• 제목/요약/키워드: Helplessness

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『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 계지이월비일탕(桂支二越婢一湯)을 투여 후 호전된 어지럼증 1례 (A Case Report of Dizziness treated by Guizhieryuebiyi-tang based on Shanghanlun provisions)

  • 허주
    • 대한상한금궤의학회지
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    • 제9권1호
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    • pp.21-28
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    • 2017
  • Objective : The purpose of this paper is to report the improvement of patient with dizziness treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods : According to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions', the patient diagnosed with Taeyang-byung, number 27 provision, and took Guizhieryuebiyi-tang herb medication 30 days. The changing symptom of dizziness was estimated by VAS(Visual Analogue Scale). Results : The VAS changed 10 to 0. Conclusions : On the number 27 provision of Shanghanlun, '弱' means lower body helplessness. This is the first case report treating the dizziness with Guizhieryuebiyi-tang in Korea.

한의약 건강정보이해력 평가도구 개발을 위한 한의 진료 패턴 분석 (An analysis of Korean Medicine treatment pattern for the development of Korean-medicine health literacy assessment tool)

  • 박정수
    • 대한예방한의학회지
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    • 제22권2호
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    • pp.33-40
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    • 2018
  • Objectives : Health literacy can affect medical results. This study aimed to detect to the modify point of health literacy assessment tools. Methods : The general Korean Medicine service procedure was recorded and categorized. The participants were in- or out-patient of Korean Medical hospital. Written informed consents were obtained. Results : A total of 20 patients participated, with nine males and eleven females. The chief complaints were pain, growth, cerebral infarction sequela, dyspepsia, diarrhea, feeling of helplessness, mental stress, postpartum symptoms, and menstrual disorder. The Korean Medicine service were categorized into collecting patient information, relationship building, and treatment. Terms used in the service embraced general medical terms and Korean Medical terms. Conclusions : The Korean-medical health literacy assessment tool should incorporate western-eastern combined treatment and Korean medical terms.

난임여성의 정서적 특성에 따른 산림치유 프로그램 요구 분석 (Analysis of Forest Therapy Program Needs according to Emotional Characteristics of Subfertile Women)

  • 부서윤;신창섭
    • 한국환경생태학회지
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    • 제34권1호
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    • pp.72-84
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    • 2020
  • 본 연구의 목적은 난임 여성을 위한 산림치유 프로그램 개발의 기초자료를 제공하는 데 있다. 본 연구는 탐색적 연구로 난임 여성의 정서적 특성과 정서적 특성에 따른 산림치유 요구도가 무엇인지 밝혀내어 산림치유 프로그램 개발과 운영을 위한 기초 자료를 제공할 것이다. 본 연구는 서울 소재 난임 전문병원에 내왕하는 난임 여성 200명을 대상으로 난임 여성의 정서적 특성과 산림치유 프로그램 요구도에 대한 33항목을 설문한 조사연구이다. 자료 분석은 SPSS 21.0 프로그램을 이용하여 난임여성의 정서적 특성과 산림치유 프로그램에 대한 요구 사이의 상관관계와 중요도를 파악하고자 빈도분석과 교차분석, 일원분산분석을 진행하였다. 난임 여성들의 정서적 특성은 임신에 대한 압박감, 불안 및 두려움, 우울, 절망감, 무기력, 외로움, 슬픔, 수치심 및 죄책감, 조급함과 답답함, 분노 및 과민함 등으로 나타났다. 난임 여성의 임신에 대한 압박감, 우울, 절망감, 무기력, 외로움, 슬픔과 분노와 과민함, 불안 및 두려움이 높게 나타났다. 난임 여성의 정서적 특성에 따른 산림치유 프로그램 요구도 차이를 알 수 있었다. 임신에 대한 압박감과 수치심 및 죄책감에 따라서 난임 부부 산림치유 프로그램의 운영 형태가 유의한 차이가 있는 것으로 나타났다. 불안과 두려움에 따라서 프로그램 참여 경험이 유의한 차이가 나타났고, 우울, 절망감, 무기력, 외로움, 슬픔에 따라서는 산림치유 프로그램에 참여하지 못하는 이유에 유의한 차이가 있는 것으로 나타났다. 조급함과 답답함에 따라서는 희망하는 산림치유 프로그램 동반 참여자에 대해 유의한 차이가 있는 것으로 나타났다. 분노와 과민함에 따라서 산림치유 프로그램 참여경험 및 난임 여성을 위한 산림치유 프로그램을 통한 자조모임의 효과에 대해 유의한 차이가 있는 것으로 나타났다. 본 연구의 분석 결과가 난임 여성의 심신건강 증진을 위한 산림치유 프로그램을 개발하는 데 기초자료로 활용되기를 기대한다.

영아의 월령에 따른 초산모의 모아상호작용에 관한 연구 (A Study on the Change of Primipara′s Mother - Infant Interaction by Infant′s Monthly Age)

  • 방경숙;한경자
    • 대한간호학회지
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    • 제21권2호
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    • pp.150-167
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    • 1991
  • The intent of this longitudinal descriptive correlational study is to investigate the change of the mother - infant interactions over the periods of one month, three months and six months of the infant's age. This study is also intended to explore the interrelationships among three major factors- the perception of pregnancy, the mother -infant inter-action and the maternal attitude. The samples participated are 36 pairs of mother and infant from two university hospitals in Seoul. A data collection was made, from October in 1988 to September in 1989, for each subject at five periods of time ; prenatal period (after 36 weeks in pregnancy), postpartum two or three days, one month, three months and six months of infant's age. The research tools used in this investigation are Mother - Infant Play Interaction Scale (MIPIS), Prenatal Self- Evaluation Questionnaire and Cohler's Maternal Attitude Scale. Some of the findings are as follows ; 1. There is a significant increase in the mother - infant interaction from one month to three months and six months of infant's age. The highest score of the mother - infant interaction during three periods is at the time of three months. 2. The primipara's mother -infant interaction is not affected by the demographic characteristics, such as age, education and vocation of mother, types of delivery, or sex of infant. 3. Among seven categories of the perception of pregnancy, the most positively perceived categories by primiparas are acceptance of pregnancy and identification of. a motherhood role : whereas the negative ones are preparation for labor, concern for well -being of self and baby, md fear of pain, helplessness and loss of control in order of negativity. 4. There is no significant relationship between the perception of pregnancy and the mother - infant interactions. 5. There is no significant change in the maternal attitude over the period of one month, three months, and six months of infant's age. 6. There is no significant relationship between the maternal attitude and the mother - infant interactions. 7, The significant relationships are (end between the perception of pregnancy and maternal attitude, especially in the categories of concern for well -being of self and baby, accetance of pregnancy, identification of a motherhood role, fear of pain, helplessness and loss of control, and relationship with husband. In conclusion, it is confirmed that primipara's mother-infant interactions change over time period, and that perception of pregnancy and the maternal attitude do not affect the mother-infant interactions despite a significat relationship between those two variables. The implications of this investigation include a suggestion that nurses need to teach and demonstrate to mothers how to care for and interact with their infants, with a view to improving the mother-infant interactions which can be obtained through the improvement of maternal sensitivity to their infants.

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말기 암 환자를 간호하는 간호사의 고통경험 척도개발 (Development of A Nurse는s Suffering Experience Scale)

  • 조계화
    • 대한간호학회지
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    • 제32권2호
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    • pp.243-253
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    • 2002
  • The purpose of this study was to develop Nurse's Suffering Experience Scale and to test the reliability and validity of the instrument. Method: The subjects used to verify the scale's reliability and validity were 220 nurses who were taking care of the end stage cancer patients, while working at university and general hospitals in Daegu and Kyungbuk province from April 20. to July 10, 2001. The data was analyzed by the SPSS/WIN 8.0 program. Results: A factor analysis was conducted, and items that had a factor loading more than .40, and an eigen value more than 1.0. were selected. The factor analysis classified a total of seven factors statistically, and it's communality was 44%. The explanation of factors based on the conceptual framework and item content are as follows: The first factor was expanding self consciousness, the second factor was forming empathy with family, the third factor was professional challenge, the fourth factor was change of values, the fifth factor was spiritual sublimation, the sixth factor was helplessness, and finally the seventh factor was rejection to death. Cronbach's coefficient to test reliability of the scale was .8665 for total of 44 items. The Scale for Nurse's Suffering Experience developed in the study was identified as a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for the evaluation of the degree of nurse's suffering experience in clinical settings.

취약계층의 방문간호 서비스 요구 특성 (Working with Vulnerable Families: A Nurse Home Visiting Perspective)

  • 이인숙
    • 대한간호학회지
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    • 제34권6호
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    • pp.1025-1034
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    • 2004
  • Purpose: This study defines a vulnerable group in a community that has become the main target of a national health project also, it is descriptive research to suggest an evidence-based direction to meet their deficit health-related needs, Method: This research examined 833 families and 1,835 family members of the financially vulnerable class that was registered in a home visiting program of a public health center. Among them, 892 persons who had health problems, and their family members were examined in detail to find out their characteristics of vulnerability and health needs by assessment during a nurses home visit. Frequency distribution, stepwise-regression and factor analysis were used to analyze the data. Result: The vulnerable group that was defined with social indexes set as standards, involved substantial characteristics of vulnerability. The characteristics of demand showed tendencies of being clustered in 5 factors needs of intensive nursing care, chronic nursing care problems and helplessness, maintenance of family functioning with a disability, deficient problem solving ability, and simple financial fragility. Conclusion: Categorization of needs is an evidence-based estimator of workload in nurse home visiting services, and can be used as a basic resource for direction to meet the deficit needs of a vulnerable group.

오뜨꾸뛰르 컬렉션에 나타난 데카당스적 특성연구-1997년 S/S에서 2002년 S/S를 중심으로- (A Study of Decadence Represented in Haute Couture Collection-Focus on the 1997 S/S-2002 S/S-)

  • 김양희;박선경
    • 복식
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    • 제52권8호
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    • pp.73-85
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    • 2002
  • Decadence is a phenomenon that people express fear from their inside, so unsound aspects appear in the social culture when the existing society is about to be collapsed. This study covered the cultural and aesthetic meaning and the role of decadence by examining the concept and phenomenon of it and analyzing the real case of expression appeared in the modern fashion. Characteristics of decadent phenomenon were divided into sexual corruption, ideality, cynicism and extreme technique, and decadent expression appeared in the fashion images was examined based on the divided phenomenon. Main results are as fellows. People bring the incidents that animals go through into relief, sticking to animal instinct when the society is on the decline. At that time, sexual decadence becomes remarkable, so voyeurism by exposure in their dress is deepen, revealing abnormal sexual propensity with bisexual tendency and sexual perversion. The real facts and appearance of people are revealed by transforming and distorting bodies for the fear of humans inside suppressed in the fin-de-siecle mood. The sense of alienation and helplessness of people anxious about the future is developed to cynicism expressing the uncertain emotion in their dress, and the formative methods of dismantlement. destruction and abrasion appear to form sickly images in the gloomy and cold mood. The intention of affirmative decadence is realized by mixing heterogeneous styles and producing new things. Extreme decorative technique and gorgeousness are even mysterious and show the highest refinement.

말기 암환자 호스피스 케어의 사례 - 간호사, 자원봉사자, 목회자의 케어 사례 비교 - (The Comparison of Hospice Care by Nurse, Volunteer and Minister)

  • 김분한
    • Journal of Hospice and Palliative Care
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    • 제2권1호
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    • pp.46-53
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    • 1999
  • The purpose of this case study is to explore the difference of hospice care and the efficiency of hospice education, by comparing the care of the nurse, the volunteer and the minister who have been trained by the Hospice Education Program. The index of common hospice care delivered by cases is that 1) the physical problems (pain, physical discomfort, incontinece, nausea, vomiting etc.) 2) the family problems(family support, change of family function, inefficiency, preparing the death of family) 3) the psychiatric problems(grief and sadness of death, anxiety, fear, helplessness). The case of volunteer and minister is different with the hospice care by nurse, because it is some what related to Christian's base. The index of care by the volunteer and minister is pertaining to social support and spiritual support for family and dying patient. In conclusion, for the wholistic hospice care, we need the hospice caregiver who have diverse background and expert in knowledge of various dimension. For that, it is necessary to build and develop hospice education program as a team apprach, which indudes a systematic expertizing items for care in consideration of caregiver's background.

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간호학생의 중환자실 임상실습 체험 연구 (The Study of the Nursing Students' Lived Experience of Clinical Practice at the Intensive Care Unit)

  • 박경숙;황윤영;최은희
    • 성인간호학회지
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    • 제15권3호
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    • pp.373-382
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    • 2003
  • Purpose: The purpose of this study is to investigate the perception of nursing students' on-site clinical experience at intensive care unit(ICU), which will help on developing fundamental tool to enhance the effect of their clinical practice. Method: Van Manens hermeneutic-phenomenological method has been used to analyze the data. Participants consisted of 74 third-year nursing students who performed the clinical practice at an ICU in C university hospital. The students got the group interviews and kept the clinical diaries. Data was collected from series of group interviews and contents of the students clinical diaries. Result: Major concerns related to students clinical practice were found as follows : "being nervous about unfamiliar machines and situations", "being frustrated about the patients", "feeling of helplessness", "being stupefied from witnessing a death", "realizing the importance of health", "realizing individual patient's precious value through family's love", "realizing the importance of treating a patient as humanbein g", "realizing the differences between theory and practice", "modelizing two aspects of nursing: professional and personal", "readiness to become a capable nurse". Conclusion: We are able to obtain in-depth understandings about the nursing students lived experience of clinical practice at the ICU. Based upon this, there is a need to develop a better nursing intervention enhance the effectiveness of the nursing students clinical practice.

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The Role of Media Use and Emotions in Risk Perception and Preventive Behaviors Related to COVID-19 in South Korea

  • Kim, Sungjoong;Cho, Sung Kyum;LoCascio, Sarah Prusoff
    • Asian Journal for Public Opinion Research
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    • 제8권3호
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    • pp.297-323
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    • 2020
  • The relationship between compliance with behaviors recommended to prevent the spread of COVID-19 and media exposure, negative emotions, and risk perception was examined using regression analyses of data from KAMOS, a nationally representative survey of South Korean adults. The strongest predictor of preventive behaviors in general was negative emotions, which had the largest βh (.22) among the independent variables considered. The eight negative emotions, identified using factor analysis of a series of 11 emotions, were anger, annoyance, fear, sadness, anxiety, insomnia, helplessness, and stress. Negative emotions themselves were influenced most strongly by the respondent's anxiety over social safety (βe=.286), followed by prediction of COVID-10 spread (β=.121, p<.001) and perceived risk of COVID-19 infection (β=.70, p=.023). Females (β=-.134) and those who felt less healthy (βo=-.097) experienced more negative emotions. Media exposure and increased media exposure both have significant relationships with negative emotions and both a direct and indirect impact on the adoption of preventive measures. Women, older people, and healthier people perceived greater risks and engaged in more preventive behaviors than their counterparts.