• 제목/요약/키워드: Psychological intervention

검색결과 816건 처리시간 0.026초

제2형 당뇨병 환자를 위한 인슐린치료이행증진 프로그램의 효과: 무작위대조군실험설계 (Effects of the Insulin Therapy Adherence Program for Patients with Type 2 Diabetes: A Randomized Controlled Trial)

  • 박경민;손정태
    • 임상간호연구
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    • 제28권3호
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    • pp.277-288
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    • 2022
  • Purpose: This study was conducted to evaluate the effects of the insulin therapy adherence program (INSTA GRAM) for patients with type 2 diabetes mellitus. Methods: This study examined a total of 63 patients with type 2 diabetes for whom the initiation of insulin therapy is being considered or within 6 months of undergoing insulin therapy. INSTAGRAM is a stage-specific intervention consisting of strategies for motivating patients to initiate and maintain insulin therapy using the transtheoretical model on the stages of change, the process of change, and self-efficacy. The participants were randomly assigned to either the INSTAGRAM group (experimental group, n=32) or the standard diabetes education group (control group, n=31). The INSTAGRAM group received 6 sessions over 8 weeks(face-to-face education was conducted in the first and last sessions, and telephone coaching was conducted from the second to fifth sessions). The outcomes were measured by psychological insulin resistance, self-efficacy, and glycosylated hemoglobin (HbA1c). Results: Psychological insulin resistance (p<.001), self-efficacy (p<.001), and HbA1c (p=.024) of the participants in the INSTAGRAM group significantly improved compared to those in the control group. Conclusion: INSTAGRAM is effective in overcoming psychological insulin resistance and improving self-efficacy and HbA1c. Therefore, the INSTAGRAM can be recommended as a nursing intervention for type 2 diabetic patients who delay the initiation of insulin therapy.

Effects of Bullying Experience on Psychological Well-Being Mediated by Conflict Management Styles and Psychological Empowerment among Nursing Students in Clinical Placement: A Structural Equation Modeling Approach

  • Ren, Liping;Kim, Hyunli
    • 대한간호학회지
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    • 제47권5호
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    • pp.700-711
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    • 2017
  • Purpose: This study aimed to test a proposed structural equation model in which bullying experience, conflict management styles and psychological empowerment predict psychological well-being among Chinese nursing students in clinical placement. Methods: Three hundred and sixty-six nursing students recruited from five hospitals in J city and Y city were assessed with self-report questionnaires on bullying experience, conflict management styles, psychological empowerment and psychological well-being including depression, self-esteem, and academic major satisfaction. Data were analyzed using SPSS version 20.0 and AMOS version 22.0. Results: The evaluation parameters included the comparative fit index at .90, the goodness of fit index at .93, the root mean square error of approximation at .07, and ${\chi}^2/df$ ratio at 2.66, indicating that the proposed structural equation model provided a good fit to the data. Experience of being bullied during clinical placement, conflict management styles and psychological empowerment explained 93.0% of the variance and had significant effects on psychological well-being, with conflict management styles and psychological empowerment mediating the association between bullying and psychological well-being. Conclusion: The findings indicated that mediation by conflict management styles and psychological empowerment alleviated the negative influence of bullying on psychological well-being. To limit bullying and its negative effects, development of effective guidelines to deal with bullying will be a critical tool for both Chinese nursing students and their instructors. Further research should incorporate conflict management styles and psychological empowerment into the specific intervention strategies for handling bullying behaviors among nursing students and staff nurses and promoting nursing students' psychological well-being.

국내 산업장 간호중재 연구의 현황과 질 평가 (The Current State and Quality Assessment of Nursing Intervention Study in Occupational Health Nursing of Korea)

  • 황윤선;조은영
    • 한국직업건강간호학회지
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    • 제28권1호
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    • pp.21-35
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    • 2019
  • Purpose: The purpose of this study is to propose directions for the development of Occupational Health Nursing Intervention by identifying the current status and quality of Occupational Health Nursing Intervention Research in domestic industries. Methods: Between 2000 and August of 2018, total of 1,181 Occupational Health Nursing related published references were searched using 4 domestic databases, and of the total, 29 final theses that suited the requirements were analysed In this research, the quality assessment of literature that were selected as suitable was conducted using a tool for assessing the biasing risk of non-randomized studies, RoBANS(Risk of Biasing Assessment Tool for Non-randomized Study). Results: For all research, nonequivalent control group pre-posttest design was the most used as quasi-experimental designs. The effectiveness of intervention was found both in terms of physical and psychological aspects, and the result of the risk of biasing assessment showed a high risk levels in both "confounding variables" and "detection bias". Conclusion: Occupational Health Nursing Intervention have been steadily making improvements in terms of both quality and quantity, and as for more effective intervention developments that improves the physical and mental health of the workers, supplementation in strict research design and in ethical aspects deems necessary.

가정의 사회경제적 지위, 어머니의 심리적 복지감 및 양육행동과 아동의 친구관계가 학교적응에 미치는 영향 (The Effect of SES, Mother's Psychological Well-being, Child-rearing Behavior and Child's Peer Relationship on School Adjustment)

  • 송신영;박성연
    • 대한가정학회지
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    • 제46권5호
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    • pp.19-33
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    • 2008
  • The main purpose of this study was to assess the effects of SES, mother's psychological well-being, child-rearing behavior and child's peer relationship on school adjustment. A total of 237 children enrolled in the 5th and 6th grade and their mothers were used for this study. Data was collected via questionnaires completed by children and their mothers. The path analysis of antecedent variables influencing child's school adjustment revealed two different patterns. Firstly, socioeconomic status influenced child's school adjustment through maternal psychological well-being. Secondly, maternal psychological well-being affected by socioeconomic status contributed to child's school adjustment through positive child-rearing behavior and positive peer relationship. Focusing on maternal psychological well-being and mother's child-rearing behavior, the implication for promoting child's school adjustment are discussed.

Intermediation Effect of Parental Support on the Psychological Emotion of School Dropouts

  • Jung, Seon-Jin;Jang, Chun-Ok
    • International Journal of Advanced Culture Technology
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    • 제9권1호
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    • pp.89-92
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    • 2021
  • In this study, we wanted to examine the effects of social stigma on the psychological emotions of out-of-school youths and the mediating effects of parental emotional support in the relationship between these variables. To that end the National Youth Policy Institute dropout Youth Panel Survey of the Experimental (2017) 318 with data. The study method used the AMOS 7.0 program to check the suitability of the structural model and the significance of the direct and indirect effects. Through this study, we will first look at the relationship between social stigma and psychological sentiment of out-of-school youths, social stigma and parental emotional support. Second, we would like to examine how social stigma among out-of-school teens affects psychological sentiment. Third, we would like to examine the mediated effect of parental emotional support in the influence of social stigma on psychological sentiment of out-of-school youths. Based on the results of this study, we would like to support the existing prior studies related to out-of-school youth and further propose practical intervention measures that can be used in counseling and education sites. We would also like to discuss suggestions for further research.

VR 콘텐츠가 재한 중국인 유학생 아증후군적 우울 상태에 미치는 영향 연구 - 주의력회복이론을 기반으로 - (A Study on the Effect of VR Content on Sub-Syndromatic Depression of Chinese Students in Korea - Based on Attention Restoration Theory (ART) -)

  • 정선요;이연우;김치용
    • 한국멀티미디어학회논문지
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    • 제25권1호
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    • pp.124-134
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    • 2022
  • Based on existing research, the psychological state of Chinese students has become a very significant issue that needs to be resolved. In addition to paying attention to the daily life and study of Chinese students, the psychological problems of Chinese students are also worthy of attention. At the same time, if the existing psychological problems are not resolved in time, serious consequences may result. Based on the ART(Attention Restoration Theory) theory, this article uses VR (Virtual Reality) content as a medium, uses 3D modeling software to build a healing scene that helps Chinese students improve their psychological and emotional state, and presents it in a VR device. To achieve the purpose of improving the psychological and emotional state of Chinese students. According to experimental tests, the VR recovery scene constructed by this method can help improve the psychological mood of Chinese international students who already have subliminal depression. The results of independent sample T-tests after data analysis experiments show that after the intervention of the experiment, the depression of the experimental group is significantly improved compared to the control group. It is proved that the method in this study is effective for the mentality and emotion of Chinese international students who have subliminal depression. There is a significant improvement effect.

음악중재가 인터넷 중독 청소년의 심리·정서 반응에 미치는 영향에 관한 체계적 문헌고찰 (A Systematic Review of the Effects of Music Interventions on the Psychological and Emotional Well-Being of Adolescents With Internet Addiction)

  • 윤은정;박혜영
    • 인간행동과 음악연구
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    • 제16권2호
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    • pp.79-108
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    • 2019
  • 본 연구에서는 음악중재가 인터넷 중독 청소년의 심리·정서 반응에 미치는 영향을 체계적으로 고찰함으로써 중재 효과에 영향을 미치는 주요 변인을 분석하고자 하였다. 이를 위해 국내 인터넷 중독 관련 연구들이 발표되기 시작한 1995년부터 2018년까지 인터넷 중독 청소년 관련 음악중재 문헌을 대상으로 9개의 전자데이터베이스에서 인터넷 중독 청소년 관련 용어, 음악중재 관련 용어, 심리정서변인 관련 용어를 조합하여 검색하여 선정 기준에 부합하는 9편을 최종 선정하였다. 연구 결과, 인터넷 게임중독 청소년 대상의 연구 비중이 높았고, 중학생을 남녀 혼합 형태로 진행한 경우가 많았다. 또한 심리적 변인에서 자기통제력이나 불안을 목표로 하여 자기표현을 위해 대중가요를 활용한 송라이팅을 집단형태로 시행한 연구가 효과를 보이는 것으로 나타났다. 음악중재 논거에 대한 분석 결과는 적절한 논거를 제시한 연구가 제한적임을 보여주고 있어 음악중재의 타당성을 입증할 수 있는 체계적인 연구가 추후 필요할 것으로 사료된다. 본 연구는 인터넷 중독 청소년 대상 심리·정서 반응에 영향을 미치는 음악 중재를 개발하는 데 중요한 기초자료로 활용될 수 있을 것이다.

차명상 프로그램이 우울성향 중년여성의 마음챙김과 심리적 안녕감에 미치는 영향 (The Effects of Tea-Meditation Intervention on the Mindfulness and Psychological Well-being of Middle-aged Women with Depression)

  • 김귀원;김정근
    • 한국산학기술학회논문지
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    • 제18권3호
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    • pp.569-578
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    • 2017
  • 본 연구의 목적은 우울성향을 가지고 있는 중년여성을 대상으로 차명상 프로그램이 마음챙김과 심리적 안녕감에 미치는 효과성을 파악하기 위함이다. B시 B대학 평생교육원에 자발적으로 등록한 경도-중등도의 우울증을 경험하는 20명을 선발하여, 실험 및 통제집단에 각 10명씩 무선 할당하였다. 실험집단 참여자는 매주 2회씩 80분 동안 5주에 걸쳐 10회기의 차명상 프로그램 참여하였다. 마음챙김 수준과 심리적 안녕감을 사전, 사후, 추후에 각각 측정하여 반복측성 분산분석을 실시한 결과, 실험집단 참여자들은 통제집단의 참여자들보다 마음챙김 수준이 유의미하게 증가하였으며, 심리적 안녕감도 유의미한 수준의 증가를 보여주었다. 심리적 안녕감의 하위 요인인 자기 수용성, 긍정적 대인관계, 자율성, 환경통제, 삶의 목적 및 개인적 성장이 사후 및 추후 시점에서 각각 유의미한 수준으로 증가는 것으로 나타났다. 차명상 프로그램이 우울성향을 치유하고, 심리적 안녕감을 증진시킨다는 선행연구를 지지하고 있다. 따라서 본 차명상 프로그램은 우울성향을 가진 중년여성들의 마음챙김 능력을 함양하고, 삶의 질을 개선하기 위한 새로운 대안적 프로그램임을 시사한다. 본 연구에서 한계점과 향후 후속연구에서 필요성을 제언하였다.

치매 환자의 행동심리 증상완화를 위한 가상현실 프로그램의 효과 (Effect of Virtual Reality Program for Alleviating Behavioral and Psychological Symptoms of Dementia Patients)

  • 박선민;최승이;김정희
    • 대한간호학회지
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    • 제52권2호
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    • pp.121-133
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    • 2022
  • Purpose: This study examined the impact of a virtual reality intervention program based on psychological needs on behavioral and psychological symptoms, apathy, and quality of life (QOL) in patients with dementia or mild cognitive impairment living in nursing facilities. Methods: This study is nonequivalent control group pretest-posttest design of quasi-experimental study. The study collected data from November 18, 2020 to July 24, 2021 from patients with dementia or mild cognitive impairment (30 in the experimental group and 30 in the control group) at three nursing facilities in G city using self-reporting and caregiver-informant reporting methods. The analysis employed the chi-square test, Fisher's exact test, paired t-test, independent t-test, Wilcoxon signed rank test, Mann-Whitney U, repeated measures ANOVA, GEE, using SPSS/WIN 27.0. Results: The severity of behavioral and psychological symptoms (Wald 𝛘2 = 2.68, p = .102) and the care burden of caregivers (Wald 𝛘2 = 1.72, p = .190) were not significant and was no significant time and group interaction effect (Wald 𝛘2 = 0.63, p = .426, Wald 𝛘2 = 0.52, p =. 471). The difference in apathy and QOL score were statistically significant for the group-time interaction (F = 43.65, p < .001; F = 4.35, p = .041). Conclusion: The virtual reality intervention program of this study shows a positive effect on the apathy reduction and QOL of patients with dementia or mild cognitive impairment residing in nursing facilities.

대학 펜싱선수들의 심리교육 효과: 자원동원성 수준에 따른 심리기술과 자기관리행동의 변화를 중심으로 (The change of Psychological skills strategy and Self-management behavior according to the level of Resourcefulness of Fencing-Athlete)

  • 이현영;장덕선
    • 한국체육학회지인문사회과학편
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    • 제54권5호
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    • pp.251-260
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    • 2015
  • 본 연구에서는 대학 펜싱선수들을 대상으로 심리교육을 중재한 후 자원동원성 수준에 따라 심리기술과 자기관리행동이 어떻게 변화하는지 탐색하여 참여자의 심리적 역량에 따른 중재의 효과성을 검증하고자 하였다. 대학 펜싱 선수(남 10명, 여 10명) 20명을 연구 참여자로 선정하였으며, 심리교육은 지도자와 참여자에게 동의를 구한 후 팀의 훈련 및 시합일정을 고려하여 12회기를 실시하였다. 시행시간은 주 1회, 60-90분 정도 소요되었으며, 심리 교육의 효과를 확인하기 위하여 1회기와 12회기에 자원동원성, 심리기술, 자기관리행동을 탐색하였다. 특히 자원동원성은 연구 참여자들의 사전 평균점수를 기준으로 고/저 집단으로 나누어 분석에 활용하였다. 연구 결과는 다음과 같다. 첫째, 자원동원성 고집단에서는 심리기술 하위요인 중 집중력, 심상에서 유의미한 변화를 보였으며, 저집단에서는 극복의지, 목표설정, 자신감, 집중력, 심상 요인에서 유의미한 변화를 나타내었다. 둘째, 자원동원성 고집단에서는 자기관리 하위요인 중 몸관리에서 유의미한 변화를 보였고 자원동원성 저집단에서는 훈련관리에서 유의미한 변화를 보여 자원동원성 수준에 따라 다른 변화를 보였다.