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A Study on Self-Concept, Stress and Adaptation Beharior of Junior School Girls (일부 여자 중학생의 자아개념 및 스트레스와 적응행동에 관한 연구)

  • 노혜숙
    • Korean Journal of Health Education and Promotion
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    • v.3 no.1
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    • pp.43-55
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    • 1985
  • The recent problems of adolescents are leading us to amphasize school mental health program. Therefore, for the first step of that program, this study was attempted to find out the students' daily life stress, their adaptation beharior to resolve that stress, and their self-concept which has an effect on that beharior, to analyze the relationship among those three variables, and to provide basic data which help maintain and promote students' adaptability and mental health. The subjects were 4 classes each grade, 743 students who were chosen as a sample subject among the total of 3,250 students of a junior girls' school in Seoul by stratified sampling method. The Oquestionnair surrey was done from April 1, 1985 to April 6, 1985. The instruments were (1) a part of Junghoon chois' perceptual Orientation Scale for measuring self-perception of students, (2) Rosenberg's Questionnair for measuring students' evaluation of self-esteem, (3) modified Bell's Adoptive Behavior Questionnair, and (4) the Measuring scale for stress developed by the investigator. The collected data were analyzed by using descriptive statistics, x²-test, t-test, ANOVA, and Pearsons' Correlation. The results are summarized as follows: 1. The range of mean score of self-concept, stress, and adaptation beharior is 1-5 respectively. The mean score of self concept was 3.45. The mean score of stress was 2.53, and the degree of stress was in order of the problem of study and grade marks, girl friend, appearance, and relaxation. The subjects preferred effective long-term adaptation method (Mean=2.81) to ineffective short-term adaptation method. (Mean=2.47) 2. The self-concept had the highest degree when students were 1st grade, in good health condition, taking high grade marks, both parents existing, fathers' educational level being above college, and being in high economic status. The degree of stress was significantly high when students were 3rd grade, in poor health condition, having low grade marks, being in poor economic status, and fathers' educational level being under elimentary school. In relation with adaptation method, 1st grade students used more sbort-term and long-term method, and when students had high grade marks, being in high economic status. they used more long-term adaptation behavior. 3. Two Hypotheses of this research were tested: Hypothesis 1. "The higher the students' self-concept is, the more they use long-term adaptation method." was accepted. (r=.2482, p<.01) (t=-4.99, p<.001) Hypothesis 2. "The higher the students' stress is, the more they use short-term adaptation method." was accepted. (r=.2897, p<.01) (t= -7.51, p<.001) In conclusion, a person in charge of school health can help students to adapt effectively by planning and implementing methods which highten their self-concept and lower their stress. But because the correlation among self-concept, stress and adaptation behavior was at a low level, I think that the study, which confirm the relationship of those three variables, is needed.

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Significance of Intracranial Pressure Monitoring in Early Surgery for Poor-Grade Aneurysm Patients (중증 뇌동맥류 환자의 조기 수술에 있어서 뇌압 측정의 중요성)

  • Kim, Sang Su;Kim, Jong Moon;Kang, Sung Don
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.425-429
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    • 2001
  • Objective : Patients with poor grade aneurysm usually present with increased intracranial pressure(ICP), even those without an intracranial clot. Based on this fact, the present study investigated a significance of intracranial pressure monitoring in those patients. Patients and Methods : A total of 60 patients with Hunt and Hess Grade IV(50 patients) or V(10 patients) were treated for aneurysmal subarachnoid hemorrhage(SAH) during a 3-year-period, and intraparenchymal ICP was measured in the majority, immediately after arrival to the emergency room. Early surgery including intraoperative ventriculostomy was undertaken within 3 days after SAH. An ultraearly surgery was performed without preceding angiogram or ICP monitoring in patients with large sylvian hematomas, highly suggestive of middle cerebral artery aneurysm. Outcomes were assessed by the Glasgow Outcome Scale(GOS) at 6 months. Results : In overall, favorable outcome(GOS scores 1-2) was seen in 27(54.0%) of admission Grade IV and 1(10.0%) of admission Grade V patients. Of the 38 surgical patients with preoperative ICP monitorings, 25 patients (80.6%) exhibiting ICP values of less than 40mmHg showed favorable outcome, however, no patients with ICP values above 40mmHg recovered(Fisher's exact test, p=0.0001). Conclusion : It is concluded that a preoperative ICP above 40mmHg before ventriculostomy indicate significant vital brain destruction as intractable intracranial hypertension, and Grade IV patients at admission with an ICP below 40mmHg can be of benefit from early surgical intervention while Grade V patients still remains unfavorable.

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A Study on the contact to lascivious computer programs and sexual attitude and behaviour by the grade of middle school students in Pusan and Kimhae area (부산 . 경남지역 중학교 남학생의 학년에 따른 컴퓨터 음란물 접촉실태에 관한 연구)

  • 손혜숙;김혜옥;김대환;이종태
    • Korean Journal of Health Education and Promotion
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    • v.16 no.2
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    • pp.55-66
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    • 1999
  • To evaluate the status of the contact to lascivious computer programs and sexual attitude and behaviour by the grades of middle school boy students, the questionnaire survey was done on 715 students of five middle schools in Pusan and Kimhae area from December 15 to December 24, 1997. The data were analyzed by PC SAS; $X^2$ -test. The level of significance was 0.05. 404 students (56.5%) had a personal computer in their home. 516 students(72.2%) have experienced of using a computer program. 294(57%) of them usually played a game with computer. 514 students(71.9%) had experiences of the contact to a lascivious computer program, which increased with the grades of the students(p〈0.05). The first exposure to a lascivious program was when they were elementary school students in 24.6% of first grade middle school student, 13.8% of second grade, and 11.3% of 3rd grade students. 92% of the students was introduced to first contact through their friends. 63.7% of them watch the program at their friends home. The most common drives to contact to a lascivious programs were curiosity (53%). Sexual desire was a higher drive in third grade students (20.6%) than lower grades. After contacting to a computer lascivious program, desire of masterbation was more frequent in lower grade students. and feeling disgust was more frequent in higher grade students (p〈0.05). Frequence of masterbation or sexual intercourse was higher in high grade students(p〈0.05) In conclusion, distribution and popular use of computer attributes to the increased exposure to lascivious programs and lowering the age of first exposure. There was the difference according to the grades in the feeling and sexual behaviour after contacting to computer lascivious program. Appropriate methods to protect young students to contact a lascivious program should be sought. The use of computer should be educated in elementary school students accompanied by proper sex education.

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Comparison of Poisoning Severity Score (PSS) according to alcohol co-ingestion in intentional poisoning patients (의도적인 중독 환자들의 음주 여부에 따른 중독 중증도 지수의 비교)

  • Jun, Min jae;Ahn, Tae kyu;Kang, Soo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.1
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    • pp.17-23
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    • 2021
  • Purpose: Alcohol ingestion enhances impulsivity and aggression, and has been proven to have a close relationship with suicide. This study investigates whether alcohol co-ingestion affects the Poisoning Severity Score (PSS) grade in patients with intentional poisoning. Methods: We conducted a retrospective analysis of intentional poisoning patients who visited the emergency department (ED) from January 1 to December 31, 2020. Patients were divided into non-drunken and drunken groups. We collected the data based on the medical records of the patients and serum ethanol level results recorded during initial blood tests at the ED. To grade the PSS, the highest score was assessed through clinical signs and test results during the hospital stay. A comparative analysis was conducted between the two groups. Results: A total of 277 patients were included in the study. 163 (58.8%) were in the non-drunken group, and 114 (41.2%) were in the drunken group. The PSS grade showed a significant difference between the two groups (p=0.002). While grade 1 (mild) was observed more in the non-drunken group, grade 2 (moderate) and grade 3 (severe) were seen more in the drunken group. In an ordinal logistic regression analysis, alcohol co-ingestion (adjusted odds ratio [aOR] 2.557, 95% confidence interval [CI] 1.554-4.208, p<0.001) was considered to be a risk factor for a higher PSS grade. There was no significant correlation between the serum ethanol level and the PSS grade. (p=0.568) Conclusion: Intentional poisoning patients with alcohol co-ingestion had a higher PSS. Hence close observation and aggressive treatment in the ED is warranted in such cases.

Comparison of Nursing Activity Time According to the Change in Grade of Nursing Management Fee in One University Hospital (일개 대학병원의 간호관리료 등급변화에 따른 간호사의 간호활동시간 비교)

  • Park, Jeong Ok;Kim, Heai Yong;Roh, Gyeong Shik;Roh, Young Duck;Park, Myeong Bun;So, Ji Eun;Park, Mi Mi;Bang, Kyung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.95-105
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    • 2010
  • Purpose: The purpose of this study was to examine the difference between direct and indirect nursing activity times according to the grade of nursing management fee. Methods: The subjects of this study were 324 working nurses at the time of 3rd grade and 319 working nurses at the 2nd grade of nursing management fee in one university hospital. Nursing activity time was measured in April and May, and in September and October of 2008 for comparison. The data were analyzed by SPSS win using frequency and t-test. Results: Direct nursing care activity time per one patient was significantly higher at 2nd grade than 3rd grade in day shift (t=-2.55, p=.012). Direct nursing care workload per one nurse was significantly lower at 2nd grade than 3rd grade in evening shift (t=2.21, p=.030), whereas indirect nursing care workload was lower at 2nd level in night shift (t=2.43 p=.016). Conclusion: The findings from this study showed that higher nurse-to-patient ratio can provide greater amount of direct nursing care activity for the patient. Also, it decreased workload of nurses. The higher nurse-to-patient ratio will be beneficial for promoting quality of nursing care as well as decreasing nurse's heavy workload.

The Relationship Between Social Support and Loneliness in Early and Mid-adolescents : Focused on the Mediation Effect of Life Satisfaction (초기 및 중기 청소년의 사회적 지지와 외로움간 관계 : 생활만족도의 매개효과를 중심으로)

  • Kim, Jin-Kyung;Han, Eu-Gene
    • Journal of Families and Better Life
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    • v.26 no.6
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    • pp.95-105
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    • 2008
  • This study examined the mediation effect of life satisfaction between social support and loneliness. The subjects were two hundred and eighty fifth grade elementary school and second grade middle school adolescents in Seoul. The instruments used were questionnaires about loneliness and other factors relevant to loneliness. Social support factors existing in an adolescent's external environment include the support of parents, peers, and teachers. And life satisfaction as a psychological characteristic was concerned with the adolescent's sense of self, school life, home environment, and family relations. Data were analyzed by using the t-test, Pearson's correlation and regression. Major findings were as follows: (1) There were significant differences in parent and teacher support, satisfaction with school life, home environment, and family relations between early adolescents and mid adolescents. (2) Parental, peer, and teacher support, contentment with oneself, school life, home environment, and family relations were negatively related to the fifth-grade early adolescent's loneliness. Peer support and contentment with oneself, school life, and home environment were negatively related to the second-grade middle adolescent's loneliness. (3) Life satisfaction had a mediation effect between peer, parental, and teacher support and loneliness in fifth grade early adolescence. Whole life satisfaction had a mediation effect between only peer support and loneliness.

Two Cases of Grade Four Pressure Ulcer Patients Treated with Pharmacopuncture Soyeom and Herbal Medicine Taklisodok-eum (소염약침과 탁리소독음의 복합 치료를 이용한 4도 욕창 환자 치험 2례)

  • Lee, Dae-Hyun;Nam, Ji-Sung;Jeong, Hyun-Suk;Jang, In-Soo;Seo, Eui-Seok
    • The Journal of Internal Korean Medicine
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    • v.31 no.2
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    • pp.388-394
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    • 2010
  • Objectives : This study reports two cases of grade four pressure ulcer patients mainly treated by pharmacopuncture Soyeom and Taklisodok-eum. Methods : Two patients with grade four pressure ulcers at the oriental medicine hospital of Woosuk University were treated by pharmacopuncture Soyeom and herbal medicine Taklisodok-eum. Soyeom was treated once a day and Taklisodok-eum was given three times a day. We then observed the patients' appearances of pressure ulcer and changes of blood test results. Results and Conclusions : After ten days or three months each, wound sizes were reduced, tissue regeneration was accelerated and blood tests were improved. In conclusion, it is our belief that pharmacopuncture and herb medicine are effective to treat grade four pressure ulcers, and future studies will be required to ascertain this method on grade four pressure ulcers.

Elementary School Students' Attitudes Towards Health Curriculum (초등학생의 보건교과에 대한 태도 및 관련 요인)

  • Yu, Jung-Ok;Kim, Jung-Soon
    • Journal of the Korean Society of School Health
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    • v.25 no.1
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    • pp.14-21
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    • 2012
  • Purpose: This study was to investigate the attitudes of elementary school students on health curriculum. Methods: Based on the literary considerations and advanced research, a survey was conducted on Osgood's semantic differential scales on 329 fifth and sixth grade students in 6 elementary schools located in U metropolitan city regarding the attitudes towards health curriculum. Data were analyzed using t-test and multiple regression with the SPSS/WIN 18.0 program. Results: The overall attitude average grade was 3.46 in 26 factors, slightly exceeding the standard (3 points) which showed that students had a positive attitude towards health curriculums and thought health curriculums were valuable, necessary, and important classes. For each grade, the fifth grade believed health curriculums were more interesting, new, easy, necessary and valuable classes than compared to the sixth grade, and there were no differences between gender. The variables which affected attitudes in health curriculums included good feelings for health teacher, subject health status, and satisfaction in using the school health room. Conclusion: Because the better they think of health teacher, the higher the positive attitude towards health curriculums, a strategy which can build trust between student meetings not only during class time but also through operating a school health room will be necessary.

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A Study on Health Risk Behaviors in Adolescents (청소년의 건강위험행위에 관한 연구)

  • Byun Young-Soon;Lee Hea-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.3
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    • pp.413-420
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    • 2005
  • Purpose: The purpose of this study is to identify health risk behaviors in adolescents according to grade in school and to of for basic data to develop a health promotion for adolescents. Methods: A descriptive survey design was used and the SPSS 12.0 program was used for the data analysis, which included Chi-square test and Spearman correlation coefficients. The instrument for this study was based on the 1999 Youth Risk Behavior Surveillance System developed by the Centers for Disease Control and Prevention. Results: The results indicate that adolescent have an average of 2 risk behaviors out of 10 health risk behaviors categories. There are various types of risk behaviors, which art: different for each grade, such as physical fights, using alcohol, using heroin, weight control, and the lack of AIDS education. Physical fights, and the lack of AIDS education are common in the 9th grade, using alcohol, heroin, and weight control are common in the 11th grade. Physical fights were correlated with using cigarettes and sexual intercourses. Using alcohol was correlated with using cigarettes, heroin, sexual intercourses and weight controls. Using heroin was correlated with sexual intercourse and weight control. Conclusion: For the promotion of health in adolescents, different approaches to health education and prevention of health risk are needed for each grade because the health risk behaviors differ between grades.

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Relationship between Characteristics and Difference by the Grade of Stress in the Nursing Students - Effect of National Examination on Stress - (일 간호대학생의 학년별 스트레스 정도와 관련요인)

  • Cho Yoo Hyang
    • Journal of Korean Public Health Nursing
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    • v.19 no.1
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    • pp.64-73
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    • 2005
  • The purpose of this study was to discuss the difference of stress by the grade, examine the relationship between characteristics and main stress, and to investigate the effect of the National Examination of Registered Nurses on stress by using the stress self-rating scale targeting university nursing students (n=314), The stress self-rating scale consists of three subscales: stress responses, stressors and coping parts, such as perceived social support and a sense of humor. The data were analyzed by descriptive statistics, t-test, Pearson's correlation coefficient and regression analysis. The results showed that passing the National Examination of Registered Nurses was the first problem among the stressors. Stressors of the living factors and nursing factors, and subjective stressors of the surveyed nursing students were the highest among the senior students, but stressors of nursing factors increased according to the grade of the nursing students. Perceived stress responses were high in psychological responses of other aspects, and perceived stress responses increased according to the grade (p<.001). Senior students had a high weight of perceived stress responses (problem-focused, emotion-focused). and active and negative coping modes. Significant factors that explained the stressors were coping mode(r=.62-82. p<.01) and cognition(r=.19. p<.01). including the social support. These findings suggest that social support was very important for seniors. and that we have to develop approaches to decrease stress according to the student grade for nursing education process.

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