• 제목/요약/키워드: Mental health understanding

검색결과 215건 처리시간 0.023초

일부 농촌지역 성인에서 EQ-5D를 이용한 건강관련 삶의 질 (Health-related Quality of Life Assessment by the EuroQol-5D in Some Rural Adults)

  • 한미아;류소연;박종;강명근;박종구;김기순
    • Journal of Preventive Medicine and Public Health
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    • 제41권3호
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    • pp.173-180
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    • 2008
  • Objectives : The purposes of this study were to examine the health-related quality of life(HRQoL) and to identify its related factors for a group of rural adults. Methods : The study subjects were 1,901 adults who were aged 40-70 years and who were living in Naju City, Jeollanamdo. The sociodemographic characteristics, health-related behavior, health status and global self-rated health were collected for statistical analysis. The health-related quality of life was measured by the Euroqol EQ-5D instrument. The differences on the EQ-5D index between the groups were assessed with t-test, ANOVA and hierarchical multiple regression analysis. Results : Overall, the mean value of the EQ-5D index was $0.884{\pm}0.140$ and this score was significantly different according to the socioeconomic characteristics, the health-related behavior, the health status and the global self-rated health. According to the results from the hierarchical multiple regression analysis, the HRQoL was significantly reduced for females, older subjects, and other subjects with no spouse and the subjects with osteoporosis, obesity, mental distress or poorer global self-rated health. Conclusions : The HRQoL for rural adults was related to the socioeconomic characteristics, the health status and the global self-rated health, A better understanding of the factors related to the HRQoL would help to improve the rural adults' quality of life.

Custody Evaluation in High-conflict Situations Focused on Domestic Violence and Parental Alienation Syndrome

  • Moon, Duk Soo;Lee, Myung Hoon;Chung, Dong Sun;Kwack, Young Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권2호
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    • pp.66-73
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    • 2020
  • In a divorced family, child-centered custody evaluation is essential to ensure the child's best interests and healthy adaptation. A mental health professional's role and involvement are required in gaining an in-depth understanding of various environments and dynamics surrounding the child and family. Domestic violence, including child abuse and intimate partner violence (IPV) or parental alienation syndrome (PAS), is often observed in cases of custody evaluation in high-conflict divorced families, sometimes accompanied by allegations. Such cases warrant an extremely careful approach by the evaluator, who needs to be competent in interpreting the familial dynamics based on a reasonable context understanding. Genuine professionalism is a must for a custody evaluator to best help the child and carry out a high-quality custody evaluation process, and evaluators need to be ready for this task through adequate preparation and empowerment. This article is devoted to examining custody evaluation in divorced families in cases of IPV, child abuse, and PAS.

도시한옥의 건강특성에 대한 아파트 거주자의 인지 분석 (Health Enhancing Architectural Features of Modern Hanok Perceived by Apartment Residents)

  • 장미선;이연숙
    • KIEAE Journal
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    • 제11권4호
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    • pp.3-10
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    • 2011
  • Recently, as sense of crisis about human survival has become serious due to worsening environmental pollution, people have begun to pay attention to their health more and more. In order to improve health conditions, multifarious approaches have been made from such diverse sectors as foods, clothing, medical sciences and environment, and particularly space environmental matters of housing cannot but be a matter of great concern to maintain and enhance the health of the residents. However, scarcely empirical studies have been made from the viewpoint of the users regarding the characteristics of Modern Hanok that has been appreciated as an example of a representative healthy housing. Therefore, this study aimed to study the recognition of apartment residents concerning the health characteristics of Modern Hanok. The health characteristics of Modern Hanok analyzed through literature investigation were classified into three categories of physical, mental and social health, and based on these characteristics, survey was made through web-survey upon 200 apartment residents who have interest in Hanok but have not lived or stayed in Hanok yet. The survey result revealed that about 60% of the respondents have recognized the health characteristics of Modern Hanok, and the respondents recognizing this fact expected that on a comparatively low average level of 2.09 out of 5 the health characteristics of Modern Hanok would affect their health. At current housing market where users' viewpoint and roles function more importantly than ever, the result of this study will contribute to enhance the comprehensive understanding about the health characteristics of Modern Hanok through empirical study on what the users think and expect.

표준화 환자를 활용한 정신간호 시뮬레이션 실습 교육 효과 -학습동기, 학습자기효능감, 학습만족도, 전이동기- (The Effects of Mental Health Nursing Simulation Practice Using Standardized Patients on Learning Outcomes -Learning Motivation, Learning Self-Efficacy, Learning Satisfaction, Transfer Motivation-)

  • 김남석;송지현
    • 문화기술의 융합
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    • 제9권4호
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    • pp.259-268
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    • 2023
  • 본 연구의 목적은 간호대학생을 대상으로 표준화 환자를 활용한 정신시뮬레이션 실습교육 효과를 검증하기 위해 시도 되었다. 본 연구는 단일군 사전·사후설계 연구이며 자료수집은 J소재 일개 대학 간호학과 학생 95명에게 구조화된 설문지를 제공하였다. 수집된 자료는 SPSS/WIN 27.0 program을 활용하여 분석하였다. 연구 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육 프로그램은 대상자의 학습동기(t =-2.011, p =.046), 학습자기효능감(t =-2.225, p =.027)과 학습만족도(t =-3.428, p =.001), 전이동기(t =-2.628, p =.009)을 향상시키는데 효과가 있는 것으로 나타났다. 또한 자가 평가 내용을 텍스트 마이닝으로 분석한 결과 표준화 환자를 활용한 정신 시뮬레이션 실습 교육과 관련된 단어는 상황, 경험, 연기, 의사소통, 시나리오, 정신간호 임상실습 등이 있으며, 만족도와 관련된 단어는 실제, 도움, 반응, 이해, 다양 등이 있었다. 본 연구 결과 실제 상황과 유사한 환경을 구현하였고 다양한 사례를 적용한 정신시뮬레이션 실습 교육프로그램은 간호대학생의 실습 교육의 효과가 있는 것으로 나타나 향후 현장 적응 능력을 향상할 수 있도록 적극 활용 할 필요가 있다고 본다.

실버 세대의 사고 활동을 위한 수학 자료 개발 및 만족도 조사 (A Satisfaction Survey on the Mathematical Materials Developed for Stimulating Seniors' Thinking Activity)

  • 황혜정
    • 한국수학교육학회지시리즈A:수학교육
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    • 제54권2호
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    • pp.119-141
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    • 2015
  • As the population of senior citizens has been increasing very rapidly, the importance of their education is gradually emphasized. To maintain their mental and physical health, the solution on the biological, physical, and educational approach might be helpful and effective. Especially in the aspect of the educational approach, the mathematics education can be regarded as an important subject for keeping the seniors in a good mental health. The reason is that the ultimate goal of mathematics education is to pursue an enhancement of mathematical thinking ability. By the reason, this study aimed to develop mathematical materials for enhancing seniors' thinking ability, and the seniors usually belong to fifties and sixties. To this purpose, this study selected the six essential mathematical thinking elements and four mathematical domains of 'number and operation', 'shape and measurement', 'possibility', and 'patterns'. Based on these elements, the mathematical materials including the nine types of activities using games and commercial manipulatives were developed. On the subject of 52 female seniors, the instruction was conducted using a part of the materials during 100 minutes. Also, 13 survey items were developed beforehand, and the survey was implemented after the class, and eventually 48 seniors responded in the survey. As a result, it is meaningful to develop the materials not only for enhancing mathematical thinking ability but for understanding and utilizing the content of materials. Furthermore, it is requested that those materials be differentiated according to the degree or the difference of age, academic ability, and sex.

도시철도 기관사의 직무스트레스 대처방안에 관한 연구 (A Study on Job Stress-Coping Plans for Urban Railroad Drivers)

  • 박태수;이진선;김홍기
    • 한국철도학회논문집
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    • 제16권3호
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    • pp.233-239
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    • 2013
  • 본 논문에서는 개인은 물론 조직에 치명적인 해악을 초래하고 엄청난 경쟁력 상실을 가져오는 도시철도기관사의 스트레스를 알아보고 기관사의 직무 스트레스에 대처하는 방안들을 모색하였다. 도시철도기관사의 직무스트레스로 인하여 발생되는 여러 스트레스에 미치는 악영향의 요인을 최소한 줄이기 위해서는 첫째, 전문성 제고를 위한 교육훈련 확대 및 사고발생시 기관사에 대한 보호조치로 시설개선이 필요하다. 둘째, 정신적 보상이나 조직시스템 등이 직무스트레스를 유발하므로 경영자의 리더십 교육과 같은 전형적인 조직차원의 접근이 근본적인 문제를 해결할 수 있을 것이다. 셋째, 개인적 차원에서의 규칙적인 운동, 금주 등의 바른 생활습관으로 직무스트레스를 낮춘다. 넷째, 과도한 성과 지향과 불공정한 평가를 피하고 기관사의 심리상태를 이해함으로써 근무환경을 개선하고, 근무시간을 조정하는 등의 조직적 차원에서의 복합적인 건강증진 및 관리프로그램 등 제도적 장치를 마련하는 것이 필요하다.

챗봇 데이터에 나타난 우울 담론의 범주와 특성의 이해 (Understanding the Categories and Characteristics of Depressive Moods in Chatbot Data)

  • 진효진;정찬이;백금희;차지영;최정회;차미영
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제11권9호
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    • pp.381-390
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    • 2022
  • 자연어처리 기술과 비대면 문화의 확산과 더불어 챗봇의 사용 증가세가 가파르며, 챗봇의 용도 또한 일상 대화와 소비자 응대를 넘어서 정신건강을 위한 용도로 확장하고 있다. 챗봇은 익명성이 보장된다는 점에서 사용자들이 우울감에 관해 이야기하기 적합한 서비스이다. 그러나 사용자가 작성한 문장들을 분석해 우울 담론의 유형과 특성을 파악하는 연구들은 주로 소셜 네트워크 데이터를 대상으로 했다는 한계점이 존재하며, 실제 환경에서 사용되는 챗봇과 상호작용한 데이터를 분석한 연구는 찾아보기 힘들다. 이 연구에서는 챗봇-사람의 상호작용 데이터에서 무작위로 추출한 '우울'과 관련된 대화 데이터를 토픽 모델링 방법과 텍스트마이닝 기법으로 분석하여 채팅에서의 우울 관련 담론의 특성을 파악하였다. 또한, 챗봇에서 빈번히 나타나는 '우울' 담론의 범주와 트위터 '우울' 담론의 범주의 차이점을 비교하였다. 이를 통해 챗봇 데이터의 '우울' 대화만의 특징을 파악하고, 적절한 심리지원 정보를 제공하는 챗봇 서비스를 위한 시사점과 향후 연구 방향에 대해 논의한다.

임부를 위한 자비명상 기반 중재의 가능성 탐색: 예비연구 (An Examination of the Possibility of Loving-Kindness and Compassion Meditation for Pregnant Women: A Preliminary Study)

  • 김민정;허정문;김완석
    • 스트레스연구
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    • 제25권2호
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    • pp.145-154
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    • 2017
  • 임부들의 심리적 안정과 태아와의 건강한 관계는 주산기 적응에 중요한 것으로 알려져 있다. 본 연구에서는 정신건강과 대인관계 개선에 효과적인 것으로 알려져 있는 자비명상을 임부용으로 개발하기 위하여 탐색적 예비연구를 진행하였다. 효과성과 개선점을 파악하기 위해 4주 자비명상 프로그램 참가자(n=8)들의 스트레스, 우울, 태아애착, 마음챙김 및 자기자비를 기저선과 사후에 측정하였으며, 포커스 그룹 인터뷰를 바탕으로 현상학적 분석을 실시하였다. 결과는 자비명상이 임부의 심리적 안정과 태아와의 관계에 긍정적인 영향을 줄 가능성이 나타났으며, 회기구성 및 가정수련 보강방안 등의 보완점들을 발견할 수 있었다. 본 연구가 임부용 자비명상 개발을 위한 이해의 폭을 넓히고, 추후 연구들을 촉진할 것이라 기대한다.

부산지역 백세인의 일상활동 수행능력과 건강관련 삶의 질 (Activities of Daily Living and Health-Related Quality of Life (HRQoL) of Centenarians in Busan)

  • 박형숙;김동희;김윤진;손용진;이정규;임지향
    • 기본간호학회지
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    • 제16권3호
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    • pp.316-324
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    • 2009
  • Purpose: The aim of the study was to identify the relationships among age, activities of daily living and health-related quality of life (HRQoL) for centenarians in Busan. Methods: Forty-nine centenarians (2 males and 47 females) participated in the study, done from April to July, 2006. Pace-to-face interviews were used to collect data. Activities of daily living were measured using K-ADL, K-IADL and health-related quality of life, using the Short Form Health Survey (SF-36). Results: Over 50% of the centenarians reported independence for six-items but not for bathing. With regard to type of dependency, 77.6% were independent in transferring, 71.4%, in using the toilet, 67.3%, in feeding and in continence and 57.1% in dressing but just 24.5% were independent in bathing. Age was significantly associated with K-IADL (r= -.303, p= .03). The centenarians were more impaired in physical health components compared to mental health components for health-related quality of life. Conclusion: These results may contribute to a better understanding of activities of daily living and health-related quality of life of centenarians. The findings are relevant to health professionals, in particular professionals who are developing wellness programs to optimize health-related quality of life and functional status for the extremely old age population.

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양육과 애착의 진화 (The Evolution of Caregiving and Attachment)

  • 최성구
    • 생물정신의학
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    • 제24권3호
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    • pp.83-94
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    • 2017
  • Caregiving for the children seems to be one of the most challenging tasks for the parents who should devote themselves totally despite endangering them. From the evolutionary perspective, this human behavior must have been the advantage in the survival of the species and rooted in ethological origin. John Bowlby, a child psychiatrist, psychoanalyst, and great developmental researcher, had formulated the attachment theory linking psychoanalysis and ethology through evolutionary biology. His and later following researchers' outcomes have provided enormous influence on viewing parental caregiving and the insight of human relationships and interventions. This article overviews the attachment theory in terms of the goal oriented cybernetic system to gain the survival advantage of the offspring and investigates the evolutionary origin of the caregiving and attachment from the retiles of the Mesozoic era to the mammalian revolution and finally to the human being. Deeper understanding of the nurturance and adult relationships from the standpoint of evolution can provide clinical utility of awareness of clients' lives.