• 제목/요약/키워드: Group Counseling

검색결과 848건 처리시간 0.029초

조절초점과 행복감 간의 관계에 대한 연령의 조절효과 분석 (Examination of the moderating effect of age on the relationship between regulatory focus and happiness)

  • 곽윤정
    • 한국산학기술학회논문지
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    • 제18권5호
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    • pp.190-199
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    • 2017
  • 의료 기술의 발달로 수명이 연장됨으로써 노년기에 어떻게 행복한 생활을 영위할 수 있는지에 대한 관심이 커지고 있다. 그런데 연령대에 따라 행복감에 영향을 미치는 변인의 유형이나 행복에 대한 변인의 영향력이 변화할 수 있기 때문에 이에 대해 실증적으로 조사하는 연구가 필요하다. 선행연구를 통해 조절초점 중 '향상초점'을 활용하는 개인이 '방어초점'을 활용하는 개인보다 대체로 행복할 가능성이 높다는 것이 발견되었다. 그러나 이와 같은 조절초점의 영향이 사람의 전생애동안 모든 연령대에 걸쳐서 유효한 것인지에 대해서는 아직 조사가 제대로 이루어지지 않았다. 따라서 본 연구에서는 거주지역과 연령대별로 성인 1250명을 무작위로 선정하여 표집을 구성하고 연령이 조절초점과 주관적 행복감 간의 관계에 대해 유의한 조절효과를 가지는지 검증하였다. 분석 결과, 향상초점과 연령은 주관적 행복감에 대해 유의한 상호작용 효과를 가진 것이 발견되었으나, 방어초점과 연령은 유의한 상호작용을 보이지 않는 것으로 나타났다. 보다 더 구체적으로 연령이 높아질수록 향상초점이 삶의 만족도와 정서균형에 미치는 정적 영향이 더 강해지는 것이 발견되었다. 본 연구결과는 노년기에 능동적으로 도전적인 목표를 설정하고, 자발적으로 동기를 부여하며 성취감을 느끼는 등 향상초점을 활용하는 것이 주관적 행복감을 경험하는 데 더 중요한 역할을 한다는 것을 시사한다. 또한 본 연구에서는 사회적 지원체제의 구축을 통해 노인의 향상초점을 활성화할 것을 제안한다.

화병(火病)의 원인과 치료를 위한 사이코드라마의 활용 방안 연구 : 중년여성을 중심으로 (A Study on the Causes of Hwa-byung and Practical Use of Psychodrama for Treatment of Hwa-byung : (focused on middle-aged women))

  • 변상해;어지성
    • 벤처창업연구
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    • 제4권2호
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    • pp.1-19
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    • 2009
  • 미국 정신 의학회 에서는 화병(火病, hwa-byung)이 우리 민족에게서만 나타나는 정신질환으로 한국문화 특유의 분노증후군이라고 등재하였다. 이처럼 우리 민족의 문화에서 파생된 화병은 남성보다는 여성에게 월등하게 나타나며, 특히 중년여성들이 주로 경험하게 된다. 이런 중년여성에게 나타나는 화병의 원인은 우리 민족의 유교문화에서의 전통적인 가족구조로 인해 나타난다. 또한 화병이 중년여성에게 나타나는 이유는 중년여성의 우리 사회에서 잘못 인식된 위치로 인해 자신의 억울하고 화나는 마음을 다스리는 능력의 부족이 나타나는 사회 심리적 원인이 있으며, 자녀의 독립으로 인한 가정 내에서의 역할상실과 중년여성에게 나타나는 생리적 변화인 폐경으로 여성다움의 상실로 인한 우울증과 스트레스도 화병이 주로 중년여성에게 나타나는 원인이 되는 것이다. 그래서 본 연구를 통해 중년여성의 화병으로 인한 부정적인 감정들을 사이코드라마를 활용하여 안전하게 표출함으로써 감정 정화의 과정을 경험하고, 감정의 정화를 통해 긍정적인 정서를 고취시킴으로 화병으로 인한 증상들을 완화시키며, 개인이 아닌 집단 차원에서 공감대를 형성하고 감정과 생각을 나눔으로 자기이해와 보편성을 갖게 하고, 역할연기와 역할교대를 통한 역할 균형과 확장으로 현실에서의 적절한 역할을 찾는 기회를 제공하고자 한다.

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CBCL을 통해 살펴본 아동 사상체질별 문제행동의 차이 분석 (Analysis of Child Behavior Checklist (CBCL) Problem Behaviors of Sasang Types in a Child Clinical Sample)

  • 이수진;심윤민;김현진;김현정;김명근;김경선;채한
    • 대한한방소아과학회지
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    • 제27권1호
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    • pp.7-14
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    • 2013
  • Objectives The goal of the present study was to elucidate the characteristics of behavior problems in Sasang typology with child patients. Methods Subjects consisted of 176 (95 boys, 81 girls) children from 36 months to 83 months were diagnosed by two clinical experts in pediatrics and Sasang medicine. There were 22 So-Yang types, 141 Tae-Eum types, and 13 So-Eum types. The behavior problems were measured with Child Behavior Checklist (CBCL) and ANOVA (analysis of variance) was used for the analysis. Results There were no significant differences between Sasang types among subject's age (F(2, 173)=.190, p=.827) and sex (${\chi}^2$(2, N=176)=1.639, p=.441) as well as their mother's age (F(2, 169)=.060, p=.942) and education level (${\chi}^2$(4, N=172)=.394, p=.983) and their father's age (F(2, 168)=1.184, p=.309) and education level (${\chi}^2$(4, N=172)=5.664, p=.226). So-Yang types ($50.14{\pm}22.35$; $17.27{\pm}8.60$) had higher scores than Tae-Eum types ($38.74{\pm}21.32$; $12.62{\pm}7.98$) in total problems and internalizing problems score of the CBCL, respectively. More specifically, So-Yang types ($5.90{\pm}2.81$; $3.77{\pm}1.90$) had significantly higher depression/anxiety and somatization subscale score than Tae-Eum types ($4.04{\pm}2.73$; $2.30{\pm}2.12$). Scores of So-Yang types were significantly higher than those of CBCL clinical group in depression/anxiety and somatization subscales. Conclusions There were significant differences between child outpatients with different Sasang types, which would be taken into consideration concerning development of Sasang type diagnosis in addition to parenting, treatment, and prevention for children.

Comparable Ablation Efficiency of 30 and 100 mCi of I-131 for Low to Intermediate Risk Thyroid Cancers Using Triple Negative Criteria

  • Fatima, Nosheen;Zaman, Maseeh uz;Zaman, Areeba;Zaman, Unaiza;Tahseen, Rabia
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1115-1118
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    • 2016
  • Background: There is controversy about ablation efficacy of low or high doses of radioiodine-131 (RAI) in patients with differentiated thyroid cancers (DTC). The purpose of this prospective study was to determine efficacy of 30 mCi and 100 mCi of RAI to achieve successful ablation in patients with low to intermediate risk DTC. Materials and Methods: This prospective cross sectional study was conducted from April 2013 to November 2015. Inclusion criteria were patients of either gender, 18 years or older, having low to intermediate risk papillary and follicular thyroid cancers with T1-3, N0/N1/Nx but no evidence of distant metastasis. Thirty-nine patients were administered 30 mCi of RAI while 61 patients were given 100 mCi. Informed consent was acquired from all patients and counseling was done by nuclear physicians regarding benefits and possible side effects of RAI. After an average of 6 months (range 6-16 months; 2-3 weeks after thyroxin withdrawal), these patients were followed up for stimulated TSH, thyroglobulin (sTg) and thyroglobulin antibodies, ultrasound neck (U/S) and a diagnostic whole body iodine scan (WBIS) for ablation outcome. Successful ablation was concluded with stimulated Tg< 2ng/ml with negative antibodies, negative U/S and a negative diagnostic WBIS (triple negative criteria). ROC curve analysis was used to find diagnostic strength of baseline sTg to predict successful ablation. Results: Successful ablation based upon triple negative criteria was 56% in the low dose and 57% in the high dose group (non-significant difference). Based on a single criterion (follow-up sTg<2 ng/ml), values were 82% and 77% (again non-significant). The ROC curve revealed that a baseline sTg level ${\leq}7.4ng/ml$ had the highest diagnostic strength to predict successful ablation in all patients. Conclusions: We conclude that 30 mCi of RAI has similar ablation success to 100 mCi dose in patients with low to intermediate risk DTC. A baseline $sTg{\leq}7.4ng/ml$ is a strong predictor of successful ablation in all patients. Low dose RAI is safer, more cost effective and more convenient for patients and healthcare providers.

말기암환자 가족에 대한 호스피스 케어의 정보적 지지 제공 효과

  • 김현숙
    • 호스피스학술지
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    • 제2권1호
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    • pp.21-40
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    • 2002
  • Cancer is the second leading cause of the death in Korea. Family caregivers of dying patients manifest many psychological and physical symptoms of stress, and they often seek for informational support from health care providers. Unfortunately, however, few systematic studies identify the actual effect of such support on family caregivers. This study, thus, intends to evaluate the effect of informational support for hospice care. One group pretest-posttest design was used, employing the stress-coping model by Cohen and Wills as a conceptual framework. This research was conducted from July 1 to November 15, 1998, initially with 32 subjects sampled from hemato-oncology department of two general hospitals in Seoul, but reduced to 18 at the end due to the untimely death of patients or caregiver's refusal during the course of study. Informational supports were programmed to provide the family caregivers with 8 times of education and counseling as well as 24-hour hot-line for 4 weeks. A booklet that explains the various problems of hospice care was also prepared and distributed to all subjects. Data were collected by using self-report questionnaires and reviewing medical records. The tools used in this study were based on the Weinert's PRQ-II(scale of perceived social support), Spielberger's state anxiety inventory, and CES-D. Also included in the data collection were the general characteristics of family caregivers and patients, and the pain intensity and the performance status of patients. The data were analyzed with descriptive statistics, Wilcoxon sign rank test and paired t-test using SPSSWIN program. The results of the study were as follows: 1.The perceived social support of family caregivers was not significantly increased with informational support for hospice care(t=1.64, one tailed p=.060). 2.The anxiety of family caregivers was significantly reduced following informational support for hospice care(t=3.48, one tailed p=.002). 3.The depression of family caregivers was significantly reduced following informational support for hospice care(t=-2.18, one tailed=.022). 4.The pain intensity of patients with terminal cancer was significantly reduced following informational support for hospice care(t=-2.41, two tailed p=.027). The results suggest that the informational support provided to family caregivers of patients with terminal cancer reduced not only their anxiety and depression but also the pain intensity of patients. Further study is necessary to consolidate the conceptual framework of this study with expanded number of subjects. Nevertheless, it was certain that the informational support program for hospice care was very helpful to both caregivers and patients. Thus, the informational support program is strongly recommended for the hospitals which have no hospice unit yet.

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상급종합병원과 희귀난치성질환 전문병원의 희귀의약품 사용현황 (Current View of Orphan Drug Usage in Tertiary Hospital and Rare Incurable Disease Hospital)

  • 최경숙;정영미;김유정;김윤희;구현민;이병구;이은숙;이정연
    • 한국임상약학회지
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    • 제26권2호
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    • pp.121-127
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    • 2016
  • Objective: Until now, there is minimal number of research for overall domestic status of orphan drug use in Korea. The purpose of this study is to identify the list of orphan drugs available in Korea and to understand the status of orphan drug usage in tertiary Hospitals and rare incurable disease Hospital. Methods: We made domestic orphan drug lists based on available orphan drugs in Korea. Based on this lists, we conducted e-mail survey from August, 2014 to September, 2014 to identify domestic status of orphan drug usage including the availability and management of orphan drugs. Results: There are three hundred and eighteen orphan drugs (184 ingredients) registered in Ministry of Food and Drug Safety. Among the three hundred and eighteen orphan drugs, Two hundred and twenty-eight drugs (102 ingredients) were selected. Information on each item was collected and documented with generic and brand names, manufacturers, wholesalers, indications, FDA approval status and insurance coverage. Forty-three tertiary hospitals and thirty-two rare incurable hospitals responded to the survey questionnaire (57.3%). According to the survey result, the antineoplastics and immunomodulating agents group has the highest percentage (40%) usage in the hospital. Of fortythree tertiary hospitals, thirteen hospitals manage orphan drugs separately (30.2%). Based on the reply, most of the healthcare professionals commented the drug information related to efficacy and safety including medication counseling of orphan drugs is insufficient. Conclusion: Through this study we anticipate providing an understanding of orphan drug usage status in Korea. We found the limited resources to the information on orphan drugs and this information requires updating on a regular basis. This can be the basis for further studies about preparing drug information, educational resources for rare disease patients.

공감훈련프로그램 참여아동의 공감표현 변화과정 분석 (An Analysis on the Empathic Changing Process of the Members in Empathy Training Program)

  • 김미영
    • 초등상담연구
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    • 제7권1호
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    • pp.205-226
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    • 2008
  • The purpose of the study you have seen is to verify the effectiveness of existing quantitative research and to put the Empathy Training Program to practical use for participating children. From looking into this, the changes in empathic understanding that came to light in relationships between teacher and children and children and children are sure to have that effect. For this work, I established the following subject of inquiry: What kind of changing processes can be seen in the empathic understanding of participating children in the Empathy Training Program? To resolve the above line of inquiry, six female sixth grade elementary school students were chosen and they progressed through twelve sessions of the Empathy Training Program. The children were given a sentence completion exam, recognition work, neat writing exam and a school adaptation exam both before and after participation in the program, making data for analysis. To analyze, first, participants had one or two meetings of forty to fifty minutes each. Progress through the program's curriculum was recorded and through the repeating and copying method, to be sure participating children's empathic understanding was revealed, empathic language and behavior was routinely chosen. Next, according the above criteria I looked into visible changes of the participating children's empathic expressions, classifying and analyzing changes in empathic understanding and six instances of common changes in the emphatic understanding of the participants relationships were analyzed and put together. Next I will summarize the findings we have seen in this research: First, if we look into changes in common empathic understanding from the beginning, using the criteria of empathic language, each individual showed understanding at the beginning and passed and progressed through stages of care, insight and emotional expressions. Second, when we looked at the criteria of empathic behavior from the beginning to the end, one's line of vision and ability to concentrate one's attention was connected. Next, the act of nodding one's head looked like a brief nod at first but at the end, it was not just a simple nod but rather they could feel deep empathy. The condition and substance of the facial expression was seen to match and at the very end the child was expressive and stretched out arms to hold and pat the other person and the act of holding hands could also be seen. Among lots of empathic behavior the final stage was shown by half of the children. Third, from the first stage to the last stage there were many cases revealed. The more the children went the more complete their empathic language became. Their vocabulary increased and became more diverse with empathic actions. Also, when comparing actions and expressions from the beginning with the end, visible expressions became more natural and sincere at the end. The result of the research we have seen is that through receiving experience of empathic understanding, participating children showed a sense of self-confidence and they looked to make peaceful expressions while not being aggressive or defensive about problems. In addition, from understanding empathic expressions, participating children's relationships felt closer. This outcome within this group in this case will be applied and the formation of empathic understanding can be used by the children internally to solve their own problems, acquire close relationships with their teachers and others. It will also contribute to smooth classroom management.

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12주 동안의 저열량식사와 행동수정요법이 비만여성의 체격지수와 생화학적 영양상태에 미치는 영향 (Effect of 12-week Low Calorie Diet and Behavior Modification on the Anthropomeric Indices and Biochemical Nutritional Status of Obese Woman)

  • 손숙미;김희준
    • 대한지역사회영양학회지
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    • 제10권4호
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    • pp.525-535
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    • 2005
  • This study was conducted to investigate the effect of a 3 week low calorie diet (LCD) and a 9 week of behavior modification (BM) program on the weight loss, mineral and vitamin status in 22 obese women. The subject were healthy, obese (PIBW> $120\%$) women aged 20 - 50 Yr and not taking any medications known to influence body composition, mineral or vitamin metabolism During the LCD program, subjects were provided commercial liquid formulas with 125 kcal per pack and were instructed to have a formula for replacement of one meal and at least one regular meal per day within the range of daily 800 - 1200 kcal intake. During the BM program the subjects weekly attended the group nutrition counseling session to encourage themselves to modify their eating behavior and spontaneously restrict their energy intakes. The BM program focused on stimulus control, control of portion sizes and modification of binge eating and other adverse habits. The initial mean energy intake of subjects was 2016.9 $\pm$ 129.8 kcal ($100.8\%$ of RDA) and dropped to 1276.5 $\pm$ 435.7 kcal at the end of a 3 week of LCD program and elevated to 1762 $\pm$ 329.3 kcal at the end of a 9 week of BM program. Carbohydrate, protein and fat intakes were significantly decreased at the end of the LCD but carbohydrate was the only macro nutrient that showed significant decrease (p < 0.05) at the end of the BM program compared to baseline. Calcium and iron intakes decreased significantly (p < 0.01, respectively) with no significant changes in other micronutrients at the end of the LCD. The mean weight of the subjects decreased from 73.8 $\pm$ 8.0 kg to 69.2 $\pm$ 7.7 kg with LCD and ended up with 67.7 $\pm$ 7.1 kg after 9 weeks of BM. The 3 weeks of LCD reduced most of the anthropometric indices such as BMI, PIBW, fat weight, wast-to-hip ratio and subscapular and suprailiac skinfold thickness. The 9 weeks of behavior modification showed slight change or maintenance of each anthropometric measurements. Weight loss and decreased WHR with the diet program induced significantly decreased systolic blood pressure. SGOT, SGPT and serum insulin levels with improved serum lipid profiles. Biochemical parameters related to iron status such as hemoglobin, hematocrit were significantly decreased (p < 0.01) at the end of the LCD. But their mean values were within normal range. The mean serum 25 (OH) vitamin $D_3$ level significantly increased after whole diet program. Serum folate level significantly decreased after 12 weeks of diet program. In conclusion 3 weeks of LCD brought 4.6 kg reduction in body weight without risk of iron, zinc or vitamin D deficiency and 9 weeks of the BM was effective to maintain nutritional status with slightly more weight reduction (1.5 kg). However calcium intake and serum folate should be monitored during the LCD and BM because of increased risk of deficiencies.

노인케어 직무에 대한 수행도 및 실습교육요구도 비교에 관한 융합연구 -요양보호사, 사회복지사, 간호조무사 중심으로- (Comparative Analysis of Performance and Practical Training Needs for Elderly Care Service on Convergence Study -Focusing on Senior Caregivers, Social Workers and Nursing Assistants-)

  • 소권섭;김용덕;황혜정
    • 디지털융복합연구
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    • 제18권2호
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    • pp.351-360
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    • 2020
  • 이 연구는 노인케어종사자를 대상으로 한 노인케어 전문 온라인 교육프로그램을 개발하기 위해 실시하였다. 연구자료는 2019년 11월28일부터 12월 15일까지 K사이버대학교에 재학 중인 노인케어종사자를 대상으로 실시하였다. 자료분석은 카이제곱검정, ANOVA를 사용하였고 사후분석으로는 scheffe method를 사용하였다. 연구결과 노인케어 전문교육 요구도는 요양보호사가 간호조무사보다 유의하게 높았다. 노인케어 온라인 교육요구도 사회복지사가 간호조무사보다 유의하게 높았다. 수행도에서 '노인에 대한 이해와 상담'과 '노인 놀이프로그램 실제'는 사회복지사, 요양보호사, 간호조무사순 이었고, 실습 교육 요구도에서 '치매와 호스피스 및 웰다잉교육'는 사회복지사가 높은 요구도를 보였다. 결론적으로 노인전문케어 필요성 및 노인케어 온라인 교육의 요구도에 따른 각 군별 맞춤형 전문화된 온라인 교육을 위한 콘텐츠 개발이 필요하며 추후 효과를 검증하는 중재 연구가 필요하다고 생각된다.

지역특성에 따른 노인복지관 프로그램 분석과 발전방향에 관한 연구 (The Study on the Analysis and Development Direction of the Elderly Welfare Center Programs by Region Characteristics)

  • 주찬희;김옥녀
    • 한국콘텐츠학회논문지
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    • 제18권1호
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    • pp.370-380
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    • 2018
  • 본 연구의 목적은 노인복지관이 위치한 지역적 특성에 따른 프로그램을 분석하여 향후 노인복지관의 발전방향에 대해 제시하는 것이다. 분석대상은 전국 노인복지관 344개소를 대상으로 설문조사를 실시하였고, 회수된 304개의 설문을 분석에 사용하였다. 노인복지관의 지역특성에 따라 3개 유형을 도출하여 실시 중인 프로그램을 분석하였다. 분석결과, 첫째, 노인복지관의 지역특성에 따라 차이를 보인 기본사업은 기능회복 사업, 상담사업, 정서지원사업이었고 선택사업 중에서는 지역복지연계사업이었다. 둘째, 노인복지관의 사업별 세부프로그램을 지역에 따른 차이를 분석한 결과, 기본사업에서는 외국어교실, 교양교실, 인문학교실, 예비노인 프로그램, 물리치료, 양 한방요법, 치매예방 프로그램, 노인일반상담, 심리상담, 집단프로그램, 자조모임으로 나타났다. 선택사업의 경우 이 미용서비스, 취업지원교육, 경제교육, 은퇴준비, 가정봉사원파견사업, 세대통합프로그램, 이동복지사업, 지역협력사업이 지역특성에 따른 차이를 보인 것으로 드러났다. 이러한 결과를 바탕으로 노인복지관의 발전방향에 대한 함의는 지역특성에 따른 노인복지관의 프로그램 개발이 필요하다는 점과 노인복지관이 지역특성과 지역노인들의 특성을 반영한 프로그램을 운영할 수 있도록 자율권을 보장해야 한다는 점이다.