• 제목/요약/키워드: marital therapy

검색결과 119건 처리시간 0.021초

젊은 유방암 생존자와 나이든 유방암 생존자의 심리사회적 적응 (Psychosocial Adjustment between Younger and Older Breast Cancer Survivors)

  • 김혜영;고은
    • 종양간호연구
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    • 제12권4호
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    • pp.280-288
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    • 2012
  • Purpose: The aim of this study was to analyze the differences in psychosocial adjustment between younger (age${\leq}50$) and older (age>50) breast cancer survivors, and to explore the role of sociodemographic and disease-related variables in predicting psychosocial adjustment between younger and older breast cancer survivors. Methods: A total of 262 women participated in this study. A self-reported questionnaire, the Psychosocial Adjustment to Illness Scale-Self Report Korean version (PAIS-SR Korean version), was used. Data were analyzed with SAS/WIN 9.1 for descriptive statistics using the t-test, ANOVA, and stepwise multiple regression. Results: The psychosocial adjustment score of younger breast cancer survivors was significantly higher than that of older breast cancer survivors. Significant predictors influencing psychosocial adjustment in younger breast cancer survivors were marital state, menopausal cause, immune therapy, and self-help group, and these predictors account for 48% of the variance in psychosocial adjustment. Significant predictors influencing psychosocial adjustment in older breast cancer survivors were stage of cancer, monthly income, marital state, and menopausal cause. These predictors accounted for 35% of the variance in psychosocial adjustment. Conclusion: The findings indicate the importance of counseling and educational programs to improve the psychosocial adjustment according to breast cancer survivors' age.

Relationships Between Cognitive Function and Quality of Life of Elderly Stroke Patients

  • Lee, Hye-Sun
    • International Journal of Advanced Culture Technology
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    • 제6권3호
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    • pp.44-52
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    • 2018
  • The purpose of this study was to assess the effects and find the correlation of LOTCA-G and SS-QOL on the cognitive function and quality of life of elderly stroke patients. The time period of the experiment was from March 1, 2018 to March 30, 2018, and the study sample was composed of 102 stroke out-patients who participated in the rehabilitation center in G-city and received treatment of LOTCA-G and SS-QOL. The raw scores of the cognitive function of the elderly stroke patients varied depending on their gender, age, education, and marital status, but the differences were not statistically significant. Second, the raw scores of the quality of life of the elderly stroke patients varied depending on their gender, age, education, and marital status, but only marital status showed significance (p <0.01). The elderly stroke patients' cognitive function and the quality of life showed a statistically significant correlation (p <0.01). LOTCA-G and SS-QOL generally showed significant correlation even among sub-categories, but energy, one of the sub-categories of quality of life, did not show significant correlation with any of the other sub-categories of cognitive function. By combining the study results, it was possible to see that there were high levels of correlation between cognitive function and quality of life in elderly stroke patients shown through LOTCA-G and SS-QOL. Based on this study, if the raw scores of cognitive function and quality of life could be validated and various basic data could be provided for increasing quality of life, it can be considered that the stroke patients' quality of life will be improved.

근골격계 질환 여성의 건강지원 네트워크 사업 효과 (Effects of the Health Support Network Project on Musculoskeletal Disorders of Females)

  • 김덕주;한희정;양영애
    • 보건의료산업학회지
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    • 제9권1호
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    • pp.169-178
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    • 2015
  • This study implemented a health support network project to improve the quality of life of women with musculoskeletal disorders. These activities were intended to analyze the effects of the impact on the quality of life of women with musculoskeletal diseases, continuing to base their future needs for materials and practice so as to provide a method for this purpose. On August 19, 2013 through December, a survey of 320 people living in Seoul included 31 women with symptoms of musculoskeletal disorders. Another, 16 weeks led to a total of 127 people with housewives screened as a subjects for social support networks projects. After the research, the health support network project was implemented, and most musculoskeletal pain was reduced, depression levels were reduced, and a quality improvement was noted in health-related life activities. In particular, mental- health-related quality of life was found to increased. As incidental factors that may cause musculoskeletal disorders, marital status, living with family, low income, and a high depression index were related to low health-related quality of life. Future studies can support continued health at the local business community level rather than with smaller samples. This work can also be supported by follow-up studies to evaluate the effectiveness of program.

보완대체요법에 대한 간호사와 의사의 태도 비교 연구 (A Comparative Study of Nurses and Physicians' Attitudes about Complementary and Alternative Therapy)

  • 장은희;박경숙
    • 성인간호학회지
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    • 제15권3호
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    • pp.402-410
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    • 2003
  • Purpose: The purpose of this study was to develop a fundamental reference for the clinical implementation of Complementary and Alternative Therapy(CAT) by surveying and analyzing different perception and attitude between nurses and physicians. Method: A total of 167 nurses and 103 physicians from two C university health science centers participated in this survey, and SPSS program with version 10.0 was used to analyze the result of survey. Result: As results, 72.7% nurses and 57.1% physicians showed positive attitude for the concept of CAT, 60.6% nurses and 36.7% physicians responded positively while 2.6% nurses and 25.9% physicians responded negatively for the application of CAT to the clinical practice. There was a meaningful difference between two groups in the belief of therapeutic effectiveness of CAT. 67.7% nurses believed the therapeutic effectiveness of CAT while 38.8% physicians did. For attitudes of nurses and physicians toward CAT showed meaningful difference according to general characteristics: age, gender, marital status, a level of education, position in the organization, religion, and duration of health care service other than inpatient units. Conclusion: In this study, the attitudes of nurses and physicians about CAT showed meaningful difference that nurses were more positive than physicians in application.

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폐경기 여성의 호르몬 대체요법 선택의도에 영향을 미치는 요인 (Factors of Intention to take Hormone Replacement therapy in korean Menopausal Women )

  • 정재원
    • 여성건강간호학회지
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    • 제9권4호
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    • pp.369-378
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    • 2003
  • Purpose: To identify factors influencing women's intention to take hormone replacement therapy(HRT). Method: A cross-sectional survey design was utilized. A total of 116 married women aged 40 to 60 were recruited from women's groups in communities. They completed a structured questionnaire containing demographic characteristics, Orientation to Life Questionnaire, Menopausal Symptom Checklist, Health Belief of Korean Adult, Sexrole Idea of Kim, Dong-il, chronic illnesses, and a single item measuring marital satisfaction. Result: Thirteen percents of the women were currently taking HRT and 28.4% had intention to take HRT. Education, sense of coherence, and sex role attitude were related to women's susceptibility to menopause. Hysterectomy status and the level of sense of coherence explained women's perception of seriousness regarding menopause. In addition, chronic health conditions accounted for the variances of benefits and barriers to HRT. Factors influencing women's intention to take HRT were education, menopausal symptoms, and perceived benefits of HRT. Conclusion: Women's chronic health conditions, psychosocial characteristics as well as menopausal discomforts were associated with women's choice regarding HRT. Other factors related to decision making process of women's health seeking behaviors need to be explored.

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머신러닝 기법을 활용한 고혈압 환자의 건강 관련 삶의 질 요인 예측 (Using Machine Learning Techniques to Predict Health-Related Quality of Life Factors in Patients with Hypertension)

  • 정재혁;조성현
    • 대한통합의학회지
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    • 제12권3호
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    • pp.11-24
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    • 2024
  • Purpose : This study aims to identify the factors influencing health-related quality of life through machine learning of the general characteristics of patients with hypertension and to provide a basis for related research on patients, such as intervention strategies and management guidelines in the field of physical therapy for health promotion. Methods : Annual data from the second Korean Health Panel (Version 2.0) from 2019 to 2020, conducted jointly by the Korea Health and Social Research Institute and the National Health Insurance Service, were analyzed (Korea Health Panel, 2024). The data used in this study was collected from January to July 2020, and the data was collected using computer-assisted face-to-face interviews. Of the 13,530 household members surveyed, 1,368 were selected as the final study participants after removing missing values from 3,448 individuals diagnosed with hypertension by a doctor. Results : The results showed that walking (P2) was the most significant factor affecting health-related quality of life in random forest, followed by perceived stress (HS1), body mass index (BMIc), total household income (TOTc), subjective health status (SRHc), marital status (Marr), and education level (Edu). Conclusion :To prevent and manage chronic diseases such as hypertension, as well as to provide customized interventions for patients in advanced stages of the disease, research should be conducted in the field of physical therapy to identify influencing factors using machine learning. Based on the findings of this study, we believe that there is a need for additional content that can be utilized in the field of physical therapy to improve the health-related quality of life of patients with hypertension, such as diagnostic assessment and intervention management guidelines for hypertension, and education on perceived stress and subjective health status.

부부갈등 설화 속 전생(前生) 화소의 역할과 문학치료적 의미 - <전생의 인연으로 부부가 된 중과 이[蝨]와 돼지>를 중심으로 - (Role of Therapeutic Literature Regarding Motifs "Past Life" in a Tale of Marital Discord -Focusing on )

  • 박재인
    • 고전문학과교육
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    • 제37호
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    • pp.185-215
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    • 2018
  • 이 글은 설화 <전생의 인연으로 부부가 된 중과 이[蝨]와 돼지>를 중심으로 전생론에 대한 새로운 해석을 시도하였다. 설화 전승주체들의 발언이나 독특한 방식으로 설화를 기억하는 사례를 통해, 부부갈등 설화 속 전생화소는 '막강한 운명에 대한 체념'을 강화하는 역기능을 발휘할 수 있다는 점을 확인하였다. 본고는 이 점에 문제를 제기하고, 이 설화 속 주인공이 품은 "왜?"라는 질문을 시작으로 이어지는 진중한 사유의 과정이야말로 좌절 속에서 극복의 가능성을 찾아내는 구비설화의 본질적 가치라고 주장한 것이다. 그리고 또 한 편의 각편 사례를 들어, '전생 발견하기' 화소가 이 설화에서 '존재와 삶을 스스로 선택할 수 있는 계기'로 의미하고 있음을 논하였다. 설화와 전생 화소에 이러한 해석은 운명에 대한 수동적 태도나 비극적 운명을 신념화하는 비관과는 달리 삶에 대한 긍정과 주체성인데, 이는 고정된 자아를 고집하지 않는 불가의 무아윤회론으로 풀이될 수 있었다. 이에 본고는 설화 속 주인공의 변화를 '전생 발견하기' 과정을 '"왜?"라는 질문을 던지고, 나와 아내의 존재를 사유하기 시작함 ${\rightarrow}$ 현존재적 '나'의 기억(혹은 인지)이 지닌 한계를 인정함 ${\rightarrow}$ 나와 아내의 존재를 재규정하고, 새로운 실존으로 거듭남'의 사유 과정으로 분석하였다. 설화의 서사 맥락에 따라 이러한 사유의 과정을 경험하는 것이 전생 화소를 포함한 부부갈등 설화의 효용성을 확인하는 문학치료 활동이 될 것이다.

방사선 요법을 받는 암환자의 삶의 질에 관한 연구 (A Study of the Quality of Life of the Cancer Patients Undergoing a Radiation Therapy)

  • 장금성;노영희
    • 대한방사선치료학회지
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    • 제6권1호
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    • pp.154-170
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    • 1994
  • The Purpose of this study was to determine the degree and contents composing the qualify of life and to analyze the relationships among the demographic characteristics, the degree of pain and the quality of life of the cancer patients experiencing a radiation therapy. The subjects for this study were 110 out-patients experiencing a radation therapy at C University Hospital in K-city, from April to October, 1992. The data were obtained using a convenience sampling technique. The tool of this study was the quality of life scale developed by Ro, You-Ja and the data were analyzed using a SAS program for percentages, mean & standard deviation. ANOVA and Scheffe test. The results were as follows : 1. the average total score of the quality of life of the subjects was 139.65(minimum score 121-maximum score 164), item mean score grange 1-5) was 2.97. For each factor in the quality of life scale, the mean scores (range 1-5) were 3.29 in emotional state, 3.14 in relationship with neighbors. 3.04 in physical state and function. 2.92 in self-esteem, 2.81 in economic life and 2.65 in relationship with family. 2. The incidence of physical symptoms was seen fatigue ($84.5\%$). anorexia ($65.5\%$) and weight loss ($47.3\%$) in order. The 50.9 percentage of the subjects complained of moderate or severe pain. 3. The results of the analysis of the relationships between the demographic variables and the quality of life were as follows : Gender (F=8.45, P=0.0044), age (F=6.29, P=0.0001). educational level (F=5.67, P=0.0046), marital status (F=6.82. P=0.0016), occupation (F=2.86, P=0.009), monthly income (F=6.90, P=0.0003), family living together (F=3.95, P=0.0494) and person paying a medical fee (F=5.14, P=0.0023). 4. The relationship between the degree of pain and the quality of life was significant difference (F=3.12, P=0.0482).

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방사선치료 암 환자의 대체요법 경험실태 조사연구 (Survey for Alternative Therapy Used by Cancer Patients Receiving Radiation Therapy)

  • 박철우;박태진
    • 대한방사선치료학회지
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    • 제13권1호
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    • pp.75-90
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    • 2001
  • Although it is presumed that cancer patients take various alternative therapies, the present status is not well recognized. The purpose of this study is to survey alternative therapies used by cancer patients receiving radiation therapy and then, find associated factors of taking alternative therapies. The study subjects were composed of those who receiving radiation therapy in the department of radiation oncology in 5 hospitals located at Extended Busan city and who were on follow-up after medical cure. They were 394 male and female patients over 20 years old. The mean age of the subjects was 53.2 years old and the age ranged from 23 to 83 years old. 188 patients($47.7\%$) used alternative therapies. Total 68 different kinds of alterative therapies were used, average 7.3 kinds per patient were experienced, and average total cost expenditure was 2,830,000 won. Among the alternative therapies, black bean($38.8\%$) was the most commonly used and brown rice($38.3\%$), ganoderm lucidum($37.8\%$), elm tree($33.5\%$), and phellinus linteus($30.8\%$) were followed in order of frequency. However in considering the time, cost and effort spent, phellinus linteus was the first. In terms of cost, phellinus linteus was the highest with average expenditure of 2,740,000 won. Among the motivation of using alternative therapies, expecting auxiliary help for the hospital therapy was the highest ($31.4\%$). About half of users($56.9\%$) of alternative therapies were recommended by their relatives to use alternative therapies. In comparing the characteristics of experienced and unexperienced groups, alternative therapy was experienced significantly more in patients of younger age(p=0.001), in patient of higher educational level(p=0.001), and in patients of higher income(p=0.030) The proportion of using alternative therapies was significantly higher in the group treated with chemotherapy(p=0.005), and in the patients who did not satisfy with radiation therapy(p=0.001). The frequency of drinking was significantly higher tendency in the inexperienced group(p=0.046), There was no significant difference in marital status, job, religion, other disease, surgical operation of the cancer and smoking staus between the two groups. Among the unexperienced group, $34.0\%$ of the patients did not take the alternative therapies because they did not have know]edge for the alternatives, and $22.3\%$ worried about negative effects on hospital-based therapy $58.7\%$ of them were willing to take the alternative therapies if the effects and safety were proven by the government or research institutes. $21.9\%$ of the patients wanted to take the alternatives if they were affordable. $72.3\%$ of the patients was willing to take them if their families recommend, but $27.2\%$ responded they would not take them in any situation. Conclusively, various kinds of alternative therapies which were not proved medically were exposed to patients, In these circumstances, it is required to investigate, study and evaluate the medical effects and safety of the alternative therapies.

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아내폭력의 실태와 관련변인들 - 충남 서산 지역의 사례를 중심으로 - (The Current State of Wife Abuse and Related Variables in Seosan City, Chungnam Province)

  • 이종원;옥선화;남영주
    • 대한가정학회지
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    • 제43권8호
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    • pp.141-159
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    • 2005
  • The aim of this study was to investigate the current state of wife abuse in Seosan and the relationships between wife abuse and the related variables. A total of 132 couples took part in this study. All couples live in Seosan city, range in age from their 20s to 50s and each couple has at least one child. Stratification sampling method was used to select the couples. They were asked to complete self-report questionnaires. Subjects completed a Korean version of the self- esteem scale, marital conflict scale, communication style scale, family history of violence scale, alcohol dringking, and wife abuse scale. In order to examine the current state of wife abuse, such as, frequency, mean, standard deviation and paired t-test, t-test were calculated and analyzed. Next, to identify differences in wife abuse between the upper group and the lower group, t-test was peformed. Finally, to investigate the relative influences of independent variables upon wife-abuse, multiple regression analysis was peformed. All these analyses were conducted using SPSS 10.0 program. The results were as follows; 1) In terms of the current state of wife abuse, there are three main observations. First, $23\%$ of respondents answered that they had beat their spouse or been beaten by their spouse before and after their marriage. Second, compared with physical violence($2{\~}16\%$), other types of violence such as verbal($7{\~}4\%$), emotional($41{\~}64\%$), economical($3{\~}29\%$) and sexual violence($4{\~}38\%$) were reported to occur more often in these relationships. Third, following the abuse most wives tend to tolerate the situation instead of taking an active action like reporting the abuse to police. 2) As for the husbands, subjects that drank a high level of alcohol, blaming and super-reasonable communication style, and family history of violence reported more frequent cases of wife abuse. As for the wives, subjects with high levels of self-esteem, irrelevant communication style, marital conflict, and family history of violence reported having more cases of that abuse. 3) In the case of husbands, alcohol, communication style and family history of violence explained $40\%$ of wife abuse. In the case of wives, marital conflict and family history of violence explained $77\%$ of their experiences with abuse. This study makes the contribution to aims to develop education programs and family therapy relevant to prevent wife abuse and to reconsider the existing laws governing domestic violence in Korea.