• 제목/요약/키워드: Behavioral intervention

검색결과 495건 처리시간 0.024초

조현병 환자의 내재화된 낙인 감소를 위한 인지행동 프로그램 개발 및 효과검증 (Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia)

  • 김미영;전성숙
    • 대한간호학회지
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    • 제46권3호
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    • pp.349-363
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    • 2016
  • Purpose: This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness. Methods: The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group =32, control group =32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using ${\chi}^2-test$, t-test, repeated measures ANOVA with the SPSS program. Results: Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group. Conclusion: Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

여고생의 우울에 영향을 주는 요인에 관한 연구 (The Study on Predictors of Depression for Korean Female Adolescents)

  • 박현숙;구현영;장은희
    • 대한간호학회지
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    • 제37권5호
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    • pp.715-723
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    • 2007
  • Purpose: The purposes of this study were 1) to compare the contribution of demographic-behavioral variables and psychological variables in explaining the variance of depression, 2) identify the most important predictors of depression for Korean female adolescents. Method: The participants were 840 female adolescents. Data was collected through self-report questionnaires, which were constructed to include demographic-behavioral factors, self-esteem, hostility, hopelessness, and depression. Data was analyzed using the SPSS program. Result: Female adolescents' demographic-behavioral variables explained 17% of the variance in depression, and perceived physical health status, history of physical abuse, smoking, satisfaction of body weight, parental alcohol abuse, parental divorce, and history of suicidal attempt were the significant predictors of depression for female adolescents. Psychological variables explained 50% of the variance in depression, and self-esteem, hostility, and hopelessness were the significant predictors of depression for female adolescents. The significant predictors of depression among female adolescents' demographic-behavioral variables and psychological variables were self-esteem, hostility, hopelessness, perceived physical health status, parental alcohol problem, and history of physical abuse, explaining 52% of the variance in depression. Conclusion: In order to reduce depression in female adolescents, it is necessary to design an intervention program that emphasizes improving self-esteem while reducing hostility and hopelessness.

주의력결핍 과잉행동 아동의 부주의와 충동성 감소를 위한 인지중재 집단프로그램의 효과 (Effects of the Cognitive Intervention Program on the Inattentive and Impulsive Behaviors of Children with ADHD)

  • 이명희;강문희
    • 아동학회지
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    • 제29권6호
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    • pp.87-103
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    • 2008
  • The purpose of this study was to develop an intervention program for decreasing inattentive and impulsive behaviors of children with Attention-Deficit/Hyperactive Disorder (ADHD) by combining cognitive training and cognitive-behavioral therapy. Subjects were 22 children who were classified as ADHD. Eleven children among the 22 were placed randomly in the experimental group; the remaining 11 children were placed in the control group. The effectiveness of the program was analyzed by ANCOVA after controlling for effects of pre-tests on criterion variables. Results of the present study showed that the cognitive intervention program was significantly effective for improving attention span and decreasing impulsivity of children with ADHD.

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The promotion of mental health and the prevention of mental health problems in child and adolescent

  • Cho, Sun Mi;Shin, Yun Mi
    • Clinical and Experimental Pediatrics
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    • 제56권11호
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    • pp.459-464
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    • 2013
  • Improving mental health and reducing the burden of mental illness are complementary strategies which, along with the treatment and rehabilitation of people with mental disorders, significantly improve population health and well-being. A Institute of Medicine report describes a range of interventions for mental disorders that included treatment and maintenance, reserving the term "prevention" for efforts that occur before onset of a diagnosable disorder. Mental health problems affect 10-20% of children and adolescents worldwide. Despite their relevance as a leading cause of health-related disability and their long lasting consequences, the mental health needs of children and adolescents are neglected. Early intervention can help reduce the significant impacts that children and adolescents with serious mental health problems may experience. Screening is the first step in early intervention, recognizing emotional and behavioral problems and providing help at an early stage. It is essential to implement early intervention in a sensitive and ethical manner to avoid any of the negative outcomes.

정형외과 간호단위에 적용되는 간호중재 분석 (Analysis of Nursing Interventions used in Orthopedic Nursing Unit)

  • 김혜숙;최순희
    • 기본간호학회지
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    • 제13권1호
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    • pp.33-41
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    • 2006
  • Purpose: This study was done to identify the Domains, Classes, labels and nursing activities of nursing interventions used with 117 patients who were admitted to orthopedic nursing units. Method: Data were collected in January and February, 2004 using a computerized nursing process program that contained nursing diagnosis-outcome-intervention (NNN) linkages. The program was developed by the researcher. Frequencies and percentages were used in the analysis. Results: Sixty-five nursing intervention labels were identified. The Domains of the nursing interventions showed higher percentages for 'physiological: basic' (75.9%), 'physiological: complex' (12.9%), 'behavioral'(7.8%) 'family'(1.3%), and 'safety'(1.1%). The Classes of nursing interventions showed higher percentages for 'activity and exercise management'(30.8%), 'physical comfort promotion'(19.3%), 'immobility management'(14.5%), 'drug management'(8.1%), and 'coping assistance'(5.6%). Nursing intervention labels showed higher percentages for 'pain management'(14.7%), 'body mechanics promotion'(8.0%), 'exercise therapy : ambulation'(7.2%), 'splinting'(5.4%), and 'positioning'(5.1%). In the comparison of numbers between performed nursing activities and nursing activities of NIC according to nursing intervention label, the mean of combined rate was 52.3%. Conclusion: These findings will help in building of a standardized language for orthopedic nursing units and enhance the quality of nursing care.

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스마트폰을 이용한 개별화된 관심전환 중재가 수술 전 환아의 불안에 미치는 영향 (Effects of a Smart Phone Individualized Distraction Intervention on Anxiety in Pre-Op Pediatric Patients)

  • 이경아;권미경;김혜원;임지은;표창옥;박찬숙
    • Child Health Nursing Research
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    • 제21권2호
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    • pp.168-175
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    • 2015
  • Purpose: The purpose of this study was to identify whether individualized distraction intervention using a smart phone affected pre-op anxiety of children. Methods: This was a nonequivalent control group pre-post test quasi-experimental design. The participants were 30 children in the experimental group and 30 in the control group. In experimental group, a smart phone individualized distraction intervention was given to children from the reception area to the operation room. Results: For heart rate, there were no statistically significant differences between the experimental group and control group. In the behavioral anxiety response, there were statistically significant differences between the experimental group and control group (t=-3.11, p=.003). Conclusion: The finding suggest that, for pre-op children, the individualized distraction intervention using a smart phone had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to relieve pre-op anxiety and improve health of children in their care.

ADHD 아동에 대한 놀이치료적 중재논문 고찰 (Literature Review of Play Therapy Intervention for Children with ADHD)

  • 최진아
    • 대한가정학회지
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    • 제50권5호
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    • pp.125-138
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    • 2012
  • The purpose of this study was to analyze the research literature on play therapy intervention for children with ADHD. Thirty-nine studies, conducted from 1995 to 2010, were analyzed. The results of the literature review are as follows: The most commonly studied subjects were elementary school children in grades 1-3. The most common subject selection method was to select ADHD tendency children. The most typical intervention setting used was a counseling center. The most frequent intervention was 11-15 sessions of group counseling. Pre-post experimental-control research designs were the most commonly used. In the analyzed studies, play therapy-game play therapy, CBPT, CCPT, sand play therapy, and theraplay- was used for ADHD children. The studies found that game play therapy and cognitive-behavior play therapy are effective for improving ADHD children's attention, impulsiveness, and self-control. The major game play therapy activities used were dart games, "Simon says" games, fishing games, dominoes, Jenga, Beat the Clock, the board game "Stop," and "Ice, break., ice, break." Based on these findings, this article presents implications and discussion for play therapy intervention for ADHD children.

Developing Health Education Programs for Health Promotion: Development of a Training Guide on Prevention of Smoking and Excessive Drinking

  • Bae, Kyung-Hee;Nam, Jung-Ja
    • Korean Journal of Health Education and Promotion
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    • 제3권1호
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    • pp.55-70
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    • 2001
  • Background: Alcohol and tobacco use are two major behavioral risk factors implicated in increased morbidity and mortality. Since both substances are widely used in Korea, a concerted effort is currently underway to reduce the use of tobacco and alcohol in Korea. Objectives: Efforts directed toward preparing health promotion planners and health educators from local health departments to organize and implement community-wide interventions to reduce the proportion of people smoking and reduce the average level of alcohol consumption in the community. Methods: Comprehensive multi-media health promotion materials were developed based on health behavior theories and strategies. The materials were developed to introduce a user-oriented developmental approach by making messages more persuasive and organizing content in a user-friendly manner. Health educators from all local health departments in the country were trained in the use of the materials, to enable them to develop community interventions to reduce smoking and drinking. Implications for Practitioners: The process followed in developing the health intervention materials is described in detail to assist practitioners who need to develop effective programs to reduce the use of tobacco and alcohol. Sections of the report explain health intervention theories, specific program activities to include in an intervention, development, organization, evaluation, choosing a target audience, choosing goals of an intervention, and methods of making program content vivid and persuasive.

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학령기 과체중, 비만 아동 중재에 관한 통합적 문헌고찰 (An Integrative Literature Review of Interventions for School-aged Overweight and Obese Children)

  • 조주현;장상윤;금다정;임지희;김정은
    • Perspectives in Nursing Science
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    • 제16권2호
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    • pp.75-83
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    • 2019
  • Purpose: This study aimed to identify the characteristics of an intervention program for school-aged overweight and obese children through an integrated literature review. Methods: We used five databases (MEDLINE [PubMed], CINAHL, Embase, DBpia, and RISS) to search for studies published between January 1, 2013, and April 18, 2018. The studies were reviewed according to specific inclusion and exclusion criteria. Results: Finally, nine studies were selected and classified into three types: school-based, community-based, and home-based. Specific intervention methods were identified, including exercise, diet, exercise and diet, and cognitive behavioral therapy. Conclusion: Most studies have shown the effectiveness of obesity intervention programs. However, the variables, tools, and methods of measuring the effectiveness of intervention varied, making it difficult to compare the intervention studies. Therefore, future studies should develop objective and integrated measurement tools and evaluate the effects with long-term follow-up.

임신여성의 환경적 건강행위 중재: 주제범위 고찰 (Intervention of Environmental Health Behavior for Pregnant Women: A Scoping Review)

  • 김현경;고은정
    • 문화기술의 융합
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    • 제8권5호
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    • pp.321-327
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    • 2022
  • 본 연구는 임신여성의 환경적 건강행위 중재 연구를 주제범위 고찰 방법으로 탐색하여, 추출된 문헌들로부터 중재 방법, 연구 주제, 결과 변수, 효과성의 근거합성을 하였다. PubMed, Cochrane Library, RISS의 데이터 베이스로부터 8편의 연구가 추출되었고, 임신여성에게 미세먼지, 중금속, 화학물질, 전자파의 노출을 줄일 수 있는 영양중재, 행동 중재가 만화, 웍샵, 인터뷰, 메시지, 가정방문을 통하여 이루어졌다. 중재의 효과는 임신여성의 건강행위 증진, 주거환경의 문제해결로 나타나, 임신여성에 대한 환경적 건강행위 중재가 효과적이었음을 파악할 수 있었다.