• 제목/요약/키워드: 가정치료

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어머니와 갈등이 심한 남자 중학생의 모래놀이치료 사례연구 : 입문의 관점에서 (A Case Study of Sandplay Therapy for a Middle School-Aged Boy Having Severe Conflicts with His Mother : Focused on Initiation)

  • 심희옥
    • 가정과삶의질연구
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    • 제32권6호
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    • pp.1-18
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    • 2014
  • This study explored the sandplay therapy case of a middle school-aged boy having severe conflicts with his mother, from the viewpoints of initiation. The goal of the therapy was to lessen the boy's conflicts with his mother within the free and protected space in sandplay therapy. Thirty-seven therapy sessions were held. The client showed the scene of having fun in the water in the most unconscious part of the tray in the initial phase of therapy (1, descending into the unconscious). In the intermediate phase of therapy (2~33, a period of suffering, confrontation with death and trials), he showed suffering, was confronted with death and underwent trials. In the final phase of therapy (34~37, seeking masculine principles and rebirth), he began to seek masculine principles instead of having conflicts with his mother and was reborn. Using sandplay therapy in a free and protected space, this study showed the effectiveness of sandplay therapy since the boy's severe conflicts with his mother were lessened. This study also confirmed the existence of an archetypal pattern in the male adolescent's psyche.

한부모가족 중학생의 자기효능감과 사회성 향상을 위한 집단미술치료 프로그램의 효과성 (The Effect of Group Art Therapy Program on Self-efficacy and Sociality of Middle School Students from Single-parent Families)

  • 김인자;최연실
    • 가정과삶의질연구
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    • 제27권1호
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    • pp.145-164
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    • 2009
  • The purpose of this study was to examine the effect of group art therapy on the self-efficacy and sociality of middle school students from single-parent families. The major results of this study were as follows: First, it was revealed that the activities of group art therapy were effective in making the self-efficacy of students from single-parent families higher by expressing their thought, and feelings better and having more confidence in themselves. Second, it was revealed that the activities of group art therapy were effective in improving the sociality of students from single-parent families by showing better performance in relationship with peers. Third, it was revealed that the activities of group art therapy had an effect on students' affirmative feelings according to each stage. That is, the students' feelings became more affirmative after this art therapy activities. Fourth, this study proved that K-HTP was effective in improving the self-efficacy and sociality of middle school students from single-parent families Fifth, this study proved that KFD was effective to improve the self-efficacy and sociality of middle school students from single-parent families. In conclusion, the Group Art Therapy had the effect on improving the self-efficacy and sociality of students from single-parent families.

분노조절문제를 가진 아동에 대한 가족치료 사례연구 (A Case Study on Family Therapy for a Child with Anger Controling Problem)

  • 박태영;유진희
    • 가정과삶의질연구
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    • 제30권3호
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    • pp.119-133
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    • 2012
  • This study aimed to explore the anger of child, the factors influencing the anger of child, the therapeutic techniques of therapist to resolve the marital conflict as well as the anger of child and the changes of family members after getting family therapy. The data was consisted of recording transcripts and note-taking of 8 sessions family therapy. The study used a constant comparative analysis and Miles & Huberman's matrix and network display as analysis method. The anger of child included aggressive and violent behavior, temperament, fear, anxiety, and negligence of rule. The study revealed parental dysfunctional communication patterns and parental experiences from family of origin as factors influencing the anger of child. The study found therapist's self-disclosure, sharing and comparing with similar cases, explanation of dysfunctional communication patterns, explanation about similarity in generational transmission process, and suggestion of new solutions as therapeutic techniques. The result of study showed the alleviation of marital conflict, the amelioration in the anger of child, and the change in the relationships of family members after getting family therapy.

이혼 전 의사결정단계 부부를 위한 치료 사례 연구 (A Case Study for a Couple in Pre-Divorce Decision-Making Stage)

  • 김정옥
    • 대한가정학회지
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    • 제49권10호
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    • pp.91-101
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    • 2011
  • The purpose of this study was to find a therapeutic intervention for a couple in the pre-divorce stage. We used data from the case study to examine the factors related to marital conflict and enhancements related to the family of origin. Our sample was the couple in pre-divorce stage who has been married for 3 years. The therapeutic intervention methods used were taken from Positive Psychology, Family Systems Theory, Communication Theory, and Solution-Focused Therapy. We counseled the couple once a week for 10 sessions from $5^{th}$ October to $7^{th}$ December in 2010. Our objective was to give a positive perspective on the couple who was in the pre-divorce stage. We also provided clear-cut, practical techniques for responding productively to inappropriate expressions of anger. The couple acquired strategies to make their relationship work more effectively. Finally, the couple set their family goals for adjustment instead of divorce.

만성 C형간염환자의 질병에 대한 지식과 치료지시이행 간의 관계 (Correlation between Knowledge of Hepatitis C and Compliance with therapeutic guidelines in Chronic Hepatitis C Patients)

  • 선우림;주현옥
    • 가정간호학회지
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    • 제22권1호
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    • pp.69-77
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    • 2015
  • Purposes: The purpose of the study was to evaluate knowledge of hepatitis C and compliance with therapeutic guidelines and their correlation. Methods: Participants included a total of 197 subjects with chronic hepatitis C from 4 general hospitals. Subjects were asked 25 items of knowledge on hepatitis C and 17 items of compliance with therapeutic guidelines. The collected data was analyzed for frequency, percentage, average, standard deviation, t-test, ANOVA and Pearson's correlation coefficient. with the help of SPSS 21.0 program. Results: The subject's knowledge on chronic hepatitis C expressed as percentage was 67.1%. Compliance of the research participants gained $3.96({\pm}0.76)$ points in general on a 5-point scale. Learned compliance was higher when the patients were 45 years old and over. female and with spouse. There was a statistically significantly positive correlation between knowledge and compliances. Conclusions: Development of educational programs requires consideration of patient characteristics, particularly education on the male patients under 45 years of age.

노인 당뇨병 환자의 당화혈색소, 허리/엉덩이둘레, 허리/허벅지둘레 및 치료지시이행과의 관계 (A study on relationship between HbA1c, WHR, WTR and compliance in elderly diabetes mellitus patients)

  • 유용권;송민선
    • 가정간호학회지
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    • 제22권1호
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    • pp.14-21
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    • 2015
  • Purpose: The purpose of this study was to identify relationships between HbA1c (Glycosylated Hemoglobin), WHR (Waist hip ratio), WTR (Waist thigh ratio) and compliance in elderly diabetes mellitus patients aged 65 years or over. Method: We conducted a survey and measured HbA1c, WHR, WTR in a total of 180 elderly patients with diabetes from 5 May 2014 to 30 May 2014. The data were analyzed by t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS program. Results: There were no significant differences in diabetes-related characteristics for HbA1c, WHR and WTR. However, patients with a family history had low compliance scores (p=.004). Furthermore, patients who visited the hospital regularly had higher compliance scores than patients who visited hospital when they were sick (p<.001). Patients with diabetic complications had low treatment compliance scores (p=.001). In addition, WHR and WTR (r=0.47, p<.001). and WHR and compliance (r=0.15, p=.045) showed positive correlation. Conclusion: For elderly diabetes mellitus patients, diabetes-related characteristics and compliance were highly related, so it is necessary to improve compliance for managing diabetes mellitus.

기능강화웃음치료가 노인의 우울, 인지 및 폐기능에 미치는 효과 (The Effectiveness of a Laughter Therapy Program : Focusing on Depression, Cognitive Function and Pulmonary Function among Elderly Patients)

  • 황명숙;유문숙
    • 가정간호학회지
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    • 제23권2호
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    • pp.121-128
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    • 2016
  • Purpose: This study was aimed at constructing and examining the effects of a laughter therapy program for elderly patients in long-term care hospitals. Methods: A prospective, two-group quasi-experimental design was used and 50 patients (25 experimental and 25 control group patients) from two long-term care hospitals in Gyeonggido province, South Korea, were study participants. The experimental group received 24 laughter therapy sessions twice a week for 12 weeks, and the control group received laughter therapy after data collection. Data were collected between May 26 and August 17, 2014. Results: The level of cognitive function for the experimental group increased(t=3.27, p=.002). The level of forced vital capacity (t=2.78, p=.008) and forced expiratory volume in 1 second (t=4.94, p<.001) increased among members of the experimental group. Conclusion: These results indicated that the laughter program was effective in improving cognitive and pulmonary functions among older patients who were receiving long-term care in hospitals. This program could be used for community-based elderly patients.

웰빙용 여성 요실금 치료기의 유럽 마케팅 전략 (Marketing strategy of urinary incontinence equipment in Europe)

  • 이우천;박노국
    • 벤처창업연구
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    • 제7권1호
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    • pp.67-72
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    • 2012
  • 본 연구는 국내 벤처기업에서 세계 최초로 제조된 요실금 치료기기의 유럽시장 진출을 위하여 국내외 의료기기 시장의 환경변화에 대하여 서술하고 요실금과 치료방법, 그리고 신제품의 특성 및 유럽 요실금 치료기기 시장을 분석하여 유럽시장 진출 방안을 제시하였다. 그 결론으로 국내 의료기기 벤처기업에서 세계 최초로 개발된 요실금 치료기기를 유럽시장에 판매하기 위해서는 다음과 같은 전략이 필요하다. 첫째, 시장침투수준을 증가시키기 위하여 국내 업체는 유럽에서 개최되는 관련 학회 및 전시회 참가 등을 통하여 유럽의 가정의와 비뇨기과 의사들에게 국내에서 개발된 요실금 치료 장비에 대한 인식을 높이는 전략이 필요하다. 둘째, 개성 있는 독특한 제품임과 치료방법의 제시, 그리고 감염률을 줄일 수 있는 비용-효과적인 제품이라는 점의 강조가 필요하다. 셋째, 요실금 치료기기 시장의 경쟁이 심화되고 있는 상황에서 국내의 요실금 치료기기 제조업체는 품질을 확보하면서 가격을 낮출 수 있는 방법 모색을 통하여 품질과 배송, 그리고 가격의 일관성을 제시하여야 할 것으로 연구되었다.

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재활승마에 대한 재활전문인력의 인식도 조사 (A Survey on the Recognition of Rehabilitation Specialists on Therapeutic Horse Riding)

  • 조민석;이문영
    • 한국엔터테인먼트산업학회논문지
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    • 제13권2호
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    • pp.271-277
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    • 2019
  • 장애인을 위한 치료의 수단으로서 승마에 대한 관심이 높아지고 있는데 승마는 근육, 관절, 심폐 기능 등의 신체 조건을 향상시키고, 긴장을 완화시키며, 말과 같은 큰 동물을 통해 자신감을 키워주는 운동이다. 다양한 재활승마의 치료효과는 미국의 작업치료 및 물리치료협회 등을 포함한 많은 의학 전문가들에 의해 인정받고 있다. 반면 우리나라는 구체적인 질환별 치료적 효과나 임상적인 치료에 쓰기에 과학적 토대에 관한 연구는 아직 미비한 실정이다. 본 연구는 재활과 관련된 전문인력들의 재활승마에 대한 인식도를 조사함으로써 임상으로서의 가능성을 알아보고자 하였다. 재활승마에 대한 인지도와 사용경험은 전반적으로 낮았으나 효과성의 기대감이나 재활승마의 교육이 가정될 경우 활용하고자 하는 의사는 비교적 높았다. 이러한 결과를 토대로 향후 재활승마가 임상적 치료방법으로 인정될 가능성을 확인할 수 있다.

$^{192}Ir$를 사용한 자궁경부암 치료시 주변 장기 및 근접한 사람의 선량 평가 (Assessment of Radiation Dose for Surrounding Organs and Persons Approaching Patients upon Brachytherapy of Cervical Cancer with $^{192}Ir$)

  • 강세식
    • 대한방사선기술학회지:방사선기술과학
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    • 제33권3호
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    • pp.283-288
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    • 2010
  • 한국인의 신체 특성에 맞는 방사선치료 선량 평가를 위해 한국표준여성에 기초하여 수학적 모의피폭체를 제작하였다. 이후 자궁을 선원장기로 하여 자궁경부암 근접치료 시 발생할 것으로 예상되는 자궁 및 주변장기의 흡수선량과 치료환자에 근접한 사람의 선량을 평가하였다. 시뮬레이션을 위하여 방사성핵종은 자궁경부 근접치료에 유용하게 사용되는 $^{192}Ir$을 선정하였고, 초기 방사능 1 Ci를 투여하는 것으로 가정하였다. 그 결과 선원장기인 자궁에 4.92E-14 Gy/Ci를 나타냈으며, 치료 환자로부터 거리에 따른 사람의 선량은 전방 30 cm 거리에서 1.24E-07 Sv를 나타났다.