• 제목/요약/키워드: Psychological Recovery

검색결과 181건 처리시간 0.026초

한방재활치료를 받은 뇌졸중 환자가 지각한 가족지지와 기능회복에 관한 연구 (Study on the Relationship between Family Support and Functional Recovery in Cerebrovascular Accident Patients with Rehabilitation Treatment of Oriental Medicine)

  • 김광주;이향련
    • 동서간호학연구지
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    • 제2권1호
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    • pp.22-36
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    • 1997
  • Functional recovery of cerebrovascular accident (CVA) patients were studied by examining functional independence measure (FIM) to evaluate the functional state of the patients at admission to and at discharge from the hospital and its relationship with the family support. Study subjects consisted of 129 CVA patients, who were admitted and received rehabilitation treatment at K Medical Center of Oriental Medicine from August 3 to December 18, 1997. The results were as follows: 1) Total FIM score was $72.37{\pm}25.16$ at admission and $101.67{\pm}22.13$ at discharge. The difference of average score was 29.30, which was statistically significant by paired t-test. 2) The largest difference between FIM scores at admission and at clischarge was observed in items of walking and wheel-chair riding, and the smallest clifference in items of social interaction. 3) The recovery was faster with motor function than with cognitive function, because the difference of FIM scores at admission and at discharge was much larger with motor function. 4) Recovery was better in groups under age 49 than in groups above age 70. Functional recorvery was prominent especially in groups with normal sensory state and speech functions, and groups without urinary incontinence. Recovery was less significantly in patients with paraplegic patients hospitalized longer than 2 months, patients with family all the time, and patients with CVA over 11 days. 5) We could not find any relationship between functional recovery and family support. FIM scores were lower in groups of old age(r=-0.325), long stayed in hospital (r=-0.426), and long period of time after the onset of disease(r= -0.339) with a reciprocal correlation between FIM scores and these parameters. 6) Stepwise multiple regression analysis was done to evaluate factors to affect the recovery from CVA. FIM score at admission could explain 51.2 % of the functional recovery. Important factors were periods of hospitalization, state of sensory function, age, and education (listed in decreasing order of importance). In total, they could explain 64.89% of the functional recovery. These results indicate that functional recovery of CVA patients, who were admitted to oriental medicine hospital for rehabilitation treatment, could be estimated by measuring FIM scores. Recovery was significantly better at discharge from the hospital than at admission and motor function recovery rate was much faster than that of cognitive function. 2. Recommendation Based on these results, we recommend following further studies. 1) Comparative study of recovery of motor function and of sensory function would be necessary by measuring FIM scores once a week to evaluate the recovery of CVA patients. 2) It would be interesting to see whether there is any difference of functional recovery between patients treated with either western medicine or oriental medicine. 3) Psychological factors affecting the recovery of CVA patients need to be studied.

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서비스 회복이 고객의 행동 의도에 미치는 영향에 관한 연구 : 서비스 회복의 공정성과 진정성을 중심으로 (Justice and Authenticity of Service Recovery : Effects on Customer Behavioral Intention)

  • 박은지;김창곤;김명수;한장희
    • 유통과학연구
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    • 제13권2호
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    • pp.63-73
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    • 2015
  • Purpose - Satisfaction with service is evaluated according to customers' subjective judgment. The expected value of customer service and its evaluations depend on the customers' position. The customer recognizes two different forms of service levels. One is satisfaction and the other is dissatisfaction. Customers who are satisfied want to receive the service in future. However, those dissatisfied try to change the service. The service provider tries to improve the service. There are two different service cycles. One is the successful cycle and the other is the failure cycle. This study aimed to empirically determine the effects of the justice and authenticity of service recovery on customer behavioral intention through an integrated approach to cognitive justice and psychological authenticity. Research design, data, and methodology - Based on a literature review, justice of service recovery was categorized into three types: distributive, procedural, and interactive. Then, authenticity was added to obtain four independent variables, along with recovery satisfaction as a parameter. Behavioral intention, as an outcome variable, was divided into the repurchase intention and positive word-of-mouth. The model and hypotheses were created and measurement items were developed. A questionnaire survey of items concerning the service recovery experience at family restaurants was conducted on college students and residents in Gwangju from September 30 to October 31, 2013. A total of 400 copies of the questionnaire were sent out and 385 were returned. Respondents answered questions about the importance of, and satisfaction with service recovery on a 5-point Likert scale. Excluding 174 copies without service failure experiences and 7 inappropriate copies, 204 copies were analyzed using SPSS 21.0 for Windows and AMOS 20.0 to determine the reliability and validity of measurements. The hypotheses were tested through a goodness-of-fit analysis. Results - First, distributive justice positively affected recovery satisfaction. Second, procedural and interactive justice had no impact. Third, authenticity positively affected recovery satisfaction. Fourth, distributive justice had relatively stronger effects on recovery satisfaction than authenticity. Fifth, recovery satisfaction significantly affected repurchase intention and positive word-of-mouth and it proved effective in mediation. Finally, additional analysis was performed for descriptive statistics of the principal variables by various demographic characteristics and significant differences were found in gender, occupation, and so on. Conclusions - This study has academic significance as the fairness and authenticity of service recovery were investigated to reveal the effects on behavior. The findings could be applied to a wide range of service recovery strategies. However, there are some limitations. First, data was collected only from the residents of Gwangju and most respondents were aged 20-30. Future studies should target a wide range of areas and age groups. Second, because the questionnaire used in this study targets only convenience family restaurants, the results of this study cannot be generalized to all services companies. Future research should be done on a wide range of industries such as hotels, airlines, and hospitals, and perform a comparison between sectors.

대장암 수술 환자의 퇴원 시 간호요구도 조사 (The Nursing Needs of Post-Surgical Colon Cancer Patients at Discharge)

  • 주애라;염순교;박경숙
    • 기본간호학회지
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    • 제16권4호
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    • pp.392-401
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    • 2009
  • Purpose: This study was a descriptive survey of nursing needs for post surgical colon cancer patients at discharge. Method: A survey was done utilizing questionnaires about the nursing needs a target sample of 61 patients who had colon cancer surgery during April May 2006 in a general hospital in Seoul. Results: Levels for treatment & prognosis were the highest in all domain, high in order of psychological support & stability, complications & discomfort, diet, daily life style, recovery & health promotion, and support system. Patient factors affecting nursing needs were age, job, duration of colon cancer and handling of stoma. Conclusion: Using discharge education for colon cancer patients based on the results of this study, nurses should focus on the domains of treatment & prognosis, psychological support & stability and complication & discomfort, and should tailor teaching content to be specified for age, job, duration of colon cancer, and handling of stoma.

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종합병원 간호사의 직무착근도 관련 변인들 간의 관계 구조모형 (Structure equation modeling of job embeddedness in general hospital nurses)

  • 김경미;전소연;주현정;이연향;우경미
    • 한국간호교육학회지
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    • 제28권2호
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    • pp.204-217
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    • 2022
  • Purpose: This study was conducted to determine the factors affecting a hypothetical model of testing for general hospital nurses' job embeddedness. Methods: Data were collected from August 20 to September 19, 2021, by a self-administered questionnaire answered by 428 general hospital nurses. The data were analyzed by SPSS and AMOS. Results: Nine of the hypothetical model's 12 hypotheses were supported by the data collected from all participants. The test results indicate that ego resilience, subjective career success, and recovery experience from job stress directly affect participants' job embeddedness. Nurses' work environments were reported to affect ego resilience and subjective career success, while at the same time ego resilience and subjective career success affected the participants' job embeddedness. Work-life balance was found to affect ego resilience and ego resilience affected subjective career success, and at the same time subjective career success directly affected participants' recovery experiences from job stress and job embeddedness. Of these variables, subjective career success had the strongest direct effect on participants' job embeddedness. Work-life balance affected the participants' recovery experiences from job stress, and their recovery experiences from job stress were found to directly affect job embeddedness. Conclusion: These results suggest that different management strategies to enhance hospital nurses' job embeddedness should address nurses' ego resilience, subjective career success, and recovery experiences from job stress.

Coping Mechanisms Utilized by Individuals With Drug Addiction in Overcoming Challenges During the Recovery Process: A Qualitative Meta-synthesis

  • Agus Setiawan;Junaiti Sahar;Budi Santoso;Muchtaruddin Mansyur;Syamikar Baridwan Syamsir
    • Journal of Preventive Medicine and Public Health
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    • 제57권3호
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    • pp.197-211
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    • 2024
  • Objectives: Recovery from drug addiction often poses challenges for the recovering person. The coping mechanisms employed by these individuals to resist temptations and manage stress play a key role in the healing process. This study was conducted to explore the coping strategies or techniques that individuals with addiction use to handle stress and temptation while undergoing treatment. Methods: A qualitative meta-synthesis approach was utilized to critically evaluate relevant qualitative research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were used for article selection, with these standards applied to 4 academic databases: Scopus, PubMed, ProQuest, and CINAHL. The present review included studies published between 2014 and 2023, selected based on pre-established inclusion criteria. The quality of the studies was assessed using the Critical Appraisal Skills Programme Qualitative Studies Checklist. This review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42024497789. Results: The analysis of 13 qualifying qualitative articles revealed 5 major themes illustrating the coping mechanisms employed in the pursuit of recovery by individuals who use drugs. These themes include seeking social support, as well as psychological coping strategies, spiritual experiences, professional interventions, and the enhancement of awareness. Conclusions: Among individuals with drug addiction, coping mechanisms are crucial for resisting stress and temptations throughout the recovery process. Healthcare professionals, as medical specialists, can establish more thorough and effective plans to support these patients on their path to recovery.

중국인 유학생의 아증후군적 우울증 회복을 위한 방법 연구 (A Study on the Recovery of Sub-Syndromatic Depression in Chinese Students)

  • 정선요;이연우;김치용
    • 한국멀티미디어학회논문지
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    • 제24권10호
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    • pp.1425-1434
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    • 2021
  • Lately, the mental issues of Chinese worldwide understudies have become an unavoidable examination issue. As per important explores in different nations, the level of discouragement inclination of Chinese understudies has been on the ascent. This examination utilizes the Bread cook Wretchedness Scale II to test the psychological condition of 249 Chinese understudies concentrating in South Korea. The outcomes show that Chinese understudies in South Korea likewise have a specific level of mental issues. The extent has reached 34.5% of the absolute number of Chinese understudies in South Korea. This exploration investigates the current circumstance dependent on the review results, and directs a top to bottom examination of the attributes of worldwide understudies in Korea. Simultaneously, it is recommended that mental treatment can be utilized to work on their psychological state. Through the pertinent inquiries for grounds mental directing administrations, it obviously presents the issues that Chinese global understudies face in South Korean grounds mental guiding, just as the school's improvement measures. Simultaneously, this examination consolidates the media SNS social stage, investigates existing issues, and proposes how schools can adequately construct a SNS stage at the degree of mental advising, just as the adapting techniques and systems for Chinese understudies dealing with mental issues.

Education Programs for Disaster Mental Health: Website-Based Review

  • Hyun-Seo Park;Joohee Seo;Sang-Ho Kim
    • 동의신경정신과학회지
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    • 제34권1호
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    • pp.43-59
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    • 2023
  • Objectives: Although a manual for a disaster medical support using Korean medicine doctors for disaster survivors has been developed, education programs for using the manual in disaster situations need to be developed. Thus, the purpose of this study was to analyze existing online education programs for disaster mental health to develop education programs for Korean medicine doctors. Methods: We conducted website searching for disaster mental health education programs using Google. Compositions, contents, hours, methods, costs, organizers, and targets of included educational programs were analyzed qualitatively. Results: After searching, eight websites among a total of 64 were included for the analysis. Lectures consisted of Psychological First Aid, Skills for Psychological Recovery, Self-Care, and Psychological Education after a disaster experience. Training hours for each program ranged from 30 minutes to 31 hours. All lectures were given only online. They could only be taken online. Free lectures were the most common ones. Most of them were for the general public. Conclusions: Findings of this study provide information regarding trends of online education programs for disaster mental health. Our information could be used for developing disaster trauma response education programs for Korean medicine doctors in the future.

색채마음표현 프로그램이 대학생의 심리적 마음상태에 미치는 효과 (The Effect of the Color Mind Expression Program on the Psychological Mindedness of University Students)

  • 백현기;윤지원;하태현
    • 산업융합연구
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    • 제18권3호
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    • pp.117-124
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    • 2020
  • 색채가 인간에게 미치는 영향은 교육 이외에도 인간의 정서, 행동, 신체 간의 관계 등 다양한 영역에서 연구가 이루어져 왔다. 이 연구는 대학생의 색채표현을 관찰하여 대학생의 내면과 성향을 이해하고, 색채표현활동이 심리표출과 자아표현, 감정 해소의 수단이 될 수 있다고 가정하여, 색채마음표현 프로그램이 대학생의 심리적 마음상태에 미치는 효과를 찾고자 하는 것이 목적이다. 연구결과 색채마음표현 프로그램이 대학생의 내면 감정과 정서 표현에 영향을 미쳤으며, 색채심리와 활용에 긍정적 영향을 미쳤다. 또한 취업준비 등의 과정에서 느끼는 어려움을 솔직하게 표현할 수 있는 등 전반적으로 색채마음표현 프로그램이 부정적 정서에 긍정적 및 심리적 회복에 효과적으로 나타났다.

외상후 스트레스 장애에 대한 심리치료 효과 개관 : 재난 생존자를 중심으로 (Review of Psychological Treatment for Post-Traumatic Stress Disorder : Focus on Survivors of Disaster)

  • 장은영;이현지;김대호
    • 대한불안의학회지
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    • 제12권2호
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    • pp.69-78
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    • 2016
  • Objective : Disaster causes psychological distress to a large number of people in a short period of time, by both direct and indirect exposure to traumatic events embedded in various realms of disaster experience. Optimal, well-planned treatment interventions should follow from the early acute period to recovery phase, extending up to several months later. In this context, there is an increasing need for systemic review to gain comprehensive insights for disaster interventions. These need to be added to public policy, and for the prevention and treatment of disaster-related psychopathology. Here, we review the published studies on psychological interventions for disaster-related posttraumatic stress disorder. Methods : Specific psychological interventions regarded as effective treatments for have been selected for this review, such as CBT (Cognitive-Behavior Therapy), Exposure Therapy, EMDR (Eye Movement Desensitization & Reprocessing), SIT (Stress Inoculation Therapy) and Psychoeducation. In addition, natural disasters, industrial disasters, and accidents involving aircraft and ships were also categorized as disasters, along with war and combat trauma. Results : Cognitive behavior therapy and exposure therapy had the strongest research support for effectiveness, and could be considered as the first-choice treatment for disaster-related PTSD. The second line of treatment is EMDR, although this treatment modality has the advantage of reaching certain treatment improvements in fewer sessions. However, the effects of SIT and psychoeducation to the survivors of disasters, remains unclear at this point. Additionally, we propose the possibilities of using virtual reality component and imagery rescripting as modified forms of traditional cognitive behavior therapy and exposure therapy. Conclusion : Cognitive behavior therapy and exposure therapy, deemed effective treatments for various trauma, are considered to be effective for survivors from disasters. However, the efficacy of other interventions has not yet been examined methodologically in well-designed studies, such as randomized controlled trials. In particular, future empirical studies are needed, since it is difficult to conclude that psychological interventions have similar effects on different types of disasters.

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자연유산을 경험한 여성의 신체적 증상 및 심리적 증상 관련요인 (Factors of Physical and Psychological Symptoms in Women after Miscarriage)

  • 정재원;정혜선;윤순녕;신종철;박현주;한미연
    • 여성건강간호학회지
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    • 제15권4호
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    • pp.303-311
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    • 2009
  • Purpose: The study aimed to explore the health consequences that women experienced after miscarriage and the factors related to them. Methods: A convenience sample consisting of 102 women who had miscarried within 2 years was used. Women were recruited from hospitals and enterprises in Seoul and Gyeong-Gi Province. Participants completed a self-administered questionnaire containing a physical and psychological symptoms checklist developed for this study. Results: More than 40% of the miscarriages occurred after 9 weeks of pregnancy and 35% of women were found to have had a previous miscarriage prior to this study. Psychological symptoms were more prevalent and prolonged than the physical symptoms, furthermore, the frequencies of the symptoms experienced were not consistent with the duration of symptoms. Employed women and women with early miscarriages complained of more physical symptoms; however, psychological symptoms were not different according to women's characteristics. Employment was a significant factor affecting physical symptoms. Conclusion: Health care professionals need to inform and educate women and the family of the potential health changes during the recovery after the miscarriage. Health consequences due to miscarriages also need to be incorporated in women's reproductive health care. Nursing care should consider factors of maternal age, employment status, and obstetrical conditions upon the apparent social changes.