• Title/Summary/Keyword: Psychological Therapy

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The Responding Strategies of Musculorskeletal Disease in Aging Society (고령화 사회의 근골격계질환관련 대응전략)

  • Yang, Yeong-Ae
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.4
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    • pp.505-511
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    • 2010
  • The purpose of this study was to show the occurrences of musculoskeletal disease in aging society and basic information on developments of a systematic prevention program and proposed management measures needed to prevent the disease. The Korea Occupational Safety & Health Agency has analyzed cases of industrial accidents that cause musculoskeletal disease, from 1998 to 2007. They found 30,439 people suffering from the disease during those ten years. This information is from the Ministry of Labor's industrial accident analysis and the industrial accident survey from the Korea Occupational Safety & Health Agency. The data was analyzed by age and industrial classification. In Korea, according to the studies on aging society, the occurrence of musculoskeletal disease in elderly employee's have increased, so prevention programs are needed. Psychological, mental and cognitive programs are needed, as well as other prevention programs to ensure health in old age. In this study, we were able to see the state of musculoskeletal disease in aging society and the countermeasures to prevent the disease, such as a universal design, guarantees, and recuperation services. Later, we found that studying the various elderly patients would be of great help to us.

Effectiveness of Physical Exercise in Patients Undergoing Allogeneic Hematopoietic Stem Cell Transplantation (동종 조혈모세포이식을 받은 환자에서 운동중재의 효과)

  • Lim, Su-Jin;Lee, So-Young;Oh, Eui-Geum
    • Asian Oncology Nursing
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    • v.12 no.3
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    • pp.195-203
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    • 2012
  • Purpose: To summarize and review the methodological quality of the evidence from trials examining the effectiveness of physical exercise in patients undergoing allogeneic hematopoietic stem cell transplantation (Allo-HSCT). Methods: Six randomized clinical trials (RCTs) were identified, reviewed for substantive results, and assessed for methodological quality. Results: Six trials met all methodological criteria on the modified Jadad score above 3 out of 5 points. Failure to blind the outcome assessor, and failure to describe the method of blinding of outcome assessor appropriately were the most prevalent methodological shortcomings. Various exercise modalities have been applied, differing in content, frequency, intensity, and duration. Positive results have been observed in part for a diverse set of outcomes, including physical and psychological performance. Conclusion: The trials reviewed in this study were of moderate methodological quality. They suggest that exercise in patients undergoing Allo-HSCT may be safe and feasible, and in part patients benefit from increased physical performance both during and after transplantation. Future RCTs should use larger samples, appropriate comparison groups, and a standard of outcome measures, and examine what kind of exercise intervention (aerobic vs. resistance vs. combined) is the most effective for Allo-HSCT patients. It would be necessary to define contraindication for exercise to guarantee its safety.

Factors Influencing Resilience of Patients with Hematologic Malignancy (혈액암 환자의 회복탄력성에 영향을 미치는 요인)

  • Kwak, So Young;Byeon, Young Soon
    • Korean Journal of Adult Nursing
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    • v.25 no.1
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    • pp.95-104
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    • 2013
  • Purpose: The purpose of this study was to investigate the level of resilience, family support, anxiety and depression in patients with hematologic malignancy, and to determine modifiable psychosocial factors that affect their resilience. Methods: Data were collected from 104 patients undergoing curative therapy at 'S' hospital in Seoul. The data were collected from April to May, 2012. The questionnaires included Korean Version of Connor-Davidson Resilience Scale, Family Support Scale and Hospital Anxiety-Depression Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression. Results: Resilience had statistically significant correlation with family support (r=.43, p<.001), anxiety (r=-.49, p<.001) and depression (r=-.52, p<.001). Factors influencing resilience were depression, family support, anxiety and time since diagnosis with R-sq. value of 36%. Conclusion: The results of the study show that family support, anxiety and depression have important influences on resilience of patients with hematologic malignancy. Thus, family support needs to be reinforced when developing and implementing nursing intervention, and nurses need to intervene to reduce anxiety and depression of patients with hematologic malignancy.

Cognitive Function in Breast Cancer Patients Receiving Adjuvant Chemotherapy (항암화학요법을 받은 유방암 환자의 인지기능)

  • Kim, Kyung-Hae;Chung, Bok-Yae;Kim, Gyung-Duck;Byun, Hye-Sun;Choi, Eun-Hee;Cho, Eun-Jung
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.1-11
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    • 2012
  • Purpose: This study reviewed articles related to breast cancer, cognitive function and chemotherapy available in 4 databases. Methods: The researcher reviewed 32 pieces of literature that were published between January 2001 and November 2011. Results: Within the last decade, several studies have investigated whether adjuvant treatment of breast cancer affects cognitive function. A number of prospective studies have reported inconsistent results regarding whether chemotherapy affects cognitive function. Approximately half of the studies reported subtle cognitive decline in a wide range of domains among some breast cancer patients following chemotherapy, and others did not. Conclusion: Breast cancer patients receiving adjuvant chemotherapy showed the most deterioration and the most persistent decline in cognitive function. Since cognitive impairment is subtle, if evident at all, discrepant findings are due to hormonal, physiological, psychological or temporal confounding variables and differences in study design. Especially, that chemotherapy may impair memory, executive function, attention and visuospatial function in women with breast cancer.

The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers (대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과)

  • Choi, Kyung-Sook;Park, Jung-Ae;Lee, Joo-Hyun
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.61-68
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    • 2012
  • Purpose: This study aimed to investigate the influence of resilience and symptom experience on quality of life. Methods: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. Results: The level of FACT-C was 86.61 (${\pm}18.91$), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (${\beta}$=.373), symptom experience (${\beta}$=-.292), and perceived health status (${\beta}$=-3.961). Conclusion: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

A Case of Psychogenic vomiting (七情吐) patient who showed loss of the weight due to Maladjustment in a Military life (군대생활 부적응으로 급격한 체중감소를 나타낸 칠정토(七情吐) 환자 치험 1례)

  • Yoo, Jong-Ho;Kim, Joo-Ho;Kim, Geuu-Woo;Koo, Byung-Soo
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.3
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    • pp.131-141
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    • 2006
  • Psychogenic vomiting (七情吐) is the disease of vomiting due to seven emotions that joy, anger, melancholy, anxiety, grief, fear and terror being the response of the mind to the environmental stimuli. We experienced a 21year-old man who had a psychogenic vomiting due to maladjustment in a military life, and whose condition was improved through oriental medical treatment. We treated the patient with Herbal medications and Giungoroen (至言高論)-wise saying and lofty opinion). Giungoroen is psychological therapy that promotes patient's recognition of disease and will to cure it through conversation. After being treated, the patient showed that symptoms (vomiting, nausea, abdominal discomfort, insomnia, a depressed mood, a feeling of uneasiness) was improved considerably. Tills result suggests that oriental medical treatment bas good effect on psychogenic vomiting due to adjustment disorder.

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Premenstrual Dysphoric Disorder : A Clinical Review (월경전 불쾌기분 장애에 대한 임상적 고찰)

  • Hwang, Gul
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.14-21
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    • 2007
  • Premenstural dysphoric disorder(PMDD) imposing 4-5% of women is possibly caused by an enhanced responsiveness to the changes of sex steroid hormones and the decrease of serotonin, melatonin and GABA. The common clinical features between PMDD and depression, seasonal affective disorder, panic disorder and anorexia nervosa suggest a relatedness between PMDD and each of them. The diagnostic criteria of DSM-IV-Tr for PMDD requires psychological symptoms, that commonly include irritability, anger, depression, mood swing, affect lability, tension, anxiety, fatigue and food craving. As of today, the best pharmacological treatment for PMDD is the selective serotonin reuptake inhibiter, and leuprolide, danazol, estradiol, spironolactone and bromocriptine are possible alternatives. Nonpharmacological treatments for patients with mild to moderate symptom severity are diet, exercise, light therapy, psychotherapy and keeping a diary.

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Development and Validation of the Cancer-Specific Posttraumatic Growth Inventory (암환자 특이형 외상후 성장 측정도구 개발 및 타당화)

  • Jung, Young-Mi;Park, Jin-Hee
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.319-331
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    • 2017
  • Purpose: The purpose of this study was to develop a scale to evaluate posttraumatic growth in patients with cancer and to examine the validity and reliability of the scale. Methods: A literature review, semi-structured patient interviews and an expert panel consultation produced a 27 preliminary item questionnaire. Participants were 150 cancer patients recruited to test the reliability and validity of the preliminary scale. Data were analyzed using item analysis, exploratory factor analysis, convergent validity and internal consistency. Results: Item reduction and exploratory factor analysis led to 23 items, grouped into five subscales which were labelled new possibilities (6 items), coping skills (5 items), preciousness of life (5 items), relating to others (4 items), and personal strength (3 items). Convergent validity was evaluated by total correlation with the Functional Assessment of Cancer Therapy-General (r=.45, p<.001). The final scale demonstrated satisfactory internal consistency (Cronbach's ${\alpha}$ =.94). Conclusion: Findings from this study indicate that the Cancer-Specific Posttraumatic Growth Inventory has validity and reliability and is considered to be appropriate for assessing posttraumatic growth in patients with cancer.

Nursing Students' Perception, Experience and Attitude on Complementary and Alternative Therapies (보완대체요법에 대한 간호대학생의 인식, 경험 및 태도 조사)

  • Lim, So Hee;Lee, Joo Young
    • Journal of East-West Nursing Research
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    • v.21 no.2
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    • pp.110-118
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    • 2015
  • Purpose: This study aimed to provide a basic resource for developing nursing interventions and educational programs for complementary and alternative therapies (CAT) by examining nursing students' perception, experience, and attitudes toward CAT. Methods: Data were collected targeting 230 nursing students from October 20 to November 10, 2014, and analyzed by using descriptive statistics, t-test, ${\chi}^2$-test, and ANOVA with SPSS/WIN 18.0. Results: Results showed that CAT were performed by CAT specialists in combination with hospital treatments for individuals suffering from chronic pain and musculoskeletal diseases. Nursing students obtained information on and experience of CAT through the Internet. CAT were used for psychological and mental stability as a supplementary treatment. The majority of the participants used Yoga followed by massage as a sub-therapy of the program. They said that openness of medical staff and active communication are important for having a positive attitudes toward CAT. There are differences in attitudes toward CAT according to gender, student levels, and previous experience on CAT. Conclusion: It is crucial for nursing students to have right perception, experience, and attitudes toward CAT in order to apply CAT to the clinical field.

The Analysis of Intervention Studies for Snoezelen (스노젤렌 중재연구 논문분석)

  • Park, Young-Rye;Oh, Doo-Nam;Kim, Keum-Soon;Kim, Jin-A;Wee, Hwee
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.2
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    • pp.95-102
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    • 2011
  • Purpose: The purpose of this study was to analyze intervention studies related to Snoezelen (multisensory environment). Methods: Studies related to Snoezelen (multisensory environment) published between 1995 and 2010 in both Korean and International journals were systematically reviewed, and analyzed following guidelines. Based on inclusion criteria, 23 studies including 5 Korean and 18 International articles were selected. Results: Most studies were conducted in various area of research such as medicine, nursing, and occupational therapy. There was no publication related to Snoezelen (multisensory environment) in Korean nursing journals. In terms of target population, more than 65 % of the study subjects were patients with dementia, mental retardation, and learning disability. Intervention was implemented mostly in less than 30 minutes, once a week for 2 to 4 weeks. The effects on behavior, physical, and psychological contexts were assessed as outcome indicators. There was more 'positive' than 'no effect' in self-stimulatory behaviors, problem behaviors, heart rate, pain, mood state, and anxiety, whereas more 'no effect' than 'positive' in blood pressure, respiration, enjoyment, and relaxation. Conclusion: Future studies are needed to develop the protocol and outcome indicators for effective use of this new intervention in Korea.