• 보건의료산업학회지
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• 제7권2호
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• pp.135-148
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• 2013

The aim of this study is to analyze affecting factor on the job finding stress of university students majoring occupational therapy. We collected data for 7days from 12 to 19 July, 2012. This study was surveyed 270 university students majoring occupational therapy was located in the Pusan and South Kyungnam region. It was found that mean score of the job find stress was $2.12{\pm}0.57$. There was statistically significant difference in the physical symptom, depression, anxiety and sub-domain on the job finding stress by gender, age, the economic status, region of birth, the state of employment, employment determinants, job finding stress relief, advice for job finding(p<0.05). From the multiple regression analysis, it was found that affecting factor on the job finding stress was personal characteristics, job related characteristics, stress relief characteristics, physical symptom, depression, anxiety which was statistically significant difference(p<0.05). As a result, we could know that they must relieve the physical symptom, depression and anxiety for lowering job finding stress of university student majoring occupational student.

• 중환자간호학회지
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• 제6권1호
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• pp.21-33
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• 2013

Purpose: The purpose of this study was to examine the relationship between lymphedema self-care management and quality of life in breast cancer patients with mastectomy and lymphedema. Methods: One hundred and eighty-six breast cancer patients with mastectomy and lymphedema (n=186) were recruited at a medical center located in Seoul. The levels of lymphedema self-care management and quality of life were measured by the scale for measurement of practice in lymphedema self-care management, European Organization for Research and Treatment of Cancer-Quality of Life Core 30 (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire Breast Cancer Module (EORTC QLQ BR23), respectively. Data were analyzed with SPSS 18.0 program. Results: There were statistically significant correlations between lymphedema self-care management and general health status/quality of life in mastectomy patients with lymphedema (r=.30, p<.001). The physical function score of cancer related function scale (r=-.15, p=.033), fatigue score of cancer related symptom scale (r=.15, p=.036), systemic side effect score of breast cancer related symptom scale (r=.45, p=.034), and upset by hair loss (r=.27, p=.004) were significantly correlated with quality of life. Conclusion: The findings suggest that these significant factors should be considered when caring for lymphedema patients.

• Journal of Hospice and Palliative Care
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• 제16권3호
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• pp.139-144
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• 2013

진행성 암환자들은 동시에 여러 가지 증상을 겪고 있으며 그 정도가 중등도 이상으로 매우 높은 편이다. 환자 증상 조절을 위해 지금까지는 통증, 우울증, 피로 등 여러 각각의 증상에 대해서 치료하는 방법에 대해서 주로 연구 되어서 많은 발전이 있었지만 진행성 암환자의 특성상 동시에 발생하는 여러 가지 증상을 동시에 조절하는 데에는 한계가 있다. 따라서 최근에는 더욱 효과적인 증상 조절을 위해 이러한 각각의 증상에 대한 접근 방법에서 동시에 발생하는 여러 증상군(symptom cluster)에 대한 접근 방법에 대한 연구가 진행되고 있다. 증상군은 원인과 기전에 상관없이 다른 군과 독립적이면서 2개 이상의 서로 연관성 있는 동시에 발생하는 증상을 의미한다. 진행성 암환자에서 이러한 증상군을 이용하여 증상들 간에 연관성, 공통된 기전 등을 이해하면 개별 증상 치료보다 더 효과적으로 조절할 수 있고 약물 부작용 등을 줄일 수 있다. 또한 다른 증상을 예측할 수 있고 환자의 기능 평가, 생존 예측에도 도움이 된다. 아직 밝혀지지 않은 기전이 많고 증상 측정 도구와 인자 분석 방법이 다양하기 때문에 증상군이 일정하지 않은 면이 있지만 더욱 많은 연구를 통해서 효과적인 증상 조절과 삶의 질 향상에 기여하게 될 것이다.

• 치위생과학회지
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• 제10권4호
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• pp.279-286
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• 2010

본 연구에서는 충청지역 치과종사자의 근골격계 질환 자각증상과 사회심리적 특성과의 관련성을 분석하기 위하여 2009년 3월 9일부터 3월 28일까지 충청도에 소재한 치과종사자 206명을 대상으로 자기기입식 설문법을 실시하였으며, SPSS WIN 12.0 프로그램을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 측정부위별 근골격계 질환 자각증상 정도는 신체부위 모두에서 상의 비율이 가장 높았다. 2. 성별에 따라 여자가 남자보다 근골격계 질환 관심도가 높았으며(p=.000), 연령별로는 26-30세 이하가 관심도가 가장 높아 통계적으로 유의하였다(p=.000). 3. 업무만족은 요부군과 하지군에서 양(+)의 상관관계를 나타냈고, 업무스트레스에 있어서는 요부군과 하지군에서 약한 음(-)의 상관관계를 보였다. 동료만족에서는 상지군과 하지군에서 양(+)의 상관관계를 나타냈고, 병원만족은 상지군과 요부군, 하지군에서 양의 상관관계를 나타냈다. 근무환경과 만족에서는 목군과 어깨군, 상지군, 하지군과 양(+)의 상관관계를 보였다. 본 연구에서 각 신체부위에서 사회심리적 특성과 근골격계 자각증상이 유의한 관련성이 있는 것으로 나타났으며, 근골격계 질환 예방 및 관리 프로그램을 개발할 때는 사회심리적 특성을 고려해야 할 것으로 생각된다.

• Perspectives in Nursing Science
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• 제10권2호
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• pp.87-96
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• 2013

Purpose: The purpose of this study was to investigate the relationships of activity status, anxiety, depression, social support, symptom experience, and functional status in patients with lung cancer based on the theory of unpleasant symptoms. Methods: The participants for this study were 101 lung cancer patients who visited the out-patient department for treatment or follow-up at one hospital in Seoul. Data were collected from January 1 to February 8, 2013 using self-reported questionnaires and clinical records. To measure variables, the functional scale and symptom scale of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30, EORTC QLQ-Lung Cancer 13, Eastern Cooperative Oncology Group Performance Status, Hospital Anxiety and Depression Scale, and Multidimensional Scale of Perceived Social Support were used in this study. The data were analyzed using SPSS 19.0 software for Windows. Results: The symptom experience showed more severity in patients with lower activity status, higher anxiety and depression. With lower activity status and social support, functional status was lower. When anxiety, depression, and symptom experience were higher, functional status was also lower. The significant factors predicting symptom experience were depression, anxiety, activity status, and social support, which explained 57.8% of the variance. Conclusion: These results suggest that psychological factors such as anxiety and depression had a negative influence on the symptom experience of lung cancer patients. Therefore, providing emotional support based on the patients' needs prior to providing symptom management could be a useful strategy for improving symptom experience and functional status.

• 대한안전경영과학회지
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• 제11권4호
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• pp.57-67
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• 2009

The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. As a result, as for body part(neck), (waist) and (arms) the degree of risk of work posture measured with the use of job stress(KOSS), psycho-social stress(PWI-SF) and REBA is significantly more affected by fatigue than muscular skeletal disease related consciousness symptom. However, regarding bod(wrist), the degree of risk of work posture measured with the use of job stress(KOSS) and REBA is directly affected by muscular skeletal disease related consciousness symptom. This study is meaningful in that the study clarified the causal relations of the degree of risk of work posture, degree of fatigue, and muscular skeletal disease related consciousness symptoms by each body part measured with the use of work stress(KOSS), psycho-social stress(PWI-SF) and REBA.

• 한국산학기술학회논문지
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• 제11권8호
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• pp.2906-2916
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• 2010

목적 : 본 연구는 수술실 근무자들을 대상으로 작업 관련성 근골격계 부담정도와 통증에 대한 상태를 파악 하고자 실시하였다. 방법: 수술실 근무자 73명을 대상으로 설문조사와 동영상 촬영을 통하여 수술실 근무자의 작업 평가를 REBA 이용하여 인간공학적 작업분석을 실시하였다. 결과: REBA로 측정한 수술실 근로자들의 근골격계 부담정도와 근골격계 통증 정도는 상당히 높은 상태였으며 이것은 조치수준 2에 해당되며 '대상자에게 어떠한 조치가 필요하다'는 것을 의미한다. 또한 대상자 대부분이 주 3~4회 통증을 경험하고, 다리, 목, 어깨에서 심한 통증을 경험하는 것으로 조사되었다. 대상자의 일반적 특성과 통증간의 유의한 결과를 나타내는 변수로는 성별, 연령, 결혼상태, 체중, 과거직장 경험, 하루 평균 근무시간, 근무형태, 근무부서에서 유의한 관계가 있었다. 결론: 수술실 근로자는 작업과 관련하여 높은 근골격계 부담과 심한 근골격계 통증을 경험하고 있으며, 이로 인해 근골격계 질환의 가능성이 높은 것으로 나타났다.

• 보건의료산업학회지
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• 제8권2호
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• pp.197-208
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• 2014

This study examined the relationship between social support and depressive symptom among the middle and old-aged people, using dataset of the Korean Longitudinal Study of Ageing(KLoSA 3rd). The subjects were 7,874 persons aged 45 and over. Using this data, social support variables and its relation to depressions was observed based on social network model. A multiple regression model was used to study an association between social support and depressive symptom, controlling for socio-economic characteristics, health status and behavior. Also, this paper run two subgroup regression models based on gender of subjects (male, female), controlling for confounding variables. Authors found that there was lower the number of meetings with friends (1~3 times in a week: b=0.597, p<0.0001; 1~2 times in a month: b=0.609, p<0.0001; 1~6 times in a year or under: b=1.598, p<0.0001) and negative relationship between spouse satisfaction (b=-0.007, p=0.0237), children satisfaction (b=-0.019, p<0.0001) and depressive symptom. Also quantitative effect differences were compared according to gender and its effect on depression. Compared to the male group, female group showed significant difference in quantitative effect with number of meetings with friends and spouse satisfaction, but children satisfaction didn't show clear differences according to gender. This study suggested the importance of social support for promoting mental health among the middle and old-aged people.

• 한국치위생학회지
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• 제10권4호
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• pp.683-693
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• 2010

Objectives : The purpose of this study was to examine the relation between stress and temporomandibular disorder(TMD) of first the child. Methods : 500(the first child -250, non first child -250) high school students living in Jecheon city, form November 4th to 5th 2009, were the subjects of this questionnaire. The questionnaire was made up of three contests: sociodemographic characteristic, symptom & dysfunction of TMD and stress of high school students. The data were analyzed by chi-square test, two sample t-test and Pearson correlation. Results : Only 443(the first child -209, non first child - 234) students were evaluated due to inadequate responses. The obtain results was as follow. 1. Subjective symptom of TMD reported by 443 students were joint sound(63.5%), pain on chewing(55.1%), pain on opening the mouth(55.1%). 2. Analysis of subjective symptom of TMD showed the first child group was statistical significantly higher on joint sounds and TMJ pain than non first child group(<0.05). 3. Analysis of bad habit and dysfunction showed the first child group was statistical significantly higher on clenching of the teeth, difficulties of bite, headache than non first child group(<0.05). 4. Analysis of stress showed the first child group was statistical significantly higher on stress with parents than non first child. especially on marks and disagreement(<0.05). 5. Stress were partly related to subject symptom of TMD(<0.05, <0.01). 6. Analysis of relation stress and bad habit & dysfunction showed stress were partly related to bad habit & dysfunction(<0.05, <0.01). 7. bad habit were partly related to TMD(<0.05, <0.01). Conclusions : The first child stress and symptom of TMD were higher than non-first child, also stress and symptom of TMD was positively associated. therefore management of the first child' stress is necessary and related study is necessary in the future.

• 생물정신의학
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• 제14권4호
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• pp.256-261
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• 2007

Objectives : The aim of the present study was to examine whether anxiety and depression of children and mothers were associated with the children's medically unexplained somatic symptoms in attention-deficit/hyperactivity disorder(ADHD). Methods : 83 clinic-referred boys with ADHD and 52 boys without ADHD were included in this study. The frequency of the medically unexplained somatic symptoms, such as general-ache, headache, nausea, eye problems, skin problems, abdominal pain, vomiting was evaluated using the somatic symptom domain of the Child Behavior Checklist(CBCL). Children's anxiety and depression were evaluated using Kovacs Children's Depression Inventory(CDI) and Spielberger's State-Trait Anxiety Inventory(STAI) for children. Maternal anxiety and depression were measured by Spielberger's State-Trait Anxiety Inventory(STAI) and Beck's Depression Inventory(BDI). Stepwise linear regression analysis was used to examine the hypothesis. Results : Score of maternal state anxiety affects the T score of the somatic symptom domain in CBCL significantly(adjusted $R^2$=0.057 ; p=0.026). Conclusion : The frequency of medically unexplained somatic symptom of children perceived by mothers was associated with the high level of maternal state anxiety in ADHD. Frequent maternal report of the children's somatic symptom may be a warrant for the evaluation and management of the maternal state anxiety in ADHD.