• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.728-739
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• 1998

To improve wellness and quality of life by recognizing the health efforts of stress, the author estimated the relationships between stress, subjective symptoms and clinical diagnosis through a questionnaire and a battery of specified laboratory tests; electrocardiography, blood pressure, cholesterol, aspartate aminotransferase(AST), alanine aminotransferase(ALT), gamma glutamyl transferase$(\gamma-GTP)$, fasting blood sugar, gastro-endoscopy or UGI, abdominal sonography, etc. The data was gathered from 337 clients who were undergoing multiphasic screening program at a University Hospital from January to March 1998. The mean age of subjects was $46.5{\pm}11.2$ years and the mean of body mass index was $24.0{\pm}3.7kg/m^2$. The mean vol of stress was $18.5{\pm}6.0$ expressed as the score out of 40. By general characteristics and lift style among male, mean level of stress was significantly higher in case of lower socioeconomic status, habitual drug use, longer daily working time(>10 hours), no regular exercise, drinkers, irregular meal, skip-ping breakfast(p<0.05). In case of female, that was significantly higher in case of lower education, lowe. socioeconomic status, longer daily working time(>10 hours), no regular exercise, drinkers, smokers, irregular meal, skipping breakfast(p<0.05). Significant correlations were observed between stress and subjective symptoms in all kinds of organ system (p<0.01). Correlation coefficients of stress among male were relatively high with neuro-psychiatric symptom$(\gamma=0.476)$ and cardio-vascular symptom$(\gamma=0.361)$ in order, and correlation coefficients of stress among female was highest with neuro-psychiatric symptom$(\gamma=0.371)$. The prevalence of the diagnosis through the battery of laboratory tests was high in upper gastrointestinal disorders and hypercholesterolemia in order in both sex group. Among male the mean score of stress was significantly high in ulcerative peptic disorder of upper gastrointestine and hepatopathy in order (p<0.05) . Among female that was significantly high in diabetes mellitus. In summary, it is likely that there are associations between stress, subjective symptoms and clinical diagnosis. To promote wellness and quality of life it would be of value that periodic stress evaluation program and stress management including apropriate control of smoking and drinking, regular exercise and meal.

• 한국보건간호학회지
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• 제35권1호
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• pp.120-134
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• 2021

Purpose: The reproductive health of women in early adulthood can affect pregnancy, childbirth, and menopause in later life. Menstrual symptoms not only affect daily life, but are also a reflection of a woman's reproductive health. This study was conducted to explore the factors affecting menstrual symptoms among university students. Methods: The general characteristics, life style, menstrual characteristics, stress, and menstrual symptom of 177 female students were assessed through an online survey at one university. An independent sample t-test, one-way variance analysis, correlation analysis, and multiple regression analysis were performed using the SPSS 22.0 program. Results: The menstrual symptom score was 91.68±32.11 points, and the score of 'mood change' was the highest. Stress (��=.38, p<.001), amount of menstruation (��=.20, p=.001), menarche age (��=-.18, p=.003), health problems (��=.16, p=.010), and age (��=.15, p=.016) were found to have a significant effect on menstrual symptom, and the explanatory power of the regression model was 40%. Conclusion: This study investigated the degree and influencing factors of menstrual symptom using the Korean Menstrual Symptom Scale (KMSS) developed for Korean university students. Among the factors influencing menstrual symptom, stress appeared to play a significant role. Stress management, observation of menstrual characteristics, and general health care are necessary to maintain a woman's reproductive health.

• 아동학회지
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• 제31권1호
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• pp.47-64
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• 2010

The purpose of this study was to investigate the overall daily life patterns of young children and to compare the lives of children using a center-based care center with those of children raised at home by their mothers. The subjects, 364 mothers of young children (aged 7~48 month olds), completed questionnaires consisting of items on their children's daily activities. Data were analyzed by descriptive statistics, chi-tests, and t-tests. Our primary findings indicated that on the average children slept for 10 hour 22 minutes and they usually played with their mothers at home. The young children mostly played outdoors two or three days per week and their outings were most commonly visits to relatives on weekends. 45.5% of the total children who participated in this study made use of at least one private education service, and they began to watch TV from 12.22 month olds. Furthermore, the mothers reported that their spouses participated in child rearing less than 1 hour a day.

• 정신신체의학
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• 제5권1호
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• pp.97-107
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• 1997

As a preliminary step to develop the Daily stress Inventory(DSI) for assessing minor stressors frequently experienced in everyday lift. We examined the reliability and validity of the DSI. The Daily Stress Inventory(DSI), the Beck Depression Inventory(BDI), the State-Trait Anxiety Inventory(STAI), the Social Readjustment Rating Scale(SRRS) and the Minnesota Multiphasic Personality Inventory(MMPI) were administered to 111 college students. Compared with the weekly DSI Event, Impact and I/E ratio scores of the American college students, the weekly event and I/E ratio scores of the Korean college students were significantly higher but weekly Impact score was lower. The internal consistency reliability of the DSI as computed by Cronbach alpha was .98. The DSI I/E ratio scores were significantly correlated with the scores of State Anxiety$({\gamma}=.27)$ and Trait Anxiety${\gamma}=.24)$, but not with BDI scores. And the SSRS scores were not significantly correlated to the DSI Event or Impact and In ratio scores. Significant correlations were revealed between the DSI Impact scores and the Sc and Ma scales of the MMPI. And the correlation between the DSI I/E ratio scores and the L, D, Hy, Pd and Pa scales of the MMPI was also significant. But no significant correlation was found between the DSI Event scores and all the scales of the MMPI. This study suggests that the DSI can be a reliable and valid tool to assess the minor stress frequently experienced in everyday life future study should be directed to obtain normative data based on more varied and larger population. Especially gathering additional evidences for the validity of the DSI using other minor stressor scale will be required.

• 기본간호학회지
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• 제8권3호
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• pp.302-313
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• 2001

Purpose: To identify characteristics of chronic fatigue, difference between the duration of fatigue and characteristics of chronic fatigue, and association between chronic fatigue and related factors in adults. Method: The subjects for this study were 180 adults who had experienced fatigue for over one month The measurement tools were the Revised Fatigue Scale by Chalder et al. (1993), the Visual Analogue Scale-energy developed by Lee et al. (1991), the BEPSI (Brief Encounter Psychosocial Instrument) by Frank & Zyzanski (1988), Zung's self rating depression scale (1965) and life style items including exercise sleep, drinking smoking and diet as developed by the researchers. Results : Those who complained of fatigue over six months experienced higher disturbances in their daily life compared to those who had suffered from fatigue less than six months. There were a significant correlation between severity of fatigue and depression (r=.46, p<.001), stress (r=.41, p<.001), and sleep (r=.20, p<.01) Statistically significant relationships were found between severity of fatigue and amount of exercise per week (F=3.79. p<.05) disturbed sleep (t=-2.66, p<.01), number of times awakened during the night (F=3.48, p<.05) types of drinking (F=2.65, p<.05), and diet regularity (F=5.83, p<.01). The construction of a multiple regression model revealed an adjusted $R^2$ of .27 with the depression score serving the major predictor variables for severity of fatigue. Men and people in the younger age group were more energetic than women and those in other age groups. Also married people experienced more fatigue than people who were single. divorced or separated. Conclusion: In nursing interventions for fatigue, medical personnel should consider sociodemographic characteristics of the clients, ways to reduce of stress and counter disturbances in daily life and develop strategies for a health promoting life style.

• 디지털콘텐츠학회 논문지
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• 제19권5호
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• pp.945-954
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• 2018

본 연구는 치위생과 학생들의 생활스트레스 수준과 생활스트레스 정도에 따라 식행동 변화에 어떠한 영향을 끼치는지를 분석하는데 목적이 있다. 서울과 대전지역 치위생과 각 1개교를 선정하여 재학 중인 387명의 학생들을 대상으로 이메일과 자기기입식 방법으로 설문조사 하였다. 생활스트레스 중 학업요인이 3.16점으로 가장 높았고, 진로요인 3.04점, 경제요인 2.97점 등이 뒤를 이었으며, 일반적 특성에 따라 체질량지수, 경제수준, 가족과의 대화시간 그리고 본인의 건강정도에 따라 통계적으로 유의한 결과가 나타났다. 본인 스트레스 자각 정도가 높은 군에서 올바르지 못한 식행동 결과를 보였으며, 스트레스 후 식행동의 변화에서는 매운맛 선호가 44.0% 가장 많았고, 평소보다 식사량 증가 47.7%,를 보였으며, 선호하는 음식은 매운 음식 42.5% 가장 많았다. 본 연구를 통해 치위생과 학생들의 생활스트레스 수준과 그에 따른 식행동 변화를 확인하였고, 연구 결과는 대학 생활 적응을 위한 교육과 상담에 도움이 될 것으로 기대한다.

• 한국산학기술학회논문지
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• 제18권3호
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• pp.628-639
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• 2017

본 연구는 유아의 일상적 스트레스와 취업모의 양육태도가 유아의 문제행동에 어떠한 영향을 미치는지 알아보고, 유아의 일상적 스트레스와 유아의 문제행동에 취업모의 양육태도는 매개역할을 하는지 알아보고자 한다. 연구를 위하여 "D"시에 소재한 어린이집에 다니는 만 3~6세 유아와 그들을 자녀로 둔 160명의 취업모였다. 연구를 위하여 수집된 자료는 SPSS 18.0 프로그램을 이용하여 상관관계를 분석하였고, 유아의 성별에 따라 일상적 스트레스와 취업모의 양육태도, 문제행동(공격성, 주의집중, 불안/우울)에 미치는 영향력을 알아보기 위하여 회귀분석을 하였다. 연구결과는 다음과 같다. 첫째, 남아의 문제행동 중 공격성과 주의집중은 취업모의 강압적 양육태도와, 불안/우울은 논리적 양육태도, 불안/좌절감 경험 자존감 상함 스트레스에 영향을 미쳤다. 둘째 여아의 문제행동 중 공격성은 취업모의 강압적 양육태도와, 주의집중은 불안/좌절감 경험 스트레스, 강압적 논리적 양육태도와, 불안/우울은 비난/공격적 상황 스트레스, 강압적 양육태도에 영향을 미쳤다. 셋째, 유아의 성별에 따른 일상적 스트레스와 문제행동 간의 취업모 양육태도의 매개효과는 남아의 경우 매개역할을 하지 않았고, 여아는 매개역할을 하였다. 그러므로 어머니는 강압적이거나 방임적인 양육태도보다는 상호보완적인 논리적 양육태도를 증진시켜 자녀가 일상생활에서 보이는 스트레스를 낮추고 문제행동을 감소시키는 것이 필요하다고 여겨진다.

• 정신신체의학
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• 제16권1호
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• pp.38-46
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• 2008

연구목적 : 본 연구는 말기 신질환으로 혈액투석을 받는 환자들에서 일상 생활에서 흔히 경험하는 경한 스트레스의 요인(minor stressor)의 빈도와 영향 및 취약성, 스트레스 대처방식의 특성, 주관적인 삶의 질의 관계를 살펴보는 것을 목적으로 하였다. 이를 통해 말기 신질환 환자들의 정신건강 및 삶의 질 향상을 위한 기초 자료를 제공하려 한다. 방법 : 혈액투석을 받는 환자 77명을 대상으로 하였다. 일상생활사건인 minor stressor와 관련된 스트레스의 정도와 대응기전을 나타내는 일상생활 스트레스 척도(Daily Stress Inventory Korean version, K-DSI)와 스트레스 대처방식 질문지(Ways of Coping Checklist)를 각각 사용하여 평가하였다. 삶의 질은 간편형 세계보건기구의 삶의 질 척도(World Health Organization Quality of Life Assessment Instrument)로 평가하였다. 결과 : 연구 참여인원은 77명(남자 37명, 여자 40명)이었고, 평균 연령은 $55.92{\pm}13.71$세였다. K-DSI의 사건, 영향, 영향/사건 비 점수는 평균 $29.06{\pm}21.57$점, $88.69{\pm}75.88$점, 그리고 $2.92{\pm}1.11$점으로 K-DSI의 규준 점수와 비교하여 높은 점수를 보였다. 대인관계, 개인능력, 인지, 환경 및 기타 스트레스의 다섯 하위요인별 점수도 규준 점수보다 높았으며, T 점수 비교에서는 사건 점수가 각각 54, 53, 81, 50, 57, 영향 점수는 각각 71, 88, 94, 69, 53으로 그 중 인지 스트레스 요인 점수가 사건, 영향 점수 모두 현저히 높았다. 스트레스에 대한 취약성을 나타내는 K-DSI의 영향/사건 비와 대처 방식 중 소극적 대처 방식 점수는 유의한 양의 상관을 보였다(소망추구 사고, 정서중심 대처 각각 r=0.431, r=0.225, p<0.05). 또한, 적극적 대처방식 중에서 문제해결 대처방식 점수는 삶의 질 척도의 신체건강(r=.294, p<0.01), 심리(r=.300, p<0.01), 사회관계(r=.233, p<0.05), 및 환경 하위요인(r=.293, p<0.05)과 유의한 양의 상관을 보였다. 결론 : 혈액 투석을 받는 만성 신질환자들은 일반 인구에 비해 경한 스트레스 요인(minor stressor)에 대한 영향을 현저히 많이 받고, 적극적 대처방식인 문제중심 대처와 삶의 질은 양의 상관을 보인다. 또한, 경한 스트레스 요인(minor stressor)에 대한 취약성이 높을수록 적극적 대처방식보다는 정서중심 및 소망추구 등의 소극적 대처방식을 더 많이 사용하고 있다. 혈액 투석 환자들의 스트레스를 평가할 때 일상생활에서 흔히 경험하는 경한 스트레스 요인에 대한 스트레스(minor stress) 평가와 대처방식이 함께 고려되어야 할 것이다. 더 나아가 혈액투석 환자들의 장기 치료 접근에 있어서 스트레스 관리와 대처기술 훈련을 포함한 치료가 병행되어야 환자들의 삶의 질 향상에 효과가 있을 것으로 예상된다.

• 한국직업건강간호학회지
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• 제19권2호
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• pp.150-158
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• 2010

Purpose: The purpose of this study was to investigate stress-coping level and to determine the significant predictor of nurses' stress-coping in schoolwork. Methods: This study was based on the questionnaire survey carried out among 340 nurses in schoolwork at Korea National Open University. The questionnaire included the general factor, schoolwork related factor, health related factor, work related factor, stress level and stress-coping level. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: The mean score of stress-coping level was 2.23 (SD=0.27). Time for study, exercise, and work as well as stress on daily life and job stress were significant predictors of nurses' stress-coping level in schoolwork. Conclusion: Findings of this study can be an important resource to improve stress-coping strategies of nurses in schoolwork.

• 대한간호학회지
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• 제29권1호
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• pp.34-47
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• 1999

This study evaluated the Comparison of the Effectiveness of Pelvic Floor Muscle exercise and Biofeedback treatment for Genuine Stress Incontinence I assigned 60 participants to 2 groups : 30 to the pelvic floor muscle exercise group and 30 to the biofeedback group. Treatment protocol lasted for 6 weeks. Peak pressure, and duration time of pelvic muscle contraction were evaluated by a perineometer. Lower urinary symptoms, sexual matter and life style scores were achieved by using Jackson's scale. The treatment efficacy of the pelvic floor muscle exercise is compared with the biofeedback group and the main results of the comparison are as follows : 1. Pelvic muscle contraction 1) The peak pressure in the biofeedback group was significantly increased(P＝0.000). 2. The frequency and quantity of incontinence 1) The frequency of incontinence in the biofeedback group was significantly decreased(P＝0.000). 2) The quantity of incontinence in the biofeedback group was significantly decreased(P＝0.000). 3. The lower urinary symptoms Daily frequency(P＝0.000), nocturia(P＝0.000), urgency(P＝0.000), bladder pain(P＝0.000), unexplained incontinence(P＝0.048), wearing protection(P＝0.022), changing outer clothing(P＝0.005), hesitancy(P＝0.008), intermittent stream(P＝0.000), abnormal strength of stream(P＝0.004), retention(P＝0.000), incomplete emptying(P＝0.000), and inability to stop mid stream(P＝0.006) of the lower urinary symptoms in the biofeedbatk group were significantly decreased. 4. The sexual matters The dry vagina (P＝0.004) and pain during sexual Intercourse (P＝0.002) in the biofeedback group was significantly decreased. 5. The life style The fluid intake restriction(P＝0.007), affected daily task(P＝0.003), avoidance of places & situation(P＝0.003), interference in Physical activity (P＝0.002), interference in relationship with other people(P＝0.01), and feeling about the rest of life with urinary symptom(P＝0.000) in the biofeedback group were significantly decreased. In conclusion, the biofeedback treatment was more effective than the pelvic floor muscle exercise in genuine stress incontinence.