• 제목/요약/키워드: level of stress

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의사의 직무 스트레스와 건강증진행태에 영향을 미치는 요인 (Factors Influencing Job Stress and Health Promotion Behavior among Medical Doctors)

  • 김경호;한삼성;유왕근
    • 한국산업보건학회지
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    • 제29권1호
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    • pp.98-107
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    • 2019
  • Objective: This study was carried out to examine factors influencing job stress and health promotion behavior of medical doctors, who play the important role for improving people's health. The data were collected from 340 medical doctors working in clinic and hospitals in Daegu using self-administered questionnaires over the period from July 1 to August 15, 2018. Methods: A multiple regression model was used to study the factors influencing job stress and health promotion behavior of medical doctors. Results: This study showed that average job stress level of the subjects was 3.06 out of 5 point. The medical doctors with carrying out surgery and longer working time tend to have higher job stress level compared to other groups without surgery and having short working time. And medical doctors generally do not have good health promotion behavior and average level of practice of health promotion behavior of the subjects was 2.30 out of 5. The groups with high rate of quitting job and working in hospital tend to have lower practice level of health promotion behavior compared to other groups. And it also showed that the groups with higher the job satisfaction rate and vocational aptitude tended to have the higher level of practice of health promotion behavior compared with other groups. Conclusions: Medical doctors tend to have higher job stress level, whereas they have relatively lower health promotion behavior compared with people with other jobs. Thus, strengthening of health education and counselling for medical doctors and improvement of work environment considering job's characteristics is needed. In particular, the education for job stress management and health promotion in regular continuing education program organized by medical doctors's association should be strengthened.

대학생의 성별, 스트레스, 불안 및 우울 정도에 따른 심박변이도 차이: Neurovisceral integration model에 기반하여 (Differences in Heart Rate Variability Depending on Sex, Level of Stress, Anxiety, and Depression among College Students: on the Basis of Neurovisceral Integration Model)

  • 서민희
    • Journal of Korean Biological Nursing Science
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    • 제23권1호
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    • pp.22-30
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    • 2021
  • Purpose: This descriptive study aimed to investigate heart rate variability (HRV) according to sex and to elucidate the influence of negative emotion such as levels of stress, anxiety and depression on HRV among Korean college students based on a neurovisceral integration model. Methods: A descriptive study design was used. Eighty-six healthy college students participated in the study. Resting HRV and standing HRV on orthostatic stimulation were measured for 5 minutes during 4-6 p.m. in the afternoon. Levels of stress, anxiety and depression were assessed using the Global assessment of recent stress, State-Trait Anxiety Inventory and Beck Depression Index, respectively. Results: Out of the 86 students, 47 (54.7%) were men and 39 (45.3%) were women. Root mean square of the differences between adjacent RR intervals (RMSSD) and normalized high frequency (nHF) on standing HRV were significantly lower in men than in women (p= .005, p= .019, respectively). Male gender (β= 0.30, p= .013), higher level of stress (β= -0.36, p= .009) and lower level of depression (β = 0.30, p= .044) exerted a significant influence on decreased nHF in the multiple regression analysis. Conclusion: We suggest that men are more vulnerable to having reduced vagal activity on HRV than women. Since male gender, higher level of stress and lower level of depression level influenced decreased vagal activity, strategies are needed to improve stress and depression rather than anxiety especially for men, which contribute to promoting HRV to prevent cardiac health diseases.

뇌졸중환자의 자가간호 수준에 따른 보호자의 스트레스 (A Study of Caregiver Stress as related to the Level of Self-care in Patients Who had a Cerebro Vascular Accident(CVA))

  • 최은숙;소희영
    • 대한간호학회지
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    • 제23권4호
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    • pp.602-616
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    • 1993
  • The purpose of this study was to explore the degree of stress in caregivers caring for patients who had had a cerebro vascular accident as the stress is related to the self- care ability of the patient. The subjects for the study were caregivers of 111 CVA patients, hospitalized at two University affiliated hospitals and two general hospitals in Daejon. The survey instruments used in the study were Kang’s ADL Check List and a modified form of Lee’s Stress Inventory. The survey was conducted from July 16th to August 30th, 1992. The survey results were analyzed using the Statisitical Package for Social Sciences (SPSS) and can be sumerized as follows: 1. The level of self- care for the CVA patients was : 1) complete dependence (M=34.7, 31.2%), 2) complete independence (M=14.8. 13.3%), 3) in-complete independence ( M=17.5, 15.8% ), 4) in-complete dependence (M=14.8, 13.3%) and 5) dependence and independence (M=14.1, 12.7%). The items for which there was a high level of self-care were 1) drinking (M=3.640), 2) returning (M=2.351) and 3) eating (M=2.351) : and the items for which there was a low level of self -care were : 1) ascending and descending stairs (M=2.351), 2) dressing and undressing trousers (M=2.514) and 3) dressing and undressing jacket (M :2.532). 2. There was a statistically difference between the paralytic status and the level of self- care accord-ing to their demographic characteristics ( F=24. 7056, p(.001). 3. There was no significant difference in the degree of caregiver stress according to patient's demo-graphic characteristics. 4. There was a statistically significant difference in the degree of caregiver stress according to the following demographic characteristics : age (F=7.4189, p(.001), education level (F=5.8336, P(.01), family structure (t=2.10, p(.05) and their relationship with the patient (F=6.5099, P〈.01). 5. There was no significant difference in the degree of caregiver stress according to the level of patient self - care.

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출산 전후 어머니 스트레스 변화의 종단적 연구 (Longitudinal Study on the Changes of Mothers' Stress and Cortisol From Pregnancy to Postpartum Period)

  • 이현정;현온강;나종혜
    • 한국지역사회생활과학회지
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    • 제17권3호
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    • pp.109-121
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    • 2006
  • This study examines the relationship between mother's stress and cortisol level during late pregnancy and how it changes into postpartum periods. Thirty one families were recruited from Daejeon and Incheon in South Korea. The major findings were as follows: (1) The level of mothers' cortisol followed the typical diurnal pattern of decline throughout the day. Further longitudinal analysis revealed that the level of Korean mothers' cortisol steadily lowered from the 8th prenatal month to the 6th postnatal month. (2) During pregnancy, mothers reported to experience changes in physical activities, daily routines, eating habits, types or amount of social activities and sleeping habits. Among these they were stressed the most by changes in physical activities and social activities. (3) The results of postpartum depression tests conducted at two months after giving birth showed mothers at this time were mostly stressed from difficulty sleeping and unnecessary self criticism. (4) The level of psycho social stress in mothers at six months after giving birth was mainly on social roles and the questions about self reliance marked the highest points. (5) Overall, there was a tendency for the level of maternal stress to decrease definitely from before and after the delivery and even though the level of stress was steadily decreasing up to 6th postpartum month it was not as sharp as those of before and after the birth of the babies. The level of cortisol analysis also showed the same obvious tendency.

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시호억간탕(柴胡抑肝湯) 등 약물(藥物)의 처치(處置)가 구속(拘束) 스트레스로 유발(誘發)된 생쥐의 혈(血) 중(中) Corticosterone 변화(變化)에 미치는 영향(影響) (Effects of Shihoieokgan-Tang with Other Herbs and Formulae Pretreatment on the Change of Corticosterone Induced by Immobilization Stress in Mice)

  • 김현준;이태희
    • 대한한의학방제학회지
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    • 제10권2호
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    • pp.57-72
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    • 2002
  • To investigate the effect of Qi promoting-agents, clearing heat of deficiency type-agent, clearing heat of excessive type-agent, warming interior part of body-agent and Shihoieokgan-Tang against the immobilization stress, Cypri Rhizama, Auranti pericarpium, Aucklandiae Radix and Bupleuri Radix, Soyo-San, Hwangyeonhaedok-Tang, Geongangbuja-Tang and Shihoieokgan-Tang was administered intragastically 1hr prior to immobilizaiton stress and the change of corticosterone level has been measured by the flurometric method. The results obtained are as follows: 1. Qi promoting-agents(Cypri Rhizama, Auranti pericarpium, Aucklandiae Radix and Bupleuri Radix) showed mildly reducing effect or did not shown the reducing effect against the elevated coritocostereone level induced by the immobilization stress in the mice. 2. Hwangyeonhaedok-Tang, Gungangbuza-Tang, and Soyo-San did not show the reducing effect against the elevated corticostereone level induced by the immobilization stress in the mice. 3. Shihoieokgan-San was effective against the elevated corticosterone level induced by the immobililzation stress at 1g/kg, 3g/kg respectively. Consequently these data proved that Qi pomoting-agents as single herb(Cypri Rhizama, Auranti pericarpium, Aucklandiae Radix and Bupleuri Radix), clearing heat of deficiency type-agent(Soyo-San), warming interior part of the body(Gungangbuza-Tang), clearing heat of excessive type-agent(Hwangyeonhaedok-Tang) have no effect to decrease the elevated corticosterone level in mice exposed to the immobilization stress. Therefore our study revealed that Shihoieokgan-San which has the effects of herbs and formulae mentioned above decreased the elevated corticosterone level in mice exposed to the immobilization stress significantly.

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Stress Level Based Emotion Classification Using Hybrid Deep Learning Algorithm

  • Sivasankaran Pichandi;Gomathy Balasubramanian;Venkatesh Chakrapani
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권11호
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    • pp.3099-3120
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    • 2023
  • The present fast-moving era brings a serious stress issue that affects elders and youngsters. Everyone has undergone stress factors at least once in their lifetime. Stress is more among youngsters as they are new to the working environment. whereas the stress factors for elders affect the individual and overall performance in an organization. Electroencephalogram (EEG) based stress level classification is one of the widely used methodologies for stress detection. However, the signal processing methods evolved so far have limitations as most of the stress classification models compute the stress level in a predefined environment to detect individual stress factors. Specifically, machine learning based stress classification models requires additional algorithm for feature extraction which increases the computation cost. Also due to the limited feature learning characteristics of machine learning algorithms, the classification performance reduces and inaccurate sometimes. It is evident from numerous research works that deep learning models outperforms machine learning techniques. Thus, to classify all the emotions based on stress level in this research work a hybrid deep learning algorithm is presented. Compared to conventional deep learning models, hybrid models outperforms in feature handing. Better feature extraction and selection can be made through deep learning models. Adding machine learning classifiers in deep learning architecture will enhance the classification performances. Thus, a hybrid convolutional neural network model was presented which extracts the features using CNN and classifies them through machine learning support vector machine. Simulation analysis of benchmark datasets demonstrates the proposed model performances. Finally, existing methods are comparatively analyzed to demonstrate the better performance of the proposed model as a result of the proposed hybrid combination.

해간전(解肝煎)이 생쥐의 Immobilization-Stress 및 Cold-Stress에 미치는 영향(影響) (Effects of Haeganjeon on Immobilization-Stress or Cold-Stress in Mice)

  • 황태원;심호철;김송백;유심근;조한백
    • 대한한방부인과학회지
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    • 제18권3호
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    • pp.51-66
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    • 2005
  • Purpose : Investigate the effects of Haeganjeon water extract (HGJ) on immobilization-stress or cold-stress in C57BL/6J mice. Methods : Male C57BL/6J 30 mice of weighting 18${\pm}$2g, were divided into sixs groups including the immobilization-stress group(5heads), after immobilization-stress HGJ oral administration(500mg/kg) groups(5heads), cold-stress group(5heads) and after cold-stress HGJ oral administration(500mg/kg) groups(5heads). then we observed changes in the serum histamine and corticosterone level and changes immune system. Results : HGJ decreased the serum level of histamine and corticosterone increased by immobilization-stress or cold-stress. HGJ inhibited the release of histamine from mast cells. In addition, HGJ enhanced the cell viability of thymocytes decreased by immobilization-stress or cold-stress and decreased DNA fragmentation of thymocytes increased by immobilization- stress or cold-stress. Also, HGJ increased the cell viability of splenocytes decreased by cold-stress and decreased DNA fragmentation of splenocytes increased by cold-stress. HGJ decreased the population of thymic CD4+ cells increased by immobolization-stress. HGJ increased the population of B220+ cells decreased by immobilization-stress and decreased the population of Thy1+ cells increased by immobilization-stress. Also, HGJ decreased the population of splenic CD4+ cells increased by immobolization-stress. HGJ enhanced the production of ${\gamma}-interferon$ decreased by immobilization-stress or cold-stress and increased the production of interleukin-4 decreased by immobilization-stress. Furthermore, HGJ enhanced the phagocytic activity decreased by immobilization-stress or cold-stress and enhanced the level of nitric oxide decreased by immobilization-stress or cold-stress. Conclusion : HGJ may be useful for the prevention and treatment of stress via suppression of serum histamine and corticosterone level and enhancement of immune response.

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해외이주 한인 여성의 문화적응 스트레스와 정신건강 : 재영 한인 여성을 중심으로 (Acculturative Stress and Mental Health of Korean Women Living in UK)

  • 박형원
    • 한국콘텐츠학회논문지
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    • 제10권8호
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    • pp.308-316
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    • 2010
  • 본 연구는 해외이주 여성의 문화적응 스트레스와 정신건강수준을 파악하고 인구사회학적 요인, 사회적 관계 및 사회적 지지 요인에 따른 차이를 파악하고자 영국에 거주하는 152명의 여성을 대상으로 이루어졌다. 주요 연구변인의 현황을 파악하기 위하여 빈도분석, 상관관계분석, 분산분석을 실시하였다. 여성의 문화적응 스트레스는 5점 척도 기준에서 2.50으로서 중간 정도수준이었으며, 우울은 4점 척도에서 1.66으로서 중간보다 약간 낮은 수준이었다. 문화적응 스트레스와 우울은 정적 상관관계를 나타냈으며, 영국거주기간, 결혼상태, 경제적 상황에 따라 문화적응 스트레스에 차이가 있었으며, 직업유무, 경제상태에 따라 우울 수준에 차이가 있었다. 또한 현지인과의 관계빈도가 높고 사회적 지지 수준이 높은 집단이 문화적응 스트레스가 낮았으며, 사회적 지지가 높은 집단은 우울수준도 낮았다. 이러한 연구결과를 바탕으로 해외 이주 여성의 적응과 정신건강에 대한 관심과 개입의 필요성, 이들의 문화적응과 정신건강문제에 있어서 다양한 요인을 고려할 필요성과 함께, 새롭게 이주하여 문화적 전환으로 인해 심각한 스트레스를 경험하고 있는 여성들에게 정착이나 스트레스 관리와 관련된 지역사회서비스가 필요하다는 것을 제시하였다.

청소년의 신체활동 및 운동 실태와 관련 요인 (The State and Factors Associated with the Level of Physical Activity and Exercise in Adolescents)

  • 문영희
    • 한국보건간호학회지
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    • 제21권1호
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    • pp.75-84
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    • 2007
  • Purpose: The purpose of this study was to investigate the state and factors associated with level of physical activity and exercise in adolescents. Method: The subjects in this study included 528 adolescents registered at two junior high schools and two senior high schools in J City. The data were collected between October 20 and 30, 2006. Result: The study results showed that 23.8% of the adolescents engaged in vigorous activities for at least 20 minutes, three times a week, while 3.8% of the adolescents participated in moderate activities for at least 30 minutes, five times a week. The subjective level of health was determined to be $3.51\pm.91$ points on a 5-point scale. The level of stress was $2.58\pm.83$ points on a 4-point scale. The obesity index was $4.26\pm20.84$ points. Significant correlations were found between the subjective level of health and level of stress (r=-.201, p=.000), the subjective level of health and the obesity index (r=-.135, p=.004), and between the level of stress and the obesity index (r=.107, p=.024). Conclusion: These results showed that developing a health promotion program that includes an exercise program specific to gender and level of education, individualized strategies of stress control and optimal weight control is required.

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삼정환(三精九)의 항우울 효과에 대한 실험적 연구 (Experimental Study on the Antidepressant Effect of Sam-Jeong-Hwan)

  • 이상택;김근우;구병수
    • 동의신경정신과학회지
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    • 제19권3호
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    • pp.101-115
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    • 2008
  • Objective: The purpose of this study was to investigate the protective effects of Sam-Jeong-Hwan(SJH) on the animal model of depression induced immobilization stress. Method: The subject were divided into 4 groups(l. normal 2. saline solution administered during immobilization stress treatment 3. SJH of 100mg/kg administered 4. BKJ of 400mg/kg administered). Immobilization stress was treated for 1 hours on day. During 2 days of immobilization stress treatment, they were executed forced swimming test, passive avoidance test, elevated plus maze test. Corticosterone and ACTH in blood were measured. Results: In forced swimming test, SJH of 400mg/kg group showed decreased immobilization. In passive avoidance test, SJH of 400mg/kg group showed increased learning execution. In EPM test, SJH of 400mg/kg group showed decreased anxiety. In locomotor activity test, SJH groups showed significantly increased locomotor activity. Stress group showed significantly increase in serum level of corticosterone, SJH of 400mg/kg group showed decreased serum level of corticosterone. Stress group showed significantly increase in serum level of ACTH, SJH of 400mg/kg group showed decreased serum level of ACTH. Conclusion: These results suggest that Sam-Jeong-Hwan(SJH) is effective in the treatment of depression.

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