• 한국콘텐츠학회논문지
• /
• 제19권4호
• /
• pp.293-302
• /
• 2019

본 연구의 목적은 간호대학생이 임상실습 중 간호사로부터 경험하는 무례함, 대인불안이 임상실습 감정노동에 미치는 영향을 파악하기 위함이다. 자료 수집은 경기도, 충청도 소재의 대학에 재학 중인 간호대학생 161명을 대상으로, 2018년 11월 19일부터 12월 15일까지 자가 보고식 설문조사로 시행되었다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson correlation coefficient, stepwise regression로 분석하였다. 연구결과, 간호사로부터 경험하는 무례함은 대인불안, 감정노동과 양의 상관관계를 보였으며, 대인불안은 감정노동과 양의 상관관계가 나타났다. 대상자가 간호사로부터 경험하는 무례함, 대인불안이 임상실습 감정노동에 영향을 주는 요인으로 확인되었으며, 간호대학생의 감정노동에 대해 약 21.9%의 설명력을 나타냈다. 본 연구결과는 간호대학생이 간호사로부터 경험하는 무례함과 대인불안이 임상실습 감정노동 감소를 위해 고려해야 할 주요한 요인임을 제시하였다. 그러므로 실습현장에서의 무례함 문제에 대한 효율적인 관리 및 대처방안과 대인불안을 감소시키기 위한 전략개발이 필요할 것으로 사료된다.

• Journal of Hospice and Palliative Care
• /
• 제26권4호
• /
• pp.160-170
• /
• 2023

Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

• 산업융합연구
• /
• 제21권12호
• /
• pp.113-122
• /
• 2023

연구의 목적은 간호대학생의 첫 임상실습 전 의사소통능력과 대인관계 불안이 자아존중감에 미치는 영향을 파악하고자 시도되었다. 연구는 첫 임상실습 전 3학년을 대상으로 2023년 5월 15일부터 20일까지 설문조사하였다. 자료는 SPSS/WIN 26.0 프로그램을 이용하여 기술통계,t-test, ANOVA, Pearson's correlation cofficient, Multiple regression으로 분석하였다. 연구결과 자아존중감은 의사소통능력과 정적 상관관계(r=.564, p<.001), 대인관계 불안과 부적 상관관계(r=-.590, p<.001)로 나타났으며 의사소통능력과 대인관계 불안도 부적 상관관계(r=-.515, p<.001)로 나타났다. 자아존중감에 미치는 영향은 대인관계 불안(𝛽=-.41). 의사소통능력(𝛽=.35)순으로 나타났다. 결론적으로 의사소통능력이 높고 대인관계 불안이 낮을수록 자아존중감에 영향을 주는 것으로 나타났다. 따라서 향후 학년별, 단계별 의사소통 역량 강화와 대인관계를 넓히고 불안을 감소시킬 수 있는 개인적 특성을 고려한 프로그램 개발과 이를 교육과정에 적용하는 것이 중요할 것으로 생각된다.

• 동의신경정신과학회지
• /
• 제16권2호
• /
• pp.309-315
• /
• 2005

This study is designed to evaluate the effects of an oriental medicine therapy, namely insooksan(仁熟散), on anxiety disorders. The clinical data was analyzed on a patient with anxiety disorders due to Simdamheagub(心膽虛技) whose main symptoms were anxiety, dysarthria, tremor of hands. The patient was admitted at the Oriental Neuropsychiatry Department of DaeGu Hanny University DaeGu Oriental Medicine Hospital on May 25, 2005, and was treated with herbal medicine(insooksan), acupuncture. After treatment, the patient's main symptoms were disappeared and secondary symptoms were improved. This study suggests that Insooksan(仁熟散) is significantly effective in treatment of Anxiety disorders due to Simdamheagub(心膽虛怯).

• 생물정신의학
• /
• 제19권1호
• /
• pp.9-16
• /
• 2012

This article aimed to describe typical event-related potentials (ERP) components of emotional processing in patients with anxiety disorder and highly anxious individuals. ERP components associated with emotional processing could be broadly divided into three components with short, middle and long, respectively. Many studies show that patients with anxiety disorders are characterized by different emotional bias to specific stimuli and more sensitive to emotional stimuli than normal individuals. In addition, these emotional biases were stronger and quicker in patients with anxiety disorder than normal individuals. Some studies reported that anxious people show abnormality at the initial stage (e.g. P1) of emotional processing. However, other studies reported the abnormality at the late stage (e.g. LPP) or wholeness of emotional processing in anxious individuals. We summarized the updated finding of possible ERP components of emotional processing in patients with anxiety disorder and highly anxious individuals. The significance and clinical implication were discussed.

• 한국산학기술학회논문지
• /
• 제13권2호
• /
• pp.554-561
• /
• 2012

본 연구는 임상실습 시 스트레스에 따른 불안, 분노, 피로정도를 알아보고 이들 간의 공통적인 주제를 모색하여 이들 간의 상관관계를 분석하여 효율적인 임상실습을 도모하기 위한 기초자료를 제공하기 위한 것이다. 연구대상은 T종합병원에서 임상실습을 하는 간호학생 197명으로 수집된 자료는 SPSS Win 17.0 프로그램을 이용하여 t-test, ANOVA, pearson's correlation coefficient로 분석하였다. 결과적으로 임상실습 스트레스 정도는 평균3.82점, 불안은 평균 48.82점, 분노는 평균 1.17점, 피로는 평균 30.96점으로 나타났으며 불안 정도와 통계적으로 유의한 차이를 보이는 임상실습 스트레스 요인은 집담회, 수업과 실습, 임상실습만족도로 나타났다. 분노 정도와 유의한 차이를 보이는 임상실습 스트레스 요인은 과제물, 수업과 실습, 오리엔테이션, 간호사, 실습환경이며, 피로와 유의한 차이를 보이는 임상실습 스트레스 요인은 집담회, 오리엔테이션, 실습환경, 환자로 나타났다. 결론적으로 임상실습 스트레스와 불안, 분노, 피로정도, 분노와 피로 정도는 유의한 상관관계로 나타났으며 불안과 분노 정도는 유의한 상관관계를 보이지 않았다.

• 한국간호교육학회지
• /
• 제7권1호
• /
• pp.54-67
• /
• 2001

This study was tried to investigate the effectiveness of assertive training on the state anxiety and assertive behavior which nursing students had experienced during clinical practice training from April 29, to June 5, 2000. Subjects for this study were thirty-six nursing students of practicing in a general hospital. Eighteen nursing students were assigned for the experimental group and trained by assertive training program during 4 weeks and eighteen nursing students were assigned for the control group. The assertive training program was composed of cognitive, behavioral and emotional assertive training. Post- test assessment was administrated to all subjects on a week later after the last session. The data were analyzed with SPSS PC programs. The results of this study were summarized as follows: 1) There were no significant differences between the experimental group and the control group on post- intervention comparisons of the state anxiety score (p=0.230), but in the experimental group, the anxiety score more decreased after the assertive training than that in the control group with significant differences(p=0.019). 2) There were no significant differences between the experimental group and the control group on post- intervention comparisons of assertive behavior (p=0.530). However, after the assertive training, the experimental group became more assertive than the control group with no significant differences(p=0.721). 3) The hypothesis that the more the assertive behavior, the less the state anxiety experienced by nursing students of clinical practice training was supported(r=-0.397, p=0.017). On the basis of this study results, the assertive training is effective for the reduction of the state anxiety experienced by nursing students of clinical practice training.

• 동의신경정신과학회지
• /
• 제20권4호
• /
• pp.137-148
• /
• 2009

Objectives : The purpose of this study is to review the recent trends in the clinical trial studies that have been published since 2004. Methods : We reviewed the Medline & Pubmedcentral databases by using searching word of "acupuncture". Then 20 articles were selected within total 803 articles. In oriental medicine journals in Korea, we investigated 6 journals represented Korean Oriental medicine and chose 13 articles. Results & Conclusions : 1. We found 33 articles in journals. 2. The patterns of study were as follows: Randomized Controlled Trials(18), Single case series clinical study(9), Case-Control clinical study(4), Randomized crossover Trial(1) and Prospective Clinical analysis(1). 3. The fields of study were as follows: Combined anxiety, depression & other psychiatic symptoms(18), Stress & heart rate variablity(5), The single study of anxiety(5), The single study of depression(3), Stress & pupil variablity(1), Stress and heart rate & pupil variablity(1). 4. The methods of acupuncture were as follows: Acupuncture on points of 14 meridians(24), Auricular acupuncture(3), Electro acupuncture(2) and Both Auricular & Electro acupuncture(1). 5. Stomach meridian(足陽明胃經) and ST36(足三里) were used mostly.

• 대한치과마취과학회지
• /
• 제5권1호
• /
• pp.6-14
• /
• 2005

Chronic periodontitis is one of the most common diseases in clinical dentistry, which requires various surgical interventions to treat the moderately to severely destructed supporting periodontium. Most patients have anxiety and fear to these surgical procedures and dentists often have problems dealing with these patients. By applying the conscious sedation technique in outpatient units, periodontists have become able to manage their patients successfully with less anxiety or fear. Also, we have experienced the increased level of patients' satisfaction. Generally, periodontal treatments are time consuming procedures and patients are usually reluctant to the periodontal instruments. This study is focused on the sedation procedure with intravenous midazolam infusion performed in Department of Periodontology of Ewha Womans University Hospital. Using questionnaires, we evaluated 80 randomly selected patients for the anxiolytic effect of intravenous midazolam. Anxiety control using IV sedation was very helpful in performing various periodontal reconstructive and advanced surgical procedures in implant dentistry.

• 우울조울병
• /
• 제9권1호
• /
• pp.30-36
• /
• 2011

Purpose : Anxiety disorder and depressive disorder are often comorbid with each other, and the comorbidity is associated with poorer psychiatric outcome, resistance to treatment, increased risk for suicide, greater chance for recurrence. We aimed to investigate the comorbidity of anxiety disorder in Korea. Method : Subjects were total of 867 depressed patients recruited CRESCEND-K multicenter trial. We used SCID (Structured Clinical Interview for DSM - IV) to find comorbidity of anxiety disorders in depressed patient. Results : Of 867 patients, total 8.2% had anxiety disorder. Proportion of anxiety disorder Not Otherwise Specified was 3.5%, panic disorder was 1.7%, generalized anxiety disorder was 1.1%, post traumatic stress disorder was 0.9%, obsessive compulsive disorder was 0.6%, social phobia was 0.4%. Conclusion : In this study, anxiety disorder in depression were measured at a low comorbidity rate in compare to previous studies. Selection bias, use of antidepressants at registration, severity of depression symptoms, and point of SICD administration seems to have affected these results. It is probable that comorbidity evaluation would be more precise if shorter, structured interviews such as M. I.N.I.-Plus were used during first clinical interview for depression diagnosis.