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The Effects of a Positive Psychology Improvement Program on Elders' Depression and Death Anxiety (긍정심리향상 프로그램이 노인의 우울과 죽음불안에 미치는 효과)

  • Lim, Seung Joo;Lee, Hung Sa;Kim, Chunmi;Ko, Young
    • Research in Community and Public Health Nursing
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    • v.26 no.3
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    • pp.238-247
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    • 2015
  • Purpose: This study was conducted to investigate the effects of a positive psychology improvement program on elders' depression and death anxiety. Methods: This was conducted as a quasi-experimental study with non-equivalent control group pretest-posttest design. The participants were community elders aged over 65 recruited by convenient sampling. A total of 94 elders (32 in the individual experimental group, 32 in the collective experimental group, and 30 in the control group) participated. Data were collected between April and September, 2012 and analyzed by using SPSS/WIN 21. Results: The individual and group approach experimental groups had significantly lower scores of depression than the control group after the treatment (F=7.50, p=.001). For death anxiety, however, only the individual experimental group had a significantly lower score compared to the control group (F=4.56, p=.013). Conclusion: These results indicate that the positive psychology improvement program was effective in decreasing depression and death anxiety in the elderly. Therefore, the program needs to be applied in a customized way fittingly to the characteristics of the elderly in community, and individually and/or collectively according to its purposes.

Effects of Foot Reflexology Education Program on Bowel Function, Anxiety and Depression in Nursing Students (발 반사요법 교육프로그램 제공이 간호대학생의 장 기능, 불안 및 우울에 미치는 효과)

  • Kim, Yeong-Hie;Choi, Euy-Soon
    • Women's Health Nursing
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    • v.9 no.3
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    • pp.277-286
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    • 2003
  • Purpose: The purpose of this study was to probe the effect of foot reflexology education program on nursing students with constipation, anxiety and depression. This study was a quasi-experimental study of pre-test and posttest design on non-equivalent control group. Method: The data of this study were collected from October 28, to December 14, 2002. The subjects consisted of 61 nursing students (experimental group: 31, control group: 30) with constipation, anxiety and depression. 31 out of them were devided into the experimental group and received foot reflexology education program that was authorized by the World Foot Reflexology Association and made to suit for the subjects by the author for 6weeks composed of 2 weeks theory and of 4 weeks practical skill on the program. The effect of the program was measured by Bowel Function Assessment Form for constipation, State Anxiety Inventory, and Beck Depression Inventory. Data were analyzed by t-test, $x^2$-test, Repeated measures ANOVA, Bonferroni multiple comparison using SAS/PC 8.12 program. Result: After all session of treatment, the score of bowel function assessment were significantly decreased in the experimental group compared to the control group. Outcomes of 6 and 7 weeks were significantly different from those of pre-experiment. After all session of treatment, anxiety states were significantly decreased in the experimental group compared to the control group. Outcomes of 7 weeks were significantly different from those of pre-experiment. After all session of treatment, depression states were significantly decreased in the experimental group compared to the control group. Outcomes of 6 and 7 weeks were significantly different from those of pre- experiment. Conclusion: The results are suggested that the foot reflexology education program might improve the bowel function, anxiety and depression for the nursing students with constipation, anxiety and depression.

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Epidemiological Study on Temporomandibular Disorders Using Research Diagnostic Criteria for TMD (RDC/TMD)

  • Ahn, Ji-Yeon;Kim, Jong-Wan;Kim, Young-Kyun
    • Journal of Korean Dental Science
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    • v.1 no.1
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    • pp.15-21
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    • 2008
  • Purpose : This epidemiological research was conducted to investigate the relationship between the groups of TMD and the behavioral, psychological, and physical symptoms through RDC/TMD. Subjects and Methods : The subjects of this research were the 286 patients who had visited Seoul National University Bundang Hospital; their common chief complaint was temporomandibular discomfort. The mean age of the patients was 32.9 from 11 to 85, and the number of men and women was 67 and 219, respectively. The patients were examined through clinical and radiological methods and diagnosed by 1 investigator. They were divided into 3 groups: myogenous group (group 1), arthrogenous group (group 2), and combined group (group 3). The behavioral, psychological, and physical symptoms were evaluated through questionnaires on RDC/TMD. Specific items were selected to calculate the graded chronic pain (characteristic pain intensity, disability points), jaw disability, depression, and non-specific physical symptoms (pain items included/excluded) in the questionnaire. One-way ANOVA, Kruskal-Wallis test, and chi-square test were applied as statistical methods. Results : As a result of classifying temporomandibular disorder in this study, the patients were distributed as follows: 9.1% of group 1, 79.7% of group 2, and 11.2% of group 3. In the analysis of graded chronic pain (characteristic pain intensity, disability points), jaw disability, and non-specific physical symptoms (pain items included/excluded), group 3 had the highest score, and the difference was significant (p<0.001). Moreover, the depression score of group 3 was significantly higher than groups 1 and 2 (p<0.05). Note that that the second order of jaw disability score was group 2, on the other hand, those of the other groups were group 1. Conclusion : Myofascial pain could be assumed to be related closely to the behavioral, psychological, and physical symptoms except jaw disability compared to joint pain through RDC/TMD.

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The Relationship among Cellular Phone Addiction, Depression, Anxiety, and School Life Satisfaction Perceived by Students (학생들의 휴대폰 중독과 우울, 불안, 학교생활만족도와의 관계)

  • JANG, Sung-Hwa;OH, Eun-Jung
    • Journal of Fisheries and Marine Sciences Education
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    • v.21 no.2
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    • pp.259-268
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    • 2009
  • The purpose of this study was to find out the relationship among cellular phone addiction, depression, anxiety, and school life satisfaction by examining 284 elementary school students, especially the fifth and sixth graders in Gyeonggi province. This study was done by dividing two groups with top 25 percent and the lowest 25 percent of group(addicts' group vs. non-addicts' group), and 144 out of 284 elementary school students were used for this study. According to the survey, it turned out that the significant variables to predict the addiction are school life satisfaction, learning, classroom setting, and school events, including the top variables of anxiety and depression. And a further point is that relationship satisfaction, anxiety, depression, physical setting, and class satisfaction show how much students are addicted to cellular phone. Finally, this paper suggests the limitation and efficiency of the study compared to previous studies.

An Analysis on Prescribing Patterns of Antidepressants and Their Associated Factors in Lung Cancer Patients (폐암 환자의 항우울제 처방현황과 관련 요인 분석)

  • Sung, Kyeong Eun;Jeong, Kyeong Hye;Kim, Ae Ri;Kim, Eun Young
    • Korean Journal of Clinical Pharmacy
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    • v.26 no.2
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    • pp.107-114
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    • 2016
  • Background: Depression is the leading cause of lowering the quality of life of cancer patients and lung cancer is the most likely to cause depression. It is necessary to find out depression-related factors in lung cancer patients. Methods: The study was a retrospective cohort study using medical records, and was a non-equivalent comparison group design. It involved patients diagnosed of lung cancer at the Konkuk University Medical Center from January to December 2012. Between antidepressants prescription group and non prescription group, socio-demographic factors, clinical factors, treatment-related factors and other factors were analyzed statistically. Results: Antidepressant prescription group consisted of 23 people and non-prescription group of 206 people. Prescription rate of quetiapine was the highest 47.8% (11/23), followed by escitalopram (43.5%, 10/23), amitryptyline and trazodone (30.4%, 7/23). The prescription group was prescribed with an average of 1.9 antidepressants. Antidepressants were prescribed after average of 248 days from lung cancer diagnosis and prescription period per patient was average 177.5 days. According to the result of univariate logistic regression analysis between 2 groups, factors such as number of outpatient visit, number of admission, days of hospitalization, sleep disorder, and comorbidity were found to be statistically significant (p < 0.05). However, According multivariate logistic regression analysis showed that number of admission, days of hospitalization and sleep disorder were statistically significant (p < 0.05) excluding comorbidity. Conclusion: About 10% of lung cancer patients had received a prescription for antidepressants after lung cancer diagnosis. A sleep disorder, number of hospitalization and length of stay were identified as factors influencing the prescribing antidepressants.

The Effect of Spiritual Nursing Intervention on Anxiety and Depression of the Hospice Patients (영적 간호중재가 호스피스 환자의 불안과 우울에 미치는 효과)

  • Yoon, Mae-Ok;Park, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.337-347
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    • 2002
  • Purpose: The purpose of this study was to elucidate the effects of spiritual nursing intervention on anxiety and depression of the hospice patients. Method: It was devised with a quasiexperimental design using non-equivalent control group pre-post design. The data was from July 10 to September 25 in 2000 at the general hospital in CheonJu city. Subjects were 37 members of the experimental group and 30 members of the control. The tools were used Spielberger's State Anxiety Scale and Zung's Depression Inventory. The spiritual nursing intervention was carried out through Hymn, Scripture, Prayer, the therapeutic ues of self. Data were analyzed by mean, standard deviation, ${\chi}^2-test$, t-test. Result: 1. After the spiritual nursing intervention, state anxiety of the experimental group was lower than those of the control (t=-5.987, p=0.000). 2. After the spiritual nursing intervention, depression of the experimental group were lower than those of the control (t=-9.128, p=0.000). Conclusion: The hospice patients who were offered spiritual nursing intervention had lower anxiety & depression than not offered it. According to these results, it can be regarded as an effective one that relieved anxiety and depression of the hospice patients.

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The Effects of Exercise-Cognitive Combined Dual-Task Program on Cognitive Function and Depression in Elderly with Mild Cognitive Impairment (운동·인지 이중과제 프로그램이 경도인지장애 노인의 인지기능 및 우울에 미치는 영향)

  • Kim, Kyoungah;Kim, Oksoo
    • Korean Journal of Adult Nursing
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    • v.27 no.6
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    • pp.707-717
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    • 2015
  • Purpose: This study was to develop and verify the effects of the exercise-cognitive combined dual-task training program on cognitive function and depression of the elderly with mild cognitive impairment (MCI). Methods: A non-equivalent control group pretest-posttest design was used. The participants were assigned into two groups: an experimental group receiving an exercise-cognitive combined dual-task (n=20) and a control group receiving a simple-task (n=18). After 8 weeks of intervention (2 days per week), the change in depression and cognitive functions were compared between the groups. Results: General cognitive function (t=-2.81, p=.011), frontal cognitive function (Z=-3.50, p<.001), attention/working memory function (U=-2.91, p=.004), depression (t=4.96, p<.001) of the experimental group were significantly increased than those of the control group. Conclusion: The findings of the study showed that an exercise-cognitive combined dual-task program for MCI was effective in improving general cognitive function, frontal and executive function, attention/working memory function, and reducing depression.

Effects of an Integrated Cognition-Promoting Program (ICPP) on Cognitive Function, Depression, and Quality of Life on the Elderly Living at Home (통합인지증진프로그램이 재가 노인의 인지기능, 우울 및 삶의 질에 미치는 영향)

  • Lee, Ok Kyun;Suh, Gil Hee;Kim, Geun Myun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.27 no.1
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    • pp.53-63
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    • 2020
  • Purpose: This study aimed to investigate the effects of the ICPP on cognitive function, level of depression, and quality of life of older adults. Methods: This study follows a pretest-posttest, non-equivalent control group, quasi-experimental design. The subjects of this study were elderly people aged 65 years or older registered at comprehensive social welfare centers. A total of 42 participants took part: 21 in the control group and 21 in the experimental group. Data collection was conducted between September 18, 2017 and November 2, 2017. The ICPP was conducted for the experimental group for 6 weeks as a group program (3-4 times a week, for a total of 20 sessions). The control group underwent a simple exercise program for 6 weeks (once a week, for a total of 6 sessions). Results: The experimental group showed significant improvement in their cognitive function, level of depression, and quality of life. Conclusion: These results suggest that the ICPP helps improve cognitive function, alleviates depression, and increases quality of life, and is expected to be an effective nursing intervention for older adults.

The Effect of Laughter Therapy on Anxiety, Depression and Stress of Cancer Patients Admitted to Long-Term Care Unit

  • Kim, Seongeun;Kim, Miseon;Jeong, Hyeoncheol
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.197-204
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    • 2021
  • Objective: This study is based on a parallax design before and after a non-equivalent control group to examine the effects of laughter therapy on the anxiety, depression, and stress in patients with cancer admitted to a nursing hospital. Design: A randomized controlled trial. Methods: Data collection was conducted on 34 patients who agreed to participate in the study among patients admitted to E Cancer Hospital from September to November 2018. Laughter treatment interventions were performed three times a week for 50 minutes each and a total of eight times. In this study, a tool developed by Spielberger was used to measure state anxiety, a tool developed by Beck was used to measure depression, and the Perceived Stress Scaled eveloped by Cohen was used to measure stress. Results: Anxiety was significantly lower in the experimental group than in the control group (F=10.74, p=0.003). Depression was lower in both the experimental group and the control group that did not participate in the laughter therapy intervention and was not significant (F=0.58, p=0.451). Stress was significantly lower in the experimental group than in the control group (F=4.36, p=0.045). Conclusions: The results of this study suggest that laughter therapy has a positive effect on reducing anxiety and stress in patients with cancer admitted to nursing hospitals.

The Effect of Exercise for Activity of Daily Living and Depression in Stroke Patients (운동요법이 뇌졸중 환자의 일상생활동작과 우울에 미치는 효과)

  • Song, Kyoung-Hwa;Park, Hyoung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.146-154
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    • 2001
  • The purposes of this study was to determine the effect of exercise in stroke patients and to define to strategy to promote their activity of daily living, decrease to their depression. The experiemental design was designed nonequivalent control group non-synchronized design. The study method had been done by investigating the experimental group and control group through the questionaire on 60 patients who had been in patient department in D University hospital and K University hospital in Busan from November 5th, 2000 to the end of February 28th, 2001. Exercise was conducted by the researcher and was carried out experimental group once per day for 20 minutes for daily fourteen days. ADL check List tool by Kang and Center of Epideilogic Studies-Depression (CES-D) were used for measurement in this study. The data was analyzed by means of freqency, percentage, $mean{\pm}SD$, t-test, chi-square test and ANOVA with SPSS/PC. The results were summarized as follow; 1. The experimental group which received exercise should be higher in activity of daily living than the control group was supported (t=2.70, P=.009). 2. The experimental group which received exercise should be lower in depression than the control group was not support(t=-1.120, P=.267) but experimental group post-pre depression score support(t=7.247, P=.000). 3. Factors influencing the activity of daily living measured are payer of medical expenses (F=3.98, P=.018) and complications(t=3.97, P=.056). 4. Factors influencing the depression measured are economic status(F=5.71, P=.009) and caregivers (F=3.09, P=.045). In conclusion, the exercise incresed the activity of daily living and effect on depression of stroke patiens. Based upon these results, it is recommended that the nurses who take care of stroke patients such as exercise.

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