• 한국콘텐츠학회논문지
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• 제19권8호
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• pp.323-331
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• 2019

지역사회에 거주하는 뇌졸중 장애인을 대상으로 정서적 요인과 스트레스 요인을 파악하고, 사회적 참여 수준에 미치는 영향을 알아보고자 하였다. 자료 수집은 지역사회 복지관, 보건소, 지역사회 서비스를 이용하는 뇌졸중 장애인에게 정서적 자각 능력, 스트레스, 사회적 참여 수준에 대한 자료를 수집하였다. 일반적 특성에 따른 사회적 참여 수준은 기술통계와 일원배치분산분석을 실시하였다. 정서적 자각 수준, 스트레스, 사회적 참여 수준 간의 상관성은 피어슨 상관분석, 사회적 참여 수준에 미치는 영향을 알아보기 위해 다중회귀분석을 실시하였다. 분석 결과, 사회적 참여 수행도와 만족도에 영향을 미치는 요인은 정서적 요인의 하위영역에서 통계적으로 유의한 요인이 나타나지 않았다. 스트레스 요인의 개인 내적 스트레스와 개인 간 스트레스는 시회적 참여 수행도와 만족도에 모두 통계적으로 유의한 변인으로 나타났으며, 수행도는 34%, 만족도는 33%의 설명력을 보였다. 따라서, 지역사회 뇌졸중 장애인의 성공적인 재활과 지역사회에 재통합을 이룰 수 있도록 스트레스요인을 고려한 다양한 접근이 이루어져야하며, 사회적 참여 수준에 영향을 미치는 심리사회적인 변인을 파악하는 추가적인 연구가 필요하다.

• 대한한방내과학회지
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• 제31권4호
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• pp.870-879
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• 2010

Objective : This study is about stroke risk factors which may differ between countries. Methods : We recruited 1725 ischemic stroke patients from multiple-centers. We analyzed stroke risk factors: hypertension, diabetes mellitus, dyslipidemia, depression, cardiac source, smoking, waist-to hip ratio, alcohol intake, physical activity, and psychosocial stress. We then compared risk factor results from other countries (the INTERSTROKE study) with this study. Results : 10 risk factors are related to stroke incidence. They were somewhat different between this study and the INTERSTROKE study. Conclusions : Hypertension is the most important risk factor of stroke, and other 9 risk factors also should be managed to prevent stroke incidence. Frequency of risk factors were different from the INTERSTROKE study. I think it could be partly due to differences of ethnicity and age. More studies are needed to describe characteristics of risk factors of Koreans.

• 치위생과학회지
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• 제16권1호
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• pp.62-69
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• 2016

이번 연구는 치위생(학)과 학생들의 임상실습에 대한 만족도와 임상실습 스트레스 요인을 파악하고, 임상실습만족도와 스트레스 요인들 간의 상관관계를 알아보고자 2012년 5월 21일부터 6월 22일까지 병원 임상실습 경험이 있는 치위생(학)과 학생 232명을 대상으로 설문조사를 하였으며, SPSS WIN 12.0 프로그램을 이용하여 분석한 후 다음과 같은 결과를 얻었다. 스트레스 요인은 학제별로 환경요인, 역할요인, 대인관계요인, 이상과 가치 요인, BEPSI 모든 요인이 4년제보다 3년제에서 높았고(p<0.01), 실습만족도에 따른 스트레스 요인은 불만족일 때 모든 요인이 높았으며, 그 중 환경요인이 가장 높았다(p<0.001). 교육기관에 따라 환경요인은 치과대학병원이 가장 높았고, 대인관계요인과 이상과 가치요인은 치과병원, 역할요인과 BEPSI는 치과의원이 가장 높은 것으로 나타났다(p<0.01). 병원분위기가 나쁠 때 환경요인이 가장 높았고, 역할요인, 대인관계요인, 이상과 가치요인, BEPSI순이었다(p<0.001). 병원실습 스트레스 요인간의 상관관계를 분석한 결과 실습만족도, 환경, 역할, 대인관계, 이상과 가치, BEPSI 간에는 양의 상관관계가 있었고(p<0.01), BEPSI에 가장 큰 영향력을 보이는 스트레스 요인은 대인관계였으며, 환경, 이상과 가치 순으로 나타났다(p<0.001). 임상실습에서 낯선 환경과 대인관계의 부족으로 학생들은 평소보다 스트레스 지수가 더 높을 수 있으므로 학생들이 스트레스에 대해 스스로 잘 대처할 수 있는 능력을 키워주기 위한 체계적인 임상실습 운영방안을 마련해야 할 것으로 생각된다.

• 임상간호연구
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• 제22권3호
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• pp.359-367
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• 2016

Purpose: The purpose of this study was to examine the effects of physical, psychological, and social factors on the health status of patients undergoing hemodialysis using longitudinal data. Methods: Two surveys were conducted within a period of two-year. A total of 75 patients participated in both surveys. Eight variables including symptoms, treatment belief, hope, meaning-focused coping, family support, friend/peer support, healthcare provider support, and health status were measured. Data were analyzed by paired t-test, Pearson's correlation coefficients, and hierarchical multiple regressions. Results: The mean age of the participants was 47.31 and the average duration of dialysis was 8.27 years. There was no difference in scores on perceived health status between the two year-interval surveys. The two-year follow-up on perceived health status was correlated with baseline perceived health status, friend/peer support, meaning-focused coping, hope, and symptoms. As the result of the regression analysis, friends/peer support (${\beta}=.31$, p=.013) and baseline perceived health status (${\beta}=.30$, p=.020) were found to be significant predictors of subsequent health status which explained 39.0% of the variance. Conclusion: This study suggests the importance of psychosocial resources for positive health outcomes in patients with a chronic illness. Nursing interventions aimed to provide renal peer support need to be developed and tested.

• 대한간호학회지
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• 제38권1호
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• pp.19-28
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• 2008

Purpose: The purpose of this paper was to examine the relationship between type D personality and cardiovascular disease, and to suggest future research directions. Method: A literature search was conducted from the following nine databases: 1) MEDLINE, 2) CINAHL, 3) Pubmed Unrestricted, 4) PsycINFO, 5) KISS, 6) RICHIS, 7) RISS4U, and 8) Nanet. The combinations of the words, "type D personality", "personality", "heart", "cardiovascular", and "coronary" were used for keyword searches to find relevant articles. Twenty eight studies were identified. Result: Type D personality has been associated with increased morbidity and mortality in patients with established cardiovascular disease. Type D patients are also at increased risk for impaired quality of life, and seem to benefit less from medical and invasive treatment. Conclusion: There is substantial evidence for a relationship between type D personality and clinical outcomes related to cardiovascular disease. Randomized clinical trials are needed to further evaluate the value of controlling type D personality to improve survival and reduce morbidity in patients with cardiovascular disease. Accumulating evidence from this analysis indicates the urgent need to adopt a personality approach in order to optimize the identification of patients at risk for stress related cardiac events.

• 수면정신생리
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• 제26권2호
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• pp.67-74
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• 2019

Anger is a multi-dimensional concept ranging from feeling irritable to violent aggression. A growing body of literature suggests the relevance of sleep in regard to anger. The current study aims to review previous studies on the association between anger and diverse aspects of sleep including sleep disruption, chronotype, sleep disorders and sleep deprivation. An association between sleep and anger has been observed starting in the early stage of life, with sleep of infants or toddlers affecting emotional and behavioral aspects of anger. However, the association between anger and sleep is not clear in adolescents and might be due to the effects of psychosocial factors on both sleep and anger during adolescence. Subjective but not objective sleep disturbances of adults have been also associated with anger. Evening types showed more anger, which might be mediated by psychological characteristics or social jet lag of evening people. Increased anger has also been found in those with insomnia, sleep apnea, or experimental sleep-deprivation. Previous studies have reported that diverse sleep disturbances are related to anger. Future study assessing the various sleep or circadian indices and considering the multidimensional aspects of anger are needed.

• 대한간호학회지
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• 제27권1호
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• pp.13-25
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• 1997

Rheumatoid Arthritis(RA), a chronic and systemic inflammatory disorder, is characterized by joint pain, swelling and stiffness. Patients with RA suffer from joint pain and overall pain. The painful and disabling consequences of RA are accompanied by a variety of affective, cognitive, and behavioral changes. The purpose of this paper was to explore and describe the life experiences of RA patients by eliciting verbal description of their experiences. Participants were nine persons who were diagnosed with RA, and had had it for more than six months. They were asked open ended and descriptive questions in order for them to talk about their experiences in their on terms. Interviews were tape recorded and transcribed verbatim. The transcripts were analyzed by Colaizzi method. From the protocols, 213 significant statements about life experience were organized into 83 formulating meanings which were then grouped into five theme clusters. The major themes that emgerged from the analysis were' Emotional Disturbances', 'Trying to Adapt to the Progress of Disease', 'Progress of Treatment'. 'Change of Role Performances', 'Experiences related to Family'. The result of this study showed that RA patients and families need nursing care based on a deep understanding of their lived experiences in everyday life. Nurses and other health workers must develop rehabilitation programs that focus on the pain control, functional independence and psychosocial factors.

• 대한간호학회지
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• 제39권3호
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• pp.311-320
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• 2009

Purpose: This study was to analyze research reports published in Korea on cardiac rehabilitation for patients with cardiovascular disease. Methods: Based on inclusion criteria, 19 research reports were included in this review. Published year of selected articles was between 1996 and 2008. Nineteen studies were analyzed by guidelines of the cardiac rehabilitation programs done by the American Heart Association(AHA) and Scottish Intercollegiate Guidelines Network(SIGN). Results: The characteristics of patients were mostly of ischemic heart disease, 50-59 yr old, and male. Educational sessions were administered twice, and each lesson lasted less than 30 min. Exercise was done 3 times per week for 6 weeks. Most educational content were about risk factors, but there was no information, such as coping with feelings. Most exercise was performed as ROM, treadmill, and cycle ergometer. A large percentage of outcome indicators were health behavior, hemodynamic changes, and exercise capacity. There was more 'no effect' than 'positive effect' in trait anxiety and depression, whereas similar in physiologic domain. Conclusion: Various types of cardiac rehabilitation in Korea were performed by researchers. Therefore, we need to develop the standard protocol, to add psychosocial intervention, and to study cost effectiveness of cardiac rehabilitation.

• 대한간호학회지
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• 제37권6호
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• pp.1003-1012
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• 2007

Purpose: The role of sex role identity types and health promoting behaviors in relation to premenstrual symptoms and interrelatedness among the three variables were examined. Methods: A cross sectional descriptive study was employed with 327 female university students. KSRI, HPLP, and MDQ were used as measurement tools. Results: Four types of sex role identities were classified; undifferentiated(33.7%), androgyny (32.7%), masculinity(16.8%), and femininity(16.8%) in order. Premenstrual symptoms(F=3.11, p= .027) and health promoting behaviors(F=12.74, p= .000) were significantly different by sex role identity types. As determinants of premenstrual symptoms, health promoting behaviors for all subjects, stress coping for the feminine type, and interpersonal relationships for the undifferentiated type were identified. In discriminating between the feminine type and undifferentiated type, premenstrual symptoms and self responsibility were shown as significant factors. Conclusion: Interrelatedness among sex role identity, health promoting behaviors and premenstrual symptoms imply the importance of a psychosocial aspect in premenstrual symptoms. Therefore, these three variables should be applied more specifically for nursing assessment and management of women having premenstrual symptoms.

• 생물정신의학
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• 제23권2호
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• pp.37-40
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• 2016

Treatment-resistant depression (TRD) is a major public health problem. It is estimated that about 30% of patients with major depressive disorder do not show substantial clinical improvement to somatic or psychosocial treatment. Most of studies for TRD have focused on the subjects already known as TRD. Patients with unipolar depressive episodes that do not respond satisfactorily to numerous sequential treatment regimens were included in the TRD studies. Such post hoc experimental design can be regarded only as consequences of having TRD, rather than as causal risk factors for it. Although informative, data derived from such studies often do not allow a distinction to be made between cause and effect. So, we should shift paradigm toward examining the risk for developing TRD in untreated depressed patients. To deal with this problem, untreated depressed patients should be enrolled in the study to identify biological markers for treatment resistance. The peripheral or central biological markers should be explored before starting treatment. Subsequent systematic administration of treatments with appropriate monitoring in the subjects can determine the risk for developing treatment resistance in untreated individuals. Such information could give a cue to improve the initial diagnosis and provide more effective treatment for TRD.