• 대한간호학회지
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• 제34권1호
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• pp.5-14
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• 2004

Purpose: The purpose of this study was to explore adjustment pattern of illness process of people with hemophilia in Korea. Method: 23 people with hemophilia had participated for this study. The data were collected through in-depth interviews and analyzed using Strauss & Corbin's grounded theory method. Results: 'would be free from' was emerged as a core category and it reflects that all participants wanted to be free from the constraints of the disease. The adjustment process was categorized into two stage, the ‘unstable stage’ and the ‘stable stage’. In the process of 'would be free from' four different patterns were identified: hopelessness type; appreciation type; challenge type; and transcendence type. These types were identified based on the degree of pursuing normal life and managing the disease, and social support. The most frequently occurring type was hopelessness type but the participants of this type suffered the most. The transcendence type was the most ideal type, but it occurred the least. Conclusion: The results of this study indicate that people with hemophilia in Korea still suffer from the disease and they need supports. The results would be useful for health care professionals in establishing education and counseling program for the people with hemophilia.

• 재활간호학회지
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• 제14권2호
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• pp.103-110
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• 2011

Purpose: The purpose of this study was to explore the psychosocial responses and quality of life (QOL) among Amyotrophic Lateral Sclerosis (ALS) patients and their caregivers in South Korea. Methods: A cross-sectional design was used. Purposive sample of 15 ALS patients and their 14 caregivers were recruited via Korean Amyotrophic Lateral Sclerosis Association (KALSA) website. Demographic characteristics, hopelessness, quality of life, physical function, and caregiver burden were measured. Results: The mean period after being diagnosed with ALS was 57.73 months. The mean score of amyotrophic lateral sclerosis functional rating scale and quality of life was 21.33 (SD=11.97) and 5.70 (SD=1.23) respectively. The mean score of hopelessness was 11.87 (SD=4.72). The caregivers' mean score of McGill quality of life was 4.29 (SD=1.46), and the mean score of McGill quality of life-single item scale was 4.29 (SD=2.02). Conclusion: Since the cause of ALS has not been identified and cure is yet to be discovered, supportive care should be provided for not only quality of life but hope of patients. The findings may be used to develop knowledge based nursing intervention for patients diagnosed with ALS and their caregivers.

• 지역사회간호학회지
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• 제6권2호
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• pp.212-233
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• 1995

Cerebrovascular diseases in Korea is an important health problem since mortality and mobidity have been increasing rapidly. Cerebrovascular diseases marked the 2nd rank of cause specific death rate in 1993. The ploblem of emotion after a stroke has received very little attention from the nursing profession until recently. Even the frequency of the emotional disorder after stroke is uncertain, and there has been very little research. Emotional disorder after stroke was related to limited social function, guilty conscience, helplessness, hopelessness, powerlessness, alienation, and damage of self-image. In the stroke patient, hope may be related to a rehabilitation or enhancing physical condition. Inspiring hope is necessary when stroke patients are unable to mobilize energy on their own behalf and perceive limited or no person choices available. Inspiring hope is an intervention that can be used with many nursing diagnoses, especially when feelings of helplessness, hopelessness, powerlessness, and depression are present. The nurse can inspire hope by understanding the hoping process. On the basis of this literature review, the following suggestions are prosed. 1) Qualitative studies on hope have been done to indentify variables that affect maintenance of hope in the chronically ill patients. 2) In the development of an instrument to measure hope, the validity, reliability, and cultural property of the hope have been estabilished.

• 한국산학기술학회논문지
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• 제21권2호
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• pp.133-144
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• 2020

본 연구는 J시 보건소의 노인 건강증진프로그램이 지역사회 경로당 이용 노인의 신체적, 생리적 및 심리적 지수에 미치는 효과를 검증하기 위한 비동등성 대조군 전후 시차 설계를 이용한 유사실험연구이다. 프로그램에 참여한 대상자는 경로당을 이용하는 노인 41명으로 실험군 21명, 대조군 20명 이었으며, 연구기간은 2019년 5월 1일부터 9월 2일까지 8주간, 주 2회 노인 건강증진프로그램을 운영하였다. 자료 분석은 SPSS/WIN 24.0 프로그램을 이용하여 𝒙²-test, Fisher's exact test 그리고 t-test로 분석하였다. 노인 건강증진프로그램 적용 후 신체적 지수 중 오른손 악력(t=-3.01, p=.004)과 허리 유연성(t=-2.11, p=.041), 생리적 지수 중 수축기 혈압(t=-3.02, p=.004) 그리고 심리적 지수 중 우울(t=2.42, p=.020), 절망감(t=5.22, p<.001), 삶의 질(t=4.28, p<.001)이 차이가 있는 것으로 나타났으며, 두 군 간에 통계적으로 유의한 차이가 있었다. 따라서 지역사회 경로당을 이용하는 노인들을 위한 노인 건강증진프로그램이 노인의 오른손 악력, 허리 유연성을 증진시키며, 수축기 혈압, 우울과 절망감을 감소시키며 삶의 질을 향상시킬 수 있는 유용한 간호중재 프로그램임을 확인할 수 있었다.

• 정신신체의학
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• 제25권2호
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• pp.193-199
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• 2017

연구목적 불면은 자살사고의 위험요인으로 알려져 있으나 아직 어떻게 자살의 위험에 영향을 미치는지 그 기전은 명확하지 않다. 이에 불면 증상이 회복탄력성과 자살사고와 상관이 있는 지를 살펴보고, 회복탄력성이 불면증상과 자살사고의 매개요소가 될 수 있을지 알아보고자 한다. 방 법 432명의 대학생을 대상으로 자기보고식 설문지를 통하여 일반적 특성 및 관련 검사를 수행하였다. 불면증 심각성 척도, 한국판 코너-데이비드슨 회복탄력성척도, 벡 자살사고 척도 및 벡 무망감 척도를 활용하여 불면증상, 자살사고, 회복탄력성, 무망감에 대해 조사하였으며, 각 요소간의 상관분석 및 경로분석을 수행하였다. 결 과 불면증상이 심할수록 회복탄력성이 낮았고, 자살사고가 증가되는 것을 알 수 있었다. 이는 무망감, 연령, 성별, 동거가족, 가정 내 월수입을 통제하여도 유의하였다. 더불어 입면의 어려움과 유지의 어려움을 겪는 불면증상이 자살사고와 연관됨을 확인하였다. 경로분석을 통하여 불면증상이 자살사고에 직접적, 간접적으로 영향을 미침을 확인할 수 있었으며, 회복탄력성도 유의하게 자살사고에 영향을 주는 것으로 평가되었다. 이에 회복탄력성이 불면과 자살사고와의 관계에 유의미한 중재자가 됨을 확인하였다. 결 론 수면상태와 회복탄력성에 대한 평가 및 개입이 자살사고를 낮추어 자살을 예방하는데 기여할 수 있을 것으로 기대한다.

• 한국산학기술학회논문지
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• 제15권5호
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• pp.2882-2892
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• 2014

본 연구는 재가 취약계층 여성 노인을 대상으로 한 우울 자살예방 프로그램을 개발하고 그 효과를 검증하여 지역사회에서 용이하게 활용할 수 있는 프로그램을 보급하고자 하는 데 그 목적을 두고 있다. 우울 자살예방 프로그램은 인지행동 이론에 기초하고, 선행연구결과를 토대로 연구자들에 의해 개발되었다. 프로그램의 효과는 시계열설계를 이용한 실험연구설계로 12명의 재가 여성노인을 대상으로 검증하였다. 우울 자살예방 프로그램을 적용한 결과 중재 직전에 비해 중재 직후에는 대상자의 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 없었으나, 중재 직전에 비해 중재 4주 후에는 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 나타났다. 이상 결과에 근거하여 지역사회 정신건강증진센터 또는 복지관의 종사자들이 본 프로그램을 적극 활용할 것을 제언한다.

• 한국아동복지학
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• 제40호
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• pp.255-283
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• 2012

본 연구는 자살시도 청소년과 자살 비시도 청소년의 자살생각에 영향을 미치는 경로를 비교분석하였다. 복수모집단 동시분석 결과, 본 연구에서 설정한 경로모형이 두 집단 모두에게 동일하게 적용될 수 있었으나 경로계수는 집단 간 차이를 보였다. 부모학대와 또래 괴롭힘은 자살 비시도 청소년의 자살생각에만 직접적인 영향을 미치는 변인으로 밝혀졌다. 반면에 짐이 되는 느낌과 절망감의 직접적 영향력은 두 집단 모두 유의미하였으나 좌절된 소속감의 영향력은 유의미하지 않은 것으로 나타났다. 매개효과를 보면, 두 집단 모두 또래 괴롭힘이 짐이 되는 느낌을 매개로 자살생각에 간접적인 영향을 상당히 미치는 것으로 나타났다. 반면에 자살 비시도 집단의 자살생각에만, 부모학대는 짐이 되는 느낌을 매개로, 짐이 되는 느낌과 좌절된 소속감은 절망감을 매개로 간접적인 영향을 미치는 것으로 밝혀졌다. 이러한 연구결과는 자살시도 청소년과 비시도 청소년의 자살생각 예방 및 완화를 위해서는 집단 별로 차별화된 대책이 마련되는 것이 효과적임을 시사해주는 것이다.

• 인간식물환경학회지
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• 제22권5호
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• pp.489-503
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• 2019

This study aimed to analyze the preference of subfertile women for forest therapy programs depending on their emotional characteristics, and to provide basic data for the development of forest therapy programs in order to promote the mental health of subfertile women. Among the surveyed emotional characteristics of subfertile women, the level of emotions including pressure to become pregnant, impatience and frustration were high, while that of emotions including anxiety and fear; depression, hopelessness, helplessness, loneliness and sadness tended to be medium. The level of emotions including shame and guilt tended to be low. The top six forest therapy programs preferred by subfertile women include a deep breath of air /phytoncide, forest bathing/wind bathing/sun bathing, self-esteem recovery program, eating organic foods, low body bathing/foot bathing/hot spring bathing, and breathing/breathing exercises. Subfertile women highly pressured to become pregnant showed significant differences in the preference of the self-esteem recovery program, Domar 's relaxation therapy, NLP therapy, and sleeping in the woods, while women with anxiety and fear showed significant differences in the preference of walking barefoot in forests, mountain walking in silence, listening to water sounds/ hand and foot soak, self-esteem recovery program, NLP therapy, cognitive behavior therapy, aroma therapy, integrated art therapy in forests, forest bathing/wind bathing/sunbathing, a deep breath of air/phytoncide, and observing stars. Women with depression, hopelessness, helplessness, loneliness, and sadness showed significant differences in eating organic foods, self-esteem recovery program, counseling/coaching, and cognitive behavior therapy. The significance of this study was to analyze the preference of subfertile women, as subjects, for forest therapy program. The results of this study are expected to be used as basis data for developing forest therapy programs for subfertile women.

• 현장농수산연구지
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• 제19권1호
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• pp.153-163
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• 2017

This study is aimed at researching on psychopathological characteristics of agriculture-specialized college students, in a specific educational environment, consulting some students who show maladjusted characteristics, verifying its effects and providing basic data for college life instructions. The complete survey MMPI was conducted for 676 freshmen and juniors attending K agriculture-specialized college located in Jeollabuk-do. To analyze the results, basic statistics, bivariate correlation analysis, and multiple regression analysis were implemented. The results of this study are as follows; First, the level of overall clinical scale was lower than 50 points, standard point, and freshmen showed higher depression (D), hysteria (Hy) and psychasthenia (Pt) in general. Such results are different from the other study results. It is considered an anxiety in early stage, resulted from a living in a dormitory. For the juniors who came back from one-year practice, anxiety about employment seems little because they are already employed. Second, The effects of personal consultation for maladjusted students were proved (p<.01). The students who got consultation showed improvement effect from 'very bad condition' to 'considerable depression', which is low score. This study has a meaning in preventing from any accident, by screening maladjusted students who are supposed to learn in a specific situation, by relieving their symptoms through consultation and letting them concentrate on learning.

• 셀메드
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• 제6권4호
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• pp.25.1-25.2
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• 2016

The purpose of this study is to examine Ssukdaemeori of Chunhyangga may have effect on depression for music therapy. Ssukdaemeori of Chunhyangga, one of the five surviving stories of pansori (a long epic song), is a touching, sad song in Han Ak (Korean music, 韓樂). In this paper, the author reports on the very sad song, Ssukdaemeori. While listening to the song, Koreans feel the same amount of despair when Ssudaemeori's heroine, Chunhyang, cries out in hopelessness and grief. The author argues that Koreans get to see the saddest parts of themselves reflected back at them in the sorrowful sight of the heroine. It is also believed that Ssukdaemeori has contributed to the healing of Koreans' indignation and pain. For example, depression is currently a social problem. However, listening to sorrowful music like Ssukdaemeori can have a good effect on people feeling sad and depressed.