• 제목/요약/키워드: Mental integrity

검색결과 16건 처리시간 0.02초

장기요양시설 노인의 기능장애와 자아통합감, 우울과의 관계 (The Effect of Functional Disability on Ego Integrity and Depression among the Elderly in the Residential Care Facility)

  • 이현지;남현주
    • 재활복지
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    • 제21권3호
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    • pp.49-63
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    • 2017
  • 본 연구는 장기요양시설에 거주하는 노인의 기능장애가 자아통합감과 우울에 미치는 영향을 파악하고, 기능장애와 우울과의 관계에서 자아통합감의 매개효과를 분석하기 위해, D지역과 K지역에 위치한 장기요양시설 거주 노인 247명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 21.0을 이용하여 분석하였으며, 분석결과, 장기요양시설 노인의 일상생활수행장애와 도구적 일상생활수행장애는 우울과 정적으로 유의한 관계를 가지는 반면, 자아통합감과는 부적 관계를 가지는 것으로 나타났다. 또한, 노인의 연령, 경제수준, 요양등급을 통제한 후, 기능장애가 자아통합감과 우울에 미치는 영향을 분석한 결과, 기능장애는 자아통합감과 우울에 유의한 영향을 미치는 것으로 제시되었으며, 자아통합감은 기능장애와 우울에 통계적으로 유의한 부분매개효과를 가지는 것으로 제시되었다. 이러한 연구결과바탕으로, 장기요양시설 노인의 기능장애와 자아통합감과 관련된 정신건강 증진을 위한 함의 및 후속연구를 위한 방향을 제시하였다.

우울한 여성독거노인의 자아통합감 증진을 위한 인지행동치료 프로그램 개발 및 효과 (The effectiveness of cognitive behavioral therapy for ego-integrity of depressed elderly women living alone)

  • 김지현;정효운;김정민
    • 한국가족관계학회지
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    • 제21권3호
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    • pp.49-72
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    • 2016
  • Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.

노인의 죽음준비도와 성공적 노화의 관계 -우울 및 죽음불안의 매개효과를 중심으로- (The Relationship between the Death Preparation of the Aged and Successful Aging -Focusing on Depression and Death Anxiety as Mediators-)

  • 문남숙;남기민
    • 한국노년학
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    • 제28권4호
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    • pp.1227-1248
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    • 2008
  • 본 연구는 노인의 죽음준비도를 독립변수로, 노인의 우울 및 죽음불안을 매개변수로, 노인의 성공적 노화로서 자아통합감을 종속변수로 설정하고, 청주시에 거주하는 만 60세 이상의 노인들을 대상으로 설문조사하여 조사대상자들의 일반적 특성에 따른 연구변수들의 차이를 검증하고 이들 변수간의 영향관계를 분석해 봄으로써 성공적인 노후생활을 영위할 수 있도록 죽음준비 및 건강한 노후생활 교육 프로그램 개발을 위한 기초 자료를 마련하는 데 그 목적을 두고 있다. 분석결과 연구문제에 따라 첫째, 학력, 건강상태, 경제수준, 외부활동량에 따라서는 연구변수들의 차이가 유의미한 것으로 나타났다. 둘째, 노인의 정신적 죽음준비도는 성공적 노화로서의 자아통합감에 긍정적 영향을 미치는 것으로 나타났다. 한편 노인의 의례적 죽음준비도는 성공적 노화로서 자아통합감에 영향을 미치지 않는 것으로 나타났다. 셋째, 노인의 정신적 죽음준비도가 성공적 노화로서의 자아통합감에 미치는 영향을 노인의 우울 및 죽음불안이 부분 매개하는 것으로 나타났다.

뇌신경 데이터의 법적 규율과 뇌신경권에 관한 소고 (A Study on Legal Regulation of Neural Data and Neuro-rights)

  • 양지현
    • 의료법학
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    • 제21권3호
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    • pp.145-178
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    • 2020
  • 뇌신경과학 기술의 발전으로 인하여 자신의 뇌신경적 상태와 데이터에 관한 자율적 선택과 개입의 가능성이 늘어남에 따라, 본인의 의사에 반하여 혹은 본인에게 불리하게 이용될 위험성도 커지게 될 수 있으므로, 이러한 부당한 간섭이나 방해로부터 개인의 자유와 권리를 보호해야 한다는 주장들이 계속해서 제기되고 있다. 대표적인 예로 2020년 10월 칠레 의회에 제출된 '뇌신경권 및 정신적 완전성의 보호 등에 관한 법안'은 뇌신경 데이터를 뇌로부터 직·간접적으로 수집된 모든 데이터로 정의하고, 정신적 프라이버시와 완전성을 개인의 뇌신경권(Neuroderechos)으로 보호할 것을 명시하였다. 뇌신경과학은 점점 개인의 신체와 일상에 가까이 스며드는 기술로 진화하여 더욱 일상화, 개인화되는 동시에 모듈의 형태로도 변모할 잠재력을 충분히 지니고 있고 빅데이터와 인공지능 기술의 발전은 이러한 변화를 더욱 가속화·고도화하는 요인이 된다. 이는 곧 다양한 종류의 기기로 뇌신경적 상태를 디지털 데이터화하고 분석하여 활용할 수 있게 된다는 것을 의미한다. 그리고 이로 인해 개인의 의도, 선호, 성격, 기억, 감정 상태 등을 확인하고 추론해낼 수 있는 데이터를 더 많이 생성할 수 있는 환경으로 변화하고 있다는 점은 개인의 자유와 권리에 관한 논의의 필요성을 더욱 부각시키고 있다. 그런데 뇌신경 데이터는 개인정보 보호 법제하에서 민감정보로 볼 것인지 여부가 불분명한 영역이 있다. 또 구체적인 활용 영역 예컨대, 법정, 교육, 고용 등에서 어떻게 뇌신경 데이터 주체를 보호할 것인지에 대한 법적 고찰이 요청된다. 이 논문에서는 기존의 인지적 자유, 정신적 프라이버시, 뇌신경 프라이버시, 정신적 완전성 등 다양한 개념으로 제시되고 있는 논의를 포괄적인 인격권의 성격을 갖는 '뇌신경권'이라는 개념으로 포섭하고자 한다.

백서 하치조 신경 손상에 따른 감각 유발전위와 체성감각 유발전위의 변화에 관한 연구 (CHANGES OF SENSORY AND SOMATOSENSORY EVOKED POTENTIALS FOLLOWING A NEEDLE INJURY ON THE INFERIOR ALVEOLAR NERVE IN RATS)

  • 우승철;김수남;이동근;천상우
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권4호
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    • pp.652-672
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    • 1996
  • Dysfunction of the inferior alveolar nerve may result from trauma, diseases or iatrogenic injury. The development and refinement of an objective method to evaluate this clinical problem is highly desirable and needed, especially concerning for an increasing medico-legal issue. Evoked potential techniques have attracted considerable attention as a means of assessing the function and integrity of nerve pathways. The purpose of this study was to characterize the Sensory Evoked Potentials(SEPs) and Somatosensory Evoked Potentials(SSEPs) elicited by electrical stimulation of mental nerve. SEPs and SSEPs were measured and analyzed statistically before and after needle injury on the inferior alveolar nerve of Sprague-Dawalye rats. Measuring SEPs was more sensitive in evaluation of the recovery of sensory function from inferior alveolar nerve injury then measuring SSEPs but we measured SSEPs in the hope of providing a safe, simple and objective test to check oral and facial sensibility, which is acceptable to the patient. We stimulated mental nerve after needle injury on the inferior alveolar nerve and SEPS on the level of mandibular foramen and SSEPs on the level of cerebral cortex were recorded. Threshold, amplitude, and latency of both of SEPs and SSEPs were analyzed. The results were as follows ; 1. Threshold of SEPs and SSEPs were $184{\pm}14{\mu}A$ and $164{\pm}14{\mu}A$ respectively. 2 SEPs were composed of 2 waves, i.e., N1 N2 in which N1 was conducted by II fibers and N2 was conducted by III fibers. 3. SSEPS were composed of 5 waves, of which N1 and N2 shower statistically significant changes(p<0.01, unpaired t-test). 4. SEPs and SSEPs were observed to be abolished immediately after local anesthesia and recovered 30 minutes later. 5. SEPs were abolished immediately after injury. N1 of SSEPs was abolished immediately and amplitued of N2 was decreased($20.7{\pm}12.2%$) immediately after 23G needle injury, but N3, N4 and N5 did not change significantly. Recovery of waveform delayed 30 minutes in SEPs and 45 minutes in SSEPs. 6. The degree of decrease in amplitude of SEPs and SSEPs, after 30G needle injury was smaller than those with 23G. SEPs recorded on the level of mandibular foramen were though to be reliable and useful in the assessment of the function of the inferior alveolar nerve after injury. Amplitude of SSEPs reflected the function and integrity of nerve and measuring them provided a safe, simple and abjective test to check oral and facial sensibility. These results suggest that measuring SEPs and SSEPs are meaningful methods for objective assessment in the diagnosis of nerve injury. N1 and N2 of SSEPs can be useful parameters for the evaluation of the nerve function following a needle injury.

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DNA damage to human genetic disorders with neurodevelopmental defects

  • Lee, Youngsoo;Choi, Inseo;Kim, Jusik;Kim, Keeeun
    • Journal of Genetic Medicine
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    • 제13권1호
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    • pp.1-13
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    • 2016
  • Although some mutations are beneficial and are the driving force behind evolution, it is important to maintain DNA integrity and stability because it contains genetic information. However, in the oxygen-rich environment we live in, the DNA molecule is under constant threat from endogenous or exogenous insults. DNA damage could trigger the DNA damage response (DDR), which involves DNA repair, the regulation of cell cycle checkpoints, and the induction of programmed cell death or senescence. Dysregulation of these physiological responses to DNA damage causes developmental defects, neurological defects, premature aging, infertility, immune system defects, and tumors in humans. Some human syndromes are characterized by unique neurological phenotypes including microcephaly, mental retardation, ataxia, neurodegeneration, and neuropathy, suggesting a direct link between genomic instability resulting from defective DDR and neuropathology. In this review, rare human genetic disorders related to abnormal DDR and damage repair with neural defects will be discussed.

성공적인 노화 정의를 위한 문헌연구 (In Search of a Definition of Successful Aging: A Review of Literature)

  • 홍현방;최혜경
    • 가정과삶의질연구
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    • 제21권2호
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    • pp.145-154
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    • 2003
  • As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

Cognitive dysfunctions in individuals with diabetes mellitus

  • Kim, Hye-Geum
    • Journal of Yeungnam Medical Science
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    • 제36권3호
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    • pp.183-191
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    • 2019
  • Some patients with type 1 and type 2 diabetes mellitus (DM) present with cognitive dysfunctions. The pathophysiology underlying this complication is not well understood. Type 1 DM has been associated with a decrease in the speed of information processing, psychomotor efficiency, attention, mental flexibility, and visual perception. Longitudinal epidemiological studies of type 1 DM have indicated that chronic hyperglycemia and microvascular disease, rather than repeated severe hypoglycemia, are associated with the pathogenesis of DM-related cognitive dysfunction. However, severe hypoglycemic episodes may contribute to cognitive dysfunction in high-risk patients with DM. Type 2 DM has been associated with memory deficits, decreased psychomotor speed, and reduced frontal lobe/executive function. In type 2 DM, chronic hyperglycemia, long duration of DM, presence of vascular risk factors (e.g., hypertension and obesity), and microvascular and macrovascular complications are associated with the increased risk of developing cognitive dysfunction. The pathophysiology of cognitive dysfunction in individuals with DM include the following: (1) role of hyperglycemia, (2) role of vascular disease, (3) role of hypoglycemia, and (4) role of insulin resistance and amyloid. Recently, some investigators have proposed that type 3 DM is correlated to sporadic Alzheimer's disease. The molecular and biochemical consequences of insulin and insulin-like growth factor resistance in the brain compromise neuronal survival, energy production, gene expression, plasticity, and white matter integrity. If patients claim that their performance is worsening or if they ask about the effects of DM on functioning, screening and assessment are recommended.

임상 간호사의 교대근무 기간이 circadian rhythm 변화에 미치는 영향 (Effect of Shift Interval for the Clinical Nurse on the Circadian Rhythm)

  • 황애란;정현숙;임영신;이혜원;김조자
    • 대한간호학회지
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    • 제21권2호
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    • pp.129-149
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    • 1991
  • Circadian rhythm is entrained in the 24-hour time interval by periodic factors in the environment, known as zeitgeber. But most rotating work schedules are outside the range of the entrainment of the pacemaker timing the human circadian sleep - wake cycle. It has been postulated that physiological and emotional disturbances occur in most human functions when the circadian rhythm is disturbed. So application of circadian principles to the design of shift schedules can aid in maintaining the temporal integrity of the circadian system and thereby minimize for the shift worker any detrimental consequences of circadian disruption. This study was a quasi-experimental study to test the effect of shift intervals for the clinical nurse on the circadian rhythm. Twenty nurses newly employed in general units of two hospitals were selected as an experimental group and twelve college nursing students as a control group. Both groups were selected according to an established criteria using a purposive sampling technique. Ten subjects were assigned to a weekly shift group and another ten to a biweekly shift group engaged in a semi -continuous shift schedule(sunday off) with a backward direction, that is, morning -evening - night shift. The control group worked a morning shift for 42 days. Oral temperature rhythm, waking tim, sleep - wake cycle, fatigue, and mental performance were measured during the experimental period. The data collection period was from April 30, 1990 to June 10, 1990. MANOVA, paired t-test, ANOVA, and Student Newman Keuls method were used for statistical analysis. The results are summarized as follows. 1. Phase delay in the acrophase of temperature rhythm was shown according to the backward rotating shift. A complete adaptation to work on the night shift was achieved between the sixth and ninth day of the night shift. 2. There was no difference in either waking time or sleep- wake cycle according to the duration of the working day for every shift group. Significant difference was found in the waking time and the sleep -wake cycle for subjects on the morning, evening, and night shift in both of the shift groups(weekly shift group : λ=0.121, p<0.01, λ=0.112, p<0.01, biweekly shift group : λ=0.116, p<0.01, λ=0.084, p<0.01). 3. There was no difference in fatigue between the first working day and the last working day for the control group and for the biweekly shift group. In the weekly shift group, physical fatigue was significantly different for the first day and the sixth day of the night shift(t=-2.28, p<0.05). Physical fatigue and total fatigue on the first day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=5.79, p<0.01, F=4.56, p<0.05). There was a significant difference between the shift groups and the control group(p<0.05), Physical fatigue, neurosensory fatigue and total fatigue on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=12.65, p<0.01, F=7.77, p<0.01, F=9.68, p<0.01). There was a significant difference between the shift groups and the control group(p<0.05). 4. No difference in mental performance was seen between the first day and the last day of work in each case. An arithmatic test on the first day of the night shift revealed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=3.79, p<0.05). There was a significant difference between the shift groups and the control group(p<0.05) . The digital symbol substitution test and the arithmetic test on the last day of the night shift showed a significant difference among the control group, the weekly shift group, and the biweekly shift group(F=3.68, p<0.05, F=5.55, p<0.01), and both showed a significant difference between the shift groups and the control group(p<0.05). Accordingly, this study showed that during night duty, the waking time, sleep- wake cycle, and fatigue increased and mental performance decreased compared with morning and evening duty. It was also found that the weekly shift group had a higher fatigue score on the sixth day of night duty as compared to the -first day, but the waking time, sleep- wake cycle, and mental performance revealed no difference for the duration of the night duty or between shift groups, and complete adaptation of temperature rhythm was achieved between the sixth and ninth day of night duty. It is possible to conclude from these results that for intermediate circadian type in a healthy young woman, a biweekly shift system is more compatible with the circadian timing system than weekly shift system.

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IoT 기반 고령자 행동 인터벤션 시스템 개발 (Development of IoT-Based Behavioral Intervention System for Senior People)

  • 양소현;홍서희;손상준;김준우;김재훈
    • 한국통신학회논문지
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    • 제42권3호
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    • pp.686-697
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    • 2017
  • 고령자들의 정신적/육체적 건강 유지를 위해 디지털 메디신 (Digitial Medicine)의 일환으로 일상에서의 운동 프로그램을 사용하는 시도가 다양하게 이루어지고 있다. 특히 웨이러블 기기에 부착된 센서를 활용한 운동 처방과 분석 방법은 IoT 기술을 헬스케어 분야에 적용시키는 대표적인 예로 제시된다. 본 연구에서는 현재 수원시 노인정신건강센터에서 운영하는 운동 프로그램에서 기존에 수기로 수집되고 작성되는 데이터 분석의 신뢰성을 개선하고 노인들의 운동 동기를 촉구하고자 스마트밴드와 BLE 스캐너 장치를 활용하여 IoT(Internet of Thing)기반 행동 인터벤션(intervention) 시스템을 구현한다. 실제 운동 처방과 운동 데이터 분석을 통해 행동 인터벤션 시스템을 테스트하여 데이터 수집과 분석의 무결성을 검증하고 시스템의 개발과 적용에 대한 일련의 과정을 제시한다.