• Title/Summary/Keyword: Psychosocial Intervention

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The Effects of an Integrated Health Care Program on the Physical, Psychosocial, and Spiritual Health of People with Mental Disorder in Community (통합건강관리 프로그램이 지역사회 정신장애인의 신체적, 정신사회적, 영적 건강에 미치는 효과)

  • Jung, Gwang Ha;Chin, Young Ran
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.69-78
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    • 2015
  • Purpose: This study was conducted in order to investigate changes in the physical, psychosocial and spiritual health of people with mental disorder in community participating in the Integrated Health Care Program (IHCP). Methods: This study applied the non-equivalent control group pretest-posttest quasi-experimental design. The participants were 37 chronic psychiatric patients who had been clinically diagnosed with mental disorder and visiting a mental rehabilitation center located in S City (17 in the experimental group, and 20 in the control group). The experimental group participated in the IHCP consisting of 24 sessions for eight weeks. Results: After the intervention, only the participants in the experimental group reported significant improvement in physical (body mass, triglyceride), psychosocial (mental symptoms, depression, self-esteem, ability of problem solving), and spiritual wellbeing when compared with those in the control group. Conclusion: These results indicate that IHCP is effective in improving the physical, psychosocial, and spiritual wellbeing of people with mental disorder. Therefore, IHCP developed in this study is considered a useful nursing intervention for raising the comprehensive health level of people with mental disorder in community.

Psychosocial Adjustment, Marital Intimacy and Family Support of Post-mastectomy Patients (유방암 환자의 수술 후 심리사회적 적응, 부부친밀도 및 가족지지)

  • Cho, Ok-Hee;Yoo, Yang-Sook
    • Asian Oncology Nursing
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    • v.9 no.2
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    • pp.129-135
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    • 2009
  • Purpose: This study was to explore the psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. Methods: The subjects were 90 post-mastectomy patients (stage I or II) who were eligible and agreed to participate in the study. The data collection period was from March to May, 2008. Subjects completed a survey including demographics, psychosocial adjustment scale by Lee (a 4-point Likert scale), marital intimacy scale by Kim (a 4-point Likert scale), and family support by Shim (a 5-point Likert scale). Data were analyzed using SAS (ver 9.0) program and frequency, mean (SD), t-test, ANOVA and Pearson correlation coefficients were used. Results: The mean scores of the psychosocial adjustment and marital intimacy were 2.8 (${\pm}0.4$) and 2.5 (${\pm}0.5$). Also, the mean score of the family support was 3.6 (${\pm}0.7$). Regarding the correlation between the psychosocial adjustment, marital intimacy and family support, there was a positive correlation. Conclusion: These results showed that subjects who had higher marital intimacy and family support showed better in psychosocial adjustment. To improve psychosocial adjustment of post-mastectomy patients for breast cancer more effectively, there is an necessity to provide various strategic supports and intervention for effective communication with spouse and family.

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Causal Perceptions, Coping Patterns and Psychosocial Adaptation in Rheumatoid Arthritis Patients (류마티스 관절염 환자의 원인지각, 대응양상, 사회심리적 적응과의 관계)

  • Jang, Se-Young;Park, Sang-Yeon
    • Journal of muscle and joint health
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    • v.9 no.2
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    • pp.187-202
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    • 2002
  • This study was aim to provide rheumatoid arthritis patients the basic data of development of nursing intervention to help psychosocial adaptation of rheumatoid arthritis patients as exploring the relationship among causal perception, coping pattern, psychosocial adaptation of rheumatoid arthritis. As the results of this study the mean score of causal perception of the subjects was 3.37. The score of the internal-unstable was the highest. which was followed by extra-stable, internal factor, internal-stable, external factor and external-unstable in order among the factor of causal perception. The mean score of coping pattern was 2.64. The type of coping patterns the score of the receptive coping was the highest, which was followed by wishful coping active coping and negative coping in order among the type of coping pattern. The mean score of psychosocial adaptation was 3.28. The subconcept of psychosocial adaptation the score for personal relationship was the highest, which was followed by role function and mental state in order among the psychosocial adaptation. The analysis of the relation among causal perception, coping pattern and psychosocial adaptation showed significant negative correlation between causal perception and psychosocial adaptation(r=-0.3219, P=0.002). The analysis of the relation between the type of coping pattern and psychosocial adaptation showed significant negative correlation between psychosocial adaptation and active coping(r=-0.3210, P=0.002), negative coping(r=-0.2296, P=0.032). Only causal perception(-.36) and period of illness(-.26) effected on the psychosocial adaptation were shown to the negative direction significantly. The psychosocial adaptation was explained the 17% by these two variables. Based on this study results the factor of causal perception and the type of coping pattern of rheumatoid arthritis were shown significant relations between psychosocial adaptation. We suggests that nurses in practice apply to assessing the factor of causal perception of individuals illness and the type of coping patterns when nursing interventions in rheumatoid arthritis patients.

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The Impacts of Psychosocial Work Conditions on Self-rated Health among Korean Workers (한국 근로자의 심리·사회적 근로환경이 주관적 건강에 미치는 영향)

  • Choi, Eunsuk;Jeon, Gyeong-Suk
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.4
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    • pp.300-310
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    • 2016
  • Purpose: Few studies have considered the psychosocial work environment factors in relation to employee health. This study explored the relationship between psychosocial work characteristics and self-rated health among Korean employees. Methods: The study population of 21,476 employees was derived from the 2014 Korean Work Environment Survey (KWES). Psychosocial work environment was measured by Copenhagen psychosocial questionnaire scales. Results: Among employees at workplaces (n=21,476), 23.3% rated their health as poor. Among 12 indicators of psychosocial work environment characteristics, 'higher emotional demand', 'demands for hiding emotions', 'work-family conflict', and 'social community at work' were independently associated with risk of poor self-rated health of Korean employees after adjustment of all sociodemographics, work condition characteristics and physical work environment exposure. In addition, higher 'possibilities for development' and 'social support from supervisor' were more likely to decrease the risk of poor health. Conclusion: We suggest that psychosocial work environment is an important determinant of employees' health. The study results provide a good starting point for developing intervention and strategies for health improvement.

Trends of Research on the Effects of Psychosocial Intervention for Children with Epilepsy: Systematic Review (간질아동에게 제공된 심리사회적 중재의 효과에 대한 연구동향: Systematic Review)

  • Yoo, Hana;Yun, O Bok
    • The Journal of the Korea Contents Association
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    • v.14 no.6
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    • pp.219-228
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    • 2014
  • The purpose of this study was to determine the trends of research on the effects of psychosocial intervention related to children with epilepsy. 454 articles were retrieved from databases (Ovid-MEDLINE, EMBASE, PubMed, CINAHL, The Cochrane library, KMbase, and Koreamed), and 7 articles met our criterias. Interventions were classified into four categories: education; counseling; cognitive-behavioral therapy; and physical activity. The target outcomes of the interventions were quite diverse. Each intervention showed some benefits for epilepsy-related health outcomes, but each study had methodological weaknesses, including incomplete information, poorly defined or validated outcome measures, small sample sizes, and design limitations.

Effects of Dynamic Balance Exercise on Pain, Functional level, and Psychosocial Level in Patients with Non-specific Chronic Neck Pain (비특이성 만성 경부통 환자에게 적용한 동적 균형 운동이 통증과 기능적 수준, 심리사회적 수준에 미치는 효과)

  • Yu-hui Kwon;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.3
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    • pp.43-53
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    • 2023
  • Background: Patients with neck pain develop instability due to muscle imbalance, decreased proprioception, and balance disorders. Studies have examined various exercise methods as treatment methods, but few studies have compared the effects of cervical stabilization exercise and dynamic balance exercise. The purpose of this study was to investigate the effects of dynamic balance exercise on pain, functional level, and psychosocial level in patients with non-specific chronic neck pain. Methods: Thirty-four non-specific chronic neck pain patients were randomly assigned to the experimental group (EG, n=17) and control group (CG, n=17); the cervical stabilization exercise and dynamic balance exercise program were applied to the EG; and only the cervical stabilization exercise program was applied to the CG. The intervention was conducted twice a week, for six weeks. Assessment items evaluated pain, dysfunction (Korean version neck disability index), range of motion, craniocervical flexion test, cervical deep flexor endurance test, and psychosocial level. Data analysis was performed using intention-to-treat analysis as assigned. To analyze differences in the items assessed in the two groups, we used a repeated measures analysis of variance with an interaction between group (EG, CG) and time point (baseline, 6 weeks, 12 weeks). Results: The endurance of the cervical flexor muscles between the group and the measurement point after intervention (p<.05). Both groups showed significantly improved endurance between time points after the intervention (p<.05), with the EG showing a greater change than the CG. None of the other measurement items differed in the pattern of change between measurement points. Conclusion: In conclusion, the EG applying a cervical stabilization exercise and a dynamic balance exercise experienced a significant difference in muscle endurance improvement compared to the CG. We propose an exercise intervention program that includes stabilization exercises and dynamic balance exercises for patients with chronic cervical pain who lack muscle endurance.

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Factors Affecting Psychosocial Adjustment in Patients with Surgical Removal of Benign Breast Tumor (유방 양성종양 절제술 환자의 심리사회적 적응의 영향요인)

  • Kim, Hyunsook;Lee, Myoungha;Kim, Hyeyoung;Nho, Juhee
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.163-173
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    • 2018
  • Purpose: To identify factors influencing psychosocial adjustment in patients with surgical removal of benign breast tumor. Methods: With a survey design, data were collected using the Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR), Body Image Scale, Physical Discomfort Scale, and Family Support Scale with patients who had had surgical removal of a benign breast tumor from September to November 2017. Data were analysed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Results: The mean scores for physical discomfort, body image, family support, and psychosocial adjustment were $1.57{\pm}0.51$, $0.37{\pm}0.64$, $3.62{\pm}0.67$, and $4.00{\pm}0.45$, respectively. Family support, body image, physical discomfort, number of surgical removal of benign breast tumor (twice), and cancer insurance status (yes) were verified as factors influencing psychosocial adjustment. These factors accounted for 57.4% of psychosocial adjustment. Conclusion: In this study, family support, body image, and physical discomfort were identified as significant predictors of psychosocial adjustment. Therefore, this study can be used as fundamental data to develop nursing intervention strategies in order to increase psychosocial adjustment in patients with surgical removal of a benign breast tumor.

Effectiveness of Mentoring Program for Increasing Resilience of Children from Unemployed Families (실직가정 자녀의 적응유연성 증진을 위한 멘토링 프로그램 효과 : 멘터(mentor)와 멘티(mentee)에게 미친 상호적 발달 효과를 중심으로)

  • Park, Hyun-Sun
    • Korean Journal of Social Welfare
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    • v.41
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    • pp.147-172
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    • 2000
  • Although it has been noted that mentoring program is viewed as a effective way of intervention for the youth at-risk and vulnerable, few empirical studies have documented the benefits of mentoring program on youth. This research focused on effectiveness of campus-based mentoring program for children of unemployed families. It examined psychosocial benefits of mentoring program on mentor and mentee using the experimental design, posttest-only control group design. Significant differences were found between the control and intervention group. Children who have participated in mentoring program marked higher scores than control group in various psychosocial aspects including interpersonal skills, self-efficacy, sense of plan and motivation of schooling. Also university students who have participated as mentors marked higher ego-strength score than not. On the basis of these findings, this study recommended campus-based mentoring program as a effective growth-oriented program for the university students as well as the children of unemployed families.

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The Effect of Combination Intervention of Occupation - Based Intervention and Computerized Cognitive Rehabilitation on Depression in Stroke Patients for Wellness (작업기반 중재와 전산화인지재활치료의 결합 중재가 뇌졸중 환자의 웰니스를 위한 우울감에 미치는 영향)

  • Kim, Sun-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.1
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    • pp.229-236
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    • 2021
  • The purpose of this study is to investigate how the combined intervention of occupation-based intervention and computerized cognitive rehabilitation treatment affects the psychosocial function, cognitive function, and depression of stroke patients. 23 stroke patients were divided into experimental group(n=11) and a control group(n=12), and the experimental group and the control group received CoTras for 4 weeks and 30 minutes each, and additionally the experimental group received task-based intervention for 30 minutes before the start of CoTras. It was conducted 20 times for a total of 4 weeks. Self-efficacy scale, stress scale, depression scale, neurobehavioral cognitive status examination were used. As a result of the study, the experimental group showed significant improvement in improvement of self-efficacy, stress, and depression than the control group, and the experimental group showed a small effect difference in magnitude of effect from the control group in cognitive function. Based on this study, it is possible to utilize the simultaneous task-based intervention with CoTras to improve psychosocial function, depression and cognitive function in stroke patients.