• Title/Summary/Keyword: 정신재활

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The Effect of Functional Disability on Ego Integrity and Depression among the Elderly in the Residential Care Facility (장기요양시설 노인의 기능장애와 자아통합감, 우울과의 관계)

  • Lee, HyunJi;Nam, HyunJoo
    • 재활복지
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    • v.21 no.3
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    • pp.49-63
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    • 2017
  • The purpose of this study is to investigate the association of functional disability, ego integrity and depressive symptoms, and analyze the mediating effect of ego integrity among the elderly, residing in the long-term care facilities. The data were collected by using non-random purposive and convenient sampling methods and 247 elderly who reside in the nursing home care, located in Daegu city and Kyungpook provinces participated in this study. Findings of this study indicates that there are statistically significant relationships among functional disability, ego integrity and depressive symptoms of participants. In addition, the mediating effect of ego integrity on the relationship between functional disability and depressive symptoms is statistically significant and shows partial mediating effect. Based on the findings of this study, possible practice implications for improving functional and mental health of the elderly in residential care home and recommendation for further study were provided.

Improvement of Cognitive Rehabilitation Method using K-means Algorithm (K-MEANS 알고리즘을 이용한 인지 재활 훈련 방법의 개선)

  • Cho, Ha-Yeon;Lee, Hyeok-Min;Moon, Ho-Sang;Shin, Sung-Wook;Chung, Sung-Taek
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.18 no.6
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    • pp.259-268
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    • 2018
  • The purpose of this study is to propose a training method customized to the level of cognitive abilities to increase users' interest and engagement while using cognitive function training contents. The level of cognitive ability of the users was based on the clustering based on the users' information and Mini-Mental Statue Examination-Korea Child test score using the K-means algorithm applied collaborative filtering. The results were applied to the integrated cognitive function training system, and the contents order and difficulty level of the cognitive function training area were recommended to the user's cognitive ability level. Particularly, the contents difficulty control was designed to give a high immersion feeling by applying the 'flow theory' method that users can repeatedly feel tension and comfort. In conclusion, the user-customized cognitive function training method proposed in this paper can be expected to be more effective and rehabilitative results than existing therapists' subjective setting of contents order and difficulty level.

A Study on nationalicstic character of private school's military gymnastic education in early modern Korea (구한말 사립학교 병식체조교육의 민족주의적 특성)

  • Kim, Yeon-su;Shin, eui-yun
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.227-232
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    • 2018
  • The purpose of this study is to highlight nationalistic characteristics of private school's military gymnastic education in early modern Korea. so deal with the process of Military Gymnastics between 1895, when modern public school in Korea was first established, and 1910, when Korea was deprived of its sovereignty by japan. The following conclusions have been drawn from the study. The main idea of military style-gymnastics came from the consciousness of crisis caused by threat of the Japanese aggression. At that time, Korean realized the importance of physical education by this crisis consciousness. And Korean people was interested in physical education that they could not think of in traditional education. This Gymnastic class was much more like military training and has a patriotic character.

Evaluation of the Quality of Case Reports of the Journal of Korean Medicine for Obesity Research from 2013 to 2018 According to the CARE (CAse REport) Guidelines (CARE (CAse REport) 지침에 의한 한방비만학회지 증례 논문에 대한 보고의 질 평가: 2013년~2018년 증례보고를 중심으로)

  • Park, Kyung Moo;Choi, Sung Youl;Lee, Ju Ah;Song, Yun Kyung
    • Journal of Korean Medicine for Obesity Research
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    • v.18 no.2
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    • pp.144-151
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    • 2018
  • Objectives: The purpose of this study is to evaluate the quality of case reports of the Journal of Korean Medicine for Obesity Research by the Case Report (CARE) guidelines. Methods: Case reports published in the Journal of Korean Medicine for Obesity Research from January 2013 to July 2018 were searched from Oriental Medicine Advanced Searching Integrated System (OASIS). We assessed the quality of reporting based on CARE guidelines. Results: A total of 8 case reports were finally included for the assessment. There was a deviation in the sub-item reporting rate by a maximum 75% and a minimum 57.14% in case reports. The 10 sub-items mentioned below, such as 'Timeline', 'Diagnostic challenges', 'Diagnostic reasoning including other diagnoses considered', 'Prognostic characteristics', 'Changes in intervention', 'Important follow-up diagnostic evaluations and other test results', 'Intervention adherence and tolerability', 'Adverse and unanticipated events', 'Patient perspective' and 'Informed consent' were reported below 30%. Conclusions: Efforts to diversify the subject of the case study and to apply appropriate reporting guidelines are needed to improve the quality of the case report contributed to the Journal of Korean Medicine for Obesity Research.

Association between self-rated health, health promotion behaviors, and mental health factors among university students: Focusing on the health survey results in a university (대학생의 주관적 건강인지수준과 건강증진행동, 정신건강수준 간의 관련성: 일개 대학의 건강조사를 중심으로)

  • Kim, Young-Bok
    • The Journal of Korean Society for School & Community Health Education
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    • v.23 no.1
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    • pp.1-16
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    • 2022
  • Background & Objectives: Self-rated health has been widely used to evaluate health status and accepted as a subjective measurement of quality of life. This study aimed to analyze the associations between self-rated health, health promotion behaviors, and mental health factors and suggest the approaches to improve health status among university students. Methods: Two thousand six hundred seventy-seven students who had stayed at dormitories on campus participated in the DU health survey by self-reported questionnaire from April 10 to 14, 2017. Multivariate logistic regression analysis was performed to estimate the odds ratios and 95% confidence intervals of association of self-rated health with health-related factors among male and female students. Results: 38.6% of the respondents reported good self-rated health. Male and first-year students were more likely to report good self-rated health than female and third-year students. There were significant differences in sex, grade, health problems, BMI, sleeping hours, eating breakfast, consumption of fruits and vegetables, physical activity (regular walking, strength exercise, moderate exercise, vigorous exercise), perceived stress, depression, and suicide thought (p<0.05). Conclusion: Although health promotion programs for university students are essential to support their adaptation to campus life and academic achievement, evidence-based health programs to encourage their participation are still insufficient. Therefore, it should establish a campus-based health policy and develop health promotion programs to increase self-rated health levels and prevent mental health problems for university students.

A Case Report of Korean Medicine Treatment for Post-Traumatic Stress Disorder Caused by Traffic Accident (교통사고로 인한 외상 후 스트레스 장애에 대한 한의학적 치료 1례)

  • Cha Young Lee;Sae Young Bong;Min Seok Go;Tae Ha Kwon;Seong Hyun Lee;Dong Soo Seol;Yoo Jin Lee
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.3
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    • pp.291-302
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    • 2024
  • Objectives: To report result of Korean medicine treatment for post-traumatic stress disorder caused by a traffic accident. Methods: The patient was diagnosed with left talus fracture due to a traffic accident that occurred 10 days before visiting our hospital. The patient complained symptoms such as re-experiencing, intrusiveness, insomnia, and anxiety. We diagnosed him with post-traumatic stress disorder and applied Korean medicine treatment including Samulanshin-tang-gami pharmacopuncture, other acupuncture, herbal medicine, and supportive therapy. PCL-5, EQ-5D, and NRS were used as an evaluation tool. The patient's quality of sleep was also evaluated. Results: At 8 weeks after starting treatment, the patient's PCL-5, EQ-5D, and NRS PCL-5 scores all decreased, with PCL-5 score decreased from 51 to 20, mean NRS score decreased from 7 to 4.667, and EQ-5D score decreased from 54444 to 22223. The overall sleep quality of the patient increased. Conclusions: Korean medicine therapy including Samulanshin-tang-gami pharmacopuncture, other acupuncture, herbal medicine, and supportive therapy might be useful for alleviating symptoms of post-traumatic stress disorder caused by a traffic accident.

A Study on the Grounded Theory of Motivation in Clinical Music Therapy Practice for the Mental Rehabilitation Members (정신재활 회원을 위한 음악치료 임상실습에서의 동기부여에 관한 근거이론 연구)

  • Kang, Kyungsun
    • Journal of Music and Human Behavior
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    • v.9 no.1
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    • pp.37-53
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    • 2012
  • This study is conducted to analyse the process and the pattern of motivation for musical expression in clinical music therapy for the adults in the mental health center. The participant were 8 adults purposive sampling who had more than one year music therapy experience in the mental health center and their age ranged from 27 to 53. A major category derived and analysed from the grounded theory method by Strauss and Corbin. The qualitative analysis indicated that motivation for musical expression in music therapy, which was the central phenomenon in this study, was determined by the music therapist and songs used in the sessions. The central phenomenon was caused by the therapist's friendly attitude, high musical capacity, the familarity of the selected songs and the significancy of the lyrics of selected songs. The levels of reliability about the therapist's personality and musical ability as a professional music therapist and the positive arousal of the songs used in sessions affected as the contextual condition. Spontaneous musical expression in music therapy brought the escape from reality, release of stress and sharing by the intervening condition 'empathy' and this resulted in mood regulation, the instillation of hope and group cohesion. It has been found that there were three types of motivation in music therapy: intrinsic motivation, relationship dependent extrinsic motivation and evasive motivation.

A Preliminary Study on Quality of Life of Staffs in a Hospital - Comparisons between Direct and Indirect Patient Contact Group - (일 병원 직원의 삶의 질에 관한 예비적 연구 - 경험에 대한 비교 -)

  • Ryu, Seuk-Hwan;Seo, Seung-Woo;Jung, Soo-Gie
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.38-46
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    • 2004
  • Objectives: The aim of this study was to investigate the quality of life of staffs in a hospital. The results of the investigation were taken as a basic data of evaluating the quality of life of patients in psychiatric hospital and family members. Methods: The subjects of this study were Ankang Chungang Hospital staffs. The tool of this study was the Korean version of the SmithKline Beecham Quality of Life Scale. A total of 39 survey was returned. All answers were analyzed statistically by ANOVA or t-test. Results: Internal consistency was high, measuring 0.887 for the 23 items. Staffs have, statistically insignificant, relatively high quality of life. Indirect patient contact group and married group scored more higher than the other group. In so far as age, 30s and 40s scored more higher than the others averagely, the higher educated group, the higher quality of life, except factor competence and physical well-being. Conclusion: This study results support that the indirect patient contact group have higher quality of life in competence factor in quality of life. We recommend that the program that lift self-esteem and quality of life should be supplied for direct patient contact group who may have burnout syndrome. It will be necessary to evaluate the quality of life of patients in psychiatric hospital and patients' family members later.

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A Study on Health Status' Factors Affecting HRQOL in the Elderly Stroke Patients With or Without Sequela (노인 뇌졸중 환자의 후유증 유무에 따른 HRQOL 요인별 중요도 분석)

  • Kim, Souk-Boum;Kim, Dong-Hyun
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.1
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    • pp.37-47
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    • 2017
  • Objective : The main purpose of this study was to analyze factors affecting a health related quality of life(HRQOL) in the elderly stroke patients with(Group 1) or without(Group 2) sequela. Methods : This survey performed secondary analysis with 'the fifth korea national health and nutrition examination survey', and investigated 91 elderly stroke patients over 65 years. Results : The results were as followed: HRQOL and self rated health had a significantly lower in Group 1(p<.05). In all groups, HRQOL was affected by self rated health(${\beta}=0.39$), mental health, and medical health significantly(p<.05). In group 1, HRQOL was affected by mental health(${\beta}=0.45$), self rated health significantly(p<.05). In group 2, HRQOL was affected by medical health(${\beta}=0.45$), functional health, mental health significantly(p<.05). Conclusion : In order to improve the HRQOL of stroke patients during rehabilitative therapy, it is important that early detection and early intervention of depression and suicide, which affect mental health status, are important in the case of severe aftereffects. If the patient continues to support his/her current status regardless of aftereffects, he/she can improve the HRQOL with functional recovery of the stroke patient, and finally have a positive effect on the independence of the stroke patients.

Anger, Anger Expression, Psychoticism, Addiction, and Coping among Aggressive Victims of Dating Violence (공격적 데이트 폭력 피해여성의 분노 및 분노표현, 정신병적 경향성, 중독성과 대처방식)

  • Kyung-Hyun Suh
    • Korean Journal of Culture and Social Issue
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    • v.14 no.2
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    • pp.21-39
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    • 2008
  • The purpose of this study was to explore anger and its expression, psychoticism, addiction, and coping styles of victims, especially aggressive victims of dating violence, and to provide valuable information for prevention of dating violence and rehabilitation of victims. The participants were 477 female college students who had the experience of heterosexual dating relationships, whose ages ranged from 17 to 29 (M=20.59, SD=1.44). The psychological tests used in this research included the following: Straus' Conflict Tactics Scale, Spielberger's State-Trait Anger Expression Inventory, Eysenck Personalty Inventory, and multidimensional Coping Scale. Results revealed that victims only were more likely to receive violence as well as sexual harassments from their dating partners than aggressive victims of dating violence. Aggressive victims of dating violence showed higher level of trait anger and anger-out, and difficulty in control their anger than victim only and women who had not experienced dating violence. In addition, they also revealed symptoms of paychoticism and addiction. And aggressive victims of dating violence showed less active coping and more active forgetting and renunciation than victims only and women who had not experienced dating violence. Victims only of dating violence more like to criticize themselves and pursue religious coping than aggressive victims. Researcher discussed these results with previous studies.

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