• Title/Summary/Keyword: Clinical anxiety

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Stress in before clinical practice, anxiety, ego resilience of nursing students (간호대학생의 임상실습 전 스트레스, 불안, 자아탄력성)

  • JANG, Hyun-Jung;Jeong, Ga-Yeon
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.1
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    • pp.131-140
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    • 2018
  • This study is a descriptive research study for analyzing the relevance among stress, anxiety, and ego-resilience in nursing college students before clinical practice. The survey was conducted targeting the second-year students in a K college who were anticipating their first clinical practice. The survey result showed that female students showed higher stress levels than male students (t=-5.51, p<.001) before clinical practice. Female students also showed higher anxiety levels than male students (t=-3.30, p=.001) before clinical practice. The students showed higher anxiety levels before clinical practice as they felt more strongly that they were in bad health (F=3.27, p=.041), as their personality was less outgoing (t=-3.32, p=.001), and as they had a lower satisfaction level in their major (F=7.25, p=.001). The students showed higher ego-resilience levels before clinical practice as they felt more strongly that they were in good health (F=3.74, p=.026) and as their personality was more outgoing (F=3.19, p=.002). The stress and anxiety levels before clinical practice also had a positive correlation (r=.211, p=.010) and the ego-resilience and anxiety before clinical practice had a negative correlation (r=-.313, p<.001). Based on the finding, it is necessary to develop the competence improvement program that can reduce the anxiety of nursing college students before clinical practice in order to improve their ego-resilience.

Effects of Clinical Training on Stress, Anxiety and Changes in Autonomic Nervous System in Nursing Students (임상실습이 간호학생의 스트레스, 불안 및 자율신경계 변화에 미치는 영향)

  • Kim, Jin-Il;Lee, Jeong-Soon
    • Journal of Korean Biological Nursing Science
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    • v.13 no.2
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    • pp.102-108
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of first clinical training on stress, anxiety and changes in autonomic nervous system in nursing students. Methods: Seventy-four nursing students were assigned to the experimental group (n=36) that had two weeks of clinical training, and the control group (n=38) that had only two weeks of regular classes. Perceived stress, state anxiety and heart rate variability (HRV) were measured at the beginning and end of the experiment. Results: Perceived stress in the experimental group was significantly higher than in the control group. However, State anxiety was not significantly different between the two groups. All indices of HRV except LF/HF ratio were significantly different between the two groups. LF norm in the experimental group was significantly higher than in the control group, and HF norm in the experimental group was significantly lower than in the control group. Conclusion: Based on these results, it can be suggested that clinical training increases the perceived stress and affects the changes in autonomic nervous system in nursing students.

Anxiety and fatigue related to dental practices of dental hygiene students (치위생과 학생들의 임상실습관련 불안과 피로 조사)

  • Lee, Hyang-Nim;Kim, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.2
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    • pp.131-137
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    • 2014
  • Objectives : The aim of the study is to investigate anxiety, fatigue and stress of dental hygiene students in clinical practice and to improve the psychological support program. Methods : A self-reported questionnaire was filled out by 428 dental hygiene students in 4 universities in Gwagju and Jeonnam. Data were analyzed for anxiety, stress and fatigue, general characteristics using SPSS 18.0 program for descriptive statistics, ANOVA, and correlation. Results : Saliva suction showed the most high score in treatment($mean{\pm}SD=2.92{\pm}1.13$) and was followed by children dental care($2.79{\pm}1.21$), preventive dental care($2.38{\pm}1.04$), maxillofacial radiology($2.35{\pm}1.15$). During the clinical practice, students felt uneasy when they stayed in relative home(p<0.05). Poor interpersonal relation(p<0.001), poor health condition(p<0.01), low satisfaction with major(p<0.01), the other cause of major choice(p<0.01) influenced on their stress. Satisfaction with major was closely related to clinical practice performance, anxiety, physical fatigue and mental fatigue. Conclusions : In order to reduce physical, mental, neuro sensory fatigue of students in clinical practice, it is recommended to reinforce the patient care etiquettes in curricula.

Effect of Aromatherapy on Anxiety and Fatigue in Students Nurses Experiencing their First Clinical Practice (아로마테라피가 첫 임상실습을 경험하는 간호학생의 불안과 피로에 미치는 영향)

  • Kang Ji-Yeon;Kim Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.2
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    • pp.226-236
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    • 2002
  • Purpose: The purpose of this study was to investigate the effects of aromatherapy on the level of anxiety and fatigue in student nurses who were undergoing their first clinical practice. Method: A non-equivalent. control group. pretest-posttest design was used. A convenience sample of 42 student nurses were selected. They were assigned to experimental and control groups. The aromatherapy using lavender, geranium and camomile was given to the experimental group for four consecutive days while the control group only rested. Result: 1. Anxiety scores for the experimental group were significantly lower than those of the control group on the $2^{nd},\;3^{rd}$ and $4^{th}$ days of clinical practice. 2. Fatigue scores for the experimental group were significantly lower than those of the control group on the $2^{nd},\;3^{rd}$ and $4^{th}$ day of clinical practice. Conclusion: The results support the conclusion that aromatherapy using selected essential oils is an effective intervention for relieving anxiety and fatigue in student nurses experiencing their first clinical practice. However differences between aromatherapy and massage were not clear. Further investigation needs to be done.

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The Effects of Aroma Inhalation on Nursing Students' Stress Response and Anxiety before Their First Clinical Practice (향기 흡입법이 간호 대학생의 첫 임상 실습 전 불안과 스트레스 반응에 미치는 효과)

  • Lee, Hea-Sook
    • Research in Community and Public Health Nursing
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    • v.19 no.1
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    • pp.112-119
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    • 2008
  • Purpose: The purpose of this study was to verify the effect of aroma inhalation on nursing students stress responses and anxiety before their first clinical practice. Method: Data were collected during the period from March 5 to March 10, 2007 at K College in a province. There were seventy eight subjects, 35 for the experimental group and 38 for the control group. Aroma oils used were lavender, peppermint and rosemary. Before and after the treatment, the severity of stress and anxiety were evaluated by VAS and a questionnaire. Data were analyzed by descriptive statistics, t-test and $\chi^2$-test with the SPSS program. Result: The score of subjective stress (VAS) decreased significantly after aroma inhalation(p=.000), but status anxiety was not significantly different between the two groups (p=.649). Conclusion: Aroma inhalation can be a useful intervention to reduce nursing student's stress before their first clinical practice.

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A Review on Clinical Research Trends in the Treatment of Tai Chi on Anxiety (불안에 대한 태극권 치료의 해외 임상연구 동향)

  • Kim, Ju-Young;Hong, Min-Ho;Koo, Byung-Su;Kim, Geun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.3
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    • pp.275-285
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    • 2019
  • Objectives: This study was performed to review the research trends in the treatment of Tai Chi on anxiety. Methods: We searched for articles in Pubmed and China National Knowledge Infrastructure (CNKI) from January 2009 to December 2018. The selected studies were evaluated by Jadad Scale. Results: One pre-post comparison study and seven controlled clinical trials were selected. HAMA (Hamilton Rating Scale for Anxiety) and STAI (State Anxiety Inventory) were the most frequently used diagnostic criteria. For outcome measurement, STAI was again the most commo. From Jadad Quality Assessment Scale of 8 articles, the overall quality of the studies was low. Conclusions: According to this study, it seemed that Tai Chi treatment on anxiety disorder is an effective and safe intervention. Therefore, based on this study, more clinical research on diverse forms of treatments of anxiety disorder should be performed in Korean medicine in the near future.

Relationship of Anxiety, Empathy, Ego-resilience and Clinical Competency in Nursing Students (간호대학생의 불안, 공감능력, 자아탄력성과 임상수행능력과의 관계)

  • Kim, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.326-337
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    • 2018
  • The purpose of this study was to investigate the levels of anxiety, empathy, ego-resilience, and clinical competency of nursing students, and to examine the relationship of the variables. The participants were 197 nursing students. Data were collected from December 3 to 15, 2017 by taking a survey and analyzed with SPSS WIN 19.0 program(SPSS Inc., Chicago, IL, USA). The results of this study were as follows: The mean score of anxiety was $2.16{\pm}.51$, empathy was $3.51{\pm}.36$, ego-resilience was $2.83{\pm}.44$, and clinical competency was $3.65{\pm}.48$. There was significant differences in clinical competency by satisfaction with major, satisfaction with clinical practice. There were a negative correlation between clinical competency and anxiety(r=-.37, p<.001), a positive correlation between clinical competency and empathy(r=.34, p<.001) and a positive correlation between clinical competency and ego-resilience(r=.49, p<.001). Variables such as ego-resilience, empathy, anxiety, satisfaction with major and satisfaction with clinical practice explained 35.6% of variance in clinical competency. According to these result, there is a need to develop interventions and programs to increase the ego-resilience and empathy and to reduce the anxiety for improving clinical competency in nursing students.

Recognition of Anxiety Disorders in Depressed Patients (우울증 환자들에서 불안장애의 인지)

  • Kim, Jung-Bum;Jung, Sung-Won
    • Anxiety and mood
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    • v.3 no.1
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    • pp.15-19
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    • 2007
  • Substantial rates of comorbid anxiety disorders have been found using structured research diagnostic interviews in depressed outpatients. Comorbid anxiety disorders is underrecognized in routine clinical settings, in which clinicians usually use unstructured diagnostic interviews. Recognition of comorbid conditions such as anxiety disorders in patients seeking treatment for depression is clinically important because the presence of these disorders might influence selection of treatment options or predict the chronicity of the depression. A reliable and valid self-report screening questionnaire, such as the Psychiatric Diagnostic Screening Questionnaire (PDSQ), would potentially enhance usual clinical practice as a useful diagnostic aid.

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The Recent Trends of Clinical Research on General Anxiety Disorder in Chinese Herbal Medicine (범불안장애의 중의학 약물 임상시험 최신 동향)

  • No, Dong-Jin;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.4
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    • pp.79-89
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    • 2009
  • Objectives : To address suitable method for designing clinical trial intervening Traditional Korean Herbal Medicine on General anxiety disorder through the recent clinical research in Chinese Herbal Medicine. Methods : Randomized, controlled trials(RCTs) of treatment of general anxiety disorder intervening herbal medicine were searched through CNKI databases. We examined several item of studies and evaluated using Jadad scale. We searched articles in CNKI with the key word "General anxiety disorder or 廣範性焦慮症", among them we selected the clinical trial studies related with herbal medicine except for case reports, studies of acupuncture therapy or west medicines. Results : 11 RCT studies of herbal medicine met inclusion criteria. The Studies used CCMD-3, HAMA as inclusion tool and mainly HAMA as a evaluation tool. Studies were progressed for 2-8 weeks, mostly used various positive control. Experiment medicine were mainly 理氣劑, 安神劑. In most studies, experiment group made similar or higher efficacy in comparison with control group. Mean Jadad score of studies was $1.3{\pm}0.67$, and only one study was double-blinded among 11 studies. Conclusions : RCT studies on general anxiety disorder of chinese herbal medicine tend to focus on investigating effect of herbal medicine through setting positive control group with CCMD-3 and HAMA. But, most studies had low quality of trial, for lack of pattern identification, evaluation and inclusion tool of chinese medicine. Clinical trials of general anxiety disorder should provide good quality by randomization, double-blinding, and multi-site trial.

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