• 제목/요약/키워드: family functioning

검색결과 206건 처리시간 0.027초

골관절염을 가진 여성의 균형감, 유연성, 심폐기능 및 근력에 대한 타이치 운동과 자조관리 프로그램의 효과비교 (Effects of Tai Chi or Self-help Program on Balance, Flexibility, Oxygen Consumption, and Muscle Strength in Women with Osteoarthritis)

  • 송라윤;이은옥;;배상철
    • 기본간호학회지
    • /
    • 제16권1호
    • /
    • pp.30-38
    • /
    • 2009
  • Purpose: This randomized study was done to compare the effects of a 6 month Tai Chi exercise and a self-help program on balance, flexibility and muscle strength in women with osteoarthritis (OA). Method: In this experimental study, 82 women with OA recruited from outpatient clinics or community health centers were randomly assigned either to a Tai Chi group or a self-help group. Thirty women (mean age = 62 years) in the Tai Chi group and 39 (mean age = 59 years) in the self-help group completed posttest measures (balance, flexibility, oxygen consumption, abdominal muscle strength, back muscle strength, and grip strength) at 6 months. Results: After the 6 month, Tai Chi participants had significantly greater balance (mean difference = 2.9 vs. 0.9 for the self-help), grip strength (mean difference = 4.6 vs. 0.9 for the self-help), and back muscle strength (mean difference = 4.1 vs. -0.3 for the self-help). However, flexibility, oxygen consumption, and abdominal muscle strength were not significantly different between the groups. Conclusion: Tai Chi increased balance, grip strength and back muscle strength in older women with osteoarthritis compared to the self-help program. Whether these changes improve physical functioning and fall prevention requires further study.

  • PDF

Cognitive Function, Emotional and Behavioral Problems, and Temperament of Premature Children

  • Ahn, Dong-hyun;Min, Aran;Kim, Kangryul;Kim, Kyung-ah;Oh, Mi-Young;Lee, Hyun Ju;Park, Hyun-Kyung;Park, Hyewon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제30권1호
    • /
    • pp.34-41
    • /
    • 2019
  • Objectives: We aimed to compare preterm, neurodevelopmentally disordered and healthy full-term children. Methods: We enrolled 47 children who were born preterm, 40 neurodevelopmentally disordered children, and 80 healthy children as control participants, in order to assess the cognitive functioning and the risk of behavioral problems at the age of 5. Children were assessed using the Korean Wechsler Preschool and Primary Scale of Intelligence-4th edition (K-WPPSI-IV), the Child Behavior Checklist (CBCL), and the Temperament and Character Inventory (TCI). Results: The mean K-WPPSI-IV score of the preterm group was $87.19{\pm}17.36$, which was significantly higher than that of the neurodevelopmental disorder group ($69.98{\pm}28.63$; p<0.001) but lower than that of the control group ($107.74{\pm}14.21$; p<0.001). The cumulative CBCL scores of the preterm children were not significantly different from those of the control group. Additionally, the TCI scores for reward dependence of the preterm children were higher than those of the control group. Conclusion: The cognitive performance of preterm infants was lower than that of healthy full-term infants at the age of 5, and there was an association between slower growth and decreased cognitive ability.

Developing a short standard questionnaire for assessing work organization hazards: the Healthy Work Survey (HWS)

  • BongKyoo Choi;Youngju Seo
    • Annals of Occupational and Environmental Medicine
    • /
    • 제35권
    • /
    • pp.7.1-7.14
    • /
    • 2023
  • Background: At present, no short standard questionnaire exists for assessing and comparing major work organization hazards in the workplaces of the United States. Methods: We conducted a series of psychometric tests (content validity, factor analysis, differential-item functioning analysis, reliability, and concurrent validity) to validate and identify core items and scales for major work organization hazards using the data from the 2002-2014 General Social Surveys (GSSs), including the Quality of Worklife (QWL) questionnaire. In addition, an extensive literature review was undertaken to find other major work organization hazards which were not addressed in the GSS. Results: Although the overall validity of the GSS-QWL questionnaire was satisfactory in the psychometric tests, some GSS-QWL items of work-family conflict, psychological job demands, job insecurity, use of skills on the job, and safety climate scales appeared to be weak. In the end, 33 questions (31 GSS-QWL and 2 GSS) were chosen as the least, but best validated core questions and included in a new short standard questionnaire (called the Healthy Work Survey [HWS]). And their national norms were established for comparisons. Furthermore, based on the literature review, fifteen more questions for assessing other significant work organization hazards (e.g., lack of scheduling control, emotional demands, electronic surveillance, wage theft) were included in the new questionnaire. Thus, the HWS includes 48 questions in total for assessing traditional and emerging work organization hazards, which covers seven theoretical domains: work schedule/arrangement, control, support, reward, demands, safety, and justice. Conclusions: The HWS is a short standard questionnaire for assessing work organization hazards which can be used as a first step toward the risk management of major work organization hazards in the workplaces of the US.

An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model

  • Mihyeon Park;Sukhee Ahn
    • 여성건강간호학회지
    • /
    • 제29권4호
    • /
    • pp.302-316
    • /
    • 2023
  • Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy's adaptation model. Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment). Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=-.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=-. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=-.56 p=.023) indirectly affected QoL. Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.

관상동맥질환 여성의 성기능에 관한 연구 (A Study on Sexual Function of Women with Coronary Artery Disease)

  • 김춘심;소향숙
    • 성인간호학회지
    • /
    • 제12권1호
    • /
    • pp.99-111
    • /
    • 2000
  • The purpose of this study was to identify risk factors related to sexual function of women with coronary artery disease, and to determine the predictors of sexual function. The study design, a descriptive correlational study, was done through structural questionnaire and interview. A total of 50 subjects from C University Hospital at Kwang-ju city who have undergone coronary angiography at department of cardiology were observed and interviewed from Feb. 22, 1999 to March. 23, 1999. The number of affected vessels, the level of total serum cholesterol, and the ejection fraction of 2-D echo cardiography were analyzed to evaluate the severity of coronary artery disease. And also type A behavior pattern, health behavior, Brief Index of Sexual Functioning for Women (BISF-W) were measured. The data obtained were analyzed using percentage, mean and standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression analysis via SPSS PC+. The results of this study were as follows: 1. The mean age of the subjects were 58.1 and 72.0% of those have been married over 30 years. Seventy two percentage were unemployed and monthly family income of 56.6% was less than 1,000,000 won (approximately $ 840). Eighty percent were in their postmenopausal state, and the frequency of sexual intercourse of 84.0% were two to three times per month. 2. The scores of type A behavior pattern were from 16 to 38(mean 24.94) and health behavior ranged from 21 to 43(mean 31.2). Abstinence from smoking, alcohol, and caffeine were best compliant factors and weight control and exercise were least abided ones. The result of 2D-ECHO EF showed that the half of the subjects were abnormal, and 24% had more than 240mg/dl of total serum cholesterol. The coronary angiography showed that 64% of the subjects had more than one affected vessels. 3. The predictors to explain the factor score of 'orgasm' were number of health examination, the pre- or post-menopausal state, protestant, number of coronary vessel affected, level of serum total cholesterol, and comorbid group of hypertension and diabetes, and it's total variance accounted for 52.4%. The predictors to explain the factor score of 'sexual activity' were comorbid group of hypertension and diabetes and type A behavior pattern, which accounted for 22.4% of total variance. The predictors to explain the factor score of 'sexual satisfaction' were type A behavior pattern, no religion, exercise, level of serum total cholesterol, and pre or post menopausal state, which accounted for 52.1%. The predictors to explain the factor score of 'sexual desire' were the period of marriage, type A behavior, employment or unemployment, and weight control, which accounted for 43.2%. The predictors to explain the factor score of 'external force of sexual functioning' were physical overload and exercise, which accounted for 41.1%. The predictors to explain the factor score of 'sexual activity' were family monthly income, catholics, and exercise, and which accounted for 35.4%. Above results lead us to some consensus that sexual function of women with coronary artery disease is related to various factors including vasogenic factors such as total serum cholesterol level, number of coronary vessel affected, an endocrinal factor such as menopausal state, and type A behavior pattern as a sociopshychological factor. And also health behaviors such as fitness care, overwork, weight control, and emotional tension are contributed to sexual function.

  • PDF

청소년의 위험행동과 삶의 질: 위험행동에 대한 보호요인의 역할 (Adolescent's Risk Behavior and the Quality of Life: the Role of Protective Factors on Risk Behavior)

  • 한성철
    • 한국심리학회지 : 문화 및 사회문제
    • /
    • 제12권5호_spc
    • /
    • pp.99-116
    • /
    • 2006
  • 본 연구의 주된 목적은 청소년의 다양한 위험행동을 예방하기 위한 보호요인의 역할을 탐색하는데 있다. 청소년은 발달적 특성상 위험행동 가능성이 매우 높지만, 그것이 문제행동으로 연결되는 데는 위험요인의 부정적인 영향력을 상쇄시켜주는 보호요인이 이들에게 작용하지 않는 것이 가장 커다란 원인이라고 추정된다. 본 연구에서는 이와 같은 가정을 검증하기 위하여 이미 문제행동(비행)에 개입한 특수집단 청소년(소년원, 보호관찰소) 216명과 위험행동 가능성이 높은 일반 실업계 고등학교 청소년 1,020명을 대상으로 선행연구들에서 확인된 보호요인의 영향력을 검증해 보고자 하였다. 예컨대, 특정 위험행동(가출, 흡연 등)에 대해 보호요인이 작용할 경우 그것이 문제행동으로 발전할 가능성은 낮지만, 그렇지 않을 경우 문제행동의 확률은 의미있게 높을 것이다. 측정도구는 위험행동(가출, 흡연, 성관계) 개입 여부를 확인하기 위한 3개의 선다형 문항과 위험행동 경향성을 알아보기 위한 위험행동 지각척도(21개 문항의 5점 평정척도), 그리고 5개 변인의 보호요인(긍정적 가족기능, 부모 모 각각에 대한 의사소통, 사회적 지지, 자기효능감)척도이다. 연구의 결과 특수집단은 일반집단보다 가출과 흡연, 성관계 각각에 대한 경험이 의미있게 더 많을 뿐만 아니라 보호요인이 이들 각 위험행동을 설명해 주지 못하였다. 반면에 일반 청소년 집단에는 보호요인이 가출과 비가출, 흡연과 비흡연, 성관계 유무를 각각 의미있게 판별해 주었다. 따라서 보호요인은 일반 청소년들에게 있어 그들의 위험행동이 문제행동으로 발전하는 경로를 차단해 주고 있음을 나타낸다. 본 연구의 결과는 보호요인이 청소년들의 적응유연성 (resilience을 향상시킴으로서 문제행동 개입 가능성을 감소시킬 수 있다는 선행연구들에 근거하여 논의되었다.

청소년들의 흡연 및 음주 실태 (A study of adolescent smoking and drinking in Korea)

  • 유병근;오연정;이진철;이기형;민정혜;박상희
    • Clinical and Experimental Pediatrics
    • /
    • 제52권4호
    • /
    • pp.422-428
    • /
    • 2009
  • 목 적 : 청소년기는 신체적, 정신적, 사회적으로 성장하는 시기로써, 이 시기의 흡연과 음주는 신체손상 및 모든 약물남용의 관문이 될 수 있다. 서울지역 청소년들의 흡연 및 음주 행태를 조사하고, 이에 영향을 미치는 요소들을 분석해 보고자 하였다. 방 법 : 2007년 7월부터 4개월 동안 학교건강검진을 위해 소아청소년과를 방문한 중고생을 대상으로 흡연 및 음주 행태에 대한 설문조사를 실시하였다. 결 과 : 총 2,546명(흡연관련 답변자 1,512명, 음주관련 답변자 1,034명)의 청소년이 설문조사에 응답하였다. 흡연율과 음주율은 각각 29.2%, 48.2%였으며, 최초 흡연 및 음주 시기는 각각 13.8세와 14.1세였다. 처음 담배나 술을 권한 사람으로는 친구가 가장 많았으나 음주의 경우 부모가 30.1%를 차지했다. 또한 흡연율과 음주율은 가정생활 및 학교생활 만족도가 낮을수록, 가정형편이 어려울수록, 학교성적이 나쁠수록 높게 나타났다(P<0.001). 정상가정보다는 결손가정에서 흡연율이 높게 나타났고 교우관계 만족도와는 흡연율과 음주율 모두 통계적으로 유의한 차이가 없었다. 청소년의 흡연과 음주의 빈도 및 그 양은 성인 조사 결과와 비슷하였으며, 청소년의 흡연과 음주를 막기 위한 사회적 제재는 아직 부족한 것으로 나타났다. 결 론 : 청소년의 흡연과 음주는 가정환경이나 학교생활 등에 영향을 크게 받으며, 청소년의 흡연 및 음주를 예방하기 위한 법제 마련 및 부모를 포함하는 더욱 적극적인 사회적 제제가 필요하다.

상업계열 고등학생들의 학교생활만족도에 영향을 미치는 생태체계 변인 분석 (Analysis of Ecological Factors Affecting School Life Satisfaction of Commercial High School Students)

  • 김리진;장인희
    • 한국콘텐츠학회논문지
    • /
    • 제16권7호
    • /
    • pp.135-145
    • /
    • 2016
  • 본 연구의 목적은 상업계열 고등학교 학생들의 학교생활만족도에 영향을 미치는 생태체계 변인을 분석하기 위한 것이다. 연구대상은 경기도 소재 상업계열 고등학교 2학년생 312명이며, 설문조사로 수집된 자료의 분석은 SPSS Win 22.0을 이용하여, 기술통계, 상관관계 분석, 위계적 회귀분석과 단계적 회귀분석을 실시하였다. 본 연구의 독립변인은 총 21개로, 자기유능감, 대인관계기술, 내적통제감, 정서인식, 정서표현, 감정이입, 정서조절, 정서활용의 8개 유기체 변인, 학교변인(교사와의 관계, 수업과 학습, 교실분위기, 학교복지시설, 학교주변환경), 친구변인(교우관계), 가정변인(가족기능성, 부의 학력, 경제적 수준)의 9개 미시체계 변인, 부모-교사 관계, 부모-자녀의 친구관계의 2개 중간체계변인, 한국교육제도에 대한 만족도의 1개 외체계 변인, 학벌지상주의의 지지정도의 1개 거시체계변인으로 구성하였다. 분석결과는 교사와의 관계, 한국교육제도에 대한 만족도, 교우관계, 정서활용, 부모-교사 관계 순위로 5개 변인이 유의하였다($R^2=45.3%$). 생태체계 변인 중 미시체계 변인의 영향력은 35.7%로 가장 큰 것으로 밝혀졌다. 본 연구는 생태학적 관점에서 상업계열 고등학생의 학교생활만족도를 분석한 것에서 의의가 있다.

재가 뇌졸중환자의 일상생활활동, 자기효능감, 삶의 질, 자조관리프로그램요구도와의 관계에 관한 연구 (A Correlational Study on Activities of Daily Living, Self-efficacy, Stroke Specific Qualify of Life and Need for Self-help Management Programs for Patients with Hemiplegia at Home)

  • 김금순
    • 기본간호학회지
    • /
    • 제8권1호
    • /
    • pp.81-94
    • /
    • 2001
  • The purpose of this study was to identify levels of activity of daily living, self-efficacy. stroke specific quality of life and need for self-help management program for patients with hemiplegia in the home. Data were collected from June to November, 2000 and subjects were 88 poststroke patients who lived in Seoul and Kyunggi-do. The questionnaire consisted of 5 scales: activities of daily living, self-efficacy, stroke specific qulaity of life and need for a self-help management program. Data were analyzed using frequencies, percent, paired t-test, and Pearson's correlation coefficient with the SAS(version 6.12) program. The results are as follows ; 1) Most of subjects were Partially independent in ADL, but they needed assist once to do dressing, bathing meal preparation and house keeping work. 2) The mean self-efficacy score was 54.89(range : 1 to 80) and the individual differences were large. 3) Subjects responded that they were satisfied on the stroke specific quality of life scale totaled 65.8%. This value is comparatively low, especially for social role(51.4%), family functioning(58.3%) and mood (62.2%). 4) The highest needs for self-help management programs were for physical therapy, stress management, and range of motion exercise and the lowest needs were for elimination management and training, family counseling, and speech therapy. 5) On the demographic variables, sex showed significant differences for the dependent variables. Females had higher scores than males for IADL, self-efficacy, stroke-specific quality of life, and need for self-help management. 6) Age had high negative correlation with ADL, self-efficacy and stroke specific quality of life. Age was also correlated with need for self-help management. In conclusion, there was a high correlation for ADL, Self-efficacy and Quality of life in poststroke patients of home. The patient with a stroke also had a strong need for self-help management programs especially physical therapy and stress management. Therefore rehabilitation programs based on self-efficacy enhancement need to be developed in order to promote independent living for patients with hemiplegia.

  • PDF

반복적 복통 환아의 정신과적 연구(反復的 腹痛 患兒의 精神科的 硏究) (A PSYCHIATRIC STUDY ON THE CHILDREN WITH RECURRENT ABDOMINAL PAIN)

  • 최진숙;홍강의;서정기
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제1권1호
    • /
    • pp.117-129
    • /
    • 1990
  • 반복적(反復的) 복통(腹痛)을 주소(主訴)로 1988년(年) 7월(月) 1일(日)부터 1989년(年) 2월(月) 28일(日)까지 서울대(大)병원 소아과(小兒科)를 방문하여 기질적(器質的) 원인(原因)이 배제(排除)된 후 소아정신과(小兒精神科)로 의뢰된 만 6재(才)~11재(才)의 아동(兒童) 35명(名)을 연구(硏究) 대상(對象)으로 하여 이들을 정상(正常) 아동(兒童)과 비교하여 반복적(反復的) 복통(腹痛) 환아(患兒)의 특징과 증상(症狀)의 발현(發現)및 유지(維持)에 영향을 줄 수 있는 가능한 요인(要因)들에 대하여 연구(硏究)하였다. 연구(硏究) 결과(結果) 반복적(反復的) 복통(腹痛) 환아(患兒)의 증상(症狀) 호소는 부모(父母)등 돌보아 주는 사람과의 접촉시간(時間)에 많았으며 가족중에 위장관기(胃腸官器) 질환의 병력이 많았다. 반복적(反復的) 복통(腹通) 환아중(患兒中) 정신과적(精神科的) 진단(診斷)이 가능(可能)하였던 경우는 16명(45.8%)이었는데, 적응 장애(適應 障碍) 4명, 과잉불안장애(過剩不安障碍)4명(名), 분리 불안장애(分離 不安障碍) 1명(名), 우울증(憂鬱症) 2명(名), 틱 장애(障碍) 2名, 주의력(注意力) 결함장애(缺陷障碍) 2명(名), 야요증(夜尿症) 1명(名) 등이었다. 행동조사표(行動調査表)에 의하면 반복적(反復的) 복통(腹通) 환아(息兒)는 대조군 아동에 비하여 주회적(柱會的) 수행(遂行) 능력(能力)과 활동(活動)영역의 점수가 유의하게 낮으며, 내향화(內向化) 척도(尺度)의 값이 유의하게 높았다. 가정(家庭) 환경(環境) 진단검사상(診斷檢査上)의 항목별 비교 결과 반복적(反複的) 복통(腹通) 환아(患兒)는 대조군 아동에 비하여 훈육상(訓育上) 부모(父母)와의 마찰이 심하고, 부모(父母)가 자녀(子女)에게 주는 훈육(訓育)이 보다 합리적(合理的)이지 못하고, 지시(指示)의 정도가 많으며, 감정적으로 냉철하지 못하였다. 반면 자녀의 복지에 대한 배려와 애정 표현(愛淸 表現)은 대조군 부모에 비해 높았다. 전반적으로 반복적(反復的) 복통(腹通) 환아(患兒)는 겁이많고 위축적이며 가족 성원 역시 사회적 적응도가 낮으면서 심리적(心理的)으로 불안(不安)한 경우가 많았으며 모(母)와 밀착된 관계를 지속하고 있었고 이러한 갈등의 신체적(身體的) 표현(表現)인 복통(腹通)은 환아(患兒) 자신 뿐 아니라 보다 신체화 증상을 갖고있는 부모(父母)에 의해 선택되어지고 강화되어 반복적(反復的)으로 지속되는것으로 보였다.

  • PDF