• Title/Summary/Keyword: 환자의 정서관리

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General Protocols for Hospital and Home Care in Hospice (호스피스 대상자의 신체 증상관리)

  • Han S I
    • The Korean Nurse
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    • v.26 no.5 s.143
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    • pp.14-20
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    • 1988
  • 이제까지 죽어가는 이들이 경험하는 일반적인 증상을 언급하였다. 어떤이들에게는 이런 증상이 거의 없고 어떤이에게는 증상이 심하다. 간호원은 좋은 환자/가족 간호를 위해 신체, 정서, 영적 증상 관리를 잘 해야 하나 우선적으로 신체 증상 관리가 이루어져야 하며 이를 도외시한 정서적, 영적 관리는 옳지 않다. 환자의 문제는 단순하지 않고 여러 원인이 복합될 수 있기에 주의 깊게 관찰하고 사정해야 좋은 간호중재를 계획하고 실천할 수 있으며 이를 통해 환자는 보다 편안하게 남은 생을 보낼 수 있게 된다. 간호원은 천국의 문턱을 장식하는 하느님의 부름받은 사자이다.

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The Effects of Yongin-Emotional Management Training Program on the Improvement of Life Care in Patients with Chronic Schizophrenia (만성 조현병 환자의 라이프케어 증진을 위해 용인 정서관리 훈련 프로그램이 미치는 영향)

  • Lee, Eun-Young;Jin, Myung-Ja;Kim, Young-Woon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.385-400
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    • 2019
  • We reviewed existing studies and proposed future research on the sustainability of short-term effects, and of the Yongin Emotion Management Training program (Y-EMT). In this study, we conducted Y-EMT to verify its effectiveness in relation to affective disorders associated with chronic schizophrenia. Thirty-five patients were assigned to the experimental group, and 35 to the control group. First, results of repeated-measures analysis supported the effectiveness of Y-EMT. Comparisons of the results on the pre-test with those for the 5-month and 1-year post-training tests showed significant differences in mean scores between the experimental and control groups. Furthermore, these differences persisted at the 2-year follow-up. Second, in the experimental group, interactions between emotional behavior and expression, self-efficacy, and changes in interpersonal relationships showed significant effects at 5 months after the program ended, and these effects continued to increase up to 1 year post-training. Taken together, the findings indicate that, to maintain the effects of therapy in patients with chronic schizophrenia, patients should undergo Y-EMT along with cognitive rehabilitation training and social skills training. Human relations training such as Y-EMT is most helpful for rehabilitation when it is paired with high levels of medication.

A Study on Demand and the Supply for Home-based Cancer Patient Management Projects of Public Health Centers (보건소 재기 암환자 관리사업에 대한 환자의 요구도 및 제공정도)

  • Cho, Hyun;Son, Joo-Young;Heo, Jeom-Do;Jin, Eun-Hee
    • Journal of Hospice and Palliative Care
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    • v.10 no.4
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    • pp.195-201
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    • 2007
  • Purpose: As a part of the analysis of home-based cancer patients management of public health renters in cities, counties and districts across the nation, this study is to understand the degree of patient demands for that management and the degree and scope of the supply for the patient's demand. Methods: Developed the questionnaire which was constituted of degree of demand and supply for home-based cancer patient management and analyzed data centering on the frequencies and percentages by utilizing SPSS WIN 12.0. Results: The services provided through the home-based cancer patients management project include physical, emotional, spiritual and education/informative services. A survey was conducted for home-based cancer patients about these services, and its result showed that the degree of demand and supply was highest for emotional service, followed by education/informative service, spiritual service and physical service in the order of the demand-supply degree. When main items for each service were examined, it was found that: in the case of physical service, pain control was provided murk lower than its demand, while excretion disorder control and individual hygiene is provided murk more than its demand. In the case of emotional service, the degree of demand was overall higher than that of supply; spiritual service was provided appropriately to the degree of demand. Conclusion: This study examines the home-based canter patients management project of public health centers and compares and analyzes the degree of demand for patient services and the degree of services that are actually provided. The findings could be used as based data for the development of effective programs in future on the basis of actual demands of home-based cancer patients.

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Dimensional Structure of Emotion in Schizophrenic Patients (정신분열병 환자의 정서구조 분석: 2차원 모형을 중심으로)

  • 오경자;문혜신;김영아;박수경;김진관
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1999.11a
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    • pp.362-367
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    • 1999
  • 본 연구에서는 정신분열증 환자들이 정서상태를 개념화하고 얼굴표정을 통하여 타인의 정서 상태를 판단하는 과정을 정상인과 비교하였다. 연구1에서는 만 19세-46세의 정신분열병 환자 19명에게 정서 관련 형용사 15개로 구성된 105개의 형용사 쌍에 대하여 유사성을 평정하도록 하여 MDS로 분석한 결과, 쾌/불쾌와 각성의 두 차원이 일관되게 보고되고 있는 정상집단과는 달리 정신분열병 집단의 자료에서는 쾌/불쾌 차원만이 뚜렷하게 나타나고 각성 차원은 얻어지지 않았다. 연구 2에서는 다양한 정서를 표현한 얼굴 사진 28개를 정신분열병 환자 30명과 대학생 31명에게 제시하고 각 사진의 인물이 경험하고 있는 내적 상태를 쾌/불쾌와 각성의 두 차원에 대하여 각각 7점 척도로 평정하도록 한 결과 정신분열병 집단은 대학생 집단에 비하여 쾌/불쾌 차원에서는 보다 긍정적으로 평정하는 경향이, 각성 차원에서는 상대적으로 낮게 평가하는 경향을 나타냈다. 특히 부정적이고 각성 수준이 높은 내적 상태를 표현하는 사진 자극에 대하여 정신분열병 환자 집단이 각성수준을 과소평가하는 경향이 두드러지게 나타났다. 이와 같은 결과를 종합하여 볼 때, 정신분열병 환자들은 정서상태의 개념화 과정에서 각성 차원에 대하여 상대적으로 낮은 민감도를 보이고 있으며, 특히 부정적인 정서상태를 표현하는 얼굴들에 대란 판단에서는 각성 차원을 과소평가하여 높은 각성수준을 나타내는 표정과 낮은 각성수준을 변별하는데 어려움을 보이는 것으로 해석될 수 있다. 본 연구의 결과는 정신분열병 환자들은 자율신경계의 높은 각성 수준으로 인하여 각성 수준을 더 높일 가능성이 있는 자극을 회피하는 경향이 있다는 Mednick의 가설과 일관되는 결과로 이들의 각성 수준에 대한 낮은 민감도는 방어적인 회피성향의 지속에 따른 둔감화의 결과로 해석될 수 있다. 효과는 GSR를 비롯한 자율신경계지표에서 잘 반영되었다.^2$=.792가 되었다. 설명되는 누적분산값은 67.18%였다.주관적 평가의 결과와 객관적 평가 결과를 이용해 마직물의 태를 평가하는 산출식을 제시하였다. 태 평가치의 경우 16가지 특성치를 모두 넣는 방법과 stepwise 방법, 또 Kawabatark 사용한 순차적 군 회귀법의 세가지 방법의 회귀식 중 16가지 특성치를 모두 넣는 방법의 결정계수가 가장 높았다.tosterone농도는 107.7$\pm$12.0 pmol/l이었고, 남성의 타액내 농도는 274.2$\pm$22.1 pmol/l이었다. 이상의 결과로 보아 본 연구에서 정립된 EIA 방법은 RIA를 대신하여 소규모의 실험실에서도 활용할 수 있을 것으로 사려된다.또한 상실기 이후 배아에서 합성되며, 발생시기에 따라 그 영향이 다르고 팽창과 부화에 관여하는 것으로 사료된다. 더욱이, 조선의 ${\ulcorner}$구성교육${\lrcorner}$이 조선총독부의 관리하에서 실행되었다는 것을, 당시의 사범학교를 중심으로 한 교육조직을 기술한 문헌에 의해 규명시켰다.nd of letter design which represents -natural objects and was popular at the time of Yukjo Dynasty, and there are some documents of that period left both in Japan and Korea. "Hyojedo" in Korea is supposed to have been influenced by the letter design. Asite- is also considered to have been "Japanese Lett

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The Effects of Job Stress on Depression by Burnout in The Hospital Employees (의료기관 종사자의 직무스트레스가 정서적 소진, 우울에 미치는 영향)

  • Kyoungjin Song;Jeongwon Lee
    • Journal of Service Research and Studies
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    • v.12 no.3
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    • pp.26-44
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    • 2022
  • Job stress experienced during work has a positive effect on the organization, such as performance improvement, but if not properly managed, it can cause physical diseases such as digestive diseases and mental diseases such as depression and neurological diseases. If job stress persists for a long time, it causes emotional exhaustion and depression, which has a significant adverse effect on individuals and organizations, so proper management is essential. Therefore, in this study, a descriptive survey study was conducted using a self-report questionnaire method to find out the relationship between job stress, emotional exhaustion and depression of medical institution workers. As a result of the analysis, it was found that job stress of medical institution workers had a significant (+) effect on emotional exhaustion and depression, and emotional exhaustion of medical institution workers had a significant (+) effect on depression. Through this study, it was found that there was a significant relationship between job stress, emotional exhaustion, and depression of hospital employees, and that emotional exhaustion acts as a parameter in the relationship between job stress and depression. Considering that job stress of hospital employees causes adverse organizational effects, such as threatening workers' mental and physical health and causing deterioration in the quality of medical services, organizational efforts will be needed to relieve and properly manage job stress of hospital employees.

Implementation of Traveling Contents for Elderly Patients using Virtual Reality and Photon Network (가상현실과 포톤 네트워크를 이용한 고령 환자용 여행체험 콘텐츠의 구현)

  • Im, Soo-Bin;Cho, Myeon-Gyun
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.123-128
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    • 2018
  • Recently, the number of elderly people residing in nursing homes has increased rapidly due to the increase in the elderly population and the introduction of long-term care insurance. These long-term care patients suffer from chronic illnesses and dementia, and thus suffer from inconveniences or lack of cognitive ability. Thus, psychological and emotional support is urgent because they are depressed away from their families. Therefore, in this paper, we aim to provide a virtual experience of overseas trips by using VR and Photon networks for elderly patients with mobility difficulties. Existing VR-based travel experience service is doing alone, but the proposed contents can enjoy the scenery together with the view of the family member as well as the conversation during the travel experience. It is expected that the elderly patients with long - term care will be able to restore their psychological stability and improve their willingness to heal and improve their quality of life from the proposed application.

Current Status of Home-Based Cancer Patients Management in Jeju (제주지역에서의 호스피스.완화의료기관과 보건소의 재가암 관리 현황)

  • Huh, Jung-Sik;Kim, Hyeon-Ju
    • Journal of Hospice and Palliative Care
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    • v.13 no.2
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    • pp.76-80
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    • 2010
  • Purpose: As a part of analysis of home-based cancer patients management of public health centers, regional cancer center, and hospice institution in Jeju, this study was undertaken to establish their role. Methods: We investigated current status of hospice palliative care, especially home-based cancer patients management and summary demand of public health centers. Results: Services provided through the home-based cancer patients management project included physical, emotional, spiritual and education/informative services, even though there was little difference between them. The result showed that in the view of patients there was little relationship between public health centers, regional cancer center and hospice palliative institution. Conclusion: The relationship between home-based cancer patients management and institutions should be reinforced. Patients in acute state and difficulty care of patients should be referred to regional cancer center whereas maintenance state of patients should be referred to public health center.

The Changes of the Pain Care Awareness and Health Related Quality of Life of the People with the Chronic Low Back Pain through the Participation in the Kinesio-Taping Self Application Education Program (키네시오 테이핑 자가 적용 교육 프로그램의 참여를 통한 만성요통환자들의 통증관리 인식과 건강관련 삶의 질의 변화)

  • Son, Sung-Min;Kwag, Sung-Won
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.1
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    • pp.167-177
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    • 2020
  • This study purposes to analyze the changes of the pain care awareness and health related quality of life of the people with the chronic low back pain through the participation in the kinesio-taping self application education program. A total of 30 people with chronic LBP participated and they divided into experimental(n=15) and control group(n=15). An experimental group participated in the Kinesio-taping education program for 4 weeks and a control group was treated by a therapist. Through these, the pain care awareness and health related quality of life were analyzed. In the care of the health care awareness, the canadian Occupational Performance Measure was used to assess the subjects' performance and satisfaction. The short form-8 health survey was used to the health related quality of life. The results of the health care awareness and health related quality of life were increased in the experimental group and the statistically significant difference showed between group. This education program is a meaningful method to improve the health related quality of life from the pain care in the daily life by itself. Thus, the kinesio-taping self application education program should be considered for the people with the chronic low back pain.

A Case Study of lower Extremity Amputation Patient (하지 절단 환자의 간호 사례 연구)

  • Cho M O
    • The Korean Nurse
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    • v.23 no.3 s.126
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    • pp.68-76
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    • 1984
  • 본 환자를 간호하면서 절단으로 인해 신체적 고통을 받고 있는 존재로서, 생각과 정서, 욕구를 지닌 존재로서의 환자를 돕고자 시도해 보았다. 신체적인 적응을 돕기 위해서 근력강화와 관절가동역증진, 통증조절, 보조기 착용을 위한 단단의 관리, 잔여관절의 변형예방에 중점을 두었다. 심리적인 적응을 돕기 위해서 환자가 절단 수술과 수술 후 변화된 신체외모를 수용하는 과정을 증시했다. 끝으로 사회적인 면에서는 의미있는 사람들의 집단속에서 존재하는 인간으로서의 환자에게 관심을 두었다. 환자의 우측 슬관절 가동역은 완전히 회복된 상태는 아니지만 목발을 이용하여 걷거나 기타 일상생활을 하는데 불편함은 없으며 앞으로 계속적인 노력을 통해 회복될 수 있을 것이다. 그의 좌측 고관절 가동역은 정상유지되고 있으며 절단부위는 보조기 착용에 적합하게 형성되어 가고 있다. 비슷한 처지에 있는 이씨환자의 도움과 환자의 독립적인 생활태도는 환자가 자신의 불구에 적응하고 일상생활에 적응하는데 많은 도움이 되었다. 협조적이고 동정적인 환자들과 의료진의 도움으로 환자는 보호된 병원환경내에서 신체적 제한점을 주목하고 자신의 불구에 적응하면서 타인들과 원만한 관계를 유지해 왔다. 그는 앞으로 사회에 돌아가서 생활하게 될 것이다. 우리 사회는 아직도 그들에 대해 편견을 가지고 있으며 직업적 교육적 의료치료적 배려가 부족한 상태이다. 사회속에서의 적응은 병원에서의 적응보다 훨씬 더 어려울 것이며 때로는 그를 좌절하게 할 것이다. 그의 신체적 결함이 자기 자신만의 책임은 아니며 어느 누구나 사고에 희생될 가능성은 있다. 사회인들이 그들에게 관심있고 수용적인 태도를 지니고 그들의 정상 요구와 인간으로서 동등하게 살아갈 권리를 인정하고 받아들인다며 좀더 쉽게 자신의 슬픔을 극복할 수 있을 것이다.

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