• 제목/요약/키워드: Therapy acceptance

검색결과 119건 처리시간 0.024초

마음챙김 명상의 효과성 메타분석 : 우울과 불안 중심으로 (A Meta-analysis on the Effectiveness of Mindful Meditation : Focused on Depression and Anxiety)

  • 조희현;유성훈
    • 대한통합의학회지
    • /
    • 제5권1호
    • /
    • pp.55-66
    • /
    • 2017
  • Purpose : The purpose of this study was to investigate whether mindful meditation programs conducted in ACT(Acceptance &Commitment Therapy) and MBCT(Mindfulness-Based Cognitive Therapy) were effective in changing in depression and anxiety. Methods : In order to achieve this, we have performed meta-analysis of the studies on ACT and MBCT among studies published in the national academic journals, master thesis, and doctoral thesis. Dependent variables were limited to depressive and anxiety symptoms. By using meta analysis method, we retrieved journal articles published in Korea between 2009 and 2015 using keyword searches of electronic databases. Result : The results of the analysis showed that both ACT and MBCT had a significant effect on reducing depressive symptoms (Hedges' g = -0.71, p < 0.01). Both also had a significant effect on reducing anxiety symptoms (Hedges' g = -1.134, p < 0.01). These results imply that both ACT and MBCT interventions can be useful interventions for both depressive and anxiety symptoms. In the case of interventions for depressive symptoms, the college student group showed better results than the adult group. In addition, the ACT program had a stronger effect on reducing depressive symptoms than the MBCT program. In the case of interventions for anxiety symptoms, the mixed gender group showed better results than the female group. Conclusion : The results showed significant differences with regard to the following factors: participant gender, target participants, mindfulness technique availability, session number, and session duration.

고용량 방사성옥소 치료 병실의 최대치 산출 (Maximum Value Calculation of High Dose Radioiodine Therapy Room)

  • 이경재;조현덕;고길만;박영재;이인원
    • 핵의학기술
    • /
    • 제14권1호
    • /
    • pp.28-34
    • /
    • 2010
  • 갑상선암 환자가 증가함에 따라 고용량 방사성옥소 치료환자 또한 적체되고 있는 추세이다. 따라서 현재 시설의 수용 능력을 고려하여 치료할 수 있는 병실의 최대치를 산출해 보고자 한다. 본원에 입원하는 고용량 방사성옥소 치료 환자의 방출 오 폐수량과 오 폐수의 방사능을 측정하고 고용량 방사성옥소 치료 병실에서 대기 중으로 방출하는 공기 중의 방사능 농도를 측정한다. 측정된 오 폐수의 방사능과 방출하는 공기 중의 농도가 교육과학기술부에서 고시하는 기준인 배수 중의 배출 관리 기준 30 Bq/L 및 배기 중의 배출관리기준 3 $Bq/m^3$을 만족할 때 치료 가능한 병실의 최대치를 계산한다. 가장 보수적인 수치로 계산하여 환자 1명을 치료할 경우 배출되는 오 폐수의 평균 방사능의 농도는 8 MBq/L였으며, 정화조에서 117일의 감쇠 시간을 거친 후의 평균 방사능의 농도는 29.5 Bq/L였다. 환자 2명을 치료할 경우 배출되는 오 폐수의 평균 방사능의 농도는 16 MBq/L였으며, 정화조에서 70일의 감쇠 시간을 거친 후의 평균 방사능의 농도는 29.7 Bq/L였다. 또한 같은 조건일 경우 치료 병실에서 RI 배기 filter를 통과하여 방출된 공기 중의 방사능 농도는 0.38 $Bq/m^3$였다. 수용 능력을 고려하여 치료할 수 있는 고용량 방사성옥소 치료 병실의 최대치를 산출하여 현재의 시설에 적용하고 병실 내 구조개선 등으로 2인실로 운영한다면 적체되어 있는 환자의 치료 대기 기간을 단축할 수 있으리라 사료된다.

  • PDF

Sodium Picosulphate with Magnesium Citrate versus Polyethylene Glycol for Bowel Preparation in Children: A Systematic Review

  • Dziechciarz, Piotr;Ruszczynski, Marek;Horvath, Andrea
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제25권3호
    • /
    • pp.228-239
    • /
    • 2022
  • Purpose: To compare the effectiveness, tolerability, acceptability, and safety of sodium picosulphate with magnesium citrate (PS/Mg) and polyethylene glycol (PEG) in children (≤18 years) preparing for colonoscopy. Methods: Three electronic databases (MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials) were searched till July 2020. Only randomized controlled trials (RCTs) were included. At least two authors independently selected studies and performed risk of bias assessment and data extraction. Results: Four RCTs (n=390), with overall good quality were included. A meta-analysis of two trials (n=224) found no statistically significant difference between the groups with respect to the proportion of patients who had excellent and good scores (≥6 points) according to the Boston Bowel Preparation Scale (relative risk: 0.99; 95% confidence interval [CI]: 0.90 to 1.08). Excellent and good scores were observed in both groups in approximately 90% of children. A meta-analysis of two other trials (n=150) showed no significant difference between the groups with respect to the mean total score for the Ottawa Bowel Preparation Scale (mean difference: 0.20; 95% CI: -0.74 to 1.14). Both regimens provided a comparable safety profile; however, PS/Mg was significantly superior to high volume PEG in terms of tolerability (abdominal pain, nausea, vomiting, bloating/flatulence/fullness) and acceptability (ease of formulation consumption, taste acceptance, need for nasogastric tube, compliance with full dose). Conclusion: PS/Mg provides a quality and safety profile similar to PEG for bowel cleansing; however, it has better acceptance and tolerance in children preparing for colonoscopy.

기술수용모델을 활용한 지체장애인의 인공지능 스피커 사용 의도에 관한 연구 (A Study on the Use of Artificial Intelligence Speakers for the People with Physical disability using Technology Acceptance Model)

  • 박혜현;이선민
    • 한국산학기술학회논문지
    • /
    • 제22권2호
    • /
    • pp.283-289
    • /
    • 2021
  • 4차 산업혁명에 기반하여 열린 스마트 홈 시대의 메인 허브 역할을 하는 인공지능 스피커에 많은 장애인의 관심이 모이고 있다. 그러나 인공지능 스피커를 향한 장애인의 니즈(Needs)에 비하여 현재까지 인공지능 스피커를 사용하는 장애인 사용자의 수는 매우 저조하다. 이에 본 연구는 장애 유형 중 가장 많은 수를 차지하는 지체장애인에 초점을 맞추어 지체장애인의 인공지능 스피커 사용 의도를 파악하는 것을 목적으로 하였다. 이에 따라 본 연구는 장애인의 인공지능 스피커 사용 의도에 영향을 미치는 요인을 확인하고 요인 간 인과관계를 분석하기 위하여, 최근 첨단 IT 기술의 수용과 관련하여 설명력이 높은 모형으로 알려진 기술수용모델(Technology Acceptance Model, TAM)을 활용하였다. 기술수용모델의 이론적 모델을 바탕으로 인공지능 스피커에 대한 인지된 용이성과 인지된 유용성이 장애인의 인공지능 스피커 사용 의도에 미치는 영향을 구조방정식(Structural Equation Modeling, SEM)을 이용하여 분석하였다. 연구 결과 기술수용모델은 지체장애인의 인공지능 스피커 사용 의도를 파악하기 위해 적합한 모형인 것으로 확인되었으며, 구체적으로 인공지능 스피커에 대한 인지된 용이성은 유용성에 유의미한 영향을 미치는 것으로 나타났다. 또한, 지체장애인의 인공지능 스피커에 대한 인지된 용이성은 사용 의도에 통계학적 유의미한 영향을 미치지 않는 것으로 나타났으며, 인지된 유용성은 사용 의도에 유의미한 영향을 나타내는 것으로 나타났다. 본 연구를 통해 장애인의 인공지능 스피커 사용 의도에 영향을 미치는 요인을 확인하고 요인 간 인과관계를 확인할 수 있었으며, 이는 장애인 맞춤형 인공지능 스피커 서비스 개발과 장애인의 인공지능 스피커 사용성을 향상을 위한 기초자료로써 의의가 있다.

치료적 매체를 이용한 게슈탈트 심리치료에 나타난 중요사건 및 매체와의 상호작용과정 (Client-identified Significant Events and Interactional Process in Gestalt Therapy Using the Therapeutic Media)

  • 이정숙
    • 한국콘텐츠학회논문지
    • /
    • 제20권11호
    • /
    • pp.472-491
    • /
    • 2020
  • 본 연구의 목적은 치료적 매체를 이용한 게슈탈트 심리치료에서 내담자가 지각한 중요사건과 이 중요사건 내에서 매체와의 상호작용과정을 살펴보는 데에 있다. 연구의 목적을 위해 4명의 연구 참가자를 목적표집 하였다. 이들로부터 치료적 매체를 이용한 게슈탈트 심리치료의 회기 중에 가장 중요했던 장면을 선정하도록 한 뒤에 이 장면에서 매체와의 상호작용에 대해 회기녹음 전사본과 인터뷰를 통해 자료를 수집했다. 자료 분석과 분석적 절차는 종합적 과정분석(comprehensive process analysis)에 따랐다. 그 결과 내담자가 경험한 중요사건은 총 74개의 대화쌍으로 구성되었다. 이들이 경험한 중요사건은 매체를 통해 미해결 감정과 접촉하고 이를 표현하면서 자기 이해가 깊어진 것이었다. 내담자가 지목한 중요사건 내에서 매체와의 상호작용과정은 매체의 이용 양상, 내담자의 경험, 매체와의 상호작용에 따라 분석했다. 분석한 결과 매체와의 상호작용은 총 5개의 주요주제가 드러났다. 5개의 주요주제는 허용, 발견, 인정, 수용, 조망이다. 끝으로 연구 결과에 대해 논의하고, 의의와 한계를 밝히고 추후 연구를 위해 제언하였다.

외모관리행동에 따른 신체이미지 및 심리적 안녕감 (The Effect of Appearance Management on Body Image and Psychological Well-Being)

  • 황진숙;김윤희
    • 복식
    • /
    • 제56권3호
    • /
    • pp.143-155
    • /
    • 2006
  • This study aims to examine the difference of body image and psychological well-being of men and women according to appearance management. The subjects of the study were 673 college students who lived in Seoul and metropolitan areas. Statistical analyses used in the study were factor analysis, Cronbach's a, cluster analysis, ANOVA, Duncan test and $\chi^2-test$. The results of this study were as follows; 1. The body image was categorized into the three factors of personal interest innce, anxiety about weight and physical attraction. Appearance management was categorized into the appearance management through clothing, strict diet therapy and daily appearance management. The psychological well-being was classified as seven factors which include the life goal, self-acceptance, positive personal relations, self-regulation, personal development, environment control and responsibility. 2. The appearance management was classified by 4 groups as below: Daily appearance management group, strict diet therapy group, appearance management through clothing group and no interest in appearance group. 3. There were significant differences among the four groups regarding body image, psychological well-being and life satisfaction. First, appearance management through clothing group had more interest in appearance than other groups. In the case of weight awareness, strict diet therapy group and the appearance management through clothing group intended to have more concerns over their weight. The strict diet therapy group seemed to have an overall lower level of psychological well-being than other groups. Lastly, the appearance management through clothing group had a higher level of life satisfaction.

Impact of a "TED-Style" presentation on potential patients' willingness to accept dental implant therapy: a one-group, pre-test post-test study

  • Ghanem, Henry;Afrashtehfar, Kelvin Ian;Abi-Nader, Samer;Tamimi, Faleh
    • The Journal of Advanced Prosthodontics
    • /
    • 제7권6호
    • /
    • pp.437-445
    • /
    • 2015
  • PURPOSE. A survey was conducted to assess the impact of a TED-like educational session on participants' willingness to accept dental implant therapy. MATERIALS AND METHODS. Volunteers interested in having information about dental implant therapies were recruited and asked to complete a two-part survey before and after an educational session. The initial survey elicited demographic information, self-perceived knowledge on dental implants and willingness to this kind of treatment. A "TED-style" presentation that provided information about dental implant treatments was conducted before asking the participants to complete a second set of questions assessing the impact of the session. RESULTS. The survey was completed by 104 individuals, 78.8% were women and the mean age was $66.5{\pm}10.8$. Before the educational session, 76.0% of the participants refused dental implants mainly due to lack of knowledge. After the educational session, the rejection of dental implants decreased by almost four folds to 20.2%. CONCLUSION. This study proved that an educational intervention can significantly increase willingness to accept treatment with dental implants in a segment of the population who is interested in having information about dental implant therapy. Furthermore, educational interventions, such as TED-like talks, might be useful to increase popular awareness on dental implant therapy.

신발 뒤굽 높이가 계단 올라가기 및 내려오기 동안 내측광근과 외측광근의 근 활성도에 미치는 영향 (Effect of Shoe Heel Height on Vastus Medialis and Vastus Lateralis Electromyographic Activity During Stair Ascending and Descending)

  • 오덕원;김선엽
    • 한국전문물리치료학회지
    • /
    • 제16권3호
    • /
    • pp.24-31
    • /
    • 2009
  • This study aimed to investigate the effect of differing heel heights on the electromyographic (EMG) activity in vastus medialis (VM) and vastus lateralis (VL) during stair ascending and descending activities. A total of 26 healthy women volunteered to perform stair-ascending and stair-descending tasks with 3 heel heights: barefoot, 3 cm, and 7 cm. The EMG activities of the VM and VL were recorded during the tasks. During the stair ascending and descending tasks, the EMG activities of both VM and VL significantly changed with differing the heel heights (p<.05). Moreover, the EMG activities of VM and VL during the stair ascending task were significantly higher than the corresponding values during the stair-descending task (p<.05). However, there were no significant differences between the VM:VL EMG ratios for the 3 heel heights (p>.05). The VM:VL EMG ratios between the 2 tasks differed significantly in the 7 cm high heel condition (p<.05). Despite an increase in the EMG activities in both VM and VL during stair ascending and descending tasks, there was no change in the relative EMG intensities of VM and VL, which was measured by calculating the VM:VL ratio this result indicates that no VM:VL imbalances were elicited. The relative EMG intensities of VM and VL during stair descent were lower than the corresponding values during the ascent, suggesting that VM and VL may show an imbalance in the eccentric activation during the weight-acceptance phase. This study provides useful information that will facilitate future research on how heel height affects muscle activity around the knee joint.

  • PDF

추간판 내열 치료술(Intradiscal Electrothermal Therapy)의 사례를 통해 발견되는 척수 수술 영역 신의료기술의 임상 적용 과정의 문제에 관하여 (Regarding the Problem of Clinical Application of New Medical Technology in the Field of Spine Surgery Found through the Case of Intradiscal Electrothermal Therapy)

  • 홍영기
    • 한국콘텐츠학회논문지
    • /
    • 제22권7호
    • /
    • pp.652-662
    • /
    • 2022
  • 현재 전 세계 의료계의 척추 수술 영역에선 다양한 신기술들이 빠르게 개발되어 임상에 적용되어 오고 있다. 논자는 이러한 신기술들이 환자에게 시술되기 전에 효능과 안전성에 대한 검토가 충실하게 이루어지고 있는지 논의해 볼 필요가 있다고 생각한다. 논자는 이 주제를 고찰하기 위해, 2000년대에 추간판성 통증 질환 치료의 신기술로 등장하여 현재까지 전 세계적으로 널리 시술되어오고 있는 추간판 내열 치료술의 기초 연구 자료들과 임상 적용 과정을 분석하였다. 그 결과 이 시술은 효능과 안전성에 관한 기반 연구가 불충분한 상태에서 임상 적용해 온 것으로 평가되었다. 논자는 이 사례가 현재 척추 수술 영역 신의료기술들의 임상 적용과 관련한 본질적 문제를 드러내고 있다고 판단한다. 따라서 논자는 척추 수술 영역의 신의료기술이 환자들에게 미칠 수 있는 부작용을 최소화하기 위해선 보다 충실한 수준의 기초 연구와 보다 높은 수준의 임상 허용기준이 갖추어져야 한다고 생각한다.

현실요법을 적용한 집단상담프로그램이 사춘기 여성의 신체상과 우울에 미치는 효과 (A Study on the Effect of the Group Counseling Program Developed by Applying Reality Therapy on the Body Image and Depression of Adolescent Women)

  • 정영남
    • Child Health Nursing Research
    • /
    • 제7권3호
    • /
    • pp.342-358
    • /
    • 2001
  • The purpose of the study is both to develope the group counseling program applying Reality Therapy, by which positive body image could be conceived by adolescent women, by helping them identify their bodies as what they are, and then admit their real bodies, and also find out some practical methodologies of self-esteem, and to verify the program to show how effectively this program can be applied to them. Data were collected by self-reported questionnaires(body image and depression) from 59 high school girls in Seoul who were selected by criteria of this study, from the 1st of September to 10th of November, 2000. The experimental group participated in the group counseling by applying Reality Therapy with 8 sessions for 4 weeks. Descriptive statistics, homogeneity test, hypothesis testing, reliability were performed statistically by utilizing SAS pc program, and additionally the reaction due to the change of body image by adolescent women was also analyzed. The results drawn through the present study are as follows: 1. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get higher points on body image than adolescent women who did not participated' has been adopted (t=6.73, p=.000). 2. A hypothesis that 'adolescent women who participated in the group counseling program by applying Reality Therapy may get lower points on depression than adolescent women who did not participated' has been adopted (t=5.28, p=.000). 3. After applying the group counseling program, the degree of depression for upper group who obtained higher preliminary points on depression has decreased rather meaningfully more than that for lower group who obtained higher preliminary points(t=5.58, p=.000). 4. Reactions associated with positive change in body image of adolescent women who participated in the group counseling program by applying Reality Therapy has been shown to be body acceptance, enhancement of self-esteem, and change of value judgment of beauty. 5. The difference in the motivation and attitude of each group has been observed, by analyzing the reactions obtained from those who show the highest change of body image and those who show the lowest change of body image through the group counseling program by applying Reality Therapy. According to the present studies, it can be concluded that the group counseling program by applying Reality Therapy has turned out as an effective strategy for nursing intervention for adolescent women, by helping them form positive body images and reducing depression.

  • PDF