• 제목/요약/키워드: Psychological assessment

검색결과 422건 처리시간 0.024초

제왕절개분만 산욕부와 신생아의 가정간호 사례분석 (A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns)

  • 김혜숙;최연순;전은미
    • 대한간호학회지
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    • 제24권4호
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    • pp.696-705
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    • 1994
  • This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.

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Quality of Life and Psychological Well-Being of Colorectal Cancer Survivors in Jordan

  • Abu-Helalah, Munir Ahmad;Alshraideh, Hussam Ahmad;Al-Hanaqta, Motasem Mohammad;Arqoub, Kamal Hasan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권18호
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    • pp.7653-7664
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    • 2014
  • Background: Colorectal ranked first among cancers reported in males and ranked second amongst females in Jordan, accounting for 12.7% and 10.5% of cancers in males and females, respectively. Colorectal cancer patients can suffer several consequences after treatment that include pain and fatigue, constipation, stoma complications, sexual problems, appearance and body-image concerns as well as psychological dysfunction. There is no published quantitative data on the health-related quality of life and psychological wellbeing of Jordanian colorectal cancer survivors. Method: This project was a cross-sectional study of colorectal cancer survivors diagnosed in 2009 and 2010. Assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the colorectal cancer specific module (EORTC QLQ-CR 29) and the Hospital Anxiety and Depression Scale (HADS). Data on potential predictors of scores were also collected. Results: A total of 241 subjects completed the study with mean age of $56.7{\pm}13.6$. Males represented 52.3% of study participants. A majority of participants reported good to high overall health; the mean Global health score was $79.74{\pm}23.31$ with only 6.64% of study participants scoring less than 33.3%. The striking result in this study was that none of the study participants participated in a psychosocial support group; only 4 of them (1.7%) were even offered such support. The mean scores for HADS, depression score, and anxiety score were $8.25{\pm}9$, $4.35{\pm}4.9$ and $3.9{\pm}4.6$, respectively. However, 77.1% of study participants were within the normal category for the depression score and 81.7% were within this category for anxiety score; 5.4% of participants had severe anxiety and 5.4% of them had severe depression. Discussion: Patients with colorectal cancer in Jordan have a good quality of life and psychological wellbeing scores when compared with patients from western countries. None of the colorectal cancer patients managed at the Ministry of Health received any formal counselling, or participated in psychological or social support programmes. This highlights the urgent need for a psychosocial support programme, psychological screening and consultations for patients diagnosed with colorectal cancer at the Ministry of Health Hospitals.

Quality of Life and Psychological Well-Being of Breast Cancer Survivors in Jordan

  • Abu-Helalah, Munir;Al-Hanaqta, Motasem;Alshraideh, Hussam;Abdulbaqi, Nada;Hijazeen, Jameel
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권14호
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    • pp.5927-5936
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    • 2014
  • Introduction: Breast cancer is the most common cancer among Jordanians. Breast cancer patients suffer from several negative consequences after treatment and these include pain, fatigue, sexual problems, appearance and body image concerns, with psychological dysfunction. This could affect the patient quality of life and psychological well-being. To the best of our knowledge, there is no published quantitative data on the quality of life and psychological well-being of breast cancer patients in Jordan. The objective of this study was to obtain such data and assess predictors with calculated scores. Methods: In this cross-sectional study conducted among breast cancer patients in Jordan diagnosed in 2009 and 2010, assessment was performed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Breast Module (QLQ-BR23) and the Hospital Anxiety and Depression Scale (HADS). Clinical, demographic and psychosocial indicators that could predict patient quality of life scores were collected. Results: The number of patients interviewed was 236 (mean age=$50.7{\pm}10.7$ years). The mean Global Health score for the QLQ-C30 was $63.7{\pm}20.2$ SD. Among functional scales, "social functioning" scored the highest ($mean=78.1{\pm}28.6$ SD), whereas "emotional functioning" scored the lowest ($mean=59.0{\pm}SD\;33.5$). For the QLQ-BR23, the worst scores within the functional scales were for "body image" ($mean=52.1{\pm}36.8$ SD) and "future perspective" ($mean=52.9{\pm}38.5$ SD). The worst symptom was "upset by hair loss" ($mean=69.8{\pm}43.0$). The mean HADS scores was $18.{\pm}9.0$ SD. Out of study participants, 53% scored abnormal on the anxiety scale and 45% on the depression scale. Severe depression and severe anxiety were detected among 8% and 14% of study participants, respectively. Statistically significant predictors for individual scores were similar to those reported in published studies, such as the presence of recurrence since baseline, family history of cancer, low educational status, current social problems, extent of the disease, presence of financial difficulties, and employment status. Conclusions and Recommendations: Breast cancer survivors in Jordan have overall good quality of life scores when compared with patients from Western countries. However, their psychological wellbeing is more impaired. There is an urgent need for psychosocial support programs and psychological screening and consultation for breast cancer patients at hospitals of the Ministry of Health in Jordan.

노졸중환자의 삶의 질에 대한 연구 동향 (A Study of the Trend on Quality of Life with Stroke)

  • 이규리;김근조
    • 대한물리치료과학회지
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    • 제6권3호
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    • pp.41-52
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    • 1999
  • Stroke is the leading cause of adult disability and the third leading cause of adult death in the world. Stroke has an impact on the physical, psychological and social dimensions of quality of life. An increasing number of authors have reported a deterioration of the quality of life in a large proportion of patients after a stroke. Just as satisfaction with each dimension varies to everyone, the importance of each dimension also varies and does not impact equally on the quality of life. So assessment on the quality of life has to adopt a multidimentional approach and to make use of the subjective and objective indicators.

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객관적 영상 화질 평가 기준를 위한 움직임 정보에 따른 중요도 결정 기법 (Weighting Method based on Motion Information for Objective Video Quality Assessment)

  • 박수영;김태완;이상훈
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2008년도 하계종합학술대회
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    • pp.909-910
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    • 2008
  • For evaluating the performance of some codecs, many researchers have study and develop new objective video quality assessments. However, it's not sufficient for evaluating the temporal feature of video data yet, which is a distinguishable and representative characteristic when compared with other multimedia. This paper propose the method to apply the weight to SSIM (Structural SIMilarity) according to the cognitive psychological feature. And, we presented that the performance of objective video quality assessment applied the weight to SSIM by using the proposed method is superior to one of original SSIM.

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가정간호분야 간호진단 분류체계 및 사정도구 분석 (Analysis on Nursing Diagnosis Classifications and Assessment Tools in Home Care)

  • 소애영
    • 지역사회간호학회지
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    • 제12권1호
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    • pp.3-21
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    • 2001
  • Nursing diagnosis classification is needed to define nursing phenomena and set up nursing plans. The purpose of this study is to develope common nursing diagnosis by comparing and analysing nursing diagnosis classification systems and assessment tools in home care. The target home care nursing diagnosis classifications and tools are HHCC. NANDA. OMAHA. MDS_HC 2.0. OASIS-Bl. Results of this study are as follows: - The number of components of nursing diagnosis classifications and tools is HHCC 4. NANDA 9. OMAHA 4. MDS_HC2.0 6. OASIS-B1 10. - The number of common nursing diagnosis in home care is summed up 51 which are physical heal th 17. social health 5. psychological health 11. health related behavior 13. environment 3.

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수학과 성취기준과 평가기준 및 예시 평가도구 개발 연구 -국민공통교육기간을 중심으로- (Research and Development of Achievement and Assessment Standards for School Mathematics Based on the 7th National Curriculum)

  • 최승현;황혜정;신항균
    • 대한수학교육학회지:수학교육학연구
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    • 제12권1호
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    • pp.145-162
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    • 2002
  • In this study, on the basis of the seventh national mathematics curriculum, the achievement standards were developed to specify the objectives and contents of teaching-learning and the assessment standards were also developed to differentiate students' levels of achievement at school mathematics. The achievement standards were developed on the following guidelines; 1) to present the minimum standards based on the national curriculum, 2) to develop the standards based on the order of curriculum, 3) to suggest the minimum but ultimate achievement target, 4) to comprise not only of the intellectual but also of psychological spheres such as knowledge, function, attitude, aptitude, etc., and 5) to suggest the standards comprehensively and concretely. The standards were developed on the basis of the middle areas of contents of the curriculum in order not to be too comprehensive, nor to be too detailed. Learning activities, on the other hand, were provided for the assistance of instructions with emphasis on creativity rather than on the routine instruction. The assessment standards were established based on the following principles; 1) to establish the assessment methods, contents, and situations which are to be used for assessment, 2) to establish the criteria of classifying the assessed into the upper, intermediate and lower levels, 3) to develop the assessment standards in a proportionate balance to achievement standards, 4) to establish the intermediate level as a standard, and 5) to establish the minimum level in the contents, concepts, values and attitudes of basic learning. This study also suggested the exemplary test items including short-answer and open-ended questions while putting emphasis on students' real performance to increase their ability in solving problems rather than in calculating. In addition to the test items, it introduced the grading system developed to grade the items with concrete guidelines and to report students' achievement on doing mathematics.

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유자녀 맞벌이 부부의 다차원적 일-가족 전이 척도 개발 (Development a multidimensional assessment scale for work-family spillover in working couples with children)

  • 장윤옥;정서린
    • 가족자원경영과 정책
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    • 제17권3호
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    • pp.59-79
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    • 2013
  • The purpose of this study was to develop and validate a scale for the multidimensional assessment of work-family spillover in working couples with children. The subjects of this study were working wives and husbands with children in Daegu. Two surveys were administered, eliciting 243 respondents and 227 respondents, respectively. Then a series of tests were run to analyze the data, including item-to-total correlation, Cramer's V coefficients, item discrimination, Cronbach's ${\alpha}$, and exploratory and confirmatory factor analysis. The results yielded that, first, a preliminary 102 items were developed on the basis of the literature review, and this was narrowed down to 72 items selected with the help of experts. Through preliminary, primary and secondary survey analysis, the scale for the multidimensional assessment of work-family spillover was developed and validated, with a 36 items scale, 18 items for work to family spillover and 18 items for family to work spillover. Furthermore, the scale constructed three spillover processes - time interference, energy depletion, and psychological distraction - and consisted of four different domains of family life into which spillover occurs - namely marital relationship, parent-child relationship, leisure, and housework. The internal reliability was evaluated to show a confidence range of .85 ~.92 for each factor.

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심부전 환자 대상 국내 양적 간호연구 분석 및 중재연구의 질 평가 (Research Trends in Quantitative Nursing Studies and Quality Assessment of Intervention Studies in Patients with Heart Failure in South Korea)

  • 손연정;서은지
    • Journal of Korean Biological Nursing Science
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    • 제19권4호
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    • pp.227-240
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    • 2017
  • Purpose: The purpose of this review was to identify the current status of nursing studies on heart failure (HF) patients in South Korea and to suggest future study direction. Methods: A literature review of databases such as KoreaMed, KERIS and nursing and allied health journal were searched with key terms 'heart failure' and 'nursing' for the period from January 2000 to February 2017. A total of 35 studies including 28 articles and 7 theses met the inclusion criteria. Results: Twenty-seven out of 35 studies were observational studies on outpatients and most of the studies did not mention the ejection fraction and New York Heart Association functional classification class (NYHA class) in the inclusion criteria. Self-care and health-related quality of life as psychological factors, and physical activity as a biological factor, were used as main variables. However, we found it difficult to understand how much score indicates better quality of life because of an inconsistent and wide score. In quality assessment, 8 intervention studies had no serious flaws. Conclusion: Further studies should consider more biological and social factors influencing HF. The quality assessment with respect to nursing intervention studies in HF showed that randomized and double-blind trials are needed.

Preliminary Findings on the Effectiveness of Meaning-Centered Psychotherapy in Patients with Pancreatobiliary Cancer

  • Ryu, Jin Sun;Choi, Sun Woo;Yun, Sung Su;Koo, Bon Hoon;Choi, In Seok;Kim, Seung Jun;Park, Joon Seong;Seok, Jeong-Ho;Yoon, Dong-Sup
    • Yonsei Medical Journal
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    • 제59권9호
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    • pp.1107-1114
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    • 2018
  • Purpose: This study investigated the effectiveness of meaning-centered psychotherapy (MCP), which is known to be a helpful psychotherapeutic intervention in distressing conditions, for patients with pancreatobiliary cancer. Materials and Methods: We recruited 37 patients with pancreatobiliary cancer from three university general hospitals and assessed their psychological characteristics. Patients who reported clinically significant emotional distress were recommended to undergo MCP. Patients who consented to MCP were provided four sessions of the therapy. Patient psychological characteristics were assessed again 2 months after MCP. For statistical comparison, outcome variables included anxiety, depression, mental adjustment to cancer, and quality of life (QoL), as well as the degree of stress and physical symptoms. Results: Sixteen patients completed the MCP and the final assessment 2 months later. In the initial assessment, the patients receiving MCP showed higher levels of anxiety and depression than those not receiving MCP, and QoL was also lower in terms of role function, emotional function, social function, and global QoL. At the 2-month follow-up, the MCP group showed a significant improvement in anxiety (p=0.007), depression (p=0.010), and anxious preoccupation (p<0.001). In addition, QoL significantly improved in the MCP group, while there was no significant change in the non-MCP group. Conclusion: In this study, MCP showed potential therapeutic benefits against emotional distress in patients with pancreatobiliary cancer, improving their QoL.