• 제목/요약/키워드: Psycho

검색결과 571건 처리시간 0.021초

인공기도를 가진 중환자실 환자의 의사소통 경험과 요구에 관한 통합적 문헌고찰 (Communication Experiences and Needs among the Critically Ill with an Artificial Airway: An Integrative Review)

  • 김수현;김주영;최지연
    • 중환자간호학회지
    • /
    • 제14권2호
    • /
    • pp.24-41
    • /
    • 2021
  • Purpose : The aim of this integrative review was to describe communication experiences and needs among the critically ill with an artificial airway and evaluate relevant intervention studies. Methods : Using the method employed by Whittemore and Knafl (2005), we searched for papers on PubMed, CINAHL, and Web of Science published from January 1, 2015 to September 25, 2020. A total of 26 papers (11 descriptive studies, 15 experimental ones) were identified and evaluated. Results : Communication experiences while having an artificial airway, identified either by patients' recall or direct observation, were predominantly negative. However, positive experiences were reported in patients with improvements in physical conditions and functions. Patients' communication needs were diverse, encompassing physical, psycho-emotional, social, spiritual, and medical issues. Interventions tested included alternative and augmentative communication strategies, communication intervention packages, and voice restorative devices. Physical, psychosocial, and communication-related patient outcomes were evaluated using various methods including self-report surveys, interviews, and observations. Conclusions : The findings from this review represent the state of science regarding communication of the critically ill whose vocal abilities are inhibited by the presence of an artificial airway. Future studies with rigorous experimental designs and measures are warranted to better understand and support the complex needs of this highly vulnerable patient population.

『데이빗 코퍼필드』에서의 광대들 (Clowns in David Copperfield)

  • 박금희
    • 영미문화
    • /
    • 제9권1호
    • /
    • pp.185-219
    • /
    • 2009
  • This article aims to illuminate the comic characters and their humor in Dickens's novel David Copperfield in Bakhtinian point, and to clarify what the humorous characteristics are, and how they contribute to his reinforcement of socially critical messages in this novel. So far this novel has been called the only one of Dickens's comic novels, even though it includes lots of social critical meanings. But it is true that Dickensian critics couldn't make sure of the clear reasons why it is both very interesting and critical. Furthermore, it is also true that this novel has been criticized as a clumsy one in the realistic, psycho-analytic, dramatic angle. This approach to Dickensian comic characters through Bakhtinian fool, clown, and rogue concepts here could make up for or correct such criticisms, and reevaluate Dickens's humor and social criticisms in the context of general public culture. Bakhtin believes oppression by social ideologies prevent us from having good mutual relationships and divides our society. He thinks laughter liberates us from such oppression and restores our good relationships. As he applied his concepts based on the laughter of Middle Ages to Rabelais's novels, and examined what the authentically liberating power in Rabelais's laughter is, this article could clarify the liberating power of laughter by Dickens's comic characters, such as Mr and Mrs Micawber, Dick, Miss Betsey Trotwood and Miss Mowcher. In this novel, they often lead comic happenings, and such happenings are very similar to carnival-amusements including burning the dummy of the czar who has oppressed his or her citizenry. Especially, Dickens's comic characters's social criticisms, in the case of this novel, contain many complaints of social marginers, even though he has been labelled as being conservative politically. They always criticize the ideological absurdities in their society through the humorous words and behaviors in their comic happenings, like those of a carnival fool or clown in his or her amusements. This shows Dickens achieves both laughter and social criticism in David Copperfield by using Rabelaisian characterization-devices based on his general public culture. Like Bakhtin and Rabelais, Dickens seems to have believed that when we all truly liberate ourselves from the oppression of social ideologies, we can have desirable relationships between ourselves, and also solve social problems positively.

임신성 당뇨병을 가진 임산부를 위한 간호중재 프로그램의 효과: 무작위 대조군 실험연구의 체계적 문헌고찰 (Effects of nursing intervention programs for women with gestational diabetes: a systematic review of randomized controlled trials)

  • 김주희;정재원
    • 여성건강간호학회지
    • /
    • 제27권1호
    • /
    • pp.14-26
    • /
    • 2021
  • Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

가치기반 아동금융교육 프로그램 개발 및 효과평가: 초등학교 1~3학년 아동의 개인재무관리 영역별 가치를 중심으로 (The Development of Value-Based Children's Financial Education Program and Evaluation of Effect : Focusing on the values of each area of personal finance of 1st to 3rd grade elementary school students)

  • 강남주;손상희
    • Human Ecology Research
    • /
    • 제59권4호
    • /
    • pp.501-523
    • /
    • 2021
  • In this study, a value-based children's financial education program was developed focusing on the values of each financial management area needed for children. According to 'quasi-experimental design - non-equivalent control group design', an experimental group and a control group were formed for children in the lower grades of elementary school, and a value-based child financial education program was executed, and then the program was applied to children's personal financial management. The effect on the value propensity for each area was evaluated. As a result of the quantitative evaluation, it was confirmed that the 8 values of the children in the experimental group were significantly improved compared to the children of the control group, so this program was effective in enhancing the values of each of the 8 areas of personal financial management needed for children. In addition, the children in the experimental group showed significant improvement compared to the children in the control group in the cognitive, justice, and psychodynamic levels of values. It has also been found to be effective in enhancing as a result of the qualitative evaluation, various positive changes were found in the cognitive, affective, and psycho-dynamic dimensions about the values of each financial management area for children. From a positive perspective, it was found that it plays a useful role in cultivating the values of each area of positive personal financial management.

코로나 19 팬데믹 시대 속 여성의 위기와, 돌봄에 대한 목회신학적 성찰 : 기독교 교육학적 접근 (Crisis in Women during COVID-19 Pandemic and Pastoral Theological Reflection on Care : Christian Educational Approach)

  • 이수영
    • 기독교교육논총
    • /
    • 제68권
    • /
    • pp.217-243
    • /
    • 2021
  • 본 연구는 유엔 사무총장이 "코로나 19는 여성의 얼굴을 한 위기이다" 라고 언급한 것에서 볼 수 있듯이, 코로나 19 팬데믹으로 인하여 가장 큰 위기와 고통, 어려움에 처한 여성들의 상황을 통계자료들와 학술연구결과들을 통하여 경제적, 사회 문화적, 심리 정서적 측면에서 구체적으로 다루고, 이 문제들이 어떻게 "돌봄"에 관련되어 나타나는지 살펴보았다. 그리고 이러한 문제들과 위기에 대한 교회의 한 대응으로서 "돌봄윤리"와 "돌봄목회"를 통한 목회신학적 성찰을 도모하였다. 교회의 "돌봄목회"는 교회내의 개인적 돌봄 뿐 아니라 사회, 문화, 경제, 정치, 생태계적 이슈들에도 확장되며, 교회는 공공성을 가지고 재난과 관련된 이러한 이슈들에 응답하는 선교적 사명을 지닌다. 나아가 교육목회를 통해, 돌봄과 불평등에 대한 가치관과 사고방식의 변화와 디아코니아, 교회공동체의 사랑의 돌봄이 격려되어야 할 것이다.

Influence of Police Authorities and Units on Transport Safety in the European Union Countries

  • Chervinchuk, Andrii;Pylypenko, Yevheniia;Veselov, Mykola;Pylypiv, Ruslan;Merdova, Olga
    • International Journal of Computer Science & Network Security
    • /
    • 제22권6호
    • /
    • pp.109-114
    • /
    • 2022
  • The article is devoted to analyzing the police influence on road safety formation. The globalization processes confirm the study's relevance, provoking population mobility and the need to increase freight traffic. The study aims to identify the factors that affect road safety and the activities of the police and the EU transport safety units. An empirical analysis using factor analysis, correlation analysis, and general scientific methods of cognition were carried out to achieve the goal. The analysis results found that the number of police officers affects road safety, but not in all countries, which confirms the importance of other factors. Based on the analysis results of the scientific literature, the factors affecting transport safety are legislative regulation, the use of innovative technologies, transport infrastructure, geography, and psycho-physical and emotional drivers factors. It has been proved that the police authorities and units cannot fully ensure transport safety in the European Union because the safety is formed by a complex of actions by the state and road users.

Proposal of Urban Agricultural Park Management and Operation Plan Using the Public Service Design Process

  • Lee, Sang-Mi;Yun, Hyung Kwon;Jung, Young-Bin;Hong, In-Kyoung
    • 인간식물환경학회지
    • /
    • 제24권2호
    • /
    • pp.153-167
    • /
    • 2021
  • Background and objective: With the revision of the Act on Urban Parks, Green Areas, Etc. in 2013, the "urban agricultural park" was newly established under the subcategory of "themed park," thereby establishing the institutional basis for the creation of urban agricultural parks. However, urban agricultural parks are still in the early stages of their introduction. There is a lack of research on direction setting and specific operation management that considers urban residents' needs and the city's physical infrastructure. Methods: We utilized the public service design process suggested by the Ministry of the Interior and Safety of the Republic of Korea in 2019 to identify problems and develop directions for urban agricultural parks. The process consisted of the following four steps: Understanding, Discovering people's needs, Defining real problems, and Developing ideas. Results: As four types of ideas for revitalizing urban agricultural parks, 'information users want to know,' 'user participation in design,' 'venue for local communities,' and 'urban agricultural parks as health and rest areas' were derived. This means that urban agricultural parks must provide the information users want; users must plan, decide, and implement such information by directly participating in the creation and efficient management and operation of urban agricultural parks; and urban agricultural parks must be used as a venue for local communities. Urban agricultural parks should also be spaces for health and relaxation. Conclusion: Urban agricultural parks should avoid the unified space and passive participation patterns of existing urban parks, and become real spaces for resident participation that can satisfy all the production, leisure, landscape, ecology, and psycho-social needs of the users of urban agricultural parks. Furthermore, it is necessary to introduce a more systematic and diverse operating system so that it can work to revitalize the local community and connect organically with the function of the city.

포커스 그룹 인터뷰를 통한 암 경험자의 산림치유 참여 경험 (Experience of Participating in the Forest Therapy of Cancer Survivors through Focus Group Interviews)

  • 채영란;천인선;이선희;강효영;조영미;강소연;박수연
    • 농촌계획
    • /
    • 제28권3호
    • /
    • pp.13-23
    • /
    • 2022
  • The purpose of this study was to identify the effects experienced by cancer survivors through the forest therapy, and to provide evidence for applying the forest therapy program. Nineteen cancer survivors who participated in the forest therapy program hosted by K University were targeted, and qualitative data were collected through three focus group interviews. All interviews were recorded and transcribed and analyzed by subject-specific content analysis method. According to the research results, the attributes of forest therapy experienced by cancer survivors were 'Escape from bondage', 'Time to empty and fill the mind', 'Healing from positive forest stimulation', 'Self met in a space of rest', 'Initiative for life'. Five themes and fifteen sub-themes of 'recovery' were derived. These research results revealed a healing experience of feeling comfortable and physically relaxed through communication with the forest, discovering the self, and regaining initiative in life. It can be seen that the forest therapy is helpful in overcoming the physical, emotional, and psycho-social discomforts of cancer survivors.

노인 장기요양기관에 종사하는 사회복지사의 임종 케어 경험과 역할에 관한 질적 연구 (Qualitative Study on Social Workers' Experiences and Roles during End-of-Life Care in Elderly Long-Term Care Facilities)

  • 김은경
    • 한국콘텐츠학회논문지
    • /
    • 제22권5호
    • /
    • pp.503-517
    • /
    • 2022
  • 본 연구는 노인 장기요양 서비스를 제공하는 기관에서 종사하는 사회복지사들이 임종 케어 과정에서 겪는 심리·사회적 경험 및 역할에 대해 알아보았다. 심층 면접을 통한 자료 분석 결과 사회복지사들은 임종 케어 과정에서 빈번한 죽음 경험으로 인해 기가 빠지고 소진됨을 경험하였으며 돌아가신 노인분들에게 더 잘해드리지 못한 것에 대해 아쉬움과 정든 분에 대한 그리움을 나타냈다. 그리고 갑작스러운 죽음이 발생하면 가족들의 비난과 불평을 겪기도 하였다. 임종 케어시 사회복지사들의 주된 역할로 죽음 징후가 나타나면 가족들에게 수시로 연락하여 소통하였고 임종 후 주 부양자 가족들을 위로하고 지지하였다. 응급상황 대처를 위한 사전준비와 응급조치에 대한 법적 안전망, 사회복지사들의 소진을 막기 위한 재충전 프로그램 및 지지 모임, 임종 케어를 위한 표준화된 매뉴얼과 교육의 필요성이 제시되었다. 또한 노인분의 존엄한 죽음을 위하여 죽음 준비교육, 호스피스 케어, 사전 의료의향서 등의 필요성도 강조되었다.

디지털 미디어 환경에서 사용자 환경 모드에 따른 색채 인지 특성 연구 (A Study on the Characteristics of Colour Perception According to Light and Dark Mode in the Digital Media Environment)

  • 홍지영
    • 한국인터넷방송통신학회논문지
    • /
    • 제23권3호
    • /
    • pp.65-70
    • /
    • 2023
  • 디지털 미디어 환경은 디지털 매체를 다각화시키면서 사용자 중심의 다양한 형태로 접근하고 있다. 디지털 기술의 발전에 의해 디지털 미디어 환경은 광대한 네트워크 정보망을 형성하고 보다 인터렉티브한 커뮤니케이션을 지원함으로써 이와 관련 사용자 중심의 기초 연구가 필요하다. 디지털 미디어 환경을 대표할 수 있는 모바일 디스플레이는 휴대성이 높은 장점을 갖고 있지만 소형화와 전력절감을 위해 얇은 디스플레이 패널과 저성능 이미지 센서를 채택하는 등 대형 디스플레이에 비해 색상 표현력이 떨어질 수밖에 없다. 본 연구에서는 대표적 디지털 융합 매체인 모바일 디스플레이를 구체적 연구대상으로 사용자 중심의 다크 모드와 라이트 모드에서 시감적 색채 인지특성에 대해 알아보고자 한다. 시감적 색채 인지 특성을 알아보고자 KS 12가지 색채를 기반으로 색채 속성을 각각 제어하여 정신물리학 실험을 진행하고 이를 분석하였다. 본 연구에서는 진행된 실험 결과를 분석하여 다크 모드와 라이트 모드에서 색채 인지에 차이가 있는지 알아보고 색채 인지 특성에 대한 기초 연구 자료로써 유의미 여부를 정의한 후 향후 연구방향을 제시한다.