• Title/Summary/Keyword: 입원스트레스

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Effects of Staff Training in Positive Behavior Support(PBS) on the Behaviors of Staff and Children with Developmental Disabilities in an Inpatient Unit (긍정적 행동지원 교육이 근무자의 상호작용 행동과 발달장애 아동의 행동에 미치는 영향)

  • Lee, Seung Ah;Chung, Kyong Mee
    • Korean Journal of School Psychology
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    • v.8 no.3
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    • pp.263-285
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    • 2011
  • The present study was designed to evaluate the effects of staff training in PBS on the behaviors of staff and children with developmental disabilities in an inpatient unit. The perceived significance of children's problem behavior and staff's caring stress significantly decreased with the intervention. A satisfaction survey reported staff's high satisfaction with the process and results of staff training. This study suggests that PBS is a socially valid and positive intervention with problem behavior of children with developmental disabilities. The implications and limitations of this study, with directions for future research, are also discussed.

고령 위암 환자에서 술 후 처치 및 영양지원

  • 김인호
    • Journal of Gastric Cancer
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    • v.2 no.3
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    • pp.127-132
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    • 2002
  • 1) 병원에 입원하는 환자들 중 상당수에서 어느정도의 여양실조가 있는 것으로 보고되므로 수술하기 위해 입원하는 환자에서 영양과 관계있는 측면에서 병력청취 및 이학적 검사상 약 6개월간 평소체중의 $10\%$ 이상 감소, 혈장단백(알부민,트란스페린) 저차, 총임파 구수감소 등이 있으면 철저한 영양평가를 시행하여 중등도 이상의 위험군에서는 술 전 약 $7\∼10$일간 영양지원을 하는 것이 약 $10\%$의 술 후 합병증을 줄이는 것으로 보고되나 이는 수술의 스트레스 정도, 술 후 영양섭취 지연의 기간 및 정도 및 수술의 응급여부에 의해 결정한다. 2) 영양지원이 결정되면 그 경로는 경장이 좋으며 그것이 안될 때 정맥영양을 시행한다. 3) 술 전 영양지원을 받지않은 중등도 이상의 영양실조 환자에서 술 후 조기 영양지원에 대한 연구에서는 TPNrns에서 대조군보다 오히려 약 $10\%$의 합병증 발생률이 높다. 4) 영양실조가 없는 환자에서도 술 후 약 7일 이상의 금식이 예상되면 TPN을 시행하는 것이 좋다.

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고령위암 환자에서 술 후 처치 및 영양지원

  • 김인호
    • 대한위암학회:학술대회논문집
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    • 2002.04a
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    • pp.53-60
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    • 2002
  • 1. 병원에 입원하는 환자들 중 상당수에서 어느정도의 영양실조가 있는 것으로 보고되므로 수술하기 위해 입원하는 환자에서 영양과 관계있는 측면에서 병력청취 및 이학적 검사상 약 6개월간 평소체중의 $10\%$ 이상 감소, 혈장단백(알부민, 트란스페린 등) 저하, 총임파 구수감소 등이 있으면 철저한 영양평가를 시행하여 중등도 이상의 위험군에서는 술 전 약 $7\~10$일간 영양지원을 하는 것이 약 $10\%$의 술 후 합병증을 줄이는 것으로 보고되나 이는 수술의 스트레스 정도, 술 후 영양 섭취 지연의 기간 및 정도 및 수술의 응급여부에의 해 결 정한다. 2. 영양지원이 결정되면 그 경로는 경장이 좋으며 그것이 안될 때 정맥영양을 시행한다. 3. 술 전 영양지원을 받지않은 중등도 이상의 영양실조 환자에서 술 후 조기 영양지원에 대한 연구에서는 TPN군에서 대조군보다 오히려 약 $10\%$의 합병증 발생률이 높다. 4. 영양실조가 없는 환자에서도 술 후 약 7일 이상의 금식이 예상되면 TPN을 시행하는 것이 좋다.

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A Patient with Propionic Acidemia with a Novel mutation who was Successfully Managed by Home Care-Based Fluid Therapy (가정 간호를 통한 수액 치료로 성공적으로 관리된 새로운 변이를 가진 프로피오닌산혈증 1례)

  • Yang, Aram;Nam, Soon Young;Kim, Jinsup;Kim, Hyun-young;Park, Hyung-Doo;Jin, Dong-Kyu;Cho, Sung Yoon
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.1
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    • pp.52-56
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    • 2016
  • Propionic acidemia (PA) is a rare autosomal recessive metabolic disease caused by the deficiency of propionyl-CoA carboxylase (PCC). PA affects the catabolism of branched chain amino acid and oddchain fatty acid then results in accumulation of propionic acid and other metabolites in plasma and urine. Catabolic stress such as infection, illness or any stress can precipitate cause acute metabolic decompensation, especially in the first years of life. Acute metabolic decompensation commonly calls for emergency treatment or admission and if the patient is in a serious condition, it can lead to coma or death. But frequent admissions or visiting the emergency room are much burden to the patients and their kins. And we experienced the propionic academia with a confirmed novel mutation and the patient suffered from frequent admission and visiting the emergency room. So, we tried the regular home carebased fluid therapy after securing a central venous line. Finally, we succeeded in preventing frequent admissions resulted from acute metabolic decompensation and could contribute to relieving the burden to the patient and their family.

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A Comparison of Parent Stress Sick Newborn in NICU (신생아 중환자실에 입원한 중증 신생아의 부모 스트레스의 비교)

  • Oh, Kum-Suk;Lim, Ji-Young;Cho, In-Sook;Ham, Ok-Kyung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.17 no.1
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    • pp.12-20
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    • 2010
  • Purpose: The study examined differences in stress between the parents of sick newborns. Methods: Participants were the mothers (n=57) and fathers (n=57) of newborns in NICU of six university hospitals. An established stress measurement tool (Miles and Carter, 1993) was used. Results: Fathers and mothers displayed the highest stress scores (4.44 and 4.67, respectively) when the baby looked in pain. Maternal overall stress scores were significantly higher than paternal scores. Conclusions: Mothers and fathers experience differing levels of stress concerning their newborn. Further studies are needed to develop customized stress management intervention programs for parents of newborns in the NICU.

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A Study of Stress on the Family Caregivers for the Hospitalized Elderly (입원 노인을 돌보는 가족원의 스트레스에 관한 연구)

  • Kim Kang-MiJa
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.2
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    • pp.247-258
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    • 1996
  • This study explored the variables to influence the stress of the family caregivers providing care for the hospitalized elderly The subjects for this study were 104 family caregivers selected from the caregivers in the in patient departments of two major medical centers in Jeonju city. Data were collected from December 18th to 27th, 1995 using a Liker Scale Questionaire and interview. Data analyses included percentage, mean, standard deviation, t and F-test. Results were following : 1. The mean of this sample is 21.48, and the standard deviation is ${\pm}5.64$ in the perceived stress. The major variables to influence on the stress of caregivere for the hospitalized elderly were the stay (16-24hrs/day) in hospital(F=7.99, p=0.006), no other helpers(t=-2.56, P=.012), percieving severely on illness(F=3.90, P=.0232) perceiving moderately on physical health status(F=6.20, P=.0029). 2. Regarding the perceived social support of the family caregivers, the higher support the group perceived the lower stress(F=3.54, P=.0326).

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Occupational Stress and Its Associated Factors among Male Workers in Small-scale Manufacturing Industries under 50 Members (50인 이하 소규모 제조업 남성 근로자들의 직무 스트레스와 관련요인)

  • Kim, Dong-Hyun;Cho, Young-Chae
    • Journal of Digital Convergence
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    • v.10 no.10
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    • pp.405-413
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    • 2012
  • This study of male workers of small manufacturing companies with 50 or less determine the level of job stress and Investigated the relevance of these demographic characteristics, health behaviors, and job-related characteristics. The study subjects were 856 male workers, health checkups and screening agencies are engaged in small manufacturing companies with 50 or less people. Data collection period from April 1, 2010 until June 30, during the self - administered questionnaire through a survey was done. The Study results, several demographic characteristics, health-related behavioral characteristics and job-related characteristics of the variables and job stress is surveyed, there was a significant association. Drinking status, occupation, hours of sleep, leisure activities, whether working position, duration, number of hours per week, for inpatient and outpatient experience, whether in the workplace satisfaction, especially those affecting the job stress factors, such as has been pointed out, Therefore, in order to reduce job stress, health-related behaviors and the work environment, and efforts to improve the content of the job.

Influence of Sleep Quality, Depression and Fatigue on Job stress of Geriatric Hospital Workers (노인요양병원 근무자의 수면의 질, 우울, 피로가 직무스트레스에 미치는 영향)

  • Hwang, Eun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5413-5421
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    • 2015
  • The aim of this study was to identify the influences of sleep quality, depression and fatigue on job stress of geriatric hospital workers. The subjects were 175 workers from 6 geriatric hospitals. Data were collected on March, 2015 using a structured questionnaire. The data were analyzed by using SPSS/WIN 21.0 program. The job stress was negatively correlated with sleep quality(r=-.364, p<.001), positively correlated with depression(r=.376, p<.001) and fatigue(r=.646, p<.001). The multiple regression analysis revealed that the most powerful predictor of job stress was fatigue(${\beta}=.581$, p<.001). These results indicate that fatigue affect job stress of the geriatric hospital workers. Therefore, it is necessary to prepare tailored fatigue management program and working conditions that can reduce job stress.

The Effects of Aroma Inhalation Therapy on Stress, Anxiety and Depression in Coronary Care Unit Patients (아로마 흡입요법이 심장내과 중환자실 환자의 스트레스, 불안 및 우울에 미치는 효과)

  • Lim, Su Young;Park, Hyojung
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.1-10
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    • 2016
  • The purpose of this study was to examine the effect of aroma inhalation on stress, anxiety and depression in coronary care unit patients. The study was a nonequivalent control group non-synchronized design. Participants were thirty patients for the experimental group, and thirty-three patients for the control group. The instruments were VAS, the equipment, developed by Spielberger(1972) and adapted by Kim & Shin(1978), Beck Depression Inventory-II(BDI-II). Data were collected from 25 February, 2015 to 8 May, 2015. The data were analyzed number and percentage, $x^2$-test, t-test, paired t-test. There were no statistically significant effects of aroma inhalation treatment for patients in coronary care unit on the stress, anxiety, and depression. Therefore, it is required follow-up studies that it is tried in a variety of ways for reducing the stress, anxiety, and depression in coronary care unit patients,

Effects of Horticulture Therapy on Depression and Stress in Patient of Hospice Unit (원예요법이 병동형 호스피스환자의 우울과 스트레스에 미치는 효과)

  • Kwon, Yun-Hee;Song, Mi-Ok;Kim, Chung-Nam
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.10
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    • pp.4394-4402
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    • 2011
  • The study was done to examine the effects of horticulture therapy on depression and stress in patient of hospice unit. The subjects of this study were hospice patient in D hospital in D city, thirty hospice patient were assigned to experimental group, thirty hospice patient were assigned to control group. Data were collected from April 29, 2009 to July 26, 2009. Horticulture therapy program consisted of indoor and outdoor horticultural activities. The horticulture therapy was conducted 30 minutes, 6 times a week for 3 weeks (a total 18 times). Measures were depression, and stress by serum cortisol count. Data were analyzed using descriptive statistics, chi-square test and t-test with SPSS/WIN 17.0 version. The results of this study was patients in the experimental group receiving Horticulture therapy had a significant difference in changes of depression between the experimental group and control group. The study results indicate that horticulture therapy is an effective, palliative intervention program to improve the depression and stress of hospice patients.