• 생물정신의학
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• 제23권4호
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• pp.130-139
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• 2016

Objectives The objective of this study is to investigate differences of clinical characteristics between a healthy female control group and female panic disorder (PD) patients with early sexual abuse history (PD+S) and without early sexual abuse history (PD-S). Methods We examined data from 83 patients diagnosed with PD and 20 healthy control subjects. We divided the patients with PD into PD+S (32 patients) and PD-S (51 patients) to compare demographic and clinical characteristics. The following instruments were applied: the Stress coping strategies, the Beck Depression Inventory (BDI), the Panic Disorder Severity Scale, the Anxiety Sensitivity Index-Revised (ASI-R), the Albany Panic and Phobia Questionnaire (APPQ) and the NEO-neuroticism. Results Compared to the PD-S, the PD+S group showed higher scores in neuroticism and the APPQ. And, in the PD+S group, the scores of neuroticism were correlated with the ASI-R and APPQ subscale scores and the APPQ total scores were associated with the scores of BDI. Conclusions This study shows that female PD+S patients have higher scores in neuroticism and the APPQ than the PD-S group, and these factors are associated with the panic-related symptoms severity. It emphasizes the need of specific strategies considering the childhood abuse history such as early sexual abuse in clinical approach among patients with PD.

• 한국간호교육학회지
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• 제8권1호
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• pp.61-71
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• 2002

purpose : The purpose of this study was to find out the influencing factors of smoking-cessation behavior of patients with coronary heart disease and to suggest the model of smoking-cessation behavior which was based on the relationship between influencing factors and then to test its fitness empirically. method : This study was based on the Theory of Reasoned Action and a hypothetical model was constructed with fifteen paths in consideration of main predictive factors of smoking-cessation behavior such as biological factor, disease-related characteristics, self-efficacy, supportive factor, environmental factor, disease-related perception factor, intention-to-quit, and psychological factor. The validity of a smoking- cessation model was tested to 264 patients with coronary heart disease by using SPSS 8.0 and Window LISREL 8.12a. results : 1. Seven of the 15 paths of smoking-cessation behavior proved to be significant. 2. The final model excluded three paths in the hypothetical model was demonstrated to be improved by $x^2$=44.31 (df=38, p=.22), Goodness of Fit Index (GFI)=.98, Adjusted Goodness of Fit Index (AGFI)=.96, Non-Normed Fit Index(NNFI)=1.00, Normed Fit Index(NFI)=1.00, and Root Mean Square Residual(RMR)=.24. 3.The smoking-cessation behavior was influenced directly by biological factor, self-efficacy, supportive factor, environmental factor, intention-to-quit, and psychological factor. The smoking-cessation behavior was accounted for 82% of variance by these factors. conclusion : although the adolescents' smoking behavior can be predicted by only smoking intention, it is hard to predict the adults' smoking-cessation behavior by only this factor. Therefore, intention-to-quit, self-efficacy, supportive factor should be improved because these are promotive factors for smoking-cessation behavior. Biological factor, environmental factor, and psychological factor are inhibitive factors, so nicotine replacement therapy is helpful to the high nicotine-dependents, and ex-smokers avoid other smokers in their environment and also patients should learn and practice the stress coping-skills.

• 여성건강간호학회지
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• 제10권1호
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• pp.32-41
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• 2004

Purpose: The purpose of this study was to explore and describe the process of life adaptation in women with cervical cancer. Method: A grounded theory method with guided data collection and analysis was used. Fifteen women with cervical cancer who had some kind of treatment at the hospital were asked open-ended and descriptive questions with a guideline. All interviews were tape-recorded and transcribed verbatim. Result: The core category that emerged from the comparative analysis was "overcoming cancer" named as a process of life adaptation in the participants. The process of overcoming cancer evolved three stages - "admitting reality", "attempting health-care" and "continuing health-care". Depending on the paradigm model, the central phenomena of the experiences was "powerlessness". The internal factors motivating women to overcome cancer were "denial of cancer" and "desire for life". Strategies of overcoming cancer included "living as a cancer patient," "selective food eating," "steady exercising," "getting rid of stress," and "preparing for death". The intervening conditions, "supportive system," "forms of life," and "burden on family," influenced overcoming cancer. Conclusion: The results of this study could help clinical nurses to understand life adaptation in cervical cancer patients and establish efficient coping strategies in dealing with the problems they face.

• The Korean Journal of Pain
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• 제24권1호
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• pp.13-21
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• 2011

Background: This study aimed to evaluate processes from the mutual maintenance model in relation to daily functioning in patients with both chronic pain and a history of a traumatic experience. The mechanism illustrated the structural relations for daily functioning among pain intensity, hyperarousal, re-experiencing, trauma avoidance, and pain avoidance. Methods: Archival data (N = 214) was used for this study and data were analyzed for 142 chronic pain patients reporting a traumatic experience and seeking treatment at a tertiary pain clinic in Korea. Results: The results indicated that pain intensity, hyperarousal, and pain avoidance had significant direct effects on daily functioning. Also, pain intensity showed significant indirect effects on daily functioning through hyperarousal and pain avoidance; and hyperarousal through pain avoidance. Conclusions: Results suggest a direct contribution of high levels of pain, hyperarousal symptoms of PTSD, and pain avoidance behaviors to reduced daily functioning. Also, elevated pain as reminders of the trauma may trigger high levels of hyperarousal symptoms of PTSD. Subsequently, avoidant coping strategies may be used to minimize pain so that the trauma would not be re-experienced, thus inhibiting the activation of hyperarousal symptoms of PTSD. However, prolonged use of such strategies may contribute to decline in daily functioning.

• 한국산학기술학회논문지
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• 제16권9호
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• pp.5819-5828
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• 2015

본 연구는 Sky Diving시 Sky Diver가 지각하는 심리적 불안요인과 자신감의 관계를 규명하고, 이를 바탕으로 Sky Diving의 자신감 강화 프로그램을 개발하기 위한 예비조사로 수행된 것이다. 연구 목적을 달성하기 위해 Sky Diver 150명에게 설문지를 배포하여 최종 123부를 분석하였고, 자료 분석은 SPSS v.21을 활용하였다. 연구결과, 첫째, Sky Diving시 Sky Diver의 스트레스 관련 징후에 따른 행동 대처방식에서 스트레칭과 호흡을 주요 대처방식으로 가장 많이 사용하는 것으로 나타났다. 둘째, Sky Diver의 심리적 불안요인과 자신감은 종교의 유무와 연령, 강하횟수에서 유의한 차이가 나타났다. 셋째, Sky Diver의 심리적 불안요인은 자신감에 부적 영향을 미치고 있는 것으로 나타났다. 본 연구를 통해 Sky Diving시 Sky Diver의 심리적 불안요인을 낮추고 자신감을 높일 수 있는 심리적 대처기술을 향상시키는 프로그램 개발에 기여할 것으로 사료된다.

• 임상간호연구
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• 제25권3호
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• pp.251-264
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• 2019

Purpose: This study was a systematic review and meta-analysis to explore the factors related to quality of life in heart transplant recipients. Methods: To identify studies that suggested the factors related to the quality of life in heart transplant recipients, we searched the articles published from 1974 to November 2018 using Six databases, PubMed, CINAHL, EMBASE, Cochrane, KMBASE and RISS. A total of 22 studies were selected out of 5,234 for the systematic review and meta-analysis on the basis of the PRISMA flow. The quality of study was assessed by assessment tool form the NIH and meta-analysis was performed using the 'R 3.5.2' version to analyze the correlated effect sizes. Results: Factors related to quality of life in heart transplant recipients were categorized into six domains based on the health-related quality of life model introduced by Ferrans: individual, environmental, biological function, symptoms, functional status, and general health perception. In the meta-analysis, 34 factors were used and 17 factors having significant effect sizes were as follows: self-efficacy, demoralization, perceived control, current occupational status, age, marital status, health promotion life style in the individual characteristics; stress in environmental characteristics; physical function status, creatinine level, left ventricular ejection fraction (LVEF) in biological function; anxiety, depression, symptom frequency and distress in symptoms domain; coping, self-care compliance in functional status. Conclusion: The findings indicate that the multi-dimensional factors influencing the quality of life in heart transplant recipients and provide the evidence for developing effective interventions for improving the quality of life of recipients.

• Nuclear Engineering and Technology
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• 제53권4호
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• pp.1236-1249
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• 2021

Although there are still controversial opinions and uncertainty on application of SiC_f/SiC composite cladding as next-generation cladding material for its great oxidation resistance in high temperature steam environment and other outstanding advantages, it cannot deny that SiC_f/SiC cladding is a potential accident tolerant fuel (ATF) cladding with high research priority and still in the engineering design stage for now. However, considering its disadvantages, such as low irradiated thermal conductivity, ductility that barely not exist, further evaluations of its in-pile behaviors are still necessary. Based on the self-developed code we recently updated, relevant thermohydraulic and mechanical models in FROBA-ATF were applied to simulate the cladding behaviors under normal and accident conditions in this paper. Even through steady-state performance analysis revealed that this kind of cladding material could greatly reduce the oxidation thickness, the thermal performance of UO₂-SiC was poor due to its low inpile thermal conductivity and creep rate. Besides, the risk of failure exists when reactor power decreased. With geometry optimization and dopant addition in pellets, the steady-state performance of UO₂-SiC was enhanced and the failure risk was reduced. The thermal and mechanical performance of the improved UO₂-SiC was further evaluated under Loss of coolant accident (LOCA) and Reactivity Initiated Accident (RIA) conditions. Transient results showed that the optimized ATF had better thermal performance, lower cladding hoop stress, and could provide more coping time under accident conditions.

• 한국학교보건학회지
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• 제34권1호
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• pp.76-86
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• 2021

Purpose: This study was conducted to describe the experience of school health teachers in regard to the COVID-19 pandemic in South Korea. Methods: We conducted a qualitative study using content analysis. Ten school health teachers were recruited from 6 elementary schools, 2 middle schools and 2 high schools in Seoul, using purposive sampling. They participated in semi-structured in-depth interviews in person or using an online communication system from January to February, 2021. Interviews were transcribed verbatim and analysed using qualitative content analysis. Results: Three main categories and nine generic categories emerged from the analysis. Firstly, it was discovered that school health teachers had psychological and physical stress to cope with COVID-19 due to the 1) fear of the unexpected infectious disease, 2) burden of having to deal with it alone, 3) breakdown of personal life and physical exhaustion and 4) heavy duty as a health teacher caused by the lack of an organic cooperation system with institutions related to school infectious diseases. Secondly, school health teachers had an increased sense of empowerment in regard to infectious disease management as a result of 1) feeling rewarded and appreciated and 2) gaining confidence and trust in infectious disease management. Finally, school health teachers experienced the urgent need for an effective response strategy for infection control because of the 1) confusion over infectious disease response due to lack of practical manuals applicable to the field as well as training, 2) disappointing response system without an expert response team dedicated to managing infectious diseases in schools, and 3) growing awareness of the need for change. Conclusion: It is expected that school health teachers' experience of COVID-19 will be used as important data for building effective and advanced school infectious disease response systems.

• 한국콘텐츠학회논문지
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• 제21권4호
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• pp.533-544
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• 2021

이 연구는 빈곤 아동을 위한 대표적인 돌봄시설로 선별주의적 접근방식을 취하고 있는 지역아동센터를 이용하는 아동이 지각하는 낙인감에 대한 관심에서 비롯되었다. 스트레스 과정 모델을 기반으로 지역아동센터 이용아동의 스트레스원인 낙인감이 행복감에 미치는 영향을 살펴보고, 이들 관계에서 대처자원인 임파워먼트와 지역사회자본의 매개효과를 검증하는 것이 연구목적이다. 대구광역시와 경산시에 소재한 지역아동센터를 이용하고 있는 초등학생 5, 6학년 175명을 대상으로 설문조사를 실시하였다. SPSS Process Macro와 bootstrapping 방식을 사용하여 낙인감과 행복감과의 관계에서 임파워먼트와 지역사회자본의 매개효과를 분석하였다. 그 결과 지역아동센터 이용아동의 성별, 가족형태, 성적을 통제한 후, 낙인감은 행복감에 유의미한 부적 영향을 미치는 것으로 나타났다. 또한 임파워먼트와 지역사회자본은 낙인감과 행복감의 관계에서 유의미한 매개효과를 가지는 것으로 확인되었다. 이러한 연구결과를 토대로 지역아동센터 이용아동의 행복감을 향상시킬 수 있는 정책적·실천적 함의를 제시하였다.

• 문화기술의 융합
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• 제8권2호
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• pp.7-13
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• 2022

본 연구는 간호학과에서 준행하는 실습을 이수한 간호대학 4학년에게 죽음에 대한 본질적인 의미를 탐색해 보는 질적 연구이다. 본 연구의 참여자는 전라북도 K시 일개 대학 4학년의 학생으로 죽음 대한 강한 의식을 갖추고 이에 대한 인식을 갖춘 15명의 학생을 대상으로 하였다. 자료 수집은 죽음과 관련된 논문을 읽고, 병원 실습을 1004시간 이수한 학생으로 질문에 대해 80시간 내에 면담과 자기 보고서를 통하여 작성하도록 하였다. 수집된 자료는 Krippendorff의 현상학적 방법을 사용하여 분석하였다. 죽음과 관련한 경험을 분석한 결과 3개 범주, 9개 주제 30개 의미 있는 진술로 도출되었다. 3개의 범주는 '끝, 그리고 함께하다', '죽음, 혼자와의싸움,' '무서움과 두려움'으로 도출되었다. 본 연구결과 간호 대학생에게서 죽음에 대한 올바른 이해와 신규간호사들이 맞이하는 죽음에 대한 스트레스를 대처하는 프로개발 유용한 기초자료로 활용되기를 기대한다.