• Title/Summary/Keyword: Psycho

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Clinical Nurses' Interpretation of the Experiences of Breast Cancer Women after Breast Conservative Operation (유방암 여성의 유방보존술 후 경험에 대한 임상 간호사의 인지)

  • Jun, Myung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.284-291
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    • 2007
  • Purpose: Even though the breast is not removed, women with a breast conservative operation(BCO) are suffering from the psychosocial distress comparable with mastectomies. The purpose of this study was to identify how clinical nurses view essential nursing problems and nursing approaches to post operative breast cancer experiences. Method: To identify the clinical nurses's interpretation, they were asked to respond to a case involving a woman struggling with breast cancer. The nurses' responses were analyzed using a manifest content analysis strategy to determine themes in problem identification and nursing care strategies. Result: The clinical nurses recognized that most of the patient's experiences originated from a psycho-social problem. Fifteen nurses(83%) interpreted the breast cancer woman's experience derived from her psychosocial problem. They identified the most effective nursing approaches for breast cancer women following surgery as counseling and providing information. Conclusion: In conclusion, the results revealed that a psychosocial skill including an empathic communication skill is essential for excellent nursing in post operative patient care.

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Analysis of Frequent Therapeutic Duplication Drug Classes Based on National Health Insurance Claimed Data in Korea (국내 건강보험심사청구자료에 근거한 다빈도 치료중복 의약품 약효군 분석)

  • Sohn, Hyun-Soon;Lee, Young-Sook;Choi, Kyung-Eob;Shin, Hyun-Taek
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.3
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    • pp.262-267
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    • 2010
  • Therapeutic duplication of prescriptions is the most frequently reported inappropriate drug use in Korea. To prevent significant problems during drug prescribing and dispensing, prospectively, development of standard including drug lists considered as therapeutic duplications for the prioritized drug classes first would be necessary. This study was aimed to analyze frequent drug classes of therapeutic duplications by healthcare providers in clinical practice settings. National health claims data for drug review and reimbursement (1,426,065 prescriptions dated March 19, 2008) were analyzed. Therapeutic duplication was defined as the prescription including more than 2 ingredients belonging to the same KFDA drug classification numbers that considered to have therapeutic similarities. The following 3 drug classes were mostly frequent therapeutic duplication classes: 114 anti-pyretics, analgesics and anti-inflammatory drugs; 117 drugs for psycho-nervous system; 141 Antihistamines. About 3.5% of overall prescriptions analyzed showed therapeutic duplications. This result might be starting step to develop DUR therapeutic duplication standard.

Effects of the Subjective Family Class on the Suicide Ideation of Adolescents: Double Mediating Effect of Social Support and Sense of Coherence

  • Kim, Jiyoun;Ko, Young
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.269-278
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    • 2020
  • Purpose: The study was conducted to identify the relationship between subjective family class and suicidal ideation and to determine the double mediating effect of social support and sense of coherence on their relationship. Methods: Secondary analysis of data from 2015 Korean Psycho-social Anxiety which was a population-based representative was performed. Double mediating effects of social support and sense of coherence on suicidal ideation were analyzed using the PROCESS macro (model 6) with bootstrapping methods. Results: Subjective family class directly influenced social support (β=.20, p<.001) and sense of coherence (β=.10, p<.001). Subjective family class directly influenced suicide ideation (β=-.08, p<.001). Sense of coherence was directly influenced by social support (β=.28, p<.001). Suicide ideation was indirectly influenced by subjective family class through social support (β=-.22, p<.001) and sense of coherence (β=-.36, p=.001). The size of direct effect of subjective family class on suicide ideation was 0.24 and the total size of indirect effect was 0.12. Conclusion: Intervention to improve social support and sense of coherence is needed to prevent the suicide among adolescents.

An Efficient Computation of FFT for MPEG/Audio Psycho-Acoustic Model (MPEG 심리음향모델의 고속 구현을 위한 효율적 FFT 연산)

  • 송건호;이근섭;박영철;윤대희
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.41 no.6
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    • pp.261-269
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    • 2004
  • In this paper, an efficient algorithm for computing in the MPEG/audio Layer Ⅲ (MP3) encoder is proposed. The proposed algerian performs a full-band 1024-point FFT by computing 32-point FFT's of 32 subband outputs. To reduce the aliasing caused by the analysis filter bank, an aliasing cancellation butterfly is developed. A major benefit of the proposed algorithm is the computational saving. By using the proposed algorithm, it is possible to save 40~50% of computations for FFT, which results in about 20% reduction of the PAM-2 complexity.

Impact of Psychological Factors on Marital Satisfaction and Divorce Proneness in Clinical Couples (부부클리닉 방문부부의 심리적 요인이 결혼만족도 및 이혼가능성에 미치는 영향)

  • Kong, Seong-Sook
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.550-560
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    • 2008
  • Purpose: The purpose of the study was to investigate the psychological factors that affect marital satisfaction or divorce likelihood in clinical couples. Methods: Clinical couples (n=57) who visited "M" couple clinic participated in the study. Data was collected from September 2005 to June 2006 using a Marital Satisfaction Scale, a Marital Status Inventory, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Minnesota Multiphasic Personality Inventory. Results: The couples showed high scores on depression, obsessive-compulsion, personality factors and divorce probability and a low score on marital satisfaction. The wife's obsessive-compulsion was a predictor of her marital satisfaction, and the wife's social introversion and depression, and husband's obsessive-compulsion were predictors of the wife's prospect of divorce. The husband's hypomania and depression were predictors of his marital satisfaction, and there were no predictors of the husband's prospect of divorce. Conclusion: Obsessive-compulsion is a significant factor in a couple's relationship, although previous studies have not been interested in obsessive-compulsion. Divorce likelihood should be evaluated for clinical couples as well as marital satisfaction, because it is more important for divorce prevention. Each spouse who has a psycho logical problem such as depression, obsessive-compulsion, and deviated personality needs individual therapy as well as couple therapy.

Factors Related to College Student's Problem Drinking (대학생 문제음주 관련요인)

  • 이원재
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.109-124
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    • 2003
  • This study conducted multiple logistic regression to investigate what factors and how much they influence problem drinking. In this study, problem drinking was defined by AUDIT and NAST. Most of the studies on problem drinking focused on socio-demographic factors even though problem drinking is caused by bio-psycho- socio-cultural factors. The current study tried to estimate a logistric regression models including socio-demographic, environmental, psychological, economical, emotional, values, and MMPI factors. The best fit model suggested that problem drinking, which was determined by AUDIT, of college students were related to sociodemographic, environmental, psychological, and emotional factors. Students who were male, whose father, brother or sister had been abused alcohol or drug, students thought that his/her mother had not trusted him/her, who worried about his/her health, smokers, who had strong impulsivity, who had three or more feelings among the sorts of feelings, such as sadness, loneliness, boring making him/her feel to drink alcohol were more likely to had drinking problem. Students who were indulgers-who could not help buying things immediately after they saw goods they like, who were smokers, who had low ego-control, who had three or more feelings among the sorts of feelings, such as become excited, anxiousness, healthy were more likely to be dependent on alcohol. The study suggested intervention programs for college students to prevent problem alcohol drinking and alcohol dependency.

A Survey on Elders' Experience in and Preference for a Mentoring Program (노인의 멘토링 실태와 요구에 대한 연구)

  • Kim, Hee-Gerl;Lee, Kum-Jae
    • Research in Community and Public Health Nursing
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    • v.19 no.4
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    • pp.554-563
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    • 2008
  • Purpose: The purpose of this study was to investigate elders' experience in a mentoring program and preferred characteristics of the program. Methods: Two hundred and ten elders dwelling in Sungnam-si. Korea participated in the survey from April 1 to May 30, 2008. Using SPSS Win 10.0, descriptive statistics, Chi-square test, and t-test were performed. Result: About two thirds of the elders had experience as a mentee, and a large number of them reported that it was helpful. Compared to those without, the elders with the mentee experience were more likely to perceive that it is easier to build a mentor-mentee relationship. The most common reason for wanting a mentee experience was loneliness, whereas the most frequent reason for not wanting was feeling a burden when meeting a stranger. Preferred characteristics of a mentoring program differed between the elders who had the mentee experience and those who did not. Conclusion: This study concluded that a mentoring program is highly likely to provide psycho-social support to the elderly, Also, a large number of the elders who had never had a mentor-mentee relationship wanted to have it in the future. This study suggests that healthcare professionals include a mentoring program in healthcare services for the elderly, considering preferred characteristics of a mentor-mentee relationship.

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Attitude to Smoking, Beliefs about Smoking, and Nicotine Dependence in Women Smokers (일 지역 여성 흡연자의 흡연태도, 흡연 신념과 니코틴 의존도)

  • Choi, Young-Sil
    • Journal of Korean Academy of Rural Health Nursing
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    • v.9 no.1
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    • pp.33-45
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    • 2014
  • Purpose: This study was done to identify attitudes to smoking, beliefs about smoking and factors influencing nicotine dependence in woman smokers. Methods: Data was collected from 131 women smokers, who visited a public health center between January and July. 2012. Collected data were analyzed using the SPSS 18.0 program. Results: Mean score for attitude to smoking was $23.7{\pm}3.2$, beliefs about smoking, $18.6{\pm}2.9$, and nicotine dependence, $4.3{\pm}2.1$. Attitude to smoking of the woman smokers was significantly different according to marital status, beliefs about smoking were significantly different according to marital status and being employed. Nicotine dependence was significantly different according to frequency of alcohol consumption, stress, number of cigarettes smoked. There was a correlation between attitude to smoking and beliefs about smoking. Age when starting to smoke, number of cigarettes, and length of time one has smoked accounted for 31.0% of nicotine dependence. Conclusion: The results indicate that increasing knowledge and improving attitudes toward smoking as well as training on stress management and exercise are needed. Also, a distinct mediation should be developed for women smokers. Especially, in-depth research is needed to identify psycho-social behavior-related variables for the health promotion of young women smokers.

Quantitative Analysis of Flow in MMORPG Games (MMORPG 기반 게임의 몰입에 대한 정량적 분석 방법)

  • Nam, Byeong-Cheol;Bae, Ki-Tae
    • Journal of Korea Game Society
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    • v.11 no.3
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    • pp.73-84
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    • 2011
  • Online game market accounts for 56.4% of entire game industry in Korea. MMORPG games account for a great part of online game market which have 45.27%. However, most of them are wholly reliant on their subjective criteria - not general rule or standard in the planning and developing process. For this reason, they can be easily misunderstood imitation game which has no difference or creativeness from masterpiece. In this paper to solve this problem especially deals with the quantification of flow through analysis of MMORPG to propose common information or method of quantitative analysis. The method of quantitative analysis which deals with the quantification of flow through analysis of successful MMORPG verifies the effectiveness of the proposed method.

Concept Analysis of Psychological Resistance to Antihypertensive Medication (고혈압환자의 약물치료에 대한 심리적 저항의 개념분석)

  • Jang, Hee Soon;Kong, Kyoung Ran;Lee, Eun Nam;Kang, Jiyeon;Jang, Moon Jung
    • Journal of Korean Critical Care Nursing
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    • v.9 no.2
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    • pp.48-60
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    • 2016
  • Purpose: The purpose of this study was to identify the attributes of the concept, of psychological resistance to antihypertensive medication. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We reviewed 47 related studies selected from 4 international and Korean databases including Medline, CINAHL, NDSL, and RISS to perform the analytical processes from January 1980 to September 2015. Results: The attributes of psychological resistance to antihypertensive medication include 1) reservation, 2) opposition, 3) denial, 4) refusal, and 5) seeking alternative therapy. The antecedents of the concept can be classified into patient factors such as reactance trait and knowledge deficit, provider factors, interpersonal factors, and environmental factors. The consequences of psychological resistance to antihypertensive medication are non-compliance, deterioration of the disease, developing complications, increased anxiety, and changes in life. Conclusions: The concept of psycho logical resistance to antihypertensive medication can provide guidance for the development of an intervention program that promotes the compliance to medication regimen of hypertensive patients. Further research needs to be done to develop a measurement tool for psychological resistance to antihypertensive medication.

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