• 치위생과학회지
• /
• 제14권3호
• /
• pp.325-331
• /
• 2014

본 연구는 임상실습을 경험한 치위생과 재학생 262명을 대상으로 피로수준을 파악하여 임상실습을 효과적으로 수 행할 수 있도록 하고자 2013년 1월부터 9월까지 구조화된 설문지를 이용하여 조사 분석하였다. 다음과 같은 결과를 얻었다. 1. 조사대상자의 피로수준의 하위영역별 평균점수는 전반적 피로도가 $41.74{\pm}9.06$점, 일상생활기능장애가 $28.34{\pm}7.03$점, 상황적 피로도가 $22.45{\pm}7.21$점으로 나타났다. 2. 피로수준은 주관적 건강상태가 건강하지 못하다는 군에서(p=0.000), 전공만족도가 불만족군에서(p=0.000), 임상실습만족도가 불만족군에서(p=0.000) 임상실습기간은 5주 이상 군에서(p=0.000), 1일 평균 환자수는 100명 이상인 군에서(p=0.000), 직원갈등은 갈등이 있는 군에서(p=0.000), 규칙적 운동여부는 규칙적인 운동을 하지 않는 비운동군에서(p=0.016) 유의하게 높았다. 3. 다중회귀분석을 실시한 결과, 피로수준에 영향을 미치는 요인으로는 주관적인 건강상태, 임상실습만족도, 임상실습기간, 1일 평균 환자수, 직원갈등이 유의한 변수로 선정되었으며 이들 변수에 대한 설명력은 44.5%였다. 이상의 연구결과를 종합하여 볼 때 치위생과 학생들의 피로수준을 감소시켜 임상실습을 효율적으로 수행할 수 있도록 하기 위해서는 임상실습교육자들이 공동체 의식을 가지고 임상실습 시 피로 개선을 위한 프로그램 개발 및 실천과 같은 노력이 시급할 것으로 본다. 또한 피로에 영향을 주는 다양한 변수를 확인하는 추후 심층연구가 필요할 것으로 생각된다.

• 한국보건간호학회지
• /
• 제33권2호
• /
• pp.163-174
• /
• 2019

Purpose: The purpose of this study was to identify the effects of job stress, depression and fatigue on sleep quality of care workers employed in long-term care facilities. Methods: The participants were 213 care workers who worked in 11 long-term care facilities. The collected data was analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple linear regression with using the SPSS 23.0 program. Results: We found that patient-related job stress was the greatest stressor among care workers' job stresses. A significant difference in sleep quality was observed according to the self-perceived health status of the care workers. The care workers' sleep quality was negatively correlated with job stress (r=-.16, p=.018), depression (r=-.31, p<.001) and fatigue (r=-.29, p<.001). The influencing factors of sleep quality were depression (${\beta}=-0.22$, p=.001) and fatigue (${\beta}=-0.15$, p=.047). Conclusion: It is necessary to improve the health status and sleep quality of care workers by developing and applying health promotion programs to reduce the depression and fatigue of the care worker. This will ultimately improve the quality of service care for the patients.

• 산업공학
• /
• 제10권3호
• /
• pp.197-208
• /
• 1997

In workplace design, an ergonomic solution should ensure low postural stress in the operator during his/her work. Stress caused by awkward working postures of the trunk, shoulders and legs can result in fatigue, discomfort, musculo-skeletal disorders and nerve entrapment syndromes. Since discomfort and musculo-skeletal disorders are both related to exposure to biomechanical load on the musculo-skeletal system, minimization of discomfort will contribute to reduction of the risk for musculo-skeletal disorders as well. Therefore, in this study, perceived discomfort on the human body joints was measured in the standing postures using the magnitude estimation in order to have a standardized numerical scale for joint discomfort. Nine healthy graduate students participated voluntarily in the laboratory study. The results revealed that perceived discomfort of all the joints increased as the joints deviated from neutral position. Especially, it showed drastic increment on perceived discomfort when deviation from neutral position in each human body joint increased from 75% to 100%. in terms of relative range of motion(R0M). On the basis of these experimental results, a preliminary ranking for assessment of stressfulness of non-neutral postures around the human body joints was suggested.

• 기본간호학회지
• /
• 제15권3호
• /
• pp.274-283
• /
• 2008

Purpose. The purpose of the study was to identify the factors, which predict care burden perceived by caregivers of elders with dementia. Methods: The participants in this descriptive survey were 92 caregivers who used one of six daycare centers located in Incheon. The data were collected by questionnaires composed of items on general characteristics of the elders and caregivers, care burden, caregiver fatigue, and functional status of the elders. Results: General characteristics of the elders associated with care burden were age, gender, religion, and the presence of a spouse. Features of caregivers related to care burden were education, relationship with elderly, amount of rest, intention to care, monthly family income, and perceived family economic status. There were significant correlations among care burden, fatigue of caregiver and functional status of the elders. In stepwised multiple regression analysis, significant influencing factors were identified as caregiver fatigue, functional status of the elders, intention to care, relationship with the elders, amount of rest and elder's gender. Those variables explained 46% of variance of care burden. Conclusion: Functional status of elders and amount of rest were significant predictors and are supported by other previous studies. Future interventions for caregivers need to be focused on the slowing down of functional status of elders and increasing of number and length of caregiver's rest periods.

• 여성건강간호학회지
• /
• 제24권1호
• /
• pp.49-57
• /
• 2018

Purpose: Postpartum fatigue can impact maternal well-being and has been associated with levels of perceived self-care. This study aimed to examine the relationship among fatigue, depressive mood, self-care agency, and self-care action among postpartum women in Bangladesh. Methods: A descriptive cross sectional survey was done with 124 first-time mothers from two tertiary hospitals in Dhaka, Bangladesh. The Modified Fatigue Symptoms checklist, Denyes' Self Care Instrument, the Edinburgh Postnatal Depression Scale, and items on sociodemographic and delivery-related characteristics, were used in Bengali via translation and back-translation process. Results: High fatigue levels were found in 18.5% (n=23) and 73.4% had possible depression (n=91). There was a significant negative relationship between fatigue and self-care agency (r=-.31, p<.001), and self-care action (r=-.21, p<.05). Fatigue differed by level of self-care agency (t=4.06, p<.001), self-care action (t=2.36, p=.023), newborn's APGAR score (t=-2.93, p=.004), parental preparation class participation (F=15.53, p<.001), and postpartum depressive mood (t=-4.64, p<.001). Conclusion: Findings suggest that high level of self-care efficacy and behaviors can contribute to fatigue management, and highlight the need for practical interventions to better prepare mothers for postpartum self-care, which may, in turn, alleviate postpartum fatigue.

• 한국산학기술학회논문지
• /
• 제17권7호
• /
• pp.585-596
• /
• 2016

본 연구는 청소년의 스트레스 인지, 식생활, 신체활동, 음주, 흡연, 잠으로 피로회복 정도에 따라 주관적 행복감에 미치는 영향을 파악하고, 이를 바탕으로 향후 청소년의 주관적 행복감을 향상시키는 실질적인 방안을 위한 기초자료를 제공하고자 한다. 2015년 제11차 청소년건강행태온라인조사 원시자료의 9,599명을 대상으로 IBM SPSS 20.0과 IBM SPSS AMOS 23 프로그램을 이용하였으며, 빈도분석, 기술통계, 상관분석, 부트스트래핑과 팬텀변수를 이용하였다. 연구결과, 주관적 행복감에 가장 많은 영향을 미치는 직접효과는 스트레스 인지(${\beta}=-.457$, p =. 005), 잠으로 피로회복(${\beta}=.136$, p = .004), 신체활동(${\beta}=.055$, p = .005), 식생활(${\beta}=-.035$, p = .014), 흡연(${\beta}=-.030$, p = .011이었다. 스트레스 인지가 주관적 행복감으로 가는 경로의 간접효과(${\beta}=-.052$, p = .006)가 있었으며, 팬텀변수를 이용하여 다중매개의 간접효과 크기와 유의도를 분석한 결과 스트레스 인지와 주관적 행복감 사이에 간접효과는 잠으로 피로회복(${\beta}=-.041$, p = .001), 신체활동(${\beta}=-.007$, p = .003), 식생활(${\beta}=-.003$, p = .008), 흡연(${\beta}=-.002$, p = .001)순으로 나타났으며, 음주는(${\beta}=000$, p = .636) 간접효과가 없었다. 그러므로 청소년의 주관적 행복감을 증진시키기 위하여 다학제간의 협력이 요구되며 가정, 학교, 지역사회 및 국가차원의 교육환경 개선과 인력 및 재정적 지원이 모색되어야 할 것이다.

• 정신신체의학
• /
• 제22권1호
• /
• pp.3-12
• /
• 2014

연구 목적 피로의 심각도에 영향을 준다고 생각되는 인구 사회학적 변인들과 스트레스 지각 정도, 우울 감의 상관 관계를 파악하고, 이를 향후 임상 환자군, 일차 진료 환자 군에서의 피로 증상의 평가 및 치료 전략에 대한 기초 자료를 제공하고자 한다. 방 법 621명의 남, 여 공무원 집단을 대상으로 반 구조화된 설문 자료를 이용하여, 연구 참여자의 기본적인 인구 사회학적 변인과 생활 습관에 대한 조사와 함께, 피로 심각도 척도(FSS), 개인의 지각된 스트레스 척도(PSS), 한국형 BEPSI 검사(BEPSI-K), 벡의 우울 감 척도(BDI), 스트레스 대처 방식(Stress coping skill Questionnaire)을 기입하도록 하였고, 이를 이용하여 단면적 연구를 시행하였다. 결과 피로, 스트레스 지각 정도, 우울 감은 모두 남성보다 여성에서 평균값이 유의하게 높게 관찰되었다. 피로의 심각도는 스트레스 지각 정도, 우울 감과 양의 상관관계를 보였다. 피로 심각도는 어떠한 대처 방식을 사용하느냐에 따라 다르게 관찰되었는데, 적극적인 대처 방식을 더 많이 사용하는 사람들이 느끼는 피로와 우울 감이 상대적으로 낮았다. 적극적 대처 방식 중에서도 문제 중심적인 대처 방식을 사용하는 군에서 피로의 심각도와 우울 감이 유의한 음의 상관관계를 보였다. 반면에 소극적 대처 방식을 더 많이 사용하는 집단에서 피로의 심각도는 스트레스 지각 정도, 우울 감 모두에서 양의 상관관계를 보였다. 높은 피로를 호소하는 그룹(FSS>3.22)에서 지각된 스트레스, 우울 감이 모두 유의하게 높게 나타났고, 고 피로 군은 저 피로 군에 비해서 문제 중심적 대처 방식을 덜 사용하는 것으로 나타났다. 로지스틱 회귀 분석 결과, 스트레스 지각 정도와 우울 감은 피로의 발생과 증상의 심각 도에 위험 요인으로 작용하며, 운동을 규칙적으로 하는 것은 운동을 하지 않는 것에 비해 피로를 경감시키는 요인으로 밝혀졌다. 결론 지각하는 스트레스가 높을 수록, 우울 감을 많이 느낄수록 피로가 높아지는 것을 확인하였고, 운동을 하지 않는 군에서 운동을 하는 군에 비해 피로를 더 많이 느끼는 것을 확인하였다. 이번 연구에서는 건강한 사람들을 대상으로 주관적인 피로감을 측정하고 피로에 영향을 주는 요인들을 확인하였기 때문에, 이 결과가 추후 일반 건강 군의 피로에 대한 치료적 개입뿐 아니라, 피로 심각도에 영향을 주는 요인인 스트레스와 우울 감, 그리고 이들로 인하여 발생 가능한 여러 가지 정신과적 질환에의 개입과 치료 전략 수립 시에 기초적인 자료가 될 수 있을 것으로 생각된다.

• 종양간호연구
• /
• 제10권1호
• /
• pp.48-58
• /
• 2010

Purpose: The purpose of this study was to analyze cancer symptoms, perceived health status, and nursing services for community dwelling cancer patients who are registered in a public health center. Methods: The subject of the study were 561 community dwelling, and home-based cancer patients who were registered in 8 different public health centers in Daegu, Korea. The data collection was performed from September 28 to October 10, 2009. Analysis of data was done by using descriptive statistics, t-test and ANOVA with SPSS program. Results: The mean score of cancer symptom index was 1.63. The level of fatigue was the highest in cancer symptom index. The mean score of perceived health status was 6.92. The exercise guidance was identified as the most frequently practiced nursing service. The scores of cancer symptom index were significantly different by economic status, marital status, living condition, the status of cancer, and metastasis. The scores of perceived health status was significantly different by education, economic status, type of social insurance, time of cancer diagnosis, status of cancer, and metastasis. Conclusion: The above findings indicate that it is necessary to develop a special nursing intervention differentiated according to the time points of cancer diagnosis, status of cancer. In addition, nurses should apply it in their practice to ameliorate fatigue for community dwelling cancer patients who are registered in public health center.

• 지역사회간호학회지
• /
• 제12권2호
• /
• pp.338-343
• /
• 2001

Physical activity is one of important factors of the chronic disease. It was reported that Most of Korean workers didn't take exercise regularly. The purpose of this study is testing effects of exercise program, based on the Theory of Planned Behavior. 30 subjects participating in this study are workers in small enterprises and have not taken exercise regularly. Exercise program, which includes education, support, monitoring, and counseling, was conducted for 6 weeks. Effects of this program was evaluated by the change of exercise, attitude, subjective norm, perceived control. intention of exercise, perceived health states, and fatigue. The results of this study can be summarized as follows: 1. There was the significant difference between pre and post-test in the subjective norm, perceived control. and intention of exercise, but not the significant difference in the attitude of exercise. 2. 53.3% of the subject of this study had taken exercise regulary in the post-test. 3. There was not the significant difference in the perceived health states and fatigue, From the results, it can be concluded that the exercise program is effective, leading to the change of intention and exercise rate. On the other hand, it was not effective in Physiological aspects. It seems that these result was due to short term program. Thus, it can be recommended that studies are needed with longer term program and larger sample.

• Journal of Korean Biological Nursing Science
• /
• 제21권3호
• /
• pp.178-187
• /
• 2019

Purpose: The purpose of this study was to investigate how college students' perceived stress, cognitive stress, and somatization affect their heart rate variability (HRV). Methods: This study is a cross-sectional survey research on 191 university students, registered at the G University. The perceived stress scale (PSS) and cognitive stress response scale, were used to assess level of stress. The somatization symptom scale of the Symptom Check List 90 (SCL-90), was used to assess level of somatization caused by stress. To assess heart rate variability (HRV), we conducted a five-minute test using a pulse wave analyzer, to analyze short-term HRV. Results: The SCL-90 somatization score had relatively high positive correlation (p< .001) with cognitive stress, but low positive correlation (p< .001) with perceived stress. Cognitive stress response had low negative correlation (p< .001) with 1nSDNN and 1nRMSSD among HRV parameters. Perceived stress was not correlated with HRV. Multiple regression analysis showed that variables of perceived stress, cognitive stress, and somatization symptoms, could not explain HRV. By contrast, one of the HRV indicators, 1nSDNN, was affected by age, gender, and aggressive-hostile thought, the latter being a subscale of the cognitive stress response scale. Conclusion: This study suggests that stress evaluation for people in early adulthood will be more effective, if the evaluation examines cognitive stress and heart rate variability.