• 제목/요약/키워드: Psychological Therapy

검색결과 710건 처리시간 0.025초

무릎 전치환술 환자의 통증과 심리적 안녕에 관한 연구 (A Study of Pain and Psychological Well-Being in Total Knee Replacement Patients)

  • 채정병;정주현
    • PNF and Movement
    • /
    • 제18권2호
    • /
    • pp.233-244
    • /
    • 2020
  • Purpose: The study investigated pain and falls as psychological factors in Total Knee Replacement patients and examined the relationship between these factors. Methods: Ninety-six total knee replacement patients aged 69.31±7.01 (male: 21, female: 75) participated in the study. Post-surgery pain was assessed on a visual analog scale, and fall risk scores were evaluated on fall fear and fall efficacy scales. Other psychological factors assessed included national anxiety and trail anxiety, fear prevention, Beck depression score, and psychological health measures. The data were analyzed using SPSS version 22.0. Results: A statistically significant correlation was found between pain before surgery and FES fall fear score before surgery (p < 0.05). A statistically significant correlation was found between pain after surgery and PWBS fall fear score after surgery (p < 0.05). A statistically significant correlation was found between state anxiety and PWBS, Trail anxiety (p < 0.05). A statistically significant correlation was also found between trail anxiety and BDI, PWBS (p < 0.05). State anxiety and fear avoidance before surgery were found to affect trail anxiety, and pain before surgery and fall fear score before surgery were found to affect FES. In addition, PWBS was found to affect BDI. Conclusion: The study confirms that increased pain in Total Knee Replacement patients can be a risk factor for falls. In addition, fall fears increase fear avoidance and cause psychological deterioration. This suggests that efforts should be made to reduce pain and to manage psychological factors.

심리적 인슐린저항성 개념분석 (Concept Analysis for Psychological Insulin Resistance in Korean People with Diabetes)

  • 송영신
    • 대한간호학회지
    • /
    • 제46권3호
    • /
    • pp.443-453
    • /
    • 2016
  • Purpose: The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes. Methods: The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process. Results: The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators. Conclusion: The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.

Psychiatric understanding and treatment of patients with amputations

  • Jo, So-Hye;Kang, Suk-Hun;Seo, Wan-Seok;Koo, Bon-Hoon;Kim, Hye-Geum;Yun, Seok-Ho
    • Journal of Yeungnam Medical Science
    • /
    • 제38권3호
    • /
    • pp.194-201
    • /
    • 2021
  • Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

이정변기(移精變氣)요법을 시행한 울증(鬱證) 환자 1례(例)에 대한 임상고찰 (The Case Study of a patient with 'Ul-zeong' who has treated by $'Y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$)

  • 최강욱;이상룡;정인철
    • 동의신경정신과학회지
    • /
    • 제16권2호
    • /
    • pp.233-242
    • /
    • 2005
  • 'Ul-zeong' comes from obsturction of qi by stress. The mind affect the body. The patient has depressed mood, irritable sign, chest discomfort, costral pain, angry state or some strange feeling on the throat. $'Y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$ is a psychological therapy that a doctor changes the patient ' s psychological condition by using various method. 'yi' means moving, 'qing' means changing. Art therapy means a therapy by using artistic activities and included in $'y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$ In this case, a female patient, 35 years old, who suffered from 'ul-zeong' with depressed mood, anxiety, general body weakness, anorexia, constipation. We used $'y{\acute{i}}q{\acute{i}}ngbi{\grave{a}}nq{\grave{i}}'$ besides herbal medication, acupuncture to her and her condition got improved. Therefore we reported it for the treatment.

  • PDF

조루증(早漏症) 치료(治療)의 한의학적(韓醫學的) 접근방법(接近方法)에 관(關)한 연구(硏究) (Study on the Treatment of Premature Ejaculation in Oriental Medicine)

  • 송운용;김형균;이언정;송봉근
    • 대한한의학회지
    • /
    • 제19권1호
    • /
    • pp.444-469
    • /
    • 1998
  • Premature ejaculation is the most common sexual dysfunction seen in the male, and it is found in 30 to 50% adult male population. It is defined as the inability to control the ejaculatory process for a sufficient length of time during intravaginal containment to satisfy his partner in at least fifty percent of his coital connections The majority of men with premature ejaculation have underlying psychologic origin of performance-anxiety type, but it is not always psychogenic and may also be a presenting symptom in certain organic disorders. In oriental medicine, the point of treatment of premature ejaculation is recovery of the good ejaculatory control, and the treatment can be approached in three ways as psychological therapy involving behavioral therapy, herb drugs, and acupuncture. This study has aims to investigate and summarize the current trend of treatment for premature ejaculation so as to suggest the effective and available way to treat the disease.

  • PDF

A Survey on Sexual Harassment and Countermeasures of Physical Therapists in the Workplace

  • Jeon, Hye-Jeong;Lee, Joon-Hee
    • The Journal of Korean Physical Therapy
    • /
    • 제34권2호
    • /
    • pp.73-79
    • /
    • 2022
  • Purpose: This descriptive study aimed at physical therapists to determine the actual conditions of sexual harassment occurring in the workplace, their coping strategies, and effective coping methods. Methods: In total, 186 responses were collected through Google from June 28 to August 21, 2021. The questionnaire consisted of 102 questions about the subject's general characteristics, sexual harassment, psychological stress, physical stress, and sexual harassment prevention education. Statistical Package For The Social Sciences (SPSS) was used for analysis, frequency analysis, percentage, standard deviation, and corresponding sample t-test, and the significance level was set to 0.05. Results: The perception of sexual harassment was 7.1, which was lower than that of other occupations. The perpetrators of visual, verbal, and physical sexual harassment appeared in the order of patients, coworkers, and guardians. Psychological and physical stresses were higher than the average due to damage caused by sexual harassment, requiring some attention. Work stress showed an average level. With the higher perception, a negative correlation was observed in the face of mitigation (p<0.001). Conclusion: The number of victims of sexual harassment is increasing every year. To cope with sexual harassment, there should be a department capable of counseling and processing in the workplace, and what occurs should be analyzed. In addition, educational programs are needed to prevent sexual harassment in consideration of the characteristics of hospitals.

중년여성의 갱년기 증상완화를 위한 대체요법 경험 (The Experiences of Alternative Therapy with the Menopausal Symptom in middle-aged Women)

  • 이혜숙
    • 한국간호교육학회지
    • /
    • 제10권1호
    • /
    • pp.149-160
    • /
    • 2004
  • The primary purpose of this study was to describe psychological aspects of menopausal women who have experiences on alternative therapies, such as pomegranate tree fluid, life pack, evening primerose, zacro syrup, zacro pill, multi-vitamin, oriental medicine instead of estrogen. In order to have insights on the participants behaviors, this qualitative research was conducted. The participants in this study were six women who have been taking at least one of the alternative therapies to relieve the menopausal symptom. Data had been collected from November 2002 to May 2003. The interview questions were about motivations to seek the alternative therapy, menopausal symptoms, feelings or positive effects after the treatment. The interviews were recorded and transcribed into written documents. The method described by Giorgi was utilized for data analysis. The study results were as follows : 1. The participants sought the alternative therapy based on their own information or by friends' recommendations. The motivations of taking the therapy were to live younger and healthier by reliving menopausal symptoms including somatic symptoms, such as irregular menstruation, flushing sense, cold sweating, insomnia, dull headache, vagina dryness, cystitis after sexual intercourse, joint pain, nervousness, depression, skin dryness, and suppression of activity. 2. The participants expressed that they became more active and felt better with disappearing menopausal symptoms after about 2 to 3 weeks treatment. 3. The participants did not want to accept the fact that they had menopause, which caused avoidance of having medical diagnosis and medical treatment. They also did not want to let their spouses know about their symptoms. 4. The major reason of taking the alternative therapy was to avoid the side effects of estrogen therapy in spite of high costs of the alternative way. 5. The participants suggested that menopausal women needed to be educated about physical and psychological symptoms of menopause. They also needed to be informed about how to manage it. In conclusion, accurate information about foods and drugs utilized for the alternative therapy was needed. Medically proved methods to recognize positive effects and side effects were also necessary. These goals could be achieved by continuous medical observations and further research.

  • PDF

The Impact of Program Improvement Using Forest Healing Resources on the Therapeutic Effect: Focused on Improving Index of Greenness for Adolescents

  • Hwang, Joo-Ho;Lee, Hyo-Jung;Park, Jin-Hwa;Kim, Dong-Min;Lee, Kyoung-Min
    • 인간식물환경학회지
    • /
    • 제22권6호
    • /
    • pp.691-698
    • /
    • 2019
  • This study is to examine the effect of improving the forest therapy program for adolescents using forest healing resources (focused on improving index of greenness for adolescents). The participants were 30 students from in the control group that participated in the 2018 program, and 51 students in experimental group that participated in the improved program in 2019. The questionnaire, developed by Korea Forest Welfare Institute, was comprised of items on general matters, index of greenness, restorative environment, positive emotion, negative emotion, facial expression and psychological assessment. The control group had 30 and the experimental group had 49 valid copies of the questionnaires. As a result of the paired sample t-test for each group, the control group showed a significant increase in all categories except restorative environment. In the experimental group, all categories significantly improved to a higher level (p <.01). An independent sample t-test (one-tailed test) was performed to test the effect of the forest therapy program with improved index of greenness. As a result, the index of greenness increased by 0.73 points(t=2.555, p <.01) and restorative environment by 1.01 points (t=2.567, p <.01), showing statistical significance. Negative emotion increased by 0.04 points (t=0.183, p >.05), which was not significant. On the other hand, positive emotion decreased by 0.42 points (t=-1.918, p <.05), facial expression by 0.57 points (t=-1.775, p <.05), and psychological assessment by 0.29 points (t=-0.981, p >.05), showing significance in positive emotion and facial expression. However, all the decreased items showed significant improvements between the pretest and posttest scores of the experimental group.

동물매개치유 연구고찰을 통한 국내 치유농업의 방향설정과 적용방안 연구 (A Study on Application Plan and Research Direction Proposal of Domestic Therapy Agriculture through Review of Animal-Assisted Therapy)

  • 김대식;이영란;박희근;피피트;이위;이광민;정성구;박종구;김경일;이왕록
    • 농촌계획
    • /
    • 제22권1호
    • /
    • pp.57-67
    • /
    • 2016
  • The purpose of this study was to review of animal-assisted therapy. Method: Animal-assisted therapies (AATs) in domestic and international studies (68 cases) were analyzed by searching databases, KERIS & KISS, and the Pub MED(NCBI). Result: In AATs, a few animals were used for the various disease or disorder. Dog centered therapies were most common.. AATs were used in the various disorder and disease. For the psychological effect, majority of the outcome variables were depression and anxiety. For the physical effect, the most outcome variables were blood pressure, heart rate, and stress hormone. However, These results show that AATs were confined to specific areas such as sensation-centered therapies. Conclusion: AATs had positive effects both in physical and psychological factors even if the study areas have not been applied to the various condition. The further research is needed to identify scientific grounds for the effects of the interventions through various therapies.

웹 환경에서 감성적 표현요소를 통한 음악 치료 시스템 개발 - 시각요소를 중심으로 - (Web-based Software Tool for Generating Music Therapy System Through Emotion Expression - Visual Expression -)

  • 김태식;현혜정
    • 한국콘텐츠학회논문지
    • /
    • 제7권6호
    • /
    • pp.177-184
    • /
    • 2007
  • 본 연구에서는 교수학습과정에서 기존에 개발된 여러 웹 관련 컴포넌트기술을 활용하여 학생들이나 교사들이 자기가 원하는 형태의 작은 의미의 음악치료시스템을 생성할 수 있도록 해 주는 툴을 개발하고자 한다. 이 툴은 개발자가 자신이 원하는 질문의 형태와 단계, 그에 따라 보여줄 수 있는 이미지(시각적 표현) 등을 입력하고 배치할 수 있게 하며 심리상태가 결정된 후 그에 적합하게 들려줄 수 있는 음악도 개발자가 입력할 수 있는 기능을 제공하게 된다. 개발자는 이 모든 과정을 자신이 원하는 형태로 개발 할 수 있도록 툴을 통해 다양한 기능을 제공받게 된다. 본 연구에서는 이러한 심리검사를 시스템을 생성할 수 있도록 하는 툴을 개발하였으며 사용자들은 이 시스템으로 그들의 심리상태를 가장 잘 묘사하는 이미지를 선택하고 몇 단계를 거친 후 그 상황에 가장 적합한 음악을 들을 수 있고, 음악치료로도 사용될 수 있다. 이러한 시스템개발은 교육현장에서 다양한 콘텐츠 개발에 효과적으로 접근할 수 있도록 한다.