• 치위생과학회지
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• 제12권6호
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• pp.583-590
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• 2012

본 연구는 경제적 스트레스와 상태 특성불안이 치주질환에 미치는 영향을 파악하여 치주질환의 예방과 발생 및 진행 정도를 미연에 방지할 수 있는 방안을 마련하기 위하여 실시되었다. 연구대상은 일부 지역 치과의원에 내원한 40~50대 성인남녀 총 326명을 대상으로 하여 구조화된 설문지와 치주상태를 측정하여 조사 분석하였다. 수집된 자료는 IBM SPSS ver. 19.0 통계프로그램(IBM Co., Armonk, NY, USA)을 이용하여 빈도와 백분율, t-test (검증), One way ANOVA (일원배치 분산분석), Multiple regression Analysis (다중회귀분석)을 실시하여 분석결과는 다음과 같다. 1. 경제적 스트레스는 치은염 지수의 고($1.12{\pm}0.72$), 중($0.85{\pm}0.62$), 저($0.88{\pm}0.62$)에 따라 통계적으로 유의한 차이를 보였다(p<0.01). 2. 상태 특성불안은 치은염 지수(p<0.001)의 고($1.16{\pm}0.71$), 중($0.81{\pm}0.63$), 저($0.86{\pm}0.60$), 치주낭 깊이(p<0.05)의 고($3.86{\pm}1.12$), 중($3.44{\pm}1.07$), 저($3.57{\pm}1.01$), 임상적 부착소실(p<0.05)의 고($3.86{\pm}1.12$), 중($3.44{\pm}1.07$), 저($3.57{\pm}1.01$)에 따라 통계적으로 유의한 차이를 보였다. 3. 치은염 지수에 영향을 미치는 요인으로 경제적 스트레스($\beta$=0.052, p<0.01)가 높을수록, 상태 특성불안($\beta$=0.052, p<0.01)이 높을수록 영향을 미치는 것으로 조사되었다. 이상의 연구결과에서 치과의료기관은 치주질환으로 힘들어 하는 환자에게 경제적 스트레스와 상태 특성불안이 치주질환에 영향을 미친다는 사실을 인식시킬 필요가 있으며 이에 따른 치주질환의 예방과 발생 및 진행 정도를 방지할 수 있는 스트레스 관리능력배양을 위한 교육프로그램 개발이 마련되어야 할 것이다.

• Journal of Korean Biological Nursing Science
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• 제13권2호
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• pp.102-108
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• 2011

Purpose: The purpose of this study was to examine the effects of first clinical training on stress, anxiety and changes in autonomic nervous system in nursing students. Methods: Seventy-four nursing students were assigned to the experimental group (n=36) that had two weeks of clinical training, and the control group (n=38) that had only two weeks of regular classes. Perceived stress, state anxiety and heart rate variability (HRV) were measured at the beginning and end of the experiment. Results: Perceived stress in the experimental group was significantly higher than in the control group. However, State anxiety was not significantly different between the two groups. All indices of HRV except LF/HF ratio were significantly different between the two groups. LF norm in the experimental group was significantly higher than in the control group, and HF norm in the experimental group was significantly lower than in the control group. Conclusion: Based on these results, it can be suggested that clinical training increases the perceived stress and affects the changes in autonomic nervous system in nursing students.

• Journal of Korean Biological Nursing Science
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• 제10권2호
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• pp.184-193
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• 2008

Purpose: Anxiety and depression are the concepts that commonly used as an emotional approach in the nursing researches and most of researches have been used questionnaires as a marker of anxiety and depression. There were few researches using physiological markers in measuring anxiety and depression. Methods: Journals published between 1950 and 2007 that include depression and anxiety measuring through physiological markers were reviewed. Results: As in the case of the hypothlamus-pituitary-adrenal axis system, it appeared that cortisol, epinephrine, and norepinephrine belonged to the category of hormones which were responsive to anxiety and depression. Plasma norepinephrine was a marker of the anxiety whereas plasma cortisol was a marker of the depression. The anxiety and depression were correlated with immune and taste, but it considered as an outcome variable not a physiological marker. Conclusion: Catecholamine and cortisol reflect anxiety and depression state. Our findings suggest that further researches are needed to distinguish between markers and outcomes of depression and anxiety using physiological markers.

• 한국간호교육학회지
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• 제9권1호
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• pp.115-125
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• 2003

This study was conducted to investigate whether a computer information offered in advance of the test would decrease anxiety degree in coronary angiogram subjects. The study design was a nonequivalent control group, none-synchronized design. The subjects of study were 53 patients who were admitted at C hospital in K city for coronary angiogram. The 53 subjects were assigned to experimental(25) and control(28) groups. The computer information set up by researcher was used as the experimental treatment and 10 minutes long. Spielberger's state anxiety scale translated by Kim and Shin(1978) and sphygmomanometer were used for data collection. The data were collected from July 1, 2000 to March 31, 2001, and analyzed by chi-square, paried t-test, t-test, ANCOVA, and Pearson's Correlation Coefficients using SPSS/PC+. The results of this study were summarized as follows : 1. The first hypothesis that 'post-test state anxiety score will be lower than pre-test state anxiety score in experimental group' was supported(t=2.40, p=.020). 2. The second hypothesis that 'post-test systole will be lower than pre-test systole in experimental group' was not supported(t=-.30, p=.765). 3. The third hypothesis that 'post-test Diastole will be lower than pre-test diastole in experimental group' was not supported'(t=-1.42, p=.161). 4. The fifth hypothesis that 'the experimental group who is given the computer information will be lower in state anxiety score than the control group who is not given the computer information' was supported(F=9.17, p=.004). 5. The sixth hypothesis that 'the experimental group who is given the computer information will be lower in systole than the control group who is not given the computer information' was supported (F=7.16, p=.010). 6. The seventh hypothesis that 'the experimental group who is given the computer information will be lower in diastole than the control group who is not given the computer information' was not supported'(F=.55, p=.462). 7. The eleventh hypothesis that 'the lower the post-test state anxiety, the lower the uneasiness score during the test' was not supported(r=-.013, p=.926). 8. The eighth hypothesis that 'the lower the post-test state anxiety, the lower the nervousness score during the test' was supported(r=.326, p=.017).

• 성인간호학회지
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• 제16권3호
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• pp.388-397
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• 2004

Purpose: The purpose of this study was to explore the effectiveness of informational intervention delivered by electronic patient information board in the OR waiting room for reduction of anxiety of mothers with child having operation. Method: Nonequivalent control group non-synchronized design was used in this study. The subjects was 52 mothers whose children underwent elective surgery in one Pediatric Hospital. Informational intervention in this study consisted of four critical stages. State anxiety by Spielberger, mean arterial pressure, and heart rates at preoperative and postoperative period were measured. The data were analyzed by using Chi-Square test and t-test with SPSS/PC 10.0 program. Results: 1) There was a significant difference in the state anxiety between the control and the experimental groups. 2) There was no significant difference in the mean arterial pressure between the two groups. 3) There was no significant difference in the heart rate between the two groups. Conclusion: The results of this study indicate that informational intervention delivered by electronic patient information board would be an effective intervention during the operation in reducing anxiety of mothers with child having operation.

• 대한불안의학회지
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• 제14권2호
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• pp.63-70
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• 2018

It has been suggested that aberrant self-referential processing (SRP) is one of the important components of the explanatory models of social anxiety disorder (SAD). The default mode network (DMN), which reflects intrinsic brain functions, is known to play a critical role in SRP. Recently, resting state functional magnetic resonance imaging (fMRI) research on the functional connectivity in the brain network has gained greater attention as a tool to elucidate the neurobiological basis of various psychiatric disorders. We reviewed resting state fMRI studies that investigated the resting state functional connectivity (RSFC) of the DMN in SAD. Despite of the heterogeneity of the analytic methods and occasional negative findings, most studies consistently reported abnormalities of RSFC within the DMN, suggesting that the DMN may be significant neural correlates of aberrant SRP in SAD. Also, changes in RSFC of the DMN are associated with clinical improvements of therapeutic interventions. Moreover, emerging findings provide the basis for potential use of RSFC as a complementary method in diagnosis of SAD. Ongoing and future research to investigate RSFC of the DMN could broaden our understanding regarding the neurobiological basis of SAD, and contribute to the development of novel treatments for SAD.

• 대한간호학회지
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• 제27권4호
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• pp.912-922
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• 1997

The purpose of this study was to examine the effect of supportive nursing on stress reaction of breast cancer patients undergoing chemotherapy. The nonequivalent control group pre-test/post-test design was used for this experimental study. The subjects were 32 patients who were receiving chemotherapy after mastectomies at K hospital in Taegu from June, 1994 to June 1995. Among 32 subjects, 16 were placed in the experimental group and 16 in the control group. The experimental and control groups were tested for general characteristics, trait anxiety, health locus of control, family support, state anxiety, hopelessness, physical stress, and anxiety behavior. Collected data was analized by means of a chisquare test and a t-test for the comparative analysis of the general characteristics and homogeneity of subjects. ANOVA, and MANOVA were used for testing the hypothesis. Reliability of the tools were analyzed using the Pearson Correlation coefficient. The results of this study were as follows : 1. The hypothesis : The stress reaction of the experimental group which took supportive nursing was lower than the stress reaction of the control group : this was supported statistically. The main variable influenced in stress reaction was hopelessness. Supportive nursing for breast cancer patients, who are receiving chemotherapy, was especially effective in the reduction of hopelessness compared to state anxiety, physical stress, and anxiety behavior. 2. An analysis of the difference on stress reaction, according to the frequency of supportive nursing between the control and experimental group, showed the level of hopelessness of the experimental group was lower than the control group after four supportive meeting sessions. But there was no statistical difference in state anxiety, physical stress, and anxiety behavior. In conclusion, this study supported utilization of supportive care as well as demonstrating the effectiveness of the System-Developmental Stress Model developed by Chrisman and Riehl-Sisca.

• Journal of Korean Biological Nursing Science
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• 제24권4호
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• pp.227-234
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• 2022

Purpose: Smoking is a way of coping with anxiety and stress. This study aimed to identify the effects of forest-thermal combined therapy on anxiety and depression in smokers who desire to quit smoking. Methods: Thirty participants were included in the study, 15 in the experimental group and 15 in the control group. Those in the experimental group participated in a three-day forest-thermal combined therapy program. The program includes forest walks, meditation and thermal therapy in the charcoal kiln. Results: Before and after the program, physiological indicators such as cortisol, heart rate variability, and serotonin anxiety level using the state-trait anxiety inventory (STAI), and stress level using the psychosocial well-being index (PWI) were measured in both groups. The differences in STAI (p=.012) and PWI (p=.006) scores between the experimental and control groups were statistically significant. However, cortisol, heart rate variability, and serotonin were not significantly different between the two groups after the program. Conclusion: These results show that forest-thermal combination therapy effectively reduces anxiety and stress in smokers. It suggests that forest-thermal therapy can potentially increase smoking cessation rates.

• 한국과학교육학회지
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• 제41권4호
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• pp.283-295
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• 2021

본 연구는 Giorgi 의 현상학적 연구 방법을 바탕으로 중학교 과학영재학생들이 겪는 과학불안의 경험을 탐색하고자 하였다. 연구참여자는 대학교 과학영재교육원에 선발된 중학교 1학년 학생 중 과학특성불안 및 과학상태불안 수준이 높고 과학불안 경험이 있는 과학영재학생 6명으로 선별하였다. 연구참여자들을 대상으로 과학불안 경험과 관련된 두 차례의 면담을 실시하였다. 분석결과, 과학영재학생들이 경험하는 과학불안은 이상적 자아 설정, 자신감 부족, 과거의 경험, 내용의 어려움, 가치있는 일에 기인하고 있었다. 학생들은 과학불안을 느낄 때 신체적·생리적, 인지적, 정서적·심리적으로 불편함을 호소하였으며, 과학불안을 성장의 기회로 인식하기도 하였다. 또한 과학영재학생들은 과학불안이 유발될 때 나타나는 여러 불편한 증상들을 극복하기 위해 불안한 상황에 직접 맞서거나 자신의 마음을 가다듬는 등 다양한 방법으로 대처하는 모습을 보였다. 일부 학생들은 시간이 지나면 불안감이 해소되기 때문에 불안 수준을 낮추기 위한 특별한 노력이 필요하지 않다고 생각하고 있었다. 학생들은 과학불안에 대하여 부정적인 의미와 긍정적인 의미를 동시에 지니고 있었다. 본 연구의 결과는 과학불안을 경험하는 중학교 과학영재학생들에 대한 교사의 심층적인 이해를 돕고, 과학불안과 관련하여 어떠한 교육환경을 조성하고 교육프로그램을 제공해야 하는지에 대한 이론적 토대 마련에 기여할 것이다.

• 대한간호학회지
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• 제40권3호
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• pp.442-452
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• 2010

Purpose: The purpose of this study was to identify the effects of abdominal breathing on state anxiety, stress and tocolytic dosage for pregnant women in preterm labor. Methods: The participants were 60 pregnant women in preterm labor who were hospitalized from April to July, 2009. Thirty participants were assigned to the experimental group and 30 to the control group. None of them had any other complications except preterm labor. The modified Mason's breathing technique was used with the experimental group 3 times a day for 3 days. Data were collected using a self-report questionnaire and chart review, and analyzed with the SPSS 13.0 WIN program. Results: "State anxiety of the experimental group will be lower than that of the control group" was supported. "Stress of the experimental group will be lower than that of the control group" was supported. "The Ritodrine dosage for the experimental group will be lower than that of the control group" was supported. "The Atosiban dosage for the experimental group will be lower than that of the control group" was supported. Conclusion: These results indicate that abdominal breathing is an effective nursing intervention for pregnant women in preterm labor.