• 제목/요약/키워드: Psychological Welfare

검색결과 681건 처리시간 0.029초

간호중재로서의 원예요법에 관한 고찰 (Study Review of Horticultural Therapy As a Nursing Intervention)

  • 김부영;김정선
    • 성인간호학회지
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    • 제13권3호
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    • pp.409-419
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    • 2001
  • The reference study was performed to investigate the nursing importance which was based a theoretical background related to horticultural therapy and to examine the possibility which horticultural therapy was applicable as a nursing intervention through analysis on a preceding study. The research subjects related to the areas of horticultural therapy which related as a nursing intervention, were psychological, physical, environmental, and psycho-social aspects. It is judged that the horticultural therapy is effective in treating depression, emotional disruption or anxiety. It seems to be also effective in increasing the muscular tension and, thereby, expanding the scope of joint movements. Such theories show that horticultural therapy may be a good alternative nursing means. Plants act to create a pleasant interior atmosphere by generating anion, controlling the temperature and humidity and purifying the air, and therefore, the horticultural therapy may be applied to clinic or environmental therapy. When horticultural therapy is used as a nursing intervention, patients' sociopsychological needs may be fulfilled. It has been found that horticultural therapy is instrumental in treating perceptive or emotional disruption, depression, loss of self-respect, disrupted everyday activities and social behaviors. In particular, horticultural therapy seems to be effective in managing chronic patients' crisis or improving life quality. Intervention method applied on a preceding study was activity therapy and scene therapy in the horticultural therapy The above findings suggest that the pro-environmental horticultural therapy is useful as a new paradigm of nursing or holistic nursing conducive to improvement of health. So, it is desirable to prove its effects by applying it in the clinic. In order to apply horticultural therapy as a nursing intervention, it will be necessary to educate nurses on principles and methods of horticultural therapy and encourage them to apply it in nursing and clinics. Moreover, it may well be necessary to develop landscape therapy as nursing intervention as well as a variety of horticultural therapy programs befitting the clinic conditions. On the other hand, we need to provide for some scientific ground for horticultural therapy through continued studies. In this regard, this study which focuses on patients' health improvement through change of environment. may well provide for a framework for such studies.

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진화론적 방법을 활용한 영성 개념분석 (Evolutionary Concept Analysis of Spirituality)

  • 고일선;최소영;김진숙
    • 대한간호학회지
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    • 제47권2호
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    • pp.242-256
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    • 2017
  • Purpose: This study was done to clarify attributes, antecedents, and consequences of spirituality. Methods: Rodgers's evolutionary concept analysis was used to analyze fifty seven studies from the literature related to spirituality as it appears in systematic literature reviews of theology, medicine, counseling & psychology, social welfare, and nursing. Results: Spirituality was found to consist of two dimensions and eight attributes: 1) vertical dimension: 'intimacy and connectedness with God' and 'holy life and belief', 2) horizontal dimension: 'self-transcendence', 'meaning and purpose in life', 'self-integration', and 'self-creativity' in relationship with self, 'connectedness' and 'trust' in relationship with others neighbors nature. Antecedents of spirituality were socio-demographic, religious, psychological, and health related characteristics. Consequences of spirituality were positive and negative. Being positive included 'life centered on God' in vertical dimension, and among horizontal dimension 'joy', 'hope', 'wellness', 'inner peace', and 'self-actualization' in relationship with self, 'doing in love' and 'extended life toward neighbors and the world' in relationship with others neighbors nature. Being negative was defined as having 'guilt', 'inner conflict', 'loneliness', and 'spiritual distress'. Facilitators of spirituality were stressful life events and experiences. Conclusion: Spirituality is a multidimensional concept. Unchangeable attributes of spirituality are 'connectedness with God', 'self-transcendence', 'meaning of life' and 'connectedness with others nature'. Unchangeable consequences of spirituality are 'joy' and 'hope'. The findings suggest that the dimensional framework of spirituality can be used to assess the current spiritual state of patients. Based on these results, the development of a Korean version of the scale measuring spirituality is recommended.

Strengthening Families: The Re-structuring of Family Services in Hong Kong

  • Leung, Joe C.B.
    • 한국사회복지학회:학술대회논문집
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    • 한국사회복지학회 2002년도 국제학술대회 자료집
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    • pp.3-19
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    • 2002
  • The problems and needs of families in Hong Kong are becoming more complex. Traditional family structures and functions are rapidly eroding. Moreover, family problems are further exacerbated by a growing number of socio-economic issues including rising divorce rates and extra-marital affairs. continuous family reunion migration from Mainland China, emotional and financial cost of caring for the older people and the changing economy which has pushed more families into hardship. In effect, more and more families are becoming vulnerable to risk. Traditional family services in Hong Kong are varied in mode, operation and provision, often overlapping in service boundaries with other family-oriented programs. In many instances, family service centers are stretched far beyond their capacity. As a consequence, they become too reactive, remedial and casework dominated. The University of Hong Kong Consultant Team recommended that family service programs have to protect vulnerable families and strengthen family capacities to promote maximum independence. The direction of family services is summarized as: strengthening families; child-centered, family-focused and community-based. New integrative family service centers aim at attaining the principles of promoting accessibility to users with minimum physical, psychological and administrative barriers; early identification of needs and intervention before the further deterioration of problems; integration of services cutting across program boundaries, and partnership between service providers to achieve efficient and effective use of scarce resources. Under the new model, multi-skilled teams can respond more proactively to a wide range of social needs, rather than addressing needs in isolation. To demonstrate the effectiveness of the new model, the consultant team has been commissioned by the government to evaluate the performance of these two-year pilot projects. More importantly, a coherent and family-friendly social policy should be formulated to strengthen family capacity against family-related problems.

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생활시설 종사자가 경험한 남성노인의 성적욕구 표출에 관한 연구 (A Study on Sexual Desire Outburst of the Male Elderly Residents Experienced by the Workers in Living Facilities)

  • 이인수
    • 가정과삶의질연구
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    • 제26권1호
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    • pp.31-49
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    • 2008
  • This study has been performed to explore verbal and behavioral expression of sexual desires among male elderly residents who have been living in long tenn care facilities. There are three topics covered in this study; first, in what situations and how seriously do care workers encounter expression of sexual desires of the elderly residents? Second, what kind of negative consequences do they believe those sexual behaviors will lead to? Third, how can we implement defensive measures against the sexual behaviors? In this study, twenty three care workers working full time in five retirement and care facilities were asked about their experience and perception of the above study agendas, and answers of the qualitative interview were drawn as follow; first, the elderly residents apparently show a variety of sexual harassment and provoking behaviors such as sticking to specific women, physically touching and attacking, and induce obscenely activities against female residents, care workers, and volunteer visitors. Second, their sexual behaviors are often influenced by their isolated and abandoned emotionality as well as living situation in rural areas. Third, their sexual behaviors often critically affect care work plan and facility managements by severely discouraging female care givers and community supporters. Therefore in this study, suggestions and defensive measures were made as follows: first, education and counselling programs toward female workers and volunteers need to be developed, and the programs should cover psychological and behavioral mechanism of sexuality in later life. Second, self control plans need to be empowered toward the elderly residents; in the plans, the elderly residents shall be encouraged to evaluate primary cause and proper solutions of sexual behaviors of their peering residents. Third, combination of healthy housing and care facilities for frail elderly need to be integrated in a neighboring location, so that when residents and workers encounter extreme episodes of sexuality of healthy residents in a housing facility, the problematic sexual residents are partially transferred into a neighboring care facility and thereafter other residents and cafe givers are relieved from stressful contacts with the extremely sexual residents.

미술치료프로그램이 다문화가정 초등학교 자녀의 학교생활적응에 미치는 효과: 양적연구 (The Effects of A Fine Art Cure Program on The School Life Adjustment of The Elementary School Children from Multiple-Culture Families: Quantitative Study)

  • 남정순
    • 한국임상보건과학회지
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    • 제2권2호
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    • pp.107-118
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    • 2014
  • Purpose. to help them find mental rest and improve school life adjustment by way of a fine art cure program. Methods. two primary schools in Gyeongsangnam-do were chosen where there are plenty of multiple-family kids. 13 children from the families between Korean husbands and foreign wives were divided into 2 groups: experimental group (7, C School), control group (6, H School). The two groups took the KSD (Kinetic School Draw), while the experimental group received a fine art cure program (40 minutes, once a week, 10 times in total). After the program, the KSD was given again to both groups. To prove the effects of this study, the picture projection test KSD was given before and after the experiment. For comparison and analysis, the changes in each individual's attitude, behavior, responses, and emotions were observed and recorded. Results. The fine art treatment program had some effects on the psychological rest of the elementary school children from multiple-culture families. In the pretest before the art cure program, the subjects shrank and cared a lot about others. According to the progress of the program, however, their worries and anxiety began to be gone. They had confidence through mental ease and self-respect. Therefore, the fine art cure program had a positive effect on the improvement of self-respect and sociality of multiple-culture family kids. Their school life was influenced by the newly-attained confidence, achievement, and peer relationship. Conclusions. This research is of some significance in that the fine art cure program was held to reveal its effects on the school life adjustment of the elementary school kids from multiple-culture families, especially because worries grow about the possibility of their maladjustment in the era of multiple-culture families. In addition, this program is expected to give some basic information about the development of programs to make friendly relations and smooth communication among the multiple-culture parents and teachers as well.

취약계층 노인의 우울예방을 위한 지역사회기반의 통합프로그램 개발 및 효과검증 (A Community-Based Integrated Preventive Program of Depression and Its Effectiveness in Caring for Vulnerable Elderly)

  • 안양희
    • 지역사회간호학회지
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    • 제14권2호
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    • pp.287-298
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    • 2003
  • The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Socio-demographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

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자살생각, 자살계획 및 자살시도와 관련된 유발요인의 영향력 분석: 6차년도 한국복지패널 참여자를 대상으로 (Analysis on Influence of Triggering Variables Related the Suicidal Ideation, Suicidal Plan, and Suicidal Attempt: Focussed on Participants in 6th KoWePS)

  • 김지훈;김경호
    • 한국콘텐츠학회논문지
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    • 제18권2호
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    • pp.344-360
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    • 2018
  • 본 연구는 6차년도(2011년) 한국복지패널에 참여한 10,991명을 대상으로 자살생각, 자살계획 및 자살시도로 이어지는 일련의 자살에 관련된 유발요인으로 개인심리변인, 개인 및 사회환경변인을 통합적인 연구틀에서 살펴보고자 수행되었다. 연구방법은 AMOS 21.0 버전을 활용하여 자살생각, 자살계획 및 자살시도로 이어지는 일련의 자살에 영향을 미치는 유발변인의 상대적 영향력을 로지스틱 회귀분석하였다. 연구 결과, 첫째, 우울, 자존감, 주관적 건강상태, 부부폭력, 성역할은 자살생각에 유의한 영향을 미쳤다. 둘째, 주관적 건강상태, 문제음주는 자살계획에 유의한 영향을 미쳤다. 셋째, 문제음주, 부부폭력은 자살시도에 유의한 영향을 미쳤다. 이를 근거로 자살생각, 자살계획 및 자살시도를 축소 예방하기 위한 사회복지적 함의를 제시하고, 이 연구의 제한점과 추후 연구에서 고려할 점을 논의하였다.

기술사용이 근로환경과 근로자 건강에 미치는 영향력에 대한 연구 (Study on the Impact of use of Technology on Work Environment and the Health of Workers)

  • 김영선;이경용;진주현;김기식
    • 한국안전학회지
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    • 제29권5호
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    • pp.146-153
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    • 2014
  • This study looks at the impact of psychological and physical factors of the working conditions on the health of workers depending on whether technology is used by such workers. The data used for the study is the third work environment survey. Out of 50,032 respondents, a total of 29,711 paid workers were used as analysis subjects. Although it was anticipated that the use of technology was a factor that hindered job autonomy and teamwork autonomy. However, the analysis results showed low levels of job autonomy and teamwork autonomy in the group that did not use technology. The study assumes a regression analysis model about work environment and work organizational practices of workspaces that have an impact on musculoskeletal complaints, stress symptoms and level of work satisfaction by controlling the social demographic variable that represents the level of individual sensitivity. As a result of the study, ergonomic risk had a significant effect on both groups that did or did not use technology with respect to stress symptoms, musculoskeletal complaints and level of work satisfaction. In particular, as workspace practices and work environment had an effect on the development of musculoskeletal complaints in the group that used machines, there is a need to improve such situation. The autonomous team work or level of job autonomy within the group that used technology may act as a risk factor to the health and welfare of workers. However, because it may also act as a buffer factor, there is a need for a change to reduce stress symptoms and increase the level of work satisfaction by improving autonomous team work and the level of job autonomy.

노인의 연령 정체감, 노인에 대한 태도, 자아존중감 간의 관계 연구 (The Study on the relationships between age-identity, Attitude toward the elderly and self-esteem of the elderly)

  • 이신숙
    • 한국생활과학회지
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    • 제22권1호
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    • pp.57-74
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    • 2013
  • The purpose of this study was to identify how age-identity is associated with the attitude toward the elderly and self-esteem of the aged. The subjects were 366 adults aged 60 and over. The statistics used for the data analysis were reliability test, frequency, percentage, mean, standard deviation, one way ANOVA, correlation and multiple regression. The results of this study were as follows; First, The majority of elderly acknowledged psychological ages as their actual ages. Secondly, The degrees of elderlys' age-identity was 2.12, and the levels of the attitude toward the elderly was 60.62. Also, The degrees of elderlys' self-esteem was 24.16. The surveyed data showed higher means than medians. Third, The age-identity of elderly was significant with respect to spouse, religion, career, living state, sex, age, gap of actual age, health state, economic state, education, monthly living expenses. And the attitude toward the elderly was stastically significant with respect age-identity, career, spouse, religion, living state, health state, education, monthly living expenses, economic state, gap of actual age, and age. Moreover, The elderlys' self-esteem level was significant with respect to spouse, age-identity, living state, religion, career, economic state, monthly living expenses, the attitude toward the elderly, health state, education, and age. Finally, The variables affecting the age-identity of elderly were health state, economic state, religion, age that explained about 34% of the total variance. And The attitude toward the elderly were age-identity, health state, gap of actual age that explained about 19% of the total variance. Also, The variables that affect elderlys' self-esteem were economic state, age-identity, the attitude toward the elderly, sex, monthly living expenses that explained about 33% of the total variance.

사회문제에 나타난 아동학대문제의 해결방안에 관한 연구 (A Study on the Solution of Child Abuse Problems Appearing in Social Problems)

  • 김덕선
    • 산업진흥연구
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    • 제3권2호
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    • pp.41-51
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    • 2018
  • 본 연구는 아동학대문제를 사회문제로 보고, 이는 사회 전체가 해결점을 찾아야 할 사안임을 직시하고 그 해결방안을 제시하고자 한다. 본 연구 결과는 다음과 같다. 첫째, 법적 보완이 우선되어야 한다. 이는 관련 법률에 대한 입법 및 법 개정을 통한 법적 보완으로 해결할 수 있다. 둘째, 제도적 보완이 이루어져야 한다. 피학대아동에게 학교교육보다는 신체적 심리적 치료가 절실하다. 향후 아동복지시설은 양육시설보다는 가정에서 살고 있지만 문제행동을 하는 아동을 위한 아동상담소와 전문적 치료가 필요한 아동을 위한 치료형 보호시설을 확충해야 한다. 셋째, 학대피해아동에 대한 조치가 뒤따라야 한다. 피해아동을 대상으로 하는 조치결과에는 원가정보호, 분리보호, 가정복귀, 사망이 있다.