• Title/Summary/Keyword: Coping with symptoms

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A Qualitative Study on Reducing Dental Anxiety through Cognitive Behavioral Therapy (인지행동치료를 통한 치과불안 감소에 대한 질적 연구)

  • Koh, Boo-Il;Song, Youn-Mi;Bae, Soo-Myoung
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.46-55
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    • 2017
  • Many people in Korea suffer from a fear of dental treatments; however, only a few studies have focused on this population. This study assessed the effectiveness of cognitive behavioral therapy (CBT) and its interventions in reducing dental anxiety, especially when administered by trained dental staff. Using case studies, the authors analyzed the content of each session and examined the process of reducing dental anxiety. First, the authors observed that the results of both dental fear scale and subjective unit of disturbance decreased significantly with changes in cognitive distortions related to dental anxiety and that rapid improvements were noted after two therapy sessions. Second, the study reported that practicing relaxation (deep-breathing) and muscle relaxation techniques; using hand signals to indicate anxiety or discomfort; establishing an empathic relationship with the therapist; making an anxiety list; and graded insensitive and exposure along with rehearsal, were effective in coping with dental anxiety and in changing negative thoughts towards the dentist. Third, a simple cognitive behavioral intervention can be effective in reducing dental anxiety. In summary, a short-term, five-session psychological intervention with CBT produced a sustained decrease in the symptoms of dental anxiety, allowing the patients to receive the required procedures. The authors discussed the study limitations and the implication of their results on future research.

FMD response cow hooves and temperature detection algorithm using a thermal imaging camera (열화상 카메라를 이용한 구제역 대응 소 발굽 온도 검출 알고리즘 개발)

  • Yu, Chan-Ju;Kim, Jeong-Jun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.292-301
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    • 2016
  • Because damages arising from the occurrence of foot-and-mouth disease (FMD) are very great, it is essential to make a preemptive diagnosis to cope with it in order to minimize those damages. The main symptoms of foot-and-mouth disease are body temperature increase, loss of appetite, formation of blisters in the mouth, on hooves and breasts, etc. in a cow or a bull, among which the body temperature check is the easiest and quickest way to detect the disease. In this paper, an algorithm to detect FMD from the hooves of cattle was developed and implemented for preemptive coping with foot-and-mouth disease, and a hoof check test is conducted after the installation of a high-resolution camera module, a thermo-graphic camera, and a temperature/humidity module in the cattle shed. Through the algorithm and system developed in this study, it is possible to cope with an early-stage situation in which cattle are suspected as suffering from foot-and-mouth disease, creating an optimized growth environment for cattle. In particular, in this study, the system to cope with FMD does not use a portable thermo-graphic camera, but a fixed camera attached to the cattle shed. It does not need additional personnel, has a function to measure the temperature of cattle hooves automatically through an image algorithm, and includes an automated alarm for a smart phone. This system enables the prediction of a possible occurrence of foot-and-mouth disease on a real-time basis, and also enables initial-stage disinfection to be performed to cope with the disease without needing extra personnel.

A Study on Community-dwelling Elders with Dementia, their Primary Caregiver, and Living Environments (재가 치매노인의 주 수발자와 환경 실태)

  • Kim Nam Cho;Kim Jung Hee;Lim Young Mi
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.13-29
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    • 2002
  • The purpose of this study was to describe about elders with dementia, their families, and their living environment by visiting the households where demented elders resided. The findings will be used as a basis to develop future individualized adjustment programs for demented elders and their families living in communities. The study participants were 64 demented elders and their families who were registered to a dementia counseling center at Nam-Gu community health center located in Inchon, Korea. Data were collected for two months, from May to June 2001. The length of data collection for each home visit ranged from 1.5 to 2.5 hours. Conclusion are as follows based on these study findings: Those demented elders had more than one chronic health problem in addition to their pre-existing dementia condition. Two thirds of the demented elders were not receiving any specific treatment for dementia. They showed a moderate level of independence in basic ADL, but were mostly residing at home because of lack of ability to perform more delicate and complicate routine daily activities by themselves. In addition, the primary caregivers were not well adjusted to the care-giving activities for their demented family members due to the lack of knowledge and information about dementia. The caregivers were mostly women including daughters-in-law, woman spouses and daughters, over a half of whom perceived their physical and mental health status as poor. Their image toward the demented elders was considerably negative. while their level of knowledge on dementia was moderate. The burden for the care-giving was high, whereas their coping method was passive. As the difference in image toward elderly before and after the onset of dementia in their family member increases, the caregiver burden also increased. The main resource of social support for the caregivers was their children. The caregivers showed high level of needs for knowledge and information on dementia, and day care service was the most preferred type of service by the caregivers. There was lack of safety in the living environments for the demented elders and their families, and in the surrounding environments to prevent dementia-related symptoms. Considering that home-based family care-giving is the most culturally appropriate model of providing care for the demented elders in Korea, we need to develop and apply an individualized adjustment program for the demented elders and their families.

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A Study on Sick Role Behavior of Some Hypertensive Workers (일부 근로자들의 고혈압치료형태에 관한 연구)

  • Lee, Eun-Il;Kim, Soon-Duck;Cha, Chul-Whan
    • Journal of Preventive Medicine and Public Health
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    • v.19 no.2 s.20
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    • pp.203-212
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    • 1986
  • Hypertension is one of the most well known risk factors for cerebrovascular or coronary heart disease and is a major public health problem. Early detection and treatment of hypertension are essential, but the compliance of treatment on hypertension is not easy to achive. Hypertensive workers are being detected by the annual screening under the Labour Standard Law in Korea but the solidified control system for them is not existing. This study about workers 'Motive-Belief-Action in non-drug and drug treatment of their hypertension would be worthwhile to interpret how the workers actually behave in coping with hypertension, and also would be advisable to construct the follow-up program in Korea. In the field research process two criteria were used to select sample group. The first criterion included the workers who were screened to be hypertensive with their blood pressure above 160/95 in this survey. The second one was used to classify study-group respondents who had known their hypertension by successive annual screening. From such criteria a total of 156 male workers were sampled in 21 industries, the author interviewed them using the structured questionnaire which consisted of Belief-Motive-Action items about non-drug and drug treatment for hypertension with open-ended question on symptom of hypertension. The summary is as follows: 1) Sixty-one percent of respondents had ever checked their blood pressure somewhere besides the annual screening. 2) Most respondents(97.2%) complained no symptoms of hypertension at all. 3) Belief level of non-drug treatment was relatively high (82.1%-64.7%), but motive(55.1%-28.2%) and action(38.5%-16.7%) levels were low. 4) Belief level of drug treatment was relatively lower than that of non-drug treatment, blue collar workers showed higher artier level of drug treatment than white collar workers, and correlation coefficient between belief and motive on drug treatment was lower in group of not-recognizing their family history of hypertension than recognized group. Such findings indicated that belief on drug treatment of hypertensive workers would be problematic. 5) White collar workers showed significant lower correlation coefficients between Motive and Action of salt restriction, restriction of fatty diet and relaxation than blue collar workers. 6) Mild hypertension group showed low levels of Motive and Action of non-drug treatment(salt restriction, restriction of fatty diet and relaxation) and also showed low correlation coefficient between Belief and Motive of above non-drug treatment.

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The Qualitative Study on Youth Experiences of Anger Expression and Management -Focus Group Interview with Youth and Youth Experts- (청소년의 분노 표현 및 대처 경험에 관한 질적 연구 -청소년과 청소년 전문가 포커스 그룹 인터뷰-)

  • Ko, Ki-Sook;Lee, Jee-Sook;You, Dong-hwan;Yoon, Yong-hee
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.445-462
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    • 2019
  • This paper illustrated the use of focus groups with adolescents and youth experts to enhance knowledge of anger, anger expression, and its coping strategies. Nine youth experts and 9 adolescents participated in the study. Analysis of the findings identified 12 meaningful elements, 34 sub-elements, and 138 descriptions. The meaningful elements were as follow: the lack of stable care, anger-provoking situations, a relationship between distorted thoughts and anger, physical and psychological symptoms, different types of anger expression, suppressed anger, difficulty of anger control, youth efforts to control anger, needs to implement appropriate anger expression, psychological mechanism of anger, effective ways to cope with anger, suggested by youth experts, needs of alternative anger management programs. Based on these findings, the study suggests various anger management alternatives, including ICT based cognitive-behavior anger management programs.

Multi-level Analysis of the Effects of Perceived Workplace Support and Access to Workplace Counseling on Depression Among Victims of Workplace Bullying (직장 내 괴롭힘 피해자가 인식한 직장 내 지지와 상담접근성이 우울에 미치는 영향에 대한 다층분석)

  • Seulki Lee
    • Korean Journal of Culture and Social Issue
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    • v.29 no.1
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    • pp.125-146
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    • 2023
  • The aims of this study was to investigate the effect of workplace support and access to workplace counseling on the depression level of employees who are workplace bullying victims and then find cross-level interaction effects between individual and group factors. A multi-level analysis was conducted using data from 642 individuals who reported experiencing workplace bullying in the 2017 National Human Rights Commission survey. The findings indicate that a worker's perceived safety of their workplace is negatively associated with depression levels. Additionally, higher perceived workplace support and access to workplace counseling were associated with lower depression levels. Lastly, a positive interaction effect was observed between access to workplace counseling and perceived workplace support in relation to depression levels. That is, higher access to workplace counseling increases the negative effect of workplace support on depression levels of employees. These results highlight the importance of creating protective factors such as a safe and supportive organizational culture to combat workplace bullying of coworkers or supervisors, and implementation of counseling and support services to assist victims in coping with workplace bullying and reducing depression symptoms.

Development of Health Promotion Program for Individuals With Arthritis -Application of Holistic Model- (관절염 환자를 위한 건강증진 프로그램의 개발 -총체적 모델의 적용-)

  • 오현수;김영란
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.314-327
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    • 1999
  • In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior. and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program According to the study results. target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior. and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical. psychological. and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management. skill for problem solving, skill for setting goals. skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as “joint protection, and maintenance of pain management behavior”, “maintenance of regular exercise”, and “promotion of coping skill in psychosocial dimension” are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives. the final objectives such as “minimization of physical symptoms and signs”, “maximization of psychological function”, and “maximazation of role performance in social domain” could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.

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Effects of Stress and Personality Characteristics on Sleep (스트레스와 성격요인이 수면에 미치는 영향)

  • Yoon, Ho-Kyoung;Kang, Seung-Gul;Ham, Byung-Joo;Lee, Heon-Jeong;Kwon, Ho-In;Suh, Kwang-Yoon;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.10 no.1
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    • pp.32-38
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    • 2003
  • Objectives: The purpose of this study is to investigate the effects of stress and personality on sleep patterns, and further, to identify potential correlations between stress and personality characteristics. Methods: A total of 174 healthy college students were subjects for this study. Participants filled out the Daily Stress Inventory before sleep and the Modified Pittsburgh Sleep Quality Index after sleep on three consecutive days. They also filled out the 16 Personality Factor Questionnaire (16-PF), BDI (Beck Depression Inventory) and STAI (State-Trait Anxiety Inventory). Results: Minor stresses highly correlated with subjective sleep quality and symptoms of non-restorative sleep. However, total sleep time, sleep latency, awakening frequency, and frequency of dreams were not explained by stress scores. The O (guilty feeling), C (low ego strength) and Q4 (high anxiety) factors of the 16-PF also highly correlated with symptoms of non-restorative sleep and significantly affected sleep patterns. BDI and STAI scores also correlated with the above personality factors and minor stresses. Conclusion: This study showed that minor stresses impaired the restorative effects of sleep. Personality characteristics such as low ego strength, high levels of anxiety, and feelings of guilt were vulnerable to minor stresses. Minor stress, various personality characteristics, different coping patterns, and emotional response are highly correlated with each other and affect sleep patterns.

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An Integrative Review on Nursing Studies Related to Humor (유머와 관련된 국내 간호연구의 통합적 고찰)

  • Kim, Shin-Jeong;Kim, Sung Hee;Lee, Jung-Eun;Kim, Hye-Young;Yoo, So Young;Oh, Jina
    • Child Health Nursing Research
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    • v.20 no.1
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    • pp.58-66
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    • 2014
  • Purpose: The purpose of this paper was to describe the attributes of nursing with humor based on an integrative review and to present basic information for developing humor intervention programs for children. Methods: Using combinations of the terms 'nursing' and 'humor' as key words, the researchers searched four electronic databases to relevant identify studies. Thirteen studies were selected through full text screening of related research published in academic journals from January 1993 to April 2013. Results: Through in-depth discussion and investigation of the relevant literature, three components emerged; 1) using instruments of coping for stress relief, 2) symptoms relief through pleasant feeling, and 3) job satisfaction and work improvement of nurse using humor. Conclusion: The results of this study suggest that humor is valuable as a nursing intervention for children and the possibility of bringing about positive results in nursing care if nurses utilize the sense of humor as fully as they can. Therefore, it is critical for nurses to develop a diversity of humor interventions for children as well as measurements to test quality and quantity of humor used in clinical pediatric settings.

Suggesting Some Conceptual and Practical Improvements Coping to Moribund Symptoms of Contemporary Korean Gifted Education (한국 영재교육의 위기 현상 진단과 해결 방안)

  • Choe, Ho Seong
    • Journal of Gifted/Talented Education
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    • v.26 no.3
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    • pp.493-514
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    • 2016
  • Since the Gifted and Talented Education Promotion Law was enacted 15 years ago, in Korea, gifted education in Korea has continued rapid and quantitative growth. The number of gifted classes or institutes for the gifted have increased, as well as the number of gifted education teachers increasing their participation in professional development training and educational activities. However after 2014, gifted education is somewhat shrinking. Due to the controversy of private education and expansion of social welfare in Korea, administrative and financial support for gifted education is being reduced. This study reviewed the gifted education policies promoted by successive governments and analyzed the relationship between politics and support for gifted education efforts by the government. In addition, the phenomenon of the recently shrinking gifted education in Korean society was analyzed in various aspects. These aspects include: decreasing quantitative growth due to the weakening of administrative and financial support from central and local governments on gifted education, regulations on suppressing private education, social inequality to gifted education access, and lack of solidarity in the gifted education scholastic community. Based on this analysis of gifted phenomenon, ways of developing the ideological and practical aspects of future-oriented gifted education were suggested. In the ideological dimension, it was emphasized that gifted education must move away from insularity and the adhesive perspective of Korean society on the concept of giftedness, the concept of intelligence and the recognition of the legitimacy of gifted education. On the other hand, in the practical dimension, the following points were identified: the collection of empirical data on the economic impact of gifted education, gifted education amendment of the statutes, adaptation of the gifted education program with gifted identification, diversification of gifted education service system, and actively promoting new research topics in relation to the Gifted and Talented Education.