• 제목/요약/키워드: physical psychological and social health

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교대근무 간호사의 정신신체사회적 문제에 대한 연구 (The Psychophysicosocial Distresses in Nurses with Shift Work)

  • 강범모;양창국
    • 수면정신생리
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    • 제6권1호
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    • pp.61-67
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    • 1999
  • 목 적 : 본 연구의 목적은 간호사들의 심인적, 신체적 그리고 사회적 적응에 대한 교대근무의 영향을 조사하는데 있다. 방 법 : 299명(교대근무 179, 비교대근무 120)의 간호사를 대상으로 본 연구의 목적에 알맞게 고안된 56항의 설문지를 이용하여 조사하였다. 결 과 : 교대근무는 간호사들의 심인적, 신체적, 사회적 그리고 수면관련 요소에 부정적인 영향을 미치고 있었다. 교대 근무 간호사들의 심인적, 신체적 건강에 대한 주관적인 인식이 비교대 근무자들에 비하여 유의하게 부정적이었다. 교대근무 간호사들은 비교대근무 간호사들에 비하여 교대근무와 관련된 사회생활의 장애 및 사회활동의 제한을 호소하고 있었고, 수면과 관련된 장애들을 유의하게 더 많이 호소하고 있었다. 결 론 : 본 연구결과는 교대근무가 정신생리적 기능의 일주기 리듬에 장애를 초래할 수 있기 때문에 교대근무자들의 정신적, 신체적 건강에 부정적인 영향을 줄 수 있음을 뒷받침 한다. 또한 교대 근무자들은 가족 및 일반적인 사회관계에서 여러움을 겪고 있음을 알 수 있다. 이상의 결과들은 교대근무의 부작용을 최소화하기 위한 적절한 대응전략이 필요함을 시사한다.

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성공적인 노화 정의를 위한 문헌연구 (In Search of a Definition of Successful Aging: A Review of Literature)

  • 홍현방;최혜경
    • 가정과삶의질연구
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    • 제21권2호
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    • pp.145-154
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    • 2003
  • As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

사회적 지표에 나타난 학생의 모습이 국가 교육과정 설계에 주는 시사점: 보건교육 강화를 중심으로 (Study on the Students' Life Reflected in Social Indices and Its Implications for National Curriculum Design Focusing on School Health Education)

  • 조호제;김대석
    • 한국학교보건학회지
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    • 제27권3호
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    • pp.159-168
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    • 2014
  • Purpose: The purpose of this study is to provide implications for National Curriculum design for elementary and secondary school, by analyzing social indices of students' real life based on Oliva's three types of demand for education. Three types of demand are physical, social-psychological and educational demand. Methods: This study mainly analyzed recent research data and existing studies relevant to social indices to show students' real life. Results: Three types of social indices about educational demand showed that students have many difficulties in much learning time, lacking in sleeping time and physical activities, much stress and suicide attempt. It is supposed that learning and academic achievement is the main factor to make such kind of stress. Conclusion: Health & safety education, self-esteem inspiring education, reduction of learning burden, physical activities etc are needed to be more reflected in National Curriculum design in the future.

운동이 스트레스로부터의 심장 반응과 정서 반응에 미치는 영향 (The Effect of Physical Activity on Cardiovascular and Psychoaffective Responses to Stress)

  • 서경현;이재구
    • 보건교육건강증진학회지
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    • 제24권3호
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    • pp.21-34
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    • 2007
  • Objectives: This study aims to examined whether physical activity prevent the negative effect of psychological stress on cardiovascular reactivity by reducing stress induced sympathetic output and preventing norepinephrine depletion negative psych-affective responses. It is assumed that physical activity reduces the magnitude of cardiovascular responses and psychological responses to stress which threaten individuals' physical and mental health. The result of investigating the effect of physical activity on reducing negative physiological and psychological responses would suggest useful information health for practitioners who want to prevent stress-induced diseases, especially coronary heart disease. Methods: participants of this study were 30 students (10 males & 20 females), whose mean age was 21.30 (SD=2.29). Fifteen students (5 males & 10 females) were assigned for in each group, treatment and control groups. They were interviewed and given a survey that included a consent form, demographics sheet and psychological tests, such as State-Trait Anger Expression Inventory and State-Trait Anxiety Inventory. Before the application of psychological stress, participants in treatment group were going through with a course of physical exercise, running on treadmill 15minutes, while participants in control group were not physically active. After exercise, there was 15 minutes resting period before applying cognitive stress. During the experiment, all participants performed challenging cognitive tasks for 20minutes in situations that were designed to experience learned helplessness and measured their cardiovascular reactivity including blood pressure and heart rate every 5 minutes, until 10 minutes after finishing the application of psychological stress(recovering state). In the end of experiment, they were given some psychological test again. Results: Heart rates of exercise group were significantly higher than non-exercise group, especially, five minute after applying cognitive stress and at the end of recovery, in other word 10 minutes after stressful event. Systolic blood pressures of exercise group were lower than those of non-exercise group during the stressful event, but this differences in borderline level of significance. state anger level of exercise group decreased even experiencing stress, while those of non-exercise group increase. And state anxiety level of exercise group decreased in borderline level of significance. Conclusion: This study reiterate health benefits of physical activity and suggest that regular moderate exercise may regulate cardiovascular reactivity and psycho-affective responses from stress by reducing stress induced sympathetic output.

지체장애인의 생활체육 참여도가 자립생활도 및 사회적 체형불안에 미치는 영향 (The Impact of Participation in Sports for All on Independent Living and Social Physique Anxiety in People with Physical Disabilities)

  • 김대경;박진우;이현수;윤석민
    • 한국체육학회지인문사회과학편
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    • 제55권2호
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    • pp.657-667
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    • 2016
  • 본 연구의 목적은 지체장애인의 생활체육 참여도가 자립생활도 및 사회적 체형불안에 미치는 영향관계를 규명하고자 하였다. 연구의 목적을 달성하기 위하여 2015년도 B시, K도, U시에 생활체육대회 참가자와 생활체육에 참여하고 있는 지체장애인 311명을 대상으로 설문조사를 실시하였으며, 자료처리는 SPSS 21.0 프로그램을 이용하여 빈도분석, 신뢰도 분석, 타당도 분석, 단순회귀분석을 사용하였다. 이상과 같은 연구방법 및 자료분석의 결과를 통해 도출된 결론은 다음과 같다. 첫째, 지체장애인의 생활체육 참여도가 자립생활도 하위변인인 사회적 자립, 심리적 자립, 신체적 자립, 전체적인 자립생활도에 정적 영향을 미치는 것으로 나타났다. 둘째, 지체장애인의 생활체육 참여도가 사회적 체형불안에 부적 영향을 미치는 것으로 나타났다. 셋째, 지체장애인의 자립생활도 하위변인인 신체적 자립, 전체적인 자립생활도가 사회적 체형불안에 부적 영향을 미치는 것으로 나타났으며, 반면에 사회적 자립, 심리적 자립은 사회적 체형불안에 유의한 영향을 미치지 않는 것으로 나타났다.

중년 여성의 여가활동특성에 따른 사회적 지지와 건강상태 (Social Support and Health Status based on Characteristics of Leisure Activity of Middle-Aged Women)

  • 정명실;송지호
    • 기본간호학회지
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    • 제18권1호
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    • pp.97-106
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    • 2011
  • Purpose: The purpose of this study was to identify social support and health status based on characteristics of leisure activity in middle-aged women. Methods: Participants were 148 middle-aged women living in the capital area. Data were collected through self-report questionnaires which were constructed to include leisure activity characteristics, social support and Brodman's CMI. Data were analyzed using t-test, and ANOVA, with SPSS/WIN 14.0. Results: Social support was different depending on leisure type, leisure partner, length of participation in present activity, regularity, and motivation to start activity. Health status was different depending on the length of participation in present activity, and regularity. Conclusion: Because social support and health status depend on characteristics of leisure activity, further study in nursing one how to resolve the physical, psychological, social and health problems that middle-aged women might experience through various leisure activities.

우리나라 임금 근로자의 건강관련 삶의 질에 미치는 영향요인에 관한 연구 (Preliminary Analysis on Strategic Planning to Enter Chinese health Care Market: Focusing on SWOT-AHP Analysis)

  • 손신영
    • 보건의료산업학회지
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    • 제12권4호
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    • pp.139-154
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    • 2018
  • Objectives: The aim of this study was to examine factors influencing health-related quality of life of waged workers. Methods: This study used data from the Seventh Korea National Health and Nutrition Examination Survey. Data were analyzed with the $x^2-test$, t-test, ANOVA, and multiple regression. Results: The significant predictors of health-related quality of life were depression, subjective health status, age, activity limitation, education, worker status, monthly income, drinking, smoking, physical injury, stress, and moderate physical activity. Conclusions: Personal health characteristics, psychological characteristics, socioeconomic characetrictics and working characetrictics affect health-related quality of life. Health-related quality of life is also affected by social structural problems such as socioeconomic factors and employment instabilitye. In addition to the development of health care programs to improve health-related quality of life of twaged workers, policy changes are needed to improve the social structure.

치매환자 가족부양자의 부양부담과 건강 및 삶의 질에 대한 사회지원의 중재효과 (The Moderate Effect of Social Support on Family Caregivers' Burdens and Health and Quality of Life with Demented Patients)

  • 서경현;천경임
    • 한국심리학회지 : 문화 및 사회문제
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    • 제15권3호
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    • pp.339-357
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    • 2009
  • 본 연구의 목적은 한국사회가 고령화되고 있는 시점에서 치매환자 가족부양자의 부양부담과 사회지원이 건강 및 삶의 질과 어떤 관계가 있는지를 탐색하고, 부양자의 건강 및 삶의 질에 대한 부양부담과 사회지원의 상호작용을 검증하는 것이다. 본 연구의 참여자는 서울, 경기, 충청 지역에 거주하는 치매환자 가족부양자 207명(여: 106)이었으며, 그들의 평균 연령은 51.62(SD=9.25)세였다. 본 연구에서 사용된 심리검사는 다차원부양자부담설문지, 전겸구의 신체증상척도, 한덕웅과 장은영의 건강지각척도, 자기진술 부정정서질문지, Cambell의 주관안녕척도, MOS의 사회지원질문지, 권중돈의 치매노인 부적응문제척도이다. 분석 결과, 치매환자 가족부양자의 부양부담은 신체증상이나 우울과는 정적으로 건강지각이나 주관안녕과는 부적으로 관계하고 있었다. 사회지원은 치매환자 부양부담이 건강지각, 우울 및 주관안녕에 미치는 영향을 중재하는 것으로 나타났다. 이는 치매환자 부양에 따른 부정적 효과에 대해 완충 작용을 할 수 있는 것을 의미한다. 부양부담이 가족부양자의 신체증상과 우울의 변량을 30~40% 가량이나 설명하고 있었기 때문에 결과를 부양자의 건강이나 삶의 질의 중재를 중심으로 논의하였다. 사회지원이 부양부담 수준에 따라 다르게 작용하는 것 외에도 치매증상이 더 심각할 경우 사회지원이 적은 것 등과 관련해서도 선행연구를 바탕으로 논의하였다.

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노년기 성에 대한 동.서 간호학적 고찰 (Literature View of East-west Nursing on Elderly Sexuality)

  • 김귀분;석소현;오혜경
    • 동서간호학연구지
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    • 제5권1호
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    • pp.75-89
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    • 2000
  • Today, elderly population have tendency to increasing much fast in the world. As aging. elderly people have been changing more in physical, psychological, mental and there is spring to more concerns of health management on old period. But particularly sexuality have been little viewed in health management of elderly people. This is considered that there is bring on complex issues of mental-social, social. cultural, psychological, physical situation with negligence of sexuality on elderly-selves. This research was attempted to provide as basic data for east-west nursing intervention of elderly sexuality through literature view about east-west nursing view and management on elderly sexuality that we attend yet. Conclusively, oriental nursing management, for sexual management of elderly people, is ; 1. Decrease coitus times as physical conditions. 2. If sexual need is present, it don't inhibit painfully. 3. Somebody who have hepatitis, diabetes, heart disease, poor constitution avoids coitus. And western nursing management, for sexual management of elderly people, is ; 1. There is approaching with psychological, pharmacological, technical, surgical area in healthy sexual rehabilitation by Smith(1999). 2. Psychological-Social approaching method by Hooyman & Kiyalk(1996) can be provided for elderly sexuality. As this, concrete nursing intervention can be applied and additional counsel is needed with professional medical-nursing team. Through there understand and percept importance and need of elderly sexuality management on results of literature view, as above, concrete east-west nursing intervention of elderly sexuality will be researched. And research which confirm the meaning, How elderly people, themselves have been perceived, will be processed. This will have more contribution on elderly-oriented nursing intervention without false viewing of elderly sexuality.

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재가암 환자 통합건강증진 프로그램 개발 및 효과 (Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home)

  • 윤희상;황은아
    • 지역사회간호학회지
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    • 제32권1호
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    • pp.51-63
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    • 2021
  • Purpose: This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a χ2 test, Fisher's exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors' comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.