• 제목/요약/키워드: Application Anxiety

검색결과 186건 처리시간 0.031초

인지행동간호중재가 방사선 치료 중인 유방암 여성의 불안과 우울에 미치는 효과 (Effects of a Cognitive-Behavioral Nursing Intervention on Anxiety and Depression in Women with Breast Cancer undergoing Radiotherapy)

  • 유명숙;이해정;윤정아
    • 대한간호학회지
    • /
    • 제39권2호
    • /
    • pp.157-165
    • /
    • 2009
  • Purpose: The purpose of this study was to analyze the effects of a cognitive-behavioral nursing intervention on anxiety and depression of patients with breast cancer undergoing radiotherapy. Methods: A nonequivalent control group design was used for the study. The research participants were patients with breast cancer (N=71; experimental group=35, comparison group=36) who received radiotherapy at P university hospital. The experimental group received a 6-week cognitivebehavioral nursing intervention (2 hr/week), which included nursing counseling, education about treatment choices for breast cancer and possible side effects and management strategies during radiotherapy, and rehabilitation exercise. Results: Following the intervention, the experimental group showed significantly lower levels of anxiety (Experimental group=$34.60{\pm}6.35$, Comparison group=$44.63{\pm}9.93$, t=3.552, p<.001) and depression (Experimental group=$10.20{\pm}6.61$, Comparison group=$17.81{\pm}10.85$, t=3.542, p<.001) than the comparison group. Conclusion: The findings from this study showed that cognitive-behavioral counseling applied by nurses is very effective to reduce anxiety and depression among patients with breast cancer. Therefore, providing nursing counseling to broader spectrum of patients with cancer should be considered. Further research would warrant future clinical application of nursing counseling.

수술실에서의 지지간호가 수술직전 환자의 불안감소에 미치는 영향 (A Study on the Effect of Supportive Nursing Care to Anxiety Reduction of the Patient Immediately Before Surgery in the Operating Room)

  • 조미자;홍미순
    • 성인간호학회지
    • /
    • 제13권4호
    • /
    • pp.632-640
    • /
    • 2001
  • Purpose: This study was to examine the effects of supportive nursing care on surgical patients in the operating room. Method: This study was nonequivalent control group none-synchronized design. The data were collected during the period of July 26 through October 8, 1999 at K hospital in Kwangju. The subjects for the study were selected from those patients who were admitted to K hospital for abdominal surgery. Forty-eight adult subjects were selected and evenly divided into two groups: 24 for the experimental group and the other 24 for the control group, respectively. The tool used for measuring state and trait anxiety was the one originally worked out by Spilberger(1976), and translated by Kim Jung- Taek and Shin Dong-Kyun(1978) for suitable application for Koreans. Data were analyzed by $\chi^2$- test, t-test, Chronbach's ${\alpha}$ coefficient using SAS/PC+. Result: Results were as follows : 1. The degree of State anxiety was found to be lower in the experimental group who received supportive nursing care in the operating room immediately before an operation than the control group who did not."(p<.001). 2. There was no significant difference on the post-test blood pressure and pulse rate immediately before operation between the two groups(p>.05). Conclusion: Results of the above study reveals that the supportive nursing care in the operating room is effective in alleviating the anxiety of patients. I suggest that it is highly desirable to apply supportive nursing care for those patients who are waiting for immediate surgery.

  • PDF

중학교 영재학생과 일반 학생의 학습습관 및 시험불안 비교: 사이버교육센터의 수.과학영재와 일반학생을 대상으로 (A Comparison of Study Habits and Test Anxiety Between Gifted and Non-gifted in Middle-School Children: Mathematically and Scientifically Gifted at Cyber Education Center and Non-gifted As Subjects)

  • 문정화;김선희
    • 영재교육연구
    • /
    • 제20권3호
    • /
    • pp.831-846
    • /
    • 2010
  • 본 연구의 목적은 사이버교육센터에서 교육을 받고 있는 중학교 수 과학 영재와 일반 중학생의 학습습관과 시험불안에서의 차이 및 학습습관과 시험불안 간의 관련성을 알아보는 것이다. 연구 대상은 KAIST 사이버과학영재교육센터 수강생 중 중학교 1~3학년 영재 183명(남 127명, 여 56명), 서울 및 수도권 소재의 중학교에 재학 중인 중학생 1~3학년 254명(남 128명, 여 126명)이다. 연구결과, 영재집단이 일반집단에 비해 학습습관이 더 우수하여, 학습과정에서 주의집중을 잘하고 학습 방법이나 요령이 더 능률적이며, 예습이나 복습을 더 자발적이고 능동적으로 하는 것으로 나타났다. 또 시험불안의 경우 영재집단이 일반 집단보다 더 낮게 측정되어 시험을 수행하는 데 있어서 나타나는 염려나 걱정 등을 덜 하고, 시험 상황에서 초조와 긴장과 같은 신체적 반응이 덜 나타났다. 또한 학습습관과 시험 불안은 전체집단에서 유의미한 부적상관을 보여 학습습관이 우수할수록 시험불안이 낮은 경향성이 있었다. 그러나 일반집단에서 시험불안과 학습습관의 하위변인인 학습기술적용행동 및 자율학습행동 간에는 상관관계가 유의미하지 않게 나타났다.

스트레스 유발 마우스모델에서 뇌염증 및 신경행동 장애 변화 (Neuro-inflammation induced by restraint stress causes impairs neurobehavior in mice)

  • 오태우;도현주;김광연;김영우;이병욱;마진열;박광일
    • 대한한의학방제학회지
    • /
    • 제25권4호
    • /
    • pp.483-497
    • /
    • 2017
  • Background : Behavioral stress has been suggested as one of the significant factors that is able to disrupt physiological systems and cause depression as well as changes in various body systems. The stressful events can alter cognition, learning, memory and emotional responses, resulting in mental disorders such as depression and anxiety. Results : We used a restraint stress model to evaluate the alteration of behavior and stress-related blood parameter. The animals were randomly divided into two groups of five animals each group. Furthermore, we assessed the change of body weight to evaluate the locomotor activity as well as status of emotional and anxiety in mice. After 7 days of restraint stress, the body weight had significantly decreased in the restraint stress group compared with the control group. We also observed stress-associated behavioral alterations, as there was a significant decrease in open field and forced swim test, whereas the immobilization time was significantly increased in the stress group compared to the control group. We observed the morphological changes of neuronal death and microglia by immunohistochemistry and western blot. In our study restraint stress did not cause change in neuronal cell density in the frontal cortex and CA1 hippocampus region, but there was a trend for an increased COX-2 and iNOS protein expression and microglia (CD11b) in brain, which is restraint stress. Conclusion : Our study, there were significant alterations observed in the behavioral studies. We found that mice undergoing restraint stress changed behavior, confirming the increased expression of inflammatory factors in the brain.

화병관리프로그램 개발 및 효과 (Development and Effectiveness of a Program for Relieving ′Hwa-Byung′ Symptoms)

  • 박영주;김종우;조성훈;문소현
    • 대한간호학회지
    • /
    • 제34권6호
    • /
    • pp.1035-1046
    • /
    • 2004
  • Purpose: This one group experimentation was designed to develop a program for relieving 'Hwa-Byung'(HB) symptoms and examine its effects on HB symptoms, pain threshold emotions like anger, anxiety and depression. Method: The program consisted of three components the change of the cognitive thoughts, the formation of a supportive network, and induction of mind-body relaxation. Sixteen middle-aged women with HB were divided into three groups for group dynamics according to the time of the recruitment. Data was collected for nine months at three time points, before, immediately after, and one month later of its application. Result: There were statistically significant differences in the severity level of state anger, state anxiety, depression, and HB symptoms according to the time interval. The means of state anger and state anxiety were reduced after the intervention, but it was slightly increased one month later. The means of depression and HB symptoms were continuously reduced after the intervention and one month later. Conclusion: This was the first management program for HB women in Korea. A future study must be done with the research design formethodological strength revision of the program.

아로마테라피 중재를 적용한 간호학 논문 분석 (An Analysis of Aromatherapy Intervention Studies in Nursing)

  • 채영란;원수진
    • Journal of Korean Biological Nursing Science
    • /
    • 제15권2호
    • /
    • pp.54-64
    • /
    • 2013
  • Purpose: This study aimed to analyze the effects and intervention methods of aromatherapy studies in nursing. Methods: A systematic literature review was conducted. Nursing literature databases were searched to identify intervention studies published in Korea between 2000 and 2011. Finally, 53 articles were included in the review. Results: The most preferred application method of aromatherapy was massage. The major dependent variables were anxiety, depression, pain, and sleep disturbance. 76.5% of the studies reported positive effects on anxiety. 93.8% of the studies reported positive effects on depression. 86.7% of the studies reported positive effects on pain. 92.3% of the studies reported positive effects on sleep disturbance. Psychometric measurements were mainly used in the studies. Only 33.9% of the studies adopted physical or physiological measurements. The most prevalent physical or physiological instrument was vital signs. Conclusion: Aromatherapy had positive effects on anxiety, depression, pain, and sleep disturbance measuring when using psychometric instruments. However, there was no sufficient evidence measuring when using physical or physiological instruments. These need to be studied using well-designed, randomized, controlled trials, and should encourage the use of both psychometric and physiological measures for aromatherapy intervention in nursing studies.

급성 스트레스장애 및 외상후 스트레스장애의 한의학적 치료 3례 (A Clinical Report of Three Patients with Acute Stress Disorder, Post-Traumatic Stress Disorder Treated by Oriental Medical Treatments)

  • 황정현;고재상;배재익;구병수;김근우
    • 동의신경정신과학회지
    • /
    • 제22권3호
    • /
    • pp.75-85
    • /
    • 2011
  • Objectives : In this case report, we will present three patients diagnosed with acute stress disorder or post-traumatic stress disorder improved by application of oriental medical treatments. Methods : We treated three patients with acute stress disorder or post-traumatic stress disorder by oriental medical treatments. The effect of oriental medical treatments were evaluated by STAI and clinical symptoms such as anxiety, insomnia, palpitation, startle response. Results : As a result of oriental treatments, clinical symptoms such as anxiety, insomnia, palpitation, startle response were improved, and STAI scores also decreased. Conclusions : These results suggest that oriental treatments may have an effect on acute stress disorder and post-traumatic stress disorder.

사이코드라마가 가정폭력 피해여성의 자존감, 안녕감, 불안, 우울에 미치는 효과 (The Effect on Psychodrama of Self-Esteem, Well-being, Anxiety and Depression for Battered Women)

  • 박진아;성은옥
    • 한국사이코드라마학회지
    • /
    • 제21권2호
    • /
    • pp.1-12
    • /
    • 2018
  • 본 연구는 쉼터에 입소한 가정폭력 피해여성을 대상으로 사이코드라마를 시행하고 자존감, 안녕감, 불안, 우울에 미치는 효과를 확인하고자 하는 목적으로 시도되었다. 자료는 2015년 1월 4일부터 2월 26일까지 가정폭력 피해자 보호시설 입소자 7명을 대상으로 10회의 사이코드라마를 시행하였고, 사전-사후 설문을 통하여 수집하였다. 자료분석은 SPSS 22.0 프로그램을 사용하여 빈도, 백분율, 피어슨 상관계수, Wilcoxon의 부호 순위검정을 하였다. 그 결과 대상자의 자존감은 불안(r=-.866, p =.012), 우울(r=-.824, p =.023)과 음의 상관관계를, 불안은 우울(r=.778, p =.040)과 양의 상관관계를 나타냈으며, 사이코드라마 시행 전 후 자존감, 안녕감, 불안 우울은 통계적으로 유의한 차이를 나타내지 못했지만 자존감과 안녕감의 사후점수가 상승하였고, 불안과 우울의 사후점수는 감소했음을 확인할 수 있었다. 가정폭력피해여성의 자존감과 안녕감을 증진시키고 불안과 우울을 감소시키기 위해서는 여가 및 심리지원 프로그램의 적용 및 사이코드라마에 계속적인 참여를 위한 장기 지원프로그램이 필요하다.

A Discussion for Alteration of the Radiation Issues Based on the Clipping Analyses of Radiation Articles Reported in Korea

  • Kim, Joo Yeon;Youn, Dol Mi;Yoo, Ji Yup;Park, Tai Jin
    • Journal of Radiation Protection and Research
    • /
    • 제41권2호
    • /
    • pp.161-165
    • /
    • 2016
  • Background: Radiation accidents having occurred in recent containing the accident in Fukushima nuclear power plants of Japan were resulted to the increase in some public concern, anxiety and confusion for radiation or nuclear safety. The public anxiety for radiation is not being decreased though the announcements done in radiation research institutes in Korea. Therefore, this study aims at providing an effective system for radiation publicity to the public members by the clipping analysis for the radiation articles reported in the media. And, the relation between those radiation issues and the radiation perception to the public members is analyzed. Materials and Methods: The radiation articles reported by them in 2013 and 2014 have been collected, and they are then classified with the article characteristic, field and tendency. Classified articles have been reviewed by dividing as two year. The 210 articles have been compared for their tendencies, characteristics and fields by year reported, and their characteristic comparison by reported year are then reviewed. Results and Discussion: Though the frequency that the radiological accidents have occurred in worldwide is far low compared to the accidental frequencies occurred in the general industrial fields, the radiation perception is being still deteriorated because of its special problem, which is defined as exposure, contamination or radioactivity, about radiation. The basic principles for radiation communication were suggested for preventing some unnecessary misunderstanding due to the variation of understanding for radiation issues. Conclusion: It is necessary to perform a variety of strategies for the publicity in improving the radiation perception, to build a relationship with the press or the media and then to consistently interact with them. Radiation communication must be performed by radiation experts or complete charge department, and must be consistently performed and be taken predictable patterns.

정신증상 자가평가를 위한 스마트폰 어플리케이션의 활용 (Use of Mobile Mental Health Application for Self-Assessment of Psychiatric Symptoms)

  • 우정희;이상준;김은지;박종일;양종철;박태원;정상근
    • 대한불안의학회지
    • /
    • 제14권2호
    • /
    • pp.135-141
    • /
    • 2018
  • Objective : This study evaluated the role of smartphone application in the self-assessment of three psychiatric symptoms: stress, depression, and suicidal ideation. Methods : A total of 5,646 respondents were evaluated with three scales (Perceived Stress Scale, PSS, Center for Epidemiologic Study for Depression, CES-D, Scale for Suicidal Ideation, SSI) via smartphone application 'mindscan'. We analyzed the sociodemographic variables, the levels of three symptoms, and the association between the scores on all three scales. Results : The mean total scores of PSS, CES-D, and SSI were 24.86, 35.15, and 18.03, respectively. Women showed significantly higher scores on PSS, CES-D, and SSI when compared with men. Younger users showed a significantly higher score on all three scales when compared with older users. The scores on all three scales were higher than in other studies with off-line surveys. The PSS was positively correlated with CES-D (r=0.690), and with SSI (r=0.367). The CES-D was positively correlated with SSI (r=0.540). Conclusions : A smartphone application for mental health based on three scales (PSS, CES-D, and SSI) is a relatively useful screening tool compared with off-line general population surveys. The association between the three scales reflects the relationship between the three psychiatric symptoms observed in clinical practice.