• 한국융합학회논문지
• /
• 제11권12호
• /
• pp.261-274
• /
• 2020

트라우마 초점의 인터넷 기반 인지행동치료(internet-based cognitive-behavioral therapy with a trauma focus: iCBT-T)의 개발 및 효과 검증 연구가 서구에서 활발하게 진행되고 있는 것에 비해, 한국 사회에서는 관련 연구가 최근에야 시작되었다. 본 연구의 목적은 iCBT-T 프로그램 개발과 운영의 고려사항을 제안하는 것이다. 먼저, iCBT-T와 관련된 선행 연구를 고찰한 후, iCBT-T 프로그램을 개발하기 위해 정신건강 지식과 ICT 기술을 융합하는 모형을 제시하였다. 그런 다음, iCBT-T의 초점과 표적 집단, 개입의 유형(오픈 액세스 vs. 안내형), 회기 수, 윤리적 이슈, 전문적 지원 및 이용자의 참여를 포함한 실질적 고려사항을 다루고, iCBT-T에서 인터넷 매체의 한계를 보완하기 위한 방법들을 제안하였다. 트라우마 초점의 인지행동치료와 ICT 기술의 융합 모델이 트라우마 사건을 경험한 많은 이용자들의 정신건강의 향상에 기여할 수 있는 프로그램 개발을 촉진하기를 기대한다.

• 대한간호학회지
• /
• 제52권2호
• /
• pp.121-133
• /
• 2022

Purpose: This study examined the impact of a virtual reality intervention program based on psychological needs on behavioral and psychological symptoms, apathy, and quality of life (QOL) in patients with dementia or mild cognitive impairment living in nursing facilities. Methods: This study is nonequivalent control group pretest-posttest design of quasi-experimental study. The study collected data from November 18, 2020 to July 24, 2021 from patients with dementia or mild cognitive impairment (30 in the experimental group and 30 in the control group) at three nursing facilities in G city using self-reporting and caregiver-informant reporting methods. The analysis employed the chi-square test, Fisher's exact test, paired t-test, independent t-test, Wilcoxon signed rank test, Mann-Whitney U, repeated measures ANOVA, GEE, using SPSS/WIN 27.0. Results: The severity of behavioral and psychological symptoms (Wald 𝛘² = 2.68, p = .102) and the care burden of caregivers (Wald 𝛘² = 1.72, p = .190) were not significant and was no significant time and group interaction effect (Wald 𝛘² = 0.63, p = .426, Wald 𝛘² = 0.52, p =. 471). The difference in apathy and QOL score were statistically significant for the group-time interaction (F = 43.65, p < .001; F = 4.35, p = .041). Conclusion: The virtual reality intervention program of this study shows a positive effect on the apathy reduction and QOL of patients with dementia or mild cognitive impairment residing in nursing facilities.

• Journal of Yeungnam Medical Science
• /
• 제38권4호
• /
• pp.282-288
• /
• 2021

Medication alone is not sufficient to treat insomnia. In addition, the side effects of sleep medications themselves cannot be ignored during treatment. Insomnia begins with poor sleep quality and discomfort, but as it continues, patients fall into a vicious circle of insomnia with negative thoughts and dysfunctional and distorted perceptions related to sleep. Mindfulness-based intervention for insomnia corrects these sequential cognitive and behavioral processes. The mindfulness technique basically recognizes all the thoughts, feelings, and experiences that occur to us as they are, nonjudgmentally, and then trains them to return to the senses of our body. In this way, while noticing all the processes of the sequential vicious cycle and training them to return to our bodies (e.g., breathing), mindfulness determines whether we are really sleepy or just fatigued. This mindfulness-based intervention can be a useful nonpharmaceutical intervention for insomnia, and its stability and efficacy has been proven by many studies.

• Clinical and Experimental Pediatrics
• /
• 제65권1호
• /
• pp.10-20
• /
• 2022

The prevalence of developmental disabilities is increasing worldwide over time. Developmental issues in infancy or early childhood may cause learning difficulties or behavioral problem in school age, further adversely affecting adolescent quality of life, which finally lead to low socioeconomic status in family, increase in medical expenses, and other relevant issues in various ways. Early childhood has brain plasticity, which means there is a high chance of recovering from developmental issues by early detection and timely intervention. Pediatricians are placed an ideal position to meet with young children till 6 years of age, of which age range is the time applicable to early intervention. Determining child's developmental status can be made by 2 pathways such as developmental surveillance and developmental screening tests. For better results, pediatricians should update their knowledge about developmental issues, risk factors, and screening techniques through varying educational program or other relevant educating materials. This paper will update reports on the prevalence of developmental disabilities and review the recent results of the Korean developmental screening test and discuss relevant issues. Finally, it will be addressed the pediatrician's role in early detecting developmental issues and timely intervention.

• 성인간호학회지
• /
• 제24권3호
• /
• pp.219-231
• /
• 2012

Purpose: The purpose of this research was to develop and evaluate a distress nursing intervention for relieving psychosocial distress. Methods: We developed a twelve-week non-pharmacological distress nursing intervention to decrease distress. This intervention includes cognitive behavioral therapy, mindfulness based stress reduction, psychoeducation and supportive therapy. The participants were 27 gynecologic cancer patients who agreed to participate in this study, selected by convenience sampling (experimental group-17 and control group-10). The data collection period was performed from November, 8, 2010 to February, 1, 2011. Data were analyzed by using the SPSS/WIN 18.0 program. Results: There were no difference between the two groups distress score, distress problem and quality of life. The experimental group had significant higher IL-12 and IFN-${\gamma}$ and lower TGF-${\beta}$ between before and after the distress nursing intervention. Conclusion: The findings indicate that the distress nursing intervention was an effective intervention in improving immunologic function of gynecological cancer patients.

• 대한간호학회지
• /
• 제35권8호
• /
• pp.1451-1460
• /
• 2005

Purpose. The purpose of this study was to evaluate the premature infants' responses to infant massage (tactile and kinesthetic stimulation). These responses measured by weight, physiological (vagal tone, heart rate, oxygen saturation) and behavioral responses (behavioral states, motor activities, and behavioral distress). Methods. This study was conducted using an equivalent control pretest-posttest design. The sample was divided into two groups of 13 infants with gestational age less than 36 weeks at birth, birth weight less than 2000g, and no congenital anomalies. The experimental group received the massage intervention twice daily for 10 days. The data were collected for 10 minutes prior to and 10 minutes after the massage. Results. The vagal tone was significantly higher after massage than before massage in the experimental group, while no change in the control group. The experimental group had significantly higher scores for awake state and motor activity than the control group. Significantly greater awake state, more fidgeting or crying, and increased motor activity were reported after massage than before massage. Conclusions. The results of this study showed that massage therapy might enhance optimal physiological responses and behavioral organization of premature infants. Nursing staff in the NICU can use massage to promote the infant's capability to respond positively to his environment and to provide developmental support for healthy premature infants.

• 지역사회간호학회지
• /
• 제26권2호
• /
• pp.128-139
• /
• 2015

Purpose: The purpose of this study was to identify factors affecting health promotion behavior among workers with high risk of metabolic syndrome. This study was based on the planned behavior theory. Methods: The participants were 167 workers at high risk of metabolic syndrome. Data were collected using a structured questionnaire. Surveyed variables were attitude, subjective norm, perceived behavioral control, intention, and health promotion behavior. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN 22.0. Results: Perceived behavioral control affected the intention of health promotion behavior among the workers with high risk of metabolic syndrome. It explained 62% of variance in the intention of health promotion behavior (F=40.09, p<.001). Perceived behavioral control and occupation affected health promotion behavior among the risk workers with high risk of metabolic syndrome. The two factors explained 16% of variance in health promotion behavior (F=4.95, p<.001). Conclusion: The findings of this study suggest that perceived behavioral control is the only factor affecting health promotion behavior when the theory of planned behavior was applied. Therefore, intervention programs for improving health promotion behavior should be focused on strengthening perceived behavioral control.

• 초등상담연구
• /
• 제11권1호
• /
• pp.107-122
• /
• 2012

본 연구에서는 감사증진 프로그램이 아동의 학교적응과 생활만족 및 정서행동문제에 미치는 효과를 알아보고자 하였다. 초등학교 5학년 69명(실험집단: 34명, 통제집단: 35명)을 대상으로 감사증진 프로그램을 적용하였으며, 프로그램 실시 전후에 학교적응, 생활만족도, 정서행동문제를 측정하였다. 사전검사를 공변인으로 공변량분석한 결과 감사증진 프로그램은 초등학생의 학교적응과 생활만족도를 향상시키는 데 효과적이었으며 정서행동문제 감소에는 의미있는 효과가 없었다. 연구를 통해 초등학생의 심리적 건강과 적응을 돕기 위하여 예방 및 발달적 차원에서 감사증진 프로그램을 활용하고 감사교육을 보편화하여 실시할 필요성을 제안하였다.

• 대한간호학회지
• /
• 제28권3호
• /
• pp.550-562
• /
• 1998

The purpose of this study was to test the Theory of Planned Behavior in the prediction of contraceptive behavior among married women. This study used a descriptive correlational design to examine the relationships among the study variables. Eighty married women in Seoul and Kyungki-do participated in this study, Research instruments used were the tool for measuring TPB variables search as attitude toward contraception, subjective norm, perceived behavioral control, and intention ; and the tool for measuring contraceptive behavior. The former was modified by the researcher according to Ajzen & Fishbein(1980)'s guidelines for tool development and Jee (1993)'s tool. The latter was developed by the researcher Data was collected from July 20, 1996 to October 25, 1996. The results are as follows ; The three factors, attitude, subjective norm and perceived behavioral control of contraception can explain 30% of the variance in contraceptive intention. Inspection of path coefficient for each of the three predictor variables revealed that subjective norm and perceived behavioral control were the predictor variables on intention, while attitude was not. ; and intention and percevied behavioral control factors can explain 42% of the variance in contraceptive behavior. Inspection of path coefficient for each of the two predictor variables revealed that intention and perceived behavioral control were the predictor variables on behavior. In conclusion, this study identified that Theory of Planned Behavior was a useful model in the prediction of contraceptive behavior, and the contraceptive service program based on the TPB variables would be an effective nursing intervention for the change in contraceptive behavior.

• 대한간호학회지
• /
• 제37권1호
• /
• pp.125-134
• /
• 2007

Purpose: The study aimed to identify the effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Method: This was a quasi-experimental study with a non-equivalent control group non-synchronized design. Subjects were 29 primiparas selected from a postpartum care center in D and P hospitals in Ulsan. The intervention was a newborn care education program which was composed of education with a booklet, demonstration, watching a video, and verbal encouragement. The outcome variables were newborn care confidence and behavioral accuracy. Data was collected from Feb. 1 to Mar 22 in 2005 with self-administered questionnaires and observation by researchers. Data was analyzed using the $X^2-test$, Fisher's exact test, t-test and ANCOVA. Result: The experimental group showed significantly higher score changes between the pre-test and post-test in confidence and behavioral accuracy than the control group. Conclusion: The newborn care education program showed positive effects on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Therefore, we recommend that this program should be applied in postpartum care centers.