• 제목/요약/키워드: Psychological Burn-out

검색결과 11건 처리시간 0.027초

Scar Status, Depression, Sleep, and Health Related Quality of Life Following Severe Burn Injury: A Cross-sectional Descriptive Study

  • 오현진;김경자;서정훈;김도헌;이병철;부선주
    • 가정∙방문간호학회지
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    • 제26권3호
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    • pp.341-348
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    • 2019
  • Purpose: Severe burn injuries require long periods of hospitalization and treatment, which results in various physical and psychological issues. The main purpose of this study was to identify burn characteristics and psychological problems that influence Health Related Quality of Life (HRQoL) after discharge. Methods: A cross-sectional descriptive study using mobile/web or paper-based survey methods was conducted from a major burn center. A total of 145 patients completed the scar assessment, quality of life, sleep disorders, and depression scales. Results: The overall mean HRQoL and scar status scores were 2.28 out of 5 and 34.45 out of 60 points, respectively. Participants with higher burn degree, joint involvement, and emotional distress reported significantly lower HRQoL and scar status. Participants with depression and sleep problems also had lower HRQoL. Significant predictors of HRQoL included burn range, scar status, depression, and sleep issues. Conclusion: The results show that patients with severe burn injury experience high levels of physical and psychological problems. Patients with severe burn injury and psychological problems such as depression and sleep are likely to experience a reduced HRQoL. Psychological management and intervention in home care setting may improve HRQoL of burn patients.

화상환아 어머니의 돌봄 경험에 대한 내용분석 (Content Analysis on Caring Experiences of Mothers of Children with Burns)

  • 남선희;서지민
    • 여성건강간호학회지
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    • 제18권4호
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    • pp.257-267
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    • 2012
  • Purpose: This study was conducted to identify the caring experience of the mothers of childhood burn patients. Methods: Data were collected from 28 mothers of childhood burn patients, through semi-structured in-depth interviews. Data were categorized and coded by using content analysis. Results: 27 categories and 102 statements were drawn from 4 domains. The analyzed domains were psychological sufferings, confronted harsh reality, coping method, and future concerns. Psychological sufferings were categorized heartache, sense of guilt, confusion, regret, depression, sorriness, getting hurt, frustration and upset feeling. Confronted harsh nature were categorized economic difficulty, physical burn-out, lack of caring other children and family troubles. Coping method were categorized positive thinking, having hope, ventilating feelings, accepting the situations, demanding help from family members, changing patterns of the burned child rearing, collecting information for burn treatment, refusing accept the condition of burned child, avoiding personal and social relationship, and reliance on religion. Concerns were categorized concerns of growth and adaptation of the burned child, anxiety for scar, concerns of adapting school life and vague future concerns. Conclusion: The nursing interventions for early assessing psychological problems and providing social supports for caring both burn patients and other siblings should be provided to the mothers of childhood burn patients.

간호사의 감정노동과 소진, 이직의도와의 관계에서 자기효능감과 사회적 지지의 역할 (The Role of Self-Efficacy and Social Support in the Relationship between Emotional Labor and Burn out, Turn over Intention among Hospital Nurses)

  • 김인순
    • 간호행정학회지
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    • 제15권4호
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    • pp.515-526
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    • 2009
  • Purpose: The purpose of this study was to investigate the role of Self-efficacy and Social Support in the emotional labor among hospital nurses. Method: Data was collected from 389 nurses in 3 general hospitals by means of structured questionnaires. Data was analyzed with descriptive statistics, Pearson's correlation coefficient and hierarchial multiple regression using the SPSS 14.0 program. Result: (a) self-efficacy of hospital nurses had no significant moderating and mediating effects between emotional labor and burn out, turn over intention. (b) Social support of hospital nurses had significant mediating effects between emotional labor and burn out, turn over intention. However, social support did not show moderating effects. Conclusion: Social support was a more important predictor of emotional labor than self-efficacy of hospital nurses. This finding suggests the importance of social support to increase hospital nurses psychological well-being and development of organization.

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2도 화상 치험 1례 (One case of Second Degree Burn Wound)

  • 정순영;강은교;서형식
    • 한방안이비인후피부과학회지
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    • 제20권1호통권32호
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    • pp.285-293
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    • 2007
  • Burn is a dermal injury mainly caused by heat. It occurs by flame, boiling water or liquid, steam, sparks, chemicals, radiation, and electricity. Burn is classified as four grades depending on how deep into the skin a person is burned. As the deep second-degree burns possibly leave scars, it can have various physical, psychological, and aesthetical effects with seriousness on the patient with a burn. This report is on the 50-year-old female patient who had a burn with boiling water and a mixture condition of superficial and deep second degree burn. The Korean medical treatments such as Herbal acupuncture, Herbal medication, Acupuncture, Herbal-ointment were used for 17 days to treat effectively the patient with a mixture of superficial and deep second degree burn. It is difficult to find out the report that treats a burn with Korean medical treatment. If more clinical treatments as in this report are proved to be effective, we are able to expect that Korean medical treatment should be a good treatment in burn.

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유아교사의 심리적소진과 관련된 요인에 대한 메타분석 (A Meta-analysis of the Factors Related to Psychological Burn-out of Early Childhood Teachers)

  • 문동규
    • 한국산학기술학회논문지
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    • 제19권11호
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    • pp.38-52
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    • 2018
  • 본 연구는 유아교사의 심리적소진과 관련하여 지난 20여년 간 국내에서 연구된 석 박사 학위논문과 학술지 논문을 중심으로 심리적소진 관련요인들의 효과크기를 메타분석을 통해 검증하였다. 검증결과는 다음과 같다. 첫째, 유발요인과 억제요인들의 전체효과크기와 요인군, 하부요인, 정적 부적효과요인 모두 유의미한 큰효과크기를 나타냈다. 둘째, 유발요인군은 큰효과크기를 가진 업무상문제요인군이 중간효과크기를 가진 부정적관계요인군 보다 상대적으로 큰 효과크기를 나타냈다. 셋째, 부정적관계요인군의 하부요인 중, 큰효과크기를 가진 원장과의 부정적 관계를 제외한 모든 하부요인이 중간효과크기를 나타냈다. 넷째, 업무상문제요인군의 하부요인은 상대적으로 업무스트레스가 가장 큰 효과크기를 그 다음 역할갈등, 업무과다, 역할모호 순으로 나타났다. 다섯째, 억제요인군 별 효과크기는 상대적으로 회복탄력성요인군이 가장 큰효과크기를 그 다음 조직지원요인군, 교사효능감요인군, 사회적지지요인군, 감정노동요인군 순으로 나타났다. 여섯째, 억제요인군 중 중간효과크기를 보인 감정노동요인군의 내면적, 자연적, 표면적행동요인, 조직지원요인군의 하부요인인 조직지원요인과 교사효능감요인군의 일반교사효능감요인, 사회적지지의요인군의 직장 내 외요인, 사회적지지전체요인을 제외한 모든 요인군이 큰효과크기를 나타냈다. 일곱째, 효과요인에 있어, 직무만족, 우울, 이직의도요인은 모두 큰효과크기를 보인 것으로 나타났다. 결론적으로 본 연구는 선행된 연구들을 통합적으로 정리하여 객관적 결과를 살피기 위한 수량적 통합을 시도했다는데 의의가 있다.

어린이 화상사고의 실태와 예방대책 프로그램 개발에 대한 연구 (A Study of Burn Accidents in Children towards Developing a Program for Prevention)

  • 한정석;서미혜
    • 대한간호
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    • 제36권4호
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    • pp.61-74
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    • 1997
  • This study is a descriptive study which was done to examine the circumstances surrounding burn accidents in children in order to develop a burn prevention program. The subjects for the study were the mothers of 107 children admitted to two burn specialty hospitals in seoul and the mothers of 172 healthy children attending day care or kindergarten. The tool used in the study was developed by the researchers, pretested and refined. Cronbach's alpha was 0.72. Data collection was done between November 1995 and April 1996. Statistically analysis was done using SAS Version 6.04 and the data was analyzed using test, chi square, regression and logistic analysis. A suumary of the results shows the following : Eighty percent of the children in both groups lived in nuclear families but comparatively more of the children with burn accidents lived in apartments. More of the parents in the group of healthy children had university education and held white collar or professional jobs, while the parents of the children with burn accidents were slightly younger than the parents of the healthy children. but not significantly younger. A significantly greater number of families of children with burn accidents had more than one child and the characteristics of the children with burn accidents that they were more frequently boys, either first or last born and very active. Most of the burn accidents occurred in fall or winter. sometime between noon and midnight and the majority occurred in the home and were caused by hot liquid. In 86% of the cases emergency care was not given at home but the child was brought to the hospital emergency unit. Most of the burns were second degree or greater. involved the arms or legs. required admission, and 41.5% occurred when the parents were preparing or eating meals. In a test of knowledge of preventive measures, the mothers of children who had suffered burn accidents scored slightly higher than the mothers who had no experience with burn accidents, but this was not statistically significant. As to what to do in the case of a fire, the mothers of the healthy children had more knowledge about who to notify. but 70% of the mothers in both groups did not know how to escape from the house if it was of fire. 80 to 96% did not know what do to in case of a fire, such as rolling if clothes were on fire. 80% did not know what emergency care to give for a burn, and 74 to 87% did not know when it is appropriate to try to put out a fire. It can be concluded from this study that. since the results show that the most frequent situation which resulted in burn accidents was when the parents were not aware of the danger of burns or were not paying attention to the child. and when there were no protective devices to prevent burns. and that accidents most frequently occurred at home. the most effective way of preventing accidents is to develop in the parents a "safety mind", Since burn accidents in children are usually more severe than in adults. the physical. emotional. psychological and social damage is greater. In order to develop and awareness of this in the general public. the use of mass media. books and pamphlets and other educational media that provide education on prevention of burn accidents need to be utilized.

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소방공무원의 외상사건 경험 및 산림산책이 소진에 미치는 영향 (The Effects of Firefighters' Experience of Trauma and Forest Walks on Burnout)

  • 신선희;공하성
    • 대한안전경영과학회지
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    • 제22권2호
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    • pp.57-71
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    • 2020
  • The purpose of this study is to explore the effects of fire officers' experience of traumatic events and subsequent forest healing on their occupational burnout. The results are as follows: First, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant effect on burnout. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of burnout. Thi sresult suggests that the more fire office rsare called out for fire fighting, the more they see their colleagues with severein juries, and the higher the level of mental and physical an xiety, the more they areex hausted. Moreover, for es thealing help store duce the irmental and physi calfatig uecaused by traumatic events, thu spreven ting them from suffering from burn out. Second, the experience of traumatic events, social and psychological healing, and relieving stress by strolling had a significant impact on occupational stress. The more fire officers are exposed to traumatic events, the more they lose self-control in social and psychological aspects, and the lower the level of stress relieved through strolling, the higher the level of occupational stress. This result indicates that to relieve job stress caused by fire fighting, increased forest healing activities, including various programs such as psychotherapy, developing interpersonal relationships and self-control, and creating a positive mind-set, can reducejobstress and help fire officers recover from it. Lastly, job stress had a mediation effect on the effects of the experience of traumatic events and forest healing on burnout. This implies that burnout can be prevented when fire officers gain high emotional stability through social and psychological healing and stress-relief strolling over a traumatic experience, and stronger support from the organization and family can keep them from being emotionally drained, thus contributing to the prevention of burnout.

임부의 조기진통 경험에 대한 현상학적 연구 (Phenomenological Study on Experience of Preterm Labor)

  • 류경희;신혜숙
    • 여성건강간호학회지
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    • 제15권2호
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    • pp.140-149
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    • 2009
  • Purpose: The purposes of this phenomenological study were to explore the experience of preterm labor. Methods: The participants were 7 women admitted to two obstetric hospitals in Kyunggi-do Province with preterm labor. Data was collected with MP3 records through individual in-depth interviews and participated observation. The data was analyzed by Giorgi(1985) method. Results: The results were divided into six categories as follows: 1) Inappropriate coping: unexpected event, overwork, lack of insight of preterm labor, 2) Burn out: multiple role, burden, role conflict. 3) Restrictions of lifestyle: uncomfortable hospital environment, wearisomeness, limitations of personal hygiene, 4) Physical discomfort: headache, flush, tremor, palpitations, 5) Psychological distress : concerns about fetus health status, fear of possible preterm delivery, lack of information, financial worries, 6) A transition to new lifestyle: share of household chores, communication with self-help group, careful lifestyle. Conclusion: The findings of this study will offer a better understanding of women's preterm labor experiences and suggest clues to nurses on how to improve the care they provide.

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의과대학 교수의 소진에 대한 이해 (A Review of Burnout in Medical School Professors)

  • 유효현;김형태
    • 의학교육논단
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    • 제25권1호
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    • pp.35-44
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    • 2023
  • The purpose of this study was to promote an enhanced understanding of burnout among medical school professors by reviewing the literature on burnout in domestic and international medical professors, and to seek measures to prevent burnout. To this end, the general concept of burnout and the physical, cognitive, psychological, social, and behavioral symptoms that result from burnout were explained. In addition, the causes and results of high burnout among medical school professors were summarized in terms of demographic characteristics and the duties of educators, researchers, and physicians, and measures to prevent burnout in medical school professors were divided into individual and organizational levels. In order to prevent burnout among medical school professors, sensitive interest in themselves and self-reflection are required at the personal level. At the organizational level, it is necessary to regularly monitor burnout among medical school professors, improve systems, encourage participation in the policy-making process, and develop customized education programs. At the social level, it is necessary to recognize that burnout of medical school professors is a social problem, for which further research is needed. Therefore, in order for medical school professors not to burn out, there must be appropriate interactions among the individuals, organizations, and society, and the consistent attention should be paid to this issue.

디지털교과서 활용에 따른 건강역기능 고찰 (A Review of Studies on the Health-adverse effects in using Digital Textbooks)

  • 서문경애;김은영;노원정
    • 디지털융복합연구
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    • 제10권1호
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    • pp.165-175
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    • 2012
  • 교육과학기술부는 2006년에 학교교육에 새로운 패러다임의 변화를 받아들이는 방법으로 디지털교과서의 사용을 시도하였다. 2007년 이후 일부 초등학교에서 디지털교과서를 시범적으로 사용하였다. 이에 교육과학기술부는 가까운 미래에는 초등, 중등, 고등학교에 디지털교과서의 사용을 확산하려는 의지를 발표하였다. 그러나 디지털교과서의 사용은 건강이라는 측면에서 많은 우려를 가지고 있으므로, 이 연구의 목적은 디지털교과서 활용에 따른 건강역기능을 확인하고자 국내외의 선행문헌고찰을 통하여 분석을 실시하였다. 디지털교과서 관련 건강연구가 처음이므로 컴퓨터를 활용한 유사한 학습환경에서 나타날 수 있는 문헌을 분석하여 시사점을 도출하고자 하였다. 가장 중요한 시사점은 신체적인 요소와 심리적인 요소인데, 신체적인 증상으로는 안증상, 근골격계증상, 전신증상, 피부증상 등이 나타났고, 심리적인 증상으로는 학습스트레스와 학습소진으로 나타났다.