• Title/Summary/Keyword: 치료적 관계

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노인성질환 치료를 위한 최소 침습 수술 기술

  • 최귀원
    • Journal of the KSME
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    • v.44 no.1
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    • pp.55-60
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    • 2004
  • 이 글에서는 노인의 대표적인 질환인 심혈관계 질환, 관절계 질환, 비뇨기계 질환의 치료를 위한 외과적인 수술 기술로 현재 의료기관에서 널리 사용되고 있는 최소 침습수습 기술을 소개한다.

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Mediating Effects of Hope and Therapeutic Relationship in the Relation between General Social Functions and Mental Health Recovery of Community People with Mental Illness (지역사회 정신장애인의 전반적 사회기능과 정신건강 회복 간의 관계에서 희망과 치료적 관계의 매개효과)

  • Shin, Sun Hwa;Hwang, Jung Hee
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.69-78
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    • 2019
  • Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

Serum Lipid Profiles after Abstinence in Korean Male Patients With Alcohol Dependence (남성 알코올 의존 환자들에서 금주 치료 후의 혈청 지질 농도 변화)

  • Lee, Seoung-Ho;Park, Woong-Sub
    • Korean Journal of Biological Psychiatry
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    • v.15 no.1
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    • pp.23-28
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    • 2008
  • Objectives : The treatment of alcohol dependence requires maintaining abstinence. However, some previous studies have suggested that the abstinence may increase the cardiovascular risk in patients with alcohol dependence. The aim of the present study was to examine the effect of alcohol abstinence on lipid profile in Korean male patients with alcohol dependence. Methods : Twenty-eight male patients with alcohol dependence were recruited from a psychiatric unit located at Gangneung Dongin Hospital. Lipid profiles of the patients were compared before and after a month of alcohol abstinence. Results : After abstinence of 1 month, high-density lipoprotein(HDL) cholesterol and triglyceride(TG) level was significantly decreased(p=0.000; p=0.0086, respectively). Low-density lipoprotein(LDL) cholesterol level showed a tendency to increase(p=0.066). Total cholesterol level also showed a tendency to decrease(p=0.074). Conclusions : These results show that acute abstinence of alcohol might paradoxically aggravate dyslipidemia in patients with alcohol dependence. Thus, this study shows that more concern associated with cardiovascular risk is needed during short-term abstinence period.

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A Phenomenological Study on Developmental Rehabilitation Service Providers' Group Art Therapy Experiences (발달재활서비스 제공 치료사의 집단미술치료 경험에 대한 현상학적 연구)

  • Jung, Yu-Jin
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.297-307
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    • 2020
  • This study aimed to clarify the meanings of developmental rehabilitation service providers' experiences of participation in a group art therapy. The 5 participants in this study were composed of cognitive, language and art therapists working at children developmental rehabilitation center in G city. The group art therapy was provided to participants from October to December, 2018. And the data were collected using in-depth interviews from January to February, 2019. Collected data was analyzed using the phenomenological method by Colaizzi(1978). As a result, four categories were derived: "Purification of emotions", "New discovery", "Encouragement and comfort", and "Close relationship". In conclusion, therapists participating in a group art therapy experienced purification of emotions and newly discovered about themselves and colleagues. And through encouraging and comforting in the group, they became closer. These results may serve as basic data on using art therapy for giving psychological support to therapists who provide developmental rehabilitation service.

The Effects of Moral Sensitivity, Biomedical Ethics Awareness on Attitudes toward Withdrawal of Life-Sustaining Treatment of Nursing Students (간호대학생의 도덕적 민감성, 생명의료윤리의식이 연명치료중단에 대한 태도에 미치는 영향)

  • Jang, Young-Mi;Ahn, EunKyong
    • Journal of Industrial Convergence
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    • v.17 no.2
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    • pp.53-61
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    • 2019
  • This study was conducted to explore the effects of Moral Sensitivity(MS), Biomedical Ethics Awareness(BEA) on Attitudes toward Withdrawal of Life-Sustaining Treatment(AWLST) of nursing students. The data were collected from May 1, 2018 to May 20, 2018 for 302 nursing students. The collected data were analyzed using SPSS 22.0. The average degree of MS was 3.45, BEA was 3.69, and AWLST was 3.36. MS was positively correlated with BEA(r=.149, p=.010) and AWLST(r=.223, p<.001). BEA was negatively correlated with AWLST(r=-.129 p=.025). Models including MS(${\beta}=.2.47$, p<.001) and BEA(${\beta}=-.166$, p=.003) explained 7% of variance in the AWLST. It is necessary to provide education that consider the MS, BEA and AWLST level of nursing students to help them establish an acceptable view of AWLST.

A CASE OF TREATMENT-RESISTANT CHILDHOOD-ONSET SCHIZOPHRENIA WITH LONG-TERM TRIAL OF CLOZAPINE (치료저항성 소아기 발병 정신분열증의 Clozapine 장기치험 1례)

  • Jang, Soon-Ah;Kim, Kyung-Hee;Lee, Hong-Shick;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.98-104
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    • 1998
  • A 12-year-old girl with a 6 year history of childhood-onset schizophrenia required 2 hospitalizations and long-term clozapine trial due to inadequate responses to combinations of typical neuroleptics and traditional treatments of schizophrenic disorder. On admission, she had continuous auditory and visual hallucinations, persecutory delusion, emotional instability, regression of behaviors including temper tantrums as well as specific developmental delays in learning, language, and motor coordination. The clozapine trial significantly reduced most of the positive symptoms, and facilitated in successful discharge from the hospital. During the 4 year clozapine treatment, no significant adverse reactions were noted, and she returned to a structured school setting with minimal degrees of schizophrenic symptoms. From this clinical experience, we suggest that clozapine might be safe and effective in treating treatment-refractory schizophrenic children.

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Relationship of Life Stress to Stress Coping in Health-Related Majors : Focusing on Occupational Therapy Students (보건계열 대학생의 생활스트레스와 스트레스 대처와의 관계 : 작업치료학과 대학생을 중심으로)

  • Park, Gyeong-A;Lee, Oan-Na
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.353-361
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    • 2020
  • The purpose of this study was to examine the relationship between the life stress and stress coping of occupational therapy students in an effort to provide directions and various methods to ensure the psychological stability and successful university adjustment of students. The subjects in this study were 369 students majoring in occupational therapy in universities located in Jeolla Province. A self-administered survey was conducted from June 1 to July 30, 2019. The findings of the study were as follows: As for life stress by general characteristics, there were differences in that regard according to gender, academic year, Family relations and economic status. For stress coping, there was a difference in that regard according to gender. Life stress had a significant positive relationship with stress coping, and specifically, it had significant positive relationships with emotion-focused coping and wishful thinking, subfactors of stress coping. The subfactors of life stress had a significant negative correlation with those of stress coping as well. In conclusion, it is necessary to develop and research the effectiveness of stress coping programs to reduce life stress during college life and facilitate the school adjustment of college students.

Can ChatGPT Pass the National Korean Occupational Therapy Licensure Examination? (ChatGPT는 한국작업치료사면허시험에 합격할 수 있을까?)

  • Hong, Junhwa;Kim, Nayeon;Min, Hyemin;Yang, Hamin;Lee, Sihyun;Choi, Seojin;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.13 no.1
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    • pp.65-74
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    • 2024
  • Objective : This study assessed ChatGPT, an artificial intelligence system based on a large language model, for its ability to pass the National Korean Occupational Therapy Licensure Examination (NKOTLE). Methods : Using NKOTLE questions from 2018 to 2022, provided by the Korea Health and Medical Personnel Examination Institute, this study employed English prompts to determine the accuracy of ChatGPT in providing correct answers. Two researchers independently conducted the entire process, and the average accuracy of both researchers was used to determine whether ChatGPT passed over the 5-year period. The degree of agreement between ChatGPT answers of the two researchers was assessed. Results : ChatGPT passed the 2020 examination but failed to pass the other 4 years' examination. Specifically, its accuracy in questions related to medical regulations ranged from 25% to 57%, whereas its accuracy in other questions exceeded 60%. ChatGPT exhibited a strong agreement between researchers, except for medical regulation questions, and this agreement was significantly correlated with accuracy. Conclusion : There are still limitations to the application of ChatGPT to answer questions influenced by language or culture. Future studies should explore its potential as an educational tool for students majoring in occupational therapy through optimized prompts and continuous learning from the data.

Usefulness of the transcutaneous bilirubinometer during phototherapy in neonatal jaundice (신생아 황달에서 광선치료 동안에 경피적 빌리루빈 측정기의 유용성)

  • Lee, Yung Kwun;Kim, Kyung Ah;Ko, Sun Young;Lee, Yeon Kyung;Shin, Son Moon
    • Clinical and Experimental Pediatrics
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    • v.49 no.12
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    • pp.1296-1300
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    • 2006
  • Purpose : We studied the usefulness of transcutaneous bilirubinometers in follow-up of bilirubin levels during phototherapy in neonatal jaundice patients. Methods : Transcutaneous bilirubin (TcB) was measured twice per day on 90 neonatal jaundice patients without risk factors of jaundice by transcutaneous bilirubinometer JM-103(Minolta/Hill-Rom Air-shields, Japan). TcB was measured simultaneously on the patched-forehead (TcB-PF), patchedchest(TcB-PC), unpatched-forehead (TcB-UF) and unpatched-chest (TcB-UC) of infants with neonatal jaundice. Plasma bilirubin (PB) was measured by American Optical bilirubinometer (American Optical Co, Buffalo, USA) within 30 minutes after transcutaneous bilirubinometer measurement. Each TcB was compared with PB. Results : In the study group, the mean gestational age was $38.6{\pm}1.3wk$, the mean birthweight was $3,207.0{\pm}472.1g$, the mean age at start of phototherapy was $4.9{\pm}0.9days$ and the mean duration of phototherapy was $1.3{\pm}0.6days$. The correlation between TcB and PB level was observed. The correlation between TcB of the patched part (TcB-PF, TcB-PC) and PB was more significant than that of the unpatched part (TcB-UF, TcB-UC) and PB. The most significant correlation was between PB and TcB-PC. Conclusion : TcB was useful in the follow-up of jaundice during phototherapy as well the screening of jaundice in neonatal jaundice patients. TcB of patched-chest area was the most reliable site in transcutaneous bilirubinometer examination in neonatal jaundice patients.