• Title/Summary/Keyword: 신체적 원인

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A Comparison of Illness Behavior among Patients with Somatoform Disorders, Depressive Disorders and Psychosomatic Disorders (신체형장애, 우울장애 및 정신신체장애 환자들간의 질병행동의 비교)

  • Koh, Kyung-Bong;Ki, Sun-Wan
    • Korean Journal of Psychosomatic Medicine
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    • v.5 no.2
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    • pp.185-194
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    • 1997
  • A comparison was made regarding illness behavior among patients with somatoform disorders, depressive disorders and psychosomatic disorders. The subjects consisted of out-patients with somatoform disorders(N=52), depressive disorders(N=52) and psychosomatic disorders(N=51). illness behavior was assessed by illness Behavior Assessment Schedule and the questionnaire about help-seeking behavior. The patients with somatoform disorders and psychosomatic disorders more often affirmed the presence of somatic disease, were more likely to have phobia of disease, had more preoccupation with ideas of disease and more frequently shopped around oriental clinics than the patients with depressive disorders. The patients with somatoform disorders more often attributed its cause to physical factors, less often attributed the origin of affective disturbance to psychological causes, showed Less depression and irritability, and were less likely to accept psychiatric treatment recommended by other physicians than depressive patients. The patients with somatoform disorders were more likely to report having been told that they suffered from a mild illness than those with psychosomatic disorders. The patients with somatoform disorders with psychological problems tended to inhibit expression of their emotion. Female patients with somatoform disorders more often affirmed the presence of psychological disorder and attributed its cause to psychological factors than male ones. These results suggest that in illness behavior, patients with somatoform disorders are different from depressive patients, whereas the former patients are similar to psychosomatic patients except the discrepancy between therapists and patients regarding evaluation of their symptoms. Thus, it is emphasized that first, therapists need to approach patients with somatoform disorders somatically with understanding of their underlying need to deny psychological problems, followed by either psychological or biopsychosocial approach.

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A Study on the Concept and Cause of Sexual Abuse perceived by Adolescents (청소년의 성폭력 개념 및 원인에 대한 인식 연구)

  • Park Kyung Rhan;Yi Yeong Sug
    • Journal of Korean Home Economics Education Association
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    • v.16 no.4 s.34
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    • pp.157-166
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    • 2004
  • The purpose of this study is to provide practical information which can prevent adolescents from sexual derailment by identifying their perception of sexual abuse. A total of 694 middle and high school students were asked to complete a questionnaire consisting of 28 items about the concept and cause of sexual abuse. The results of this study were as follows: 1. Three types(physical. verbal. and psychological) were perceived in the concept of sexual abuse. Among the three types. physical type was most seriously perceived as a concept of sexual abuse. followed by verbal and psychological abuse. Females perceived physical sexual abuse as a more serious type than males. High school students didn't perceive physical sexual abuse as serious as middle school students did. 2. Four types(social environment. victim. sexuality education and community role) were perceived in the cause of sexual abuse. Among the four causes. social environment was most seriously perceived as a cause of sexual abuse. followed by victim. sexuality education and community role. Females perceived social environment and community role as a more serious causes than males. There was no meaningful difference in the perception of the cause according to age.

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Diagnostic Imaging for Physical Abuse in Children (신체적 학대를 받은 아동의 진단적 영상)

  • Tae Yeon Jeon;So-Young Yoo;Hong Eo;Ji Hye Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.832-851
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    • 2020
  • Physical abuse is a significant cause of morbidity and mortality in the pediatric population. Young children, particularly in the first year of life, are most vulnerable to physical abuse. To evaluate suspected physical abuse, radiologists play a vital role by detecting radiological findings suggestive of physical abuse and differentiating them from other pathologies. This review focuses on radiologic findings, including those for fractures, abusive head trauma, spinal injury, and thoracoabdominal injury, commonly discovered in physically abused children, with special emphasis on biomechanical forces that produce injuries.

A Case Study of lower Extremity Amputation Patient (하지 절단 환자의 간호 사례 연구)

  • Cho M O
    • The Korean Nurse
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    • v.23 no.3 s.126
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    • pp.68-76
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    • 1984
  • 본 환자를 간호하면서 절단으로 인해 신체적 고통을 받고 있는 존재로서, 생각과 정서, 욕구를 지닌 존재로서의 환자를 돕고자 시도해 보았다. 신체적인 적응을 돕기 위해서 근력강화와 관절가동역증진, 통증조절, 보조기 착용을 위한 단단의 관리, 잔여관절의 변형예방에 중점을 두었다. 심리적인 적응을 돕기 위해서 환자가 절단 수술과 수술 후 변화된 신체외모를 수용하는 과정을 증시했다. 끝으로 사회적인 면에서는 의미있는 사람들의 집단속에서 존재하는 인간으로서의 환자에게 관심을 두었다. 환자의 우측 슬관절 가동역은 완전히 회복된 상태는 아니지만 목발을 이용하여 걷거나 기타 일상생활을 하는데 불편함은 없으며 앞으로 계속적인 노력을 통해 회복될 수 있을 것이다. 그의 좌측 고관절 가동역은 정상유지되고 있으며 절단부위는 보조기 착용에 적합하게 형성되어 가고 있다. 비슷한 처지에 있는 이씨환자의 도움과 환자의 독립적인 생활태도는 환자가 자신의 불구에 적응하고 일상생활에 적응하는데 많은 도움이 되었다. 협조적이고 동정적인 환자들과 의료진의 도움으로 환자는 보호된 병원환경내에서 신체적 제한점을 주목하고 자신의 불구에 적응하면서 타인들과 원만한 관계를 유지해 왔다. 그는 앞으로 사회에 돌아가서 생활하게 될 것이다. 우리 사회는 아직도 그들에 대해 편견을 가지고 있으며 직업적 교육적 의료치료적 배려가 부족한 상태이다. 사회속에서의 적응은 병원에서의 적응보다 훨씬 더 어려울 것이며 때로는 그를 좌절하게 할 것이다. 그의 신체적 결함이 자기 자신만의 책임은 아니며 어느 누구나 사고에 희생될 가능성은 있다. 사회인들이 그들에게 관심있고 수용적인 태도를 지니고 그들의 정상 요구와 인간으로서 동등하게 살아갈 권리를 인정하고 받아들인다며 좀더 쉽게 자신의 슬픔을 극복할 수 있을 것이다.

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Pharmacotherapy for Patients Complaining With Somatic Symptoms (신체증상을 호소하는 환자의 약물치료)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.95-101
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    • 2021
  • Patients complaining with somatic symptoms are very common in clinical practice, and are often consulted to medical department. But it is difficult to treat well. The treatment of somatic symptom disorder is multi-modal as none of the methods on their own provide a satisfactory outcome. The treatment of somatic symptoms disorders is complicated by lack of boundary, conceptual clarity, and overemphasis on psychosocial causation and effectiveness of psychological treatments. In clinical practice all classes of psychotropics are used to treat somatic symptoms disorder. Drugs such as tricyclic antidepressants, serotonin reuptake inibitors(SSRI), serotonin and noradrenalin reuptake inhibitors (SNRI), atypical antipsychotics are studied. The evidence indicates that these drugs are effective in somatic symptom disorders. All classes of antidepressants seem to be effective against somatic symptom disorders. SSRIs are more effective against hypochondriasis and body dysmorphic disorder, and SNRIs appear to be more effective than other antidepressants when pain is predominant. The author suggest that psychiatrists should know how to treat patients complaining with somatic symptoms by using not only psychotherapeutic approach but also pharmacological treatment. It will be helpful to reduce suffering and increase quality of life of these patients.

The Study of Physical Trauma on Adolescent during exercise: Focused on Judo (청소년의 운동 중 신체적 외상에 대한 연구: 유도를 중심으로)

  • Lee, Jongrok;Oh, Chung-Uk;Lee, Minseon;Suh, Dongwha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.1938-1945
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    • 2014
  • This study intends to investigate physical trauma in the adolescent during exercise of teenage elite judo players in Seoul. The subjects were male 67, female 14, totally 81 in middle and high school student and the data collected june the first to 28th, 2013. A data were analyzed frequency analysis, chi-square test and t-test using SPSS 16.0 program. The questionaire was contained 6 categories, experience, region, types, time, causes, intervention and preventionof sports injury. The highest results of each categories of this study is that experience of injury is 77(95.1%), region is knee 35(70.0%), type is contusion 42(54.5%), time is summer 54(70.1%), cause is body crash 40(51.9%), and intervention is going hospital 46(59.7%). To prevent physical trauma, we should recognize physical trauma durind exercise as a health problem. And to prevent physical trauma, relatives should make prevention prorgram for adolescent sports players. It will improve their quality of life.

Safety Accidents and Physical Fatigue of School Foodservice Employees (학교급식 조리종사원의 안전사고 실태 및 신체적 피로도 분석)

  • Cho, Yeon-Jung;Kim, Hyun-Ah
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.42 no.9
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    • pp.1482-1491
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    • 2013
  • The purpose of this study was to investigate the safety accidents and physical fatigues of school foodservice employees. Out of 300 questionnaires distributed from December 1~20, 2011, 276 responded. After excluding 54 incomplete questionnaires, 222 (usage rate: 74%) were examined in the final analysis. First, our results showed that in terms of safety accidents, most received bruises (92.8%), followed by burns (73.0%), cuts and lacerated wounds (69.4%), sprains (47.7%), falls (42.8%), fractures/dislocations (31.5%) and electric shock (2.7%). Second, we found that the average degree of physical fatigue of school foodservice employees was 3.65 based on the 5-point Likert scale. Specifically, pain in the arms and wrist was rated the highest, at 4.18. Third, results showed that the factors affecting physical fatigue were 'class of school' (P<0.05), 'frequency of meal serving per day' (P<0.05), 'no. of meals served per day' (P<0.001), 'no. of meals per employee' (P<0.05) and 'warm-up exercise before starting work' (P<0.05). This means that foodservice employees serving middle schools, serving meals three times per day, serving more than 1,000 meals per day, and serving more than 111 meals per employee perceive higher levels of physical fatigue. In addition, the physical fatigue of those who perform warm-up exercises before starting work was significantly lower than those who do not perform warm-up exercises before work (P<0.05). In conclusion, the frequently occurring major safety accidents of school foodservice employees were bruises and burns. An increase in workload also leads to the increasing physical fatigue of school foodservice employees. Thus, to lower the physical fatigue of school foodservice employees, school foodservice employees should be encouraged to perform warm-up exercises before staring work and new staffing guidelines for school foodservice employees should be developed.

Partial mediating effect of stress in the relationship between Somatic symptoms and oral symptoms of University Staff (대학 교직원의 신체 건강과 주관적 구강 건강의 관계에서 스트레스의 매개 효과)

  • Hong, Min-Hee;Lee, Jung-Min;Jang, Ki-Won
    • Journal of Convergence for Information Technology
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    • v.11 no.11
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    • pp.229-238
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    • 2021
  • The purpose of this study is to examine the effect of physical health on oral health in university staff and the mediating effect of stress on their relationship. As for the research method, a questionnaire survey was conducted from June 15 to June 30, 2021 for some university staff in the Seoul area. As research tools, general characteristics, somatic symptoms, oral symptoms, and perceived stress were investigated. For the analysis method, Pearson correlation analysis was used to examine the correlation between physical symptoms, stress, and oral symptoms, and regression analysis was used to verify the mediating effect. As a result, somatic symptoms, stress, and oral symptoms all showed a positive correlation. Also, somatic symptoms were found to have an effect on oral symptoms, and stress had a partially mediating effect on the relationship between somatic symptoms and oral symptoms: somatic symptoms directly affect oral symptoms, and stress directly and indirectly affects oral symptoms. In conclusion, institutional measures are needed to reduce the work stress of the university staff, and regular oral health education to promote oral health should be expanded.

자동차 시트의 안락성 특성 인자의 상관관계 연구

  • 박용환;이승용
    • Proceedings of the Korean Institute of Industrial Safety Conference
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    • 2000.11a
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    • pp.453-459
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    • 2000
  • 개개인의 생활 수준 향상으로 자동차가 개인 교통 수단이나 레저 생활용으로 더욱 많이 활용되면서 장시간 운전이 늘어감에 따라, 운전자의 신체적 피로는 운전 중의 사고의 원인이 되고 있으며, 장시간 운전시의 피로감의 원인이라고 할 수 있는 엔진과 노면으로부터 인체에 전달되는 진동에 대한 대비책으로, 시트 부분의 내진 및 감쇠 설계가 실제로 운전자가 느끼는 승차감 즉 안락성에 결정적인 역할을 한다고 볼 수 있다. 국내의 경우 자동차 시트 기술은 대부분 외국 기술에 의존하고 있는 실정이어서 전문적인 연구는 매우 미흡한 실정이다.(중략)

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Phenomenological Analysis of Perception on Body Image of Female College Students (여대생의 신체상 인식에 관한 현상학적 분석)

  • Oh, Hye-Kyung
    • The Journal of the Korea Contents Association
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    • v.14 no.3
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    • pp.289-300
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    • 2014
  • This study was conducted to find how the female college students perceive the body image and the way to help them through the education program. The data was collected through in-depth interviews of 10 female college students from October, 2012 to September, 2013. The interview was done with 3 focus group consisted of 3~4 participants per group. The data were analyzed by the Giorgi method. The meaning structure were organized in 12 themes and 5 focal meanings were identified health personality, health physical condition, making artificial body, social judgement, respect for individuality to ideal body. It is needed to develop the professional programs that help the female college students to positively manage their own body image and reduce the health problem induced body image. Therefore, it is recommended that the program for the female college students is consisted of management of physical health and psychological stress, harmonious interpersonal relationship and encouragement of self-esteem.