolic syndrome patients' oral health by researching their knowledge, attitude and behaviors on oral health and considering the effects each factor has on the oral health impact profile. Methods: The research was conducted on 155 patients with metabolic syndrome who visited the metabolic syndrome center of S district between July $19^{th}$, 2016 and August 27th, 2016. Results: When the subjects had experiences of oral treatment within the past year, which indicated lower quality of life in relation to oral health. Oral health knowledge had a positive correlation with oral health attitude (0.241) and oral health behaviors (0.362), had a negative correlation with oral health impact profile (-0.283). Oral health attitude showed a positive correlation with oral health behaviors (0.476) (p<0.001). Conclusions: By conducting a oral health promotion business among metabolic syndrome patients including a oral care and treatment program which aim to enhance the oral knowledge, attitude and behaviors and comprehensively manage the oral health education program, it is expected that their quality of life related to oral health could be further improved.

공황장애 환자의 질환행동에 관한 연구 (A Study on Illness Behavior of Panic Disorder Patients)

  • 김상수;제영묘;김상엽;이대수;이승호;최은영
    • 정신신체의학
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    • 제6권2호
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    • pp.104-119
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    • 1998
  • This study was conducted to determine the important factors in the illness behavior of panic disorder patients. And then, find the best ways to lead the patients who have recurrent panic attacks to the adequate therapeutic situations. We studied 53 patients diagnosed as panic disorder according to DSM-IV among the outpatients who had been followed up at Bong Seng Memorial Hospital for 6 Ms, from May 1997 to October 1997. To evaluate the illness behaviors, we designed a checklist including socio-demographic data, degree of subjective distress from medical and psychiatric treatment, panic symptoms, life events, places of help-seeking, Anxiety Sensitivity Index. Using the checklist, we had semistructured interviews with the panic disorder patients to elucidate their help-seeking behaviors from first panic attack to diagnosing as panic disorder. The results were as follows ; 1) After first panic attack, the patients initially sought help at 1) Emergency room 40%, 2) Rest &/or Personal emergency care 35%, 3) Pharmacy 10%, 4) Outpatient care at hospital 10%, 5) Oriental medicine 5%. 2) Considering the panic symptoms, derealization, paresthesia and the severity of panic symptoms were the most important factors affecting the patient's help-seeking behaviors who had experienced the first panic attack. 3) Most of all the patients (80%) were apt to visit the hospitals within 15 days after experiencing about 3 panic attacks. 4) Before diagnosed as panic disorder, the patients had visited 3-5 health care centers during about 1 year. 5) Primary care physicaians(for example, emergency care physicians, family doctors and internists) had the most important roles in treating or guiding the patients to the adequate therapeutic situations. From the above results, the authors propose that non-psychiatric physicians have to know the panic disorder or attacks exactly. When patients complaint sudden onset physical symptoms e.g. palpitation, dyspnea, dizziness or the cognitive symptoms like the fear of death or insanity, physicians should consider the possibility of panic attack and encourage the patients to be evaluated for psychiatric illness.

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급성관상동맥증후군 환자의 상황인식 측정을 위한 K-SART의 신뢰도와 타당도 검증 (Verification of Reliability and Validity of K-SART to Assess of Situational Awareness of Patients with Acute Coronary Syndrome)

  • 정영희
    • 한국융합학회논문지
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    • 제13권4호
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    • pp.603-611
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    • 2022
  • 이 연구는 급성관상동맥증후군을 경험한 환자의 상황인식 수준 측정을 위한 SART 도구의 신뢰도와 타당도를 검증하기 위해 시도되었다. 입원한 급성관상동맥증후군 환자 118명에게 번역된 SART 도구를 적용하여 도구의 신뢰도와 타당도를 분석하였다. 도구의 신뢰도와 타당도는 Cronbach 알파, 탐색적, 확인적 요인분석을 통해 분석하였다. 연구 결과 상황 인식 1(Instability of Situation, 상황의 불안정성)과 상황 인식 7(Spare Mental Capacity, 여분의 정신력)의 두 문항을 제거하였을 때 도구의 신뢰도와 모델 적합도 지수가 향상되는 것으로 나타났다. 수정된 국문판 SART는 급성관상동맥증후군 환자의 치료추구행동에 대한 의사결정 시 상황인식 정도를 측정하는 데 적절한 도구로 판단된다.

노인의 구강건강상태 및 구강건강행태가 의치필요와의 관련성 (A study on Relationship between the Appearance of Needing Denture Oral Health Condition and Oral Health Behavior of the Elderly)

  • 정유연;박효정
    • 한국콘텐츠학회논문지
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    • 제14권6호
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    • pp.271-280
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    • 2014
  • 본 연구는 고령화 사회를 맞이하여 노인들의 구강건강상태와 의치필요도를 알아보고자 하였다. '국민건강 영양조사 제5기 1차년도 (2010)원시자료'의 건강설문조사와 구강검진을 활용하여 노인의 주관적 구강건강 수준과 구강관리 행태에 따른 의치필요도를 조사하기 위하여 분석하였다. 목표 모집단을 우리나라에 거주하고 있는 대한민국 국민이며, 65세 이상 노인표본 1,419명을 조사하였다. 연구대상자의 구강건강상태에 따른 의치필요도의 상관관계를 알아보기 위하여 카이제곱검정과 교차비 확률을 이용하여 분석하였다. 연구결과 주관적인 구강건강상태 중 씹기 불편(p<0.001)과 말하기 불편(p<0.001)이 유의미한 관련성이 있는 것으로 검토되었다. 객관적 구강건강상태에서는 치아우식증 유병률(p<0.001)이 있는 노인에서 의치필요도가 높게 나타났다. 구강건강관리 행태에 따른 의치 필요도는 구강위생보조용품을 사용하지 않는 노인과 치과치료를 받지 않는 노인에서 의치필요도가(p<0.001)매우 높은 것으로 검토되었다. 본 연구의 결과로부터 노인의 주관적 객관적 구강건강상태 및 구강건강관리 행태에 따른 의치필요도가 파악되었으며 이러한 결과의 바탕으로 노인의 구강건강상태가 지속적으로 유지 보존될 수 있도록 활발한 구강보건교육 및 전문가 관리가 활발하게 이루어질 수 있도록 프로그램이 계발되어야 할 것이다.

위암 수술 환자의 퇴원 간호요구 (Discharge Nursing Needs of Patients having Surgery with Gastric Cancer)

  • 이종경;이미순
    • 성인간호학회지
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    • 제15권1호
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    • pp.22-32
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    • 2003
  • Purpose: The purpose of this descriptive study was to identify the discharge nursing needs of patients who received gastrectomy. Method: The subjects of this study consisted of 100 patients who had gastric surgery in 4 university hospitals in chungnam province. The instrument for this study was developed by the researcher based on literature through in-depth interviews. Data was collected from October 4 to October 30, 2000. Result: The results were as follows: Discharge nursing needs were classified in 8 main categories. The 8 categories were 'emotional and spiritual support', 'nutrition and diet control', 'medication', 'treatment planning and follow up care', 'activity level', 'symptom management' 'health seeking behavior' and 'social support'. The total mean score for nursing needs was 3.89. 'Nutrition and diet control' was the highest degree of nursing needs and 'activity level' was the lowest degree of nursing needs. There were significant differences in degrees of nursing needs between different ages(F=2.74, p=.048), level of education(F=2.91, p=.038) and period since diagnosis(F=4.46, p=.037). Conclusion: This study looked at 8 categories of discharge nursing needs. Patients identified 'nutrition and diet control' as the highest need and 'activity level' as the lowest need. Further research needs to be done to identify discharge educational needs for various age groups, educational level and for patients with varing lengths of diagnosis time to surgery.

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새터민의 내일을 향한 삶의 체험 - Parse의 인간되어감 연구방법론 적용 - (Lived Experience of Considering Tomorrow among North Korean Refugees)

  • 이옥자;김현경
    • 대한간호학회지
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    • 제37권7호
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    • pp.1212-1222
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    • 2007
  • Purpose: The present study was done to discover the structure of universal actual experiences 'Considering tomorrow' of health and quality of life among North Korean refugees in terms of the socio-cultural context of South Korea. Method: The research question was 'what is the structure of the actual experience of 'Considering tomorrow?', which was examined based on the Parse's human becoming research method. Five North Korean adult refugees were recruited from a National Reconciliation Committee in Seoul/Incheon. The data was gathered from dialogues and collected from February, 2006 to November, 2006. Results: The structures found in this study were: 'hope for future life by taking responsibility and having harmony with South Koreans, by forming an integrated identification; having a chance for positive engagement, by attaining human freedom and hope; feeling respected, by assimilating self to the new world; getting freedom back, by facing a new challenge and preparing self for a new social role; overcoming cultural differences with fortified hardiness for survival, by making a decision for a life course with individual growth. In addition, conceptual integration was that 'Considering tomorrow is transforming the enabling-limiting values'. Conclusion: Health professionals need to know North Korean refugees' psychological difficulties, expectations of treatment, help seeking behavior, and expectations from mainstream culture. Additionally, understanding North Korean refugees' needs for reality, health education and a multi-disciplinary team approach are necessary to improve their health.

전문대학도서관의 국내 전자책 이용 실태 연구 (A Study of the Using Status and Environment of Domestic e-Books in Academic Libraries of Junior Colleges)

  • 정진한;박일종
    • 한국비블리아학회지
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    • 제17권2호
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    • pp.201-222
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    • 2006
  • 본 연구의 목적은 대학도서관에 도입한 국내 전자책의 이용 실태에 대해 분석하고 이를 통해 전자책 관련 정책과 이용 활성화에 도움을 주는 것이다. 본 연구를 수행하기 위해 A전문대학 전자책 이용자를 대상으로 웹 설문조사를 진행하였고 이의 분석방법으로 기초분석은 빈도분석과 기술통계를 사용하였으며, 성별과 전공분야별로 평가항목간에 유의한 차이가 있는지를 분석하기 위해 t-test, ANOVA, 교차분석($x^2$) 및 상관관계를 사용하여 분석하였다.

연극성 성격장애를 지닌 신체화장애 환자 치험 1례 -최면치료, EFT 중심으로- (A Case Report of a Somatization Disorder Patient with Histrionic Personality Disorder)

  • 김수정;유춘길;조아람;서주희;김지나;성우용;박장호
    • 동의신경정신과학회지
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    • 제23권2호
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    • pp.85-98
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    • 2012
  • Objectives : The histrionic personality disorder(HPD) is characterized by a pattern of excessive emotion and attention-seeking behavior, including a seductive behavior. It is known that HPD is closely related to a somatization disorder. The somatization disorder is characterized with various physical symptoms that have no pathologic manifestation. This report is on a case of 55 years old woman with HPD, who has been suffering from various physical symptoms that are coincided with diagnostic criteria for somatization disorder by DSM-IV. Methods : The patient was treated with oriental medical treatments (acupuncture, moxibustion, cupping therapy, and herb-medication), hypnotic therapy, and emotional freedom techniques. The effects of treatment were measured by VAS. Results : Chest pain was improved by hypnotic therapy and oriental medical treatments. But the patient's pantalgia and abdominal discomfort were controlled effectively by emotional freedom techniques. Conclusions : This result suggests that EFT might be effective for the defensive and dependent somatization disorder patient with HPD.

홧병 연구에 관한 고찰 (Literatures Review in Hwabyung Research)

  • 박영숙;채선옥
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.705-715
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    • 2001
  • This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clinical studies are definitely dominant. As for the fields of research, the concept of Hwabyung was studied more frequently than the others. As for the authorship. psychiatrists prevailed but nursing professionals are on the increase. Research subject in clinical and survey study, patient was definitely dominant and the place of study was almost always a hospital (75%), data collection was higher on interview (58.3%). Hwabyung was considered unique culture bounded syndrome related to Korean culture. Frequent etiologic factor of Hwabyung were a husband's extra-marital affair, conflicts between houses wives and mothers-in-laws, and financial loss and suffering. From the incidence of Hwabyung, a greater number of patients with Hwabyung were middle aged women in the low economic and educational classes, and these were connected with the culture and the family system. The symptoms of Hwabyung included psychological and physical symptom, neurological disorder and disease behavior. Defense mechanisms and coping strategies for Hwabyung were somatization, suppression, orality, withdrawal, isolation, regression, help-seeking, complaining, and wreaking anger. Treatment of Hwabyung were medication, effort by herself, communication with families, consultation with psychologist, acupuncture, negative therapy, moxa, and Qi-kong. Psychiatric therapy, behavior therapy, nursing intervention on multi-interdisciplinary approach and psychiatric nursing approach were recommended for the nursing care of a Hwabyung patient.

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