• 제목/요약/키워드: Emotional Stress

검색결과 1,081건 처리시간 0.03초

곤충치유프로그램의 운영 방식에 따른 치유효과 분석 (Analysis of Healing Effects of Insect Healing Program Based on Operating Methods)

  • 김소윤;지상민;고혜진;박지연;김선영
    • 한국환경과학회지
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    • 제32권11호
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    • pp.833-840
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    • 2023
  • Insect-healing program is designed for farm use, and this study attempted to scientifically investigate its healing effect based on application methods. The insects used in the program are Trypoxylus dichotomus, Papilio xuthus, and Bombyx mori. Insect-healing program was conducted on 61 adults of over 50 years old and at two different farms for 12 weeks. Stress, anxiety, insomnia, and cognitive function were measured through pre- and post-surveys. Result of the analysis showed that cognitive function changed positively in direct experienced group (those that encountered live insects) and indirect experience group (those that encountered insects only through photos and videos). However, psychological variables such as stress and anxiety decreased and sleep time increased significantly only in the direct experienced group. These results demonstrate that an agro-healing program that involve the use of insect must include activities such as raising and taking care of live insect to achieve positive psychological healing effects.

A Caring Program for Health Promotion among Women Who Have Experienced Trauma: A Quasi- Experimental Pilot Study

  • Kim Goun;Kim, Heejung;Park, Jeongok;Kang, Hee Sun;Kim, Soojin;Kim, Sunah
    • 대한간호학회지
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    • 제53권5호
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    • pp.500-513
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    • 2023
  • Purpose: Women are more vulnerable to post-traumatic stress (PTS) than men, causing several health problems. Nurses should understand and work with women who have experienced trauma and provide interventions to promote their physical, social, and mental health. Methods: This quasi-experimental pilot study used a one-group pre-test/post-test design. Data were collected from 14 women recruited between December 2019 and May 2020 from a self-sufficiency support center in South Korea for sexually-exploited women who had experienced trauma. The program consisted of six one-on-one intervention sessions per week for six weeks. Each session averaged 60~120 minutes. Participants were assessed at pre-test, post-test, and one-month follow-up. Changes in outcome variables over time were analyzed using the Wilcoxon signed-rank and Friedman tests. Results: The caring program for health promotion was divided into six sessions: understanding the self, sharing traumatic events and negative emotions, reframing the meaning of traumatic events, identifying thoughts and physical and emotional responses, developing health promotion activities, and maintaining a positive attitude during the process of change. As a result of the caring program, PTS (F = 36.33, p < .001), depression (F = 24.45, p < .001), health-promoting behaviors (F = 7.06, p = .004), and self-esteem (F = 19.74, p < .001) among the participants differed significantly at pre-test, post-test, and follow-up. Conclusion: This study provides foundational information for the implementation of a theory-driven program by nurses in clinical and community settings to provide comprehensive care for women who have experienced trauma.

Association between smartphone overdependence and mental health in South Korean adolescents: a secondary data analysis

  • Hyeseon Yun;Eun Kyoung Choi
    • Child Health Nursing Research
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    • 제30권2호
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    • pp.87-96
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    • 2024
  • Purpose: The rising prevalence of smartphone overdependence among adolescents and its detrimental impact on mental health have become a growing concern. This study aimed to investigate the association between smartphone overdependence and the mental health of Korean adolescents. Methods: Participants were drawn from the 16th Korea Youth Risk Behavior Web-based Survey conducted in 2020. The dependent variable as smartphone overdependence, while the main exposure of interest was mental health, encompassing generalized anxiety disorder (GAD), perceived stress, sources of perceived stress, perceived loneliness, and perceived depressive symptoms. The study employed the Rao-Scott chi-square test and multiple logistic regression using IBM SPSS version 26.0. Results: The participants comprised 54,948 adolescents aged 13 to 18 years. Among them, 25.1% (n=13,775) were categorized as smartphone overdependence group. Specifically, 20.3% of adolescents who reported GAD ≥10 and 22.5% of those who reported experiencing high levels of perceived loneliness were identified as smartphone overdependent. The GAD increased a risk of smartphone overdependence by 2.61 times (95% confidence interval [95% CI]: 2.46-2.77). Perceived loneliness was associated with 1.98-fold (95% CI: 1.87-2.09) increased risk of smartphone overdependence. Additionally, conflict with peers was found to increase the risk of smartphone overdependence by 4.63-fold (95% CI: 3.89-5.52), followed by conflict with parents (odds ratio [OR]: 4.52, 95% CI: 3.84-5.31), and family environment (OR: 4.52, 95% CI: 3.75-5.46). Conclusion: The findings underscore a significant association between smartphone overdependence and mental health in Korean adolescents. Healthcare services to improve their emotional coping and interpersonal skills are necessary.

요양보호사의 소진에 미치는 영향 (Effect on the Burnout of Nursing Care Workers)

  • 김영춘
    • 한국콘텐츠학회논문지
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    • 제20권11호
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    • pp.590-602
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    • 2020
  • 본 연구는 요양보호사의 직무 스트레스, 임파워먼트, 조직 몰입이 소진에 미치는 영향을 파악하고자 수행되었다. 이러한 연구를 위해 광주광역시와 전남지역에 소재하는 노인장기요양기관에서 근무하는 요양보호사를 대상으로 실시하였다. 연구 결과, 요양보호사의 역할 과다, 역할 갈등, 역할 모호가 소진에 정적 영향을 미치는 것으로 나타났으며, 개인 역량, 직무관계 역량, 조직환경 역량은 소진에 부적 영향을 미치는 것으로 나타났다. 또한, 정서적 몰입, 규범적 몰입은 소진에 부적 영향을 미치며, 지속적 몰입은 정적 영향을 미치는 것으로 나타났다. 전체적으로, 직무 스트레스, 임파워먼트, 조직 몰입 순으로 소진에 영향을 미치는 것으로 나타났다. 이러한 연구 결과를 바탕으로, 요양보호사의 능력과 적성에 맞는 역할 부여와 대상자 선정 및 배치, 평가 등 공정한 인사관리 시스템을 마련할 필요가 있으며, 요양보호사의 역량을 강화시키기 위해 정기적이고 실질적인 직무교육과 훈련, 슈퍼비전 제공 등 체계적인 업무환경을 조성해야 할 것이다. 또한, 요양보호사가 직무 수행 과정에서 발생되는 스트레스를 해소하고, 여가를 활용할 수 있는 적절한 휴식 공간을 마련을 통해 업무가 효율적으로 이루어질 수 있도록 해야 할 것이다.

암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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통증과 스트레스 (Pain and Stress)

  • 신우용;유범희
    • 정신신체의학
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    • 제15권1호
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    • pp.29-34
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    • 2007
  • 통증은 주관적인 증상이며 이전의 경험에 의해 많이 영향을 받지만, 환자가 없는 증상을 만들어내는 것이 아니라 실재하는 것이다. 객관적인 병리가 뒷받침되는 통증은 쉽게 설명되고 치료할 수 있지만 그렇지 않은 통증은 많은 혼란과 좌절을 초래한다. 통증의 종류는 1) 해부학적인 특징과 객관적인 소견이 있는 경우 2) 해부학적인 특징이 있고 객관적인 소견이 없는 경우 3) 해부학적인 특징이 없고 스트레스, 신체화 증상과 연관된 경우 4) 해부학적인 특징이 없고 신체적인 손상과 연관이 있는 경우로 나눌 수 있다. 만성 통증의 경우 감정적, 신체적 또는 성적인 학대를 당한 병력이 있는 경우가 많다. 심리적으로 신체화 증상은 고통스런 기억을 억압하고 관심을 구하는 과정에서 나타난다. 또한 학대의 병력이 생리학적인 변화를 유발하거나 발달과정 중에서 통증에 대한 감수성을 높이고 유기적인 변화를 일으키는 것으로 생각된다. 스트레스와 연관된 통증의 치료에는 운동, 명상, 인지치료, 약물치료, 바이오피드백 치료 등의 다각적인 방법이 필요하다. 인지치료는 통증에 대한 환자의 인식과 대처방식을 바꿈으로써 통증을 경감시키는 방법으로 스트레스로 인해 발생하는 통증치료에 효과적이다. 약물치료로는 주로 항우울제 계열의 약물이 효과적인데, 항우울제는 기분증상의 호전과 무관하게 통증을 경감시키는 효과를 갖고 있다. 긴장이완 훈련과 병행하는 바이오피드백 치료 역시 통증치료에 효과적일 수 있으며, 그밖에 적절한 운동과 명상요법 같은 방법 역시 통증치료에 도움이 될 수 있다.

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음악 장르에 따른 분위기와 색상 분포의 특성 (Mood and Color Distribution Characteristics of Music Genres)

  • 문창배;김현수;송민균;김병만
    • 감성과학
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    • 제14권1호
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    • pp.59-72
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    • 2011
  • 스트레스는 다양한 질병의 원인이 되며 스트레스의 해소는 질병 예방에 중요한 요인이라 할 수 있을 것이다. 스트레스를 해소시키는 방법 중 한 가지는 청각이나 시각을 이용하는 것으로 스트레스 해소에 맞는 음악을 제공하거나 조명을 제공해 주면 될 것이다. 또한 청각과 시각을 동시에 이용할 수 있다면 그 효과를 극대화 할 수 있을 것이다. 이러한 맥락에서 본 논문에서는 음원의 분위기와 분위기 단어의 색상을 수집한 후 수집한 데이터를 이용하여 음악 장르에 따른 분위기 분포와 분위기 단어에 따른 색상분포를 분석하였고, 두 가지 수집된 데이터를 이용하여 음악 장르에 따른 색상 분포가 다르다는 것을 확인하기 위해 Minitab을 이용하여 $X^2$-test를 실시하였다. 분석결과, P<0.001로 음악 장르에 따라 분위기 색상이 다르게 분포되며 분위기에 따라 색상 및 명도, 채도의 분포도 다르게 나타남을 확인하였다. 이 결과를 음악 분위기에 따라 감성을 표현하는 조명 개발에 활용할 수 있을 것이고, 이를 심리 치료에 적용할 수 있을 것으로 기대된다. 다만, 심리 치료의 경우 임상 실험인 점을 고려한다면 더 많은 데이터의 수집과 분석이 필요할 것이다.

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수용전념치료가 월경전증후군을 가진 여성의 월경 전 증상, 월경에 대한 태도 및 지각된 스트레스에 미치는 효과 (Effects of Acceptance and Commitment Therapy(ACT) on Premenstrual Symptoms, Attitudes about Menstruation, and Perceived Stress of Women with Premenstrual Syndrome)

  • 정민정;나미옥;손정락
    • 디지털융복합연구
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    • 제15권1호
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    • pp.485-495
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    • 2017
  • 본 연구는 수용전념치료 프로그램이 월경전증후군을 가진 20대 여성들의 월경 전 증상, 월경에 대한 태도 및 지각된 스트레스에 미치는 효과를 알아보았다. 3~4년제 대학생 263명 중 21명이 참가자로 선발되었다. 참가자들은 월경전증후군 진단을 받았고, 수용전념치료집단 7명, 인지행동치료집단 7명, 통제집단 7명으로 무선할당 되었다. 수용전념치료와 인지행동치료프로그램은 주 2회씩 총 10회로 진행되는 도중 수용전념치료 집단에서 참가자 1명이 개인사정으로 인해서 탈락되었다. 프로그램 종료 후 월경 시작 시점에 사후 검사가 실시되었고, 약 1달 뒤 월경 시점에 추적 조사가 이루어졌다. 그 결과, 월경 전 증상 중 정서요인이 수용전념치료집단과 인지행동치료집단이 통제집단에 비해 유의하게 더 감소되었다. 월경에 대한 태도는 수용전념치료집단에서 통계적으로 유의하지 않았지만 긍정적으로 변화되었고, 인지행동치료집단은 추적조사에서 유의하게 변화되었다. 지각된 스트레스는 수용전념치료 집단이 통제집단과 인지행동치료집단보다 유의하게 더 감소되었고, 그 수준은 추적조사까지 유지되었다. 마지막으로, 본 연구의 의의와 제한점 및 후속 연구에 대한 제언이 논의되었다.

사회복지사의 소진과정(Burnout Process) 모델 - 직업관련 스트레스 요인, 직무스트레스와 전문직효능성에 의한 소진 경로분석 - (Burnout Process Model of Social Workers: Analysis of the Paths from the Job-related Stressors, Job-stress and Professional Self-efficacy to Burnout)

  • 이명신
    • 한국사회복지학
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    • 제56권4호
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    • pp.5-34
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    • 2004
  • 사회복지사들의 소진결정과정에 영향을 미치는 요인을 조사하고자, 직업과 관련된 8가지 스트레스요인(업무모호성, 업무과중, 문제해결의 어려움, 클라이언트와의 갈등, 수퍼바이저의 지지결여, 기관내 의사소통의 폐쇄성, 관료주의, 무책임성), 4종류의 매개요인(직무스트레스, 전문직역할수행, 기관정책 준수, 클라이언트에 대한 편파성)과 소진의 4구성요인(신체적 탈진, 심리적 탈진, 비인간화, 개인전 성취)으로 이루어진 포괄적인 연구모델을 개발하였다. 본 연구에서 개발된 모델은 사회복지사 207명으로부터 수집된 설문조사 자료를 통하여 검증되었다. 경로분석을 사용하여 변인들 간의 구조관계를 설명할 수 있는 최적 이론구조모델이 선정되었다(df=66, $x^2$=63.250, GFI=0.962, CFI=1.00). 자료분석 결과, 소진은 업무모호성과 업무과중, 문제해결의 어려움, 클라이언트와의 갈등, 수퍼바이저의 지지결여, 기관내 의사소통의 폐쇄성 등의 직업관련 스트레스요인에 의해 증가되는 것으로 나타났다. 한편, 소진을 결정하는 감정적 경로의 매개변인인 직무스트레스는 전문직 역할수행과 기관정책 준수의 정도를 증가시키며, 소진(신체적 탈진, 심리적 탈진, 비인간화)을 증가시키는 것으로 나타났다. 반면, 소진과정의 인지적 경로를 구성하고 있는 전문적 효능성은 전문직역할수행의 정도가 높고 기관 정책준수의 정도 및 클라이언트에 대한 편파성이 낮을 경우 증대되며, 소진을 감소시키는 것으로 나타났다.

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신생아 중환자실에 입원한 환아 어머니의 스트레스 (A Study on the Perceived Stress of Mothers in Neonatal Intensive Care Unit)

  • 최성희
    • Child Health Nursing Research
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    • 제4권1호
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    • pp.60-75
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    • 1998
  • The parents have much expectation upon the pregnancy and child birth, and in most cases, they expect the healthy parturient child. However, we can be placed on the high-risk conditions which have the physical, social and immature infant, due to the unexpected results, among the new-born. Accordingly, these high-risk newborn and premature infants will be mostly in NICU, which the concentrated medical treatment can be given, upon their conditions. After their birth and during these periods, they will be divided from the parents, and the nurse will accomplish the bringing-up activities which they can take care of the infant, expected by the parents after their birth. The hospitalization of high-risk newborn including these premature infants is the shocking experience to the parents of family, and thus they can feel the fear and uneasiness, and these reactions of parents are troubled in the behavior at the usual days, and cause the disorder and spiritless status, and these results break the supporting ability of parents, and cause the obstruction. Also, the unavoidable division between the parents and the children as like hospitalization of children can make the parents to feel the alienation emotionally, and this causes the results which the pride on the bringing-up ability of baby gets to be lost. These problems can cause the difficulties on the bonding or the parenting in the further days, and can be related to the neglect and abuse of children. Also, it is gradually increased to study and report which the emotional division by the physical division between the mother and the baby obstructs the normal affection course between the parent and the infant. The stress caused by the birth and the hospitalization of high-risk newborn, as like this, is important in the points which it can uncertainly affect the potential energy for the relationship of parent-child who are finally healthy. Accordingly, the significance and purpose of this study are to understand the contents and degree of stress which the parents of high-risk newborn including the immature child can be experienced from the hospitalization of ICU for their new borns, and thus to offer the basic program to the nursing intervention program for these. The subject of this study is the mother of newborn in NICU of 10 General Hospitals located at the 3one of Pusan, Korea from September 1997 to October 1997, and thus makes the subject of 95 person of parents who agreed to take part in the study and it is descriptive study related to the stress of mother having the newborn in NICU. The method is based on the preceding study related to the stress of mother having the experience of child hospitalization and chronic disease child, and then acquires the advice of specialists group as like 5 nursing professors, and then is amended and supplemented. Total number of questions is 43 items and consists of 5 factors as like medical treatment &nursing procedures, disease status & prognosis, role of parents, communication & inter-personal relationships, hospital environment, and is 5 point Likert Scale. The reliability of this study method is very highly shown to be Cronbach α=0.95. The collected data is analysed as Average, Frequency, Standard Deviation, T-test, ANOVA, Pearson Correlation Coefficient, Duncan multifulrange test by use of SPSS /PC (V7.5). The results of this study is summarized as under. 1. Every characteristics of subject is which the party of mother is 28.70age(±7.48) in the average ages, 51% in the high-school graduate, 38.5% in the christianity, total monthly income is 212.55 thousand won(±1.971), 74.5% in the housewife, 72.9% in the parents and children together living and the number of children to be 1.48person(± 0.6) in average, the recognition on the prognosis of baby is 74.0% in 'Don't know', the relationship with the husband after the hospitalization of babyis 37.3% in 'More Intimate', the relationship with the family of husband to be 48% in 'No-change', and the degree which is consulted with the husband about the baby is 55% in 'very frequently' and the visiting number per week is 4.59(±1.63) in average and the accompanying person in the time of visiting is which the number of husband is 56.3% and thus is the highest. The characteristics of baby is which the age is 21.88days(±16.47) after the birth in average, the sex to be 50 person in the female 52.1% and the order of birth to be 54.2% in the first chid, and the weight in the birth to be 2770gm(±610) and the height in the birth to be 46.26cm(±7.62) in aver age. The medical diagnosis is 37.5% in the premature infant, the career of hospitalization is 96.9% in 'None', and the operation plan is 90.6% in 'None' and the execution of operation is 88% in 'None' and the nursing of incubator is 55.2% in 'Yes', and the method of feeding is 50.5% in 'Oral' and the contents of feeding is 46.9% in the 'Milk'. 2. The total stress degree of subject is almost highly shown to be as 3.36(±0.86). If it is compared upon each cause, 'stress on disease status & prognosis' is highest 3.79(±1.28), and it is in the order of 'stress on medical treatment & nursing procedures' 3.70(±0.93), 'stress on hospital environment' 3.14(±0.86), 'stress on role of parents' 3.18(±0.92) and 'stress on communication & inter personal relationship' 2.62(± 0.77) 3. As the results of checking the notworthiness of stress degree upon each variable of subject, the variable showing the noted difference was the birth weight(γ=-0.16, P=0.04), birth height(γ=-0.23, P=0.03), nursing in the incubator(F=8.93, P=0.04), feed method(F=2.94, P=0.04). That is to say, it is shown which the smaller the birth weight is, the higher the stress degree of mother is noteworthily. Also, the smaller the birth height baby is, the higher the stress of mother is. In the incubator, it os shown which the mother whose baby is nursing in the incubator is higher in the stress degree than other mothers. Upon the feeding method of baby, that is to say, TPNis the highest, and it is shown in the order of NPO, Tube feeding, and P.O. feeding. When we review the above-mentioned results, as the status is serious, it is thought which we include the supporting nursing for coping with the stress of parents in the setting-up od nursing plan for the baby in the NICU.

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