• 제목/요약/키워드: Mental Health Improvement

검색결과 286건 처리시간 0.028초

한의 난임 치료에 활용되는 평가지표와 평가도구 사용 현황 조사 및 고찰 (Review of Indicators and Tools used to Assess Korean Medicine Infertility Treatment)

  • 이수진;김동일;최수지
    • 대한한방부인과학회지
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    • 제36권3호
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    • pp.173-195
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    • 2023
  • Objectives: To investigate and analyze the assessment indicators and tools used in clinical practice to assess Korean medicine (KM) treatment for infertility, and to establish a basis for assessment tools to diagnose and assess infertility. Methods: Relevant studies published until March 2023 were extracted from Pubmed, Research Information Sharing Service, and National Digital Science Library databases. Results: Sixty-four studies comprising 4,105 patients were included. We investigated pregnancy outcomes, and assessed pregnancy- and childbirth-related factors, overall health, reproductive health, and mental health. Pregnancy result was most common primary outcome. Ongoing pregnancy, stillbirth, miscarriage, and ectopic pregnancy rates were suggested as indicators of pregnancy and childbirth-related assessment. Overall health was most commonly assessed with Likert and Visual analogue scale (VAS). Among reproductive health variables, menstrual history was most frequently assessed. Moreover, indicators such as reproductive function, sexual intercourse, and gynecological disease were assessed. The Infertility Stress Scale and the Fertility Quality of Life tool (FertiQoL) were used to assess mental health. Conclusions: Subjective scales and objective assessment tools, such as the Likert scale and blood tests/ultrasonography, respectively, are used to assess KM infertility treatment. Inconsistent assessment tools make quantitative analyses more challenging. The development of a standardized mental and physical function assessment questionnaire with confirmed reliability and validity ensure the effectiveness of KM infertility treatment, and promote future studies on infertility treatment.

조현병 환자를 위한 정신사회적 중재 (Psychosocial Intervention for Patients with Schizophrenia)

  • 김성완
    • 신경정신의학
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    • 제57권3호
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    • pp.235-243
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    • 2018
  • Treatment of schizophrenia has as its ultimate goals, the functional recovery of the patients and improvement of their quality of life. While antipsychotic medication is the fundamental method for treating schizophrenia, it has certain limitations in terms of treating the illness beyond its positive symptoms. Therefore, psychosocial intervention should be used in tandem with pharmacological methods in treating schizophrenia. The efficacy of several modes of psychosocial intervention for improving outcomes in schizophrenia is well attested. Approximately 10 modes of psychosocial intervention have been recommended based on existing evidence, including family intervention, cognitive behavioral therapy, supported employment, early intervention services, lifestyle intervention for physical health enhancement, treatment of comorbid substance abuse, assertive community treatment, cognitive remediation, social skills training, and peer support. Ideally, these interventions are offered to patients in combination with one another. Over the last decade, increased emphasis has been placed on early detection and intervention, with particular focus on long-term recovery. Early intervention with comprehensive psychosocial interventions should be enacted promptly from the initial detection of schizophrenia.

Impact of Job Satisfaction on Greek Nurses' Health-Related Quality of Life

  • Ioannou, Panagiotis;Katsikavali, Vassiliki;Galanis, Petros;Velonakis, Emmanuel;Papadatou, Danai;Sourtzi, Panayota
    • Safety and Health at Work
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    • 제6권4호
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    • pp.324-328
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    • 2015
  • Background: Employee job satisfaction and its relationship with health and quality of life has been an issue of major concern over the past decades. Nurses experience difficult working conditions that affect their job satisfaction, health, and quality of life. Methods: A cross-sectional study was undertaken in three general hospitals and their respective health centers. Stratified random sampling by level of education was used, and 508 nurses and nursing assistants were included. A self-administered anonymous questionnaire, which included the Measure of Job Satisfaction, the 36-item Short Form Health Survey, as well as demographic details, education, and work conditions data, was used. Results: Greek nurses were found to be dissatisfied with their job according to the total score of the job satisfaction scale, although personal satisfaction and satisfaction with support had had higher scores. Their general health was reported as average, because of physical and mental health problems, low vitality, low energy, and increased physical pain. Multivariate linear regression analysis revealed that males and those wishing to stay in the job had higher physical and mental health. Increased job satisfaction was related to increased physical and mental health. Conclusion: Although Greek nurses are not satisfied with their work, those with high levels of job satisfaction had better health-related quality of life. The findings suggest that improvement of the work environment would contribute to a healthier and more satisfied nursing workforce.

근린공원에 대한 환경지각이 이용자의 건강증진인식에 미치는 영향 - 창원시의 8개 근린공원을 대상으로 - (The Effect of Environmental Perception in Neighborhood Park on User's Recognition of Health Improvement - Focusing on 8 Neighborhood Parks in Changwon City -)

  • 박영은;이우성;정성관;박경훈
    • 한국조경학회지
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    • 제43권1호
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    • pp.54-68
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    • 2015
  • 본 연구는 근린공원에 대한 이용자의 공원지각환경이 건강증진인식에 미치는 영향을 분석하기 위해 경상남도 창원시의 8개 근린공원을 대상으로 공원별 현장조사 및 설문조사를 실시하였다. 연구결과에 따르면, 먼저 공원별 공원지각환경에서는 대부분의 공원이 집에서 공원까지의 거리와 집에서 공원까지의 길 환경이 높게 평가된 반면, 수공간과 공원 내 다양한 볼거리는 충분하지 못한 것으로 분석되었다. 다음으로 23개의 지각환경 변수들을 요인분석한 결과, 경관성, 안락성, 접근성, 활동성, 편의성, 쾌적성의 6개 요인으로 분류되었다. 이를 토대로 건강증진인식과 지각환경요인과의 관련성을 분석한 결과, 8개 공원 중 4개 공원에서 지각환경요인이 신체적 건강증진인식에 유의한 영향을 주는 것으로 나타났다. 특히, 접근성과 활동성이 3개의 공원에서 영향력이 있는 변수로 분석되었다. 또한, 심리적 건강증진인식의 경우, 8개 공원 중 5개 공원에서 유의한 영향을 주는 것으로 나타났으며, 접근성이 4개의 공원에서 영향력이 있는 변수로 평가되었다. 이상과 같은 결과들은 기존의 공원 환경을 개선하고, 새로운 공원을 조성하고자 할 때 효율적인 기초자료로 활용될 수 있을 것으로 판단된다.

고령자를 고려한 컬러테라피 기반 색채 배색 팔레트 (A Palette of Color Combination Based on Color Therapy for the Elderly)

  • 이은지;박성준
    • 한국주거학회논문집
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    • 제28권1호
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    • pp.55-62
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    • 2017
  • As fast-speed of aging in modern society has led to increased concern for aging and health improvement of senior citizens, desire about having healthy living-environment has also increased. Living space for senior citizens has to play role of healing for their body feature as well as decrease in mental and psychological function. Color, as important factor that supplements degenerated sense and coping ability caused by aging, it has been revealed through modern medical science that color is effective for making nervous or calming down when it is delivered to one's nerve through sight. The purpose of this study is to suggest basic resource for color arrangement palette of living space and application method by color therapy to improve seniors' mental health by considering psychological and physical features caused by aging. First, consider psychological and physical feature of seniors and color therapy effect through previous research. Second, extract RGB value after selecting color that is helpful for their mental health by using palette from 'Korea Agency for Technology and Standards'. Third, extract other 3 colors that are similar with extracted color from 'NCS 1950 Color System'. Fourth, deduct palette of 3 color arrangement by using 'NCS Navigator' program. Lastly, extract arrangement palette for them by considering difference in visual features, and then suggest arrangement application for each palette through Computer Simulation.

중년여성의 분노표현 유형과 정신건강 (Anger Expression Type and Mental Health in Middle Aged Women)

  • 최일림
    • 대한간호학회지
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    • 제39권4호
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    • pp.602-612
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    • 2009
  • Purpose: The purpose of this study was to identify type of anger expression and mental health in middle aged women. Methods: From August to October 2005, survey data were collected by using the State Trait Anger Expression Inventory and Symptom Check List-90-Revision (SCL). Participants (1,442) were classified into four types of anger expression by K-mean cluster analysis. For collecting interview data for content analysis, 18 participants (4-5 participants from each type of anger expression) were recruited. The interview data were collected between March and September 2006. Results: The average score of the state anger of middle-aged women was 11.95, and that of the trait anger was 18.75. The average anger expression scores were 12.72 for Anger-In, 13.45 for Anger-Out, and 18.51 for Anger-Control. The average SCL scores were 45.03 for somatization, 42.23 for obsessive-compulsiveness, 42.44 for interpersonal sensitivity, 42.45 for depression, 42.40 for anxiety, 42.62 for hostility, 44.44 for phobic anxiety, 43.65 for paranoid ideation, and 43.08 for psychoticism. The anger expression types identified in this study were 1) anger-out in secret, 2) anger-control with a patience, 3) anger-out with suppression, and 4) low anger expression type. The psychosomatic symptom scores were the highest in type III (anger-out with suppression), and the lowest in type IV (low anger expression type). Conclusion: This study can be helpful in assisting middle aged women to control their anger effectively and may contribute to the improvement of their mental health.

초등학교 보건교육내용의 국제비교분석(한국, 미국, 일본을 중심으로) (A Study on International Comparison and Analysis of Health Education Contents in Elementary Schools(based on Korea, USA, and Japan))

  • 이순영;박영수
    • 한국학교ㆍ지역보건교육학회지
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    • 제2권2호
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    • pp.57-78
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    • 2001
  • The purpose of this study is to analyze hygiene education contents of elementary schools in Korea, USA, Japan and compare this and to provide with basic material present improvement method when hygiene education contents of elementary schools in Korea are organized. For this purpose the problems as following are selected centering on the hygiene education contents of the 7th education process in Korea and Japan and the hygiene text of public school in California, USA. First, this study tries to analyze the composition classified by 12 guidance contents each grade of hygiene education contents of elementary schools in Korea, USA, and Japan. Second, this study tries to analyze the composition classified by fields(physical, mental, social) of hygiene education contents of elementary schools in Korea, USA, and japan. As a result of the analysis and comparison on the matters stated above, the conclusion as following was gotten. First, as a result of searching the hygiene education contents system of elementary schools in Korea, USA, and Japan classified by 12 guidance contents each grade, the subjects which have good contents composition classified by class step by step were safe life and disease prevention. And the subjects such as growth development and health, physical fitness, drug use and health were weak and the parts such as consumer health and the careers concerned with are not dealt in the present education process of Korea at all. Second, as a result of analyzing the composition classified by fields of hygiene education contents of elementary schools in Korea, USA, Japan, all the three countries put great on physical part. And there are 57 units about mental part in USA, 27 units in Japan, only 17 units in Korea. And this fact reveals that there was lack of understanding about the need of mental part in Korea. This study tries to suggest improvement method as following through the study results stated above. First, as it is grasped in the analysis classified by guidance part of hygiene education contents, community and environment preservation, physical aptitude and stress management are to be emphasized more strongly and about the parts like consumer health and the persons concerned with hygiene new education programs as contents satisfying the need of age are to be inserted or complemented Second, because the hygiene education contents in Korea are still lack in comparing contents of mental parts compared with those of the two countries, the contents proper to the level and the requirement of learners to each grade are to be developed and complemented. Third, hygiene education units which were reduced in the 7th curriculum in Korea are lack compared with those in the two countries. Therefore, it is necessary that teachers should recognize the need of hygiene education so that the hygiene education can be separated and be taught out regularly.

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근력강화 운동프로그램이 노인의 균형증진에 미치는 영향 (Effects of Strengthening Exercise Program on the Improvement of Balance in the Elderly)

  • 김한수;김상수;이동호
    • The Journal of Korean Physical Therapy
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    • 제14권3호
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    • pp.45-59
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    • 2002
  • The purpose of this study was to investigate the effects of strengthening exercise program on the improvement of balance in the elderly Subjects were forty members living in Daegu (20 males, 20 females), between 65 and 81 years of age. The subjects were divided into two groups; an experimental group and a control group, and each group included 10 males and 10 females. The subjects for the experimental group were participated in the strengthening exercise program for 8 weeks, between April 2001 and June 2001 The results of this study were as follows: 1. General characteristics statistically significantly affecting for CTSIB were mental status; weight, height, vision, systolic blood pressure, diastolic blood pressure, pulse rate, mental status, obesity and thigh BMD were BBT; age, weight, height, vision, blood pressure systolic, blood pressure diastolic, blood pulse rate, mental status, obesity, spine BMD and thigh BMD were for OLST. 2. After the exercise program, there was no significant difference in the balance ability between the experimental group and the control group in CTSIB. However, there was a significant difference in OLSTR on the hard (p<0.05) and soft (p<0.05) surface with open eyes condition between the experimental group and the control group. In the case of OLSTL, there was a significant difference on the hard surface with open eyes condition (p<0.05), and on the soft surface with open eyes condition (p<0.05) and closed eyes condition (p<0.05) between the experimental group and the control group. There was no significant difference in the balance ability between the experimental group and the control group in BBT.

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학생들의 정신건강문제와 정신과 의뢰에 대한 교사의 인식도 조사 (TEACHERS' PERCEPTIONS OF MENTAL HEALTH PROBLEMS IN STUDENTS AND PSYCHIATRIC CONSULTATIONS)

  • 곽영숙;천자성
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제9권1호
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    • pp.82-90
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    • 1998
  • 서울과 광주 및 전라남도의 초등학교, 중학교, 고등학교에 재직하는 일반교사 450명을 대상으로 하여 학생들이 보이는 정신건강문제의 빈도와 유형 및 원인에 대한 교사들의 인식과, 애로점 및 개선요구 사항, 의뢰나 도움을 청하는 대상, 정신과 의뢰나 권유 정도 및 의뢰 장애요인을 설문 조사하여 다음과 같은 결과를 얻었다. 1) 교사에 의해 정신건강문제가 있다고 판단되는 학생은 5.3%, 정신과 진찰이 필요하다고 생각되는 학생은 1.9%, 정신과 의뢰나 권유를 한 학생은 1.2%였다. 2) 교사에게 발견되는 학생들의 주된 정신건강문제의 유형은 초등학교의 경우에는 산만함과 주의력결핍, 학습능력결여, 언어능력결여의 순이며, 중학교는 산만함과 주의력결핍, 가출이나 비행문제, 학습능력결여의 순이었고, 고등학교는 가출이나 비행문제, 산만함과 주의력결핍, 신체증상의 호소, 담배나 본드의 상습적 사용의 순이었다. 3) 교사들은 학생들의 정신건강문제의 유발 원인에 대해 양육태도나 가정환경, 심리적 요인, 성적위주의 교육제도, 상담이나 정신건강관리 미흡 등의 순으로 중요하게 생각하였다. 4) 학생들의 정신건강문제를 접할 때 교사가 느끼는 애로사항은 담당 학생수의 과다, 시간적 여유 부족, 상담교육 기회 결여의 순이었고, 개선을 희망하는 사항으로는 담당 학생수의 감축, 성적위주 교육환경의 개선, 시간적 여유, 정규적인 정신건강교육, 문제학생을 위한 개별 프로그램, 학교와 연계된 상담전문가나 자문의사의 순이었다. 5) 도움을 받거나 의뢰할 수 있는 대상은 동료교사, 학부모, 상담교사, 양호교사, 상담기관, 신경정신과, 교장 ${\cdot}$ 교감의 순이었으며, 정신과 의뢰를 못하는 이유로는 정신과에 대한 학부모의 편견, 학생들의 문제에 대한 교사의 우위의식, 시간적 여유 부족, 정신과에 대한 교사의 편견, 과거 정신과 의뢰 결과에 대한 불만족의 순이었다. 6) 정신과 의뢰나 진찰 권유의 경험이 있는 교사는 20.4%였고, 서울시의 교사가 전남의 교사보다 정신과 의뢰나 권유의 경험이 많았다.

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남성 난임에 대한 한의학적 연구 - 원인, 생식 건강 증진법, 임신 성공률 제고를 위한 성생활법 및 대표처방을 중심으로 - (Korean Medical Study on Male Infertility - Focusing on Cause, Reproductive Health Improvement, Sexual Tips to Improve Pregnancy Success Rate and Major Formulas -)

  • 김연태
    • 대한한의학원전학회지
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    • 제36권4호
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    • pp.55-67
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    • 2023
  • Objectives : Contents on causes of male infertility, reproductive health improvement, sexual tips were studied in classical texts of Korean Medicine, followed by representative formulas for male infertility treatment. Methods : Related texts from the Qiusimen chapters of the Yixuerumen, Yixuexinwu, Donguibogam, Nukejinglun, Jiaozhufurenliangfang, Jiyingandmu were collected, and their medical meaning discussed. Results : As immoderate libido and excessive mental consumption leads to sexual dysfunction causing male infertility, 'moderating sexual desire and accumulating Jing' should be the principle for improving reproductive health. Also, sufficient foreplay is recommended. In terms of formula, the Wuziyanzongwan with sufficient therapeutic evidence in both classical texts and contemporary Korean Medicine can be applied in cases of male infertility. Conclusions : Excessive sensual stimulation and immoderate sexual desire consumes the mind and results in decline in male reproductive health. While moderating sexual desire and accumulating Jing through controlling desire, not overworking, moderating anger, drinking in moderation, balanced eating should be the principle for improving reproductive health, having sexual intercourse 2~3 times per week rather than long-term abstinence is recommended. To improve the success rate in pregnancy, sufficient foreplay and time should be done and taken for intercourse. Wuziyanzongwan should be taken for at least three months or longer.