• Journal of Hospice and Palliative Care
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• v.22 no.2
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• pp.67-76
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• 2019

For hospice palliative care that provides comprehensive and general care, it is necessary to use assessment tools to objectively list issues and detail care plans. The initial assessment is a process of establishing an overall direction of care by identifying the patient's symptoms, social and spiritual issues and palliative care needs on the admission day or within one day of admission. This process is also used to identify the patients' and families' awareness of the illness, prognosis, treatment options and if the Physician Orders for Life-Sustaining Treatment (POLST) has been drafted. Consisting of 13 simple questions regarding the physical, mental, social, and spiritual domains, the Needs at the End-of-Life Screening Tool (NEST) is recommended as an initial assessment tool. Using specific assessment tools, a care plan is established for the issues identified in the initial assessment within three days of admission. A multidisciplinary assessment tool can be helpful in the physical domain. The psychosocial domain evaluates psychological distress, anxiety and depression. The social domain examines an ability to make decisions, understanding of the socioeconomic circumstance, family relationship, and death preparedness. A spiritual evaluation is also important, for which the Functional Assessment of Chronic Illness Therapy-Spiritual WellBeing Scale (FACIT-Sp) or the Spiritual Health Inventory (SHI) can be used. The use of an assessment tool could not only contribute to pain mitigation a better quality of life for patients, but also provide systematic training for a multidisciplinary team; And the process itself could be a stepping stone for the better care provision.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.99-107
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• 2020

Fibromyalgia is a disorder characterized by the core symptom of chronic widespread pain, along with fatigue, sleep disturbances, mood changes, and cognitive difficulties. The etiology of fibromyalgia involves a combination of biological factors, such as genetic vulnerability, alterations in pain processing and stress response system ; psychological factors, such as anxiety, depression, anger, and perceived stress ; environmental factors, such as infections, febrile diseases, and trauma. Central sensitization, which is amplified in the process of sensory stimulation, has been emphasized as a key etiological factor, as supported by enhanced wind-up, delayed aftersensation, decreased nociceptive flexion reflex threshold and functional imaging studies. Several guidelines recommend that a multimodal approach be used to treat fibromyalgia, including both pharmacological and non-pharmacological treatments, tailored to each individual, and that clinicians should provide an intellectual framework through sufficient education and emphasis on the importance of self-management. The prevalence of mood disorders, anxiety disorders, and other psychiatric problems is 7-9 times higher in patients with fibromyalgia than in the general population ; moreover, the association between fibromyalgia and certain psychopathologies or sleep problems has also been suggested. Since psychiatric problems, with shared vulnerabilities and risk factors, interact with fibromyalgia bidirectionally and also affect the disease course, an integrated management approach is needed to determine the risk of comorbidities.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.12
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• pp.234-245
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• 2020

This study examined the developmental trajectories of parenting efficacy of mothers of multicultural families and how these trajectories differentiate perceived mothers' career-related behaviors as well as the socio-psychological and academic characteristic of their children in the first grade of high school. The latent class analysis (LCA) and BCH method were applied by using data drawn from the 4th to 10th graders in 2011-2017 from the Multicultural Adolescents Panel Study (MAPS). Results showed that the latent profiles were classified into four groups based on the developmental trajectories of parenting efficacy of mothers of multicultural family: 'high level increasing-decreasing', 'above average increasing-decreasing', 'average unchanged', and 'below average unchanged'. As for demonstrated outcomes, the high parenting efficacy group increased when children were in elementary school but decreased when children were in middle school. At the same time, the low parenting efficacy group did not show much change during these periods. Next, parenting efficacy was a significant determinant of perceived mothers' career-related behaviors and socio-psychological and academic characteristic of their children who attend high school. Based on these results, this study implies a theoretical foundation for developing policies to encourage parenting efficacy of mothers of multicultural families and may result in positive socio-psychological and academic characteristics of their children in high school.

• Journal of Family Resource Management and Policy Review
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• v.26 no.1
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• pp.27-42
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• 2022

This study was conducted to examine the resources that influence the choice of drop-out students' reentry to school. A total of five years of panel analysis of 2,553 drop-out teenagers from 2013 to 2017 were utilized. In order to verify the resources that affect the choice of school reentry of teenagers with experiences of suspension of studies to formal middle and high school after July 2012, this study analyzed drop-out teenagers' family resources as well as their psychological, mental, and social-relationship resources. A crossover analysis, t-test, and hierarchical logistic regression analysis were conducted. The major outcomes of this study are as follows: First, the socio-demographic variables among the resources that affected the choice of reentry for school of teenager children were the type of family and number of moves to a new house. Second, the psychological and sentimental variable that affected the choice of school reentry was a decreasing level of positive recognition of the situation of suspension of studies combined with depression, impulsiveness, and perceiving society as one that discriminates based on the level of education. Third, significant family resource variables were the type of family form and parents providing economic support, which is a subfactor of parental attachment. Fourth, the presence of a mentor as a helpful social-relationship resource had a significant effect on relational resources. This study is significant in the sense that the positive family resources that affect the choice of school reentry of drop-out teenage students were determined, and the positive directivity of supportive family resources is presented for parents with teenage children experiencing a suspension of studies.

• Journal of Intelligence and Information Systems
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• v.28 no.3
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• pp.81-103
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• 2022

It recognizes the importance of mental health and well-being worldwide and consistently records public happiness figures through the World Happiness Report. COVID-19, which occurred in China in 2019, has changed people's daily lives a lot. The accumulation of stress caused by the prolonged epidemic is affecting people's happiness. The present research has revealed negative mental health effects such as "depression" and "anxiety" after the pandemic. In this regard, it was revealed that the happiness index was also lowered numerically. It is insufficient to analyze specific issues about changes in the issue of happiness felt by the public in Korean society after the epidemic. Therefore, this study aims to identify changes in the happiness issue of Koreans after COVID-19 and find ways to improve happiness. Data were collected from various aspects by searching 32 sub keywords based on ERG theory by dividing the period before and after COVID-19. The results of topic modeling before and after COVID-19 were classified into seven areas of happiness index 2.0 published by the National Assembly Future Research Institute and compared and analyzed. Based on the results of comparing the results of the before and after topic from the perspective of each area, a plan to improve happiness was presented. The academic implications of this paper are that the research on psychological changes caused by COVID-19 was expanded by mining the opinions of the actual public on 'happiness'. In addition, it has practical implications in that it specifically presented measures to promote happiness by utilizing the area of objective happiness indicators based on the existing research on ways to reduce happiness promotion unhappiness.

• 한국노년학
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• v.30 no.3
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• pp.709-726
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• 2010

As S. Korea is aging faster than any other industrialized countries, there exists a need to understand how best to improve the quality of life of the elders. The main purpose of this study is to examine the predictors of life satisfaction in the nationally representative sample of adults aged 65 and older (n=4,155) drawn from the Wave I (2006) of the Korean Longitudinal Study on Aging. Hierarchical multiple regression analysis was run to assess the unique explanatory contribution of socio-demographics, social network, activity participation, and physical/psychological health on the life satisfaction. Three separate analyses were undertaken to note differences by education level: older adults with no formal education, those who had completed 9th grade, and those who had completed 12th grade and more. There are three main findings: 1) Physical/psychological health variables such as subjective health, regular exercise, and depression were significant predictors of life satisfaction regardless of education level; 2) While social network and activity participation factors influence life satisfaction of the two lower education groups, such factors don't affect the highest education group; 3) Marital status, household income, and location of residence were significant demographic predictors of life satisfaction regardless of education level. Implications for program development and policy are discussed in this paper.

• Korean Journal of Culture and Social Issue
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• v.14 no.3
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• pp.1-19
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• 2008

The purpose of this study is to examine the family perception according to abused children's sex, age, and abusive type. The subjects were 45 abused children including 15 physically abused, 15 neglected, and 15 physically and emotionally abused children from age 7 to 14. The results were that boys showed more noncomplient behaviors to their parents, more concerns and more rejective behaviors to examination. Girls perceived their mothers as stressors more than those of boys. School-aged children perceived their mothers as allies than those of adolescents. Adolescents showed more rejective behaviors to examination and more anger. Physically and emotionally abused children experienced more family conflicts and showed more negative resolutions, and more noncomplient behaviors than those of abused children. Neglected children showed more depressive mood than those of abused children.

• Journal of the Korean Applied Science and Technology
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• v.39 no.6
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• pp.892-905
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• 2022

This study attempted to derive high-risk groups of adolescent status delinquency(ASD) and to identify related factors. This study was conducted with 1,979 adolescents enrolled in the first year of high school, data from the 7th year of the 4th grade panel of the Korean Children and Youth Panel Survey. Classification and regression tree analysis method was used. The ASD group was 264, which was 13.3% of the total. The high-risk group for ASD is that is male who has a low perception of positive parenting style. Positive parenting style was found to be the most important influencing factor in ASD, followed by gender, emotional problems, relationship with teacher, and achievement value. In order to prevent ASD, it is necessary to develop a parenting education program and an intervention program specialized for male adolescents. In addition, interventions that comprehensively deal with emotional problems such as depression and social withdrawal are required, going beyond the previous interventions that focused on aggression. In particular, it has been found that relationship with teachers is the most important influencing factor in the school environment. Through education on the causes and consequences of ASD and training on counseling techniques, the promotion of relationships with teachers will act as a protective factor to prevent ASD.

• Journal of Oriental Neuropsychiatry
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• v.15 no.2
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• pp.149-158
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• 2004

만성적이거나 반복적인 스트레스는 우울중이나 심신병 등의 발병 기전과 밀접한 관련이 있다. 전기적 자극(electric foot shock), 한랭 자극, 속박(immobilization), 투쟁(fighting), 에테르 노출 등과 같은 심한 스트레스 자극이 뇌 조직의 시상 및 시상하부, 편도체 등에서의 노르아드레날린(noradrenalin) 방출을 유의 하게 감소시키는 동시에 혈청 corticosterone을 증가시키는 것으로 알려져 있다. 한의학에서는 스트레스 인자에 대한 신체반응을 기(氣)의 변화로 인식하고 있고, 이러한 자극요인들은 신체에 대하여 병적 요인을 제공하여 제반 질환을 야기한다. 또한 질병 발생에 대한 근거로 정기(正氣)와 사기(邪氣)의 상호 관계 위주로 인식하는데, 내부의 기(氣)의 변조(變調)는 질병의 발생을 야기하는 기초가 된다. 실험에 사용된 연근(蓮根)은 연꽃과에 속한 수생초본인 연꽃의 뿌리부분으로 우(藕) 또는 우절(藕節)이라는 명칭으로 불리기도 한다. 성미(性味)는 감(甘) 삽(澁) 평(平) 무독(無毒)하고 폐(肺) 위(胃) 간경(肝經)으로 들어가며 수렴지혈(收斂止血) 화어(化瘀)의 효능이 있어 토혈(吐血) 객혈(喀血) 뇨혈(尿血) 편혈(便血) 등의 각종 출혈 증상에 사용되어져 왔다. 최근 연꽃의 부위별 추출물이 흰쥐의 지질 과산화 생성을 효과적으로 억제하는 것으로 보고되고 있어 연근(蓮根)에 대한 다양한 약리 효능의 검색이 필요할 것으로 생각되며 연꽃의 씨앗인 연자육(蓮子肉)이 양심안신(養心安神)의 효능이 있어 스트레스성 질환에 많이 응용되고 있는 것에 착안하여 본 연구를 착수하였다. 실험 동물은 ICR계 마우스를 이용하였으며, 사회 심리적 스트레스는 옆쪽 cage에서 다른 마우스의 신체에 가해지는 전기 충격을 하루 1시간 동안 지켜보게 하는 것으로 유발하였으며 이 상태에서 약물을 투여한 그룹을 실험군, 그렇지 않은 그룹을 대조군으로 하였다. 정상군은 아무런 자극 없이 하루 1시간 동안 일정 공간에 가두어 두는 것으로 하였다. 실험 결과 사회 심리적 스트레스를 받은 경우에 아무런 처치를 하지 않은 대조군에 비해 연근 추출물을 100mg/kg/day 용량으로 5 일간 투여한 실험군에서 혈청 중 corticosterone 함량이 유의하게 감소하였으므로 매우 효과적으로 스트레스를 해소하였음을 알 수 있다. 뇌세포 중에서 신경전달물질로 분비되는 노르아드레날린의 분비량은 전반적으로 증가되는 경향을 나타내었으나 유의성은 없었다. 신체적 또는 사회 심리적 스트레스가 간 조직 내 지질의 과산화를 유발하는 것으로 나타났으며 연근 추출물이 이 결과에는 영향을 주지 못하였다. 사회 심리적 스트레스로 인하여 간 조직 내 지질과산화 정도가 증가하였으므로 혈청 내 ALT 함량도 따라 증가할 것으로 추정되었으며 이에 대한 연근 추출물 경구 투여가 간 조직을 보호할 수 있는지를 확인하기 위해 분리한 혈청으로부터 ALT 함량을 측정한 결과 대조군에 비하여 유의한 감소를 나타내었다. 또한 연근 추출물이 혈청 내 지질 과산화물의 생성을 억제할 수 있다면 질병의 예방과 치료에 효과적일 것으로 추정할 수 있으므로 그 생성량을 측정하여 보았으나 대조군과의 차이가 나타나지 않았다. 이상의 결과들을 종합하여 보면 스트레스가 부하된 5일 동안 연근(蓮根) 추출물을 함께 투여한 결과 혈청 corticosterone 함량을 유의하게 감소시켰고 뇌 조직내 noradrenaline 함량을 증가시키는 경향을 나타내어 스트레스 해소에 도움이 될 수 있음을 시사하였다. 또한 혈청 내 ALT 함량을 유의하게 감소시켜 스트레스로 인해 발생하는 간 기능의 손상도 어느 정도 억제시키는 것을 확인할 수 있었는데 앞으로 연근(蓮根)의 이러한 작용에 대한 보다 자세한 연구들이 필요한 것으로 생각된다.

• Journal of Food Hygiene and Safety
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• v.22 no.1
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• pp.29-36
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• 2007

The using frequency of processed foods and dietician's perception against management of food service at 98 food service institutions located in Jeollabuk-Do were surveyed. Food service institutions included 13 hospitals,38 schools,40 enterprises, and 7 others. Single menu (75.5%) with two (33.7%) or three (57.1%) side dish was offered. In addition, the offering ratio of boiled water and spring water was 37.8 and 32.7%, respectively. The processed foods with high using frequency were kochujang (1.19), sesame oil (1.22), and doenjang (1.30), but that of leek, onion, Chinese cabbage, and radish were 4.95, 4.62, 4.60, and 4.26, respectively. Dietician's major affairs in all type of food service institutions were cooking (64.3%), purchase (48.0%), and personnel managements (39.8%). Dieticians, however, had a low perception against safety and nutrition management. Therefore, in order to prevent the outbreak of food-borne diseases, we estimated that the education and the conversion of dietician' perception against safety and nutrition management were needed.