• 제목/요약/키워드: mental health intervention

검색결과 501건 처리시간 0.022초

정신질환자를 위한 대사증후군 통합건강관리 프로그램 개발 및 평가 (Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome)

  • 곽윤복;김지영
    • 대한간호학회지
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    • 제52권3호
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    • pp.261-277
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    • 2022
  • Purpose: This study developed an integrated health management program for metabolic syndrome in psychiatric patients and examined its effects on self-efficacy, healthy lifestyle, physiological indicators, knowledge of metabolic syndrome, attitudes toward healthy behavior, and social support. Methods: A non-equivalent control group pretest posttest design was used. The participants were 65 psychiatric patients with metabolic syndrome in psychiatric rehabilitation centers, with 33 in the experimental group and 32 in the control group. The experimental group participants engaged in daily mobile application and walking exercises three times a week for more than 40 minutes over 8 weeks, while those in the control group were provided education booklets. The outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. Intervention effects were analyzed using the independent t-test, Mann-Whitney U test, ANCOVA, and Ranked ANCOVA. Results: The experimental group showed a significant increase in self-efficacy (F = 8.85, p = .004, ηp2 = .13) and knowledge of metabolic syndrome (t = 2.60, p = .012, d = 0.60) compared to the control group. Additionally, the experimental group demonstrated a significant decrease in waist circumference (Z = - 2.34, p = .009, d = 0.58) and body mass index (Z = - 1.91, p = .028, d = 0.47) compared to the control group. Conclusion: The integrated health management program for psychiatric patients with metabolic syndrome is effective in improving self-efficacy and knowledge of metabolic syndrome and decreasing physiological indicators such as waist circumference and body mass index.

청소년 임신에 대한 연구 동향 분석: 텍스트 네트워크 분석과 토픽 모델링 (A study on research trends for pregnancy in adolescence: Focusing on text network analysis and topic modeling)

  • 박승미;곽은주;박혜옥;홍정은
    • 한국간호교육학회지
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    • 제30권2호
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    • pp.149-159
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    • 2024
  • Purpose: The aim of this study was to identify core keywords and topic groups in the "adolescent pregnancy" field of research for a better understanding of research trends in the past 10 years. Methods: Topics related to adolescent pregnancy were extracted from 3,819 articles that were published in journals between January 2013 and July 2023. Abstracts were retrieved from five databases (MEDLINE, CINAHL, Embase, RISS, and KISS). Keywords were extracted from the abstracts and cleaned using semantic morphemes. Text network analysis and topic modeling were performed using NetMiner 4.3.3. Results: The most important keywords were "health," "woman," "risk," "group," "girl," "school," "service," "family," "program," and "contraception." Five topic groups were identified through topic modeling. Through the topic modeling analysis, five themes were derived: "health service," "community program for school girls," "risks for adult women," "relationship risks," and "sexual contraceptive knowledge." Conclusion: This study utilized text network analysis and topic modeling to analyze keywords from abstracts of research conducted over the past decade on adolescent pregnancy. Given that adolescent pregnancy leads to physical, mental, social, and economic issues, it is imperative to provide integrated intervention programs, including prenatal/postnatal care, psychological services, proper contraception methods, and sex education, through school and community partnerships, as well as related research studies. Nurses can play a vital role by actively engaging in prevention efforts and directly supporting and educating socially disadvantaged adolescent mothers, which could significantly contribute to improving their quality of life.

Implementing a Cervical Cancer Awareness Program in Low-income Settings in Western China: a Community-based Locally Affordable Intervention for Risk Reduction

  • Simayi, Dilixia;Yang, Lan;Li, Feng;Wang, Ying-Hong;Amanguli, A.;Zhang, Wei;Mohemaiti, Meiliguli;Tao, Lin;Zhao, Jin;Jing, Ming-Xia;Wang, Wei;Saimaiti, Abudukeyoumu;Zou, Xiao-Guang;Maimaiti, Ayinuer;Ma, Zhi-Ping;Hao, Xiao-Ling;Duan, Fen;Jing, Fang;Bai, Hui-Li;Liu, Zhao;Zhang, Lei;Chen, Cheng;Cong, Li;Zhang, Xi;Zhang, Hong-Yan;Zhan, Jin-Qiong;Zhang, Wen Jie
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7459-7466
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    • 2013
  • Background: Some 60 years after introduction of the Papanicolaou smear worldwide, cervical cancer remains a burden in developing countries where >85% of world new cases and deaths occur, suggesting a failure to establish comprehensive cervical-cancer control programs. Effective interventions are available to control cervical cancer but are not all affordable in low-income settings. Disease awareness saves lives by risk-reduction as witnessed in reducing mortality of HIV/AIDS and smoking-related cancers. Subjects and Methods: We initiated a community-based awareness program on cervical cancer in two low-income Muslim Uyghur townships in Kashi (Kashgar) Prefecture, Xinjiang, China in 2008. The education involved more than 5,000 women from two rural townships and awareness was then evaluated in 2010 and 2011, respectively, using a questionnaire with 10 basic knowledge questions on cervical cancer. Demographic information was also collected and included in an EpiData database. A 10-point scoring system was used to score the awareness. Results: The effectiveness and feasibility of the program were evaluated among 4,475 women aged 19-70 years, of whom >92% lived on/below US$1.00/day. Women without prior education showed a poor average awareness rate of 6.4% (164/2,559). A onetime education intervention, however, sharply raised the awareness rate by 4-fold to 25.5% (493/1,916). Importantly, low income and illiteracy were two reliable factors affecting awareness before or after education intervention. Conclusions: Education intervention can significantly raise the awareness of cervical cancer in low-income women. Economic development and compulsory education are two important solutions in raising general disease awareness. We propose that implementing community-based awareness programs against cervical cancer is realistic, locally affordable and sustainable in low-income countries, which may save many lives over time and, importantly, will facilitate the integration of comprehensive programs when feasible. In this context, adopting this strategy may provide one good example of how to achieve "good health at low cost".

사회복귀시설 사례관리자의 사례관리 과정에 대한 인식과 수행에 관한 연구 -부산지역 사회복귀시설의 사례관리를 중심으로- (Case Manager's Perception and Practices of Case Management Process at Community Psychiatric Rehabilitation Centers -Focused on the community psychiatric rehabilitation centers in Busan-)

  • 김선주;김교정
    • 한국콘텐츠학회논문지
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    • 제13권1호
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    • pp.221-233
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    • 2013
  • 본 연구는 부산지역의 사회복귀시설의 사례관리자를 대상으로 사례관리과정에 대한 인식과 사례관리과정이 실제 어떻게 수행되고 있는지를 탐색함에 있다. 사회복귀시설의 사례관리자 12명을 대상으로 포커스 그룹 인터뷰를 실시하여 얻은 자료를 심층분석하였다. 접수는 다양한 휴먼서비스 조직에서의 의뢰가 많고, 클라이언트 중심의 인테이크와 계약이 이루어지고, 사정은 정신장애인의 기능보다는 서비스 욕구중심으로, 기획은 자원발굴과 확보에 어려움을 느꼈다. 개입단계는 직접서비스 위주로 진행되고 여러 기관에서 접근 시에 사례관리에 대한 책임소지가 불분명했다. 점검단계는 주로 매달 시설 내에서 점검이 이루어지고 현실적인 슈퍼비전에 대한 욕구가 높았다. 종결에서는 성과평가 위주였고, 사례관리를 잘 나타낼 수 있는 개별화된 평가척도에 대한 기대를 나타내었다.

여성건강을 위한 개념적 모형 (Conceptual Model for Women s Health)

  • 이경혜
    • 대한간호학회지
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    • 제27권4호
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    • pp.933-942
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    • 1997
  • There has recently been an increased interest in women's health from, various disciplines, with different perspectives presented according to each profession's academic background. This has led to many instances of incorrectly defining, or misinterpretation, of the issues even among professionals. Nurse scholars as well as practitioners who work in women's health care need to have a clear conceptual understanding of women's health in order to build a body of knowledge, delineate curricular activities, and set directions for professional nursing interventions. In addition, a conceptual model that may be directly utilized in practice is needed to maintain and promote women's health issues. The purpose of this study was to apply a Hybrid model, analyzing conceptual definitions and discussions related to women's health gathered from review of the literature. Further to compare analyticals the concepts and properties observed from field work, so as to present a final definition of women's health and, build a conceptual framework for a united comprehensive perspective on the concept as well as on nursing practice. Data collection and analysis consisted of a theoretical stage, field work stage, and final analysis. A heterogeneous group of professionals and lay persons, 39 in all, participated in the field work. Study findings Include several subconcepts under the concept of women's health : a woman's whole life, holistic health, quality of life, awareness of being a woman, individual nursing, self care ability, reproductive health, and family health. Thus, a comprehensive definition was built, 1. e., "Women's health care be defined as improvement in the quality of life of women through attainment of holistic health throughout the life span. With reproductive health at the core, the concept is directly related to family and national health, and includes taking care of one's own health based on awareness of being a woman and utilizing self care activities. Women's health care issues are unique and allow various responses, therefore women's health professionals need to apply individual approaches to reach solutions in attaining holistic health and improving quality of life." The constructual factors of women's health were found to be reproductive functions, diseases more common in woman, self actualization, mental health, women's health policies, sexuality, midlife changes, and marital relations, with each factor having more than three properties. Positive factors affecting women's health were found to be a normal childbearing process, a healthy lifestyle, active health management, health information, support, and resources, and interpersonal relationships. Negative factors were found to be overwhelming role stress, cultural oppression, gender inequality, distorted sexual identity, economic difficulties, misuse and/or abuse of substances, and stress. The model of women's health may be visualized as a balance scale set upon a woman's life, supporting 4 concentric circles. The innermost circle and second circle incorporate conceptual definitions of women's health, and the outer two circles represent the constructional factors and properties of women's health. Each circle has its own color that symbolizes the conceptual meaning. Positive and negative factors are represented as weights at either end of the scale, and are affected by nursing intervention, i. e., health and wellness increase when positive factors are stronger, whereas disease and illness increase when negative factors are stronger. This model is only a preliminary effort and requires much discussion and testing to be further developed. Continuous research is also required.

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해양자원을 활용한 심신치유기법이 여성 감정노동자들의 수면, 우울 및 기분 증상 개선에 미치는 효과 : 예비 연구 (Effects of a Mindfulness-Based Mind-Body Intervention Program using Marine Resources on the Improvement of Sleep Quality and Mood Symptoms in Korean Female Emotional Labor Workers : A Pilot Study)

  • 이상아;이성재;육영숙;허유정;이민구;조휘영;이재헌
    • 수면정신생리
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    • 제25권2호
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    • pp.58-67
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    • 2018
  • 목 적 : 본 연구는 과도한 감정노동에 노출되어 있는 여성 감정노동자들을 대상으로 해양자원을 활용한 심신치유 기법이 효과가 있는지 여부를 알아보는 예비 연구이다. 방 법 : 정상 참고치 이상의 감정노동에 노출되어 있는 신체건강한 여성 감정노동자 12명을 대상으로, 경남 고성 당항포 일대에서 해양자원을 이용한 심신치유 프로그램을 4박 5일간 시행하였다. 피험자들에게 프로그램에 참여하도록 한 뒤 사전, 사후, 추후의 평가를 바탕으로 수면, 기분, 인지기능 영역의 변화를 확인하기 위해 통계분석을 실시하였다. 결 과 : 프로그램에 참가한 뒤 피험자들의 수면의 질이 호전되고 수면 잠복기가 유의하게 감소하였고 우울, 긴장, 분노, 피로 등 기분상태의 호전을 보였으며, 인지기능 또한 향상되었다. 수면의 질, 우울기분을 비롯한 상기 효과는 한 달 반 뒤 실시한 추후 평가에서도 동일하게 확인되었다(PSQI t = 2.63, p = 0.02, HAM-D t = 5.92, p < 0.001). 결 론 : 해양자원을 활용한 심신치유 기법이 긴장을 이완하고 스트레스를 낮추는데 효과적일 수 있음을 시사하며, 이와 관련해 대조군을 포함한 추후연구 및 체계적인 프로그램 개발이 필요하다.

실버케어로봇 프로그램이 시설노인의 인지기능, 우울, 일상생활수행능력에 미치는 효과 (Effects of Silver-Care-Robot Program on Cognitive Function, Depression, and Activities of Daily Living for Institutionalized Elderly People)

  • 오진환;이여진;신철진;박천수;강상승;김재홍;김인숙
    • 대한간호학회지
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    • 제45권3호
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    • pp.388-396
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    • 2015
  • Purpose: The purpose of this study was to identify the effects on cognitive function, depression, and activities of daily living of Silver- Care-Robot Program for institutionalized elders. Methods: This study was a nonequivalent control group pretest-posttest design. The participants were 42 institutionalized elders (17 in the experimental group and 25 in the control group). The Silver-Care-Robot Program was provided as an intervention which was conducted twice a week for 5 weeks. The Silver-Care-Robot Program is an integrated entertainment program to help the mental, emotional, and physical health of elderly people. Pre-test was conducted on the two groups, and, in order to examine the effects of intervention, a post-test was conducted after 5 weeks. Results: There were significant differences in cognitive function and ADL (activities of daily living) between two groups after the program. But the difference in depression in the institutionalized elders was not statistically significant between the two groups. Conclusion: The Silver-Care-Robot Program should be considered as a regular program for cognitive function and activities of daily living for institutionalized elders.

혈액투석 환자의 자기효능이론 기반 식사관리 프로그램이 식사관리이행, 신체상태 및 삶의 질에 미치는 효과 (Effects of Dietary Program based on Self-efficacy Theory on Dietary Adherence, Physical Indices and Quality of Life for Hemodialysis Patients)

  • 윤경순;최자윤
    • 대한간호학회지
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    • 제46권4호
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    • pp.598-609
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    • 2016
  • Purpose: The purpose of this study was to examine effects of a dietary program based on self-efficacy theory on dietary adherence, physical status and quality of life (QoL) in hemodialysis patients. Methods: A non-equivalent control group pre-post test design was used. The intervention group received the dietary program for 8 weeks from August 4 to September 26, 2014. The control group received only usual care. Results: ANCOVA showed that dietary adherence (F=64.75, p <.001) was significantly different between the two groups. Serum albumin (F=12.13, p =.001), interdialytic weight gain (F=56.97, p <.001), calories (F=15.80, p <.001) as physical status indices were significantly different, but serum potassium (F=2.69, p =.106) and serum phosphorus (F=1.08, p =.303) showed no significant difference between the two groups. In terms of health-related QoL, the physical component scale (F=10.05, p =.002) and the mental component scale (F=16.66, p <.001) were significantly different between the two groups. In addition, in terms of diet related QoL, diet level (F=35.33, p <.001) and satisfaction level (F=15.57, p <.001) were significantly different between the two groups, but dietary impact level (F=1.23, p =.271) was not significantly different. Conclusion: Findings show that the dietary program based on self-efficacy theory is an effective nursing intervention program to improve adherence to diet, and to maintain physical status and QoL for hemodialysis patients.

치매노인을 위한 신체활동 프로그램이 인지기능에 미치는 영향 : 국내연구의 메타 분석 (The Effect of Physical Activity Program for Elderly with Dementia on Cognitive Function: Meta-Analysis of Studies in Korea)

  • 이한숙;박유정
    • 대한물리의학회지
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    • 제11권2호
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    • pp.115-121
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    • 2016
  • PURPOSE: Many studies have reported the improvement of cognition through physical activity among subject with dementia. This study aimed to whether the current studies supports that physical activity intervention is efficacious on cognitive performance in subject with dementia. METHODS: Two independent reviewers searched National assembly library, RISS, KISS (2005-2015) using the concepts of dementia, exercise, and physical activity. We included randomized controlled trials that examined the efficacy of physical activity in subject with dementia. A meta-analysis was performed to estimate the effect sizes cognition with CMA (Comprehensive Meta-Analysis, version 2.2.064) soft-ware program. Nine randomized controlled trials were included, providing data from 133 individuals and excluding those failing to criteria of this study. RESULTS: The meta-analysis showed that physical activity intervention had a rather small effect sizes of 0.36 (95% confidence interval 0.14-0.59) on cognition performance in subject with dementia. Outcome measurement were MMSE-K (Mini-mental state examination Korean version) and LOCTA (Loewenstein Occupational Therapy Cognitive Assessment). We found heterogeneous among studies and there was difference between the studies (Q = 19.63, d(f)=12, $I^2= 38.88$). CONCLUSION: The present analysis suggests that physical activity interventions have the low effect sizes on cognition performance in subject with dementia Further studies will be required to develop the various programs for improving the cognitive performance in subject with dementia.

안구운동이 노인의 정적균형과 낙상효능감에 미치는 영향 (The Effects of Eye Movement Training on the Static Balance and Fall Efficacy in the Elderly)

  • 이광재;노정석;최흥식;김장환;최규환;신헌석
    • The Journal of Korean Physical Therapy
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    • 제24권4호
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    • pp.268-275
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    • 2012
  • Purpose: This study is to identify how eye movement influences the static balance and fall efficacy of the elderly who have experienced fall-related injuries. Methods: Thirty nine elderly who scored 24 points in the Korean mini mental state examination, were able to walk, and had no specific disease, were selected as the research subjects among elderly who have experienced fall-related injury more than once in the past year. Thus, 20 for the experimental group, and 19 for the control group were selected as subjects. The experiment was conducted for 6 weeks, including periods of evaluation before and after intervention. Results: The results with respect to the dependent variables are as follows: Substitute sample t-testing showed significant differences between each group in eye movement to check difference in balance performance and fall efficacy. When independent sample t-tests were conducted to compare static balancing performance and fall efficacy between the two groups after intervention, they showed significant differences in statistical terms (p<0.05). Conclusion: From the above results of the study, it was found that the application of eye movement combined with diverse fall prevention programs is effective, when enhancing static balance performance power and improving fall efficacy.