• Journal of muscle and joint health
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• v.12 no.2
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• pp.155-165
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• 2005

Arthritis is one of the most common chronic degenerative joint disease in elderly. Osteoarthritis is a widespread, slowly developing disease, with a high prevalence increasing with age in women. The large joints mostly involved by the disease are the knees. But there are no treatments available that cure the underlying process of osteoarthritis diseases. Physical exercise helps in increasing cartilage nutrition and remodeling, increases the synovial blood flow, decrease swelling, and improves muscle strength. Thus, exercise has been suggested as an important nursing strategy in osteoarthritis. Purpose: The purpose of this study were to compare muscle strength between Tai-Chi exercise and aquatic exercise for women with knee osteoarthritis. Methods: A quasi-experimental study with pretest and posttest measures was used. The study subjects were those who had been enrolled in a community health center, and agreed to participate in the study for eight weeks, signed the consent form, and obtained the physicians approval. The study dropout rates were 13.2% with the final study subjects of 17 on Tai-Chi exercise, 16 on aquatic exercise program. The collected data were analyzed using SPSS for Window (version 12.0). Independent sample t-test and paired t-test was performed to compare of muscle strength for women with osteoarthritis after 8-week Tai-Chi exercise and aquatic Exercise. Results: The homogeneity tests of demographic characteristics and study variables at the pretest data revealed no significant differences between two groups. After 8-week Tai-Chi and aquatic exercise, there was significant result in pre-post test comparison on muscle strength on Tai-Chi group, but no significant in aquatic group. There were no significant differences of knee extensor (p=.078), and hand grip(p=.118) in group comparisons on muscle strengths. But there were significant differences of knee flexor(p=.024). Conclusion: Tai-chi exercise was effective in improving knee flexor. So, it seems that Tai-chi exercise may be more suitable for aquatic exercise in osteoarthritis exercise programs. Further studies with other comparisons in physical and psycho social outcomes are necessary to confirm the more effects of exercise.

• Journal of Preventive Medicine and Public Health
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• v.30 no.2 s.57
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• pp.356-368
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• 1997

In effort to determine whether aircraft noise can have health effects such as hearing loss, hypertension and psychological stress, a total of 111 male professors and administrative officers working a college near a military airport in Korea(exposed group) and a total of 168 males and 112 females matched by age groups(control groups) were analyzed. Personal noise exposure and indoor and outdoor sound level of jet aircraft noise were measured at the exposed are3. And pure tone, air conduction test and measurement of blood pressure were given to the exposed(males) and matched control groups (males and females). BEPSI(Brief Encounter Psychological Instrument) and psychological response to aircraft noise were examined for the exposed group. The noise dosimetry results revealed time-weighted averages(TWAs) that ranged from 61 to 68 dBA. However the levels encountered during taking off jet airplanes reached 126 dBA for two half minutes time period. Th, audiometric, test showed that mean values of HTL(hearing threshold level) in exposed group at every frequency(500, 1,000, 2,000, 4,000, and 8,000 Hz were much lower than them of male and female control groups. And in old age groups, interaction of age and noise was observed at 8,000 Hz in both ears(p<0.05). Conclusively, aircraft noise does not appear to induce hearing loss directly in high frequency, but may decreased hearing threshold level by interaction of aging process and noise exposure. However, difference of mean values of exposed and control groups on blood pressure was not significantly. In psychological test, annoyance was the most severe psychological response to noise in exposed group, but mean value of BEPSI was not correlated with job duration in exposed group.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.5
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• pp.428-440
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• 2016

The purpose of this study was to identify the extent of and relationships among emotional labor, job stress, burnout and turnover intention and the factors influencing the turnover intention of care workers at long-term care hospitals. The study was approved by KUIRS, and the data were collected from August 12 to September 30, 2015, and analyzed using the SPSS WIN 18.0 program. The participants of this study were 200 care workers at ten different long-term care hospitals in B city and G province. Data were collected through self-reported questionnaires and analyzed by descriptive statistics, the t-test, ANOVA, Pearson's correlation coefficients, and Stepwise multiple regression. The turnover intention was significantly correlated with emotional labor (r=.372, p<.001), job stress (r=.471, p<.001), and burnout (r=.411, p<.001). In the multiple regression, job stress (${\beta}=.290$, p<.001), burnout (${\beta}=.239$, p<.001), type of employment (${\beta}=.185$, p<.001), and emotional labor (${\beta}=.157$, p=.017) were identified as factors influencing the turnover intention. These factors explained 32.6% of the total variance in the turnover intention. Based on the results, in order to reduce the turnover intention, the improvement of work environment and clear job-descriptions are needed to reduce the job stress, and the development and implementation of proactive psycho-social interventions are necessary to reduce burnout and emotional labor in care workers at long-term care hospitals.

• Anxiety and mood
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• v.6 no.1
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• pp.17-23
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• 2010

Objective : This study compared the psychological stresses of depressed patients' families with those of schizophrenic patients' families. We investigated the influence of depressive patients' clinical features and their families' demographic characteristics on the families' depressive symptoms and stresses. Methods : Participants were 23 family members of depressed patients and 20 family members of schizophrenic patients. We measured the patients' clinical features (duration of illness, number of previous hospitalizations, and satisfaction with medication), and each family member's socioeconomic status and psychological characteristics (depressive mood, anxiety, family stress, and stress response), analyzing the data via independent t-test, chi-square test, and correlation and hierarchical multiple regression analyses. Results : The depressed patients' average clinical global impression (CGI) was significantly higher than that of the schizophrenic patients. The depressed patients' family members showed stress responses significantly higher than those of schizophrenic patients' family members. Furthermore, in depressed patients, frequency of hospitalization was positively correlated with family members' stat anxiety. For both patient types, family stress was positively correlated with the patient's severity of illness and the family's state anxiety, trait anxiety, and stress response ; socioeconomic status was positively correlated with the family's depressive symptoms ; the family's state anxiety positively correlated with the family's trait anxiety and stress response ; and the family's trait anxiety positively correlated with the family's stress response. Socioeconomic status predicted the family's depressive symptoms, and socioeconomic, illness severity and stress response predicted family stress. Conclusion : These findings suggest that both depressed patients' families and schizophrenic patients' families suffer from psychological stress. The study data also have important clinical implications, in that families of depressed patients need psychiatric intervention, as well as the patients themselves. In particular, family intervention should focus on psycho-education and stress coping strategies.

• Journal of the Korean Society of Child Welfare
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• no.40
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• pp.139-166
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• 2012

The purpose of this study is to investigate the effects of poverty on the psychosocial adjustment of adolescents. Particularly, this study seeks to examine the mediating effects of neighborhood environments and parental depression. The 2008 'the Korean Youth General Survey' data were utilized. We analyzed data from 2,218 adolescents between the ages of 12 and 18 and their parents. We defined poverty as the income-to-needs ratio, and measured neighborhood environment using the degrees of neighborhoods' disorder, attachment, cohesion, and informal social control. Adolescents' externalizing and internalizing problem behaviors were used as indicators of adolescents' psycho-social adjustment. Structural equation modeling was utilized as the major analytic method. This study found that adolescents in low income families were more likely to reside in disadvantaged and dangerous neighborhoods. More importantly, the results revealed that psychosocial adjustment of the adolescents was indirectly influenced by poverty through the mediators, neighborhood environment and parental depression. Based on the results, we discussed policy and practice implications, including various interventions that may improve parental mental health and neighborhood environment of low income communities.

• Korean Journal of Social Welfare Studies
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• v.43 no.1
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• pp.389-411
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• 2012

A new era of research has focused on examining the growth of change in drinking problems among the elderly. Thus, the purpose of the present study was two fold: (1) to investigate trajectories of drinking problems(CAGE) among the Korean elderly(age$${\geq_-}65$$); and (2) to identify the predicting factors for the intercept and the slope of alcohol problems using multi-level growth curve model. Data come from three waves(1st wave(2006)~3rd wave(2008) of the Korea Welfare Panel(KWP) study. The results indicated that the levels of drinking problems decreased over time and that age, gender, marital status, religion, poverty, self-rated health, and social relationship satisfaction were associated with the baseline CAGE. Further analysis showed that social relationship satisfaction affected the declining slope of drinking problems over time. Specifically, among those who satisfied social relationship, there was a sharp decline of CAGE over time. Overall findings highlight the importance of developing and implementing effective alcohol prevention programs for the elderly in the community settings to mitigate the harmful effects of various psycho-social stressors. Especially, programs to maintain and form healthy social support network are suggested as critical interventions for prevention as well as recovery of alcohol problems in late life.

• Journal of Korean Theatre Studies Association
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• no.52
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• pp.359-397
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• 2014

This paper describes dramatherapy with a bulmina nervosa patient. She was in her early 20s and has been under the various psychotherapies for cure of deep depression since 2005. We had 24 sessions and 3 persons - the patient, the therapist, and the assist-therapist- participated in dramatherapy. I found there's a big collision between her important roles in the course of initial interview and diagnosis. Those roles are 'a good daughter of mom' and 'an independent adult'. Therefore I defined her bulmina nervosa as 'an symbolic behavior repeats compulsively the failure of separation from her mother.' And I set the general goals, the separation from her mother, the awareness and expression of negative emotions, and the diminuation of overeating and vomiting. To attain these object, we had many different dramatic experiences in dramatherapy. We made a self-portrait, the mask of bulmina nervosa, family sculpture, figure work, the past I and the present I, psychodramatic scene and several stories. In order to objective assessment, I used behavioral observation and 6PSM(6 Pieces Story Making) analysis. First of all the most noticeable change was a rapid decrease in over-eating and vomiting. Before the dramatherapy she had overeaten 30 times per week. At the closure it has fallen off to 1 time per week. Another behavioral changes were shift of outward appearance, not going church, working for living, and having a date with only one. She made 3 stories on 1th session, 13th session, and 23th session. And I comparatively analysed those stories with both qualitative and quantitative method. For qualitative analysis, I classified 5 structures according to the substantial similrarity. On protagonist structure, there's no difference. Three protagonists are dead things. The type of task structure is changed from an escape, a traveling, to metamorphosis. The type of obstruction structure is changed from the protagonist to an outside object. The type of closure structure is changed from an exaggerated happy ending, sad ending to probable happy ending. To quantitify the aspects of transformation, I developed an assesment tool using likert scale. It is composed of 4 sub-categories-reality testing, imagination, ego-strength, optimism problem-solving. In reality testing category, a shift of score was 9-11-15, imagination 2-5-5, ego strength 3-2-2, optimism 6-3-7, and total score 20-21-29. This change of score reflects the growth of problem solving capacity. Viewed in this light, dramatherapy with this girl was successful on the whole. The thing had significant effect on it was psycho-dynamic approach focused on separation from her mother and defence mechanism to avoid negative emotion. And assessment method used in this case will be full of suggestions to researches to come.

• Korean Journal of Social Welfare Studies
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• v.48 no.4
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• pp.221-249
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• 2017

This study aims to investigate determinants that affect job retention of injured workers depending upon types of return to work in order to suggest define the intervention priority for those who returned to original works and for those who did not. After constructing explaining variables based on literature reviews, determinants were verified analyzing 1,292 people using Panel Study of Worker's Compensation Insurance(PSWCI) data. The job retention period turned out to be 46.6 months for those who returned to original work and 34.2 month for those who returned to new works. Injured workers who return to new works tend to have more unemployment experiences. As a result of Cox proportional regression analysis, the longer it takes to return to work, the longer both groups tend to retain after the accident. Age, recuperation period, health status, psycho-social rehabilitation, education and occupational training also affect on job retention probability for those who return to new work. Based upon the analyzed result, setting up an adequate duration for return-to-work, intervention for injured workers who experienced vulnerable working condition before the accident and continuous case management after return-to-work are suggested.

• Journal of Digital Convergence
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• v.17 no.7
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• pp.377-386
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• 2019

The purpose of this study is to identify effective strategies for promoting psycho-social adjustment by examining the mediating effects of self-esteem (SE) and moderating effects of social participation (SP) and discrimination experience (DE) in predicting social competence (SC) with acceptance of disability (AD). The subjects of the study were 1943 adults with a physical disability (1338 males and 605 females) and 233 adults with brain lesions (160 males and 73 females) aged between 19 and 65 years. Data were analyzed using SPSS and Process macro software, and conditional process analysis (model 18) in which the degree and onset of disability were controlled was performed. The results are as follows. First, SE was found to partially mediate the relationship between AD and SC. Second, the relationship between SE and SC was found to be moderated by SP but not by DE, and the relationship between SP and SC was found to be moderated by DE. In addition, the mediating effects of SE, which was moderated by SP, were found to not be moderated by DE. The clinical implication and suggestion for future research is discussed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.4
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• pp.137-148
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• 2019

This study was conducted to investigate the factors influencing burnout of nurses in long-term care hospitals based on the expanded JD-R model (Xanthopoulou et al, 2007). Participants were 167 nurses who worked in long-term care hospitals. The instruments used in this study were the Maslach Burnout Inventory, Copenhagen Psycho-social Questionnaire version II, Connor-Davidson Resilience Scale and the instrument developed by Thomas and Ganster (1995). Data were collected from August 25 to September 6, 2018 and analyzed based on frequency, t-tests, ANOVA, Pearson's correlation, and hierarchical regression using the SPSS WIN 23.0 program. The results were as follows: Nurses' burnout in long-term care hospitals was positively correlated with job demands (r=.24, p=.002) and negatively correlated with resilience (r=-.43, p<.001) and social support (r=-.41, p<.001). Factors influencing the level of burnout were resilience (${\beta}=-.28$, p<.001), social support (${\beta}=-.20$, p=.016), and job demands (${\beta}=.17$, p=.016) ), which together explained 32.0% of the total variance in burnout. Therefore, we strongly recommend interventions that reduce job demands and enhance resilience and social support to prevent and reduce the burnout of nurses in long-term care hospitals.