• Title/Summary/Keyword: Psychosocial health

Search Result 695, Processing Time 0.027 seconds

Examining the Role of Psychosocial Stressors in Hypertension

  • Komal, Marwaha
    • Journal of Preventive Medicine and Public Health
    • /
    • v.55 no.6
    • /
    • pp.499-505
    • /
    • 2022
  • Despite advances in medicine and preventive strategies, fewer than 1 in 5 people with hypertension have the problem under control. This could partly be due to gaps in fully elucidating the etiology of hypertension. Genetics and conventional lifestyle risk factors, such as the lack of exercise, unhealthy diet, excess salt intake, and alcohol consumption, do not fully explain the pathogenesis of hypertension. Thus, it is necessary to revisit other suggested risk factors that have not been paid due attention. One such factor is psychosocial stress. This paper explores the evidence for the association of psychosocial stressors with hypertension and shows that robust evidence supports the role of a chronic stressful environment at work or in marriage, low socioeconomic status, lack of social support, depression, anxiety, post-traumatic stress, childhood psychological trauma, and racial discrimination in the development or progression of hypertension. Furthermore, the potential pathophysiological mechanisms that link psychosocial stress to hypertension are explained to address the ambiguity in this area and set the stage for further research.

Effects on the Psychosocial Health Status of Job Stress and Job-related Characteristics among Clerical Public Officers using the Structural Equation Model (구조방정식모형을 이용한 사무직 공부원의 직업관련 특성과 직무스트레스가 사회심리적 건강상태에 미치는 영향)

  • Cho, Young-Chae;Kwon, In-Sun;Bae, Nam-Kyou;Park, Jae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.11 no.6
    • /
    • pp.2169-2177
    • /
    • 2010
  • The effects of job related factors on psychosocial health status were examined by taking job stress into account. The self-administered questionnaires were performed, during the period between Oct. 1st, 2009 and Nov. 30th, 2009, to 805 individuals in the service of general administration located in Daejeon City. Causal relationships between job related factors, job stress, and, psychosocial health status were examined by structural equation model. The main finding as follows: For correlations of such indices of psychosocial health status as PWI and MFS with various studied items, all of these two indices were found to be in a negative correlation with the job position, job career, satisfaction in job life, autonomy of job, supervisors support and coworkers support, whereas in positive correlation with the experience of sick absence per year and job demand. With the analysis of structural equation model, the degree of job stress factors was more influential on the level of psychosocial health status than job related factors in such a manner as that the greater the job stress, while the lower the job related factors, the higher the psychosocial health status(PWI and MFS). Moreover, it was found to have the inter-relational effects that the greater the job related factors, the lower the job stress factors. Thus the effective strategy for stress and fatigue symptoms reduction among governmental employees requires additional programs focusing on innovated job specifications.

The Impacts of Nurses' Psycho-social Health and Social Support from Colleagues on Patient Caring Ability (간호사의 사회심리적 건강과 동료의 지지가 환자 돌봄 능력에 미치는 영향)

  • Lee, Ji Yun;Pak, So Young
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.22 no.5
    • /
    • pp.461-470
    • /
    • 2016
  • Purpose: The purpose of this study was to identify the effect of nurses' psycho-social health and social support from colleagues on patient caring ability. Methods: A cross-sectional survey design was used and the participants in this study were 422 nurses from 3 general hospitals. Data were collected using a self-administered questionnaire and collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression analysis with the SAS 9.4 program. Results: Total mean score for psychosocial health was $3.15{\pm}0.57$, for social support from colleagues, $3.43{\pm}0.55$, and for caring ability, $4.04{\pm}0.53$. Psychosocial health, social support from colleagues, and married status were identified as significant factors influencing patient caring ability. Conclusion: Findings from this study indicate that psychosocial health and social support from colleagues are related to patient caring ability, and thus, to improve nurses' caring ability for patient and for self, it is important to create a work environment that keeps nurses healthy and promotes collaboration with colleagues.

The Effectiveness on Prevention of Rehospitalization with Long-Term Psychosocial Interventions for Patients with Major Psychiatric Disorders (주요정신질환 환자에 대한 장기 정신사회적 중재의 재입원 예방에 대한 효과)

  • Jeong, Jae Hoon;Kang, Min Jeong;Kwon, Min Young;Lee, Sang Min;Lee, Kyu Young
    • Korean Journal of Schizophrenia Research
    • /
    • v.22 no.2
    • /
    • pp.66-73
    • /
    • 2019
  • Objectives: This study aimed to elucidate the effectiveness of long-term psychosocial intervention in reducing the disabling period of patients with major psychiatric disorders by their rehospitalization rate. Methods: Of the 210 patients with major psychiatric disorders received psychosocial interventions in a Mental Health and Welfare Center, 192 patients (147 with schizophrenia spectrum disorders, 45 with mood disorders) who received interventions more than 6 months were selected. Review of case management records was conducted to obtain information. Results: The number and length of hospitalization and the hospital days per year significantly decreased after psychosocial intervention. Additional analysis of 102 patients followed up for more than 5 years suggested that the effectiveness of the intervention persisted for a sufficient period. However, no significant difference was observed in the number of rehospitalization in 45 patients with mood disorders, though the length of hospitalization significantly decreased. In addition, the hospital days per year of 21 patients with mood disorder followed up for more than 5 years also showed no significant decrease. Conclusion: Long-term psychosocial intervention had a significant effect on reducing the number and length of hospitalization for patients with major psychiatric disorder and the effectiveness maintained for more than 5 years.

A Study on Spouse Support, Self Esteem and Psychosocial Adjustment of Patients in Mastectomy (유방절제술 환자의 배우자 지지, 자아존중감 및 사회심리적 적응에 관한 연구)

  • Lee, Eun-Young;Kim, Chung-Nam
    • Research in Community and Public Health Nursing
    • /
    • v.9 no.2
    • /
    • pp.550-563
    • /
    • 1998
  • This study was designed to provide the basic data of effective nursing intervention for alleviation of psychosocial adjustment of patients in mastectomy after identifying the correlation between the spouse support, self esteem and psychosocial adjustment. The study subjects were 83 postmastectomy patients who visited the outpatient clinic at 3 university hospitals in Taegu city from September 10, 1997 to October 16 1997. Data was collected by researcher and face to-face interview was conducted. Nam's spouse support scale(1987), Rosenberg's self esteem instrument (1965), Derogatis' Psychosocial Adjustment to Illness Scale were used. The data were analyzed by using descriptive statistics, Pearson correlation coefficient, t -test and ANOVA with the SAS program. The results of this study were as follows: 1. The mean score for the spouse support of the subjects was 3.73, self esteem was 3.69 and psychosocial adjustment was 3.61points. 2. According to the patient's hope of breast reconstruction(t=2.04, p=0.0445), there was significant difference of self esteem. According to the patient's family number( t = 2.31, p = 0.0237), there was significant difference of the psychosocial adjustment. 3. Perceived spouse support and self esteem had statistically significant positive correlations(r= 0.5120, p=0.0001). Perceived spouse support and psychosocial adjustment had statistically significant positive correlations(r=0.4187, p=0.0001). Perceived self esteem and psychosocial adjustment had statistically significant positive correlations(r = 0.6296, p=0.0001). Therefore, to increase the level of psychosocial adjustment of patients in mastectomy, it will be effective to supportive nursing intervention by improving spouse support and enhancing self esteem.

  • PDF

The Effectiveness Validation of Psychosocial Risk Management Plans in an Organizational Working Environment Using Logistic Regression Analysis (로지스틱 회귀분석을 이용한 조직 근로환경에서의 심리사회적 위험관리 방안의 효과 검증)

  • Kim, Soo-Yun;Han, Seung-Jo;Lee, Dong-Hyung
    • Journal of Korean Society of Industrial and Systems Engineering
    • /
    • v.44 no.2
    • /
    • pp.78-84
    • /
    • 2021
  • In addition to physical risks such as electrical, chemical, and mechanic ones in the workplace, psychosocial risks are also raising as an important issue in recent years in connection with human rights and work-life balance policies. The purpose of this study is to confirm the degree of effect of the psychosocial risk management plan at the workplace on workers through logistic regression analysis. Input data for logistic regression analysis is the results of a survey of 4,558 people conducted by the Institute for Occupational Safety and Health were used. There are 9 independent variables, including the change a workplace and confidential counseling, and the dependent variable is whether the worker feels the effect on the psychosocial risk management plan. As a result of this study, changes in work organization, dispute resolution procedures, provision of education program, notification of the impact of psychosocial risks on safety and health, and the persons in charge of solving psychosocial problems are shown effective in reducing worker's psychosocial risks. This study drives which of the management plans implemented to reduce the psychosocial risk of workers in the workplace are effective, so it can contribute to the development of psychosocial risk management plans in the future.

Factors associate with Musculoskeletal Symptoms in Small and Medium Sized Hospital Nurses (중소병원간호사의 근골격계증상 영향 요인)

  • Jung, Ji Soo;Eun, Young
    • Journal of muscle and joint health
    • /
    • v.24 no.3
    • /
    • pp.159-170
    • /
    • 2017
  • Purpose: The purposes of this study were to identify musculoskeletal symptoms and to investigate factors associated with musculoskeletal symptoms in small and medium sized hospital nurses. Methods: The data were collected from 206 nurses working in Jeonnam. We used self administration questionnaires of KOSHA GUIDE H-9-2012 for musculoskeletal symptoms, PWI-SF for psychosocial stress, KOSS for job stress, and HPLP-II for health behaviors. The collected data were analyzed using the $x^2$, t-test, and logistic regression analysis in SPSS Ver. 23.0. Results: Sixty-six percent of the subjects had musculoskeletal symptoms. The shoulder had the highest symptom at 38.3%, followed by lower back at 32.5%, and neck at 29.1%. The mean and standard deviation score of psychosocial stress were $24.06{\pm}6.01$, those of job stress were $2.38{\pm}0.23$, and those of health behaviors were $2.14{\pm}0.39$. The items that were significantly different according to musculoskeletal symptoms were career ($x^2=6.67$, p<.036), one week overtime ($x^2=7.27$, p<.026), subjective health status ($x^2=4.29$, p<.038), and psychosocial stress ($x^2=7.99$, p<.010). In logistic regression analysis, career, and psychosocial stress were found to affect musculoskeltal symptoms. Conclusion: It is necessary to conduct preventive intervention to reduce musculoskeletal symptoms according to career and psychosocial stress for small and medium sized hospital nurses.

Self-Reported Quality of Life and Physical, Psychosocial Health State in Korean School-Age Children : Focus on Children with Chronic Diseases and Emotional-Behavioral Problems (학령기 아동의 신체적, 심리사회적 건강상태에 따른 주관적인 삶의 질과 삶의 질에 영향을 미치는 요인 -만성질환과 정서행동문제를 가진 아동을 중심으로-)

  • Lee, Bo-Ram;Park, Hye-Jun
    • Korean Journal of Child Studies
    • /
    • v.33 no.1
    • /
    • pp.1-21
    • /
    • 2012
  • The purpose of this study was (1) to examine the impact of chronic diseases and emotional-behavioral problems on school-age children's self-perceived QOL, and (2) to investigate what factors were related to the QOL of children. Participants were 972 Korean 4th, 5th, & 6th grade students and 47 teachers. Children completed a questionnaire to evaluate their self-perceived well-being and subjective health. Also they reported their height/weight and physical health state indicating whether they have chronic diseases or not. Teachers reported each child's psychosocial health problems and also reported whether the child has chronic diseases or not. Major findings were as follows : 1. Physical and psychosocial health status had significant impact on school-age children's QOL. Moreover, physical and psychosocial health status were interrelated. 2. Presence of physical and psychosocial problems contributed to substantial declines in self-perceived QOL of school-age children. Children who have chronic diseases and emotional-behavioral problems reported significantly lower QOL compared with children in a normal state. 3. Peer relationship was found to be the significant factor that contribute to the QOL of all children.

Health Problems and Psychosocial Adaptation of Children with Cancer (소아암 환아의 건강문제와 사회심리적 적응)

  • 오가실;심미경;손선영
    • Journal of Korean Academy of Nursing
    • /
    • v.33 no.2
    • /
    • pp.293-300
    • /
    • 2003
  • Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.

Analysis of the Effectiveness of Tai Chi Exercise in Elderly (노인에게 적용한 타이치운동의 논문분석)

  • Lee, Hea-Young;Kim, Kum-Ja
    • Journal of muscle and joint health
    • /
    • v.15 no.1
    • /
    • pp.5-23
    • /
    • 2008
  • Purpose: This study aims to conduct a systematic review of the physical, psychosocial and physiological effects of Tai Chi exercise in elderly. Method: 37 articles from Medline search of foreign journals (1966-2006) were surveyed by the key words 'Tai Chi', 'Tai-chi program' and 'Tai-chi and elderly' limiting the range to age 65 or older, choosing clinical trial and randomized controlled trial research in English articles. Four articles were excluded due to methodological study, pilot study and review. The research was analyzed according to health status of the subjects, styles and forms of Tai Chi exercises, factors for physical, psychosocial and physiological measures. Result: A short forming Yang style was commonly used in chronic diseases and health for elderly. Variable outcome measures were used in Tai Chi studies relating to balance, muscle strength, walking and mobility, flexibility and cardiorespiratory function in physical measure, quality of life, depression, self-efficacy, health status, cognition and impact questionnaire in psychosocial measure, lipids, insulin resistance and hormone in physiological measure. Conclusion: Tai Chi exercise appears to have physical and psychosocial benefits and also appears to be safe for elderly and chronic diseases. It is suggested that future studies analyze statistical part of systematic reviews through meta analysis.

  • PDF