• 제목/요약/키워드: Social Discomfort

검색결과 150건 처리시간 0.023초

근근막 동통증후군과 전침(Electric Acupuncture)치료의 유효성에 관한 연구 (The Effect of Electric Acupuncture Therapy on Myofascial Pain Syndrome)

  • 정문봉;이상한;민봉기;윤미연
    • 대한물리치료과학회지
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    • 제6권1호
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    • pp.897-903
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    • 1999
  • Many out patients of the rehabilitation center complaint a pain caused by suffering of MPS, and it brings many different kind of social and ecinomical problems such as medical expenses and the reduction in work efficiency. Therefore, we conducted a research to present a fast and effective treatment to the MPS patients. this research was conducted from November, 1996 to January 1998 with eighteen outpatients who agreed to be the subjects to our reserach. We applied the electric acupuncture on 28 different trigger point on the patients with mostly muscular-skeletal pain and some tender and radiating pain. After the treatment, VRS, VAS, PRI were used to measure the degree of the pain on the patients third and seventh visits, and following results were found. 1. To apply EAP treatment, we acupunctured 6em-Iong needles on Tps region, then the electrodes of pulse generater pg-306 E.S.T were connected on the top of the needles. the electric acupuncture therapy was conducted for 20 minutes with the intensity of 4hz - 60hz(auto wave). The treated electric intensity was the level at which the patients did not feel discomfort. 2. Thirteen out of the 18 participated patients were in their 30s and 40s(72.2%), showing highest frequency. There were more female than male with the ratio of 1 to 1:2. 3. six out of the participated patients (33.3%) had the pain for less then a week, and the average duration of the pain of the participated patients wear 0.8 years. 4. The pain occured mostly in the upper trapezius by 6 part (21.4%), then in the gluteus medius region by 4 part (14.3%). Many of the patients with the pain in the upper back area accompanied varios kind of the referred pains such as radiculopathy, HIVD and Frozen shoulder. 5. MPS occured more frequently on the right side than left side then left side and it seemed to be due to the frequent use of the right hand. 6. There was almost no difference in the measurement of the intensity of the pain right before and after the EAP treatment. Howerver, there was significant decrease in the numerical values of the VAS, and a little bit of decrease in the numerical values of the PRI after the EAP treatment. 7. Based on the results of this present research, it can be concluded that EAP can be used for the treating the myofascial pain syndrome with promptness and safety in most cases.

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일부 성인의 비만과 구강건강 상태의 연관성 (Association of Obesity and Oral Health Status in Adults)

  • 박은선
    • 한국콘텐츠학회논문지
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    • 제18권3호
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    • pp.196-204
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    • 2018
  • 본 연구는 비만과 구강건강의 관련성을 파악하여 성인의 구강건강과 비만관리를 위한 기초 자료를 제공하고자 하는 목적으로 실시하였다. 2017년 3월 10일부터 6월 13일까지 인천 지역에 소재한 'K' 치과에 내원한 환자 중 연구 목적을 설명하고 설문지 작성에 동의한 환자 229명을 대상으로 자기기입식 설문조사를 시행하였다. 비만도 조사는 체질량지수와 허리둘레를 이용하였고, 구강상태는 자가인지한 구강건강상태, 치주건강상태, 치아건강상태, 점막건강상태, 상실치아상태, 구강건강관련 삶의 질 문항으로 조사하였다. 체질량지수와 열악한 치주건강 상태는 33.3%로 유의하게 높게 나타났고, 복부비만은 치주건강상태가 나쁜 경우 10.9%를 나타냈다. 현존하는 치아가 20개 이하인 군에서 복부비만이 28.6%로 유의하게 높게 나타났다. 체질량지수와 복부비만이 높은 군은 정상인 보다 신체 동통, 심리 불편, 신체적 능력저하, 심리적 능력저하, 사회적 불리, 구강건강관련 삶의 질에서 더 높게 나타났다. 또한, 비만과 치주상태, 입안점막상태는 유의한 양의 상관관계가 있었다(P<0.05). 따라서 구강건강을 증진시키기 위해서는 구강건강습관을 향상시킬 수 있는 정기적인 검진과 교육 뿐 만 아니라 비만을 예방하고 관리시킬 수 있는 적절한 프로그램을 함께 운영하는 구체적인 방안이 필요하다고 사료된다.

여성의 요실금빈도와 관련요인에 관한 조사연구 (A Study on Prevalence and its Relating Factors of Urinary Incontinence in Women)

  • 김금순;서문자
    • 기본간호학회지
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    • 제4권1호
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    • pp.73-85
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    • 1997
  • The purpose of this study was to find out the prevalence of the urinary incontinence and it's relating factors in women. The target population is 327 community dwelling women in the age of 30-70 years old at 6 cities in Korea. The data were collected from August, 1996 to December. 1996 with interview using structured questionaire composing of items of general characteristics, obstetric characteristics, disease characteristics, situation of experiencing urinary incontinence, discomfort due to urinary incontinence, and depression. The data were analysed with $SPSS/PC^+$ program, T-test, $x^2$ test, and ANOVA test. The results obtained from this study were as follows : 1) The prevalence of urinary incontinence in women is 37.7%(130/327). 2) The mean duration of experiencing the urinary incontinence was 75.9 months and the 60% of the respondents experienced a few frequency of urinary incontinence and the most common amount of urinary incontinence(91.5%) was somewhat small expressed as 'wetting their clothes'. 3) The common factors related to the urinary incontinence were coughing, sneezing, laughing aloudly, and the activities of need for hurry. 4) The most common situations of discomforts associated with urinary incontinence were having long journey, exercise, playing, and social meeting. 5) The incidence of urinary incontinence was significantly higher in woman who had more children, older age of last delivery, more vaginal delivaries, and less c-section. 6) The incidence of urinary incontinence was not affected with the disease characteristics of the respondents, however it was higher when the women had the physical problems of constipation, abdominal laparatomy and episode of urinary catheterization than who had not. 7) The most common symptom of urinary incontinence was the frequent urine(43.1%), and the next was the urgent urine(12.3), delayed urine(9.2%). 8) 90.7% of the epsodic urinary incontinence were not treated at al, however, they wanted to try the herb medicine(41.5%), Kegel exercise(27.7%), and biofeedback(10.0%). 9) The level of Depression in the group of urinary incontinence was higher than that of non incontinence group significantly. In conclusion, as urinary incontinence in women proved severe health problem, health care providers need to develop and provide nursing intervention of urinary incontinence such as pelvic muscle exercise with bio-feedback and psychological care.

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노인 구강건강 수준과 구강건강관련 삶의 질의 관련성 (Association between Oral Health and Oral Health-Related Quality of Life among the Elderly)

  • 김미화;김경원;이경수
    • 치위생과학회지
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    • 제14권4호
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    • pp.488-494
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    • 2014
  • 본 연구는 경상북도 일개 도 농 복합시의 보건소에서 실시하는 노인 불소도포, 스케일링사업에 참여한 65세 이상 노인을 282명을 대상으로 하였다. 자료수집 기간은 2011년 1월부터 12월까지로 연구의 목적과 내용 및 취지를 설명하고 자발적인 연구 참여에 동의한 사람들을 대상으로 하였다. OHIP-14 설문 문항은 5점 만점으로 측정하였으며, 점수가 높을수록 구강건강 삶의 질이 낮아지는 것을 의미하며, 다음과 같은 결과를 얻었다. 1. 치아우식증 개수가 적을수록, 잔존치아 수와 일일 칫솔질 횟수가 많을수록, 의치를 장착하지 않은 그룹에서 구강건강 삶의 질이 유의하게 높았다. 2. 사회경제적 특성에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한 점수는 학력이 높을수록 적었다. 신체적 동통 점수는 나이가 많을수록, 학력이 낮을수록 더 많이 느끼고 있었다. 신체적 능력저하는 학력이 낮을수록 더 많이 느끼고 있었다. 3. 구강건강상태와 칫솔질 횟수에 따른 구강건강관련 삶의 질의 하위영역 점수를 비교한 결과, 기능적 제한과 신체적 동통, 정신적 불편, 정신적 능력저하, 사회적 능력저하, 사회적 불리 점수는 치아우식증 개수가 많을수록 삶의 질이 낮았고, 잔존치아가 많을수록, 의치장착을 하지 않은 그룹에서 삶의 질이 좋았다. 4. 구강건강관련 삶의 질에 영향을 미치는 요인을 규명하기 위한 다중회귀분석 결과 충치의 개수와 의치장착이 유의한 변수로 나타났다. 이 연구결과 노인들의 구강건강상태의 수준과 노인들의 삶의 질이 유의한 관련성이 있는 것으로 나타났다. 구강건강 삶의 질을 유지하기 위하여 나이가 들더라도 잔존치아 수를 많이 유지할 수 있도록 하고, 필요한 경우에는 의치를 장착할 수 있도록 지원하는 것이 중요하다.

심장수술환아의 ICU에서의 스트레스원과 심리적 손상반응에 관한 탐색적 연구 (Stressors of Post Cardiac Surgery Children in the ICU and Their Impaired Psychological Responses)

  • 신희선;김동옥;홍경자
    • 모자간호학회지
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    • 제2권1호
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    • pp.45-54
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    • 1992
  • The purpose of this study was to explore the stressors in pediatric intensive care unit and impaired psychological responses of children after open heart surgery. Sixteen children aged 6 to 11, who were admitted to the hospital for open heart surgery during the period from July, 1991 to February, 1992 were the subjects of the study. Observations, drawings, and interviews were used to collect data for study. Behavioral responses about intensive care unit phenomena were analyzed according to the 4 categories identified to assess children's perceived stressors in ICU. Impaired psychological responses were examined using observational and interview data. Drawings were analyzed by content and color by this researcher and validated by the psychologist. The findings were as follows : 1. The most frequently perceived stressors by children in ICU were the physical stressors causing pain and discomfort(68.5%). It was followed by social stressors which denote disruption of relationship with family and friends(13.0% ), environmental stressors which denote unfamiliar surroundings, noise, staff, and other patients (11.2%), and psychological stressors which denote factors affecting self-esteem such as inability to communicate and inadquate knowledge of the situation (7.3%). 2. 81.3% of the children showed of least one of the impaired psychological responses. Three children (18.8%) experienced time disorientation. An equal number of subject experienced perceptual illusion. Two children(12.5%) experienced hallucination. Vivid dream about ICU phenomena was reported by 2 children. Seven children(43.8%) were identified as having exaggerated fear. They feared about oxygen mask and ICU environment in general. Seven children(43.8%) experienced impairment of memory about treatments, procedures, and environment of ICU. 3. The analysis of children's drawing revealed that 56.3% of children experienced fear in the ICU. 75% of children included nurses in the drawings and 62.5% of children drew other children. 81.3% of children drew and identified himself in the drawing. The colors used most by children were green, purple, and brown. From this result, it is recommended to prepare children before open heart surgery to reduce their stressors and impaired psychological responses in ICU.

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GIS환경의 실시간 자연재해정보를 연계한 재해고장분석시스템 개발 (Real-time Natural Disaster Failure Analysis Information System Development using GIS Environment)

  • 안연식
    • 디지털콘텐츠학회 논문지
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    • 제10권4호
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    • pp.639-648
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    • 2009
  • 지구 환경의 문제에 따른 기상의 변화가 주요 이슈가 제기되고 매년 각종 재해로 인한 사 회적 손실이 발생되고 있다. 이와 함께 각종 재해로 인해서 전력수송망 또한 자연 환경에 그대로 노출되어 기상, 재해의 영향으로 고장요인이 증가하고 있다. 전력설비의 이상 발생시 정전 사태로 이어져, 생산설비, 국민생활에 심각한 타격을 줄 수 있다. 따라서 이러한 자연의 영향과 재해로부터 전력설비를 보호하고 안정적으로 전력을 공급하기 위한 시스템의 필요성이 대두하게 되었다. 본 연구에서는 기상의 변화와 재해의 영향을 파악하고, 자연기상정보의 데이터화와 실시간 관측시스템을 연결하는 재해고장 분석시스템의 개발 과정과 결과를 기술한다. 개발과정에서는 개발방법론을 따라서 대내외적으로 운영되는 시스템과 실시간적으로 전송하고, 지리정보(Feature)화 하여 수치지도상에서 GIS 응용분석 기술을 적용하도록 분석함으로써, 취약설비 추출과 효율적인 설비 관리를 위한 기법을 제시하고 있다. 또한 재해고장분석시스템 구축 결과, 설비 고장의 최소화, 설비 운영업무 효율성 제고, 과학적인 중기보강 계획 자료 제공, 투자비용 절감과 전력 공급서비스 품질향상은 물론 다양한 현장 업무 지원이 가능함을 보여주고 있다.

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SNS를 이용한 상지 재활도구 보유현황과 사용 문제점 및 개선을 위한 예비연구 (A Pilot Investigation for usage Problems, Improvement Needs and Current Status of Upper Extremity Rehabilitation Equipment using SNS)

  • 문종훈;나창호;박경영;허성진;이창형
    • 한국전자통신학회논문지
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    • 제13권2호
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    • pp.463-472
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    • 2018
  • 본 예비 연구는 국내 병원 작업치료실에서 상지 재활도구의 보유현황과 사용상 문제, 그리고 개선 필요성을 조사하고자 하였다. 연구자는 소셜 네트워크 서비스를 통하여 병원환경 작업치료실에서 근무하는 임상가를 대상으로 설문을 1차와 2차로 구분하여 실시하였다. 1차 설문은 72개를 분석하였으며, 2차 설문은 47개를 분석하였다. 1차 설문에서 16개의 상지 재활도구의 보유율은 29.2~97.2%로 확인되었으며, 2차 설문에서 9개의 상지 재활도구의 사용경험은 36.2~97.9%로 확인되었다. 또한 2차 설문에서 상지 재활도구의 사용상 문제는 47명 중 15명(31.9%)이 불편함을 호소하고 있었으며, 개선 필요성은 23명(49%)이 개선이 필요하다고 응답하였다. 개방형 설문형태로 취합한 9개의 상지 재활도구의 사용문제는 흥미, 내구성, 난이도, 다양한 방향에 대한 조절기능, 설치 및 편리성 부족으로 구분할 수 있었다. 개선사항은 디지털화, 내구성, 난이도, 조절기능, 편리성 증대로 구분할 수 있었다. 본 예비 연구는 국내 병원 작업치료실의 상지 재활도구의 보유현황과 사용경험을 확인할 수 있었으며, 추후 상지 재활도구의 문제점과 개선 필요성에 대한 폐쇄형 설문지의 개발에 근거자료가 될 것이다.

한의치료와 '마음의 방 그리기'를 활용한 공황장애 치험 1례 보고 (A Case Report on Panic Disorder Patient Using the 'MRM (Mentalizing the Rooms of Mind)' and Korean Medicine Therapy)

  • 김지수;정문주;이가원;유영수;강형원
    • 동의신경정신과학회지
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    • 제31권3호
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    • pp.197-211
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    • 2020
  • Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder. Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55). Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment. Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

교대근무간호사의 피로경험 (The Fatigue Experience of Shift Work Nurses)

  • 고효정;김명애;권영숙;김정남;박경민;박정숙;박영숙;박청자;신영희;이경희;이병숙;이은주
    • 한국보건간호학회지
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    • 제18권1호
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    • pp.103-118
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    • 2004
  • The purpose of this study was to understand the process and investigate basic theory of fatigue experience of shift work nurses. The present study adopted grounded theory methodology on fatigue of shift work nurses. The participants for this study were 15 shift work nurses who were in the age of 25 to 35, the clinical experience of 2 to 14 years and the work department of ICU. ER. ward and delivery room. The data were collected from 2000 to 2003 by using interviews and observations. The contents of the interviews were tape-recorded and were drawn through repeated method. And then were analyzed into the concept, subcategories, and categories with the open coding process and axial coding was done to identify the relationships of the concepts and categories according to the paradigm models. The core category generated, which was a central phenomena of the exhaustion process. The causal condition is change events. The central condition of exhaustion were sorted as physical discomfort, decreasing vigor, psychological instability, feeling of sleeping desire, changing face impression and being heavy body. The intervening condition were discovered as social$\cdot$ psychology$\cdot$physical resist and positive$\cdot$negative interaction strategies. The consequences of the fatigue process is the short term exhaustion relief and long term residual exhaustion. The fatigue process of this study was 'break through exhaustion' of change event-exhaustion-resist-resolve intervention-adaptation. This study offers better understanding on fatigue process of shift work nurses and may facilitate more appropriate interventive strategies to support, information and knowledges according to fatigue process.

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자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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