• Journal of Preventive Medicine and Public Health
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• 제36권4호
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• pp.390-398
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• 2003

Objectives : To evaluate the degree of adolescent internet addiction, and investigate its relationship to the general characteristics, internet environments, and contents, especially the stress measured by the psychosocial wellbeing index-short form(PWI-SF). Methods : The data was obtained from self-administered questionnaires from 886 11th grade urban area students. The questionnaires consisted of general characteristics, internet user's environments, frequencies by internet contents, internet addiction test and PWI-SF. Results : The possible rate of internet use at home was 95.1%, and the area of most internet use was the home. The frequencies of internet game and porno site use were higher in males, with web searching and community uses higher in females. The total mean of internet addiction score was 56.8, and was higher for male than for female students. From multiple regression, as analyzed by the internet addiction score as a dependent variable, on-line friends, internet use times, years of internet use, frequencies of internet game, & porno site use, and PWI-SF scores were significant in male. Internet use times, the frequencies of internet game, chatting, community use, and PWI-SF score were significant in female. Four PWI-SF subscales(social role & self reliability, depression, general health & vitality, and sleep disturbance & anxiety) and internet addiction were significantly correlated in both male and female students, with depression having the most correlation. Conclusion : The results of this study suggest that intervention should be provided to prevent internal addiction, especially for coping with stress in Korean teenage students.

• 디지털융복합연구
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• 제11권5호
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• pp.355-370
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• 2013

본 연구는 결혼이주여성을 대상으로 회복력 요인의 관계양상 및 영향력을 확인하고 가족적응을 증진시키는데 유용한 간호실무의 기초자료를 제공하고자 시도되었다. 연구대상은 한국에서 거주한지 1년 이상 된 대전 외곽의 도 농 복합지역 및 충남 지역에 있는 결혼이주여성이 대상이었다. 자료수집기간은 2012년 2월부터 2012년 7월까지 시행하였으며, 최종 216부를 자료의 분석 대상으로 하였다. 수집된 자료는 SPSS, LISREL을 이용하여 빈도분석, 백분율, ANOVA, t-test, 상관관계 분석을 하였고, 가설검정은 경로분석을 하였다. 가설모형의 전반적 지수는 ${\chi}^2$= .06(p= .812), df=1, ${\chi}^2$(df)=.06, GFI=1.0, AGFI= 1.0, SRMR=.002, NFI= 1.0, NNFI=1.0, RMSEA=0.000, CN=266으로 좋은 부합도를 보였다. 모형에서 제시된 가설검증 결과를 보면 가족적응에 영향을 미치는 변수는 가족스트레스와 양육스트레스로 나타났고, 사회적 지지 및 가족강인성, 문제해결 의사사통, 문제해결 대처는 가족적응에 영향을 미치지 못하였다. 이런 연구결과를 바탕으로 위기상황에 놓여있는 결혼이주여성의 가족의 적응을 돕는 간호중재는 스트레스 상황에 대해 결혼이주여성을 중심으로 긍정적인 관점을 가지도록 돕고, 가족 관계 내에서 발생하는 스트레스와 양육스트레스를 감소시킬 수 있는 프로그램을 개발하여 활용하는 중재가 수행되어야 할 것으로 생각된다.

• Child Health Nursing Research
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• 제4권1호
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• pp.60-75
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• 1998

The parents have much expectation upon the pregnancy and child birth, and in most cases, they expect the healthy parturient child. However, we can be placed on the high-risk conditions which have the physical, social and immature infant, due to the unexpected results, among the new-born. Accordingly, these high-risk newborn and premature infants will be mostly in NICU, which the concentrated medical treatment can be given, upon their conditions. After their birth and during these periods, they will be divided from the parents, and the nurse will accomplish the bringing-up activities which they can take care of the infant, expected by the parents after their birth. The hospitalization of high-risk newborn including these premature infants is the shocking experience to the parents of family, and thus they can feel the fear and uneasiness, and these reactions of parents are troubled in the behavior at the usual days, and cause the disorder and spiritless status, and these results break the supporting ability of parents, and cause the obstruction. Also, the unavoidable division between the parents and the children as like hospitalization of children can make the parents to feel the alienation emotionally, and this causes the results which the pride on the bringing-up ability of baby gets to be lost. These problems can cause the difficulties on the bonding or the parenting in the further days, and can be related to the neglect and abuse of children. Also, it is gradually increased to study and report which the emotional division by the physical division between the mother and the baby obstructs the normal affection course between the parent and the infant. The stress caused by the birth and the hospitalization of high-risk newborn, as like this, is important in the points which it can uncertainly affect the potential energy for the relationship of parent-child who are finally healthy. Accordingly, the significance and purpose of this study are to understand the contents and degree of stress which the parents of high-risk newborn including the immature child can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to the nursing intervention program for these. The subject of this study is the mother of newborn in NICU of 10 General Hospitals located at the 3one of Pusan, Korea from September 1997 to October 1997, and thus makes the subject of 95 person of parents who agreed to take part in the study and it is descriptive study related to the stress of mother having the newborn in NICU. The method is based on the preceding study related to the stress of mother having the experience of child hospitalization and chronic disease child, and then acquires the advice of specialists group as like 5 nursing professors, and then is amended and supplemented. Total number of questions is 43 items and consists of 5 factors as like medical treatment &nursing procedures, disease status & prognosis, role of parents, communication & inter-personal relationships, hospital environment, and is 5 point Likert Scale. The reliability of this study method is very highly shown to be Cronbach α=0.95. The collected data is analysed as Average, Frequency, Standard Deviation, T-test, ANOVA, Pearson Correlation Coefficient, Duncan multifulrange test by use of SPSS /PC (V7.5). The results of this study is summarized as under. 1. Every characteristics of subject is which the party of mother is 28.70age(±7.48) in the average ages, 51% in the high-school graduate, 38.5% in the christianity, total monthly income is 212.55 thousand won(±1.971), 74.5% in the housewife, 72.9% in the parents and children together living and the number of children to be 1.48person(± 0.6) in average, the recognition on the prognosis of baby is 74.0% in 'Don't know', the relationship with the husband after the hospitalization of babyis 37.3% in 'More Intimate', the relationship with the family of husband to be 48% in 'No-change', and the degree which is consulted with the husband about the baby is 55% in 'very frequently' and the visiting number per week is 4.59(±1.63) in average and the accompanying person in the time of visiting is which the number of husband is 56.3% and thus is the highest. The characteristics of baby is which the age is 21.88days(±16.47) after the birth in average, the sex to be 50 person in the female 52.1% and the order of birth to be 54.2% in the first chid, and the weight in the birth to be 2770gm(±610) and the height in the birth to be 46.26cm(±7.62) in aver age. The medical diagnosis is 37.5% in the premature infant, the career of hospitalization is 96.9% in 'None', and the operation plan is 90.6% in 'None' and the execution of operation is 88% in 'None' and the nursing of incubator is 55.2% in 'Yes', and the method of feeding is 50.5% in 'Oral' and the contents of feeding is 46.9% in the 'Milk'. 2. The total stress degree of subject is almost highly shown to be as 3.36(±0.86). If it is compared upon each cause, 'stress on disease status & prognosis' is highest 3.79(±1.28), and it is in the order of 'stress on medical treatment & nursing procedures' 3.70(±0.93), 'stress on hospital environment' 3.14(±0.86), 'stress on role of parents' 3.18(±0.92) and 'stress on communication & inter personal relationship' 2.62(± 0.77) 3. As the results of checking the notworthiness of stress degree upon each variable of subject, the variable showing the noted difference was the birth weight(γ=-0.16, P=0.04), birth height(γ=-0.23, P=0.03), nursing in the incubator(F=8.93, P=0.04), feed method(F=2.94, P=0.04). That is to say, it is shown which the smaller the birth weight is, the higher the stress degree of mother is noteworthily. Also, the smaller the birth height baby is, the higher the stress of mother is. In the incubator, it os shown which the mother whose baby is nursing in the incubator is higher in the stress degree than other mothers. Upon the feeding method of baby, that is to say, TPNis the highest, and it is shown in the order of NPO, Tube feeding, and P.O. feeding. When we review the above-mentioned results, as the status is serious, it is thought which we include the supporting nursing for coping with the stress of parents in the setting-up od nursing plan for the baby in the NICU.

• 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.

• 한국보건간호학회지
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• 제22권2호
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• pp.246-254
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• 2008

Purpose: In order to assess the effects of smoking cessation counseling provided by a public health center in terms of smoking temptation, smoking cessation self-efficacy, and satisfaction with smoking cessation counseling, and also to provide baseline data for the improvement of smoking cessation counseling programs. Methods: A total of 52 current and former smokers who utilized smoking cessation counseling provided by the health center at least once participated in this study. Using a self-report survey method, data were collected in November 2005. Results: The mean age and duration of smoking of the participants were 49 and 28 years, respectively. Seventy-one percent had experienced smoking cessation trials prior to using the counseling services, and most of the participants had utilized smoking cessation counseling less than 5 times. Mean scores of temptation, self-efficacy, and satisfaction with counseling were $3.39{\pm}0.75,\;3.80{\pm}0.66$, and $4.38{\pm}0.55$ (range,1-5), respectively. The participants were largely vulnerable to smoking temptations under conditions of anxiety or stress. The duration of counseling was associated negatively with smoking temptation, but was associated positively with self-efficacy. Conclusion: To help adopt and maintain smoking cessation, smoking cessation counseling should emphasize methods for coping with smoking temptations and to increase smoking cessation self-efficacy in various tempting situations.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7359-7366
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• 2013

Objective: To assess the effects of perioperative comprehensive supportive care interventions on outcome of Chinese esophageal cancer patients in a prospective study. Methods: 60 patients with primary esophageal carcinoma were randomized into an intervention group (IG, n=31) and a control group (CG, n=29). The Chinese version of symptom checklist-90 (SCL-90) was adopted to assess their psychological status. The interventions, including health education, psychological support, stress management, coping strategies and behavior training, were carried out in 3 phases (preoperative, postoperative I and postoperative II), and psychological effects were thereafter evaluated accordingly before surgery, and 1 week, 4 weeks and 24 weeks post-surgery. Medical costs were estimated at discharge. Survival of patients was estimated each year post-surgery. General health status and satisfaction-with-hospital were surveyed by a follow-up questionnaire 4 years post-surgery. Results: All the subjects demonstrated higher scores in the preoperative phase than the normal range of Chinese population concerning 7 psychological domains including somatization, obsessive-compulsive, depression, anxiety, hostility, phobic anxiety and paranoid ideation. Although no significant difference was observed between the two groups at admission, the scores of IG, which tended to decrease at a faster rate, were generally lower than those of CG at weeks 1, 4 and 24 post-surgery. The length of hospital stay and medical costs of IG were significantly less than those of CG and satisfaction-with-hospital was better. However, there was no significant difference in 4-year survival or health status between two groups. Conclusions: Appropriate perioperative comprehensive supportive care interventions help to improve the psychological state of Chinese patients with esophageal carcinoma, to reduce health care costs and to promote satisfaction of patients and their families with hospital.

• 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.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권4호
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• pp.144-153
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• 2021

Objectives: Anxiety disorders are the most common psychiatric disorders in adolescents and seem to occur the earliest among all forms of psychopathology. The aim of this study was to investigate the association of anxiety severity with health risk behaviors and mental health in adolescents. Methods: Data from the 2020 Korean Youth Risk Behavior Web-Based Survey were analyzed. A total of 54948 adolescents responded to the 7-item Generalized Anxiety Disorder Scale (GAD-7) for the assessment of their anxiety severity as well as to the mental health and health risk behavior survey. Logistic regression analysis, t tests, and variance analysis of a complex sample general linear model were used to examine the association of anxiety severity with health behaviors and mental health. Results: After statistical adjustment for sociodemographic characteristics, the subjects in the severe anxiety group were significantly more likely to be current smokers (odds ratio [OR]: 2.08, 95% confidence interval [CI]: 1.72-2.50), current drinkers (OR: 1.91, 95% CI: 1.67-2.19), experience habitual substance use (OR: 10.89, 95% CI: 8.22-14.42), have sexual intercourse (OR: 2.10, 95% CI: 1.76-2.51), and have unprotected intercourse (OR: 2.21, 95% CI: 1.67-2.92) than those in the normal group. Anxiety severity negatively correlated with sleep satisfaction and happiness, but positively correlated with stress perception, loneliness, depressive symptoms, and suicidality. Conclusion: Adolescent anxiety is associated with health risk behaviors and poor mental health. Thus, early screening and intervention for anxiety in adolescents could contribute to the management and coping of youth health risk behaviors in the community.

• 한국산학기술학회논문지
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• 제12권4호
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• pp.1628-1636
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• 2011

본 연구는 결손가정아동에게 원예심리치료 실시 후 정서적 안정에 미치는 효과성에 관한 것으로 사회복지 실천현장에서 원예심리치료 프로그램의 가능성을 검증하여 아동의 정서적 우울, 스트레스, 사회성, 자아존중감 효과를 검증하기 위한 것이다. 연구대상은 생애주기적 방법에 따라 시설에 입소되어있는 13명의 저학년을 대상으로 구성하였으며 자료 수집은 구조화된 설문지를 사용하였다. 원예심리치료 프로그램은 2010년 9월 2일부터 2010년 12월 16일 까지 총 14회기를 실시하였고 연구결과의 요약은 다음과 같다. 원예심리치료의 사회성은 사전 2.23,사후 2.76 변화가 .53점 높아졌으며 스트레스 대처 능력 값은 사전 2.30, 사후 2.82로 사후 스트레스대처능력 값이 .52점 높아 졌으며 유의미하였다.(t= -1.4398, p<.05). 사전 불안감 값이 1.60, 사후 불안감 값이 1.45로 사후 불안감 값이 .15점 낮아졌으며 유의미하였다.(t= -2.3842, p<.05). 사전 자아존중감 값이 2.50, 사후 자아존중감 값이 2.92로 사후 자아존중감 값이 .42점 높아졌으며 통계적으로 유의미하였다(t= -1.1871, p<.05). 사전 정서평가 값이 3.20, 사후 정서평가 값이 5.25로 사후 정서평가 값이 2.05점 높아졌으며 통계적으로 유의미한 것으로 나타났다(t=-2.4599, p<.05). 이 결과를 토대로 원예심리치료 프로그램이 아동들의 문제를 해결하는 사회복지실천현장에서 다양한 접근방법의 하나로 활동되는 것을 제안한다.

• 수면정신생리
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• 제10권1호
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• pp.32-38
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• 2003

목 적：스트레스와 성격적 요인이 수면에 여러가지 다양한 영향을 미친다는 것은 최근까지 많이 연구되어 왔다. 그러나 스트레스와 성격요인 그리고 수면 이 세가지 요소간의 연관성과 서로간의 영향에 대한 연구는 없었던 것이 사실이다. 본 연구는 스트레스와 성격요인이 수면에 어떠한 영향을 주는지, 또한 이들 사이에 어떠한 연관성을 가지는지를 연구하고자 하였다. 방 법：건강한 남녀대학생 174명을 대상으로 스트레스와 수면상태, 성격 특성 등을 평가하기 위하여 스트레스 평가 척도(K-DSI)와 평소 수면평가지(modified PSQI), 성격요인검사(16 PF)를 작성하도록 하였다. 이 밖에 주관적인 우울, 불안의 정도도 조사하였다. 이들의 서로간의 연관성을 밝히기 위한 통계방법으로 기술분석, 피어슨 상관분석, 위계적 다중회귀분석, 경로분석 등을 이용하였으며 SPSS ver. 10.0과 AMOS 4.0을 사용하였다. 결 과：스트레스는 비회복적 수면으로 인한 증상들(기상 시 증상, 주간 증상 등)에 유의한 영향을 주는 것으로 나타났다. 성격요인 중에서는 죄책감 요인(O 요인), 자아강도 요인(C 요인)과 불안감 요인(Q4 요인)이 비회복적 수면으로 인한 증상들과 높은 상관관계를 보이는 것으로 나타났다. 우울과 불안 총점과 스트레스, 성격 사이에는 매우 높은 상관관계가 있는 것으로 나타났으며, 경로분석 상에서는 스트레스와 성격요인이 감정반응을 매개로 하여 수면에 영향을 미치는 것으로 나타났다. 결 론：본 연구를 통하여 스트레스가 다른 수면의 요소들보다 비회복 수면으로 인한 이차증상들에 크게 영향을 미친다는 것을 알 수 있었으며, 이는 수면의 회복 기능 효과를 감소시키기 때문인 것으로 여겨진다. 또한 자아강도가 약하고 죄책감이 많으며 높은 불안감을 가진 성격이 스트레스에 취약하며, 다양한 성격특성과 그에 따른 대처방식의 차이, 여러가지 스트레스 사건, 그리고 이에 대한 감정반응들이 복합적으로 수면에 영향을 미치는 것으로 생각된다.