• 제목/요약/키워드: Mental Health Improvement

검색결과 299건 처리시간 0.026초

학령기 아동의 영양실태와 신체발달 및 행동에 관한 조사연구 (A Survey of Nutritional Status, Physical Growth and Behavior of School Children)

  • 김선희;김숙희
    • Journal of Nutrition and Health
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    • 제16권4호
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    • pp.253-262
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    • 1983
  • A survey was undertaken to investigate relationship between nutritional status and physical growth and behavior of school children. Dietary intakes, environmental factors, physical growth, personality, and cognitive development were measured in 323 children of 4 th and 6th grader in the urban and rural arcas. The results are summarized as follows : 1) The average intakes of the food groups and nutrients except ascorbic acid were lower in rural children. Comparing the intakes of the rural children with RDA of the Korean children, 64.0% of them in protein, 99.3% in calcium, 84.6% in iron, and 73.5% in riboflavin consumed less than 75% of RDA. Environmental factors were significantly related to the nutrient intakes 2) Height, weight, and head circumference were significantly related to the nutrient intakes. Retarded growth due to malnutrition was supposed in the $rural^{1)}$ area. 3) Some domains of personality were significantly related to nutrient intakes. 4) Environmental factors, physical growth, and nutrient intakes made independent contribution to variation in cognitive performance and their relative importance depended on the particular cognitive domain when stepwise multiple regression analyses were undertaken. Environmental stimulation was largely associated with verbal usage, and economic status and nutrient intakes with numerical reasoning. Above findings support that nutritional deprivation retards brain growth and performance on various cognitive dimensions of children. Therefore, amelioration of the several adverse social, economical, environmental influences as well as the improvement of dietary intake is required to bring about a substantial enhancement of the physical growth and the mental development of children.

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뇌지주막하 출혈 후 뇌혈관 연축에 대한 동맥내 Papaverine 주입의 치료효과 (Effect of the Intra-arterial Papaverine Infusion on the Symptomatic Cerebral Vasospasm after Aneurysmal Subarachnoid Hemorrhage)

  • 신준재;이재환;신용삼;허승곤;김동익;이규창
    • Journal of Korean Neurosurgical Society
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    • 제30권3호
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    • pp.325-333
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    • 2001
  • Objective : To clarify the benefits and therapeutic effects of intra-arterial papaverine infusion on the symptomatic cerebral vasospasm, we analyzed the results of treatment in 32 patients retrospectively. Methods : A total of 510 patients underwent surgical clipping or endovascular intra-aneurysmal treatment for ruptured intracranial aneurysm between May, 1996 and June, 1999. The delayed ischemic deficit(DID) was developed in 90 of 510 patients. Of these 90 patients, 32 developed symptomatic vasospasm inspite of using modest "3H therapy". The brain CT scan was taken before the intra-arterial infusion of papaverine. The 32 patients underwent 42 intra-arterial papaverine infusion. The symptomatic vasospasm was divided into three groups : deterioration of mental status(Group 1), appearance of a focal neurologic deficit(Group 2), or both(Group 3). We measured Glasgow Coma Scale(GCS), arterial diameters, and cerebral circulation time(CCT) at the time of pre- and postangioplasty. Results : The number of patients in group 1, 2 and 3 were 26, 7, 9 respectively. Eighteen cases showed improvement of GCS more than 2 scores, 16 more than 1, and 8 showed no change of GCS. Average cerebral circulation time(CCT) was decreased ranging from 0.0%-67.5%, and arterial diameters were increased in 21 cases ranging from 1 to 4 folds. Conclusion : Intra-arterial papaverine infusion seemed to have therapeutic effects on symptomatic vasospasm by improving the neurological signs and increasing the arterial diameter. We suggest that intra-arterial papaverine infusion would be an useful adjunctive therapeutic modality in symptomatic vasospasm.

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경북지역 발달장애아동의 식행동과 영양소 섭취량에 관한 연구 (A Study on Dietary Behavior and Nutrient Intake of Children with Developmental Disorders in Gyeongbuk Area)

  • 윤민아;최영선
    • Journal of Nutrition and Health
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    • 제45권1호
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    • pp.44-56
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    • 2012
  • This study investigated dietary behavior and nutrient intake in children with developmental disorders as compared with non-disabled children and assessed the relationship between dietary behavior and nutrient intake. The survey was conducted on 118 students ($4^{th}$ and $5^{th}$ grade) of four special education schools and 244 students of an elementary school (control group). The survey was carried out using a questionnaire and an interview. Of the disabled children, children with a mental disorder comprised 72.9% and those with emotional disorders including autism comprised 26.3%. The average percentages of height and weight to standards for age were significantly lower in the disabled female children as compared with the non-disabled female children. Scores for table utensil handling skills, eating behavior, and an unbalanced diet were lower in the disabled children compared with those in the non-disabled children. Dietary behavior scores were not significantly different by either gender or age in the disabled children. Mean energy intake was less than the estimated energy requirement in both groups. Nutrients taken at less than the recommended intake level were calcium, iron, vitamin A, and folate in both groups. Food behavior score at mealtime, personal hygiene score at mealtime, and an unbalanced diet score were significantly correlated with iron and vitamin A intake in disabled male children. Personal hygiene score at mealtime was significantly correlated with calcium, iron, and vitamin A intake, and unbalanced diet score was significantly correlated with iron and vitamin A intake in disabled female children. Although the nutritional status of disabled children with developmental disorders was appropriate in general, improvement in their dietary behaviors through education and practice would allow them to eat balanced diets with essential nutrients.

뉴로피드백 훈련이 장기요양시설노인의 뇌기능지수에 미치는 효과 (The Effects of Neurofeedback Training on Brain Function Quotient of Elderly with Long-term Care Insurance Service)

  • 윤미경;현경선;박병운;이광심;정동례;이정은
    • 동서간호학연구지
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    • 제18권2호
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    • pp.111-119
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    • 2012
  • Purpose: Recently, Neurofeedback training system that based on biofeedback of brain wave was introduced. This study was performed to identify the effects of the improvement of brain function by Neurofeedback training on elders(the 2nd or 3rd grade of long-term care insurance services). Methods: A quasi-experimental design using a nonequivalent control group, pre-post test was used. Total 11 elderly were enrolled in this study (experimental group 5, control group 6). The intervention was conducted 3 times a week for 30 minutes from January to June, 2012 (total 60 times). Chi-square test and Mann-Whitney U-test were used to analyze the data. Results: After the Neurofeedback intervention, attention quotient (AQ), anti-stress quotient (ASQ), emotion quotient (EQ) and brain quotient (BQ) of the experimental group were significantly better than those of the control group. Conclusion: The findings indicate that the Neurofeedback training program was effective in reducing fatigue by AQ, increasing the physical and mental stress resistance by ASQ, emotional balance by EQ and improving of total brain function by BQ. Therefore Neurofeedback training be used as an effective training intervention for the health of elderly in geriatric facility.

의학도서관 사서의 독서치료 서비스에 대한 인식 조사 연구 (A Survey on the Medical Libraries Librarian's of Perception about Bibliotherapy Services)

  • 임성관
    • 한국도서관정보학회지
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    • 제46권2호
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    • pp.227-255
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    • 2015
  • 독서치료는 문학을 통해 개인 욕구의 충족 및 건강한 심신을 이루게 할 뿐만 아니라 건강한 사회성원의 육성, 건전한 여가문화의 창달로 인하여 결국 국민의 총체적인 복지 증진에 기여할 수 있는 효과적인 수단이 된다는 점에서 우리 사회의 질적 발전을 위한 방법이 될 수 있다. 본 연구는 의학도서관 사서를 대상으로 의학도서관의 독서치료 서비스 운영 실태를 파악하고, 이에 대한 사서들의 인식도를 조사하여 그 결과를 바탕으로 의학도서관의 독서치료 서비스의 기초 자료를 제공하는데 있다. 이를 위해 한국의학도서관협의회 회원 도서관 중에서 의학도서관 57개를 대상으로 사서 57명에게 독서치료 서비스에 대한 설문지를 수집하여 분석하였다. 분석 결과, 의학도서관 사서들은 이용자를 대상으로 독서치료 서비스를 제공하는 것에 대해 긍정적으로 인식하고 있음을 알 수 있었다. 본 연구 결과는 의학도서관의 독서치료 서비스 개발과 운영에 도움을 줄 것이다.

재가 독거 여성노인의 우울, 인지기능 및 도구적 일상생활 수행능력 간의 관계 (The Relationship between Depression, Cognitive Function and the Instrumental Activities of Daily Living of Elderly Women Living Alone)

  • 임은주
    • 한국산학기술학회논문지
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    • 제14권4호
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    • pp.1849-1856
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    • 2013
  • 본 연구의 목적은 우리나라 재가 독거 여성노인의 우울 여부에 따른 인지기능, 도구적 일상생활 수행능력의 차이를 파악하고, 제 변수들 간의 상관관계를 확인하기 위함이다. 자료 수집은 2011년 4월부터 2012년 4월까지 구조화된 설문지로 면접 조사하였으며, 총 1,426명의 자료를 분석하였다. 제 변수들 간의 상관관계를 살펴본 결과, 우울과 인지기능(r=-.208, p<.001), 인지기능과 도구적 일상생활 수행능력(r=-.256, p<.001)은 약한 역상관관계를 보였고, 우울과 도구적 일상생활 수행능력(r=.222, p<.001)은 약한 순상관관계가 있는 것으로 나타났다. 이상의 연구 결과를 토대로 재가 독거 여성노인의 인지기능과 사회적 활동 수준의 향상을 통해 우울 수준이 저하될 수 있도록 앞으로 정신건강 유지 및 증진을 위한 방안 마련에 더욱 관심을 가져야 할 것이다.

뇌졸중 환자의 균형 향상 과제 중심 순환 훈련의 효과 (The Effect of Balance Task-Related Circuit Training on Chronic Stroke Patients)

  • 이한숙;김명철
    • The Journal of Korean Physical Therapy
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    • 제21권4호
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    • pp.23-30
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    • 2009
  • Purpose: This study investigated the efficacy of task-related circuit training aimed at improving balance in individuals discharged from rehabilitation facilities following a stroke. Methods: We recruited 12 stroke patients (34-66 years of age) to participate in a task-related circuit training program. Baseline assessment included a history of stroke and an assessment using the Mini-Mental State Examination Korea (MMSE-K). After a baseline assessment, follow-up assessments were administered pre- and post-training. These included Berg Balance Scale (BBS), Functional Reach Test (FRT), and the Time Up & Go Test (TUG). Physiotherapists trained study subjects under the one-to-one supervision of students from the department of physical therapy. Circuit class study participants attended 90-minute treatment sessions, one day a week for 12 weeks (from September to December 2008). The program consisted of a light warm-up period (10 min), physical exercises for improving balance (20 min), tasks focused on improving balance (50 min) and a cool-down period (10 min). Results: Scores for the BBS assessment increased significantly (from 43.2 to 49.7) after the training (p<0.05). Reach distance on the FRT increased substantially (from 27.7 cm to 47.0 cm), although the improvement was not significant (p>0.05). The average time on the TUG test decreased significantly (from 23.7 sec to 19.5 sec) after the training (p<0.05). Conclusion: The task-related circuit training program improved the balance and mobility of subjects, indicating that such a group program is useful for stroke patients who are discharged from the hospital. More such task-related programs set in a community environment should be developed.

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일상생활 동작 집단학습 운동프로그램이 편마비 환자의 독립적 생활에 미치는 영향 (Effects of the ADL Activity Group Exercise Program on Independent Life of CNS Patients)

  • 박현식;김택연;박종항
    • 대한정형도수물리치료학회지
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    • 제14권1호
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    • pp.66-76
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    • 2008
  • Purpose : The purpose of the study was to determine Effects of the ADL Group Study Program Training on Functional Independence and Quality of Life for the CNS Patients. Methods : Thirty patients with stroke were assigned to experimental and control group. During eight weeks, both group participated in the conventional physical therapy and only the experimental group added in the ADL Group Study program. Experimental group performed two a week for 8 weeks and both group were scored Mini-Mental State Examination-Korean version before the training. The data were analyzed with frequency, independent t-test, paired t-test using SPSS PC(ver.12.0). Results : The result of this study is as fallows : First, after eight weeks, the experimental group the significant improvement in Korean Activity Daily Living scale, washing(p<0.01), bathing, ambulation, toilet using(p<0.05) and decorating, the short distance transfer(p<0.05) in Korean Independent Daily Living scale, vitality(p<0.05) in Quality of Life score. Conclusion : These finding suggest that the ADL Group Study Program Training can be used to improve functional independent and quality of life for the CNS patients. Also, the result of this study can provide a reference for the successful therapeutic program in CNS patients.

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이중 맹검법을 이용한 홍삼의 노인병 치료에 대한 임상연구 (A DOUBLE-BLIND CLINICAL TRIAL OF PANAX GINSENG IN AGED SUBJECTS)

  • Fulder Stephen;Kataria Mohan;Smith Beryl Gethyn
    • 고려인삼학회:학술대회논문집
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    • 고려인삼학회 1984년도 학술대회지
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    • pp.215-223
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    • 1984
  • 인삼이 노령자의 피로 및 쇠약 치료효과에 미치는 영향을 연구하기 위해 런던의 성프란시스병원과 지방의 일반 개업 병인으로부터 50명의 노인들을 모집하였다. 매일 2g의 홍삼 분말을 이중맹검법에 의하여 10일간 투약하였으며. 위약과 홍삼 분말의 투여는 3주간의 간격을 두고 각기 투여하였다. 간호원이 10가지 정신측정 종합테스트와 심리측정 테스트를 하였고, 기분상태 및 일반적인 건강평가를 설문지로 측정하였다 이 측정을 홍삼 및 위약의 투여기간을 전후하여 실시하였다. 즉, 각각의 테스트를 모두 4번 실시하였다. 심리측정 테스트와 정신측정 종합테스트 결과 홍삼의 투여는 위약과는 달리, 미약하나마 일관성있는 증가를 가져왔다. 그러나 기분상태 및 일반적인 건강 평가는 별 변화가 없었다. 결론적으로 인삼은 강장효과를 갖는다 할 수 있다. 노인병 치료를 평가함에 있어 시도방법 및 기간 등에 의하여 약효의 평가가 모호해지는 경우가 종종 있다. 보다 적절한 임상시험법에 대하여 토론하고자 한다.

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질환 중심 기공프로그램 개발 사전연구 : 파킨슨병 관리 프로그램을 중심으로 (Development of disease-specific qigong program for Parkinson's disease)

  • 이화진;이혜정;인창식;채윤병;백유상;신용철;이상재;박히준
    • Korean Journal of Acupuncture
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    • 제26권4호
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    • pp.77-88
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    • 2009
  • Background : Qigong is an exercise therapy based on the principles of Traditional East Asian Medicine. The exercises combine the practice of motion and breathing, both guided by mental imagery. Beneficial effects of qigong have been reported on a variety of complaints in chronically ill patients and on gait imbalance in the elderly. Parkinson's disease is a progressive neurodegenerative disorder that affects neurophysiological function, movement abilities, and quality of life. Objectives : We developed a qigong program based on the Traditional East Asian medical theory regarding the improvement of clinical symptoms of Parkinson's disease. Methods and Results : Our qigong program consists of three parts. The first one includes movements which stimulate the meridians that run from the toes to the top of the head. The second one is composed of breathing and qigong movements that create harmony and balance with the circulation of Qi and blood on the Meridians. The third is a stage of finger pressure therapy and massage from Daoyin medical qigong to maintain meridian stability. Conclusions : These qigong program would help relieve the clinical symptoms of Parkinson's disease patients.

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