• Journal of information and communication convergence engineering
• /
• 제19권4호
• /
• pp.234-240
• /
• 2021

As the number of pet dog-related businesses is rising rapidly, there is an increasing need for reliable pet dog health information systems for casual pet owners, especially those caring for older dogs. Our goal is to implement a mobile pre-diagnosis system that can provide a first-hand pre-diagnosis and an appropriate coping strategy when the pet owner observes abnormal symptoms. Our previous attempt, which is based on the fuzzy C-means family in inference, performs well when only relevant symptoms are provided for the query, but this assumption is not realistic. Thus, in this paper, we propose a hybrid inference structure that combines fuzzy association memory and a double-layered fuzzy C-means algorithm to infer the probable disease with robustness, even when noisy symptoms are present in the query provided by the user. In the experiment, it is verified that our proposed system is more robust when noisy (irrelevant) input symptoms are provided and the inferred results (probable diseases) are more cohesive than those generated by the single-phase fuzzy C-means inference engine.

• 디지털융복합연구
• /
• 제14권11호
• /
• pp.539-547
• /
• 2016

본 연구는 고교야구선수의 입스 경험 및 대처방법에 대한 현황조사로서 입스 해결 방법을 모색하고자 하였다. 이에 대한야구협회에 등록된 고교야구선수 350명을 대상으로 설문조사하였으며, 부적절한 설문응답을 제외한 320부를 분석에 활용하였다. 자료분석은 PASW 20.0 프로그램을 이용하여 기술통계 및 비율분석으로 연구대상자의 입스 경험 및 대처방법에 대한 분석을 실시하였다. 이와 같은 절차를 통해 다음과 같은 결과를 얻었다. 고교야구선수 중 입스를 경험하는 비율은 64%로 높게 나타났으며, 입스 경험시 신체적인 문제와 심리적 문제가 동시에 발견되는 것으로 나타났으며, 입스 경험시 심리 훈련 등을 시도하는 비율은 높았으나 효과에 대한 부분은 미비한 것으로 나타나 고교야구선수를 위한 입스 예방 및 대처방법에 대한 논의가 필요하다고 사료된다.

• 성인간호학회지
• /
• 제19권1호
• /
• pp.132-143
• /
• 2007

Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

• 한국가정과교육학회지
• /
• 제28권1호
• /
• pp.71-85
• /
• 2016

본 연구는 청소년의 학업소진과 학교생활적응 및 스트레스 대처 관계를 살펴보고 학업소진과 학교생활적응의 관계에서 스트레스 대처 방식이 매개효과로 작용하는지를 검증하고자 실시하였다. 경기도 소재 17개 중학교에 재학 중인 1232명의 학생들을 대상으로 설문조사를 실시하였으며, 수집된 자료는 SPSS 21.0 프로그램을 이용하여 분석하였다. 조사대상 중학생들은 학업소진의 하위요인 중 공부에 대한 반감과 냉담 등의 심리적 소진증상을 많이 경험하고 있었다. 학업소진은 학교생활적응 및 스트레스 대처 중 적극적 대처인 문제지향과 사회적지지 추구와는 부적상관관계를, 학교생활적응과 스트레스대처는 정적상관관계를 보였다. 학교생활적응에 대한 학업소진과 스트레스대처 방식의 상대적 영향력을 살펴본 결과, 스트레스 대처 중 문제지향과 사회적지지 추구 대처가 학교생활적응에 직접적으로 긍정적인 영향을 미치는 주요 요인이라는 것을 알 수 있었으며 특히, 스트레스 대처 중 문제지향 및 사회적지지 추구 대처는 학업소진과 학교생활적응간의 관계에서 부분적 매개 감소효과가 있음을 확인하였다. 따라서 학업소진을 경감시켜 만족한 학교생활을 영위하기 위해서는 학업스트레스 등에 적극적 대처 행동을 실천 할 수 있도록 능동적 대처능력 향상 프로그램 개발 및 도입 등의 체계적인 교육 및 지원방안이 모색되어야 할 것이다.

• 한국방재학회 논문집
• /
• 제11권1호
• /
• pp.29-35
• /
• 2011

본 연구는 구급대원의 외상성 스트레스, 사회적지지, 업무부담감과 대처형태를 알아보고 외상성스트레스와 적극적 대처에 영향을 주는 영향변수들을 알아보고자 하였다. 2009년 4~5월까지 중앙소방학교에서 교육 중인 전국과 C도에서 근무하는 구급대원들을 편의표집하여 총143부가 SPSS WIN 14.0 program을 이용하여 분석되었다. 외상성스트레스 검사는 Weiss(1997)가 다시 제작한 IES-R 도구를 사용하였고 최은숙(2000)이 수정, 개발한 업무부담감 측정도구와 오진환(2006)의 연구에서 수정 보완한 사회적 지지 측정도구와 이장호(1988)등의 연구에서 총 62문항으로 구성된 대처방식을 측정도구를 사용하여 분석하였다. 외상성스트레스 고위험군은 74명(51.7%)로 나타났고 일반적 특성에 따른 외상성스트레스 정도는 나이, 결혼, 학력, 직급에서 유의한 차이를 보였다. 유의수준 p=0.000에서 고위험군이 외상성 스트레스의 모든 세 하위영역(t=20.25), 업무부담감(t=5.75), 소극적 대처(t=4.19)와 적극적 대처방법(t=5.61)에서 높은 것으로 나타났다. 외상성스트레스와 주요변인간 상관관계는 유의수준 p=0.000에서 사회적 지지를 제외한 업무부담감(r=0.508), 적극적 대처(r=0.375), 소극적 대처(r=0.505)와 상관관계가 있는 것으로 나타났다. 구급대원들의 외상성스트레스에 가장 큰 영향을 미치는 요인으로는 업무 부담감(0.371)과 소극적 대처(0.366)로 나타났고 또한 외상성 스트레스 고위험군에 가장 영향을 주는 변수로도 업무 부담감(odds ratio=1.064, 95% 신뢰구간:1.031-1.103)과 소극적 대처(odds ratio=1.050, 95% confidence interval:1.022-1.080)로 나타나 일치하였다. 적극적 대처에 가장 큰 영향을 미치는 요인으로는 외상성 스트레스(0.392)와 사회적지지(0.158)로 나타났다. 따라서 구급대원의 외상성 스트레스를 감소하기 위해 업무부담감을 줄이고 소극적 대처를 감소시키고 대신 사회적 지지를 높여 적극적 대처를 할 수 있는 정책적 대안이 필요하다.

• 한국치위생학회지
• /
• 제18권5호
• /
• pp.797-806
• /
• 2018

Objectives: The purpose of this study was to analyze Influence of stress on oral health and quality of life. Methods: The participants were 172 students from 4 universities located in DaeJeon, South Korea. A questionnaire was administered, assessing the impacts of the general characteristics of the participants, temporomandibular joint (TMJ) symptoms, xerostomia, and halitosis on stress. And oral impacts on daily performance were also investigated. Data were analyzed using the Statistical Package for the Social Sciences 18.0. Results: The level of stress was higher in female, and the causes of stress was reported scholastic achievement, relations with professors, get a job. The students who were higher stress were more conscious of TMJ symptoms, xerostomia and halitosis(p<0.05). Stress was significantly positively correlated with TMJ symptoms (r=0.376, p<0.001), dry mouth (r=0.360, p<0.001), and bad breath (r=0.343, p<0.001). Oral Impacts on Daily Performance (OIDP) scores were significantly positively correlated with dry mouth, bad breath, TMJ symptoms, and stress. Regression analysis showed that 54.5% of the independent variables were related to OIDP scores. Stress and TMJ symptoms exerted a significant effect on OIDP scores. Conclusions: Stress among university students affects oral health and quality of life. Stress coping mechanisms and oral health care education programs should be developed and applied at universities.

• 지역사회간호학회지
• /
• 제15권1호
• /
• pp.122-131
• /
• 2004

Purpose: The purpose of the study is to explore the socio-psychological coping process and experiences of families before and after institutionalization by applying the Corbin and Strauss ground research method. Method: Data collection from 9 participants with elderly institutionalized dementia with approval from directors of the institute was done by in depth interviews during a seven month period from May, 2003 to December, 2003. Data analysis was done by repeated reading of the transcribed interviews, and 344 concepts and 39 subcategories were generated. Results: Family members of the dementia elderly experienced various degrees of exhaustion, physically, mentally, and socially. The degree of their exhaustion was related to the severity of the family member's symptoms, and length of the dementia. Coping strategies were effected by economic status, social support from blood related families or neighbors, depth of their relationship with elderly institutionalized dementia. They were even affected by the elderly family members institutionalization. Conclusion: After institutionalization participants felt some guilt from not assuming their responsibilities as children. On the other hand they regained privacy, freedom, security, and comfort, so that their life returned to normal. They even felt more comfort because their elderly were living in a safer environment, and received a better quality of care. Participants had better composure, so that they could even take care of neighbors in need. They hope that there is more governmental involvement in terms of subsidy and numbers of institutes. Findings of the study will be a ground for the development of a coping program for families with elderly institutionalized dementia. Further studies are recommended to explore types of family, and to develop programs for the families to help them interact with each other.

• 대한불안의학회지
• /
• 제3권2호
• /
• pp.116-122
• /
• 2007

Objective : The purpose of this study was to investigate the strategies used to cope with stress and the cognitive characteristics of somatic symptom perception in patients with panic disorder. Methods : A total of 101 patients who met the DSM-IV criteria for panic disorder and 60 normal controls were recruited for participation in this study. We evaluated the subjects using The Way of Stress Coping Questionnaire (SCQ), Somato-Sensory Amplification Scale (SSAS), Symptom Interpretation Questionnaire (SIQ), and the Panic Disorder Severity Scale (PDSS). We analyzed the data using an independent t-test and Pearson correlation analysis (p<0.05). Results : The patients who used emotionally focused coping strategies scored significantly lower on the SCQ. The patients with panic disorder showed greater amplification of body sensations in the SSAS, a significantly higher score on the physical interpretation subset of the SIQ, and a lower score on the environmental interpretation subset of the SIQ than the normal controls. The PDSS scores were positively correlated with the SSAS score and physical interpretation score on the SIQ. Conclusion : These results show that patients with panic disorder have poor emotionally focused strategies for coping with stress, greater amplification of body sensations, and a tendency towards a physical interpretation of somatic symptoms.

• 대한간호학회지
• /
• 제27권2호
• /
• pp.289-302
• /
• 1997

The main purpose of this study was to identify the effects of integrated stress management program on the stress symptoms of psychophysiological patients. especially patients with peptic ulcer. The study employed a quasi-experimental design using two different experimental groups. The samples in the integrated stress management program participated in autogenic training with biofeedback. discussions on effective coping method. cognitive. behavioral, and emotional management. They were also provided with an educational booklet on stress management and an tape on progressive muscie relaxation. Each session lasted one hour and the program consisted of seven sessions over four weeks. The other group was only given an tape on progressive muscle relaxation. The data were collected from May 20 to september 25, 1996. A total 47 patients from one university hospital located in Seoul participated, experiment group 1(integrated stress management training) had 23 subjects and experiment group 2(progressive muscle relaxation training) had 24 subjects. The effects of these programs were measured by the stress symptom scale developed by Kogan(1991) which was translated by Lee(1992) and the healing status of the ulcer evaluated by a physician. The data were analyzed using Chi-square test, t- test, ANOVA, repeated measure ANOVA. The result are as follows : 1. The integrated stress management group reported a significantly lower stress symptom score than the group given the progressive muscle relaxation only. 2. The integrated stress management group showed a significantly improved ulcer status as compared to the group given a progressive muscle relaxation only. In conclusion, it was found that the integrated stress management program was more effective in decreasing self-reported stress and physiological symptoms among patients with peptic ulcer as compared to the progressive muscle relaxation group. Based on this finding, the following suggestions can be made. 1. It is necessary to broaden the scope of nursing practice for psychophysiological patients so nurses can include stress management as part of patient care. 2. It is necessary to develop stress management program for other patients whose symptoms are known to be related to stress. 3. It is necessary to replicated this study with a larger sample in different settings.

• 보건행정학회지
• /
• 제30권3호
• /
• pp.386-398
• /
• 2020

Background: We determined the differences in awareness of myocardial infarction and stroke according to the presence or absence of diabetes mellitus in the community. Methods: The 2018 Community Health Survey identified 20,812 people with diabetes mellitus aged 40-79 years. Using 1:1 matching by propensity score, 20,812 people without diabetes mellitus but with similar sociodemographic characteristics were selected as a comparison. Outcome variables were awareness of early symptoms of myocardial infarction and stroke and awareness of coping strategies in case of occurrence. Results: There was no significant difference between nondiabetic and diabetic people in terms of recognizing all early symptoms of myocardial infarction (nondiabetic, 42.7%; diabetic, 43.0%; p=0.43) and stroke (nondiabetic, 49.4%; diabetic, 49.4%; p=0.91). In addition, no significant difference was found between nondiabetic and diabetic people in the proportion of knowing correct emergency response to myocardial infarction (nondiabetic, 84.6%; diabetic, 84.4%; p=0.56) and stroke (nondiabetic, 81.3%; diabetic, 81.4%; p=0.77). Conclusion: Since people with diabetes are at greater risk of cardiovascular disease than the general public, it is important to lower the risk of disability and death by improving their awareness of early symptoms and correct emergency response to myocardial infarction and stroke.