• 제목/요약/키워드: Psychosocial Distress

검색결과 82건 처리시간 0.036초

항만하역 근로자들의 직무 스트레스에 관한 연구 (A Study on Job Stress of Container Termainal Workers)

  • 최은경;김공현;이종태
    • 한국직업건강간호학회지
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    • 제11권1호
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    • pp.63-80
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    • 2002
  • Objectives: The objective of this study is to evaluate the job characteristics of container terminal workers by applying the Job Strain model, and to assess the relationship among the general characteristics, job characteristics and psychosocial distress. Methods: A self-administrated questionnaire survey was performed to the container terminal workers in Pusan. Among the 200 male workers who answered the questionnaires, white-collar workers and blue-collar workers were 100, respectively. Karaseks Job Content Questionnaire was utilized to evaluate the job characteristics and Psychosocial well-being index (PWI) was applied to measure the extent of their psychosocial stress. Results: In white-collar workers, the skill discretion, created skill, decision-making authority, decision-making latitude, psychological job demand, and supervisor support of the job characteristics were significantly high, while in blue-collar workers physical exertion was significantly high. The result of Psychosocial well-being index (PWI) reveals that blue-collar workers were more stressed than white-collar workers, especially, the indices of depression (factor 2), sleeping disturbance and anxiety (factor 3), General well-being and vitality (factor 4) were significantly increased; whereas, in white-collar workers, only the index of social performance and self-confidence (factor 1) was significantly increased. And PWI scores were significantly increased in the lower social support and psychological job demand. By the multiple logistic regression analysis for PWI, blue-collar workers had increased odds ratio of 2.66(95% CI;1.11-6.41) compared with white-collar workers. The unmarried workers increased odds ratio of 3.54(95% CI;1.18-10.62) compared with married workers. And workers who have not own house increased odds ratio of 2.35(95% CI;1.15-4.79) compared with workers who have own house. Particularly, odds ratio of work-shift in blue-collar workers was 11.10(2.14-57.64). Conclusion: Skill discretion, created skill, decision-making authority, decision-making latitude, psychological job demand, and supervisor support were increased in white-collar workers. Decreased skill discretion and increased physical exertion were found in blue-collar workers, which is supported the Job Strain model. Job stress of blue-collar workers was comparatively higher than that of white-collar workers, especially, skill discretion, decision-making authority, decision-making latitude, job insecurity, physical exertion were noticeable factors. Especially, sleeping, smoking, and work shifting turned out to be a main cause that increases stress. Therefore, in order to decrease the job stress, a health promotion program to change the health behaviors should be activated and an organized job stress management program should be introduced. Especially, working condition for blue-collar such as physical exertion and work-shift should be improved.

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진단 직후 유방암환자의 디스트레스 관리를 위한 심리교육프로그램의 효과 (Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer)

  • 박진희;전미선;정용식;배선형;정영미
    • 대한간호학회지
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    • 제48권6호
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    • pp.669-678
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer. Methods: A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast. Results: Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group. Conclusion: These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

신장이식술 후의 사회심리적 적응 (Psychosocial Adjustment after Kidney Transplantation)

  • 이명선
    • 대한간호학회지
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    • 제28권2호
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    • pp.291-302
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    • 1998
  • The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of people with kidney transplantation. Initially, nine individual interviews were conducted to gather data regarding their subjective experiences. And two focus group interviews were utilized to validate or discard the themes that were emerged from the analysis using Colaizzi's method. Among 17 participants, 13 had living related kidney donations, one living unrelated, and the remaining two cadavor donations. About 130 significant statements were extracted and these were clustered into 11 themes. All participants felt anxiety and fear toward the rejection of transplantation and the complication of immunosuppressive drugs. Although they were initially satisfied with their life after kidney transplantation, most of them lost a self-confidence and experienced loneliness, depression, and despair. Most of the participants also felt guilty for not being able to accomplish their appropriate roles in the family, They also had financial difficulties and social restrictions. However, they overcame these psychosocial distress by exercising, working and sharing love with others. They also could overcome it by living a religious life and by working to help others with kidney transplantations. Most of them felt gratitude toward the donor and did not have a psychological rejection toward the kidney transplanted. The results of the study might help nurses who work with people with kidney transplantations in establishing and implementing an effective nursing intervention by understanding their lived experience.

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부부관계 맥락에서 유방암의 심리사회적 영향 - 국내외 논문분석 - (Breast Cancer in Marital Context: A Critical Review of the Literature)

  • 이인정
    • 사회복지연구
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    • 제40권1호
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    • pp.37-61
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    • 2009
  • 유방암은 진단과 치료과정에서 환자뿐만 아니라 배우자에게 심리사회적 디스트레스를 초래하게 된다. 이러한 배우자의 디스트레스는 다시 유방암환자의 적응, 삶의 질에 영향을 미치게 된다. 이에 따라 부부관계 맥락에서 유방암의 심리사회적 영향을 살펴보아야할 필요성이 제기된다. 이를 위해 유방암환자와 배우자를 대상으로 심리사회적 영향을 조사한 국외 연구 33편, 국내 연구 1편 총 34편을 방법론적 측면과 내용적 측면으로 분석하였다. 분석 결과를 토대로 후속 연구와 임상적 실천에 있어서의 제언점을 제시하였다.

Existential Issues and Psychosocial Interventions in Palliative Care

  • Lee, Jae-Hon
    • Journal of Hospice and Palliative Care
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    • 제23권4호
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    • pp.167-171
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    • 2020
  • The finite nature of human existence leads many to search for meaning, which comes into sharper relief for those who are imminently facing death. Therefore, universal existential concerns such as the inevitability of death, existential isolation, loss of meaning, freedom, and dignity are inherent psychological issues in palliative care. Consequently, one of the critical challenges facing palliative care is how to address these issues effectively. This paper provides an overview of common themes of existential concerns and psychotherapeutic interventions to address existential distress among patients in palliative care.

자궁경부암환자의 삶의 질에 영향을 미치는 치료관련 및 심리사회적 요인 (Medical-and-Psychosocial Factors Influencing on the Quality of Life in Patients with Cervix Cancer)

  • 전미선;이은현;문성미;강승희;유희석
    • Radiation Oncology Journal
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    • 제23권4호
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    • pp.201-210
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    • 2005
  • 목적: 본 연구의 목적은 자궁경부암 환자의 삶의 질에 영향을 미치는 치료관련요인과 심리사회적 요인을 파악하기 위함이다. 대상 및 방법: 경기도 A 대학병원에서 자궁경부암 진단을 받고 치료 중이거나 추후관리 중인 환자 147명을 대상으로 삶의 질과 심리사회적 변수(기분장애, 삶의 성향, 사회적 지지)에 대해 설문조사하였다. 그리고 치료관련 변수로 암의 병기, 치료방법, 추후관리기간은 의무기록을 통해 조사하였고 증상 경험은 설문조사하였다. 결과: 치료관련 변수들과 심리사회적 변수들은 자궁경부암 환자의 전체 삶의 질의 63.3%를 설명하였다($R^2=0.533$, F=16.969, p=.000). 암의 병기, 증상 경험, 기분장애정도, 사회적지지 중 가족지지, 그리고 삶의 성향은 자궁경부암 환자의 삶의 질에 영향을 주는 유의한 요인이었으며 이 중 가족지지가 가장 영향력이 큰 변수였다. 결론: 자궁경부암 환자의 삶의 질을 증진시키기 위해서는 환자의 증상관리 뿐만 아니라 심리사회적 중재가 치료와 함께 병행되어야 하며 그 내용으로 기분조절, 사회적 지지, 삶에 대한 긍정적인 태도를 취하는 것이 포함되어야 한다.

위암 환자의 디스트레스 유병률과 관련 위험 인자 (Prevalence and Associated Risk Factors of Psychological Distress in Patients with Gastric Cancer)

  • 전찬수;민정아;마지영;송교영;류인균;이창욱;이철;김태석
    • 정신신체의학
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    • 제20권2호
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    • pp.82-90
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    • 2012
  • 연구목적 : 위암은 국내에서 매우 빈번하게 발생하는 암이지만, 위암과 디스트레스 간의 관련성을 규명한 연구는 거의 없었다. 본 연구에서는 위암 환자의 디스트레스의 유병률을 조사하고 관련 위험인자를 알아보고자 한다. 방 법 : 일 종합병원 암센터에 입원한 274명의 위암 환자가 본 연구에 참여하였다. 모든 참여자에게 디스트레스를 평가하는 병원 불안 우울 척도가 시행되었으며, 사회인구학적 및 암 관련 임상 자료가 조사되었다. 결 과 : 153명(55.8%)의 위암 환자가 유의한 디스트레스를 나타내었다. 로지스틱 회귀분석에서 음주 경험이 있는 경우[오즈비(OR)=2.10, p=0.034]와 수행능력이 저하된 경우(OR=2.40, p=0.002)가 위암 환자의 디스트레스에 유의한 영향을 미치는 요인으로 밝혀졌다. 결 론 : 본 연구에서 약 반 수 이상의 위암 환자가 디스트레스를 겪고 있으며, 음주 경험과 낮은 수행 능력이 관련 위험 인자로 나타났다. 본 연구의 결과로 위암 환자의 디스트레스에 대한 선별 평가 및 심리사회적 중재의 필요성을 확인하였다.

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