• 제목/요약/키워드: Stress psychological

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특수병동 아동 간호사의 신체활동과 피로 (Physical Activity and Fatigue among Pediatric Nurses in a Special Care Unit)

  • 채선미;서은영;정현명;이지혜
    • Perspectives in Nursing Science
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    • 제15권1호
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    • pp.18-28
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    • 2018
  • Purpose: This study was designed to explore the levels of physical activity and fatigue among nurses and to identify the relationship between these variables. Methods: Participants were 89 nurses working at an intensive care unit and an operating room in a children's hospital. Data were collected using self-reported questionnaires including the International Physical Activity Questionnaire and Brief Fatigue Inventory. Results: Most of the nurses' physical activity was work related, and there was a significant difference according to the working unit. Nurses with higher work stress and lower job satisfaction showed higher levels of fatigue than their counterparts did. Work-related physical activity and the interference of fatigue with relationships were related positively, whereas transport and leisure time physical activity were negatively related to usual fatigue and the interference of fatigue with life enjoyment. Conclusion: The levels of physical activity and fatigue of nurses were higher than those observed among other populations. The appropriate level of physical activity for these nurses needs to be investigated carefully. Also, in the intervention for nurses' fatigue, their level of work-related and leisure-time physical activity should be considered separately, and their work environment and psychological satisfaction level should be included.

여대생의 신체상 인식에 관한 현상학적 분석 (Phenomenological Analysis of Perception on Body Image of Female College Students)

  • 오혜경
    • 한국콘텐츠학회논문지
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    • 제14권3호
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    • pp.289-300
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    • 2014
  • 본 연구는 여대생의 신체상에 대한 인식을 그들의 시각에서 그 의미를 확인함으로써 긍정적인 신체상을 안정적으로 정립하는데 필요한 교육 프로그램을 개발하는데 기초자료를 모색하고자 시도되었다. 자료는 2012년 10월부터 2013년 9월까지 수집하였고 수집방법은 포커스 그룹을 활용하여 심층면담 및 참여 관찰을 사용하였다. 각 포커스 그룹 별 구성원은 3명~4명으로 집단 구성원간의 친숙도를 고려하여 현상에 대한 진술이 포화되는 시점을 고려하여 경험의 진술이 반복되는 시점까지로 총 3개 집단, 10명이 참여하였다. 수집한 자료는 Giorgi(1985) 방법을 이용하여 분석하였으며 참여자가 진술한 내용을 중심으로 확인한 여대생의 신체상 인식에 대한 의미구조는 12개의 주제와 5개의 중심의미로 분류하여 일반적으로 구조화하였다. 여대생의 신체상 인식에 관한 의미구조는 "건강한 성격", "건강한 신체", "인위적 몸 만들기", "사회적 편견", "이상적 신체를 향한 개성 존중"으로 확인되었다. 본 연구 결과를 기초로 여대생이 긍정적인 신체상을 정립하고 신체상 관련 건강 문제를 감소시키기 위해서 신체적 건강과 심리적 스트레스를 관리하고 조화로운 대인관계를 맺는 기술에 대한 교육이 필요하며 사회적 편견으로 인한 왜곡된 신체상에 대해 인식하고 자신만의 개성을 찾고 그 가치를 인식 하는 교육 프로그램이 필요함을 제언한다.

11세 여아의 심인성 발작 1례 (A CASE OF 11-YEAR-OLD GIRL WITH PSYCHOGENIC SEIZURE)

  • 노경선;손석한
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제11권1호
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    • pp.144-149
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    • 2000
  • 심인성 발작은 신경과 및 정신과 임상에서 가끔씩 접하게 되는 질환으로서 진성 간질성 발작과의 감별진단이 가장 중요하다고 하겠다. 특히 정신과의사는 면밀한 환자의 병력청취, 임상양상 관찰 등을 통하여 확진 전 단계에서 심인성 발작을 어느 정도 진단내릴 수 있다고 생각된다. 저자들은 11세 여아의 심인성 발작 증례를 경험했는데, 심리환경적 스트레스가 명확했고, 임상특징이 일치 했으며, 신속한 검사와 정신과적 중재에 의해서 좋은 결과를 얻었다. 본 증례로 볼 때 소아기 심인성 발작의 진단과 치료에 있어서 뇌파 검사 외에도 철저한 가족배경 조사 및 병력청취와 정신교육학적 중재가 중요하다고 생각된다.

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녹지구성 인자로써 라벤더(Lavandula angustifolia cv.Hidcote)와 잔디(Zoysia japonica Steud.)의 치유적 효과 (Verification of lavender(Lavandula angustifolia cv.Hidcote) and lawn(Zoysia japonica Steud.)'s Curative Effect, as a Green Space Composition Factor)

  • 이와사키 유타카;김유영;조태동
    • 한국환경과학회지
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    • 제21권12호
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    • pp.1487-1494
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    • 2012
  • This study has been carried out to verify curative effect of lavender and lawn, a green space composition factor. Thus, the physiological index value of blood pressure, heart rate and salivary amylase were measured with object of 16 women in their 20~30s for stress relaxation effect at lavender garden and lawn square, and impression assessment upon SD method as for psychological value was performed in this study. And a survey was conducted on necessity and reason of urban green space with object of 345 men and women urban workers. As a result of variance analysis between groups and multi test of Turkey upon object place, the blood pressure was lowered the same at lavender garden and lawn square, and especially, high blood pressure was greatly lowered to 30 mmHG at lavender garden. On the other hand, low blood pressure group showed the tendency of a little increasing at the same places. And for the pulse, there was difference between high blood pressure group and normal group at the same places. To conclude, at lavender garden and lawn square the blood pressure was made to be lowered when it's high, and when it's low, the effect of returning to sound status, the function of increasing, was verified. In case of impression assessment upon SD method, the lawn square was assessed as resting place and lavender garden diversional place. And over 90% of urban workers responded to the green space's necessity and curative effect, diversion and resting place were adopted for the reason in high-ranking items. As above the green space pattern that urban workers require and curative effect of lavender garden and lawn square were verified. Therefore, the functional green space plan is required, which curative effect, diversion and resting place are considered, for the future green space plan design.

대한민국 동하절기 해군 함상복의 착용쾌적성 평가를 통한 디자인 요소 요구성능 분석 (Design Requirements by Evaluating Comfort while Wearing Korean Naval Duty Uniforms for Summer and Winter)

  • 이효현;신소라;이주영
    • 한국지역사회생활과학회지
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    • 제27권3호
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    • pp.419-435
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    • 2016
  • The purpose of the present study was to suggest the design requirements for Korean naval duty uniforms by evaluating the physiological and psychological comfort while wearing the uniforms. Two sets of wear trials were conducted with summer uniforms(eight young males) and winter uniforms(seven other young males). The summer wear trial consisted of 10-min rest, 60-min exercise, and 10-min recovery at an air temperature($T_{air} $) of $33^{\circ}C$ and 62%RH, followed by 10-min recovery at a $T_{air} $ of $23^{\circ}C$ and 64%RH(total 90 min). The winter wear trial consisted of 20-min rest at $T_{air} $ $20^{\circ}C$ and 55%RH, 25-min rest, 30-min exercise, and 35-min recovery at a $T_{air} $ of 0oC and 43%RH(total 110 min). Rectal and seven skin temperatures, clothing microclimate, heart rate, oxygen consumption, total sweat rate, and subjective perceptions were measured during the wear trials. By evaluating the experimental results from the wear trials, we extracted the following psycho-physiological design requirements to improve the current Korean naval uniforms: (1) It is important to maintain the skin temperatures within their comfort range, which depends on the body region (higher than $30^{\circ}C$ in winter, but less than $35^{\circ}C$ in summer). (2) In summer, the feet should be protected from the high heat of the ship floor surface. (3) In summer, sweat from the back should be sufficiently absorbed and allowed to dry quickly.

울증(鬱證)환자에게 용서프로그램을 활용한 오지상승요법(五志相勝療法)을 시행하여 호전된 1례 (The Case Study of a patient with Yùzhèng(鬱證) who has treated by Oh-Ji-Sang-Seung(五志相勝) Therapy based on Forgiveness Program)

  • 이상언;노동진;박장호;이고은;박인숙;류영수;안민섭;정지호
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.201-214
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    • 2010
  • Y$\grave{u}$zh$\grave{e}$ng(鬱證) comes from obstruction of qi by stress. The patient has depressed mood, irritable sign, chest discomfort, costal pain, angry state or some strange feeling on the throat. Oh-Ji-Sang-Seung(五志相勝) therapy is base on the theory of interrelation in five elements in oriental medicine. The contents of Oh-Ji-Sang-Seung(五志相勝) therapy include five subjugations of five emotions. Anxiety subjugates fear(思勝恐), fear subjugates joy(恐勝喜), joy subjugates pity(喜勝悲), pity subjugates anger(悲勝怒), and anger subjugates anxiety(怒勝思). Forgiveness program is a kind of psychological therapies to decrease the degree of anger and it is included in Oh-Ji-Sang-Seung(五志相勝) therapy. In this case, a female patient, 50 years old, who suffered from Y$\grave{u}$zh$\grave{e}$ng(鬱證) with chest discomfort, irritable sign, easily angry state, depressed mood, hot flush, insomnia. We used Oh-Ji-Sang-Seung(五志相勝) therapy besides herbal medication, acupuncture to her condition got improved. Therefore we reported it for the treatment.

Association between Smoking Status and Food and Nutrient Consumption in Japanese: a Large-Scale Cross-Sectional Study

  • Endoh, Kaori;Kuriki, Kiyonori;Kasezawa, Nobuhiko;Tohyama, Kazushige;Goda, Toshinao
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6527-6534
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    • 2015
  • Background: In Japan, in comparison with the rest of the world the death rate of lung cancer is low although the smoking rate is relatively high. This is the so-called "Japanese smoking paradox". A healthy diet is proposed to attenuate the risk without quitting smoking. We here examined the relationships between smoking status (SS) and the consumption of food and nutrient in Japan. Materials and Methods: Totals of 5,587 men and 2,718 women were divided into three (non-smokers, smokers and heavy smokers) and two (non-smokers and smokers) groups, respectively, according to pack-year, which represents the amount of smoking over a long period. Food and nutrient consumption was estimated with a validated food frequency questionnaire. Using general linear models, food and nutrient consumption was estimated for each group in men and women, separately. Results: In men, SS was positively related to consumption of rice, 3 alcoholic beverages, carbohydrate, alcohol and other 8 foods/nutrients (p< 0.05 for all) and negatively to those of protein animal, fat, fatty acids, dietary fiber, isoflavones and 36 other foods/nutrients (p<0.05 for all). In women, SS was positively associated with intake of 13 foods/nutrients, while being negatively associated with those of rice, energy, dietary fiber, and 14 other foods/nutrients (p<0.05 for all). Conclusions: Our results support lower intake of vegetables and fruits rich in antioxidants, which are thought as preventive factors for many diseases, in smokers.

Aftermath of Child Sexual Abuse in Children in Korea: Data from the Nation-Funded Sexual Violence Victim Protection Center for Children

  • Lee, Soo Young;Kim, Tae-Kyoung;Cheon, Keun-Ah;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제29권2호
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    • pp.32-39
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    • 2018
  • Objectives: This study aimed to investigate the 3-year mean periods aftermath of child sexual abuse and to compare the sexual violence victims regard to the treatment. Methods: 682 sexual violence victims were recruited by Seoul Sunflower Children Center, a nation-funded sexual violence victim protection center for children age 13, from 2004 to 2008. Data from 49 victims among 116 consented a follow-up, were analyzed. The victims were assessed by psychological test. Data was analyzed by SPSS ver. 15.0 (SPSS Inc.). Results: The average time elapsed from the last presumed sexual abuse was 39.7 months [standard deviation (SD) 26.02]. Overall, Children's Depression Inventory (CDI) was significantly decreased from 15.8 (SD 9.33) to 10.4 (SD 9.98), and several subscales (depression, anxiety, anger, posttraumatic stress, and dissociation) of Trauma Symptom Checklist for Children (TSCC) were also significantly decreased. CDI and TSCC scores showed no statistical difference between treatment-given and not-given groups, but Revised Children's Manifest Anxiety Scale (RCMAS) was decreased in treatment-given group, whereas it was increased in treatment-not-given group. The difference of RCMAS scores between the two groups was statistically significant [F(1,28)=4.54, p<0.05]. Conclusion: Sexually abused children showed overall symptom decreases over time, but anxiety was not decreased in treatment not-given group.

재가뇌졸중 환자를 위한 자조관리 프로그램의 효과 연구 (The Effects of Self-help Management Program for Post Stroke Patients at Home)

  • 문영희
    • 지역사회간호학회지
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    • 제15권2호
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    • pp.218-227
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    • 2004
  • Purpose: The purpose of this study was to determine the effects of 5 weeks self-help management program developed by Kim et al. (2000-b) and reinforced with music therapy for post stroke patients. Method: This was pre-experimental study and the subjects were 14 post stroke hemiplegic patients at home who were registered at the Gunsan Health Center. The program was applied for five weeks and two hours for each session composed of the preparation step, the main step and the finishing step. The contents of the program were ROM exercise, daily activity training, risk factors and aftereffects, nutrition management and stress management. To collect data, all subjects were questioned before and after the application of the program. Collected data were analyzed through frequencies, percentages, Wilcoxen signed rank test and Cronbach's alpha using SPSS-WIN program. Result: After the application of the self-help management program, a statistically significant increase was observed in the subjects' ability to perform activities of daily living (p=.039), ability to perform instrumental activities of daily living (p=.005), self-efficacy (p=.001), self-care behavior (p=.001) and quality of life (p=.001), and a statistically significant decrease was observed in depression (p=.012). Conclusion: The present self-help management program was found to be helpful in improving the subjects' physical and psychological functions after they were attacked by stroke, so to be an effective nursing intervention strategy for post stoke patients. Future researches need to reinforce and materialize music therapy and to develop and apply a self-help management program that includes not only post stroke patients but also their families. In addition, it is necessary to expand the scope of subjects and apply follow-up management in order to continue self-help meetings.

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윤리적 관점에서의 인터넷중독에 대한 시론적 연구 (A Preliminary Study on Internet Addiction in a view point of Ethics)

  • 김봉섭
    • 컴퓨터교육학회논문지
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    • 제16권6호
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    • pp.1-10
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    • 2013
  • 지금까지 인터넷중독과 관련한 연구는 주로 (1)인터넷 과다 사용 (2)중독 (3)현실상황 장애의 매커니즘에 근거하여 이루어져 왔다. 이러한 접근은 인터넷중독에 대한 사회적 경각심을 부여할 뿐만 아니라 인터넷중독의 예방과 치료를 위한 심리적 정서적 접근 방법을 도입하는 근거로 활용되었다는 점에서는 매우 의미있는 작업이었다. 하지만 인터넷중독에 대한 근원적 탐구 즉, 인터넷을 어떤 목적으로 어떻게 이용할 것인지를 접근하는 인간의 가치체계와 근본적으로 관련이 있는 윤리적 접근은 부족하였다. 이에 따라 본 연구에서는 먼저 인터넷윤리와 관련하여 목적론적 윤리관, 의무론적 윤리관, 덕 윤리관, 책임 윤리관을 제시하였다. 또한, 네가지 윤리관을 적용하여 인터넷중독은 각각의 윤리관에 근거하여 정당성을 부여받을 수 없는 행위임을 주장하였다. 이러한 주장을 토대로 인터넷중독 예방 및 감소를 위한 개입 방안으로 인터넷윤리 교육의 필요성을 강조하고 지금까지 통속적 컴퓨터 윤리학 강좌에서 탈피하여 이론적 컴퓨터 윤리학으로서의 전환을 제안하였다.

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