• 성인간호학회지
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• 제28권3호
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• pp.334-342
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• 2016

Purpose: This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly. Methods: This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression. Results: Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly. Conclusion: The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.

• 지역사회간호학회지
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• 제12권1호
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• pp.261-268
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• 2001

Recently, social concerns about addiction problems not only to substances like alcohol and drug but also to gambling or internet have been increasing. Addiction is caused by a combined influence of biological, psychological. and social factors. However, addiction may also occur due to weak will-power or poor education on addiction. Even though addicted behavior provides temporal mood change such as euphoria, satisfaction. or relaxation. it leads to serious physical and mental disorder of the addicted person and its family members, which possibly results in fatal consequences. Nurses are in an environment to meet and take care of those who are addicted or vulnerable to addiction in order to help the clients to recover or to prevent people from addiction. Despite the importance of nurses role in addiction problems, there is a lack of consistency of addiction is often interchangeably used with other similar concepts in the society. In this study, a concept analysis of addiction was performed to more clearly and comprehensively understand addiction and to develop effective nursing intervention methods for addicted clients. The analysis is conducted according to a series of processes described by Walker and Avant. The defining attributes of addiction identified in this study are as follows: 1) existence of object 2) control loss 3) withdrawal symptoms 4) continued use despite adverse consequences.

• East Asian Economic Review
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• 제22권2호
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• pp.177-215
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• 2018

Trump's withdrawal from the Trans-Pacific Partnership (TPP) and his "America First" trade agenda ignite a second round of interest in mega-free trade agreements in the Asia-Pacific. Countries are evaluating alternative trade policy actions in a post-TPP era. Using national real GDP gains estimated by a modified GTAP model to construct "preference ordering" for 10 Association of Southeast Asian Nations members and their six regional dialogue partners, this paper comes up with several policy-oriented findings. First, when multilateral agreements are not possible, countries are better off with a regional trading agreement than without one. Second, the Regional Comprehensive Economic Partnership is likely to have higher beneficial impacts than the Comprehensive and Progressive Agreement for Trans-Pacific Partnership. Third, for dual-track countries, implementing both agreements is better than each separately. Fourth, impacts of open regionalism are likely to be higher than those of a closed and reciprocal one. Going forward, this paper argues that countries should adopt a "multi-track, multi-stage" approach to trade policy.

• The Korean Journal of Pain
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• 제31권1호
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• pp.10-15
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• 2018

Background: To identify a new strategy for postoperative pain management, we investigated the analgesic effects of allopregnanolone (Allo) in an incisional pain model, and also assessed its effects on the activities of the primary afferent fibers at the dorsal horn. Methods: In experiment 1, 45 rats were assigned to Control, Allo small-dose (0.16 mg/kg), and Allo large-dose (1.6 mg/kg) groups (n = 15 in each). The weight bearing and mechanical withdrawal thresholds of the hind limb were measured before and at 2, 24, 48, and 168 h after Brennan's surgery. In experiment 2, 16 rats were assigned to Control and Allo (0.16 mg/kg) groups (n = 8 in each). The degree of spontaneous pain was measured using the grimace scale after the surgery. Activities of the primary afferent fibers in the spinal cord (L6) were evaluated using immunohistochemical staining. Results: In experiment 1, the withdrawal threshold of the Allo small-dose group was significantly higher than that of the Control group at 2 h after surgery. Intergroup differences in weight bearing were not significant. In experiment 2, intergroup differences in the grimace scale scores were not significant. Substance P release in the Allo (0.16 mg/kg) group was significantly lower than that in the Control group. Conclusions: Systemic administration of Allo inhibited mechanical allodynia and activities of the primary afferent fibers at the dorsal horn in a rat postoperative pain model. Allo was proposed as a candidate for postoperative pain management.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1061-1068
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• 2012

본 연구는 결혼 5년 이내 부부들을 대상으로 자신이 인지한 배우자의 갈등대처행동이 자존감과 우울에 미치는 영향을 파악하여 결혼초기 부부들의 부부관계증진 교육과 프로그램 중재의 기초자료를 제공하고자 시도된 서술적 조사연구이다. 서울시에 있는 S대학 학생들의 가족과 이웃 중 결혼 5년 이내 부부 176명을 대상으로 질문지를 조사하였다. 연구결과, 성별에 따라 철회형의 갈등대처행동에 차이가 있었으며, 연령에 따라 신체형 및 철회형의 갈등대처행동과 우울에 차이가 있었다. 직업에 따라서는 언어형의 갈등대처행동과 우울에 차이가 있었다. 부부의 대화시간에 따라 자존감과 우울이 유의한 차이를 보였다. 자신이 인지한 배우자의 갈등대처행동과 우울의 관계에서 자존감은 간접효과를 나타내는 것으로 나타났다.

• 한국컴퓨터정보학회논문지
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• 제15권6호
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• pp.129-138
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• 2010

본 연구는 운동중독이 신체적, 정서적 삶의 질적 가치에 영향을 줄 수 있다는 전제하에 운동참여자의 사회인구학적특성에 따른 운동중독과 정서의 성향을 분석하고 운동중독과 정서는 어떠한 관련성이 있는지를 규명하여 운동참여자의 운동중독을 예방함과 동시에 합리적인 대처방안을 제시하고자 고찰하였다. 그 결과, 운동 참여자들은 테니스를 통하여 본인의 건강 유지 증진에 대한 심리적, 정서적 안녕감이 크게 작용하고 신체적인 기술성취의 중요성으로 인하여 운동중독현상과 더불어 긍정적, 부정적인 정서에도 유의한 영향을 미친다는 결과가 나타났다. 이러한 사실을 상기하여 각 개인에게 긍정적 참여행동을 주지시키는 것은 물론 지도자들은 테니스 운동 참여자들이 보다 긍정적인 운동수행이 되도록 운동 참여행동을 제시하고 이러한 행동을 지속적으로 수행해 나갈 수 있도록 하는 것이 건강을 위한 여가의 한 형태로서 테니스 운동참여가 이루어질 수 있는 올바른 방향이라 사료된다.

• 디지털산업정보학회논문지
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• 제13권4호
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• pp.231-245
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• 2017

The purpose of this study is to analyze the trend line through scatter diagram analysis on correlation between SNS addiction tendencies and learning attitudes, figure out the knee point influencing learning attitudes negatively in detail, and examine influence among subareas. To address the goal, study questions are formulated as follows. First, this author did screening on the data of variables measured and analyzed descriptive statistics. Second, this researcher produced the trend line by drawing a scatter diagram in order to analyze correlation between SNS addiction tendencies, withdrawal symptoms, excessive communication, and excessive time wasting, and learning attitudes exploratorily. Third, to explore correlation between self-evaluation, learning participation, and developmental attitudes, the subfactors of learning attitudes related to SNS addiction tendencies, this author drew a scatter diagram and analyzed the threshold of positive and negative correlation. To verify the study questions, the SNS addiction tendency scale and learning attitude scale were applied to 301 university students in Chungcheong area. According to the study results, first, their learning attitudes are influenced by SNS addiction tendencies, excessive communication and excessive time wasting, and they are not influenced by withdrawal symptoms that much. Second, excessive communication, a factor of SNS addiction tendencies, and self-evaluation and developmental attitudes, factors of learning attitudes, show positive correlation to some extent and indicate negative correlation after the threshold. However, excessive communication and learning participation are found to show no correlation. Third, according to the results of examining correlation with learning attitudes by dividing them into excessive communication and excessive time wasting groups with the knee point of 1.40, as the symptom of excessive communication is found more, it influences self-evaluation, learning participation, developmental attitudes, and learning attitudes more negatively in general. The result of this study is expected to provide foundational material necessary to develop educational programs to prevent undergraduates' excessive SNS use and SNS addiction which can be used in the scenes of counseling or education.

• 대한한방내과학회지
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• 제22권2호
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• pp.239-243
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• 2001

Alcoholism is a chronic behavior disorder that disturbs the health, social, and economical functions by intaking alcohol repeatedly. Alcoholism includes some habituation, dependency, and addiction. It may be clinically silent or severe enough to lead to the rapid development of hepatic, renal and gastrointestinal failure. Alcoholism can also cause death. In this case, we administrated saenggangunbitang and sungjoocheonggantang to a patient suffering from alcohoism and its withdrawal symptoms. After administration of saenggangunbitang-sungjoocheonggantang medication, clinical symptoms, including liver function with diabetes mellitus and splenomegaly improved. saenggangunbitang-sungjoocheonggantang showed desirable effect on alcoholism symptoms.

• 디지털융복합연구
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• 제12권1호
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• pp.273-280
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• 2014

본 연구는 페이스북과 같은 소셜미디어의 중독과 지속사용 의도에 관한 연구를 통해 디지털 정책의 대안을 제시하고자 한 연구이다. 이를 위해 연구자는 소셜미디어 사용자가 인식하는 중독 증상에 대해 선행과 후행의 변인을 찾아보고, 서비스 지속 이용에 대한 방안 및 중독의 예방을 위한 함의를 얻고자 하였다. 연구결과 1) 개인의 혁신성은 서비스 만족, 중독, 지속사용의도에 영향을 미치고, 2) 서비스 만족이 중독과 지속사용의도에 영향을 미치며, 3) 서비스 중독 인식이 지속사용 의도에 부정적인 영향을 미쳤다. 이 점은 이용자의 중독인지가 서비스의 지속 성장에 장애가 됨을 설명하는 결과였다. 본 연구의 정책적 제안은 다음 두 가지로 요약된다. 1) 서비스 제공사업자는 이용자가 중독적인 사용행태를 보일 때 이용자가 중독으로 인해 서비스로부터 이탈하지 않도록 주의를 기울여야 한다. 2) 정부는 서비스 중독의 예방을 위해 이용자가 중독으로 인한 불편함을 인지할 때 대처할 수 있는 치유시설, 서비스 등을 제공해야 할 것으로 기대된다.

• 지역사회간호학회지
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• 제32권3호
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• pp.312-324
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• 2021

Purpose: Tuberculosis is an infectious condition with a high disease burden, and the stigma in patients with tuberculosis causes negative health outcomes. The purpose of this study was to define and clarify the concept of self-stigma among patients with tuberculosis. Methods: The analysis was conducted using Walker and Avant's conceptual approach. Twenty-seven studies met the selection criteria. Results: Self-stigma in patients with tuberculosis can be defined by the following attributes: 1) self-esteem decrement; 2) fear; 3) negative emotions to oneself; 4) social withdrawal; and 5) discrimination. The antecedents identified were 1) inappropriate knowledge of tuberculosis, 2) spread of improper health information through media and social communications, 3) stereotypes and prejudices, 4) visibility due to symptoms appearing, 5) recognizing the risk of infection, and 6) low financial status. The consequences were 1) concealing the disease, 2) treatment delay, 3) poor treatment adherence, 4) poor quality of life, and 5) deterioration in or lack of social activities. Conclusion: The definition and attributes of self-stigma identified by this study can be applied to enhance the understanding of stigma in tuberculosis patients and to improve communications between healthcare providers and researchers. It can also be used to develop theories and measurements related to stigma in patients with tuberculosis.