• Journal of Korean Neurosurgical Society
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• 제55권5호
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• pp.293-295
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• 2014

Post-traumatic cerebral infarction (PTCI) is a secondary insult which causes global cerebral hypoxia or hypoperfusion after traumatic brain injury, and carries a remarkable high mortality rate. PTCI is usually caused by blunt brain injury with gross hematoma and/or brain herniation. Herein, we present the case of a 91-year-old male who had sustained PTCI following a low-energy penetrating craniocerebral injury due to a nail without evidence of hematoma. The patient survived after a decompressive craniectomy, but permanent neurological damage occurred. This is the first case of profound PTCI following a low-energy penetrating craniocerebral nail injury and reminds clinicians of possibility this rare dreadful complication for care of head-injured patients.

• 대한두개안면성형외과학회지
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• 제17권4호
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• pp.225-228
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• 2016

The entrapment of intracranial air from the check valve system results in a tension pneumocephalus. It should be distinguished from simple pneumocephalus because they are intracranial space-occupying masses that can threaten life. Communicating hydrocephalus is a serious and frequent complication of post-traumatic head injury. Head injury is one of the most common causes in etiopathogenesis of communicating hydrocephalus. Here, we describe a case of a 65-year-old man who developed communicating hydrocephalus after a post-traumatic tension pneumocephalus. To the best of our knowledge, this is the first reported case of communicating hydrocephalus developed after a post-traumatic tension pneumocephalus. Although the exact pathogenic mechanisms underlying the cascade following trauma remain unclear, communicating hydrocephalus after a tension pneumocephalus could be considered a possible complication.

• Journal of Korean Neurosurgical Society
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• 제43권5호
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• pp.242-245
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• 2008

A 64-year-old man with TBI was admitted to our institute. In following days, he showed unusual behavior of agitation, restlessness, emotional instability and inattention. Post-traumatic delirium was tentatively diagnosed, and donepezil was given for his cognitive dysfunction. Although there was partial relief of agitation, he sustained back pain despite medication. Lumbar magnetic resonance image revealed SDH along the whole lumbar spine, and surgical drainage was followed. Postoperatively, his agitation disappeared and further medication was discontinued. We report a unique case of post-traumatic delirium in a patient with concomitant TBI and spinal subdural hemorrhage (SDH) that resolved with operative drainage of spinal hemorrhage.

• 디지털융복합연구
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• 제17권10호
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• pp.479-487
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• 2019

이 연구는 외상을 경험한 청소년 운동선수들을 대상으로 포커싱적 태도와 인지적 정서조절이 외상 후 성장에 미치는 영향력을 밝히고자 하였다. 이를 위해 S시와 K도 지역에 위치한 중, 고등학교 운동선수 215명을 대상으로 예비조사를 통해 타당성과 신뢰성이 검증된 설문지를 사용하여 포커싱적 태도와 인지적 정서조절이 외상 후 성장에 영향을 미치는지 파악한 결과, 청소년 운동선수들의 포커싱적 태도와 인지적 정서조절은 외상 후 성장에 영향을 미치며, 외상 후 성장에 영향을 미치는 요인은 긍정적재평가요인과 알아차리기, 수용, 받아들이기, 되새겨보기 및 긍정적 초점변경요인으로 영향력이 있는 것으로 나타났다. 이 연구에서 나타난 결과를 통해 외상 후 성장을 경험하기 위해서는 포커싱적 태도와 인지적 정서조절에 대한 총체적인 이해와 기전에 대해 파악하는 것이 중요하며, 이에 청소년 운동선수들의 포커싱적 태도와 인지적 정서조절에 대해 포괄적으로 개념을 파악하고 이를 통해 포커싱적 태도 수준을 제고하고 인지적 정서를 긍정적으로 조절할 수 있는 효율적인 심리적 훈련 방법의 개발이 필요할 것으로 사료된다.

• 대한가정학회지
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• 제48권3호
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• pp.55-69
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• 2010

A college student who exhibited several post traumatic stress disorder (PTSD) symptoms was used as a case study in order to investigate the therapeutic effects of sandplay therapy for PTSD sufferers. In total, 27 sessions of the sandplay treatment program were used to conduct psychological tests before and after the sessions. Any changes in the manner of expressions on the sand box during the treatment, and the results of pre and post psychological tests on aspects of depression, anxiety and interrelationships were analyzed. Overall results showed that the subject exhibited progressive behavioral improvement and signs of recovery. Psychological tests revealed reduced levels of depression and anxiety, and improved interrelationship scores. In conclusion, sandplay therapy does exhibit positive benefits as an effective treatment modality for PTSD in adolescents and young adults.

• 한국응급구조학회지
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• 제5권1호
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• pp.147-164
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• 2001

The purpose of this study was to examine the hypothetical model designed to explain the post-traumatic stress and burnout in firefighters. Six exogenous variables such as career, control, impact mobilization frequency, life event, work burden, social support, and four endogenous variables, eg., mobilization impact, coping, post-traumatic stress, burnout were considered for the study. The target population for the distribution of the questionnaire was 428 firefighters in Daejeon, Chungnam Province, Seoul and Kyonggi Province. The data was collected about five weeks, July 12-August 25, 1999. The survey instrument was 8 control items by Seo(1995), 10 life event items by Brugha and Cragg(1990), 20 work burden items by Choi(2000), 12 social support items by Park(1985), post-traumatic stress of 17 items by Foa et al.(1998) and 45 items by Kang(1997). The reliability of the survey instrument and the cronbach's alpha was .62 - .93 level. SAS PC Program and LISREL 8.12a program were used for descriptive statistics and linear structural relationship(LISREL) modeling. Based on the data collected, the following results were obtained. 1. The overall fit of the hypothetical model to the data was good (${\chi}^2=54.65$ [df=17, p=0.000007], RMSEA=0.07, standardized RMR=0.03, GFI=0.98, AGFI=0.91, NFI=0.90, NNFI=0.75). 2. After considering statistical significance and theoretical meaningfulness of paths of the model, a modified model was sought. Compared to the hypothetical model, the modified model has become parsimonious and had a better fit to the data(${\chi}^2=55.90$ [df=20, p=0.0003], RMSEA=0.06, standardized RMR=0.03, GFI=0.98, AGFI=0.93, NFI=0.90, NNFI=0.80). 3. The results of statistical testing of hypotheses were as follows: (1) Work burden, career had a significantly direct effect on mobilization impact. These variables explained 9% of the total variance of mobilization impact. (2) Control, social support, work burden, mobilization impact had a significantly direct effect on coping. These variables explained 15% of the total variance of coping. (3) Control, work burden, social support, coping had a significantly direct effect on post-traumatic stress. These variables explained 49% of the total variance of post-traumatic stress. (4) Coping, post-traumatic stress had a significantly direct effect on burnout. These variables explained 60% of the total variance of burnout.

• 융합정보논문지
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• 제10권7호
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• pp.67-74
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• 2020

본 연구의 목적은 응급실 간호사의 폭력 경험과 외상 후 스트레스, 공감피로가 간호사의 직무만족도에 영향을 미치는지를 파악하기 위함이다. 경기도 소재 9개 종합병원의 응급실 간호사 114명을 대상으로 2019년 7월 1달 동안 진행되었다. 본 연구 결과 폭력 경험은 언어적 폭력 11.50±3.37점, 신체적 위협 11.57±4.15점, 신체적 폭력 11.07±5.20점으로 나타났으며, 외상 후 스트레스는 34.59±14.46, 공감피로는 26.50±7.17점, 직무 만족도는 61.19±8.38점으로 나타났다. 이 중 외상 후 스트레스(β=-.21, p=.090)가 직무 만족도에 영향을 미치는 요인으로 나타났으며 회귀모형은 통계적으로 유의하였다(F=23.11, p<.001). 본 연구 결과를 토대로 응급실 간호사의 외상 후 스트레스를 관리하고 감소시키고 위해서는 이를 체계적으로 관리할 수 있는 관리 프로그램의 도입과 예방이 필요하리라 생각된다. 또한 응급실 간호사의 외상 후 스트레스 및 직무만족도에 대한 대처 수준 향상을 위하여 적극적인 대처 방안과 안전한 근무환경 확보를 마련하여야 할 것이다.

• 대한불안의학회지
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• 제15권1호
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• pp.45-52
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• 2019

Objective : The objective of this study is to determine the effects of fear of Middle East respiratory syndrome (MERS) on socio-psychological health during an outbreak of MERS and the post-traumatic stress as a mediator on the relationship between stress and socio-psychological health. Methods : Visual Analog Scale, Impact of Event Scale -Revised, Psychosocial well-being index short form was implemented for 150 medical persons who worked at the hospital in which exposure to MERS cases had been confirmed and 96 ordinary people. A Pearson correlation coefficient and a hierarchical multiple regression was carried out to confirm the effect of fear of MERS and the mediating effect of post-traumatic stress between fear and socio-psychological health. Results : The higher the fear, the lower the socio-psychological health in both healthcare workers and the public (r=0.32, p<0.01) and the higher post-traumatic stress (r=0.32, p<0.01). But, the research results showed that only healthcare workers had a partially mediating effect of post-traumatic stress in the relationship between fear and socio-psychological health (${\beta}=0.45$, t=6.33 p<0.001), (${\beta}$ value : 0.39>0.26). Conclusion : This study demonstrated that the post-traumatic stress can indirectly lead to a negative effect on the socio-psychological health of healthcare workers when under the fear of MERS and shows adverse effects on psycho-social wellbeing. This suggests that clinical intervention and psycho-social approach aiming at reducing post-traumatic stress is important to maintain mental health during crisis development.

• 한국심리학회지 : 문화 및 사회문제
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• 제28권2호
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• pp.163-186
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• 2022

본 연구는 역경 후 성장을 일으키는 요인의 영향력을 밝히고 상담 및 임상 현장에서 활용할 방안을 제안하려는 목적으로 진행되었다. 이를 위해 한국에 거주하는 청년 208명을 대상으로 자료를 수집하여 SPSS 25.0, AMOS 26.0 통계 프로그램으로 수집된 자료를 분석하였다. 본 연구는 역경 후 성장을 균형적 시간관과 사회적 유대감의 영향력으로 보고 두 변인의 관계가 역경 후 성장에 미치는 영향력을 살펴보고자 하였다. 대상자의 인구통계학적 특성 파악을 위해 빈도분석을 실시하고 변인들의 경향성을 살펴보기 위해 기술통계 분석을 실시하였으며, 변인 간의 상관관계를 파악하기 위해 Pearson 적률상관분석을 실시하였다. 역경 후 성장에 주요변인들이 미치는 영향력을 알아보기 위해 위계적 회귀분석을 실시하였으며, 연구모형의 검증을 위해 경로분석을 실시하고 부트스트랩 방법을 사용하여 간접효과의 유의성을 확인하였다. 본 연구의 주요 결과는 다음과 같다. 첫째, 인구통계학적 변인 중 종교가 역경 후 성장에 유의미한 영향력을 보였다. 둘째, 역경 후 성장에 균형적 시간관과 사회적 유대감이 유의한 영향을 미치는 것으로 나타났다. 셋째, 균형적 시간관이 사회적 유대감에 영향을 미치고 본 과정을 통해 역경 후 성장이 일어나는 경로를 밝혔다. 이는 역경 후 성장을 위해서 균형적 시간관과 사회적 유대감 모두 중요하며 상담 및 임상 현장에서 활용의 필요성을 시사한다.

• 한국병원경영학회지
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• 제28권3호
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• pp.15-26
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• 2023

Purposes: Evaluate the level of mental health of administrative workers in medical institutions during the COVID-19 epidemic, and check the relationship. Methodology: It targeted 183 administrative workers at medical institutions located in Jeollabuk-do. The data survey method used a self-filled questionnaire, and the data collection period was 30 days from November 16, 2021 to December 16, 2021. A comparative analysis was conducted to find out the correlation between the subjects' biological factors, environmental factors, lifestyle factors, job related factors and depression, Post Traumatic Stress Disorder, and job stress. Findings: As an influencing factor of depression, it was found that the longer the working period, the higher the depression, and the higher the position, job satisfaction, and the total amount of smoking, the lower the depression. Due to the effect on Post Traumatic Stress Disorder, the higher the total amount of smoking, the higher the Post Traumatic Stress Disorder after effects, and the higher the organizational commitment and job satisfaction, the lower the Post Traumatic Stress Disorder aftereffects. It was found that organizational commitment had the highest influence on Post Traumatic Stress Disorder. As an influencing factor on job stress, it was found that the higher the job related factors was job satisfaction and organizational commitment, the lower the job stress. Practical Implications: Variables such as moderate physical activity, alcohol consumption, total smoking, working period, position, job satisfaction, and organizational commitment were identified as factors influencing depression, Post Traumatic Stress Disorder, and job stress during the COVID-19 pandemic.