• Title/Summary/Keyword: 행동중재

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Psychosomatic Intervention of Delirium (섬망에 대한 정신신체의학적 중재)

  • Kim, Byung-Su
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.2
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    • pp.75-80
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    • 2008
  • Delirium independently contributes to poor outcomes including prolonged hospital stays and increased risk of mortality. The reported prevalence of delirium in variety of medical and surgical hospital settings is from 15% to 70% ; delirium is, therefore, one of major reason for consultation that is required for psychosomatic interventions. This article reviews the psychosomatic interventions to treat delirium including 1) identification of risk factors and precipitating causes ; 2) non-pharmacological interventions, such as modifying treatment environment and educating patient's family and care-giver ; and 3) pharmacological approaches to control the various symptoms that are frequently presenting with delirium.

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The Effects on Aromatherapy and Foot Reflex Massage on the Cognition, Anxiety, Aggressive Behavior and Wandering Behavior of Elderly with Dementia (향요법 발반사 마사지가 치매노인의 인지, 불안, 공격행동 및 배회행동에 미치는 효과)

  • Lee, Sun-Young;Lee, Jeong-Sook
    • Journal of Digital Convergence
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    • v.11 no.12
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    • pp.495-505
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    • 2013
  • This study aims to evaluate the effects of aromatherapy and a foot reflex massage program on the cognition, anxiety, aggressive behavior, and wandering behavior of elderly with dementia. The research design was a non-equivalent control group, quasi-experimental study where 43 subjects were divided into two groups. Aromatherapy and foot reflex massage was administered to the experimental group (N=21), and no treatment was administered to the control group (N=22). The data was analyzed using the ${\chi}^2$-test, t-test, while the repeated measures of ANOVA were utilized with the SPSS/Win 18.0 program. The experimental group did not show significant differences in cognitive function; however, it showed significant differences in anxiety, aggressive behavior, and wandering behavior in relation to the control group. Thus this research suggests aromatherapy and a foot reflex massage program as nursing intervention to improve the quality of life of elderly with dementia.

Review of Music Intervention Research With North Korean Defectors: A Focus on Posttraumatic Growth (탈북민 대상 음악중재 연구 고찰 : 외상 후 성장을 중심으로)

  • Kim Sun A;Park Hye Young
    • Journal of Music and Human Behavior
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    • v.20 no.1
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    • pp.21-46
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    • 2023
  • The purpose of this study was to review the literature on music intervention research with North Korean defectors, focusing on posttraumatic growth. Eleven research papers were searched and selected to examine their general characteristics, intervention content, and therapeutic basis of music interventions for North Korean defectors. The investigated variables were related to posttraumatic growth-related aspects in changes in individuals, intervention goals, measurement tools, outcomes depending on developmental stages of the participants. The analysis showed that music provided a safe and familiar environment, which facilitated voluntary participation. Through music interventions, it was confirmed that individuals were able to discover their inner strength, leading to improved adaptability in daily life; positive changes were experienced in the social and relational aspects; and confidence in the future was strengthened. By reviewing music interventions with North Korean defectors, this study can present implications for music interventions with people who have experienced trauma and require assistance in fostering posttraumatic growth.

A Review of Interventions Using Music for Physical Rehabilitation in Patients With Parkinson's Disease (국외 파킨슨병 환자 대상 음악을 활용한 신체재활 중재연구 고찰)

  • Kwon, Ha Young
    • Journal of Music and Human Behavior
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    • v.20 no.2
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    • pp.33-60
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    • 2023
  • This study is an analysis and review of the international research on interventions using music for the rehabilitation of patients with Parkinson's disease(PD). It categorizes 24 intervention studies conducted over the last 20 years based on the level of music usage and type of music utilized. The aim of this analysis was to identify which musical elements improved timing issues related to the initiation and cessation of movement in patients with PD. The studies involved six with music-based interventions and 18 with rhythm-based interventions, depending on the level of music usage. Rhythm, a common element in music, was a suitable factor for addressing the participants' issues. Furthermore, this review suggests that the characteristics of the researchers impact the extent to which musical elements are used and the diversity of those elements, which influences the intervention's effectiveness. Therefore, this study provides information on how to specify and systematically consider intervention efforts and the use of musical elements that can be applied in rehabilitation for patients with PD.

Review of Studies Using a Rhythm Task Intervention and the Rationale for its Formulation (국내 리듬 중재 연구의 중재 구성 및 논거에 대한 고찰)

  • Chong, Hyun Ju;Lim, Jeong Hyeon;Hwang, Soo Yeon
    • Journal of Music and Human Behavior
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    • v.15 no.1
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    • pp.95-118
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    • 2018
  • With the recent emphasis on evidence-based research and practice, the field of music therapy has called for rigorous reviews of the scientific data and for therapeutic rationales for research procedures. The purpose of this study was to review studies that used a rhythm task as a therapy intervention in terms of whether they provided a rationale for the components related to the intervention. The components included activity rationale, music rationale, intervention validity, intervention format (individual or group), intervention development (contour), duration, and intervention provider. A total of 41 studies were selected: 22 studies were implemented by music therapists and 19 by professionals in other related fields. In terms of seven assessment categories, only 10 studies were found to report more than four items which are related to a rationale of interventions. The 10 studies identified were further examined to determine if their intervention rationale differed depending on whether the study included a researcher-formulated intervention or an existing music therapy protocol. Of the 10 studies, six used a researcher-formulated rhythm intervention, and four used an existing music therapy protocol. Those studies that used an existing music therapy protocol also provided a clear rationale for music selection, whereas those that used a researcher-formulated rhythm task tended to provide an activity rationale. The results of this study suggest that researchers need to be clearer about their interventions and provide an evidence-based rationale for why and how they use a rhythm task.

Impact of emotional labor and stress coping behaviors on job strain in cosmetology industry workers (미용업 관련 종사자의 감정노동, 스트레스 대처행동이 직무긴장에 미치는 영향)

  • Cho, Hee Sook;Kang, Lily
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1311-1317
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    • 2014
  • This is a descriptive study that attempts to provide basic information for easing job strain and enhancing the efficiency of cosmetology industry workers by examining the effects that the emotional labor and stress-coping of cosmetology workers have on their job strain. As a result of a multiple regression analysis of the factors affecting the subjects job strain, their surface acting and problem-focused coping, unconcern coping, social support were seen as factors that accounted for 30% of their job strain. Of the emotional labor of the subjects, the external behaviors displayed positive correlations with job strain; and they showed negative correlations with problem-focused coping and social support. Concerning emotional labor, sincere behavior was found to have positive correlations with problem-focused coping, hoping, social support, positive coping and strain relieving. Based on the results of this study, it is deemed that, along with interventions for emotional labor, education and intervention programs for a healthy and positive stress coping are needed in regards to interventions for cosmetology professionals.

Dysphagia Rehabilitation Treatment for Children With Feeding Disorder : A Systemic Review (섭식장애가 있는 아동의 연하재활치료 : 체계적 고찰)

  • Jeon, Joo Young;Park, Hae Yean
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.1
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    • pp.39-53
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    • 2021
  • Objective : The purpose of this study was to systematically review dysphagia rehabilitation treatment for children with feeding disorders. Methods : The articles evaluated in this study were collected from the PubMed, Medline Complete, and CINAHL databases and subsequently reviewed using the PRISMA flow chart and PICOS approach. A total of 13 papers were analyzed for study quality, disease groups, evaluation tools, interventions, and post-intervention effects. Results : Of the reviewed papers, six (46.15%) related to autism spectrum disorder (ASD) and seven (53.85%) to cerebral palsy (CP) with age ranges of between 2 and 8 years for the ASD studies and between 12 months and 18 years for CP. In evaluating the types of feeding disorder involved, the ASD group exhibited predominantly behavioral conditions while the CP subjects had a larger number of functional oral and swallowing issues. In terms of interventions, behavior modifications were used most frequently with ASD while oral-sensory motor, texture modifications, and electrical stimulation were applied at the same frequency with children with CP. All interventions were found to be effective. Conclusion : In this study, research into children with feeding disorders was reviewed according to condition, evaluation tool, and method of intervention. It is expected that this review can be used as basic data for developing a protocol that will allow clinicians to efficiently apply condition-specific interventions for eating disorders without resorting to trial and error.

Cognitive-Motor Interaction-Based Instrument Playing for Improving Early Social Skills of Children With Autism Spectrum Disorder (ASD 아동의 초기 사회기술 향상을 위한 인지-운동 통합 기반 악기연주 중재)

  • Yu, Hyun Kyung
    • Journal of Music and Human Behavior
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    • v.20 no.1
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    • pp.75-97
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    • 2023
  • This study aimed to investigate the effect of cognitive-motor interaction-based instrument playing on the early social skills of children with autism spectrum disorder (ASD). Nine children with ASD, averaging 5.6 years of age, participated in twelve individual sessions lasting 30 minutes each. The intervention comprised five stages: self-regulation, motivation to engage in social interaction, acceptance of a partner in co-playing activities, interpersonal coordination with a partner, and engagement in joint music playing. To evaluate changes in early social skills, joint attention and social interaction behaviors were observed, and the Social Responsiveness Scale (SRS-2) was administered pre- and post-intervention. Social synchronization was measured through a dyadic drum task, measuring synchronization accuracy, duration, and timing. Following the intervention, all nine children demonstrated increased early social behaviors, although there were no significant differences in SRS scores. Moreover, synchronized movement improved significantly in accuracy and maintained duration but not in reaction time. This study highlights the significance of recognizing the cognitive-motor interplay as crucial element in facilitating early social skills development in children with ASD.

Intervention of Swallowing Disorder in Dementia Patient: A Systematic Review (치매환자의 삼킴장애 중재에 관한 체계적 고찰)

  • Park, Chi-Soo;Ham, Min-Joo;Hong, Deok-Gi;Yoo, Doo-Han
    • Therapeutic Science for Rehabilitation
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    • v.11 no.1
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    • pp.21-33
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    • 2022
  • Purpose : The purpose of this study was to establish scientific evidence though a systematic review, of the existing interventional methods and their respective effects, for swallowing disorders among dementia patients. The interventional methods were based on patient characteristics. Methods : An electronic literature search was performed using five electronic databases from 2010 to 2020. The keywords were 'Dementia', 'Alzheimer disease', 'Deglutition disorder', 'Swallowing disorder', 'Dysphagia'. Five articles met the inclusion criteria. Results : One study with moderate-to-severe and four studies with severe dementia patients were included. The interventions consisted of one remedial intervention, three compensatory interventions, and one comprehensive intervention. Compensatory intervention, including behavioral and psychological management, were used in moderate-to-severe patients. For the severe patients, remedial, compensatory, and comprehensive intervention were used to address the feeding tube problem. The interventions used in each study had a positive effect on the outcome variables associated with swallowing ability. Conclusion : The purpose of the intervention and the intervention factors changed depending on the patient's dementia stage. The intervention was effective when considering the progressive stage of the patient. These results may serve as a guide in designing effective interventions for swallowing disorders in dementia patients.