• 제목/요약/키워드: psychological adaptation

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혈액투석환자의 자아존중감, 건강증진행위와 삶의 질과의 관계연구 (A Study on Self-Esteem, Health Promoting Behavior and the Quality of Life of the patients undergoing Hemodialysis)

  • 전정자;정영미;조현민;김정식;백옥희;김정희;박진희
    • 성인간호학회지
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    • 제12권1호
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    • pp.134-146
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    • 2000
  • This study was conducted to investigate the relationship between self-esteem, health promoting behavior and the quality of life of the patients undergoing hemodialysis. The subjects were 86 patients undergoing hemodialysis in H hospital. The data were collected using a questionnaire. Data collection was done from January 11th to June 16th, 1999. The analysis of data was done by use of descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient and Multiple regression using the SPSS/PC+ program. The results are as follows: 1. The mean of the level of self-esteem was 25.02, the level of health promoting behavior, 120.04 and the level of QOL, 128.09. 2. Test for hypothesis: Hypothesis 1. "The higher the level of self-esteem of the patients undergoing hemodialysis, the higher the level of quality of life will be." was supported(r=.296, p<.01). Hypothesis 2. "The higher the level of health promoting behavior, the higher the level of quality of life will be." was supported (r=.628, p<.001). 3. Health promoting behavior explained 39.5percent of QOL($R^2$=.395, F=27.040, p<.001). 4. Monthly income(F=3.85, p<.01) and marital status(F=4.64, p<.05) were significantly related to the quality of life In conclusion, this study showed that self-esteem and health promoting behavior may be important factors that can improve the quality of life of the patients undergoing hemodiaysis. This study identified that nursing plans should include these factors to help physical, psychological and social adaptation of the patients undergoing hemodialysis.

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공군장병의 거부민감성과 우울 및 불안의 관계에서 학교폭력 피해 경험의 조절효과 (The Moderating Effects of School Violence Victimization Experiences in the Relationships between Airmen's Rejection Sensitivity, Depression, and Anxiety)

  • 박원주
    • 한국산학기술학회논문지
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    • 제19권4호
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    • pp.353-361
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    • 2018
  • 본 연구의 목적은 공군 장병들의 거부민감성이 우울 및 불안에 영향을 미치는지 알아보고 이러한 관계에서 과거 중 고등학교 시절 학교 폭력 피해 경험이 조절 효과를 보이는지 알아보는 것이다. 또한 이러한 연구 결과를 토대로 군 장병들의 군 생활 적응에 있어 위험 요소들을 찾고 이들의 심리적 적응을 향상시키는 방안을 제시하고자 한다. 이를 위해 S시에 소재하는 공군 장병 126명을 대상으로 거부민감성, 우울, 불안, 학교 폭력 피해 경험을 측정하는 설문지를 실시하였다. 조절효과를 검증하기 위해 거부민감성, 학교 폭력 피해 경험, 이들 간의 상호 작용 항을 투입하여 위계적 회귀분석을 실시하였다. 연구 결과, 거부민감성과 우울의 관계에서 학교폭력 피해 경험의 조절 효과는 유의미하였으며, 거부민감성과 불안의 관계에서 학교 폭력 피해 경험의 조절 효과도 역시 유의미하였다. 이를 통해 학교 폭력 피해 경험은 거부민감성이 우울 및 불안에 미치는 영향을 증가시킴을 알 수 있었다. 이들의 상호작용 패턴에 대해 단순 주효과 기울기 분석을 통해 확인하였다. 마지막으로 연구 결과를 통해 학교폭력피해 경험이 군생활 적응의 고위험 요소이며 이들을 위한 상담적 개입의 중요성 등에 대해 논의하였다.

혈액투석 환자의 치료에 대한 믿음, 질병 통제감과 우울, 건강 관련 삶의 질과의 관계 (Relationships between Treatment Belief, Personal Control, Depressive Mood and Health-related Quality of Life in Patients with Hemodialysis)

  • 차지은;이명선
    • 성인간호학회지
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    • 제26권6호
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    • pp.693-702
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    • 2014
  • Purpose: The purpose of this study was to examine the relationships between treatment belief, personal control, depressive mood, and health-related quality of life in patients with hemodialysis based on self-regulation theory. Methods: Data were collected from 220 patients at 27 local hemodialysis clinics in Seoul during 2013 and 2014. The Revised Illness Perception Questionnaire, the Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were used to measure outcome variables. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression using the 'enter' method. Results: Treatment belief and personal control scored 3.58 and 3.54 out of 5 points respectively, on average. Treatment belief and personal control of kidney disease were negatively correlated with depressive mood and positively correlated with health-related quality of life. According to the regression analysis, treatment belief, monthly income, and personal control were discovered to account for 21.8% of the variance in depressive mood, where as depressive mood, monthly income, treatment belief, and age were found out to account for 40.6% of the variance in health-related quality of life. Conclusion: Our study demonstrated significant positive relationships between treatment belief and illness outcome in hemodialysis patients. Interventions aimed to provide the necessary information and trust to maximize the effectiveness of treatment need be developed to improve patients outcomes.

초보간호사의 대인관계능력, 직무 스트레스, 스트레스 대처유형이 이직의도에 미치는 영향: 직무 스트레스를 중심으로 (Impact of Interpersonal Relationship Ability, Job Stress, and Stress Coping Type on Turnover Intention of Nurses in the Early Stage of their Careers: Focusing on Job Stress)

  • 정자용;김철규
    • 한국직업건강간호학회지
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    • 제27권1호
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    • pp.36-47
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    • 2018
  • Purpose: This study aimed to examine the effects of interpersonal relationship ability, job stress, and stress coping type on the turnover intention of nurses in the early stage of their careers. Methods: Data were collected from 136 early stage nurses from two general hospitals and one tertiary hospital in Chungbuk province. An early stage nurse was defined as the nurse with a work experience of 3 to 36 months. The collected data were analyzed using independent t-test, one-way ANOVA, Mann-Whitney U test, Person's correlation coefficient, and stepwise multiple regression. Results: It was seen that turnover intention had a negative correlation with interpersonal competency (r=-.20, p=.020) and a positive correlation with job stress (r=.56, p<.001). Job stress due to work over load, inadequate compensation and working environment, interpersonal relationship ability, and length of clinical career were significant factors influencing turnover intention (p<.05). These variables explained for 50.4% of the variance in turnover intention. Conclusion: It is necessary to develop an interpersonal relationship ability improvement program to decrease turnover intention among early stage nurses by helping them to successfully adapt to their job. Moreover, it is important to bring about continuous improvements in terms of provision of adequate workload and appropriate rewards, and creation of a suitable work environment to reduce the job stress of early stage nurses.

한국 육군 일개 사단에서 군 복무 부적응자들의 정신의학적 평가 : 그린캠프 참가자들을 중심으로 (Psychiatric Evaluation of Maladaptive Male Conscripts in a Division of the Republic of Korean Army : Focus on Green Camp Participants)

  • 김주현;강석훈;예병석;황현국;서재원;채공주;이환배;김찬형
    • 대한불안의학회지
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    • 제6권2호
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    • pp.131-136
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    • 2010
  • Objectives : In this study, we aimed to elucidate the demographic and psychological characteristics of maladaptive soldiers in the Republic of Korean Army. Methods : Study participants included 110 male conscripts who had participated in the Green camp, which was a form of group psychosocial treatment program for maladaptive soldiers. All participants were interviewed and diagnosed by a psychiatrist, and classified into two groups according to whether they left or rejoined the army. We analyzed the differences between these two groups in terms of demographic features, psychiatric diagnosis and the Minnesota Multiphasic Personality Inventory (MMPI) subscores. Results : Compared with soldiers who rejoined their units, those who left military service exhibited significantly lower educational level (p=0.041) and a higher rate in psychiatric treatment prior to enlistment (p=0.011). Among the 106 subjects, 63 (59.4%) and 23 (21.7%) were diagnosed with personality disorder and adjustment disorder, respectively. Further, those who left military service were diagnosed more frequently with mood disorder (p=0.001) and schizophrenia (p=0.014) than those who rejoined their units. Additionally, the MMPI scores of soldiers who left military service were significantly higher on the psychasthenia (p=0.028) and schizophrenia (p=0.039) scales than those of soldiers who rejoined their units. Conclusion : Most of the maladaptive soldiers were diagnosed with mental disorders. The results of this study suggest that systematic, consistent psychiatric evaluation and intervention for maladaptive male conscripts is crucial in the Republic of Korean army.

Effect of Three Different Species of Hay on Dry-matter Intake and Serum Cortisol of Ewes

  • Sekine, J.;Abdel-Rahman, Mootaz A.M.;Ismail, A.El-Moez A.;Dosoky, R.M.;Kamel, H.E.M.;Hishinuma, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권9호
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    • pp.1297-1302
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    • 2003
  • To determine whether the feeding of different species of hay affects the dry-matter intake and the serum cortisol level of sheep, 6 non-pregnant, non-lactating ewes were offered alfalfa (Medicago sativa) hay (Al), oats (Avena sativa) hay (Ot) and perennial ryegrass (Lolium perenne) hay (Pr) under 6 kinds of treatment including 1) change from Al to Ot, 2) Al to Pr, 3) Ot to Al, 4) Ot to Pr, 5) Pr to Al, and 6) Pr to Ot. The experimental design was a 6${\times}$6 Latin square with a 14 day period of which 9 days were a preliminary period and 5 days as a digestion trial period. The change in hay feeding was done abruptly on the first day of each period without an adaptation period. The blood from the jugular vein was collected on the first, third and the last day of each period through a sterile catheter for the analysis of cortisol. The dry-matter intake was recorded daily throughout the period. The mean daily intake of dry matter (DM, g/kg live weight) was significantly different among the 3 species of hay (Al>Ot>Pr; p<0.05). The digestibility of DM for Al and Ot was the same, but that for Pr was significantly lower than Al and Ot (p<0.05). The mean serum cortisol levels were significantly different among the hays (p<0.05). The level for Pr was the highest and that for Al was the lowest. The abrupt change of hay feeding of 6 treatments produced a significant change in the serum cortisol levels. The DM intake was inversely related to the change of the cortisol level. It is suggested that the animal' intake response to different species of hay may be partly motivated by the psychological feelings toward the hay offered.

치료 중인 암 환자들의 심리사회적 어려움에 관한 포커스 그룹 연구 (Focus Group Study on Psychosocial Distress of Cancer Patients)

  • 이명선;김종흔;박은영;김종남;유은승
    • 성인간호학회지
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    • 제22권1호
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    • pp.19-30
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    • 2010
  • Purpose: The purpose of the study was to describe psychosocial difficulties experienced by cancer patients. Methods: Three focus group interviews were conducted to collect the data from 19 outpatients with cancer undergoing treatments during 2009. All interviews were audio-recorded and transcribed verbatim. The data were analyzed using constant comparative analysis of grounded theory. Results: As a result of constant comparative analysis, 'psychosocial distress' was identified as a core category, and seven subcategories were identified. 'Plunged into negative emotions' and 'damaged self-identity' were identified as major categories in the individual dimension. 'Difficulty in dealing with diagnosis' and 'hasty expectations and concerns' were identified in the dimension of family. 'Inefficient communication' and 'lack of necessary information' were identified in the dimension of health care setting. 'Lonely journey into a strange territory' was identified in the dimension of society. Conclusion: The results of the study indicate that cancer patients experience a wide range of psychosocial problems. Thus, in assessing and relieving psychosocial distress of cancer patients, it is necessary to focus not only on the level of the individual but also on the levels of family, health care setting, and society in general is necessary.

메르스 환자 간호에 대한 간호사의 경험 (Nurses' Experience of Middle East Respiratory Syndrome Patients Care)

  • 김지영
    • 한국산학기술학회논문지
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    • 제18권10호
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    • pp.185-196
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    • 2017
  • 본 연구의 목적은 메르스 환자 간호에 대한 간호사의 실제적인 경험을 파악하기 위함이다. 본 연구에 참여한 대상자는 S시 1개 상급종합병원에서 메르스 환자 간호에 참여한 간호사 9명이며, 자료 수집을 위해 심층 면담이 수행되었다. 자료수집 기간은 2015년 8월부터 2016년 3월까지였다. 수집된 자료는 Colaizzi의 현상학적 방법에 따라 절차에 맞게 분석하였다. 도출된 5개의 범주는 다음과 같다. '1. 신종 감염병 전염 위험성에 따른 불안과 부담', '2. 메르스 환자 간호사라는 이유로 느끼는 사회적 고립', '3. 준비되지 않은 치료환경 문제에 부딪힘', '4. 힘겨운 메르스 환자 간호과정을 이겨냄', '5. 신종 감염병 대책 마련에 대해 성찰함'이었다. 이와 같은 결과는 메르스 환자를 포함한 다양한 감염병 환자를 담당하는 간호사의 부정적 영향 뿐 아니라, 긍정적인 경험을 도출했다는데 의의가 있다. 이를 바탕으로 심리사회적 부정적 영향을 감소시키고, 긍정적인 적응을 향상시키는데 근거로 활용될 수 있을 것이며, 간호사를 포함한 보건의료 종사자가 신종 감염병 환자를 간호하기 위한 인력, 부서 및 실무지침 마련이 필요하다고 생각된다.

통합적 교육프로그램이 진단 직후 유방암 환자의 지식, 자기효능감 및 대응방식에 미치는 효과 (The Effects of a Comprehensive Education Program on Knowledge, Self-Efficacy, and Coping Style among Newly Diagnosed Patients with Breast Cancer)

  • 이건숙;이란;김동미;김수현
    • 종양간호연구
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    • 제12권1호
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    • pp.35-43
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    • 2012
  • Purpose: The purpose of the study was to identify the effect of a comprehensive education program on knowledge, self-efficacy for self-management, and coping style among newly diagnosed patients with breast cancer. Methods: This study used a one group pretest-posttest design. Data were collected from April to September, 2010 at a cancer-specific hospital in Goyang, Korea. One hundred forty three women received a comprehensive education program consisting of 3 sessions composed of 8 themes was conducted by several experts (nurses, doctors, dietitians and clinical psychologists) for 3.5 hours a day for 3 days (1 day before and 2 days after the operation). Results: This study showed that knowledge and self-efficacy for self-management significantly increased after education (p<.001). In terms of coping style, however, only the subscale, 'anxious preoccupation', significantly improved (p=.001) among 5 sub-scales of coping style after education. Conclusion: A comprehensive education program for newly diagnosed patients with breast cancer was effective for increasing the knowledge and self-efficacy for self-management of breast cancer, in addition to decreasing the coping style of 'anxious preoccupation'. However, it did not improve other coping style. Therefore, other strategies for improving coping style are needed.

도시 녹지 가치 평가를 위한 탄소 흡수량 추정 - 서울시를 대상으로 - (Estimation of Carbon Uptake for Urban Green Space: A Case of Seoul)

  • 이동근;박진한;박찬
    • 환경영향평가
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    • 제19권6호
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    • pp.607-615
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    • 2010
  • Urban green space is often at the centre of the debate on urban substantiality because it provides functions of space, e.g. for wildlife, recreation, growing vegetables, psychological wellbeing, social interaction, etc. Traditionally, the various functions of urban green spaces clearly show that green spaces contain important values that contribute to the overall quality of urban life. After Kyoto protocol, it has becoming important to more accurately evaluate carbon uptake by urban green space. Many studies have analyzed the benefits, costs, and carbon storage capacity associated with urban green space. These studies have been limited by a lack of research on urban tree biomass and carbon uptake by soil, such that estimates of carbon storage in urban systems. This study calculate more accurately the amount of carbon uptake by urban green space. This study also complement the existing methods to estimate the urban green space carbon uptake. It has been studied how to evaluate carbon uptake function of urban green space. The surface area of urban green space increased 5% by complemented method and carbon uptake is also increased. Based on this result, the carbon uptake per capita was analysed and compared to the area of carbon uptake. And this study discussed the reasons for the differences between the new and earlier estimates, as well as implications for our understanding of the global carbon cycle. In conclusion, these results could contribute as preliminary data to policy makers when climate change adaptation strategy is established.