• 제목/요약/키워드: 5 A's counseling

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지역약국 필수 실무실습 교육의 중요도, 수행도 및 교육요구도 분석 연구 (A Study on the Importance, Performance, and Educational Needs of the Community Pharmacy Practice Education)

  • 임지미;심미경
    • 한국임상약학회지
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    • 제32권4호
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    • pp.303-312
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    • 2022
  • Objective: The purpose of the study was to analyze the difference in the importance and performance of the educational content of the community pharmacy practice and find the factors that influence it. Methods: A 5-point Likert scale questionnaire asked about the importance and performance of the pharmacy practice education items to community pharmacy preceptors, current students, and professors. Data were analyzed using Microsoft office 365 Excel and IBM SPSS 21.0. Results: A total of 117 people participated. The averages of importance and performance were 4.34±0.34 and 3.71±0.45, respectively. Except for the computational entry of prescriptions and medication history, the average score for the importance of all educational items was statistically significantly higher than the one for performance. Importance Performance Analysis (IPA) identified over-the-counter medication counseling, over-the-counter drug selection consultation, pharmacy management, adverse drug reaction monitoring, and understanding and implementation of drug use evaluation as the items that needed focused effort. Borich's needs were highest in the adverse drug reaction monitoring. Conclusions: Overall, high importance and low performance indicate a need for improvement in community pharmacy practice education. Since the demand for education was high in over-the-counter medication counseling, adverse drug reaction monitoring, and OTC drug selection consultation, various supports are urgently needed to strengthen pharmacy practice education in this area in the future.

다문화가족 남편의 정신건강, 레질리언스와 행복에 대한 연구 (A Study on Mental Health, Resilience and Happiness of Intermarried Korean Men)

  • 김민경
    • 가정과삶의질연구
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    • 제30권5호
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    • pp.135-147
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    • 2012
  • The purposes of this study were to uncover the relationships and correlations between mental health, resilience and happiness. The sample consisted of 184 intermarried Korean men. The data were analyzed by means of frequency, Pearson's correlation, and multiple regression analysis using SPSS. The major findings were as follows; Mental health was negatively correlated with resilience and happiness, except for the component of negative emotion. Additionally, resilience was positively correlated with feelings of happiness and positive emotion. Second, social maladaptation and depression had a negative influence on resilience and a negative influence on happiness. Resilience had a mediating effect on mental health and feelings of happiness. Resilience had a mediating effect on mental health and positive emotion, while resilience had a mediating effect on mental health and negative emotion. In conclusion, in order to improve happiness it is important to mediate on intermarried Korean men's resilience through special education programs and counseling.

Attempting Tobacco Cessation - An Oral Physician's Perspective

  • Pai, Anuradha;Prasad, Shesha
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권10호
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    • pp.4973-4977
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    • 2012
  • Introduction: Tobacco use is a global health care problem. Repetitive exposure to nicotine produces neuroadaptation resulting in nicotine dependence. Smoking is associated with a range of diseases, causing high levels of morbidity and mortality and is one of the leading causes of preventable deaths, with more than 4.6 million smokers worldwide dying each year from smoking related illnesses. Stopping smoking has major health benefits. Quitting at any age provides both short and long term benefits. Materials and methods: 45 patients attending the outpatient department at the Oxford Dental College, Bangalore, were randomly allocated to three groups of interventions namely placebo, counseling and nicotine replacement therapy (NRT). Initially each one was assessed for carbon monoxide levels using a breath analyser (pico smokerlyser bedfont UK). They were followed up for six months and the carbon monoxide levels were again assessed using the same instrument. The paired t test was used to compare the results before and after the intervention. Results: The scores before the initiation of intervention and after treatment were compared and all three interventions were found to be statistically significant after six months. It was noticed that patients with very low or low dependence followed by high dependence had good response in the placebo group (68% and 47.6% respectively), in the counseling group maximum response was seen in the medium followed by the very low group (61% and 59% respectively), and maximum response was seen in very high followed by the very low group with NRT (78.7% and 60.5% respectively). Conclusion: The inference that can be drawn from the present study is that non-invasive, non pharmacological methods like placebo and counseling are effective in low to medium groups, and NRT is effective with higher nicotine dependence.

사회적 기술 부족과 충동성으로 인해 또래갈등이 심한 분교아동의 상담사례 (Counseling Case Study of a Child with Peer Confliction due to Lack of Social Skills and Impulsiveness)

  • 이인선
    • 초등상담연구
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    • 제5권1호
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    • pp.227-253
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    • 2006
  • It seems common for students living at a small county and islands to experience psychological conflicts and be unaccustomed in the peer society because they are not familiar with peer interaction and social skills. This is a case study of L (hereinafter called L) who was grown up in the sheltered school at a small county. L was psychologically disturbed because he couldn't get along well in the transferred school. It is the reason why he had lived in the sheltered school at a small county, so he had not enough exposure to interact with peer and social skills. Sometimes he was obstinate irrationally and when he had trouble with friends, he threw something out or went out of school and tricked juniors dangerously. The fact of disperse with families, parent's indifference, and hate of older brother made L to have ill feeling against family. He had low motivation and low self confident in learning because of short attention time and accumulated poor learning progress. In this study, he was evaluated at various area, such as, intelligent, affective, personal and inter-personal, before counselling. To evaluated the effect of the counselling, K-WISC-III, KPRC, sentence filling test, social adaptation ability test, etc, were administered right after the counselling was over and 8 weeks later. For specific information gathering and analysing, observation diary and deepen counselling were accomplished by homeroom teacher, his mother, and his peers. To correct his problematic behaviors, 13 counseling sessions were accomplished for 6 months and those counselling sessions were recorded and analysed definitely. Followings are the result of this case study. First, he was recovered from the anxiety of inter-personal interaction and he started to interact with peers. The result of sac scale score of KPRC profile was lower than before as much as average student after counseling and 8 weeks later. This reveals that the distress against interpersonal relation have settled. Especially, through the result of sentence filing test, he seemed to feel attachment to peers and be positive, active in the relation of peer. For instance, he was active in the open class lesson and interacted well with peers. It could be said that he overcame the psychological distress comparing with previous time. Second, he could apologize to his peer and juniors for his fault. His attitude were well shown in the letter from an old friend at the sheltered school, average KPRC profiling score comparing with previous counseling time, and remarkable decrease of attack scale score of teacher and peer. Third, his view toward family turn out positive. He recognized his situation that he lived apart from family and even worried about his parent's financial difficulty. Through solving the confliction with his older brother, he could acquire the feeling of family reunion. Fourth, his learning motivation and self-confidence were increased. He confirmed his future positively and he might be judged more attentive because his intelligence index was higher than before as much as average student. With the main goal of this study, verification for effectiveness of counseling. understanding and helping problematic students such as L who lives at a small county and island through investigation of their real situation and problems with the method of counseling and socio-cultural analysis is worthwhile. Identification of ideal relationship with peer is related with positive self-conception, harmonic social adaptation and development of child. It is time to investigate easy adaptive in classroom and well-organised program to acquire general social skills for sheltered school students at a small county and islands.

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좌·우뇌 비대칭 뇌파와 성격특성요인의 관계에 대한 연구 (Study on the Relationship Between EEG of Brain Laterality and Personality Traits)

  • 허미라;이아라
    • 감성과학
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    • 제19권1호
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    • pp.83-94
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    • 2016
  • 본 연구는 상담심리학의 성격특성이론에 근거하여 좌 우뇌의 신경학적 비대칭성 및 두뇌 각 영역에서의 활성뇌파와 성격의 요인별 특성과의 관련성을 EEG측정을 통해 알아보고자 하였다. 이에 96명의 대학생들을 대상으로 8채널 EEG 장비를 이용하여 뇌파를 측정한 후 컴퓨터로 분석한 자료와 성격 5요인 질문지를 사용하여 조사한 자료를 통계 분석하였다. 그 결과 전전두엽의 쎄타파 좌 우뇌비대칭이 클수록 성격요인 중 신경증이 높은 것으로 나타났고, 각 두뇌영역별로는 전전두엽좌측의 쎄타파 활성이 클수록 신경증은 높고, 성실성은 낮아지는 것으로 나타났으며, 전두엽좌측의 베타파 활성이 클수록 외향성과 개방성이 낮아지는 것으로 나타났다. 이러한 연구결과는 두뇌영역별 특정뇌파리듬의 활성이 개인의 성격 및 심리적 특성에 유의미한 관련이 있음을 알 수 있게 한다. 기존의 연구들 대부분이 주로 알파파, 베타파 영역에서 성격과의 관련성에 대해 언급했던 것과 달리, 본 연구결과는 세타파가 성격특성과 관련이 있을 수 있음을 시사한다. 이러한 연구 결과를 토대로 두뇌관련 상담전략과 후속연구에 대해 제언하였다.

자아존중감, 성격 및 이성교제 요인이 여대생의 정적 정서에 미치는 영향 (Self-esteem, Personality and Dating Factors Influencing Positive Affect of Female College Students)

  • 김은주
    • 한국보건간호학회지
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    • 제29권2호
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    • pp.354-364
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    • 2015
  • Purpose: This study was conducted to determine factors related to self-esteem, personality, general characteristics and dating affecting positive affect in female college students. Methods: The subjects were 335 female students attending the three colleges in Chungnam Province. Data were collected using PANAS, Self-esteem, and DISC questionnaires. Hierarchical Multiple Regression Analysis was mainly used. Results: The factors affecting positive affect were self-esteem, personality-dominance type, personality -consciousness type, economic status and boyfriend presence in female college students. These 5 factors accounted for 30.3% of positive affect of female students. In cases of having a boyfriend, factors affecting positive affect were self-esteem, economic status, boyfriend's height, and boyfriend's economic status. These 4 factors accounted for 30.5% of positive affect of female students who have a boyfriend. Conclusion: The positive affect levels of female students should be raised in practice through intervention such as a self-esteem improvement program, personality traits intervention program, and counseling on dating.

개인선별용 일상우울척도 단축형의 개발 및 타당화 (Development and Validation of Short Form of the Normal Depression Scale for Individual Screening)

  • 이순묵;김종남;채정민;최승원;서동기
    • 스트레스연구
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    • 제26권4호
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    • pp.277-289
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    • 2018
  • 본 연구는 일반인이 경험하는 일상우울 상태를 손쉽게 판단할 수 있는 개인선별용 검사를 제작하고 신뢰도와 타당도를 조사하는데 목적이 있다. 이를 위해 원척도인 일상우울 집단연구용 척도(17문항)를 바탕으로 5문항으로 된 단축형 척도를 개발하였다. 연구 결과, 집단연구용 척도와 단축형 척도 간 상관은 .94로 높았으며, 검사-재검사 신뢰도(60일 이내 .73) 또한 양호한 수준이었다. 검사의 내적 구조는 1요인으로 확인되었다. 끝으로 기준점수를 구하였는데, 단축형 5개 문항의 총점이 18점 이상이면 일상우울 수준을 넘어 역기능우울의 가능성이 있으므로 역기능우울척도를 실시하는 것을 권고한다.

임상영양팀의 업무생산성 및 효과분석 (Productivity and effectiveness of the clinical nutrition team)

  • 김영혜;신은수;강은희;김주현;김미경;김계진;홍희선
    • 대한영양사협회학술지
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    • 제2권2호
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    • pp.199-215
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    • 1996
  • In Korea, the majority of hospital dietitians expend most of their time performing food management related activities, and only a few carry out nutrition care activities in full-time. This study was designed to measure productivity of the clinical nutrition team and assess the role of clinical dietitians in the only 2200-bed teaching hospital in Korea. Six full-time clinical dietitians collected time data for four weeks according to the nutrition care activities outlined. Three clinical dietitians assigned to 7 units recorded how often physicians implemented their recommendations for two months. Two kinds of survey questionaire were developed and sent to the patients and the health care team. The followings are a summary of the results. 1. The clinical nutrition team of 6 full-time dietitians expended 75% of their time performing patient care activities, 20% in non-patient care activities and 5% in delay and transit. 2. Each clinical dietitian assigned to the units carried out 56 patient care activities on daily basis. 3. The average time required for the clinical nutrition services was 60.2 minutes for outpatient counseling, 89 minutes for inpatient counseling, 72.5 minutes for nutrition management, 95 minutes for malnutrition consult and 121 minutes for dysphagia diet management. 4. Physicians' implementation of clinical dietitians' recommendations was 98.5%. 5. Most physicians and nurses viewed the clinical dietitians on the units assertive, contributing to the quality improvement of medical services, and helpful to the patients as well as the health care team. 6. Most patients viewed the clinical dietitians on the units considerate, attentive and helpful. Based on these results, it is suggested that (1) daily meal round and nutrition care monitoring are effective tools for nutrition intervention in the hospital setting. (2) unit assignment of clinical dietitians enhances the patients' satisfaction in the nutrition services provided as well as the perceptions of health care team on clinical dietitian's expertise.

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대구.경북지역 병원영양사의 직무특성, 업무수행도 및 조직몰입도가 직무만족도에 미치는 영향 (Effects of Job Characteristics, Job Performance and Organizational Commitment on Job Satisfaction of Hospital Dietitians in the Taegu. Kyungpook Area)

  • 이민지;이연경
    • 대한지역사회영양학회지
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    • 제5권4호
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    • pp.672-682
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    • 2000
  • The purpose of this study was to identify the effect of job characteristics, job performance and organizational commitment on job satisfaction of hospital dietitians. The first survey was carried out on 74 hospital dietitians to determine their demographic characteristics, job characteristics, organizational commitment, and job satisfaction. The second survey was carried out on 47 hospital foodservice dietitians to determine their job performance. Thirty-two percent of the subjects were aged between 26 and 30, and 62.2% had Bachelor's degrees. The dietitians felt most satisfied by their co-workers, followed by the work-itself, supervision, pay, and promotion possibilities. Dietitians who had a higher education were satisfied with pay and supervision. The longer the length of employment, the more the satisfaction with the work-itself and pay, plus the higher the monthly wage the more the satisfaction with the work-itself, pay, supervision, and co-workers. lob satisfaction was high in the group that scored high on autonomy, feedback, task identity, and friendship of in the job characteristic inventory. The job performances of nutrition counseling(r= 0.469, p < 0.01), nutrition education(r= 0.446, p < 0.01) and management of therapeutic diet(r= 0.394, p < 0.01) were positively correlated with job satisfaction. The $R^2$for the multiple regression model was 0.677, indicating that 67.7% of the variance in job satisfaction could be accounted for by feedback, organizational commitment, nutrition counseling performance, and nutrition education performance. In conclusion, the level of job satisfaction for hospital dietitians would appear to improve with increased feedback, organizational commitment, and opportunity for nutrition counseling and nutrition education.

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효과적 건강상담을 위한 제 보건행동이론의 활용방안에 대한 연구 (The Use of Health Behavior Theory for Effective Health Counselling)

  • 김혜경
    • 보건교육건강증진학회지
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    • 제19권1호
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    • pp.149-170
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    • 2002
  • The use of health behavior theory in health counseling may improve its effectiveness. This article provides an overview of health behavior theory and guidelines on how to incorporate various theories into effective health counseling. Models that focus on behavior change at the individual level are described, including the health belief model, which focuses on individual health beliefs; social learning theory, which emphasizes interactions between individual, behavior and its environment; theory of reasoned action and theory of planned behavior, which examines factors influencing behavioral intention;. the stages of change model, which focuses on one's stage of readiness for change. Research review provides explanatory and predictive utility of four health behavior theories. Suggestions for effective health counselling are as follows: 1. Unified theoretical framework incorporating key concepts from different health behavior theories is needed. 2. Need assessment should be included in counselling process. 3. Behavior-change counselling should target changes in one or more key variables previously identified. 4. Focusing on promotional efforts into a high profile behavior(gateway behavior) can be an an adjunctive way of initiating other health promotion behaviors. 5. Counselling should be staged based, and different strategies and processes of changes should be applied at different stages.