• Title/Summary/Keyword: 행동중재

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Convergence study of Symptom Severity and Stress on Depression of Middle-Aged Patients with Overactive bladder syndrome (중년기 과민성방광증후군 환자의 증상심각도, 스트레스가 우울에 미치는 융합 연구)

  • HA, HEY-JIN;WOO, SANG-JUN;Yang, Eun Jin
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.419-427
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    • 2020
  • This study is designed to explore the effects of symptoms severity and stress on depression in patients with overactive bladder syndrome in the middle age. The subjects of the study were 167 middle-aged patients aged 40 to 60 who were diagnosed with overactive bladder syndrome in outpatient clinics and hospitals located in G Metropolitan City. The data analysis was using the SPSS 23.0 program and frequency analysis, Pearson's correction, t-test, and multiple regulation. The study found that the factors that affect depression in patients with the disease in middle age are symptom severity, age, living with a spouse. Therefore, in order to reduce the subject's depression, it is necessary to develop a program that can educate active treatment induction, lifestyle habit correction, and behavior therapy, and perform customized nursing interventions according to age group and spouse presence.

A Qualitative Inquiry on Group Music and Imagery Experiences (그룹 음악과 심상 경험에 대한 질적 사례연구)

  • Kim, Aimee Jeehae
    • Journal of Music and Human Behavior
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    • v.17 no.2
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    • pp.101-117
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    • 2020
  • This study aimed to investigate music and imagery (MI) experiences in group settings using a qualitative case study approach. For this purpose, a focus group interview was conducted with four professional music therapists, who participated in peer MI group sessions without a therapist. Data collected from the interview were analyzed by qualitative data analysis procedures. Results demonstrated that successful group music experiences in the early stages, such as sharing and selecting music together within the group or experiencing group support, leaded to developing trust towards music and the group in participants. Moreover, the trust built upon such basis was shown to facilitate expansions in emotional experiences, imageries, relational aspects, and music resources, which led to new personal insights. In addition, the participants recognized the supportive nature of the group played a role of encouraging participants to challenge new experiences during MI experiences. The results suggest that group as a therapeutic factor can promote expansive emotional experiences and insights. Furthermore, the findings may provide implications for music psychotherapy applications in group settings.

Factors associated with the Prevalence of Depression and Suicidal Ideation among Single-Person Households (1인 독거가구 중 우울증 유병과 자살생각에 영향을 미치는 요인)

  • Kim, Jae Hyun
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.611-619
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    • 2022
  • This study utilized the data from 2017, 2019 Korean National Health and Nutrition Survey to analyze the factors influencing depression and suicidal ideation among single-person households. For the analysis, demographic and economic variables as well as health status/behavior variables were considered. Activity restriction (OR: 4.753, p-value: <.0001) and smoking status (OR: 2.013, p-value: 0.044) were significantly associated with depression, and in terms of suicidal ideation, household income (OR: 3.526, p-value: 0.043), subjective health status (OR: 2.945, p-value: 0.007), activity restriction (OR: 2.263, p-value: 0.003) and smoking status (OR: 2.000, p-value: 0.023) showed significant association. In this regard, single-person households are likely to experience psychological angst, and further experience mental problems due to socio-economic and physical crisis. Therefore, it is necessary to establish a social network system in the community to detect those in need and provide appropriate interventions to prevent harmful outcomes.

Physical and Psychological Factors Affecting Fall in Elderly Patients with Parkinson's disease (파킨슨병 노인의 낙상에 영향을 미치는 신체적, 심리적 요인)

  • Kim, Ji-Yoen;Byun, Mi-Kyong
    • Journal of Convergence for Information Technology
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    • v.12 no.3
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    • pp.55-65
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    • 2022
  • Elderly people with Parkinson's disease have higher rates of physical and mental risk factors for falls than non-Parkinson's disease elderly. The purpose of this study is to investigate this by using national data that includes the entire population of the elderly in Korea. As a secondary analysis study using data survey on the elderly by the Ministry of Health and Welfare in 2017, there were a total of 103 elderly people with Parkinson's disease, and a total of 96 subjects were analyzed excluding missing values. In the elderly with Parkinson's disease, the factor most influencing the fall was IADL, and IADL is related to motor control function. Decreased motor control limits physical movements essential for daily life, and even affects self-protective behavior in emergency situations, affecting falls. Based on the research results that IADL can affect falls, various exercise therapies for fall prevention interventions in the elderly with Parkinson's disease can be suggested.

The Physical Environment and Behavioral·Psychological Health and Quality of Life for the Elderly People with Dementia - A Follow-up Study of Empirical Research, conducted on the Context of Long-term Care Facilities for the Elderly People with Dementia, to Identify Healing Environmental Factors and to Expand the Understanding of Related Clinical Outcomes (물리적 환경과 치매거주노인의 행동·심리적 건강과 삶의 질 - 노인요양시설 치유환경 디자인 요소 도출과 연계된 중재적 의료성과의 이해확장을 위한 후속연구)

  • Choi, Young-Seon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.4
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    • pp.7-20
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    • 2023
  • Purpose: The main purpose of this paper is to assess a body of research evidence that articulates the impact of physical and environmental factors on behavioral·psychological health and quality of life for the elderly people with dementia who reside in long-term care facilities. This follow-up study of the previous literature review aims to further identify physical and environmental factors, that improve health and quality of life for the elderly people with dementia, published in recent five years and to expand the understanding of clinical outcomes as mechanism that mediate the effect of physical environmental factors on improving behavioral·psychological health and quality of life for the elderly people with dementia. Methods: Comprehensive literature review has been conducted to identify empirical studies that link the design of dementia care facilities to health- and quality of care(QOL)-related outcomes and this follow-up review scrutinized peer-reviewed articles published in recent five years (from January 2018 to December 2022), filling the gap between the previous literature review and the current state of research. Results: The review identified a growing body of literature that articulates environment-related factors that improve behavioral·psychological health and quality of life for the elderly people with dementia living long-term care facilities. Implications: The findings of the review can be translated to design implications and design decisions to promote psychological and behavioral health and quality of life of people with dementia in long-term care facilities.

A Qualification Study on the Repeated Self-injury of Adolescent (임상군 청소년의 반복적인 자해 경험에 대한 연구)

  • Yun-Ju Lee;Kye-Seong Lee
    • Journal of Industrial Convergence
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    • v.22 no.8
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    • pp.85-93
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    • 2024
  • The purpose of this study is to understand the meaning and context of adolescents' experiences of repetitive self-injury and to suggest that self-injurious behavior has characteristics of addictive disorder. In-depth interviews were conducted from December 26, 2022 to January 1, 2023 by using a semi-structured questionnaire for six adolescents who are attending outpatient psychiatirc clinic showing repetitive behavior of self-injury. The data were analyzed using Colaizzi's phenomeno-logical method focused on deriving the common attributes of all participants. We classified derived common attributes in the aspect of the diagnostic criteria of DSM-5 addictive disorder. 21 sub-themes and 6 categories were derived by gathering common meanings from 268 semantic units. The six categories of this study were raging pain, a wound that cannot not be revealed, extreme pores being pierced, continuous longing for self-harm, process of moving forward with pain. In the future, there is a need to develop various systematic intervention programs, including effective coping methods to help clinical adolescents' recover from self-injury, and further evaluation and research on them.

Comparison of food and nutrient intake between weekday and weekend for elementary and middle school students by gender in Busan and some parts of Kyungsangnamdo (부산 및 경상남도 일부 지역 초등학생과 중학생의 성별에 따른 주중과 주말의 식품 및 영양소 섭취 실태 비교)

  • Kim, Mi Jeong
    • Journal of Nutrition and Health
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    • v.46 no.4
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    • pp.332-345
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    • 2013
  • The aim of this study was to evaluate the nutritional status of elementary and middle school students by gender with an emphasis on comparison of nutritional intake between weekday and weekend. Survey construct included one 24-hour diet recall and two diet records, short food frequency questionnaire, and anthropometry. Eating behaviors and nutritional intake were largely different for four groups divided by age and gender: ME, FE, MM, and FM. Frequency of consumption of healthful foods was significantly higher in the ME and FE groups. The highest and lowest scores for frequency of eating with parents were observed in the FE and FM groups, respectively. The amount of consumption of food groups was lower on weekends than on weekdays and this trend was more prominent in elementary schoolers compared with middle schoolers. In terms of food group consumption as well as energy and nutrient intake, the ME group showed the greatest differences between weekday and weekend, followed by FE, MM, and FM, in descending order. A significantly higher amount of potassium, phosphorus, and calcium was consumed on weekdays than on the weekend in the ME and FE groups. The amount of energy and nutrient intake was smallest in the FM group; however, the difference between weekday and weekend was minimal as well. In comparison of the subjects' energy and nutrient intake with their Korean Dietary Reference Intakes values (%KDRI), the MM group showed the most undesirable results for energy, protein, dietary fiber, vitamin A, vitamin $B_1$, vitamin $B_2$, niacin, vitamin $B_6$, calcium, and zinc. Overall, findings indicated that nutritional intake status may differ between weekday and weekend for elementary and middle schoolers by gender, suggesting that youth may benefit from nutritional education programs that stress the impact of gender and weekend effect on their dietary intake.

Incidence and Procedure-Related Risk Factors of Delirium in Patients Admitted to an Intensive Care Unit (중환자실 입원 환자의 섬망 발생과 처치 관련 위험인자)

  • Ahn, Jee Seon;Oh, Jooyoung;Park, Jaesub;Kim, Jae-Jin;Park, Jin Young
    • Korean Journal of Psychosomatic Medicine
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    • v.27 no.1
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    • pp.35-41
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    • 2019
  • Objectives : Although delirium is a common complication among patients hospitalized in intensive care units(ICUs), little is known about the roles that diagnostic and therapeutic procedures play in its development. This study investigates the procedure-related risk factors of delirium in ICU patients. Methods : All the consecutive patients admitted to the ICU between June 2016 and May 2017 were routinely evaluated for delirium by psychiatrists. In total, 1156 patients met the inclusion criteria and were retrospectively analyzed. A multiple logistic regression analysis was conducted to investigate independent risk factors of delirium development while adjusting for other characteristics. Results : The age, Acute Physiology and Chronic Health Evaluation (APACHE II) score, proportion of patients who had undergone an operation, and proportion of patients who were foley catheterized, mechanically ventilated, and physically restrained were higher in the delirium group. The multiple logistic regression analysis confirmed that the use of restraint was an independent risk factor of delirium (odds ratio : 10.006 ; 95% confidence interval : 6.120-16.360 ; p<0.001). The patient factors independently associated with delirium were an advanced age and a higher APACHE II score. The incidence of delirium was 15.3%. Conclusions : There is a high prevalence of delirium influenced by potentially harmful procedures in patients in ICU settings. The use of physical restraint had the strongest association with the development of delirium. These findings advocate the need to target procedure-related risk factors such as the use of restraints as preventive intervention measures for ICU delirium.

Effect of Interactive Metronome® Training on Timing, Attention and Motor Function of Children With ADHD : Case Report (상호작용식 메트로놈(Interactive Metronome: IM)이 타이밍과 주의력, 운동기능에 미치는 영향: 사례보고)

  • Namgung, Young;Son, Da-In;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.13 no.2
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    • pp.63-73
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    • 2015
  • Objective : To report the effects of a specific intervention, the Interactive Metronome$^{(R)}$ (IM), on timing, attention and motor function of a children with ADHD. Methods : The study is case reports about two boys with ADHD. One boy who is born 2008 is attending general elementary school as a first year student (case 1), and another boy who is born 2001 is attending general elementary school as a second year student (case 2). For each case subject, IM training was provided during 3 weeks, from January 2015 to Febrary 2015. Evaluations were performed pre- and post-intervention in order to exam timing, attention and motor skills. The measurements uses in this study are Long Form Assessment (LFA) for the timing, RehaCom screening module for the attention, and Bruininks-Oseretsky Test of Morot Proficiency, second version (BOT-2) for the motor function. Results : The timing function was improved in both cases since both showed reduced response time for all motor tasks of LFA. In terms of attention, case 1 showed improvement of visual attention division, neglect and response Inhibition, and case 2 showed improvement of sustained attention. Lastly, in the BOT-2, case 1 showed improved the percentile rank of short (from 42%ile to 96%ile), and case 2 also showed similar improvement (from 21%ile to 66%ile). Conclusion : This study provides positive evidence that the Interactive Metronome$^{(R)}$ training has positive power to facilitate several body functions such as timing, attention and motor control of children with ADHD, through two case studies.

The Effects of Sensory Integration Intervention Combined With Auditory Perception Training on Sensory Processing, Visual Perception and Attention of Children With Developmental Delay: Single-Subject Design (청지각 훈련과 병행한 감각통합치료가 발달지연 아동의 감각처리, 시 지각 발달, 주의집중에 미치는 영향: 개별실험연구)

  • Park, Mi-Young;Lim, Young-Myung;Kim, Hee
    • The Journal of Korean Academy of Sensory Integration
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    • v.15 no.2
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    • pp.66-79
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    • 2017
  • Objective : The purpose of this study is investigate the effects of sensory integration combined with auditory treatment on the sensory processing, visual perception and attention ability of children with developmental delay. Methods : A combined treatment of auditory training and sensory integration therapy was implemented to 3 children aged 4 to 7 and diagnosed with developmental delay during 9 weeks period from December 2016 to January 2017. ABA' design which is one of single subject research designs was used in this study. Baseline A had 4 sessions, intervention B had 15 sessions, and baseline A' had 4 sessions, so 23 sessions were applied in total. During the baseline A and A 'periods, visual perception ability was measured by K-DTVP-2 (Korea Developmental Test Visual Perception-2) and sensory processing ability was evaluated by sensory profile. The maintenance time of attention was measured with the absence of intervention for the baseline period, and for the intervention period, it was measured at 10 minutes break time which was provided after the intervention. The children's attention time during a fine motor task provided were measured using video recorder with the interval recording method, and the interval for the evaluation was 30 seconds. Results : No statistically significant difference were found in the visual perception function and sensory processing scores before and after treatment. Attention of participant A enhanced significantly while that of participant B and C did not improve significantly. Conclusion : It is hard to conclude that sensory integration therapy combined with auditory perception training has positive effects on visual perception function and attention of children with developmental delays. However, there were significant increase in attention and improvements in behavior related to sensory processing for some cases in this study. In further study, longer intervention periods and valid measurement need to be applied in order to get better results. And it is proposed that more studies need to be done to enhance evidence of auditory perception training as a mean to facilitate attention and to prepare learning.