• 한국직업건강간호학회지
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• 제10권1호
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• pp.24-40
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• 2001

This study is to observe the effectiveness of the applied model and to present the improvement plan and directions for development for the case management practical model suitable for the actual condition of Korea Labor Welfare Co. and needs of the industrial injury patients. The concrete purpose of this study is: First, observe the difference of stressor experience and experience degree between the experimental group and the comparative group. Second, observe the difference of stress of the experimental group and the comparative group. Third, find out how the stress affects the support degree and satisfaction degree. Fourth, present the improvement plan of case management model, which can promote the psychosocial rehabilitation of the industrial injury patient based on the research results. The outline of the main research results identified in this study is as follows. The stressors the industrial injury patients perceived are health problems, family matters, the problems concerning hospital recuperation (hospital staff and environmental problems), economical problems, problems of coming back to society, problems with companies, problems with Korea labour Welfare Co. and other problems. And the experience of stressor was prominently lower in experimental group than comparative group in the whole problem, health problem, problems with Korea Labour-Welfare Co. and other problems. The stressor experience degree was conspicuously lower in experimental group in the whole problem experience degree, health problem experience degree, problem with Korea Labour Co. experience degree and other problem experience degree. Besides whether or not the case management is applied is having a prominent affect on the primary factor affecting the stressor experience degree, therefore the patients applied with case management has less stressor than the patient who didn't. The difference of degree of tension experienced by the stressor in both groups, the degree of stress, was not conspicuous in statistics so it shows that the application of case management in this research has not affected the degree of tension. The field which had been the most help was emotional support in help level the experimental group perceived through applying case management about industrial accident patients and recuperation, compensation problem, medical treatment problem, family matters has been helpful in this order. The help level of the whole problem was in higher level than the middle value. The stress factor which affects the case management problem settlement is the whole body of stress. The satisfaction level of help through applying case management was highest in emotional support and family matters, recuperation problem, company problem, compensation problem, and medical treatment problem was the next highest. The satisfaction level of the whole problem was higher than the middle value. The stress factor affecting the satisfaction level of help is the whole body of stress. Therefore to reduce the stress level of industrial accident patients and for them to come back to local societies, we need to reinforce the continuance and responsibility of case management model, increase staff, reinforce the role of counsel and medical treatment, intervene in the patient's plan of leaving the hospital, develop social support system and the need to establish After Care Center.

• Safety and Health at Work
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• 제3권1호
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• pp.43-49
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• 2012

In recent years, various international organizations have raised awareness regarding psychosocial risks and work-related stress. European stakeholders have also taken action on these issues by producing important documents, such as position papers and government regulations, which are reviewed in this article. In particular, 4 European models that have been developed for the assessment and management of work-related stress are considered here. Although important advances have been made in the understanding of work-related stress, there are still gaps in the translation of this knowledge into effective practice at the enterprise level. There are additional problems regarding the methodology in the evaluation of work-related stress. The European models described in this article are based on holistic, global and participatory approaches, where the active role of and involvement of workers are always emphasized. The limitations of these models are in the lack of clarity on preventive intervention and, for two of them, the lack of instrument standardization for risk evaluation. The comparison among the European models to approach work-related stress, although with limitations and socio-cultural differences, offers the possibility for the development of a social dialogue that is important in defining the correct and practical methodology for work stress evaluation and prevention.

• 대한간호학회지
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• 제38권3호
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• pp.353-362
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• 2008

Purpose: This study was conducted to analyze and clarify the meaning of the concept for relocation stress -focusing on patients transferred from an intensive care unit to a general ward. Methods: This study used Walker and Avant's process of concept analysis. Results: Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control. Conclusion: Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.

• 대한간호학회지
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• 제44권6호
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• pp.726-734
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• 2014

Purpose: The purpose of this study was to evaluate the effects of the Spirituality Promotion Program(SPP) for young nurses working in the stressful university hospital environment. Methods: The study included 41 nurses in the experimental group, nurses who had worked less than 5 years and completed 8 weeks of SPP between June and July in 2011. The control group, 44 nurses, also received the same program after the study was completed. For the study, a survey was conducted of all participants concerning spirituality, perceived stress, positive and negative affect, empathy, job satisfaction, and leadership practice. Results: No significant difference was found between the two groups on study variables. Perceived stress decreased significantly in the experimental group (p=.012). Spirituality (p=.019), positive affect (p=.014), empathy (p=.004), job satisfaction (p=.016), and leadership practice (p=.021) increased significantly in the experimental group. Conclusion: The results show that the Spirituality Promotion Program has positive effects on the spiritual and psychosocial aspect of young nurses. Continuation of this program for nurses is recommended in order to help them develop their self-care ability and improve nursing competency.

• 한국엔터테인먼트산업학회논문지
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• 제15권1호
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• pp.229-236
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• 2021

본 연구의 목적은 작업기반 중재와 전산화인지치료의 결합 중재를 통해 뇌졸중 환자의 심리사회적 기능과 인지 기능 및 우울감에 어떠한 영향을 미치는지 알아보고자 하는 것이다. 뇌졸중 환자 23명을 실험집단 11명, 대조집단 12명으로 나누어 진행하였으며, 실험집단과 대조집단은 4주간, 30분씩의 CoTras를 받았으며, 실험집단의 추가적으로 CoTras 시작 이전에 30분간 작업기반 중재를 받았다. 총 4주간, 20회 진행되었다. 평가는 자기 효능감 척도, 스트레스 척도, 우울척도, 신경행동학적 인지 상태 검사를 사용하였다. 연구 결과, 실험집단은 자기 효능감과 스트레스, 우울의 개선에 대조집단보다 더 유의미한 개선을 나타냈으며, 인지 기능에서 실험집단은 대조집단과 작은 효과의 크기차이를 보였다. 본 연구를 근거로 뇌졸중 환자의 심리사회적 요인과 우울증, 인지 기능의 개선을 위해 CoTras와 함께 작업기반 중재가 동시에 수행되는 것을 활용할 수 있을 것이다.

• 정신신체의학
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• 제2권1호
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• pp.88-97
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• 1994

GARS스트레스지각척도 및 BDI우울척도를 이용하여 위암환자들과 위염환자들 간의 스트레스지각 및 우울의 정도를 비교하였다. 위암환자들의 50%, 위염환자들의 38%가 BDI우울척도에서 우울에 해당되었다. 위암환자군과 위염환자군 간에 스트레스지각점수는 유의한 차이가 없었다. 한편 BDI우울척도점수에 있어서는 통계적으로 유의한 차이가 없었으나 위암환자군이 위염환자군보다 더 높은 경향을 보였다. 위암환자들에서는 정신적 고통의 정도와 우울의 정도가 유의하게 양상관성을 보인 반면 위염환자들에서는 신체증상의 심한 정도와 우울의 정도가 유의하게 양상관성을 보였다. 즉 위암환자들의 우울은 신체증상의 정도보다는 정신적 고통의 정도와 더 밀접하게 관련되는 것으로 나타났다. 양군에서 각각 여자환자들은 남자환자들보다 스트레스지각이 유의하게 더 높았고, 연령은 스트레스지각과 유의하게 음상관성을 보였다. 결론적으로 동일한 장기의 기질적인 병리의 심한 정도가 스트레스지각 및 우울의 정도와 관련되지 않은 것은 위암환자들의 부정이 관련될 가능성이 있다. 따라서 위암환자들의 치료에서 정신사회적 접근 특히 정신과 자문조정활동의 필요성이 강조된다.

• Safety and Health at Work
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• 제8권3호
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• pp.290-295
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• 2017

Background: Safety climate and occupational stress are related with occupational accident. The present study tried to identify the differences in safety climate and occupational stress according to occupational accidents experience and employment type (e.g., direct workers and subcontract workers). Methods: In this study, we conducted a survey using safety climate scale and Korean Occupational Stress Scale and classified the participants into four groups: direct workers working for accident-free departments, direct workers working for accident departments, subcontract workers working for accident-free departments, and subcontract workers working for accident departments for 2 years within the same workplace in the shipbuilding industry. Results: The direct workers and subcontract workers showed diverse results in subscales of safety climate and occupational stress. This result is supported by existing studies; however, further study is necessary for more supporting evidence and elaborative methodological approach. Conclusion: The necessity of management for safety climate and psychosocial factor such as occupational stress for both direct workers and subcontract workers as a whole is suggested by this study.

• 대한정형도수물리치료학회지
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• 제18권1호
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• pp.19-29
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• 2012

Background: This study was conducted to investigate subjective musculoskeletal symptom and the related factor of caregiver. Methods: For 300 caregiver, we used the self-administered questionnaires to examine occupational stress and subjective musculoskeletal symptom designed by KOSHA. The collected data were analyzed chi-square test, independent t-test and multiple logistic regression analysis using SPSS 12.0. Results: The multiple logistic regression analysis showed that the caregiver working in the general hospital significantly increased the subjective musculoskeletal symptom in their neck, shoulder, hand/wrist/finger, back, leg/foot. For the caregiver working in hospital showed significantly increased the subjective musculoskeletal symptom in their hand/wrist/finger and leg/foot. Conclusions: With the above results, continuous and systematic prevention program should be established, which include the ergonomics and psychosocial factor for the caregiver's musculoskeletal symptom.

• 한국산림과학회지
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• 제104권2호
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• pp.277-284
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• 2015

본 연구는 산림치유가 청소년 인터넷 중독 위험군의 신경인지, 심리사회, 생리적 측면에 어떤 영향을 주는지 알아보고자 진행되었다. 이를 위해 2013년 5월부터 7월까지 서울시 지역사회 및 상담센터, 병원에 왕래하는 청소년들을 대상으로 한국형 인터넷 중독 자가진단척도를 실시하였고, 본 척도의 기준에 따라 고위험 사용자군, 잠재적 위험 사용자군, 일반 사용자군으로 분류하였다. 이후 고위험 사용자군과 잠재적 위험 사용자군을 인터넷 중독 위험군으로 정의하였고, 본 연구의 대상자로 포함하였다. 산림치유캠프 참여와 대조군 검사는 서면으로 본인과 부모의 동의 및 참여의사를 밝힌 총 25명으로 진행되었으며, 무작위 배정을 통해 산림치유캠프 참여 13명, 대조군 검사 12명으로 분류하였다. 이들을 대상으로 신경인지적 측면은 Continuous Performance Task(CPT), 심리사회적 측면은 Kimberly S. Young Scale(KYS), Connor-Davidson Resilience Scale(RSC), Relationship Change Scale(RCS), 생리학적 측면은 Heart Rate Variability(HRV)와 Cortisol 검사를 실시하였고, 최종적으로 산림치유는 인터넷 중독 위험군의 신경인지적, 심리사회적 측면에 영향을 주는 것을 확인할 수 있었다. 신경인지적 측면의 경우 산림치유캠프에 참여한 집단은 산림치유캠프에 참여하지 않은 집단에 비해 지속수행검사(CPT)의 주의력 결핍(AQ), 청각주의력 결핍(AAQ)에서 감소효과를, 청각조심성(AP)에서는 향상 효과를 보였다. 심리사회적 측면에서는 대인관계 변화척도(RCS)에서 산림치유캠프 집단이 통계적으로 유의미하게 증가되었으며, 인터넷 중독(KYS)과 회복탄력성(RSC)에서는 통계적으로 완화 및 향상되는 경향성을 보였다. 생물학적인 측면에서는 심박수(HR)의 증가를 제외하고 통계적으로 유의미한 결과는 나타나지 않았다.

• 디지털융복합연구
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• 제17권8호
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• pp.313-320
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• 2019

본 논문은 의료기관의 여성 행정직원의 상태불안과 관련된 융복합적 요인을 규명하고자 시도되었다. 임의로 선정된 J지역 24개 의료기관의 여성 원무행정직 226명에 대하여 2018년 7월 4일부터 2018년 7월 25일까지 무기명 자기기입식 설문조사를 시행하였다. 위계적 다중회귀분석 결과, 주관적행복감이 낮을수록, 직무소진의 하위영역인 냉소가 높을수록, 사회심리적 스트레스가 높을수록, 상태불안이 높았으며 이들의 설명력은 57.3%이었다. 연구결과를 볼 때, 의료기관 여성 행정직원의 상태불안을 낮추기 위해서는 주관적행복감을 높이고, 직무소진의 하위영역인 냉소를 낮추고, 사회심리적 스트레스를 낮추는 노력이 필요하다. 이러한 결과는 의료기관 여성 행정직원의 상태불안을 낮추는 병원직무관리 및 정신보건교육에 활용될 수 있다. 추후연구에서는 의료기관 여성 행정직원의 상태불안에 영향을 미치는 구조방정식모형의 개발 및 해석이 필요하다.