• 제목/요약/키워드: Depression support program

검색결과 328건 처리시간 0.027초

지역사회 중심의 산욕기 산모 추후관리 프로그램 개발을 위한 기초조사 (A Preliminary Study with the Objective of Developing a Community based Postpartum Women's Follow-up Program)

  • 김명희
    • 한국보건간호학회지
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    • 제15권1호
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    • pp.27-41
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    • 2001
  • The purpose of this study was to discern the level of satisfaction of postpartum care in hospitals. the level of importance of traditional postpartum care and the need for home health care for postpartum women. The study's design was to obtain data needed to develop a community-based postpartum care program and to improve the quality of nursing for postpartum care recipients. Data for the study was collected from 1 March to 31 June 2000 from 116 postpartum care recipients treated in Chung-Buk, Korea. Data analysis consisted of frequency, percentage, t-test, and ANOVA. using SPSS win program. The results the of analysis were as follows: 1) The level of satisfaction of postpartum care in the hospital (mean 1.31) was very low. The most laudable items of nursing care by category were: moderate satisfaction with 'perineal wound care' (2.04) and 'afterpain observation'(2.09). The overall level of satisfaction of postpartum care in the hospital. however, was very low. 2) Among other items of postpartum care in the hospital, 'postpartum exercise' $(25.9\%)$. 'assessment and support for postpartum depression' $(25.9\%)$, 'operation wound care for women who underwent Caesarean sections' $(24.5\%)$. and 'contraception and family planning' $(20.4\%)$ showed a need for home health care for postpartum care recipients above $20\%$. 3) The level of importance of traditional postpartum care (Sanhujori) was relatively high (mean 2.72). The importance of Sanhujori by category was as followed: 'the fourth principle: protecting the body from harmful strains' was the highest (2.88), 'the third principle: eating well', 'the first principle: invigorating the body by augmenting heat and avoiding cold', 'the second principle: resting without working', 'the fifth principle: keeping clean' and 'the sixth principle: handling with the whole heart' showed 2.85, 2.80, 2.70, 2.51 and 2.46 respectively. 4) The need for home health care with Sanhujori was very low. 5) The relationship between demographic factors and the level of satisfaction with postpartum care in the hospital was as follows: the satisfaction levels were significantly different among' delivery frequency' and 'health status' alteration after delivery'. 6) The relationship between demographic factors and the importance of the Sanhujori category was as follows: There were no significant differences in the level of importance of the first and the forth principle of Sanhujori. The level of importance of the second principle of Sanhujori was significantly different among 'income' and 'family type'. The level of importance of the third principle of Sanhujori was significantly different among 'having a boy'. The level of importance of the fifth principle of Sanhujori was significantly different among 'income' and 'feeding type'. The level of importance of the sixth principle of Sanhujori was significantly different among 'education background' and 'feeding type'. In conclusion. the findings of this study illustrate the nursing needs of postpartum care recipients. It provides a challenge to caregivers in the healthcare industry to develop a continuous postpartum care program and integrative postpartum care system that embodies the oriental and western paradigm for the promotion of women's health.

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방사선치료를 받는 암환자의 특성과 사회적지지 및 심리상태에 관한 연구 (A Study on the Characteristics of Cancer Patients with Radiotherapy and Social Support, Psychosocial Status)

  • 이명구
    • 대한방사선기술학회지:방사선기술과학
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    • 제27권3호
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    • pp.59-69
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    • 2004
  • 현대의학의 급속한 발전에도 불구하고 암은 아직도 인간에게 건강과 생명을 위협하는 주요인의 질환으로 인식되고 있다. 암은 세포조직의 과잉성장으로 인해 발생하는 악성종양으로 성별이나 연령에 관계없이 신체 어느 부분이나 발생하여 죽음에 이르게 하는 불치의 병으로 간주되고 있다. 암환자들이 치료를 받는 기간동안 겪게 되는 문제들은 심리적으로 우울하고, 죽음에 대한 불안감이 나타나며, 자아 존중감의 상실을 경험하게 된다. 방사선 치료를 받는 암환자는 대부분 수술이나 화학요법과 더불어 추가적으로 방사선치료를 병행하는 것으로 알려져 있어, 방사선 치료를 받는 환자는 신체적 고통뿐만 아니라 경제적이나 심리적으로 불안하고, 치료에 대한 부담감이 더욱 가중되어 환자에 대한 심리상태의 안정이 절실히 요구되고 있다. 인간의 질병에 대한 치료는 신체적 치료와 심리정서적 치료를 병행하여 시행함으로써 좀더 완전하고 효율적인 전인치료가 되는 것으로 알려져 있다. 본 연구는 방사선치료를 받는 암환자의 특성과 사회적 지지에 따른 심리상태를 확인하여 환자의 전인치료를 위한 기초 자료로 제공하고자 실시하였다.

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암환자의 희망 예측요인 (Predictive Factors of Hope in Patients with Cancer)

  • 이화진;손수경
    • 성인간호학회지
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    • 제12권2호
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    • pp.184-195
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    • 2000
  • It has been believed that cancer is an omnious factor threatening the future and life itself. Patients having the disease experience anxiety, fear, feeling of weakness, depression and feelings of uncertainty and hopelessness. Most cancer patients, however, have expectations of possible recovery and a better future, very different from the patients who feel hopeless. Therefore. hope allows people to respond effectively to the fatal disease they have and prevents them from detoriorating physically and spiritually, positively influencing their survival, response to treatment and sense of security. Studies previously performed showed that hope is positively correlated with social and family supports, self-esteem, spiritual well-being, responsive action, health promotion behavior and quality of life. Thus, the study attempted to provide basic information on nursing cancer patients by investigating their levels of hope and determining predictive factors which influence hope. For the study 200 cancer patients in two university hospitals located in Pusan were sampled as subjects. Data were collected for twenty nine days from Feburary 1, 1999 to March 1. Instrumets for the study included 10 items from the self-esteem scale by Rosenberg (1965), 39 hope measurements by Kim and Lee(1965), 16 of the social support scale by Tae(1986) and 16 of the general characteristics scale, all of which totaled 81 items. The data were analyzed using the SPSS program. General characteristics of the investigated based on numbers and percentage. Hope, self-esteem and social support were analyzed using means, minimum, maximum and standard deviation. Relations among the foregoing three factors were analyzed using Pearson' correlation coefficient. Levels of hope in cancer patients were determined using t-test, ANOVA and Scheffe test. Predictive factors influencing hope were investigated using multiple stepwise regression analysis. Results of the study are summarized as follows: 1. An average level of hope was $185.55{\pm}23.39$ points(96 min. and 234 max.) 2. Levels of hope showed a significant difference among them according to sex (t=-3.69, P=.000), age(F=4.714, P=.000), job(F=3.247, P=.008), monthly income (F=6.113, P=.003), treatment charge (F=3.796, P=.011), supportive resources (F=10.554, P=.000), diagnosis(F=2.287, P=.029), perceived health status(F=22.184, P=.000), level of pain(F=3.334, P=.021), religion (F=4.911, P=.001) and religion's effect in life (F=11.706, P=.000), 3. For the subjects, self-esteem and social support were $38.32{\pm}7.21$(13 min, and 50 max.) and $52.97{\pm}8.49$points(28 min, 80 max.). Concerning social support, average levels of family support and medical support were found $35.95{\pm}6.05$(18 min, and 40 max) and $27.02{\pm}4.99$ points(20 min and 40 max). The hope the cancer patients showed significant correlations with self-esteem (r=.588, P=.000), family support(r=.224, p=.001) and medical support(r=.221, P=.002). 4. The five variables related to hope (self-esteem, religion's effect in life, perceived health status, social support and age) accounted for 54.2 percent of the hope level; especially, self-esteem was the highest at 34.6%. As shown in the above results, predictive factors which most influence hope in cancer patients were self-esteem and religion's effect of life. Therefore, nursing interventions to increase self-esteem should be developed. Regarding religion's effects, studies on spiritual aspects should be carried out in a way that contributes to promotion of hope.

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일본의 노인건강관리체계 검토를 통한 한국 지역사회노인 예방 건강관리 방안모색 연구 (Development of a Community-based Preventive Health Care Model for the Elderly in Korea through the Evaluation of a Japanese Counterpart)

  • 이인숙
    • Perspectives in Nursing Science
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    • 제7권1호
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    • pp.10-22
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    • 2010
  • Purpose: Through a thorough examination of the CCSC (Community Comprehensive Support Center) system in Japan, this study suggests a scheme to provide community-based preventive health care services for the elderly in Korea. Methods: The study inquired into the applicability of the Japanese model by reviewing the data related to the CCSC project, aided by both in-depth interviews with staff in the field and consultations with specialists. Results: Rearrangement of the Visiting Health Management Project system is needed to manage the collective or individual visiting care management for frailty prevention of the elderly in communities. The delegated service system for preventive care in the community, including direct management by one of the public health centers, also needs to be reviewed and the application of stricter standards for the selection of the agency or corporation to run the delegated service is necessary. Long-Term Care Insurance, along with national and local grants, is to be considered as a financial resource for the community-based preventive health care model for the elderly. By making active use of education rooms at district offices, senior citizen centers in neighborhoods for the elderly with easy access can be created. The project needs to raise active supports from communities, develop programs which can be absorbed into particular local cultures, and promote the understanding of the preventive project in local communities. The preventive program should focus on first solving the problems of depression, seclusion, and lack of mobility of the elderly. Second, the program should instruct physical self-management for exercise-nutrition-dental maintenance, and third, the program should strengthen the cognitive abilities of the elderly. In addition, it is necessary to systematize and implement counter-plans of the family and community to protect the elderly who has mental and cognitive problems. Finally, by establishing a network of public health welfare resources based upon research on a community level, assessment and planning for the health of the elderly should be one with their family, and comprehensive consultation and recommendations should be provided to the family. Conclusion: Taking into consideration the experience Japan has had with respect to a similar project, it is appropriate to develop and implement a service system which would combine the Visiting Health Management Project system which has already been established and a preventive health care model for the elderly on a community level.

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중년 남성의 죽음에 대한 태도에 영향을 미치는 요인 (Factors Influencing Middle-Aged Men's Attitude towards Death)

  • 정영미
    • Journal of Hospice and Palliative Care
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    • 제16권3호
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    • pp.166-174
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    • 2013
  • 목적: 본 연구는 우리나라 중년 남성의 죽음에 대한 태도를 살펴보고 이에 대한 영향요인을 파악하여 올바른 자아성찰이 포함된 건강증진 프로그램 개발을 위해 시도되었다. 방법: 대구광역시에 거주하는 만 40~59세 중년 남성을 편의 표출하였다. 구조화된 설문지 문항에는 일반적 특성, 생활스트레스, 자아존중감, 생활만족도, 우울, 대처행동, 죽음에 대한 태도 등을 포함시켰다. 자료는 기술통계, 피어슨 상관계수 및 단계적 다중회귀 분석을 이용하였다. 결과: 중년 남성의 죽음에 대한 태도는 교육 정도, 종교, 자원봉사활동, 인지된 건강상태에 따라 유의한 차이가 있었으며, 죽음에 대한 태도는 생활스트레스, 우울과는 음의 상관관계를, 자아존중감, 생활만족도, 대처행동과는 양의 상관관계를 나타내었다. 또한 단계적 다중회귀분석을 통한 죽음에 대한 태도 영향요인은 생활만족도, 생활스트레스, 종교, 대처행동이 유의한 영향요인으로 나타났으며, 이들 변수의 죽음에 대한 태도 설명력은 25.7%였다. 결론: 중년 남성이 죽음을 올바로 이해하고 긍정적이면서 수용적인 태도를 지니기 위해서는 대상자가 가지고 있는 교육수준이나 경제수준과 같이 당장 변경이 어려운 요인보다는 보다 접근이 용이한 심리적인 요인에 초점을 두고 개입이 시행되어야 할 것이다. 또한 이런 중재는 일반 중년 남성뿐만 아니라 말기 암이나 호스피스 치료를 받고 있는 중년 남성, 더 나아가 중년 여성이나 다른 연령층에게 본 연구결과가 적용될 수 있을 것이다.

통합적 완화 돌봄 중재가 말기암환자의 삶의 질에 미치는 효과: 메타분석 (Effects of Integrated Palliative Care Intervention on Quality of Life in Terminal Cancer Patients: A Meta-analysis)

  • 조계화;박애란;이진주
    • Journal of Hospice and Palliative Care
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    • 제18권2호
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    • pp.136-147
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    • 2015
  • 목적: 본 연구는 통합적 완화 돌봄 중재연구가 말기 암환자의 삶의 질에 미치는 효과 크기를 분석하기 위한 메타분석 연구이다. 방법: 말기 환자와 통합적 완화 돌봄 중재 및 연구 설계를 나타내는 용어들을 병합하여 PubMed, Cochrane Library CENTRAL, LWW (Ovid), CINAHL 및 국내 데이터 베이스에서 검색하였다. 논문의 질평가는 RCT 연구인 경우 RoB 도구를 사용하였으며, Non-RCT 연구인 경우는 RoBANS를 사용하였다. 중재의 효과크기는 Stata 10 프로그램으로 메타분석 하였다. 결과: 8편의 연구가 최종선정 되었으며, 총 대상자의 수는 356명이었다. 통합적 완화 돌봄 중재는 평균 6.5주, 5.6 세션으로 이루어졌으며, 한 세션당 평균 47.8분이 소요되었다. 효과는 동질성 및 하위그룹 분석을 실시하였다. 통합적 완화 돌봄 중재의 효과는 삶의 질(ES=1.83, P=0.018, $l^2=92%$), 영적 안녕(ES=0.78, P=0.040, $l^2=0$), 우울(ES=0.86, P<0.001, $l^2=32$) 및 불안(ES=0.69, P=0.041, $l^2=71.1$)에서 효과가 있었다. 그러나 말기암환자의 통증(ES=0.365, P=0.230, $l^2=69.8$)에는 효과가 없었다. 결론: 이상의 결과로 통합적 완화 돌봄 중재는 비록 통증은 완화시키지는 못했으나 우울과 불안을 감소시키고 영적 안녕과 삶의 질을 높이는 것으로 나타나, 통합적 완화 돌봄 중재는 말기암환자의 사회심리영적 차원의 삶의 질을 증진시킬 수 있다고 본다.

세월호 참사 전후 피해지역 주민의 정신건강 및 건강관련 삶의 질 비교연구 (A Comparative Study on the mental health and health-related quality of life in victimized community residences before and after Sewol ferry disaster)

  • 이진숙;이은주;이수경
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제8권10호
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    • pp.895-903
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    • 2018
  • 본 연구의 목적은 세월호 참사 전후 피해지역 주민들의 정신건강 상태 및 건강관련 삶의 질을 비교 분석하여 추후 대형 인적재난의 발생 시 피해지역의 지원근거를 마련하기 위함이다. 본 연구에서는 빅데이터인 지역사회건강조사자료를 이용하여 세월호 피해지역인 안산시와 진도군에 거주하는 주민 총 3,632명(2013년도 1,803명, 2014년도 1,829명)을 대상으로 주관적 건강수준, 적정수면 여부, 주관적 스트레스, 스트레스 상담여부와, 우울감 경험여부, 우울감 상담여부, 건강관련 삶의 질을 참사 전후로 비교하였다. 세월호 사건 후 피해지역 주민들은 주관적 건강수준과 적정수면여부, 주관적 스트레스 정도, 건강관련 삶의 질에서 부정적으로 유의한 차이를 나타냈다. 반면, 스트레스 상담 여부, 우울감 상담 여부는 참사 전과 후에 유의미한 차이를 나타내지 않았다. 본 연구는 대형 인적피해를 가져온 세월호 피해지역의 주민들을 대상으로 세월호 사건 발생 전 후의 정신건강 및 건강관련 삶의 질을 비교하여 추후 재난의 피해지원을 위한 중재 프로그램이나 정책개발의 기초자료로서 의의가 있다. 향후 피해지역 주민들의 정신건강 및 건강관련 삶의 질을 지속적으로 모니터링하고, 지원대책을 마련하기 위해 보다 다양한 후속 연구들이 시행되어야 할 것이다.

울산지역 주부의 녹색식생활지침에 대한 인식 및 실천 (Perceptions and Practices for Core Action Message on Green Dietary Life: The Case of Homemakers in Ulsan, Korea)

  • 하태정;박동연
    • 한국지역사회생활과학회지
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    • 제25권4호
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    • pp.533-548
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    • 2014
  • The Ministry for Agriculture, Food and Rural Affairs developed a program called "Core Action Massages for Green Dietary Life" to reduce greenhouse gas emissions and energy consumption and improve health. This study examines the degree of perceptions and practices with respect to these massages by considering a sample of 245 homemakers in Ulsan, Korea. The questionnaire consisted of questions about perceptions and practices of Core Action Massage and its three parts of detailed massages: , , . The data were analyzed with cross tabulation analysis, Tukey analysis after ANOVA. The score of agreement to Core Action Massage was 4.57(range 1-5). The score of perception about showed significant differences in age(p<0.01) and income(p<0.05). The score of perception about and showed significant differences in age(p<0.05). The score of practicing showed significant differences in age(0.001), education(0.01), housing style(p<0.01), and region(0.01). The score of practicing showed significant differences in age(p<0.001), education(0.05), and region(0.05). The frequency of practices for was low. As to the results of the study, education on green dietary life must be provided to homemakers, especially young homemakers. Opportunities to experience of farming to appreciate others' efforts to obtain food should also be provided.

학생정신건강사업 현황 및 관련 교육 요구도: 초중고 보건교사와 상담교사 대상 (The Current Status of Student Mental Health Programs and the Needs for Related Training: Focusing on School Nurses and School Counselors)

  • 진영란;강미경;이윤정
    • 한국학교보건학회지
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    • 제31권2호
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    • pp.117-126
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    • 2018
  • Purpose: The leading cause of death among teenagers in Korea is suicide. Also, it is known that mental health of Korean adolescents identified based on the levels of perceived stress or depression is very poor. The purpose of this study was to examine the current status of student mental health programs in Korea and the associated problems and to explore ways to make the programs more effective. Methods: The subjects of the study were a total of 115 school nurses and school counselors in elementary, middle and high schools. The study examined the current status and the associated problems of school mental health programs as well as the needs for teacher training programs related to student mental health. Results: Few mental health programs other than counseling for at-risk students were being carried out. The problems associated with student mental health management were, in terms of management, 'accountability in case of incidents such as student suicide' and 'parents uncooperative in their kid's mental health management (visit to hospital, etc.)' and, in terms of manpower, 'unclear R&R between school nurses and school counselors' and, more fundamentally, 'the lack of human resources.' The needs for teacher training programs related to student mental health were very high and the content required most was 'ways to manage stress of students and teachers themselves,' followed by 'interpersonal conflicts management & conservational skills,' and 'ways to manage student mental illness.' Conclusion: In conclusion, to increase the effectiveness of student mental health programs, we should move on from the current system which focuses only on early discovery and intervention to a more comprehensive system that includes preventive approaches, while having clearer R&R and more workforce dedicated to student mental health programs and attracting more parental cooperation and support.

표준진료지침을 적용한 요추 수술 환자의 퇴원 지연에 영향을 미치는 요인 (Factors Affecting Discharge Delay in Lumbar Spinal Surgery Patients Who were Treated according to a Critical Pathway)

  • 김정희;이은하;김수란;김성렬
    • 성인간호학회지
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    • 제28권1호
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    • pp.43-52
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    • 2016
  • Purpose: The aim of this study was to identify demographic, clinical, physical, and psychosocial factors affecting discharge delay in lumbar spinal surgery patients who were treated according to a critical pathway. Methods: A sample of 170 patients with lumbar spinal surgery agreed to participate in the study, between April 1, 2014 and August 30, 2015. Data were analyzed by mean, standard deviation, t-test, ${\chi}^2$-test, ANCOVA, and logistic regression analysis using SPSS 22.0 program. Results: Approximately fifty-nine percent of the participants was delayed discharge. On logistic regression analysis, female gender (OR=2.63, 95% CI=1.40~4.94), age (OR=1.03, 95% CI=1.01~1.05), spondylolisthesis (OR=4.49, 95% CI=1.90~10.61), and spinal fusion operation (OR=4.14, 95% CI=1.89~9.05) were significant factors predicting discharge delay of the participants. However, discharge delay was not related with pain, physical function, depression, or family support. Conclusion: An analysis of discharge delay may assist in evaluating and revising critical pathway for optimal care. In addition, nurses need to understand the factors affecting discharge delay of the given population who were treated according to a critical pathway.