• 제목/요약/키워드: Spiritual health

검색결과 310건 처리시간 0.028초

소아암 아동과 가족에 관한 국내 연구 동향 (Trends in Research on Children with Cancer and Their Families in Korea)

  • 조헌하;윤지원
    • Child Health Nursing Research
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    • 제16권1호
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    • pp.73-83
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    • 2010
  • Purpose: This study was designed to analyze recent trends in pediatric oncology research in Korea and suggest future research directions in this area. Methods: Studies (105) selected from http://www.riss4u.net for last 15 yr were used. They were analyzed by publication type, field and design of the study, study participants, main theme, and outcome variables used in intervention studies. Results: 1. Of the 105 studies, 67 were master and doctoral dissertations and 49.5% of studies were conducted in nursing. 2. There were 73 (69.5%) quantitative studies and 20 (19.1%) qualitative research studies and the most frequently used study design was that of a descriptive study. 3. Children with cancer undergoing treatment and their parents, mostly mothers, were the participants most frequently studied. 4. Most themes were psychological/spiritual problems, coping, and family function. 5. Most frequently measured outcome variables were nausea/vomiting, fear/anxiety and adjustment. Conclusion: The results indicate that future research should include more well-designed intervention studies to develop new intervention protocols and to confirm the effect of previous study findings. It is also necessary to use an interdisciplinary approach to deal with physical and psychosocial needs of these children and their families including siblings and fathers of children with cancer.

Psychiatric understanding and treatment of patients with amputations

  • Jo, So-Hye;Kang, Suk-Hun;Seo, Wan-Seok;Koo, Bon-Hoon;Kim, Hye-Geum;Yun, Seok-Ho
    • Journal of Yeungnam Medical Science
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    • 제38권3호
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    • pp.194-201
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    • 2021
  • Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

제주지역에서의 호스피스.완화의료기관과 보건소의 재가암 관리 현황 (Current Status of Home-Based Cancer Patients Management in Jeju)

  • 허정식;김현주
    • Journal of Hospice and Palliative Care
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    • 제13권2호
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    • pp.76-80
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    • 2010
  • 목적: 본 연구에서는 제주지역내의 보건소, 지역 암센터와 말기암환자 전문의료기관 등에서 실시하고 있는 재가암환자 관리 사업의 객관적 현황을 파악하여 각 기관별의 재가암 관리를 위한 역할을 정립하고자 한다. 방법: 제주지역에서 재가암환자 관리를 실시하고 있는 각 기관을 대상으로 재가암환자 관리 사업의 시작연도와 현재 실시하고 있는 사업과 부족한 부분 등을 알아보고, 각 기관과의 연관사업 등을 파악하였다. 결과: 제주지역내의 재가암환자 관리는 6개의 보건소와 1개의 지역 암센터, 1개의 말기암환자 전문의료기관이 활동 중에 있으며, 제공되는 서비스는 약간의 차이는 있으나, 신체적, 정서적, 영적, 교육 정보적 서비스를 실시하고 있으나 보건소의 경우, 통증완화를 위한 마약성 진통제의 사용이 부족한 실정이었다. 결론: 본 연구는 재가암환자 관리 사업에서 말기암환자 전문의료기관과 보건소에서 급성기의 경우와 재가암환자 관리를 위한 인력의 교육을 위한 교육은 지역 암센터와 연계하여 재가암환자에 대한 체계적인 관리와 역할 분담을 정립시켜야 할 것으로 생각된다.

아내구타 예방 및 대처 교육프로그램 개발 (Development of Prevention and Educational Programs for Battered Women)

  • 이경혜;이광옥;김수지;최정숙
    • 여성건강간호학회지
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    • 제7권4호
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    • pp.560-578
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    • 2001
  • The purpose of this study was to develop prevention and educational programs for battered women. The first stage was to assess battered women's health status and health needs. The second stage was to develop prevention and educational programs to improve battered women's health. A survey research design was used to gather data from June-November 1999 by the counselor. Research sample was recruited from shelter and women's counseling centers in Seoul, Inchon, Chooncheon, Taejeon, and Jeoju. Trained counselors contacted 218 women, who agreed verbally to participate in the study. The researcher did a literature review and developed the tool used. We did ten pretests and three counselors checked the tool for content validity. The reliability and validity of the instrument were acceptable. The second stage of the research consisted of lay-professional groups discussing the abuse problems and possible solutions. Each group had five professionals (counsellor, nurse, minister, psychiatrist, social worker) and five women who have experienced battering from her husband in community. Result of the survey and two(lay persons and professionals) group discussions showed that victims need more assessment of physical, mental and spiritual needs. Victims were beaten more often during their pregnancies than at other times. Various kind of strategy were frequently utilized, but still the number of women abused and suicides committed increased. Both studies showed that the women experienced severe beating, that they felt powerless, that they need to understand that society abuser characteristics, that they lack a protection support system and that society lacks would an understanding of battered women. Based on the result of both studies, we developed model for prevention and education of battered women. This educational program will increase women s power to solve the abuse problems. The ultimate goal of the program is to develop a one-stop center to give wholistic approach care to women in abuse situations.

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Comparison of eating habits and inappropriate weight control efforts of secondary school students enrolled in a weight control program

  • Kang, EunKyo;Kim, Soojeong;Yun, Young Ho
    • Nutrition Research and Practice
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    • 제15권5호
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    • pp.628-638
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    • 2021
  • BACKGROUND/OBJECTIVES: Numerous school-based weight control programs have been initiated for weight loss among adolescents. However, the relationship between these programs and inappropriate weight control efforts, dietary habits and behavior of students, have not been investigated sufficiently. This study was undertaken to investigate the association between body mass index (BMI) of adolescents, and their health status and inappropriate weight-control efforts. We further examined the relationship between attendance to school-based weight-control programs and attempting inappropriate weight-control efforts, dietary habits, and behavior. SUBJECTS/METHODS: A survey of 1,742 students was conducted in Korea. Logistic regression was used to assess differences in the health status (grouped by BMI and improper weight control) and dietary habits, based on attendance to the weight-control programs. RESULTS: Obese students were significantly more dissatisfied with physical, mental and spiritual health. Students who attended weight-control programs were likely to be underweight (P < 0.001), whereas those who did not attend weight-control programs were likely to attempt weight control improperly (P < 0.001). Students who participated in the program also had relatively healthy dietary habits (P < 0.001-0.027), and students who did not attend had comparatively unhealthy dietary habits (P < 0.001-0.008). Students who attended weight-control programs were likely to be underweight (P < 0.001) with relatively healthy dietary habits (P < 0.001-0.027), whereas students who did not attend the programs were likely to attempt weight control improperly (P < 0.001) and had comparatively unhealthy dietary habits (P < 0.001-0.008). CONCLUSIONS: Attending school-based weight-control programs was significantly associated with not attempting inappropriate weight-control efforts, as well as following healthy dietary habits. Our data indicates that offering school-based weight-control programs is valuable to student health, and is anticipated to reducing the public health burden.

인도네시아 자바사람들의 자무(Jamu) 전통: '돌봄'의 의약과 '평안'한 건강 (Javanese Jamu Tradition: Medicine for Caretaking and the Health Named 'Tentram')

  • 조윤미
    • 동남아시아연구
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    • 제29권3호
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    • pp.39-80
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    • 2019
  • 본고는 인도네시아 자바사람들이 전통의약 자무를 왜 활용하는지, 자무 음용의 필요가 문화적으로 구성되는 공간과 과정을 자바사람들의 문화내적 논리에 따라 고찰한 글이다. 이를 위해 자무가 기원하고 작동하는 공간인 자바의 가정과 궁정에 주목하여 이 공간들에서 화목(rukun)과 평안(tentram)이 자무를 통해 매개되고, 우주 공간 내 인간의 도리가 자무 관행을 통해 표현되고 확인되는 모습을 논하였다. 그럼으로써 자무가 자바사람들의 의식과 관념 그리고 지식 및 기술들과 통합된 몸 돌봄의 로컬 지식체계로서 존재하는 것임을 밝혔고, 자바사람들의 자무 활용은 이 로컬의 지식체계 내에서 몸 돌봄 실천을 통해 '평안'이란 이름의 건강을 획득하려는 노력임을 논하였다. 그리고 이렇게 획득된 평안이야말로 복되고 번영된 사회를 건설하기 위한 토대로서 자원적 가치를 갖는 것임을 주장하였다.

신뢰와 건강 (Trust and Health: Mind-Body Problem or Integrative Medicine)

  • 손정락
    • 한국심리학회지 : 문화 및 사회문제
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    • 제11권spc호
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    • pp.85-95
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    • 2005
  • 신뢰가 건강에 관련되는 기제를 정신-신체 의학 또는 통합의학적인 관점에서 살펴보았다. 이를 위해 양자물리학, 심신의학 및 동양의 치유방법 등의 연구성과를 알아보고 건강과 행복을 추구하는 방법도 제시하였다. 먼저, 콴툼 구조적인 사람의 몸에 관한 절에서는, 신체에는 그 자신의 정신이 있다는 연구 결과들을 알아보았는데, 여기서는 질병의 메커니즘과 원인, 의식의 객관적인 경험으로서의 몸, 의식과 정보에 영향 받는 몸 등을 다루었다. 그 다음에, 심신의학의 연구결과들을 다루었는데, 여기서는 뇌를 변화시키는 생각, 플라시보와 기대의 힘, 적극적인 노력으로 성취되는 건강, 심리신경면역학 및 치료방법들을 알아보았다. 끝으로, 몸과 마음의 행복을 위한 Benson의 실천방법을 알아보았는데, 병에서 회복하고 건강해지는데는 신념(자신에 대한 신념, 의사에 대한 신념, 치료에 대한 신념 및 자신의 영적인 신념)이 무엇보다도 중요하다는 결론에 이르렀다.

희망중재가 보건소 관리 재가 암환자의 희망과 삶의 질에 미치는 효과 (The Effects of Hope Intervention on the Hope and Quality of Life of Cancer Patients Staying at Home and Cared in Public Health Center)

  • 김정남;신아미;박경민;박명화;김영아
    • 지역사회간호학회지
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    • 제19권2호
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    • pp.177-187
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    • 2008
  • Purpose: This study was to identify the effects of hope intervention on the hope and quality of life of cancer patients staying at home. Method: The study adopted the randomized control group design. The subjects consisted of randomly selected forty cancer patients who were registered at S-Gu Public Health Center. Hope intervention which was composed of hope assessment, positive self identity formation, hope objective setting. therapeutic relationship and spiritual & transcendental process improving, and hope evaluation was provided from October 22, 2007 to November 30, 2007. Result: Hypothesis 1-1 "The experimental group that received hope intervention will have a higher score of hope than the control group", was supported(t=-3.108, p=.004). Hypothesis 1-2 "The experimental group that received hope intervention will have a higher level of hope index than the control group". was supported(t=-4.219. p=.000). Therefore, Hypothesis 1 "The experimental group that received hope intervention will have a higher level of hope than the control group" was supported. Hypothesis 2 "The experimental group that received hope intervention will have a higher level of quality of life than the control group", was not supported(t=-1.726, p=.092). Conclusion: Hope intervention is an effective nursing intervention to enhance hope for patients with cancer staying at home.

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뇌졸중환자의 희망 (The Hope of the Stroke Patients)

  • 김이순
    • 대한간호학회지
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    • 제27권1호
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    • pp.212-227
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    • 1997
  • Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increased rapidly. It marked the 2nd cause of specific death rates in 1993. The stroke causes physical function disorder due to hemiparalysis and emotional disorder, and stroke patients experience helplessness, powerlessness. sense of alienation and loss of hope. These feelings make the rehabilitation difficult because they lose the will of life. The subjects of the study were seven citizens who live in Pusan, are over 50 years old and belong to low income-level. The data were collected from Jan. to Sep. 1995. The researcher as a caregiver and volunteer made confidence of them and asked for their agreement on the purpose of the study. The subjects expressed their experience as openheartedly as possible. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi, which is as follows ; as an unit of description which include the subject' expressions and the researcher's observation, it is examined the theme that express the hope experience with the subject's language(underlining), and the focal meanings are identified. The focal meaning is the crystalization of the theme, which is written in the language of the researcher. After intergrating the focal meaning and make the situated structural description as the meaning of the hope experience identified on each subject's point. After intergrating the situated structural description and make the general structural description as the meaning of the hope experience identified on total subject's point then the systemizing of the structure of the hope experienced phenomena and the flowing of the conciousness was researched. The conclusions of this study was as follows : The ten sources of hope which the subjects experienced were sorted as under 〈mutual relations to others : spouse, children, relatives, fellow believer. health professioner. associate patient group〉, 〈spiritual dependence〉. 〈recovery of physical function〉. 〈rumination of the past life〉, 〈expectation of the future〉. 〈economic power〉, 〈belief〉, 〈ability〉. 〈spontaneous participation〉 and 〈recovery of roles〉. Their hope was spoken out by the following two kinds of linguistics. First. the hope was expressed in the affirmative expression as follows : 〈 to be dependable〉, 〈to make efforts〉, 〈to keep under control〉, 〈to desire〉, 〈to be pleasant〉, 〈to be peaceful〉, 〈to be grateful〉, 〈to give help〉, 〈self-confidence. Courage〉, 〈to be happy〉, 〈to satisfy oneself〉, 〈to share with others〉, 〈to understand〉 and 〈to be affected, be impressed〉 Second, the hope was expressed in the negative on pression as under : 〈to be distressed〉, 〈to be uneasy〉, 〈to be sorry, be unsatisfied〉 〈despair〉, 〈to abandon〉, 〈to be fearful〉, 〈to suffer〉, 〈to bear a burden〉 〈to be confused〉, 〈to be solitary〉, 〈chest trouble〉, 〈to feel heavy〉 〈grief〉, 〈to be daunted〉, 〈to get angry〉, 〈to be uncomfortable〉, 〈to have something regretable〉 and 〈to feel guilty〉. And their hope was expressed by the following four behavioral expressions : 〈physical sphere〉, 〈psychological sphere〉, 〈social support sphere〉 and 〈spiritual sphere〉. The reaction patterns of their hope experience appeared in the following 4 coping method : 〈conquest type〉, 〈dependence type〉, 〈adaptation type〉 and 〈fate type〉. Finally, in the hope structure the sense of certainty don't always coexict with the sense of uncertainty, When the stroke patients try to search for the best quality of life, the senses of certainty and uncertainty make a continual cyclic system in the hope structure.

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한국인의 정신건강 개념에 관한 연구 (A Study on the Concept of Mental Health in Korea)

  • 김동배;안인경
    • 한국사회복지학
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    • 제56권1호
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    • pp.203-233
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    • 2004
  • 사회복지는 개인의 행복과 만족스러운 삶을 이루도록 원조하는 실천학문인 만큼 명확한 정신건강개념 규정은 정신보건 사회복지 영역 뿐 아니라 전체 사회복지실천영역에서도 포괄적으로 필요하다. 이를 위해 본 연구는 첫째, Q 방법론을 활용하여 한국인의 정신건강개념을 도출하였다. 그 결과 정신건강 개념에는 자호다(Jahoda)의 19개 영역과 본 연구에서 새롭게 나타난 '영적' 영역과 '자기 안녕감' 영역을 합하여 21개 영역이 나타났고, 각 개인들은 이 개념을 공동체주의형, 합리주의형, 개인주의형, 인본주의형, 신본주의형 등 매우 독립적인 5가지 유형으로 인식하고 있었다. 둘째, 연구결과를 통해 사회복지영역에서는 일반인을 위한 정신건강프로그램의 방향성을 적극적 정신건강 개념으로 전환되어야 함을 제시하였다. 이는 사회복지영역에서 한국인의 정신건강개념을 정신질환 예방이나 치료라는 틀 속에 묶어두지 않고 건강한 삶의 성장으로 확대하기 위한 기초 자료를 제공하고자 함이다.

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