• 제목/요약/키워드: Counselling

검색결과 551건 처리시간 0.025초

보건진료원의 금연지도활동에 영향을 주는 요인 - 광주$\cdot$전남지역을 중심으로 - (Predictors of Smoking Cessation Counselling Activities among Community Health Practitioners)

  • 김진선
    • 보건교육건강증진학회지
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    • 제20권3호
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    • pp.239-254
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    • 2003
  • Purposes: The purposes of this study were to investigate the smoking cessation counselling activities among community health practitioners(CHP) and to identify the predictors of their smoking cessation counselling activities. Method: A descriptive-correlation study using self-administered questionnaires was conducted. Questionnaires were mailed to all the CHP in a community. A total of 330 CHPs participated in this survey. Results: Of the CHPs surveyed, 245(74.2%) returned completed questionnaires. Most CHPs(90.7%) believed that if a health professional advises their patient to quit, the patient's chances of quitting smoking are increased. While the majority of CHPs “asked, advised, and assessed” their clients, a minority of CHPs “assisted, arranged, and recorded”. In the final stepwise multiple regression model, attitude about smoking cessation policies and counselling activities, self-efficacy of smoking cessation counselling knowledge and skills, and perceived barriers of smoking cessation counselling activities were identified as significant predictors of smoking cessation counselling activities among CHPs. Conclusion: Smoking cessation counselling activities are not a routine part of CHP practice. Efforts should be made to increase the self-efficacy of smoking cessation counselling knowledge and skills among CHPs. Helping CHPs to overcome their barriers to smoking counselling may open up new channels for smoking intervention.

청소년 상담사례 검색 시스템에 관한 연구 (Research of a Counselling Cases Search System for Student-Counselling)

  • 이지현;장혜숙;박기홍
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2002년도 추계종합학술대회
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    • pp.632-635
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    • 2002
  • 본 연구는 학교에서 얻어지는 교사들의 경험을 바탕으로 인터넷을 통한 학생상담의 효율성 증대를 위한 상담 사례 검색 시스템을 구축하는데 있다. 이 시스템은 관리자 모듈과 사용자 모듈로 구성되어 있다. 사용자 모듈은 상담사례 검색 및 입력, 게시판, 자료실 등을 이용할 수 있게 되어 있으며, 관리자 모듈은 자료 관리와 회원 관리 기능을 제공한다. 본 상담사례 검색 시스템은 학생 상담의 성공 확률을 증대시킬 수 있다. 교사가 인터넷을 이용하여 그들의 상담사례를 원격지에서도 쉽게 공유할 수 있기 때문이다.

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학교 생활상담 시스템에 관한 연구 (A Research of a school life counselling system)

  • 김영선;장혜숙;강정아;박기홍
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2004년도 춘계종합학술대회
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    • pp.548-551
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    • 2004
  • 본 연구는 학교에서 얻어지는 교사들의 생활상담 경험을 바탕으로 상담사례 공유를 통하여 학생상담의 효율성 증대를 위한 생활상담 시스템을 구축하는데 있다. 이 시스템은 관리자 모듈과 사용자 모듈로 구성되어 있으며 교사간의 상담사례 공유를 통한 보다 효과적인 상담을 돕는데 목적이 있다. 사용자 모듈은 여러 교사들의 상담내역 검색 및 입력, 자유 토론실, 자료실 등을 이용할 수 있게 되어 있으며, 관리자 모듈은 자료 관리와 회원 관리 기능을 제공한다.

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초등학교 담임교사의 상담자로서 역할지각 및 수행실태와 아동의 기대 분석 (Analyses of Elementary School Homeroom Teachers' Role Percept ion and Performance as Counsellors and Children's Expectation for Teachers' Role as Counsellors)

  • 서주희;김양현
    • 초등상담연구
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    • 제5권1호
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    • pp.65-92
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    • 2006
  • The objective of this study is to conduct survey analyses of the role perception and performance of homeroom teachers in elementary schools in Seoul as well as their students' expectations for teachers' role as counsellors. The study also aims to analyze the causes behind the lackluster performance, to provide assistance in teachers' counselling and guidance activities and collect basic data for providing a plausible orientation for elementary school counselling. Research topics for achieving these study objectives are as follows. First, what is the status quo of counselling between elementary school students and teachers? Second, what is the role perception of elementary school homeroom teachers as counsellors and their current level of performance? Third, what are the differences in students' expectations for homeroom teachers' role as counsellors according to students' environmental variables such as gender and grade? Fourth, what are the discrepancies between the roles perception and performance of elementary school homeroom teachers and role expectation of students for homeroom teachers' role as counsellors? In order to answer these questions, surveys were conducted for 229 teachers and 385 students in grades 4, 5 and 6 in 11 elementary schools in Seoul, and the results were analyzed. The questionnaires used for this study were modified and supplemented according to the research objectives based on survey questions released by Gyung-Beom Lee(1989), Hak-Soo Lee(2001) and Gi-Nam Gwon(2005). Statistical analyses were peformed using the SPSS for Windows 10.0 program. The results of the study can be summarized as follows. First, most elementary school homeroom teachers were involved in counselling activities, and about half of them were providing counselling once a month or less. The classroom was the primary location of counselling, and more than half of the surveyed teachers were dissatisfied with their counselling activities. The teachers cited overwhelming teaching hours and excessive work as the factors that made counselling difficult. Second, it was revealed that most elementary school students have had experiences of anguish and most have had some form of counselling. They mostly sought counselling from their parents and friends, and the reasons behind such choices were that they were very understanding. Third, most students responded that they have had no experience of receiving counselling from their homeroom teachers. Among those with counselling experience with their homeroom teachers, most said that the counselling was helpful. The most significant reason for not receiving counselling from their homeroom teachers was that the students had no worries to talk about with their teachers. Fourth, as a result of categorizing the role of elementary school homeroom teachers as counsellors according to the areas of counselling, role perception for each area turned out to be generally high, while performance was substantially lacking. Fifth, in terms of the causes for the lackluster counselling performance, overwhelming teaching hours and excessive work were indicated for counselling areas of academic and personality issues. Sixth, the analysis of students' expectations for elementary school homeroom teachers as counsellors for counselling areas according to gender and grade revealed that there was no overall statistical significance. Seventh, from the general perspective, the level of role perception of the homeroom teachers were higher than the level of students' expectations. In conclusion, in order to enhance the teacher's role as a counsellor, there has to be a concrete perception of roles as a primary premise, calling for training sessions and programs dedicated to counseling for the teachers to take part in. Moreover, in order to alleviate the most significant causes for undermining teachers' counselling activities - overwhelming teaching hours and excessive work - there must be administrative consideration as well as provisions for effective counselling centers and dedicated school counsellors.

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호스피스 사이버상담 프로그램 운영에 대한 소고 (Operating Report of a Hospice Cyber Counselling Program)

  • 유지수;이윤정;강세원
    • Journal of Hospice and Palliative Care
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    • 제9권1호
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    • pp.30-34
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    • 2006
  • 목적: 본 연구는 말기 질환자 및 가족들의 삶의 질 증진 차원에서 호스피스 사이버 상담을 위한 인력 훈련 및 홍보 시행을 통하여 호스피스 사이버 상담 프로그램을 운영하여 보고자 한다. 방법: 본 연구는 호스피스 사이버 상담 제공을 위한 상담 인력 훈련, 홍보 전략 구축, 운영 및 효과 평가의 절차로 진행하였다. 결과: 2004년 10월부터 2005년 7월까지 약 9개월 동안 사이버 호스피스 홈페이지를 방문하여 회원가입을 한 대상자는 총 72명으로 20대가 17명(23.6%), 30대가 12명(16.7%), 40대가 17명(23.6%), 50대 이상이 13명(18%)를 차지하였다. 진단명 별로는 암과 관련된 질환이 90%를 차지하였으며, 상담 내용과 상담신청자와의 관계는 가족이 90%를 차지하였으며, 10%만 본인이었다. 회원 중 30명이 온라인 상담을 이용하였으며 상담 건수는 35건이었다. 상담 건수 및 상담 이용 회원수는 적었으나, 상담 이용 후 지속적인 상담원과의 연계 및 사이트 활용의 경향을 보였다. 결론: 말기 질환자 및 가족들의 삶의 질 증진, 호스피스 사업 활성화의 기초 활동으로써 호스피스에 대한사이버 상담 프로그램을 실질적으로 운영하였다. 호스피스 사이버 상담의 활성화를 위해 대중 매체 및 언론을 통한 호스피스 사업에 대한 기본적인 홍보들이 지속적으로 이루어져야 하며, 의료진을 대상으로 한 호스피스에 대한 교육도 계속되어야 할 필요가 있다.

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심리극 집단상담이 간호학생의 신체$\cdot$정신건강에 미치는 효과 (Effects of Psychodrama Group Counselling on Physical and Mental Health of Nursing Students)

  • 고영애
    • 한국보건간호학회지
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    • 제17권1호
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    • pp.132-143
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    • 2003
  • The purpose of this study was to verify the effects of psychodrama group counselling, and to determine its applicability as a nursing intervention for the promotion of mental health of clients in their developmental stages. Methodological triangulation was used for research design. For quantitative study, quasi experimental study design with nonequivalent control group was used to test the effects of psychodrama group counselling. For each experimental and control group convenient samples of 15 nursing students were selected, and observed from May to Nov. 2000. For experimental group, the treatment was given for 2 hours each week, totaling 20 hours. The questionnaire consisted of 24 items of physical symptoms from CMI. 40 items of Spielberger Anxiety Scale, and 21 items of Beck Depression Scale. Reflective journal was written by the experimental group. The data were analyzed using chi-square and Mann-Whitney U test. For the qualitative study, the contents of the reflective journal were analyzed into categories and classifications. The results of the study were as follows; 1. There was a significant difference on physical health status between the experimental and the control group 2. There was a significant difference between two groups on the mean scores of mental health before and after psychodrama group counselling. 3. The qualitative analysis of reflective journal resulted in 4 categories and 13 classifications, which was reflected by the experience of the psychodrama group counselling. The four categories were self introspection, psychological support, improvement of interpersonal relationship and self development. The thirteen classifications are self-discovery, discovering others, emotional catharsis, positive thinking, formation of consensus, comforting, being free, being comfortable, understanding, maturing personal relationship, acquiring self-confidence, new challenges, and planning for the future. Based on the study findings, the psychodrama group counselling had promoted not only physical but also mental health of nursing students. The characteristics identified by the study suggested the applicability of psychodrama group counselling as an effective measure of nursing intervention for clients.

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일상적 삶에서의 치유의 공간에 관한 지리학적 고찰: 심리상담카페를 중심으로 (A Geographical Study on Healing Spaces in Daily Life Centering on Psychological Counselling Caf$\acute{e}$s)

  • 박수경
    • 대한지리학회지
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    • 제49권4호
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    • pp.546-562
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    • 2014
  • 본 연구에서는 그동안 국내 지리학에서 상대적으로 소홀히 다루었던 치유(healing)에 관한 지리적 접근을 검토하고, 심리상담카페의 운영자의 시선을 통해 일상적 삶에서의 치유의 공간의 의미에 대해 생각해 보고자 한다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 눈에 드러난 정신과, 심리상담센터 등과 같은 곳은 일종의 문화적 낙인(cultural stigma)의 공간으로 인식되지만, 심리상담카페의 경우에는 이와 같은 심리적 거부감 내지 거리감을 낮춤으로서 치유가 필요한 사람들이 쉽게 접근할 수 있는 곳으로 통하고 있다. 둘째, 현대인들에게 요구되는 치유란 짧은 시간이나마 현실에서 도피할 수 있는 것이라 볼 수 있는데, 이러한 점에 있어서 인스턴트식으로, 기대하지 않았던 공간에서의 치유 활동은 심리상담카페의 이용자들에게 특별한 경험으로 다가오며, 부담스럽지 않은 선에서 반복적이며, 지속적인 치유 경험이 가능한 곳이 된다. 셋째, 심리상담카페는 누구나 이용할 수 있는 열린 공간인 카페로 재탄생함으로서 우리의 일상적 삶에 더 깊숙이 침투할 수 있는 장점을 가진 공간으로 활용되고 있다.

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Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India

  • Jayakrishnan, Radhakrishnan;Mathew, Aleyamma;Uutela, Antti;Auvinen, Anssi;Sebastian, Paul
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.2891-2896
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    • 2013
  • Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

인터넷을 이용한 루푸스 환자의 건강상담 내용 분석 (An Analysis of Health Counselling by the Internet in One Lupus Center)

  • 송경애;백승인;조옥희
    • 근관절건강학회지
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    • 제11권1호
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    • pp.42-49
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    • 2004
  • Purpose: To establish more effective health counselling system by internet and to provide basic data for developing on-line education program for lupus patients. Method: This survey analyzed the contents of health counselling cases from September, 2002 to March, 2004. Among 108 questioners visited questioning/answering(Q/A) site in one lupus center home page. Contents of Q/A were classified and analyzed using SAS program. Results: Most frequent questioners were female and twenties, they needed to know diagnosing process, treatment principles and information regarding the clinic visits. During the study period, the average number of user's questioning were 166.2 cases and answering was 171.1 cases. Conclusions: These findings suggest that computer mediated health counselling may be useful supplement of health education for lupus patients. More research is needed to develop better health counselling service and education program on the web.

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Effectiveness of a Brief Physician Counselling Session on Improving Smoking Behaviour in the Workplace

  • Han, Yung Wen;Mohammad, Mohazmi;Liew, Su May
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7287-7290
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    • 2014
  • Background: Brief physician counselling has been shown to be effective in improving smokers' behaviour. If the counselling sessions can be given at the workplace, this would benefit a larger number of smokers. This study aimed to determine the effectiveness of a ten-minute physician counseling session at the workplace in improving smoking behaviour. Materials and Methods: This prospective randomised control trial was conducted on smokers in a factory. A total of 163 participants were recruited and randomised into control and intervention groups using a table of random numbers. The intervention group received a ten-minute brief physician counselling session to quit smoking. Stages of smoking behaviour were measured in both groups using a translated and validated questionnaire at baseline, one month and three months post intervention. Results: There was a significant improvement in smoking behaviour at one-month post intervention (p=0.024, intention to treat analysis; OR=2.525; CI=1.109-5.747). This was not significant at three-month post intervention (p=0.946, intention to treat analysis; OR=1.026; 95% CI=0.486-2.168). Conclusions: A session of brief physician counselling was effective in improving smokers' behaviour at workplace, but the effect was not sustained.