• 제목/요약/키워드: Psychological evaluation

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Evaluation of Depression in Newly Diagnosed Breast Cancer Cases in Hatay Province of Turkey in 2011

  • Nazlican, Ersin;Akbaba, Muhsin;Okyay, R. Azim
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권6호
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    • pp.2557-2561
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    • 2012
  • Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death in females in Turkey. The main problems experienced by women with breast cancer are physical losses, emotional distress and degradation in family, work and social roles. The purpose of this cross-sectional retrospective study was to investigate the socio-demographical characteristics and depressive symptoms of 125 newly diagnosed cases with breast cancer reported to cancer control department of Hatay provincial health directorate in 2011. To evaluate the depressive symptoms the Beck Depression Inventory (BDI) was used. All 125 cases who participated in the study were female. The mean age was $49.2{\pm}11.9$. The mean BDI score of the cases was $17.5{\pm}10.6$. The number of cases whose BDI scores were 17 and above was 65 (52.0%), and the number of cases whose BDI scores were under 17 was 60 (48.0%). The most striking finding in our study was that only 4 of the cases were receiving psychological help and support. The rate of depression was found high in our study and psychological support is a must for patients with a life threatening disease such as cancer.

Evaluation of Salivary Cortisol and Anxiety Levels in Myofascial Pain Dysfunction Syndrome

  • Nadendla, Lakshmi Kavitha;Meduri, Venkateswarlu;Paramkusam, Geetha;Pachava, Koteswara Rao
    • The Korean Journal of Pain
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    • 제27권1호
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    • pp.30-34
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    • 2014
  • Background: Myofascial pain dysfunction syndrome (MPDS), otherwise called myofascial pain is one of the most common temporomandibular disorders, which in turn is the most common cause of orofacial pain of non-dental origin. Its etiology is multifactorial and still poorly understood. Psychological factors have been shown to play a role in the etiology. The aim of the study was to evaluate the association between anxiety and salivary cortisol levels in patients with myofascial pain. Methods: Twenty patients suffering from myofascial pain were recruited as the study group. The same number of age and sex matched healthy individuals were taken as the control group. The salivary samples collected between 9-9:15 am from both groups were analyzed for cortisol levels with the competitive enzyme-linked immunosorbent assay method. Anxiety levels of 40 patients were measured using Hamilton's anxiety scale. Results: The mean serum cortisol level of the MPDS group showed a highly significant difference (P < 0.001) from the controls. The mean anxiety scores of the MPDS group showed a highly significant difference (P < 0.001) from the controls. A positive correlation was found between anxiety and the salivary cortisol levels in MPDS patients. Conclusions: These findings suggest that anxiety plays a vital role in the etio-pathogenesis of MPDS; thus, besides pharmacological treatment, psychological support is also needed.

Effectiveness of Home Health Care Service for Elders after Spinal Surgery

  • Jun, Myunghee;Jung, Ji Young
    • 대한간호학회지
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    • 제42권7호
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    • pp.1009-1018
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    • 2012
  • Purpose: This study was done to evaluate effectiveness of home healthcare services (HHCS) specialized for elders who received spinal surgeries. Methods: A non-equivalent control group pre-post test quasi-experimental study was performed. HHCS was developed based on the Rice model of dynamic self-determination for self-care. For data collection, a control group (n=23) and an experimental group (n=23) were selected by matching age, BMI, pain, general characteristics and type of spine surgery. Measurement tools to evaluate uncertainty and knowledge were developed by the authors. The Numeric Rating Scale (NRS) and Japanese Orthopedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were used to evaluate pain levels. Muscular strength in the legs was measured using a digital muscle tester and tape ruler. Questionnaires were used to evaluate disability in performing ADL and psychological distress levels. Results: The experimental group showed significant decrease in uncertainty (p=.028), increased knowledge (p=.038), and partially decreased pain (p=.003-.331). Partial muscle strength increased significantly (p=.021-.644). Disability in performing ADL and psychological distress in the experimental group decreased significantly compared to control group (p=.002, p=.004). Conclusion: Results indicate HHCS is an efficient home care nursing program for these elders. Further experimental studies with larger samples are required to confirm effects of HHCS.

조종사의 각성 및 생리적 안정에 근거한 비행임무적합 수준 판정 시스템의 개발 (Development of Evaluation System for Aviation Mission Suitability Depending on Pilot's Alertness and Physiological Stability Level)

  • 김동수;이우일
    • 한국군사과학기술학회지
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    • 제18권6호
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    • pp.789-796
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    • 2015
  • Fighter pilot's ability to maintain both mental and physical capabilities in highly stressful situations is important for aviation safety as well as mission performance because pilot may confront frequently unexpected physical and psychological stimulation. Cumulative psychological stress and physical fatigue can be causes of mood distortion, declined alertness, and can lead to reduction of combat capability. We have investigated bio-signals and performance tests to monitor stress and fatigue levels, and developed a system to evaluate aviation mission suitability before flight. This study elucidated that stress and fatigue level of pilot can be monitored by psychomotor cognitive test(PCT) and heart rate variability(HRV), and that the best of reference for aviation mission suitability was confidential interval obtained from cumulative data of individuals. The system to evaluate aviation mission suitability was constructed with measuring part with PCT and HRV and control part with DB and algorithm.

소비자의 保險에대한 태도와 만족, 불만족에 관한 연구 (Consumer's Evaluating Attributes and Satisfaction/ Dissatisfaction of Life - insurance)

  • 박명희
    • 가정과삶의질연구
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    • 제6권1호
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    • pp.117-129
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    • 1988
  • The purposes of this study are 1) to explore the evaluating attribute of family life- insurance 2) to examine the relationship between evaluation attribute variables and level of consumer satisfaction/ dissatisfaction (CS/D), and 3) to investigate the sociodemographic variables and psychological variables which influence the purchase of life-insurance. The data used in this study include 432 households of 208 life-insurance purchasers and 224 non-purchasers Statistics used for the data analysis are x2, factor analysis, multiple regression and a discriminant analysis. The resulting major findings are as follows; 1) The evaluating attributes are saving function, convenience. economic payoff, safety for future accident, agreement of insurance, and reputation of brand. 2) Among these factors. the most important factors. in CS/D of life-insurance are saving function, and reputation of brand. 3) the purchase of life-insurance has been influenced by such sociodemographic variables as husband's age , family income, and family life-cycle. Psychological variables such as attitude of life, perceived risk, consumer attitude about insurance business did not influence the purchase of life -insurance significantly. As mentioned above, we can conclude that Korean purchasers of life-insurance are using irrational evaluating attributes. Therefore more education of the consumers and more information about life-insurance purchases are necessary. Especially low-income households and first step of family life-cycle families are turned out to need more education as well as more information.

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지역아동센터 이용 아동의 건강 관련 중재연구의 동향 분석 (Trends in Health-related Interventions on Children Attending Community Child Care Centers in South Korea)

  • 박지영;백수연;임미해
    • Child Health Nursing Research
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    • 제24권2호
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    • pp.241-251
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    • 2018
  • Purpose: The purpose of this study was to identify trends in health-related interventions on children attending Community Child Care (CCC) centers, which are part of a health policy to provide after-school care for vulnerable children in South Korea. Methods: From 2007, 109 papers were analyzed using the scoping study method. Results: The number of studies increased steadily between 2007 and 2016. Most studies were based on the social sciences, and the participants were mainly elementary school students. Psychological and social interventions were the most common types of interventions with socio-psychological indicators as measurements. In addition, only a few studies had a clearly defined conceptual framework. The majority of studies did not explicitly indicate that they followed ethical considerations. Conclusion: It is necessary to develop health-related interventions for children attending CCC centers using diverse subjects, types, and evaluation methods, along with improvements in the quality of research methodology. Furthermore, it is essential to clearly articulate and implement ethical considerations in research targeting vulnerable children.

A Study on the Introduction of Home-Based Physical Therapy for Patients with Cerebrovascular Disease

  • Kim, Gyu-Yong;Ahn, Chang-Sik;Jeon, Hye-Won
    • The Journal of Korean Physical Therapy
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    • 제27권2호
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    • pp.118-123
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    • 2015
  • Purpose: This study was conducted in order to present basic policy data for introduction of a home-based physical therapy (HBPT) policy. Methods: The study surveyed physical therapists and patients for six weeks, in order to identify satisfaction with physical therapy. The statistical significance of the management plan with regard to costs and cost estimation and payment methods was determined and managed according to the operating principals of HBPT, eligibility criteria, number of visits, treatment time, and team approach. Results: Through the survey all groups of patients and physical therapists recognized the need for HBPT. They felt that the most desirable methods for activation of physical therapy visits involve precise diagnosis and evaluation through a team approach. While making regular visits to the patient three times a week, an expert visiting physical therapist with 3 to 5 years of experience in the clinical field could provide central nerve developmental treatment in less than 60 minutes; this service could be provided at a reasonable cost, minimizing unnecessary hospital visits, reducing time, medical expenses and facilitating a quick recovery due to psychological satisfaction resulting from a decrease in the psychological anxiety patients often experience in medical institutions. Conclusion: Based on the study results provided above, if HBPT is to be introduced, appropriate pricing and programs should be based on the results of pilot projects.

Experimental Study on Cerebral Hemodynamics during Observation of Plants

  • Suda, Ayumu;Lee, Ju-Young;Fujii, Eijiro
    • 한국조경학회:학술대회논문집
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    • 한국조경학회 2007년도 Journal of Landscape Architecture in Asia Vol.3
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    • pp.214-219
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    • 2007
  • Psychological and physiological effects of plants were studied by investigating human responses while observing plants. Eighteen healthy adult male(aged between $19{\sim}25$ years) participated in this study. Semantic differential method(SD method) and multi-channel near-infrared spectroscopy(NIRS) were used to survey verbal and non-verbal response, respectively. Cerebral hemodynamics as a new evaluation index of brain activity was recorded for right brain hemisphere where visual information is mainly delivered. Thirty seconds of cerebral blood flow in forty seven channels were calculated when watching five types of picture images with different rates of hedge against gray block wall; 0:10, 3:7, 5:5, 7:3, 10:0. In the SD results, similar evaluations were found in all subjects. However, the change of cerebral hemodynamics as a non-verbal response varied among subjects. Largely two patterns of hemodynamics change were found with increasing plants rate in picture images; group A showed significant decreases of blood flow volume in many cortical regions, Group B had significant increase of blood flow volume in the occipital region for the scenes seen comparatively more plant. Our findings on the cerebral hemodynamics may indicate that there are two patterns of brain activity during observation of plants; group A in which brain areas associated with visual information and thinking work simultaneously to the visual stimuli; group B in which brain areas associated only with visual information work.

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자기결정성 이론 기반 만성폐쇄성폐질환 환자를 위한 동기면담 호흡재활 프로그램의 개발 및 평가 (Development and Evaluation of Motivational Interviewing Pulmonary Rehabilitation Program Based on Self-Determination Theory for Patients with Chronic Obstructive Pulmonary Disease)

  • 장준희;민혜숙
    • 대한간호학회지
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    • 제53권2호
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    • pp.191-207
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    • 2023
  • Purpose: This study aimed to develop a motivational interviewing pulmonary rehabilitation program based on self-determination theory to maintain pulmonary rehabilitation-related health behaviors in patients with chronic obstructive pulmonary disease. The program was developed by reviewing the literature on pulmonary rehabilitation guidelines, drawing on the self-determinism theory to establish its contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: A quasi-experimental design was used to confirm the effect of the program. The participants were outpatients diagnosed with chronic obstructive pulmonary disease at three general hospitals in Busan. There were 33 subjects: 15 in the experimental group and 18 in the control group. The experimental group performed a motivational interviewing pulmonary rehabilitation program which comprised 11 sessions delivered over 10 weeks. The outcomes were measured using basic psychological needs, dyspnea, 6-minute walking distance, and functional status. Intervention effects were analyzed using repeated-measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in competence among the subdomains of basic psychological needs, dyspnea during exercise, and functional status. Conclusion: The developed program affects physical conditions and can be applied as an effective clinical nursing intervention to continuously improve the pulmonary rehabilitation behavior of patients with chronic obstructive pulmonary disease.

제품에 대한 사용자의 가치의식에 따른 디자인 평가의 유형에 관한 연구 (A Study on User's Value Consciousness toward Products and Patterns of Design Evaluation)

  • 송창호;최명식
    • 디자인학연구
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    • 제19권5호
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    • pp.255-268
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    • 2006
  • 본 연구에서는 '제품에 대한 사용자의 심리적 가치의식이 디자인 평가에 어떠한 작용을 하는가'에 문제의식을 제기하여 14가지의 제품 샘플을 대상으로 평가를 실시하였다. 이에 따른 주요내용은 '제품평가의 단계별 사고', '제품에 대한 가치의식', '조형이미지 생성과 디자인 평가' 등 크게 3가지 영역을 주요 골자로 하여 분석을 실시하였다. 결론 도출을 위해 먼저 4개의 연구가설을 설정하였고, 이를 검증하기 위하여 '종결적 조사'의 일환으로 사례연구를 실시하였다. 표본은 데이터의 정확성을 높이기 위하여 제품디자인을 전공으로 하는 20대 대학생 120명을 대상으로 선정하였다. 수집된 데이터는 '단순집계'에 의하여 전체적인 흐름을 파악하였고, 이를 토대로 3개의 평가항목에 대한 구체적인 분석을 실시하였다. 분석방법은 '요인분석(factor analysis)', '클러스터분석(duster analysis)' 등 '다변량분석(multivariate analysis)'에 의한 '정량적 분석'에 중점을 두었다. 본 연구의 실증분석은 유의수준 p<.05에서 검증하였고, 통계처리는 'SPSSWIN 12.0' 프로그램을 사용하였다. 그 결과 '제품에 대한 사용자의 가치의식에 따른 디자인 평가의 유형'에 관해 4가지 결론을 얻었다.

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