• 제목/요약/키워드: Psychosocial evaluation

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학교기반 분노관리 프로그램의 개발 및 효과 (Development and Evaluation of a School-based Anger Management Program (SAMP) for Adolescents)

  • 박영주;유호신;한금선;권정혜;김한겸;조윤정;강현철;천숙희;윤지원
    • 대한간호학회지
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    • 제39권1호
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    • pp.145-156
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    • 2009
  • Purpose: This study was done to develop a school-based anger management program (SAMP) of 4 sessions and examine its effects on the anger, anger expression, psychosomatic responses, psychosocial responses, and immunologic responses in adolescents. Methods: A quasi-experimental study using a nonequivalent control group, pre-post design with repeated measures was used. Chi-square test, t-test, paired t-test, and Fisher's exact test were used to analyze the data. Results: There were no differences between the experimental and control groups in outcome variables except for lymphocytes. However, following additional analyses, statistically significant differences by time point were observed for pain sensitivity, T cell, Helper T (Th) cell, Suppressor (Ts) cell and Natural Killer (NK) cell post-treatment, entrapment and psychosomatic symptoms at the 4-week follow-up, and resilience at the 10-week follow-up for the experimental group. Conclusion: Although some modifications in contents and administration will be required to increase the effectiveness of the program for anger management, SAMP can be used to promote anger management ability in adolescents.

초등학생 독서치료 프로그램 관련 학위논문의 동향 분석: 2003-2010 (A Trend Analysis on the Bibliotherapy Program for Elementary School Students in Korea: 2003-2010)

  • 정수연;이명규
    • 한국비블리아학회지
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    • 제22권3호
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    • pp.317-333
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    • 2011
  • 이 연구는 초등학생 대상의 독서치료 프로그램과 관련한 2003년부터 2010년까지의 학위논문을 대상으로 그 현황과 독서치료 과정, 내담자 문제유형과 문제내용, 독서치료에 활용한 도서 등의 동향을 분석한 것이다. 독서치료는 다양한 학문분야에서 연구되고 있다. 그리고 임상적 치료적 독서치료의 과정은 도입, 전개, 평가 등의 모든 단계의 적용이 더욱 효과적이다. 내담자의 문제유형과 내용은 심리 사회적 문제나 정신장애 문제로서 사회성 결여, 자아개념과 자아존중감 결여, 우울, 불안, 학습태도 산만 등이다. 임상적 치료적 독서치료를 위한 도서목록 개발이 필요하다. 이 연구는 임상 치료적 독서치료 관련 연구를 위한 기초자료로 제공될 것이며 앞으로 임상 치료적 독서치료 연구자에게 연구방향을 제시해 줄 것이다.

대학생 집단에서 사회적 지지와 대사증후군 예방 건강 행동 간의 상관관계: 지각된 스트레스의 매개효과 (The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress)

  • 박수연;조수아;이유진;최성철;추진아
    • 지역사회간호학회지
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    • 제32권3호
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    • pp.404-414
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    • 2021
  • Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

국내 지역사회 거주 노인의 허약과 건강결과 간의 관계에 대한 통합적 고찰 (Association of Health Outcomes with Frailty in Community-Dwelling Korean Older Adults: An Integrative Review)

  • 손연정;이숙정;최유리
    • 가정간호학회지
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    • 제26권1호
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    • pp.5-18
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    • 2019
  • Purpose: Frailty is associated with an increased risk of adverse health outcomes. We aimed to review the relationships between frailty and health outcomes in community-dwelling Korean elderly individuals. Methods: Whittemore and Knafls' framework for conducting integrative reviews was used. PubMed, Cumulative Index to Nursing and Allied Health Literature, and six Korean databases were searched. For analysis, the study included articles written in English and Korean published between January 1960 and June 2018. Of the total 1,488 studies found in the databases, we analyzed 15 studies that met the quality of the evaluation criteria. Results: The prevalence of frailty in Korean elderly individuals ranged from 6.5% to 11.7% when divided into three levels of frailty. The health outcomes assessed in relation to frailty were divided into five domains: quality of life, physical health, psychosocial health, health behavior, and health care quality. Frailty was negatively associated with all five domains. Conclusions: Our study suggested that nurses should be aware of the limitations in the physical and cognitive functions of frail elderly individuals and provide tailored interventions for Korean elderly individuals. Furthermore, a large-scale study is needed to develop the Korean model of the frailty assessment tool and to verify the conceptual model of this study.

한국형 Performance Enhancement Attitude Scale의 타당도 평가 (Evaluation of the Validity of Korean version of Performance Enhancement Attitude Scale)

  • 최호경;박재명;김태규
    • 디지털융복합연구
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    • 제17권5호
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    • pp.385-390
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    • 2019
  • 본 연구는 도핑 (doping)에 대한 태도를 정량적으로 평가하기 위해 개발된 Performance Enhancement Attitude Scale (PEAS)의 다양한 버전에 대해 모형적합도 (model fit)를 확인함으로써 대한민국 엘리트선수에게 적합한 한국형 PEAS에 대한 정보를 제공하고자 하였다. 180명의 엘리트 육상선수를 대상으로 잘 훈련된 2명의 조사자 감독하에 17문항 PEAS를 자가기입식으로 응답하는 방법으로 자료를 수집하였고, 이를 활용하여 11문항과 9문항, 8문항 및 6문항으로 구분하여 모형적합도를 확인하였다. 그 결과, 8문항 PEAS가 대한민국 엘리트 육상선수에게 좋은 적합도를 보였고, 6문항 PEAS는 청소년선수에게 좋은 적합도를 보였으나 통계적으로 유의하게 나타나지는 않았다. 이러한 결과는 8문항 PEAS를 사용하는 것이 성인 및 청소년 육상선수의 도핑에 대한 태도를 측정하는 데에 더 타당하다는 것을 의미하고, 추후 이를 활용하여 도핑 행위에 영향을 미치는 심리사회학적 요인을 확인한다면 반도핑 전략 개발에 있어서 정확한 정보를 제공할 수 있을 것이다.

사고발성법과 언어분석을 활용한 TV 홈쇼핑 광고의 효과측정 연구 (A Study on the Effectiveness Measurement of TV Home Shopping Advertising Using think aloud and linguistic Analysis)

  • 유연재
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제9권9호
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    • pp.797-808
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    • 2019
  • 본 연구의 목적은 TV홈쇼핑 광고를 시청하는 동안 일어나는 심리적 반응을 언어적 형태로 수집하고, 수집된 언어자료를 분석하여 광고효과의 측정 가능성을 탐색하는 것이다. 이를 위해 주부와 여자 대학생 40명을 대상으로 긍정평가 광고와 부정평가 광고를 시청하는 동안 나타난 심리적 반응을 사고발성법을 이용하여 언어자료의 형태로 수집하고, 자기보고식 측정으로 광고효과변인들과 광고반응 변인들을 측정하였다. 수집된 언어자료를 KLIWC를 이용하여 분석하여 긍부정평가 광고 간의 차이와 자기보고식 변인들 간의 상관을 살펴보았다. 검증결과, 긍정평가 광고와 부정평가 광고 간에 심리사회학적 변인뿐만 아니라 언어학적 변인에서도 차이가 나타났다. 또한 KLIWC의 다양한 변인들과 광고효과 변인들(구매자극도, 광고태도, 제품태도, 구매의도) 그리고 광고반응 변인들 간에 상관이 나타났다. 이러한 결과는 사고발성법과 KLIWC의 언어분석을 이용하여 TV홈쇼핑 광고 효과를 측정할 수 있는 가능성과 심리적 반응 프로파일을 구성할 수 있는 가능성을 시사하여 준다.

Evaluation of the effect of a school garden as an educational didactic tool in vegetable and fruit consumption in teenagers

  • Figueroa-Pina, Diana Gabriela;Chavez-Servin, Jorge Luis;de la Torre-Carbot, Karina;Caamano-Perez, Maria del Carmen;Lucas-Deecke, Gabriela;Roitman-Genoud, Patricia;Ojeda-Navarro, Laura Regina
    • Nutrition Research and Practice
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    • 제15권2호
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    • pp.235-247
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    • 2021
  • BACKGROUND/OBJECTIVES: Increasing the consumption of vegetables and fruits in Mexico remains a challenge. Promoting sustainable food production systems through schools may be an effective way to educate young people about food and nutrition issues. A study of nutritional education in adolescents, based on the school garden, is necessary in order to evaluate its effects on the consumption of fruits and vegetables among middle- and upper-income segments of the population. The objective of this study was to evaluate the effect of an educational intervention, accompanied by a school garden as an educational teaching tool, to improve vegetable and fruit consumption by Mexican teenagers attending a private middle/high school. SUBJECTS/METHODS: Teenagers between 12 and 18 years of age (n = 126) attending a private middle/high school in Queretaro, Mexico participated in a 3-arm, controlled, comparative impact study using a vegetable and fruit consumption frequency questionnaire, food consumption diaries, a psychosocial factor assessment questionnaire of vegetable and fruit consumption, and structured interviews. The participants were randomized into 3 experimental groups: 1) food education + school garden (FE + SG), 2) FE only, and 3) control group (CG). RESULTS: The FE + SG and FE groups significantly increased the frequency and daily intake of vegetables and fruits compared to the CG. The FE + SG group showed greater understanding of, reflection upon, and analysis of the information they received about vegetable and fruit consumption, as well as a greater willingness to include these in their daily diet. CONCLUSIONS: FE accompanied by a SG as a teaching tool is more effective at promoting vegetable and fruit consumption than either education alone or control in teenagers in middle-upper income segments of the population.

Psychological and Physiological Changes in the Elderly Due to Agro-healing Activities

  • Jang, Hye Sook;Gim, Gyung Mee;Jeong, Sun-Jin;Kim, Jae Soon;Yoo, Eunha
    • 인간식물환경학회지
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    • 제22권5호
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    • pp.425-434
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    • 2019
  • This study was conducted to investigate psychological and physiological changes of elderly affected by agro-healing activities. To meet the purpose, we conducted an agro-healing program with 20 elderly participants (average age 77.6±5.84 men and women) and once a week in total seven sessions. The Korean version of the Brief Encounter Psychosocial Instrument (BEPSI-K), Korean version of the Short Form of Geriatric Depression Scale (SGDS-K), participants' satisfaction with the program, Salivettes system method, and blood pressure were measured to find out the effects of agro-healing activities. BEPSI-K decreased by 5% in the high stress group although it was not statistically significant. The result of program satisfaction showed that 75% of the participants are satisfied with these activities. We investigated how many and what kind of chronic diseases the participants have had before they joined the program. As a result, hypertension was most common(35.6%), followed by hyperlipidemia, diabetes, arthritis, lumbago, osteoporosis, and heart disease. Systolic blood pressure after the activities decreased significantly from 144.75mmHg (stage 1 hypertension), to 132.90mmHg(prehypertension stage). As a result of analyzing the correlations between general matters such as age, education level, average income of the participants, psychological scale and number of diseases, it was found that participants' satisfaction had a negative correlation with depression. In conclusion, agro-healing is very useful in relieving stress or lowering blood pressure for the elderly whose most common disease is hypertension. Agro-healing activities are proved to have positive uses in reducing the problems of the modern society with severe issues of the aging population.

관절염 환자를 위한 건강증진 프로그램의 개발 -총체적 모델의 적용- (Development of Health Promotion Program for Individuals With Arthritis -Application of Holistic Model-)

  • 오현수;김영란
    • 대한간호학회지
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    • 제29권2호
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    • pp.314-327
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    • 1999
  • In this study, domains, contents, and effects of pre-existed intervention programs for individuals with arthritis were meta-analyzed to develop arthritis health promotion program based on Holistic Model. The developed program includes strategies of cognition, environment, and behavior. and also generates positive changes in the physical, psychological, and social demensions. Then needs assessment on conveniently selected 153 women who visited a university hospital in Seoul or in Inchon are conducted to identify the objective domains of arthritis health promotion program According to the study results. target health problems of the arthritis health promotion program were shown as pain, disability, depression, and role impediment in social domain. These objectives could be achieved by including the strategies of changing cognition, the strategies of changing behavior through learning the skill related to the health promoting behavior. and the strategies of changing environment in the health promotion program. That is, it is analyzed that the contents of program are not exclusive one another in physical. psychological. and social demensions, and also are not exclusive one another in aspect of cognition, behavior, and environment. The necessary methods to achieve the desired objectives for the developed arthritis health promotion program and evaluation subjects are as follows : (1) In the arthritis health promotion program, knowledge on management of arthritis, efficacy related to arthritis management, skill for pain management, skill for exercise, establishment of positive self-concept, enhancement of positive thinking, stress management. skill for problem solving, skill for setting goals. skill for requesting help, and skill for communication are all included. Through the improvement of all those strategies, intermediate objectives, such as “joint protection, and maintenance of pain management behavior”, “maintenance of regular exercise”, and “promotion of coping skill in psychosocial dimension” are achieved. (2) These intermediate objectives are also the methods for achieving objectives in next stage. It implies that through the intermediate objectives. the final objectives such as “minimization of physical symptoms and signs”, “maximization of psychological function”, and “maximazation of role performance in social domain” could be achieved. Each of these final objectives reflects the different dimension of quality of life, respectively. When these objectives are achieved, the quality of life that client perceives is improved. Therefore, through evaluation of these final objectives, the level of achieving final outcome of arthritis health promotion such as quality of life is determined.

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만성 정신분열병 환자에서 항정신병약물 감량에 관한 연구 (A Study for Dose-Reduction of Antipsychotics in Chronic Schizophrenics)

  • 황태연;이민수;김형섭
    • 생물정신의학
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    • 제5권2호
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    • pp.263-277
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    • 1998
  • Conventional high-dose antipsychotics tend to result in more side effects, negative symptoms and dysphoria, and at the same time lower the cognitive function which is already impaired in most schizophrenics. Florid psychotic symptoms, negative symptoms and cognitive impairment greatly impede psychosocial performance and eventual reintegration into society. The reduction of symptom and the improvement of cognitive funtions and social skills are therefore central to the psychiatric rehabilitation process. The purpose of this study was to evaluate the dose-reduction effects of antipsychotics on chronic schizophrenics prescribed conventional high-dose antipsychotics more than 1,500mg equivalent of chlorpromazine. Fifty-one chronic schizophrenics who maintained high-dose antipsychotics for more than three months were randomly assigned to two groups : 20 patients comprised the dose-maintaining group and 31 patients made the dose-reduction group. Over a sixteen weekperiod Positive and Negative Syndrome Scale(PANSS), Extrapyramidal Symptom(EPS), Nurses' Observation Scale for Inpatient Evaluation(NOSIE-30), Continuous Performance Test(CPT), Quality of Life(QOL), and haloperidol/reduced haloperidol blood levels were determined at the base line and after 2, 4, 6, 8, 12, 16 weeks to evaluate the dose reduction effects of high-dose antipsychotics. The results were as follows : 1) Dose-reduction is highly effective in reducing positive and negative symptoms, and general psychopathology. Effects were most prominent at 8, 12, 16 weeks. Among the dose reduction group, positive symptoms in positive symptom group and negative symptoms in negative symptom group were more reduced. 2 Extrapyramidal symptoms showed no significant difference between two groups. But the EPS was reduced time after time within two groups. 3) Hit rates of Continuous Performance Test, which indicate attentional capacity, increased significantly after dose reduction. 4) Haloperidol and reduced haloperidol blood levels decreased until the 4th week, after which they were constant. 5) Total scores of Nurses' Observation Scale for Inpatient Evaluation were unchanged between the two groups. But among the indices, social interest and personal neatness were improved in the dose-reduction group and retardation was aggrevated in the dose-maintaining group. 6) Total quality of life scores were unchanged between two groups. But in the dose maintaining group, satisfaction scores of attention, autonomy, and interpersonal relationship decreased progressively. These findings suggest that the dose reduction of antipsychotics for chronic schizophrenics on programs of high-dose antipsychotics were effective. Dose reduction should therefore be implemanted to spread the rehabilitation and improve quality of life for chronic schizophrenics.

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