• 종양간호연구
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• 제12권4호
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• pp.305-313
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• 2012

Purpose: This study was done to clarify the effects of foot reflexology on peripheral neuropathy, symptom distress, anxiety and depression in cancer patients treated with oxaliplatin. Methods: A quasi-experimental design was employed. Changes in the variables were evaluated to test the effects of foot reflexology. Participants were cancer patients treated with oxaliplatin (experimental group 14 and control group 17). Peripheral neuropathy, symptom distress, anxiety and depression were measured before and after reflexology. Data were collected from October, 2010 to April, 2011. ${\chi}^2$-test, Fisher's exact test, t-test, Wilcoxon signed rank test and the Mann-Whitney U test were used to analyze the data. Results: The experimental group who received foot reflexology experienced less peripheral neuropathy and symptom distress than the control group. There was no difference in anxiety and depression between the experimental and control group. Conclusion: The foot reflexology program adopted in this study was found to be an effective method to reduce peripheral neuropathy and symptom distress. We recommend foot reflexology for patients with chemotherapy induced peripheral neuropathy.

• 한국학교ㆍ지역보건교육학회지
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• 제17권2호
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• pp.57-69
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• 2016

Objectives: This study examined the relationships among career identity, job-seeking stress, self control, and test anxiety in nursing students. Methods: Data were collected through self reported structured questionnaire form nursing students using convenient sampling methods form November 15 to December 10, 2015. The data were analyzed with SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation, and stepwise multiple regression. Results: Factors that had an influence on test anxiety included job-seeking stress(${\beta}=0.40$ p<0.001), career identity(${\beta}=-0.17$, p=0.010), fourth grade(${\beta}=-0.14$, p=0.020). These factors together explained 25% of the test anxiety in nursing students(F=25.48, p<0.001). Conclusion: The findings of this study indicate that job-seeking stress management strategies and academic career identity enhancement programs should be developed to reduce test anxiety in nursing student and that further study should be done on the effects of such programs.

• 기본간호학회지
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• 제4권1호
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• pp.147-162
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• 1997

This study was attempted to provide the basic data for nursing intervention to improve the psychosociological adaptation of patients receiving chemotherapy for breast cancer by examining relationship between anxiety and hopelessness that they are experiencing and family support, in order to help them successfully cope with various psychological problems. This study was carried out with 93 breast cancer patients who are receiving chemotherapy in the injection treatment room of K University Hospital located in the downtown of Taegu after having underwent mastectomy in the hospital between December 1995 and August 1996. This study used the systematized questionnaires which contain 7 questions about general characteristics, Spielberger's trait anxiety & state anxiety scale, the tool that WON(1987) modified the hopelessness scale which was developed by Beck et al.(1967) and the family support tool made by TAE(1985). By using the SPSS/PC program, this study obtained the real number and percentage for the general characteristics of the subjects, and mean and standard variation for the degrees of trait anxiety, state anxiety, hopelessness and family support. The correlation between each variables was identified on the basis of the Pearson Correlation, and the degrees of trait anxiety, state anxiety, hopelessness and family support in the general characteristics of the subjects were analyzed by using the t-test, ANOVA, and Duncan test. The results of this study were summarized as follows. In the general characteristics of the subjects, most of each group were 51 years old or more and the middle class in income, had educational background under elementary school, no job, Buddhism in religion and spouse, and were receiving chemotherapy using MTX and 5FU. It was shown that the degree of the subjects' trait anxiety is, on an average, 50. 29, state anxiety 49. 68, hopelessness 51. 46 and family support 34. 28. Both trait anxiety and hopelessness showed normal correlation ; the higher the degree of trait anxiety is, the higher the degree of hopelessness is, while trait anxiety and family support showed reverse correlation ; the higher the degree of trait anxiety, the lower the degree of family support that the subjects perceive is. State anxiety and hopelessness also showed normal correlation ; the higher the degree of state anxiety is, the higher the degree of hopelessness is. Family support and hopelessness showed reverse correlation ; the higher the degree of family support is, the lower the degree of hopelessness that the subjects perceive is. And family support and state anxiety showed reverse correlation but there was a statistically significant difference. The degree of trait anxiety in the general characteristics of the subjects showed a significant difference by age, job and religion, the degree of state anxiety a signigicant difference by job and religion, the degree of hopelessness a signigicant difference by age, educational background and existence or not of spouse. In conclusion, the breast cancer patients receiving chemotherapy perceive anxiety and hopelessness due to several causes such as diagnosis itself or side effects of chemotherapy, so that it is required not only to develop specific nursing interventions including family support to alleviate anxiety and hopelessness but also to apply such interventions to clinical practice.

• 여성건강간호학회지
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• 제17권3호
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• pp.215-224
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• 2011

Purpose: This study was to investigate the effect of music therapy as intervention on peripheral neuropathic pain and anxiety of gynecologic cancer patients who were undergoing paclitaxel chemotherapy. Methods: Hospitalized 62 patients were assigned to an experimental group (n=30) and a control group (n=33) in this quasi-experimental study. The experimental group participated in music therapy that includes listening, singing and song writing during 1 hour. The peripheral neuropathic pain, anxiety and depression were examined as pre-intervention evaluation by using pain scale, anxiety scale (20 questions) and depression scale (20 questions) in both groups. There were no further treatments for the control group while the experimental group involved in music therapy. The peripheral neuropathic pain and anxiety were evaluated in both groups as post-intervention evaluation. Results: Outcomes were verified through hypothesis testing. The level of peripheral neuropathic pain and anxiety in the experimental group was decreased, compared to the control group. Conclusion: According to the study, music therapy is a beneficial intervention that reduces peripheral neuropathic pain and anxiety in gynecologic cancer patients. These findings are encouraging and suggest that music therapy can be applied as an effective intervention for minimizing chemotherapy related symptoms.

• Journal of Hospice and Palliative Care
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• 제26권4호
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• pp.160-170
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• 2023

Purpose: The aim of this study was to examine the effects of death anxiety and perceived end-of-life care competencies on the fear of terminal care among clinical nurses. Methods: This correlational study was conducted from June to July 2021. The study included 149 clinical nurses employed at a tertiary hospital and seven other hospitals. The measurement tools used in this study were the Thanatophobia Scale (Cronbach's α=0.87), the Death Anxiety Scale (Cronbach's α=0.80), and the Scale of End-of-life Care Competencies (Cronbach's α=0.94). These instruments were chosen to assess the levels of fear of terminal care, death-related anxiety, and competencies in end-of-life care. Results: The mean score for fear of terminal care was 3.32±1.32. Differences in fear of terminal care were observed based on the working unit, position, number of patients requiring terminal care, and experience with end-of-life care education. Fear of terminal care was significantly positively correlated with death anxiety and significantly negatively correlated with end-of-life care competencies. In multiple regression analysis, the factors influencing fear of terminal care were attitudes toward end-of-life care competencies (𝛽=-0.39, P<0.001), death anxiety (𝛽=0.24, P<0.001), knowledge of end-of-life care competencies (𝛽=-0.22, P=0.005), and behaviors related to end-of-life care competencies (𝛽=-0.16, P=0.021). These factors explained 64.6% of the total variance (F=25.54, P<0.001). Conclusion: This study suggests that developing nurses' end-of-life care competencies and reducing death anxiety are crucial for managing the fear of terminal care. Therefore, providing end-of-life care education and psychological support programs is important.

• 산업융합연구
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• 제21권12호
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• pp.113-122
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• 2023

연구의 목적은 간호대학생의 첫 임상실습 전 의사소통능력과 대인관계 불안이 자아존중감에 미치는 영향을 파악하고자 시도되었다. 연구는 첫 임상실습 전 3학년을 대상으로 2023년 5월 15일부터 20일까지 설문조사하였다. 자료는 SPSS/WIN 26.0 프로그램을 이용하여 기술통계,t-test, ANOVA, Pearson's correlation cofficient, Multiple regression으로 분석하였다. 연구결과 자아존중감은 의사소통능력과 정적 상관관계(r=.564, p<.001), 대인관계 불안과 부적 상관관계(r=-.590, p<.001)로 나타났으며 의사소통능력과 대인관계 불안도 부적 상관관계(r=-.515, p<.001)로 나타났다. 자아존중감에 미치는 영향은 대인관계 불안(𝛽=-.41). 의사소통능력(𝛽=.35)순으로 나타났다. 결론적으로 의사소통능력이 높고 대인관계 불안이 낮을수록 자아존중감에 영향을 주는 것으로 나타났다. 따라서 향후 학년별, 단계별 의사소통 역량 강화와 대인관계를 넓히고 불안을 감소시킬 수 있는 개인적 특성을 고려한 프로그램 개발과 이를 교육과정에 적용하는 것이 중요할 것으로 생각된다.

• 지역사회간호학회지
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• 제20권2호
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• pp.234-242
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• 2009

Purpose: The aim of this study was to investigate the impact of accidental events, depression, and anxiety among workers with industrial accidents in South Korea. Methods: The participants were 510 workers with industrial accidents. Data were collected by personal interviews with structured questionnaires for three months from August to October in 2005. For analyses, frequencies and means were utilized. Results: The participants' average age was 44.9 years, and about 91%of them were male. Also, they had a greater risk of poverty after being injured. The most frequent cause of accidents was fall (32.2%), and the most frequent injured body area was extremities (73.9%). For around a half of the participants, the treatment period was 12 months or shorter. The participants were at great risk of experiencing a negative impact due to events, depression, and anxiety. Conclusion: It is necessary to develop: (a) strategies for injured workers to be financially stable during recuperation; and (b) supporting systems for them not to suffer and exacerbate mental health problems after being injured.

• Journal of Yeungnam Medical Science
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• 제39권4호
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• pp.314-321
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• 2022

Background: In this study, the degree of anxiety, depression, and stress caused by coronavirus disease 2019 (COVID-19) was identified, as well as the need for psychological prevention measures among medical students in the Daegu region that was designated the first special disaster area due to the spread of COVID-19. Methods: The subjects of this study were 318 medical students in Daegu who voluntarily participated in an online test using the Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised Korean version. As a result of the test, risk students received immediate telephone counseling, and the effect of this telephone counseling was analyzed. Results: There were no differences in depression, anxiety, or stress according to gender and grade. As a result of immediate telephone counseling for risk students, significant differences were found in depression, anxiety, and stress, and the counseling was found to be effective. Conclusion: For medical students who are easily exposed to stress, the importance of psychological prevention measures and effectiveness of non-face-to-face counseling should be recognized. In the field of medical education, we must do our best to build a system that can be used immediately at the appropriate time for these programs.

• 대한안전경영과학회지
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• 제25권2호
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• pp.49-57
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• 2023

The purpose of this study is to explore how adolescents' psychological characteristics affect their sense of life safety according to gender. To this end, a survey was conducted on male and female high school students in six schools in the C area, and a total of 1,048 data were used for analysis. Differences in major variables according to gender were verified, and the effect of psychological characteristics on living safety awareness was analyzed through hierarchical multiple regression analysis. As a result of the analysis, depression, anxiety, type A characteristics, and the presence or absence of experience in accidents did not significantly affect life safety awareness in the male student group. On the other hand, in the female student group, anxiety and type A characteristics had a significant effect on life safety awareness. Anxiety negatively affects living safety awareness, and type A characteristics have been shown to have a positive effect on living safety awareness. The presence or absence of depression and accident experience did not significantly affect life safety awareness. The results of these studies suggest that gender differences should be considered in education to prevent life safety awareness and that education that reflects the psychological characteristics of adolescents is necessary.

• 치위생과학회지
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• 제17권1호
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• pp.46-55
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• 2017

본 연구는 치과 의료진에 의해 실시된 치과불안 감소에 대한 인지행동치료의 효과를 검증하고 이를 통해 치과 진료 과정에서 적용 가능한 효과적인 개입방법 제안을 연구의 목적으로 하였다. 연구대상과 방법은 임상치과의원에 내원한 치과불안 증세를 보이는 환자중, 연구에 동의한 1인을 대상으로 DFS, 심층인터뷰, 그리고 SUD를 이용하여 환자의 치과불안 정도를 측정하고 불안의 종류와 수준에 따라 인지행동치료를 3월 2일부터 5월 20일까지 2주 간격으로 5회기 실시하였으며 연구의 결과는 다음과 같다. 첫째, 치과에 관련하여 왜곡된 인지의 변화는 이와 연결된 불안들과 함께 짧은 기간 동안 급성호전 현상을 나타내며 감소하였다. 둘째, 환자 개개인의 특성과 심리적 상태에 따라 주요 개입법과 보조적인 개입법을 함께 사용하는 것이 효과적이며, 호흡이완법은 신체적 긴장감과 심리적 안정화를, 수신호 사용은 진료과정 중의 소통에 효과적으로 나타났다. 공감적 관계맺기는 의료진과의 신뢰성 형성을 통한 원활한 소통과 지속적인 치료에 대한 동기부여 및 치료적 퇴보를 완화시켰다. 불안목록 작성, 점진적인 둔감법, 직접적인 노출법, 진료과정 리허설은 문제에 대한 직접적이고 점진적인 도전을 경험함으로써 적응력강화 및 자기 조절 능력을 향상시키고 왜곡된 인지 변화를 유도하였다. 셋째, 인지행동치료를 훈련한 치과 의료진이 치료과정 중에 실시한 단시간 심리적 개입이 환자의 치과불안 감소에 유의미한 효과가 있음을 도출하였다. 본 연구는 단일사례연구라는 제한점에도 불구하고 단기간의 인지행동치료 개입법이 치과와 연계된 왜곡된 인지를 재구조화함으로써 환자의 치과진료 회피행동과 치과불안을 감소시키는 것에 효과적인 접근법이며 지속적인 연구가 필요함을 확인하였다.