• 제목/요약/키워드: Psychological support system

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의료사고 환자들의 외상후 스트레스 장애(PTSD) 실태: 의료진의 설명 및 태도와 사회적 지지의 상호작용 (Post Traumatic Stress Disorder (PTSD) in Medical Accident Patients: The Interaction Effect of Clinicians' Explanation and Attitude and Social Support)

  • 김나연 ;이수란 ;최예은 ;손영우
    • 한국심리학회지 : 문화 및 사회문제
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    • 제23권2호
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    • pp.215-237
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    • 2017
  • 의료사고 관련 연구들은 의료분쟁 및 피해구제와 관련한 법이론적 연구가 대부분이며 의료사고 환자들의 심리적 경험을 심층적으로 탐구한 연구는 부족한 실정이다. 이에 본 연구는 의료사고를 겪은 환자들의 외상후 스트레스 장애(Post Traumatic Stress Disorder: PTSD) 현황을 알아보고, 의료진의 설명 및 태도와 PTSD 증상의 관계에서 사회적 지지의 조절효과를 검증하였다. 의료사고 단체와 의료사고 관련 온라인 커뮤니티에서 모집된 총 180명의 의료사고 환자의 자료가 분석에 사용되었다. 분석 결과, 연구대상자 중 171명(95%)이 완전 PTSD 증상 수준으로 선별되었으며 다른 외상 경험자들과 비교해도 PTSD 증상의 심각도가 높은 것을 확인하였다. 또한 의료진의 설명 및 태도가 PTSD 증상에 미치는 주효과는 유의미하지 않았지만 의료진의 설명 및 태도와 PTSD 증상의 관계에서 사회적 지지 수준의 조절효과가 유의한 것으로 나타났다. 즉, 사회적 지지 수준이 높을 때는 의료진의 설명 및 태도에 따른 PTSD 증상의 유의미한 변화가 없었으나, 사회적 지지 수준이 낮을 때는 의료진의 설명 및 태도가 미흡할수록 PTSD 증상이 악화되었다. 이러한 연구 결과를 바탕으로 의료사고 환자들의 PTSD 증상을 완화하고 예방하는데 있어 심리적, 사회적, 제도적 방안들을 제언하였다. 마지막으로 본 연구의 제한점과 향후 연구 방향에 대해 논의하였다.

중년 여성의 위기 경험 (The Experiences of the Middle - Aged Women′s Crisis)

  • 김귀분;유재희;이은자
    • 대한간호학회지
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    • 제32권3호
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    • pp.305-316
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    • 2002
  • This study examined the crisis experiencing by middle - aged women and tried to understand their lived experiences also explored the nature of their crisis. Method: The data was collected from 7 participants living in Incheon and Seoul from Sep. 2000 to Feb. 2001. The analysis of the data was made the phenomenological analytic method suggested by Giorgi. Result: The meanings of the lived experiences of the middle - aged women's crisis ; Impatience about decreased physical function : an attack of a disease, decreased strength, decreased quickness, decreased desire, increased concern of health, poor memory, easy fatigue, change of appearance, change of conjugal relations, sense of loss. Psychological, emotional disturbances : sense of emptiness, regret, sharpness, feeling gloomy, fear of dying, loneliness, feeling the want, loss of confidence. Attitude of active life : reinforcement of self experience, enrichment of understanding, search of self satisfaction, search of self development, development of support system, management of independent life. Envy feeling from relative comparison : feeling of comfort, unsatisfaction to the husband, yearning for youth. Conclusion: Therefore, the program should be developed for the program of physical, psychological, and emotional health and expansion of social role of the middle - aged women.

새 밀레니엄에서의 청소년 문화창조를 위한 생태학적 지원체계(II) -청소년 자녀와 부모가 인지한 가족의 심리적 환경 비교 분석- (Ecological support system for promoting youth culture in a new millenium age - Comparative Analysis on psychological environment of family between Adolescent and Parent-)

  • 김명자;이정우;계선자;박미석;박수선
    • 대한가정학회지
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    • 제38권9호
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    • pp.41-56
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    • 2000
  • The purpose of this study is to compare the psychological environment of adolescent family between parents and their children through analysis each party's perception. A survey was conducted on 1235 high school students and their parents from 19 high schools. The main results are as follows: 1. Regarding family cohesion and family adjustment, both the parents and their children showed an average level, whereas parents had a tendency to show a higher level than their children. There is no significant difference between girls and boys and between fathers and mothers as for family cohesion, while the girls and their mothers showed significantly higher level of adjustment than boys and their fathers. 2. The adolescents and their parents showed relatively open communication style and parents have significantly more open communication style than their children. 3. The adolescents felt that they were viewed more negatively by their parents than what their parents actual views were.

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An Application of Human-Centered Multimedia System for Medical Implementation

  • Ko, Je-Suk;Kitjongthawonkul, Somkiat
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제9권4호
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    • pp.255-260
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    • 2009
  • Multimedia interpretation describes a high level of ion of multimedia content like interrelations and coherencies. In this paper, we describe a multimedia interpretation component from human-centered perspective. In this context, we see the role of the multimedia interpretation component as a liaison between the psychological apparatuses and computer-based artifact. We emphasize this role of multimedia interpretation by outlining a mapping process of the psychological apparatuses and computer-based artifact. This mapping process needs to be transparent to its user so that effective human-centered systems can be achieved. This transparency will provide an immersive environment for the users and enable uninhibited interaction between the users and the artifact. Furthermore, we illustrate how the multimedia interpretation component can be utilized in the medical diagnosis and treatment support application.

시각장애 학생들의 원인질환 및 사회적 지위, 자아존중감, 건강관리 행위에 관한 연구 (A Study on Disease, Self-Esteem, Social Support and Health Management Behavior in Blind & Visually Handicapped Students)

  • 박미리
    • 한국학교보건학회지
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    • 제10권1호
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    • pp.75-86
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    • 1997
  • Blindness or visually handicaps are found to be an important factor destroying lifestyles as well as a physical problem. According to the data of handicapped person's(v.h.p) registered in Korea, the number of v.h.p. has not decreased. Especially, visual handicapped adolescents (v.h.a.) suffer from an insufficiency of social support under the current education system. There is a special education system for v.h.a. in Korea, and, as a result v.h.a.'s are educated separately from general students and communites. Compared with the self-conception of general students, v.h.a.'s have a more negative self-conception. Among former studies 51.7% of v.h.p's are not in good health. This, of course, means that their handicap impacts on other health problems. The first purpose of this study is to find out the causes of disease and the degree of social support, self-esteem, health management behavior provided and then to analyze the effect of self-esteem and social support on their behavior. To accomplish these purposes, visually handicapped the middle and high school students in Seoul city and Kyung-gi province were selected and 300 students sampled. The main results are as follows : 1) The highest specific handicap is impaired lenses (19.7%). 2. There were high correlations between health management behavior, self-esteem, and social support. 3. Social support is a more important variable than self-esteem on health management behavior. 4. Age of entry and length of stay in their special dormitories, and teacher's support account for 16% of psychological health management behavior 5. Age of entry in their special dormitory and total degree of social support account for 12% of preventive health behavior.

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ADHD성향 아동과 지지체계를 대상으로 한 통합적 지원 프로그램에 대한 평가 연구 (An Evaluative Study on the Integrated Support Program for Children with ADHD Tendencies and Their Social Support System)

  • 최고은;권지성
    • 한국사회복지학
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    • 제65권3호
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    • pp.207-238
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    • 2013
  • 이 연구의 목적은 ADHD성향 아동과 지지체계를 대상으로 한 통합적 지원 프로그램의 영향을 평가하려는 것이다. ADHD성향 아동과 지지체계의 변화를 목표로 ADHD성향 아동과 그를 둘러싼 가족 중심의 환경체계에 대한 개입을 중심으로 한 프로그램을 설계하고 수행하였다. 구체적으로는 ADHD성향 아동에 대한 개별 미술심리치료, 집단생활적응력향상프로그램, 문화체험을 진행하였으며, 부모에게 개별상담 제공과 학교 및 교사와의 정기적인 네트워크 회의를 실시하였다. 세부프로그램별로 표준화된 척도와 기록물, 면접 등을 통해 자료를 수집하고 분석한 결과, ADHD성향 아동의 심리 정서적 안정과 문제행동의 감소라는 변화가 나타났으며, 지지체계의 구성원들에게는 ADHD성향 아동의 변화가능성을 확인하고 긍정적으로 인식하는 계기를 제공해주는 효과가 나타났다. 이러한 결과를 통해 ADHD성향 아동에 대한 지원시 주변환경에 대한 개입과 지지체계 구축을 통해 통합적으로 지원할 필요성이 있음을 확인하였으며, 이와 관련된 실천 지침들을 제언하였다.

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노숙자의 삶의 경험 - 시설 노숙자를 중심으로 - (The Life Experiences of the Sheltered Homeless)

  • 원정숙
    • 성인간호학회지
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    • 제15권1호
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    • pp.56-66
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    • 2003
  • Purpose: The purpose of this study is to describe the psychological aspects of experiences of men living in a homeless shelter in Seoul. This study focused on understanding about the life of the homeless in the shelter by Phenomenological method. Method: The participants in this study were seven men who are living in a homeless shelter in Seoul. The following data were collected though the in-depth interviews and analyzed by the Phenomenological analytic method of Giorgi. Result: There are five focal significances about the life of the homeless. (1) Unplanned Life : Difficult life comes from outside situation, Freedom, The acceptance of unconsciousness life, Laziness, Unreliability, The dissolute life, No purpose to life, Relying on drinking, (2) Self-rationalization : Feeling of defeat, Give up, Desire for a support system, Lack of willingness, Anxiety, Chivalry, Falsehoods, (3) Superficial Interpersonal Relationships : Ignorance, Pressure, Discord, Hiding from one anther, avoidance. (4) A sense of devestation : Negative perspective, Mental weakness, Difficulties in employment, ambivalance with social structure, The place to escape, Complaining against the opposite sex, Sense of regret, Lack of relationship with family, The lack of self-confidence, Loss of volition (5) The Hope of new life : Realization, Desire for change, Dreaming of married life, Dependence in God Conclusion: The conclusion of this study shows that the men in the shelter had various psychological reasons for being in the homeless shelter. Further studies need to be done to validate this information and formulate ways to assist these men with their psychological needs.

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방재 및 감재주택을 위한 건축 계획 요소의 설정 (Architectural Design Elements for Hazard-Resistant and Reduction House)

  • 김형언
    • KIEAE Journal
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    • 제16권6호
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    • pp.77-82
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    • 2016
  • Purpose: Almost every research carried out in our country against the natural disaster is focused on the temporary facilities such as temporary housing, emergency shelter and as a result, it is very hard to find out researches on the ordinary houses which installed integrated systems of hazard-resistant against the natural disaster. Method: To conduct this research, categorizing process for design, structural, environmental and installation elements found in the Hazard-Resistant and Reduction House built for sale in Japan was performed. Result: In this study, several design concepts and subordinate items are recommended for hazard-resistant housing. First, design concept of 'Preparedness' which means security and access to the storage storing goods especially food & beverage for the emergencies is needed. The subordinate items consist of security of stocking space, diversified and circular storage system, and safety storage system. Second, design concept of 'Security' which means security of physical safety space and rapid recovery to returning to daily life against natural disaster is needed. The subordinate items consist of many items including not only structure and facilities but also architectural design method. And finally, design concept of 'Maintenance, Support and Return' which means minimizing the physical and psychological damages and support safety and physical conditions of the victims from the impact of the disaster to returning to daily life is needed. The subordinate items consist of high efficiency insulation/airtightness design, microclimate design, combination of photovoltaic system and storage battery, non-power appliance system against the power failure, storing system for drinking water, rainwater storing and utilization system.

간호대학생의 스트레스, 임상실습 스트레스, 대처, 심리적 안녕감에 관한 융합 연구 (Convergence Study on Stress, Stress of Clinical Practice, Coping, and Psychological well-being in Nursing Students.)

  • 김은아
    • 한국융합학회논문지
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    • 제9권3호
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    • pp.91-99
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    • 2018
  • 본 연구의 목적은 간호대학생의 스트레스, 임상실습 스트레스, 대처, 심리적 안녕감 정도와 그 관계를 파악하여 간호대학생의 성공적인 대학생활 및 추후 간호사 생활을 지속할 수 있는 방안을 확인하고자 시도된 연구이다. 연구 대상은 임상실습을 경험한 간호대학생 242명으로, 자료수집 기간은 2015년 10월부터 11월까지 시행하였으며, 수집된 자료는 SPSS 21.0 program으로 ANOVA, t-test, Pearson correlation coeffient, Multiple regression analysis를 사용하여 분석하였다. 연구결과 문제에 직면했을 때 문제를 회피하지 않고 직접 해결하고자 할수록, 그리고 스트레스를 적게 받을수록 심리적 안녕감은 증가하며, 심리적 안녕감에 영향을 미치는 주요변수는 문제중심 대처기제(${\beta}=.446$), 회피중심 대처기제(${\beta}=-.301$), 스트레스(${\beta}=-.281$)로 설명력은 51.0%로 나타났다 결론적으로 간호대학생들이 스트레스를 회피하기 보다는 이를 직시하고, 스스로 또는 사회적 지지체계를 이용하여 문제해결 방안을 적극적으로 간구하려는 스트레스 관리 전략을 통해 심리적 안녕감의 함양이 이루어질 수 있도록 해야 할 것이다.

일본의 다중채무자문제 및 채무자상담에 관한 연구 :채무자상담기관의 상담자 면접조사를 포함하여 (A Study on Issues of Heavy Debtors and Credit Counseling in Japan : Including the Interview of Counselors in the Credit Counseling Service)

  • 이현진
    • 가정과삶의질연구
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    • 제25권2호
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    • pp.155-172
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    • 2007
  • This study is a qualitative analysis aimed at facilitating a plan of social support for heavy debtors. for this purpose, the status of issues related to heavy debtors in Japan is considered, and more is revealed about the status of operation for non-profit organizations and groups of heavy debtor victims as counseling agencies for heavy debtors. In addition, through interviews conducted with the counselors of these organizations, a survey has been made on whether the credit counseling provides particular functions for and increases the satisfaction of debtors. The root of Japan's large number of heavy debtors lay in that country's excessive growth of consumer financing, the increase of its use, the structural problems on the lending system of consumer financing and legal insufficiency, to name of few fundamental problems. The interviews on debtor counseling in private organizations revealed that the debtors being counseled showed a great change, due primarily to group counseling and activities, in such aspects as psychological stability, learning and understanding about heavy debts and willingness to take action for solving their own problems. In addition, regarding the aspects of time and cost, specialty, mutual exchange of experienced persons, psychological care and educational functions, the importance of the debtor counseling group's role has been established. To improve the problems of heavy debtors in Korea, there is a need to promote the importance of debtor counseling increase the interest and support of the administration, create a sense of solidarity among related organizations and promote public education on consumer credit. The support of the consumer credit industry and the development of human resources are also badly needed.