• 제목/요약/키워드: Person-centered Approach

검색결과 38건 처리시간 0.025초

홧병 환자의 가족붕괴 경험 (The Experience of Family Breakdown of Hwabyung Patient)

  • 채선옥;박영숙
    • 성인간호학회지
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    • 제19권3호
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    • pp.470-482
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    • 2007
  • Purpose: This study aimed to describe the experience of family breakdown of Hwabyung patients in a socio-cultural context. Methods: Data for this study came from 5 participants, 2 family members and 1 friend of participant by interviews and participant observations from January 2006 to April 2007. Sociology of everyday lives analyzing method were adopted. Results: There were two processes of family breakdown ; sudden on set and progressive processes. The sudden breakdown was unpredictable death of a husband, the significant family member. On the other hand, their family structure and function were broken down through the husband, who repeatedly destructive and malicious behaviors. The experience of family breakdown of middle-aged women with Hwabyung in a socio-cultural context was weakened or severed family-relationships, exhaustion of economic sources, and the breakdown of participant's body. Participant's experience of family breakdown were influenced by Korean culture, the patriarchal social system and the clan-centered family system. Conclusion: Hwabyung is the result of a clan-centered family system and patriarchal system. The approach to Hwabyung should involve not only the person with the illness but also their family.

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빈곤과 비행 발달궤적의 역동적 관계 (Dynamic Relationships of Poverty and Delinquency Trajectories)

  • 정익중
    • 아동학회지
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    • 제30권3호
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    • pp.113-125
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    • 2009
  • This study advances knowledge of developmental patterns in poverty and delinquency; data was obtained from waves 1-5 (2003-2007) of the Korea Youth Panel Survey. Semi-parametric group-based modeling (SGM) identified 4 trajectories of poverty from age 13 to 17 : non-poor, poverty increasing, low-level continuous poverty and chronic poverty groups and five developmental trajectories of delinquency : non-offending, late onset, low-level continuous, desisting, and chronic groups. A joint trajectory method predicted patterns of delinquency conditional on poverty trajectories. Chronic and low-level continuous poverty groups were more likely than others to follow chronic trajectories of delinquency; the non-poor group was more likely to be non-offending. Implications of this study for youth welfare were discussed to reduce risk for delinquency.

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정신장애인의 동료지원가 활동 경험: 근거이론 접근 (Experience of Peer Support Work among People with Mental Illness in the Community: A Grounded Theory Approach)

  • 현명선;김현례;남경아;김수영
    • 대한간호학회지
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    • 제52권2호
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    • pp.187-201
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    • 2022
  • Purpose: This study discovered a substantive theory of the experience and process of peer support work among people with mental illness. Methods: The participants were members of community-based mental health facilities and had been working as peer supporters for more than six months. The data were collected through in-depth interviews with twelve participants and analyzed using Corbin and Strauss's grounded theory approach. Results: The core category was "becoming a healer going with patients in the journey of recovery," and the core phenomenon was "identity confusion as a peer supporter." The causal conditions were "starting peer support work without certainty" and "standing at the boundary between the therapist and patient." The intervening conditions were "willingness to become a successful peer supporter," "feeling a sense of homogeneity with the patient," "accepting the mental illness," and "support from people around." The action and interaction strategies were "letting go of greed," "being open about oneself," "developing professional skills," "maintaining wellness in the body and mind," and "being with the patient." The consequences were "becoming a useful person," "changing attitude toward life," "expansion of the sense of self-existence," "recovering from mental illness," and "discovering a role as peer supporter." Finally, the substantive theory of "becoming a healer going with patients in the journey of recovery" was derived. Conclusion: This study provides a holistic understanding of peer support work and the implications of interventions to help people with mental illness in a person-centered recovery process.

내담자-참여자 중심 독서치료 모형 개발에 관한 연구 (Developing a Theoretical Model for Clients-participants Centered Bibliotherapy)

  • 임성관
    • 한국문헌정보학회지
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    • 제51권3호
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    • pp.65-81
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    • 2017
  • 심리치료는 심리 정서적 어려움을 호소하는 사람들을 돕기 위한 활동 분야이다. 따라서 심리치료사들은 치료 장면에서 만나는 내담자 및 참여자들을 적절히 돕기 위해 이론적 배경을 쌓고 수련을 통해 실습 경험도 채워 나간다. 더불어 적정 치료 모형을 만들어 방법과 효과에 대해 알리고 활용한다. 그런데 우리나라의 독서치료 분야는 이미 20년 가까운 역사를 갖고 있음에도 여러 대상과 목표에 맞는 치료 모형이 개발 및 제안되지 않았다. 이에 본 연구에서는 인간중심상담 이론을 바탕으로 독서치료의 주체가 되는 내담자-참여자들을 중심에 둔 독서치료 모형을 개발해 제안하고자 한다. 본 연구는 향후 여러 대상과 목표에 맞는 독서치료 모형 개발의 기초 및 참고가 될 것이다.

한의학과 개인맞춤의학에 대한 소고; 변증논치에 근거한 '증 기반 개인맞춤의학' (A Review on Korean Medicine and Personalized Medicine: Syndrome-based Personalized Medicine on the Basis of Syndrome Differentiation and Treatment)

  • 한재민;양웅모
    • 대한한의학회지
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    • 제35권3호
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    • pp.40-48
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    • 2014
  • Objectives: This study aimed to review the characteristics of personalized medicine and Korean medicine, and the correlation between personalized medicine and Korean medicine. Methods: We investigated various studies in PubMed, Scopus and domestic Korean medicine journals. In addition, we discussed the topic based on literature. Results: Western medicine developed as evidence-based medicine. However, its limitations are being reached, so a new paradigm of medicine is needed. As a result, personalized medicine has appeared. Recently, through the development of human genomics, personalized medicine has been researched on the basis of individual genetic characteristics. Korean medicine has developed with a unique holistic approach and treats not the disease itself but the patient's body. Its characteristic is well expressed through syndrome differentiation and treatment. Syndrome differentiation represents the nature of person-centered medicine and becomes the root of personalized medicine. Conclusions: Compared with genome-based personalized medicine of Western medicine, Korean medicine could be classified as syndrome-based personalized medicine. It would be great to apply this characteristic to clinical practices.

여성건강에 대한 개념분석 연구 (Conecpt Analysis on Woman Health)

  • 이경혜;한영란;배정이;정금희
    • 여성건강간호학회지
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    • 제1권2호
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    • pp.260-274
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    • 1995
  • In order to help the theory development for "women health", and to apply to the women client care, the concept analysis of "women health" was done. According to the concept analysis method by Walker & Avant, the characters of concept "women health" were analyzed from literature. The results were as followings : first, it emphasizes reproductive focused health care(childbirth-oriented) and normal development process regarded as abnormal. Second, it is affected by cultual environment. Third, it is related with sex. Forth, it considers the human, feminine and maternal aspects. Fifth, it need woman-centered nursing approach to promote woman's quality of life. Sixth, it stresses not only wholistic human health promotion but also the harmony between human and environment. Seventh, it is needed to be considered woman's various experiences as important and it approaches phenomenogically and interdisciplinary. Eighth, it needed to understands person-situation interactional aspect. Ninth, it can promote the adaptation power to surrounding environment. Above results can elucidate the concept of "women health", and will be a basis of theory development of "women health" In practical nursing, these results will be a basis for the promotion of women health and for the increase of life quality.

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아동기 학대경험 유형과 우울불안 및 공격성 발달 간 관계에 대한 연구 (Longitudinal Study of Depression·Anxiety and Aggression in Children with Specific Profiles of Child Maltreatment)

  • 김세원
    • 아동학회지
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    • 제36권5호
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    • pp.115-134
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    • 2015
  • The main purpose of this study is to explore the relationship between latent classes of childhood maltreatment and depression anxiety and aggression from childhood to adolescence. 1,785 participants in a sample form Seoul Panel Study of Children were used in this study. Using latent class analysis, three classes of child maltreatment were identified: 'low maltreatment'(89.2%), 'physical+emotional abuse+neglect'(1.9%), 'physical+emotional abuse'(8.9%). Three developmental trajectories of depression anxiety were classified: 'low depression anxiety'(72.3%), 'moderate depression anxiety'(23.3%), 'high depression anxiety'(4.4%). Two developmental trajectories of aggression were revealed: 'low aggression'(89.3%), 'high aggression'(10.7%). As estimated by latent transition probability, the multiple maltreatment classes were more likely to have higher levels of depression anxiety or aggression than the no maltreatment class. There appeared to be distinct profiles of maltreatment among adolescents that had differential associations to measures of internal and external problems. The implications for both practice and policy implications are also discussed.

코로나19 팬데믹 하에서 일개 농촌 지역 주민맞춤 건강관리 프로그램 사례 (A Case Report on the Health Promotion Programs for Rural Residents in a Rural Area during the COVID-19 Pandemic)

  • 이지은;이경희
    • 한국농촌간호학회지
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    • 제17권2호
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    • pp.67-74
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    • 2022
  • Purpose: This study aimed to describe a non-face-to-face dementia prevention and physical activity program in small rural villages during the COVID-19 pandemic. Methods: The study used a case report provided by a primary healthcare post in Gyeonggi-do in 2020. Results: The program was "From head to toe, stay healthy", which was largely divided into dementia prevention ("Dementia Zero Zone") and physical activity ("The less fat, The healthier body"). Five elderly people aged 75 and over participated for preventing dementia, and 13 residents joined the health promoting programs over 80 times in total. This program was designed one-to-one customized and person-centered program, including counseling, education, and health services. The program participants responded that the amount of physical activities was increased even under strict social distancing and they felt less isolated and less depressed. Moreover, the number of screening for dementia was increased with this program. Conclusion: This case has shown the applicability of a new approach to sustain health promotion programs in the context of limited interaction with rural nurses. Under the challenging environment that requires adaptation to information and communication technologies (ICTs), it will be necessary to solve not only technical problems but also digital literacy issues of rural residents.

Public Health Center Service Experiences and Needs among Immigrant Women in South Korea

  • Chae, Duckhee;Kim, Hyunlye;Seo, Minjeong;Asami, Keiko;Doorenbos, Ardith
    • 지역사회간호학회지
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    • 제33권4호
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    • pp.385-395
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    • 2022
  • Purpose: To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose. Methods: This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis. Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language. Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.

통합된 시스템에서의 얼굴검출과 인식기법 (An Integrated Face Detection and Recognition System)

  • 박동희;이규봉;이유홍;나상동;배철수
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2003년도 춘계종합학술대회
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    • pp.165-170
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    • 2003
  • 본 논문에서는 임의의 장면에도 얼굴 인식에 영향을 받지 않는 통합된 얼굴 인식 방법을 제안한다. 크기 정규화는 피부 색 분할과 log-poler 매핑 절차의 새로운 조합을 통하여 얻어지고, 주요 얼굴 구성 요소 분석은 자세 변화들을 처리하기 위하여 제안된 멀티 뷰 접근을 통해 이루어진다. 주어진 컬러 입력 이미지로부터 검출기는 얼굴을 원형 경계 안에 둘러싸고 코의 위치를 표시하며 다음 인식을 위해, 원형 경계 내에 배치하는 방사형 격자는 특징 벡터 코 중심에 두었다. 컬러로 분할된 영역의 폭으로서 얼굴의 크기를 평가하고, 추출된 특징 벡터는 평가된 크기에 의하여 정규화된 크기이다. 특징 벡터는 얼굴 인식을 위해 훈련된 신경망 분류자에게 입력된다. 시스템은 서로 다른 복합적인 배경에서 다양한 크기와 자세를 가진 20명의 얼굴 데이터 베이스를 사용하여 실험한 결과 얼굴 인식기의 수행능력은 매우 작은 크기의 얼굴 이미지 외에는 87%에서 92%의 평균 인식율을 얻을 수 있었다.

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