• 종양간호연구
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• 제5권2호
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• pp.126-135
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• 2005

Purpose: The present study was to investigate sleep disturbance and related variables in patients undergoing hemopoietic stem cell transplantation(HSCT) on the day of admission, before HSCT, and of discharge, respectively. Method: A total of 52 HSCT patients were recruited from an university hospital from August 2002 to August 2003. The patients were asked to complete a set of sleep disturbance questionnaires. Result: The scores of sleep disturbance-related physical and emotional subscales on the day before HSCT and on the day of discharge were significantly higher than that on the day of admission. However, the score of a emotional subscale was not significantly different during the hospitalization for HSCT. About 10% of the variance of sleep disturbance was explained by the length after diagnosis on the day of admission, and 59.4% was by the type of disease, religion, gender, educational level on the day before HSCT. About 40.7% was by family income, gender, and the frequency of administration on the day of discharge. Conclusion: Nursing staffs should care for HSCT patients with more interest to reduce variables disturbing sleep. Especially, more careful nursing interventions have to be considered at the time of the day before HSCT and the time of discharge.

• 근관절건강학회지
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• 제27권2호
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• pp.169-176
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• 2020

Purpose: This study aims to investigate the factors affecting fatigue of care helpers in long-term care facilities. Methods: The subjects consisted of 131 care helpers at six long-term care facilities in Chungcheongnam-do. A survey was conducted between July and September 2019 to collect data, which were analyzed using t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis.Results: An increase in fatigue of care helpers owing to taking care of over 10 patients a day, increase in emotional labor and sleep disturbance, and a decrease in economic status was observed. Their fatigue decreased when there was an increase in their subjective health status and job satisfaction. Work-related stress (β=.37, p<.001), emotional labor (β=.21, p=.014), and sleep disturbance (β=.18, p=.026) significantly predicted fatigue. These factors explained 37% of the total variance in fatigue (F=10.48, p<.001).Conclusion: In addition to improving the work environment, interventions that alleviate emotional labor and improve sleep quality, are needed to lower the fatigue of care helpers.

• International Journal of Human Ecology
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• 제8권2호
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• pp.61-74
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• 2007

Adolescents from stepfamilies have been considered as at-risk group of mental and behavioral problems. This study aims to determine whether there is a group difference of emotional or behavior disturbance between young people in step and non-stepfamilies and whether risk factors linked to emotional and behavior symptoms of young people in stepfamilies are different from those of girls in non-stepfamilies. The study used 'the Mental Health of Children and Young People in Great Britain, 2004 (MHCYP 2004)'. In the MHCYP 2004, the Rutter Problem Behavior Questionnaire, the Strengths and Difficulties Questionnaire (SDQ), and Child Behavior Checklist (CBCL) were administered to parents, teachers, and children drawn from young people aged 5-17 living in private households in England, Scotland (including the Highlands and Islands) and Wales. The total of 2,471 samples of aged 13 through 17 from them were selected for this study. The selected data was analyzed using SPSS. The findings showed group differences in emotional and behavior symptoms between young people in step and non-stepfamilies: Young people from stepfamilies were more emotional and have behavioral disturbances than those from nonstepfamilies. The result also confirmed the different risk factors associated with emotional behavior problems. The study supports that professionals need to develop effective treatment and preventive approaches designed for young people in stepfamilies who may have different risk factors different from those in non-stepfamilies.

• 대한간호학회지
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• 제27권3호
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• pp.588-600
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• 1997

Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs the maternal-infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Many clinicians and researchers realiza there is a need to develop a postpartum depression scale. Thus, this study has been designed to development of a postpartum depression scale. Data were collected through a survey over a period of three months. Subjects who participated in the study were 167 Korean mothers in their postpartum period. The author used a convenience sampling method. The analysis of the data was done with SPSS PC/sup ＋/ for descriptive statistics, item analysis and factor analysis. Initially 62 items were generated from the interview data of eight postpartum depression patients and from a literature review. This preliminary scale was analyzed for reliability and validity. The results of this analysis are as follows. 1. Initially 62 items were analyzed through the Index of Content Validity(CVI) and 48 items were selected. 2. Seven factors were extracted through the principal component analysis, and these contributed 61% of the variance in the total score. Finally 46 items in the scale loaded .41∼ .84 on one of seven factors. 3. Each factor was labeled. Factor 1 was labeled 'emotional phenomena-emotional upset' and included 13 items, factor 2 was labeled' cognitive phenomena-self concept disturbance' and included seven items, factor 3 was labeled 'relationship to baby-negative feeling' and included six items, factor 4 was labeled 'relationship to baby- overload' and included eight items, factor 5 was labeled 'negative maternal identity' and included five items, factor 6 was labeled 'biophysiological phenomena-disturbance of physical functioning' and included four items, and factor 7 was labeled' interpersonal relationship phenomena-blamed others' and included three items. 4. Cronbach Coefficient Alpha for internal consistency was .95 for the total 46 items. Finally, the author suggests that this scale could be adequately applied in assessing the postpartum depression of mothers during the postpartum period. The results of this study can contribute to designing an appropriate postpartum depression prevention strategy.

• 대한한방내과학회지
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• 제40권5호
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• pp.804-813
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• 2019

The purpose of this study was to evaluate the effect of Korean medicine in a patient with cognitive impairment, emotional disturbance, and sleep disturbance due to a diffuse axonal injury associated with a traumatic brain injury. The patient was treated with herbal medicine and acupuncture. The treatment effects were evaluated using the Korean version of the Mini-Mental State Examination (MMSE-K) and the Global Detraction Scale (GDS), and by observing clinical symptoms. Improvements in the total scores of MMSE-K and GDS were observed after the Korean medicine treatments; the MMSE-K score increased from 13 to 23 and the GDS score decreased from 5 to 4. The emotional and sleep disturbances were also reduced. These case report findings suggest that Korean medicine may be effective for treating symptoms of diffuse axonal injury in patients with traumatic brain injury.

• 한국직업건강간호학회지
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• 제19권1호
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• pp.5-13
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• 2010

Purpose: This study aims to develop a tool to predict occupational health patients' nursing needs or nursing time. Method: A tool was composed based on the materials and opinion of experts, and to verify the reliability and validity of the tool, nursing time of total 311 inpatients in 2 occupational health hospitals were surveyed. Results: The developed tool was total 151 items and composed of physical function, cognitive function, communication, emotional and disturbance behavior, nursing skill, and rehabilitation need. The reliability of the tool was high, showing Cronbach's alpha coefficient of 0.95. But several items should be deleted for low corrected item-total correlation. According to the multiple regression analysis, physical function and rehabilitation need were shown to be the most powerful predictive variables for nursing time. Conclusion: The developed tool was appeared to have high reliability and validity. But further refinement of the tool is needed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제3권1호
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• pp.73-83
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• 1992

본 연구는 신체적 학대가 아동에게 초래하는 정서 및 행동상의 후유증을 파악하고자 신체적 학대를 받지 않았거나, 약한 신체적 학대를 경험한 아동들을 비교집단으로 하여 심한 학대를 받은 학대아동집단과의 정서 및 행동의 차이를 비교해 보았다. 연구대상은 서울시내에 위치한 4개소의 아동복지기관으로부터 표집된 만 6세에서 12세의 학령기에 해당하는 요보호 남자아동으로 대상수는 61명이었다. 본 연구에서 사용한 측정도구는 신체적 학대를 평가하기 위해서 Straus(1979)가 제작한 CTS(Conflict Tactics Scale)중 폭력척도를 연구자들이 수정, 보완하여 사용하였으며, 아동에 게서 나타나는 정서 및 행동문제를 측정하는 도구로는 Achenbach와 Edelbrock(1983)가 제작한 CBCL(Child Behavior Checklist)한국어판을 사용하였다. 주요 결과로는, 신체적 학대를 받은 아동집단이 비교아동집단보다 문제행동 총점에서 유의하게 높았고, 항목별 비교에서 학대아동집단이 비교아동집단보다 $사회적 위축{\cdot}신체증상{\cdot}정서적 불안정{\cdot}강박-우울{\cdot}과잉활동{\cdot}정신병-성문제에서$ 유의하게 높았으나, 공격성과 비행에서는 유의한 차이를 보이지 않았다. 이같은 연구결과는 신체적학대가 아동에게 초래하는 정서 및 행동상의 문제양상을 제공해 주며, 학대아동의 치료와 예방에서의 준거틀로서 활용가능하다고 하겠다.

• 한방안이비인후피부과학회지
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• 제20권3호
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• pp.191-203
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• 2007

Objectives : Allergic rhinitis disturbs the quality of life in patients. So, it is important to analyze the quality of life in patients with allergic rhinitis. The aim of this study was to evalute the impact of allergic rhinitis on the quality of life of patients. Methods : A total of 46 patients with allergic rhinitis who visited the Dept. of Oriental Medical Opthalmology & Otolaryngology & Dermatology of Daegu Hanny Oriental Medical Center from July 10th, 2006 to September 10th, 2007 were included in this study. The patients answered the quality of life questionnaire on the scale of one to five. We calculated the frequency and importance. Results : The patients with allergic rhinitis experienced impairment of the quality of life. On the questionnaire, nasal symptoms, practical problems, generalized symptoms were frequently checked. Patients think importance in nasal symptoms, practical problems, generalized symptoms on the questionnaire. Conclusions : Considering the above results, most of patients with allergic rhinitis have problems due to generalized symptoms, practical problems, sleep disturbance, activity limitations, emotional problems, and ocular symtoms including nasal symptoms. Further studies in treatment with Korean medicine are needed.

• 성인간호학회지
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• 제28권1호
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• pp.13-29
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• 2016

Purpose: This study was performed to evaluate the effects of non-pharmacological interventions on sleep disturbance amongst adults aged 55 and above. Methods: PubMed, Cochrane Library, EMBASE, CINAHL and several Korean databases were searched. The main search strategy combined terms including non-pharmacological interventions and presence of insomnia. Non-pharmacological interventions included cognitive behavioral therapy, auricular acupuncture, aromatherapy, and emotional freedom techniques. Methodological quality was assessed using Cochrane's Risk of Bias for randomized studies and Risk of Bias Assessment tool for non randomized studies. Data were analyzed by the RevMan 5.3 program of Cochrane Library. Results: Sixteen clinical trials met the inclusion criteria with a total of 962 participants. Non-pharmacological interventions was conducted for a mean of 5.5 weeks, 7.7 sessions, and an average of 70 minutes per session. The effects of non-pharmacological interventions on sleep quality (ES=-1.18), sleep efficiency (ES=-1.14), sleep onset latency (ES=-0.88), awakening time after sleep onset (ES=-0.87), and sleep belief (ES=-0.71) were significant, and their effect sizes were ranged from moderate to large. However, the effects on total sleep time and insomnia severity were not significant. Conclusion: The findings of the current study suggest that non-pharmacological interventions have a positive impact on attitudes and beliefs about sleep, sleep quality, sleep duration, and sleep efficiency. Therefore, the findings of the study provide an evidence to incorporate various non-pharmacological interventions into nursing practice to improve both sleep quality and quantity in patients with insomnia.

• 여성건강간호학회지
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• 제6권3호
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• pp.358-371
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• 2000

The purpose of this study was to provide the basic, data for developing a program for effective prevention for Postpartum Depression (PPD) by investigating the level of PPD in postpartum 2 weeks women. The subjects were 384 women who visited obstetrical clinics for postnatal care. The data were collected from June 29. 1999 to April. 2000, using a 46-item questionnaire related to PPD, and analyzed by SAS program for t-test, ANOVA, Scheffe test, stepwise multiple regressions. The results were as follows : 1. The level of PPD according to general characteristics Women had mild PPD (Min score; 46.0, Max score; 124.0). The PPD levels were significantly differences according to religion and marital satisfaction (p<0.05). 2. The level of PPD according to obstetrical characteristics 1) Characteristics related to pregnancy The PPD levels were significantly differences according to mood change, confidence of body weight recovery, depression related to appearance change, husband's help to housework, and husband's emotional support (p<0.05). 2) Stressful events during pregnancy The PPD levels were significantly differences according to financial problem, conflict between partners, conflict between family, and husband's job change (p<0.05). 3) Characteristics related to delivery and post natal period The PPD levels were significantly differences according to baby's health state, parenting confidence, and difficulties related to postpartum care (p<0.05). 3. The variables to predict postpartum depression in postpartum women are depression related to appearance change (10.4%), parenting confidence (8.8%), husband's help to housework (2.7%), confidence of body weight recovery (2.4%), husband's job change (1.9%), baby's health state (1.9%), difficulties related to postpartum care (1.6%), mood change (1.2%), conflict between partners (0.6%), marital satisfaction (0.5%), financial problem (0.4%). The sum total of all the above variables can account for 32.4% of postpartum depression. 4. The level of PPD according to PPD factors. Women had the highest degree of PPD in biophysiological phenomena-disturbance of physical functioning factor. The factors of relationship to baby-negative feeling and cognitive phenomena-self concept disturbance were showed the lowest degree of PPD. As a result of the above findings, a systemic and individualized program is strongly recommended for PPD prevention, diagnosis, and care for PPD in postpartum women. In near future, this study should be expanded to investigate the coping skills according to the PPD levels in postpartum women.