• 제목/요약/키워드: health Counselling

검색결과 230건 처리시간 0.029초

임상물리치료에 있어서 아로마테라피의 활용 (The Utilization of Aromatherapy in Clinical Physical Therapy)

  • 장정훈;정동혁;박래준
    • The Journal of Korean Physical Therapy
    • /
    • 제15권1호
    • /
    • pp.82-95
    • /
    • 2003
  • Our health is intimately connected to the health of our environment. The contemporary world view which sees a radical distinction between humans as subjects and world as object can obscure our recognition of how much we rely on nature for health and survival. Indigenous traditions and contemporary scholars remind us that we live in a universe in which all things are connected, and in which nature continues to offer its gifts in co-creative partnership for the health and wellbeing of all. Living in awareness of our relationship with nature enables us to open more to the experience of nature's nurturing. Many complementary therapies derive from ancient practices that involve nature in healing partnership. Essential oils have been used for thousands of years. Hippocrates claimed that the way to health was through aromatic baths and massages. Much anecdotal evidence exists regarding aromatherapeutic positive effects on recipients. Aromatherapy is a branch of complementary or alternative therapy which is increasing in popularity, yet has scant scientific credibility. Aromatherapy should be defined as treatment using odors and practised as such. However, essential oils are usually used in conjunction with therapeutic massage and often combined with counselling of some kind. Aromatherapy complements and enhances the therapeutic powers of massage. Massage is one of the most wonderful ways to relax and is throughly beneficial to health. Massage can help unknot tense and aching muscles and other minor symptoms of stress, leaving patients fresh and energized. As the use of aromatherapy within a health care setting has grown so rapidly in recent years, and will continue to do so, the need for suitable training has become apparent. No health service can afford the risk of having staff who are inadequately trained in the practice of aromatherapy using essential oils incorrectly on those in a state of ill-health, especially if the essential oils used are not to a standard suitable for therapeutic use. Training to an acceptable level in aromatic therapy is essential for safety and effectiveness. Knowledge of the nature and make-up of essential oils, their effect on the body and the emotions, and how, when, and where to apply them is imperative in order for them to be beneficial to a patient's health. In order to achieve best practice, further research is necessary to explore the use of aromatherapy in the management of multiple disorder.

  • PDF

Understanding Barriers to Malaysian Women with Breast Cancer Seeking Help

  • Norsa'adah, Bachok;Rahmah, Mohd Amin;Rampal, Krishna Gopal;Knight, Aishah
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제13권8호
    • /
    • pp.3723-3730
    • /
    • 2012
  • Delay in help-seeking behaviour which is potentially preventable has a major effect on the prognosis and survival of patients with breast cancer. The objective of this study was to explore reasons for delay in seeking help among patients with breast cancer from the East Coast of peninsular Malaysia. A qualitative study using face-to-face in-depth interview was carried out involving 12 breast cancer patients who had been histo-pathologically confirmed and were symptomatic on presentation. Respondents were selected purposely based on their history of delayed consultation, diagnosis or treatment. All were of Malay ethnicity and the age range was 26-67 years. Three were in stage ll, seven in stage lll and two in stage lV. At the time of interview, all except one respondent had accepted treatment. The range of consultation time was 0.2-72.2 months with a median of 1.7 months, diagnosis time was 1.4-95.8 months( median 5.4 months )and treatment time was 0-33.3 months (median 1.2 months). The themes derived from the study were poor knowledge or awareness of breast cancer, fear of cancer consequences, beliefs in complementary alternative medicine, sanction by others, other priorities, denial of disease, attitude of wait and see and health care system weakness. Help-seeking behaviour was influenced by a complex interaction of cognitive, environmental, beliefs, culture and psycho-social factors. Breast cancer awareness and psychological counselling are recommended for all patients with breast symptoms to prevent delay in seeking clinical help.

How to Improve Eating Behaviour during Early Childhood

  • Green, Robin John;Samy, Gamal;Miqdady, Mohamad Saleh;Salah, Mohamed;Sleiman, Rola;Abdelrahman, Hatim Mohamed Ahmed;Al Haddad, Fatima;Reda, Mona M.;Lewis, Humphrey;Ekanem, Emmanuel E.;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제18권1호
    • /
    • pp.1-9
    • /
    • 2015
  • Eating behaviour disorder during early childhood is a common pediatric problem. Many terminologies have been used interchangeably to describe this condition, hindering implementation of therapy and confusing a common problem. The definition suggests an eating behaviour which has consequences for family harmony and growth. The recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition does not cover the entire spectrum seen by pediatricians. Publications are substantive but level of evidence is most of the time low. This purpose of this review is to clarify terminology of eating behaviour problems during early childhood; including benign picky eating, limited diets, sensory food aversion, selective eating, food avoidance emotional disorder, pervasive refusal syndrome, tactile defensiveness, functional dysphagia, neophobia and toddler anorexia. This tool is proposed only to ease the clinical management for child care providers. Diagnostic criteria are set and management tools are suggested. The role of dietary counselling and, where necessary, behavioural therapy is clarified. It is hoped that the condition will make its way into mainstream pediatrics to allow these children, and their families, to receive the help they deserve.

정신건강복지센터 간호사의 자살예방 지식 및 기술, 자살에 대한 태도와 자살예방업무 소진의 관계: 혼합연구방법의 적용 (Relationships among Knowledge and Skills about Suicide Prevention, Attitudes toward Suicide, and Burnout of Suicide Prevention Work of Nurses at Mental Health Welfare Centers: A Mixed Methods Study)

  • 동희라;서지민
    • 대한간호학회지
    • /
    • 제52권1호
    • /
    • pp.80-91
    • /
    • 2022
  • Purpose: This study aimed to identify relationships among knowledge and skills about suicide prevention, attitudes toward suicide, and burnout of suicide prevention work of nurses at mental health welfare centers. Methods: An explanatory sequential mixed-method research was conducted. For the quantitative study, the subjects (nurses) were 133 nurses executing suicide prevention work. The data were analyzed using the SPSS 25.0 program. For the qualitative research, 13 nurses with high burnout scores were interviewed. The data were analyzed using theme analysis method. Results: Quantitative results showed the average burnout of suicide prevention work was 54.62 ± 12.51. The burnout of suicide prevention work had significant correlations with attitudes toward suicide (r = .30, p < .001) and suicide prevention skills (r = - .18, p = .037). Qualitative results showed six themes related to burnout of suicide prevention work. They were 'feeling a lack of confidence in one's suicide counselling skills', 'feeling of the limits of one's ability to cope with a suicide crisis', 'feeling regret for not being able to help the clients', 'being over-empathetic to the clients', 'Not being able to understand the clients because the subjects (nurses) opposes committing suicide', and 'thinking that the suicidal thoughts of suicide attempters do not improve'. Conclusion: To reduce burnout of nurses' suicide prevention work at mental health welfare centers, there is a need to develop an educational program considering nurses' attitudes toward suicide and one to enhance their confidence in suicide prevention skills.

임상간호사의 자기표현성과 우울의 상관관계 (Correlation of Assertiveness and Depression in Clinical Nurses)

  • 방경숙;박현주
    • 임상간호연구
    • /
    • 제14권2호
    • /
    • pp.93-102
    • /
    • 2008
  • Purpose: The purpose of this study was to investigate the degrees of assertiveness and depression in clinical nurses and identify the relationships between them. Method: The study included 261 clinical nurses working at one university hospital in the Kyunggi province. The assertiveness scale and a micro simple mental diagnosis test were used to assess the variables. Data were analyzed using SPSS. Results: The average assertiveness score was $3.04{\pm}0.38$ and an average depression score $1.23{\pm}0.71$. Statistically significant differences in assertiveness were identified with regards to marital status (p=.034), type of families (p=.005), number of counselling persons (p=.007), and subjective mental health status (p<.001). In addition, the assertiveness scores were statistically significant based on job position(p=.032), and the levels of satisfaction with nursing job (p=.015). There were significant negative correlations between assertiveness and depression of clinical nurses(r=-.237, p<.001). Conclusion: These findings suggest that assertiveness training for clinical nurses is necessary, especially for novice nurses, in order to decrease the level of depression.

  • PDF

Effect of University Student's Part-time Work Experience on University Life

  • Sung, Jung-Hee
    • International Journal of Advanced Culture Technology
    • /
    • 제8권1호
    • /
    • pp.141-151
    • /
    • 2020
  • The purpose of this study is to investigate the positive and negative effects of college student part-time experience on college life. The subjects were 335 college students in Chungcheongnam - do. The data were collected by the self - study questionnaire on general characteristics, part - time experience, university life. There is more positive viewpoints in the Area of Public Health than in other majors and in the third grade and it shows that the higher the grade it is, the more positive viewpoints there is. The longer the period of doing part-time work it is, the more negative viewpoints about the life in the university there is, and it needs to be paid attention to. The factors which affects to the positive viewpoints about the life in the university which needs to be paid attention to was the grade and marks, and the negative viewpoints about the life in the university which needs to be paid attention to was marks, economic status, and the period of doing the part-time work. The factors which affects to the positive viewpoints and the negative viewpoints, there needs to be the clear and detailed education, counselling, and welfare, and based on the conclusion of this research, there needs to be a practical solution to improve the life of the university of the students who are experiencing part-time work.

뇌졸중 전문치료실의 간호강도에 근거한 환자분류도구 개발 (Development of Patient Classification System based on Nursing Intensity in Stroke Unit)

  • 김은정;김희정;김미영
    • 간호행정학회지
    • /
    • 제20권5호
    • /
    • pp.545-557
    • /
    • 2014
  • Purpose: The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability. Methods: Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals. Results: The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and Class IV. Conclusion: The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units.

Depression masquerading as chest pain in a patient with Wolff Parkinson White syndrome

  • Madabushi, Rajashree;Agarwal, Anil;Tewari, Saipriya;Gautam, Sujeet KS;Khuba, Sandeep
    • The Korean Journal of Pain
    • /
    • 제29권4호
    • /
    • pp.262-265
    • /
    • 2016
  • Wolff Parkinson White (WPW) syndrome is a condition in which there is an aberrant conduction pathway between the atria and ventricles, resulting in tachycardia. A 42-year-old patient, who was treated for WPW syndrome previously, presented with chronic somatic pain. With her cardiac condition in mind, she was thoroughly worked up for a recurrence of disease. As part of routine screening of all patients at our pain clinic, she was found to have severe depression as per the Patient Health Questionnaire-9 (PHQ-9) criteria. After ruling out sinister causes, she was treated for depression using oral Duloxetine and counselling. This led to resolution of symptoms, and improved her mood and functional capability. This case highlights the use of psychological screening tools and diligent examination in scenarios as confusing as the one presented here. Addressing the psychological aspects of pain and adopting a holistic approach are as important as treatment of the primary pathology.

신장염 환자의 식행동 및 영양상태 평가 (Analysis on Eating Behavior and Nutritional Status of Nephritic Patients with Mild Kidney Malfunction in Korea)

  • 김종연;오세영;임천규
    • Journal of Nutrition and Health
    • /
    • 제34권7호
    • /
    • pp.770-777
    • /
    • 2001
  • This study investigated nutritional status and eating behaviors among 59 nephritic patients with mild kidney malfunction in Korea. Nutritional status was measured by blood analysis and 1-3 day dietary recall and records, and eating behaviors were assessed by a questionnaire. Mean Body Mass Index(BMI) was within the normal range, while 21% and 14% of the patients were underweight and overweight, respectively. They received nutrition information mainly from doctors, nurses and mass media, but rarely from nutrition professionals. A quarter of patients skipped breakfast at least 3 times per 12% of the patients, respectively. Energy intake of 83% of the patients was less than the recommended level. Protein intakes of 56% of them were either under or over the recommended levels. Patients had low vitamin B$_2$ and calcium(<75% of the RDA) and excessive phosphorus(138% RDA) and vitamin C(170% RDA). Major food sources to absolute nutrient intakes were similar to those for the average Koreas, except for milk. Milk intake was low in our patients. Dietary quantity and quality were associated positively with BMI, albumin, and HDL-cholesterol and negatively with triglycerides and BUN. Results of this study indicate low nutritional status of the patients and, in turn a need for conducting nutritional education or counselling at regular at regular basis for the nephritic patients with mild kidney malfunction.

  • PDF

맥진 객관화를 위한 인터넷 DB구축 시스템에 관한 연구 (A Study on EPG Internet Data Base System for Pulse Diagnosis Objectification)

  • 이준영;서현우;김정훈;이정환;이명호
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 2000년도 추계학술대회 논문집 학회본부 D
    • /
    • pp.851-853
    • /
    • 2000
  • The rapid expansion of the medical information super-highway through the internet with the sophistication of computer engineering and its application has made telemedicine in the cyberspace possible. Recent progress in the medical informatics enables us to use the medical information regardless on the time or place limit, to make a diagnostic and therapeutic plan. according to increasing need about health of general population. There are many database oriented sites on the web, which provide medical common senses, hospital information, and medical counselling on the web. But there are few oriental pulse database on the web. The purpose of this study is to develope the Clinical Oriental Pulse Database Management System over the WWW.

  • PDF