• 제목/요약/키워드: Personal Distress

검색결과 68건 처리시간 0.03초

대도시에 거주하는 한국인 성인의 죽음정위 (Death Orientation of the Korean Adult - Data was focused on residents who were living in urban area -)

  • 김순자;길숙영;박창승
    • 기본간호학회지
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    • 제5권2호
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    • pp.237-256
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    • 1998
  • Death and dying of human being is a comprehensive system, and death orientation, the subjective meaning related to every component of the death system is developed throughout life. This study was designed and carried out to identify, describe and classify the orientations of Korean adult towards the death system. In an attempt to measure the subjective meaning of death and dying, unstructured Q-methodology was used. The 65 Q-statements developed by Kim(1994), used by Kim(1994) and Park(1996) were adopted as Q-population and 39 Q-statements were selected by the three researchers for Q-items for this study. Thirty-three P-samples were sampled from P-population of literate Korean men and women, 35 and 55 years of age, lived in urban Korea for the last 10 years. Sortings of the 39 Q-items according to the level of personal agreement, and a forced normal distribution into the 9 levels were carried out by the P-samples. The Z-scores of the Q-sort data were computed, and the principal components factor analysis by PC-QUANL Program were carried out. The demographic, socio-cultural and health-related attributes of the P-samples were descriptively analysed. Eight types of death orientation were identified ; Type I ; 'naturalist'. Six P-samples. Death is a natural phenomena, to be accepted as it is and to follow its natural course. Prefer to be informed of all facts and possibilities concernig the course of dying and death to occur to self. Type II ; 'life-after-life negator'. Three P-samples. Time and process of death is the destiny of each person. Death means 'darkness' and 'end to every thing, the absolute end'. Yet, wish physical integrity at the dying and after death. Type III ; 'life-after-life believer'. Six P-samples. Men are travellers passing by this life bound to the life-after-life. Priority concerns are on the activities to prepare self for the eternal life ahead. Disregard premature and sudden death. Type IV ; 'here-now believer' Five P-samples. Positive regard to the cremation of the body and donation of the organs on death. Regard religious and customary post-motem rituals meaningless. Negate life-after life. Type V; 'believer of rituals'. Five P-samples. Death being accepted as a part of, a natural end to, and destiny of human life. Concerned to ensure a dignified end to personal life and dignified post-mortem rituals. Type VI ; 'Realist'(derived from Type I). Two P-samples. Life and death as universal reality. The abrupt death at golden age at the peak of happiness is favored to avoid inevitable physical and mental distress of self and the family. Agreed to the cremation of the body. Disregard rituals. Type VII : 'Fatalist' (derived from Type II). Five P-samples. Not favored, yet, all man are destined to death, the inevitable end of all living beings. To ensure dignified end by personal consummation, information on one's dying and imminent death are to be shared. Type VIII ; 'reality avoider'(derived from Type III). One P-sample. Negative to longevity, artificial prolongation of, meaningless and distressful life. Highly positive to postmortem organ donation.

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사회적 기술 부족과 충동성으로 인해 또래갈등이 심한 분교아동의 상담사례 (Counseling Case Study of a Child with Peer Confliction due to Lack of Social Skills and Impulsiveness)

  • 이인선
    • 초등상담연구
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    • 제5권1호
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    • pp.227-253
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    • 2006
  • It seems common for students living at a small county and islands to experience psychological conflicts and be unaccustomed in the peer society because they are not familiar with peer interaction and social skills. This is a case study of L (hereinafter called L) who was grown up in the sheltered school at a small county. L was psychologically disturbed because he couldn't get along well in the transferred school. It is the reason why he had lived in the sheltered school at a small county, so he had not enough exposure to interact with peer and social skills. Sometimes he was obstinate irrationally and when he had trouble with friends, he threw something out or went out of school and tricked juniors dangerously. The fact of disperse with families, parent's indifference, and hate of older brother made L to have ill feeling against family. He had low motivation and low self confident in learning because of short attention time and accumulated poor learning progress. In this study, he was evaluated at various area, such as, intelligent, affective, personal and inter-personal, before counselling. To evaluated the effect of the counselling, K-WISC-III, KPRC, sentence filling test, social adaptation ability test, etc, were administered right after the counselling was over and 8 weeks later. For specific information gathering and analysing, observation diary and deepen counselling were accomplished by homeroom teacher, his mother, and his peers. To correct his problematic behaviors, 13 counseling sessions were accomplished for 6 months and those counselling sessions were recorded and analysed definitely. Followings are the result of this case study. First, he was recovered from the anxiety of inter-personal interaction and he started to interact with peers. The result of sac scale score of KPRC profile was lower than before as much as average student after counseling and 8 weeks later. This reveals that the distress against interpersonal relation have settled. Especially, through the result of sentence filing test, he seemed to feel attachment to peers and be positive, active in the relation of peer. For instance, he was active in the open class lesson and interacted well with peers. It could be said that he overcame the psychological distress comparing with previous time. Second, he could apologize to his peer and juniors for his fault. His attitude were well shown in the letter from an old friend at the sheltered school, average KPRC profiling score comparing with previous counseling time, and remarkable decrease of attack scale score of teacher and peer. Third, his view toward family turn out positive. He recognized his situation that he lived apart from family and even worried about his parent's financial difficulty. Through solving the confliction with his older brother, he could acquire the feeling of family reunion. Fourth, his learning motivation and self-confidence were increased. He confirmed his future positively and he might be judged more attentive because his intelligence index was higher than before as much as average student. With the main goal of this study, verification for effectiveness of counseling. understanding and helping problematic students such as L who lives at a small county and island through investigation of their real situation and problems with the method of counseling and socio-cultural analysis is worthwhile. Identification of ideal relationship with peer is related with positive self-conception, harmonic social adaptation and development of child. It is time to investigate easy adaptive in classroom and well-organised program to acquire general social skills for sheltered school students at a small county and islands.

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자궁경부암환자의 삶의 질에 영향을 미치는 치료관련 및 심리사회적 요인 (Medical-and-Psychosocial Factors Influencing on the Quality of Life in Patients with Cervix Cancer)

  • 전미선;이은현;문성미;강승희;유희석
    • Radiation Oncology Journal
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    • 제23권4호
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    • pp.201-210
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    • 2005
  • 목적: 본 연구의 목적은 자궁경부암 환자의 삶의 질에 영향을 미치는 치료관련요인과 심리사회적 요인을 파악하기 위함이다. 대상 및 방법: 경기도 A 대학병원에서 자궁경부암 진단을 받고 치료 중이거나 추후관리 중인 환자 147명을 대상으로 삶의 질과 심리사회적 변수(기분장애, 삶의 성향, 사회적 지지)에 대해 설문조사하였다. 그리고 치료관련 변수로 암의 병기, 치료방법, 추후관리기간은 의무기록을 통해 조사하였고 증상 경험은 설문조사하였다. 결과: 치료관련 변수들과 심리사회적 변수들은 자궁경부암 환자의 전체 삶의 질의 63.3%를 설명하였다($R^2=0.533$, F=16.969, p=.000). 암의 병기, 증상 경험, 기분장애정도, 사회적지지 중 가족지지, 그리고 삶의 성향은 자궁경부암 환자의 삶의 질에 영향을 주는 유의한 요인이었으며 이 중 가족지지가 가장 영향력이 큰 변수였다. 결론: 자궁경부암 환자의 삶의 질을 증진시키기 위해서는 환자의 증상관리 뿐만 아니라 심리사회적 중재가 치료와 함께 병행되어야 하며 그 내용으로 기분조절, 사회적 지지, 삶에 대한 긍정적인 태도를 취하는 것이 포함되어야 한다.

급성기 뇌졸중 환자를 돌보는 가족 돌봄제공자의 부담감 관련요인 (Caregivers' Burden in patients with a cute stroke)

  • 강수진;이희주;최스미
    • 재활간호학회지
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    • 제5권1호
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    • pp.27-37
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    • 2002
  • During acute stages of hospitalized stroke patients, family caregivers face many challenges. They often experience emotional distress, social isolation, and financial constraints. However, the burden of caregiving of stroke patients in acute stages has never been studied properly. The purpose of this study was to investigate the factors related to the caregivers' burden with acute stroke. The subjects were 123 acute stroke patients and their caregivers who were admitted to neurology and neurosurgery units at Dan Kook University Hospital in Chung-Nam area. An interview was performed with the use of standardized questionnaire which included data pertaining to the patients/caregivers characteristics, caregiver burden (Modified Zarit's Burden Scale), and social support (Personal Resource Questionnaire). Our results showed that the mean burden score was 3.11, indicating high level of burden. Among the sub-domain scores, financial burden was the highest. In univariate analysis, the factors related to caregiver burdens were: inability to communicate between patients and caregiver(p<.001); low cognitive function of the patients(p<.001); low level of ADL(p<.001); the gender of caregiver(p<.001); the current employment status of caregivers(p<.01); the presence of social support for caregiver(p<.001); and the availability of alternative caregivers(p<.001). In multiple regression analysis, social support for family caregivers (87%), low level of patient's cognition (2%), availability of 2nd caregiver (1%), and gender of caregiver (female, 0.4%) were significant explanatory factors of overall burden. The caregivers' burden in acute stages during hospitalization following stroke was high. Recognition of high levels of caregivers' burden and those relating factors affecting caregiver burden may allow us to develop different nursing strategies to unload the level of burden for caregivers in acute stages of stroke.

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Effects of Critical Thinking Disposition and Empathy on Cultural Competency in Dental Hygiene Students

  • Hwang, Ji-Min;Han, Ji-Hyoung
    • 치위생과학회지
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    • 제18권1호
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    • pp.24-31
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    • 2018
  • This study investigated the effects of critical thinking and empathy on the cultural competence of dental hygienists and students. A total of 529 dental hygiene students were randomly sampled and included as subjects. PASW Statistics for Windows ver. 18.0 was used to obtain the following results. Among the critical thinking sub-domains, cognitive integration was the highest and the lowest. Empathic ability had the highest acceptance factor among the sub-domains. Cultural competence was the highest among the sub-domains, while cultural knowledge was the lowest. According to their general characteristics, subject age, grade, religion, and economic level influenced the cultural capacity. Cultural awareness and sensitivity were high when there were foreign visiting experiences. Cultural awareness, sensitivity, skills, and knowledge were high when subjects had experienced multicultural education (p<0.05). Cultural awareness, sensitivity, skill, experience, and knowledge were correlated with critical thinking and cultural competence, among which cultural sensitivity showed the highest correlation (p<0.001). There was a correlation between cultural awareness and sensitivity, skill, and experience among the empathy and cultural competency sub-domains (p<0.001). The factors influencing cultural awareness included intellectual integration, openness, prudence, and perspective-taking (p<0.001). The factors influencing cultural sensitivity included intellectual integration, openness, and empathic concern (p<0.001). The factors influencing cultural skill included intellectual integration, creativity, and conductivity (p<0.001). The factors influencing cultural experience included prudence, objectivity, perspective-taking, and personal distress (p<0.001). Finally, the factors influencing cultural knowledge included creativity and conductivity (p<0.001). The results indicate that dental hygiene students should be equipped with cultural competence to enhance critical thinking and empathy required by the modern society and optimized dental hygiene courses should be provided for multicultural subjects.

PC에서 퍼지?을 이용한 아스팔트 포장의 기능수행가능성 추정 (Serviceability Evaluation of Asphalt Pavement Using Fuzzy Set System on Personal Computer)

  • 김광우;박제선;이성남
    • 대한토목학회논문집
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    • 제13권5호
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    • pp.123-134
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    • 1993
  • 본 연구는 퍼지?이론을 도로포장(道路鋪裝)의 공용성(共用性) 평가에 응용하기 위하여 수행되었다. 포장의 견실도(堅實度)와 포장에 가해지는 외력 및 포장의 현재상태에 근거하여 포장을 평가하는 모델을 개발하였다. 퍼지 종합평가를 위하여 설정된 거리등급지수(Gd)의 값이 가장 적절히 균형을 이루도록 5등급의 등급퍼지?과 3등급의 경중(輕重)퍼지?을 설정하였다. 또한 평가기준과 그에 상응하는 퍼지등급척도를 제시하였으며 설정된 평가기준에 준하여 공용성을 평가하는 컴퓨터 프로그램을 개발하였다. 이 프로그램은 각 항목에 대한 Input 값을 질의 문답식으로 화면을 통하여 문의하고 자판을 통하여 사용자가 넣어 주어 수행되도록 작성되었다. 본 연구에서 제시된 퍼지이론에 근거한 포장공용성(鋪裝共用性) 추정기법을 실제 data를 이용하여 수행하여 본 결과 일정도로의 미래 기능수행가능성 추정과, 시범구간의 Gd 값과의 비교 수치를 사용한다면 그 실용가능성이 높음을 알 수 있었다.

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어머니의 공감과 유아의 친사회적 행동과의 관계 - 유아의 정서표현을 매개로 - (The Relationship Between the Mother's Empathy and the Child's Prosocial Behavior: The Mediating Effect of the Child's Emotional Expression)

  • 배선미;최영희
    • 한국지역사회생활과학회지
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    • 제25권3호
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    • pp.389-400
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    • 2014
  • This study identified the mediating effect of the child's emotional expression on the relationship between the mother's empathy and the child's prosocial behavior. The participants included 310 mothers of children between the ages of 2 and 5 from two kindergartens and four day care centers located in Gyeonggi-do. The mother's empathy was measured using the Interpersonal Reactivity Index. The child's prosocial behavior was measured using the Preschoolers' Prosocial Behavior Index. The child's emotional expression was assessed using a questionnaire from previous research. First, older mothers and less educated mothers showed a higher level of empathy. Mothers over the age of 30 were more likely to have the ability to imagine other roles in movies or books, and to show empathic concern than those under 36. Mothers without a college degree showed a higher level of perspective-taking than those with a college degree. Second, girls were more likely to engage in prosocial behaviors and show emotional expressions than boys. Three-year-old children were more likely to share than two-year-old children, showed more initiative than two- and four-year-old children. Third, the mother's perspective-taking and empathic concern were significantly related to the child's prosocial behavior and emotional expression. The mother's personal distress was related to the child's control over emotions and awareness of other's emotion. Finally, the child's emotional expression had a mediating effect on the relationship between the mother's empathy and the child's prosocial behavior.

Factors Associated with Death Acceptance among Thai Patients with Advanced Cancer

  • Krapo, Maliwan;Thanasilp, Sureeporn;Chimluang, Janya
    • Asian Journal for Public Opinion Research
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    • 제6권1호
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    • pp.18-30
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    • 2018
  • Patients with advanced cancer cope with various issues, especially psychological symptoms, such as anxiety about death. Previous research from various countries indicates that most advanced cancer patients perceive distress before death, which means they cannot accept death peacefully. The purpose of this study was to examine the factors associated with death acceptance of Thai patients with advanced cancer. The participants were 242 adult patients with advanced cancer from three tertiary hospitals in Bangkok, Thailand. The research instruments consisted of 7 questionnaires: a personal information questionnaire, the death anxiety questionnaire, Buddhist beliefs about death questionnaire, the unfinished task questionnaire, general self-efficacy scale, family relationship questionnaire, and death acceptance scale. These instruments were tested for their content validity by a panel of experts. All instruments except the first one were tested for reliability, and their Cronbach's alpha coefficient were .86, .72, .74, .74, .89, and .70, respectively. Descriptive statistics, Pearson's correlation, Point-biserial correlation coefficient, and stepwise multiple regression were used to analyze the data. The results revealed that a total of 42% of variance of death acceptance among Thai patients with advanced cancer was explained by death anxiety, Buddhist beliefs about death, and self-efficacy. Knowing these factors provides further information for nurses to help patients to cope with their death. From this crucial knowledge, nurses can develop interventions in decreasing or controlling anxiety about death, promoting Buddhist beliefs about death, and enhancing self-efficacy of advanced cancer patients. Therefore, a better quality of life and good death can be achieved.

초등학생의 상담 실태와 상담요구 및 고민문제 탐색 -전라북도를 중심으로- (A Study on Elementary Students' Counseling Services and Needs for Counseling & Their Troubles -the case of elementary schools in Jeollabukdo)

  • 김영태
    • 한국산학기술학회논문지
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    • 제12권9호
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    • pp.3915-3923
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    • 2011
  • 이 연구의 목적은 초등학교의 상담 실태를 조사하고 상담에 대한 요구와 고민의 정도를 분석하여 초등학교에서의 바람직한 상담의 방향을 제시하는데 있다. 이러한 연구목적을 달성하기 위하여 전라북도 초등학교 학생 476명을 대상으로 질문지를 사용하여 실태조사를 하였다. 연구결과는 첫째, 학생들은 상담안내, 상담경험 및 상담교사와 상담실이 부족하며, 담임교사가 상담이 필요하다고 생각될 때 이루어지는 것으로 나타났다. 둘째, 수업이 끝난 후를 이용해 개인 상담을 원하며, 자신의 문제를 잘 들어주고 이해해주는 여자 상담선생님을 선호하는 것으로 나타났다. 셋째, 초등학생들은 고민의 정도가 6학년 여학생, 형제가 있는 학생, 아버지만 계시는 학생, 하위권 학생이 높은 것으로 나타났다. 넷째, 초등학생의 고민문제의 각 영역들 간에 정적상관이 있었다. 본 연구결과로 볼 때, 초등학생들에게 실제적인 학교상담이 이루어지기 위해서는 행정적 제도적인 내용을 재검토해 볼 필요가 있으며, 학생 스스로가 문제를 해결할 수 있도록 다양한 상담프로그램이 개발되어야 할 것으로 사료된다.

노화에 따른 아스팔트 콘크리트 포장의 수분민감성 평가 (An Evaluation of Moisture Sensitivity of Asphalt Concrete Pavement Due to Aging)

  • 김경남;김유석;김낙석
    • 대한토목학회논문집
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    • 제39권4호
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    • pp.523-530
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    • 2019
  • 포트홀 발생 및 관련 교통사고 건수는 매년 꾸준히 증가하는 추세이며 이에 따른 인명피해, 차량파손에 따른 비용손실 등 도로 이용자의 직 간접적인 피해를 증가시키고 있다. 일반적으로 아스팔트 혼합물은 생산과정부터 시공 후 공용에 따라 지속적으로 노화가 진행된다. 포장 노화는 균열과 수분침투로 박리를 야기하고 반복적인 윤하중에 의해 포장구조를 약화시켜 포트홀을 유발하게 된다. 본 연구에서는 노화가 아스팔트 콘크리트 포장에 미치는 영향을 검토하기 위해 노화정도에 따른 부착성능 평가와 수분민감성 평가를 수행하였다. 연구결과 노화에 따라 아스팔트 바인더의 점성이 증가해 부착강도가 2~3배 이상 증가하였다. 또한 가속 노화시킨 아스팔트 혼합물의 경우 간접인장강도의 증가뿐만 아니라 TSR 값도 4.2~8.9 % 증가하는 것으로 나타났다. 이에 따라 골재에 아스팔트 바인더가 피복된 상태에서 노화가 진행될 경우 아스팔트 바인더와 골재의 부착력이 증가하여 박리 저항성이 향상되는 것으로 분석되었다.