• Title/Summary/Keyword: 심리적 어려움

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방사성옥소 치료를 위한 표준 지침서 개발과 치료병실 환경 개선 연구

  • Kim, Bong-Soo;Pyo, Seong-Jae;Kim, Chang-Ho;Jo, Yong-Gwi;Sin, Chae-Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.12 no.1
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    • pp.126-129
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    • 2008
  • 목적: 방사성옥소 치료 환자들은 주의 사항이나 식이요법 등을 지키는 것에 대한 어려움과 3~4일간의 격리 치료기간 동안의 막연한 불안감을 느끼는 등의 심리적, 신체적 부담감을 가지고 있다. 본 과에서는 방사성옥소 치료의 예약과 치료병실에 대한 표준지침서를 개발하여 환자들에게는 정확하고 쉬운 정보를 제공하여 막연한 불안감을 해소하고 치료 업무에 종사하는 종사자들에게는 통일된 정보를 제공하여 업무효율을 향상시키는 효과와 치료 병실의 환경개선을 통한 환자의 심리적 안정감을 찾는데 주력하고자 본 연구를 시작하였다. 대상 및 방법: 2006년 9월부터 2007년 2월까지 치료병실에 입원한 환자를 대상으로 치료환자의 치료 일정, 주의사항, 저옥소 식단과 치료병실의 표준 진료 지침서를 개발하고 치료 병동의 간호사와 협력하여 치료병실의 환경을 개선하여 환자에게 적용하였다. 결과: 방사성옥소 치료의 특성상 환자는 치료가 결정되는 순간부터 치료과정에 대한 이해도 부족과 치료병실 생활에 대한 불안감을 느끼게 되므로 치료 시 사용되는 일정 및 주의사항, 저옥소 식단의 표준지침서를 개발하여 환자 치료병실 개선과 치료병실에서의 표준지침서를 개발하고 사용하였다. 결론: 치료에 따른 진료지침서와 병실 환경을 개선 후 치료에 대한 환자의 이해도 및 치료병실에서의 생활이 예전과 비교해서 많이 향상 되었고 치료의 과정을 설명하는 예약 시에도 많은 도움이 되고 있다. 이러한 치료과정의 규격화 하는 작업들은 본원뿐 아니라 치료병실이 있는 병원의 치료환경을 개선하는데 도움이 될 것이라고 사료된다.

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The Influence of COVID-19 on the Life of Artists : Focusing on the Survey of Artists (코로나19가 예술인의 삶에 미치는 영향 : 예술인 실태조사를 중심으로)

  • Jang, Woo-Hyeon;Lee, Ji-Yeon
    • The Journal of the Korea Contents Association
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    • v.21 no.3
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    • pp.301-313
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    • 2021
  • This study was conducted on 253 artists for a month from April 19, 2020 to study the influence and countermeasures of COVID-19. The analysis results are as follows. First, as a result of frequency analysis, the timing of the occurrence of COVID-19 and the period of the decrease in artist's artistic activities were consistent, and the subjective socioeconomic level perceived by the artist was degraded from COVID-19. Second, as a result of the multivariate variance analysis, the income level and employment environment of artists affected the variables associated with COVID-19. Third, as a result of the hierarchical analysis analysis, the income level and the socioeconomic level changes due to COVID-19, and concerns about COVID-19 infections, have been shown to have had a significant impact on the level of stress felt by artists. Fourth, as a result of qualitative research, the artist reported that he was experiencing economic and psychological difficulties due to the influence of COVID-19, and emphasized the need for policy support as a way to cope with them. We hope that the results of this study will be used as empirical data in the process of developing support systems and programs for artists experiencing economic constraints and social alienation due to COVID-19.

Mental Health In LGBTs Resulting From Family Rejection: Consensual Qualitative Research (가족의 거부로 인한 성소수자의 정신건강에 관한 연구: 합의적 질적 연구(CQR))

  • Kim, Jin Yi
    • Korean Journal of Culture and Social Issue
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    • v.23 no.4
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    • pp.605-634
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    • 2017
  • The purpose of this study was to investigate families' responses and attitudes and the experiences of Korean LGBT individuals after revealing their sexual identity and sexual orientation and to determine how families' attitudes affected the mental health of these individuals. For this purpose, in-depth interviews were performed with 12 male and female LGBT participants, ranging from 19-30 years of age, who resided in Seoul and metropolitan areas, and reported coming out to or being outed by their families. One-to-one interviews were carried out using semi-structured questions, and the data from the interviews were analyzed using consensual qualitative research (CQR). Most of the families had very negative responses and attitudes to the participants coming out and exhibited rejection or avoidant attitudes; only a few of the families responded with receptive attitudes. As a result, the LGBT participants reacted with friction and coping behaviors, such as persuasion, participation in professional counseling, abandonment or avoidance, and running away from home. Most of the effects of the families' attitudes on the participants were negative psychological effects, such as anger, sadness, a sense of alienation, depression, anxiety, fear, trauma, helplessness, lowered self-esteem, alcohol dependence, and suicidal ideation and attempt, while receptive attitudes provided a sense of stability. For all participants, they reported that they were more likely to be hurt by their families' negative attitudes than by social attitudes. This study is significant because it provides framework for specifying families' attitudes and LGBT individuals' experiences after coming out in Korean society. It also outlines LGBT individuals' coping behaviors, psychological difficulties, and the process of coming out and provides suggestions for individuals to overcome. The results are expected to help counselors create practical strategies to better understand LGBT individuals and the psychological difficulties they may experience and provide proper interventions while counseling both the individual and the family.

A Study on Client Violence Against Social Workers: in the Field of Child Protection Services (사회복지 실천현장의 클라이언트 폭력 연구: 아동보호서비스 현장을 중심으로)

  • Shin, Jun-Seob
    • Journal of the Korean Society of Child Welfare
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    • no.27
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    • pp.37-68
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    • 2008
  • Based on the assumption that client violence against social workers may impede the effectiveness of social work intervention, this study investigated the prevalence and negative effects of client violence among child protection workers. A national sample of 207 child protection workers participated to the study. The results showed that 62.8%(n=130) of the respondents experienced violence by children's parents or other guardians in the year of 2007. This prevalence was similar level to that of other service fields. However, perception about client violence of the respondents was more serious than workers in other fields. Respondents who have experienced client violence showed emotional reactions such as angry, burnout, frustrated. This emotional reaction impacted more on woman respondents. This study further found that client violence had negative effects on such work-related variables as workers job satisfaction and intention to leave.

Dimensionality of emotion suppression and psychosocial adaptation: Based on the cognitive process model of emotion processing (정서 처리의 인지 평가모델을 기반으로 한 정서 억제의 차원성과 심리 사회적 적응)

  • Woo, Sungbum
    • Korean Journal of Culture and Social Issue
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    • v.27 no.4
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    • pp.475-503
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    • 2021
  • The purpose of this study is to clarify the constructs of emotion suppression and help understanding on the multidimensional nature of emotion suppression by classifying constructs for suppression according to the KMW model. Also, this study examined the gender differences of emotion suppression. For this purpose, 657 adult male and female subjects were evaluated for attitude toward emotions, and difficulty in emotional regulation, as well as depression, state anger and daily stress scale. As a result of the exploratory factor analysis on the scales related to the emotion suppression factors, the emotion suppression factors corresponding to each stage of the KMW model were found to be 'distraction against emotional information, 'difficulty in understanding and interpretation of emotions', 'emotion control beliefs', 'vulnerability on emotional expression beliefs'. Next, the study participants were classified by performing a cluster analysis based on each emotion suppression factor. As a result, four clusters were extracted and named 'emotional control belief cluster', 'emotional expression cluster', 'emotional attention failure cluster', and 'general emotional suppression cluster'. As a result of examining the average difference of male depression, depression, state anger, and daily stress for each group, significant differences were found in all dependent variables. As a result of examining whether there is a difference in the frequency of emotional suppression clusters according to gender, the frequency of emotional suppression clusters was high in men, and the ratio of emotional expression clusters was high in women. Finally, it was analyzed whether there was a gender difference in the effect of the emotional suppression cluster on psychosocial adaptation, and the implications were discussed based on the results of this study.

Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study (중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법)

  • Kim, Hyun Sook;Choi, Eun Kyoung;Kim, Tae Hee;Yun, Hye Young;Kim, Eun Ji;Hong, Jin Ju;Hong, Jeong A;Kim, Geon Ah;Kim, Sung Ha
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.87-99
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    • 2019
  • Purpose: This study aimed to identify the difficulties with end-of-life care (EOLC) experienced by intensive care unit (ICU) nurses and to investigate their educational needs for EOLC. Methods: Mixed methods were used to survey ICU nurses at a university hospital. Quantitative data (N=106) were collected through a questionnaire and analyzed using an independent samples t-test, ANOVA, Mann-Whitney U test and $Scheff{\acute{e}}$ test. Qualitative data (N=19) were collected through focus group interviews and analyzed through qualitative content analysis. Results: The mean score on the difficulty of EOLC was 3.41 out of 5. The education needs derived from the qualitative analysis was categorized into four themes: 1) guidelines on professional EOLC, 2) spiritual care, 3) a program to take care of feelings of patients, families and nurses, and 4) activities to think about death. Conclusion: This study confirmed that ICU nurses were experiencing an extreme difficulty in providing EOLC. In addition, a qualitative analysis confirmed that they needed an EOL nursing program. To mitigate the difficulties experienced by nurses involved in EOLC, there is an urgent need to develop an education program for EOLC tailored to nurses' needs.

Group Bibliotherapy for Improving the Self-esteem of Middle-aged Women (중년여성들의 자존감 향상을 위한 집단 독서치료)

  • Lee, Myeong-Hee
    • Journal of the Korean Society for Library and Information Science
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    • v.51 no.3
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    • pp.109-132
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    • 2017
  • This study analyzed the phenomenological research method of Giorgi in order to understand the changes in the self-esteem of middle-aged women through group bibliotherapy. During this study, 12 sessions were conducted for six middle-aged women, and the participants' statements in the recorded files were analyzed and integrated into 221 semantic units, 16 sub-situations/topics, 6 situations/topics, and 3 groups. During the research, the participants suffered from neurosis symptoms due to family difficulties. Nevertheless, bibliotherapy showed favorable results; the use of picture books and thus the interaction between the participants led to positive, emotional and psychological responses. Furthermore, from the study, it was concluded that religious life played an important role in healing the participants' wounds.

New Fact and Experience About The Tennis Lesson Using Tool (도구를 활용한 테니스 교수법이 가져다준 새로운 사실과 경험)

  • Shin, Myoung-Jin;Shim, Yun-Sik
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.388-397
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    • 2012
  • The tennis was one of the most popular sport in the general physical education lesson. However there are many problems such as difficult of improvement tennis skill, lack of class days and so many students in a class. These reasons could ultimately damage the overall quality of class. The purpose of this research was to beginner students was fun and easy to learn. The tennis lesson using tools were 1.selective hitting ball, 2. high net hitting ball, 3. hitting orange ball. Scores of the experimental group(n=23) and the control group(n=21) were compared. In order to verify course content was the same 15 weeks, conducted a tennis teaching methods to take advantage of the tools. And tools to take advantage of the students who participated in a class analysis of the qualitative data (interviews, documents, questionnaires, observations, journals). As a result, the satisfaction scores of the experimental group were higher than those of the control group. The tennis lesson using tools to take positive effect(meaning, improved skill, easy, fun/curious/confident) and negative effect(difficulties of adaptation, a high challenge level) was induced. In summary of the quantitative/qualitative data 'Orange Ball' has a positive impact on the girls than boys and teaching methods using tools gave generally positive influence to students.

A study on the formation of worker's job-satisfaction: The influence of emotional support, resiliency of self-efficacy, stress and job-performance (직장인의 직무만족도 형성에 대한 연구: 정서적 지원, 어려움극복효능감, 스트레스 및 직무성취도의 영향)

  • Young-Shin Park;Kyung-Lan Lee
    • Korean Journal of Culture and Social Issue
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    • v.20 no.4
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    • pp.469-491
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    • 2014
  • The purpose of this research is to examine the factors influencing on worker's job-satisfaction analyzing the influence of emotional support from fellow workers, resiliency of self-efficacy, stress and job-performance. A total of 456 completed questionnaire, consisted of small business workers 253 (male 89, female 164) and middle school teachers 203 (male 44, female 159). The questionnaire showed relatively high reliability, with Cronbach α ranging from .83 to .91. The results of the path analysis and effect analysis showed very similar pattern in the group of small business workers and middle school teachers. Based on the path analysis, emotional support from fellow workers had a positive influence on the workers resiliency of self-efficacy. Consequently, the enhanced resiliency of self-efficacy increased the job-performance, however decreased the stress, which in turn contributed to increase the job-satisfaction significantly. Based on the effect analysis, resiliency of self-efficacy showed the most big size of positive total effect to worker's job-satisfaction, followed by job-performance and emotional support. On the other hand, stress showed negative effect on job-satisfaction.

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The influence of parental social support and resiliency of efficacy on stress, depression, and stress management behavior: Comparative analysis of elementary school, middle school and university students (스트레스와 우울에 대한 부모의 사회적 지원, 어려움극복효능감, 스트레스 관리행동의 영향: 초, 중, 대학생 집단을 중심으로)

  • Uichol Kim;Youngshin Park;Euiyeon Kim;Akira Tsuda;Satoshi Horiuchi
    • Korean Journal of Culture and Social Issue
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    • v.16 no.2
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    • pp.197-219
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    • 2010
  • This study examines the influence of parental social support and resiliency of efficacy on stress, depression and stress management behavior. A total of 799 participants (male=386, female=413), consisting of 184 elementary school, 354 middle school, 274 university students completed a questionnaire that included Rhode Island Stress Scale (Horiuchi, Tsuda, Tanaka, Yajima & Tsuda, in press), Stress Management Behavior Scale (Evers, Prochaska, Johnson, Mauriello, Padula & Prochaska, 2006), Becks' Depression Inventory (BDI-II, Beck, Steer & Brown, 1996; CES-D, Radloff, 1977), Resiliency of Efficacy (Bandura, 1995), and Parental Social Support (Kim & Park, 1999). The results of path analysis are as follows. First, resiliency of Efficacy had a direct and negative effect on stress and depression and direct positive effect on stress management. Second, stress management behavior did not have any influence on stress. Third, parental social support had a direct and positive effect on resiliency of efficacy. This pattern of results were found for elementary school, middle school and university students. When depression was measured by CES-D Scale (Center for Epidemiological Study of Depression) parental social support and resiliency of efficacy had a different parental of influence on stress, depression and stress management behavior, pointing out the importance of conducting comparative analysis of various measures of depression.

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