• 제목/요약/키워드: psychological stability

검색결과 324건 처리시간 0.027초

특발성 안면신경마비 환자의 입원치료 경험에 대한 질적 연구 (Admission Care for Bell's Palsy Patients: A Qualitative Report on Patient Experiences)

  • 이승민;양성필;김은석;이민준;박지민;남동우;강중원;이상훈
    • Journal of Acupuncture Research
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    • 제30권5호
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    • pp.11-23
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    • 2013
  • Objectives : The aim of this study was to explore the experiences of patients admitted for Bell's palsy in a Korean medicine hospital to identify whether admission is necessary and beneficial. Methods : A semi-structured interview was conducted on 9 patients who had experience in both the inpatient and the outpatient treatment for Bell's palsy. Their experiences from inception of first symptoms to admission into the Facial Palsy Center in Kyung Hee University Korean Medicine Hospital were interviewed along with their thoughts and feelings. The interviews took place after discharge home at a pre-scheduled date and time in a quiet room at the hospital between July 2013 and August 2013. The subjects were purposefully selected until saturation of information was met. Results : Nine participants were interviewed and patients' concerns and priorities were identified. At the acute stage, patients experienced anxiety and all of the female patients and one male patient felt embarrassed of their facial disfigurement. With time, the patients felt impatient of their symptoms and turned to Korean medicine for additional treatment. Providing psychological stability seemed to be an important factor for patients. Conclusions : This study provides insight into the experiences of patients with Bell's palsy, and is significantly the first ever qualitative report to focus on the patient's needs and concerns during admission care for symptoms of Bell's palsy. Admission care can provide many physical and psychological benefits for the patients especially during the acute stage.

내장산국립공원(內藏山國立公園)의 식물군집(植物群集) 및 이용행태(利用行態)에 관한 연구(硏究)(II) -이용객(利用客) 영향(影響) 및 행태(行態)- (Studies on the Structure of Plant Community and Visitor's Activities in Mt. Naejang National Park(II) -User's Impact and Activity-)

  • 이경재;오구균;조재창
    • 한국산림과학회지
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    • 제77권4호
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    • pp.401-413
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    • 1988
  • 내장산국립공원 내장사지구의 이용객심리행태 및 환경에 대한 이용객영향을 조사하기 위해서 3개의 주요피크닉지역에서 설문조사와 순간밀도조사를, 주요통과지점에서 출입객 수 조사를 하였으며 환경영향은 실측조사를 하였다. 총탐방객 수는 1984년부터 100만명/연 수준으로 안정을 보이고 있었다. 환경영향은 등산로와 케이블카 종점부근, 전망대와 금선계곡간 사면에서 매우 심하였다. 봄철 피크시에는 약 5,000명, 가을 단풍철 피크시에는 약 53,000 명이 동시에 체류하는 것으로 추정되었다. 총입장객 중 약20% 가금선 및 원적계곡을 이용하였고, 나머지 80%는 잔디광장, 케이블카만 이용하고 퇴장하는 것으로 나타났다. 이용특성은 원거리형 국립공원형이었으며, 가을철 단풍구경이 주이용동기이었다. 이용면적증가에 따른 이용객의 만족도는 유의하게 차이를 나타내지 않았으며, 직각회전방법에 의한 인자분석결과, 이용객의 만족도에 크게 영향을 미치는 제1인자는 주변경관에 관한 인자로 자연파괴, 혼잡도, 소음, 주변청결상태 순으로 부하되어 있었다. 다음으로 영향을 미치는 제2인자는 시설관리인자로서 화장실 수, 쓰레기통 수, 식수량, 안전성 순으로 부하되어 있었다.

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Short Sleep Duration and Its Correlates among Cancer Survivors in Korea: the Korea National Health and Nutrition Examination Surveys

  • Yoon, Hyung-Suk;Yang, Jae Jeong;Song, Minkyo;Lee, Hwi-Won;Lee, Yunhee;Lee, Kyoung-Mu;Lee, Sang-Ah;Lee, Jong-koo;Kang, Daehee
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권11호
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    • pp.4705-4710
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    • 2015
  • Background: Though a large proportion of cancer survivors are assumed to be commonly affected by sleep disturbance, few studies have focused on short sleep problems and its correlates among Korean cancer survivors. The purpose of this study was to evaluate the prevalence of short sleep in adult cancer survivors from a nationwide population-based sample and to identify risk factors for short sleep duration. Materials and Methods: Based on the fourth and fifth Korea National Health and Nutrition Examination Surveys (2007-2012), 1,045 cancer survivors and 33,929 non-cancer controls were analyzed. The prevalence of short sleep was compared between these two groups. Associations between short sleep and its correlates were evaluated using multiple logistic regression among cancer survivors: odds ratios (ORs) and 95% confidence intervals (95%CIs) were estimated after adjusting for sociodemographic factors, lifestyle factors, psychological conditions, and cancer-related factors. Results: About 8.1% of cancer survivors slept for less than 5 hours per day (6.2% men and 9.3% women), whereas this was the case for only 3.7% of non-cancer controls. Cancer survivors who had the lowest household income level showed a significantly higher likelihood for short sleep (adjusted OR 2.82, 95%CI 1.06-7.54). Self-reported poor health and depressive symptoms were found to be associated with significantly increased likelihood for short sleep in cancer survivors (adjusted OR 3.60, 95%CI 1.40-9.26 and adjusted OR 2.00, 95%CI 1.17-3.42). Gastric cancer survivors had a 3.97-fold increased risk for short sleep (95%CI 1.60-9.90). Conclusions: The prevalence of short sleep occurs at a high rate among the Korean cancer survivors, which may indicate a poorer quality of life and a higher risk of future complications in survivorship. Targeted interventions that can assist cancer survivors to cope with sleep disturbances as well as ensuring psychological stability are warranted to reduce the latent disease burden.

화병역학연구 자료를 기반으로 한 화병 환자의 특성 (The Characteristics of Hwa-byung Patients Based on Hwa-byung Epidemiologic Data)

  • 김종우;정선용;서현욱;정인철;이승기;김보경;김근우;이재혁;김낙형;김태헌;강형원;김세현
    • 동의신경정신과학회지
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    • 제21권2호
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    • pp.157-169
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    • 2010
  • Objectives : The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods : The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionaires, and Framingham coronary risk score(FRS). Results : 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%). But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, pallpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions : This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. so we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the neccesity of development of Clinical Guideline of HB.

우리나라 소화기암 환자들의 대체의료이용에 관한 연구 (Use of Complementary and Alternative Medicine among Cancer Patients in Korea)

  • 정은영;한동운;최병희;김유겸;박연희
    • 동의생리병리학회지
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    • 제21권6호
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    • pp.1590-1596
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    • 2007
  • Complementary and alternative medicine (CAM) has gained in popularity among cancer patients in recent years. The use of CAM in cancer patients is common with about one third of patients using some form of CAM in Western countries. The purpose of this study was to analyze the use of CAM and determine what factors affect to use CAM among cancer patients to provide CAM therapy information and assist therapy selection among various CAM therapies to cancer patients. The design of the study was descriptive cross-sectional, and data were collected using a 16-item questionnaire. This study was conducted in subjects with confirmed diagnosis of stomach, colon, liver, or pancreas cancer, in both out-patients clinics and inpatients setting in a tertiary hospital in Seoul Korea. As a result, among the participants, past or current CAM use was reported by 75%, which shows a statistically significant difference in income groups(P<0.05), but no difference in age and religion groups. The most common therapies use by cancer patients included traditional Korean medicine (32.1%), folk remedies (26.6%), exercise (14%), dietary supplements (11.6%), physical therapy (9.9%), diet therapy (5%), and meditation (4%). 77.8% of patients show satisfaction and 64.4% shows perceived effectiveness of CAM. Male patients with higher income, and previous treatment were more likely to use CAM. The main benefits from CAM reported by cancer patients were psychological improvement and symptom improvement. Of the cancer patients used CAM, 30.9% were dissatisfied, 25.8% did not have benefits from the use, and 7.6% experience side effects. Cancer patients who prefer CAM (more than 3 kinds) used it to cure cancer, on the contrary, the one who do not prefer CAM used to improve symptoms and psychological stability. The main sources of information about CAM were family and friends(54.4%), and media(24.5%), doctor and nurse(18.3%), and religion group(2.6%). Findings suggest that due to the relatively high use of CAM among cancer patients in Korea, this topic should be taken into account in the development of a holistic approach to cancer patients and efficient cancer patients management system and proactive and consistent management of CAM is necessary in the health care system in Korea.

고객의 심리적 안정감을 위한 사설 경호업무 연구 (Research on Private Security for the Psychological Stability of a Client)

  • 박정훈
    • 시큐리티연구
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    • 제18호
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    • pp.55-72
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    • 2009
  • 사설 경호업무의 성공적인 임무 수행능력은 개인의 자질로 평가되기도 한다. 하지만 경호업무의 수행능력은 본인의 능력만으로 결정 되는 것은 결코 아니다. 경호원 개인이 속한 회사의 교육적 발전이 계속되어야 팀과 개인의 임무수행능력이 우수한 평가를 받을 수 있다. 이는 CP의 역할을 하는 회사의 인지도 역시 같은 평가와도 직결 된다. 안전 불감증에서 탈피하고자 하는 안전과 행복에 대한 기본적인 반복 교육은 참된 인식을 갖고 활동 되어져야할 것이다. 불투명한 미래속의 불안으로 부터의 해방은 경호 요원 개인의 기술과 역량만으로 결정되어지는 것이 아니라는 것을 반드시 인지하여야 한다. 개인이 능력이 팀원을 대표하는 것이 아닌, 전체 팀원의 하나 된 만족스런 결과로부터 안전 관리 유지는 이루어지며, 의뢰 고객의 만족 결과가 곧 경호원 개인의 만족도를 향상시키는 결과로 작용해야 한다는 것이다. 그리고 경호원 개인의 활동을 올바른 규정으로 규제한 교육이 이루어지는 회사와 대표의 능력이 반드시 뒷받침되어야 비로소 경호원으로서의 개인적 자질과 팀의 만족도가 동반 상승 되어질 것이 분명하다. 본 연구는 경호수행 과정에서 의뢰인의 안정된 심리상태가 유지되어지는데 필요한 교육 자료로 활용하고자 하는데 목적을 두고자한다. 이는 고객의 요구하는 경호원의 업무능력에 근접하는 방법은 교육을 통해 이루어지기 때문이다.

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대학신입생의 자살위험성에 영향을 미치는 융합적 요인 (Convergence Factors Affecting Suicide Risk of University Freshmen)

  • 강문희;김선희;오은진
    • 한국융합학회논문지
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    • 제10권11호
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    • pp.471-479
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    • 2019
  • 본 연구는 대학신입생의 ADHD, 우울, 불안 및 자살위험성 파악과 자살위험성 관련 융합적 요인들의 상관관계를 알아보고 대학신입생의 자살위험성에 영향을 미치는 요인을 파악하고자 수행된 연구이다. 연구결과 대상자의 자살위험성과 ADHD, 우울 및 불안간의 상관관계는 모두 통계적으로 유의한 것으로 확인되었다. 자살위험성과 ADHD(r=-.411)의 상관관계는 중간정도의 음의 상관관계, 우울(r=-.594) 과 불안(r=-.563)은 각각 높은 음의 상관관계가 확인되었다. 로지스틱 회귀분석 결과, 대학신입생의 자살위험성에 유의한 영향요인은 ADHD, 우울, 불안으로 각 변수들의 abnormal 군에서 ADHD(OR=3.17; 95% CI 1.36-7.38), 우울(OR=10.80; 95% CI 4.32-27.02), 불안(OR=3.39; 95% CI 1.55-7.41)이 영향요인으로 확인되었다. 이처럼 대학신입생의 자살위험군은 ADHD, 우울, 불안과 높은 관련성을 가지고 있으므로, 추후 대학신입생의 개인상담 및 정기적인 심리검사 실시하여 자살 고위험군에게 관리프로그램을 실시함으로써 학생들의 심리적 안정과 학교생활 적응에 도움이 될 것이다.

Information Technologies in the Formation of Environmental Consciousness in Future Professionals

  • Tomchuk, Mykhailo;Khrolenko, Maryna;Volokhata, Kateryna;Bakka, Yuliia;Ieresko, Oleg;Kambalova, Yanina
    • International Journal of Computer Science & Network Security
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    • 제22권1호
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    • pp.331-339
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    • 2022
  • The global process of transition from industrial to information society, as well as socio-economic changes taking place in Ukraine, require significant changes in many areas of state activity. It is especially connected with the reforms in the sphere of education. Today, national programs provide for the development of education on the basis of new progressive concepts, the introduction of the educational process of new pedagogical technologies and scientific achievements, the creation of a new system of information education, entrance of Ukaine into the transcontinental computer information system. Information technologies are qualitatively changing the key resources of development: this is no longer a space with fixed production, but primarily mobile finance and intelligence. They have a direct impact on the formation of personal growth, professional content and self-organization, emotional and psychological maturity and consciousness, and so on. One of the main factors in ensuring the stability and social education of the country's citizens is the culture of security, the formation and development of which is an urgent problem today. Comprehensive and systematic development of security culture will significantly increase the readiness of the population, the level of environmental, labor and patriotic education, reduce human losses, material damage from emergencies. Ecological education can be carried out more successfully only gradually and in accordance with the socio-psychological periods of one's development: kindergarten - school - college - university. The creation of such a system of environmental education should be enshrined as the basis of state environmental policy as a constitutional norm with the usage of information technology. Graduates of universities, who are the future of our country, after mastering the skills of basic environmental education must have a high level of environmental culture, which is, in turn, part of general human culture, and investigate environmental issues from the standpoint of their profession. It is known that with the help of environmental education the collective intelligence of society is formed, which can predict human activities and processes occurring in nature, and in some way to help with the elimination of crises. It is through environmental education that another system of human values is being formed, which places great emphasis on intangible wealth and solidarity, and great responsibility of humanity for the ecological state of the native country; provides a higher standard of living as a result of sustainable development, through the introduction of information technology in this system. To improve the quality of life, we need better knowledge, which must be implemented through information technology at the international level.

한국사회 중년기 전업주부의 삶의 재평가 (Life Revaluation of Korean Housekeepers in Midlife)

  • 전경숙 ;정태연
    • 한국심리학회지 : 문화 및 사회문제
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    • 제19권1호
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    • pp.19-44
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    • 2013
  • 본 연구에서는 한국사회 중년기 전업주부들이 자신의 지나온 삶을 어떻게 재평가하는지 알아보고자 했다. 이를 위해 막내자녀가 고등학생 이상인 14명의 전업주부를 대상으로 반구조화된 면담을 회고적 방법으로 실시하였다. 질문은 관계적 측면, 심리적 측면, 경제적 측면 등에 관한 것으로 결혼 전과 후를 나누어 이루어졌으며, 면담은 보통 1시간 30분에서 2시간 정도 진행되었다. 자료분석은 참가자들의 회고적 삶의 이야기를 중심 의미단위로 환원함으로써 여러 개인이 경험한 현상의 의미를 기술하는 현상학적 연구방법을 참고했다. 그 결과, 각 단계별로 중요한 회고 내용은 아동청소년기에는 가족환경, 자신의 성격과 가치관 형성, 그리고 진로선택이었다. 성인초기에는 배우자 선택과 결혼, 성인초기 부부생활 적응, 그리고 가족관계 등이었다. 성인중기에는 자녀, 경제·정서적 안정, 가족관계, 배우자 수용, 자신의 삶의 수용, 그리고 건강과 종교 등이었다. 참가자들의 삶의 유형을 전환적 사건, 현재 삶의 의미 그리고 인생사건의 누적효과를 중심으로 분석하였다. 이러한 결과를 기존의 발달이론 및 연구와 비교해서 논의하였다.

하악매복지치 발치 시 음악요법의 효과 (THE EFFECT OF MUSIC THERAPY AT SURGICAL EXTRACTION OF MANDIBULAR IMPACTED 3RD MOLARS)

  • 전혜실;전기홍;이순영;이정근;송현철
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권3호
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    • pp.266-275
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    • 2008
  • Purpose: This research was intended to evaluate the sedative effect of the music by measuring the anxiety-level, the pain-level, the blood pressure, and the pulse rate in patients who were going through extraction of the mandibular impacted 3rd molar. Materials and methods: Patients were selected among those who visited St. Vincent's Hospital in Suwon for the surgical extraction of 3rd molar from April to May, 2007 and were divided into two groups : the first, experimental group consisting of 32 people was going through extraction with the music and the second, control group also consisting of 32 people was going through extraction without the music. The anxiety-level was measured by filling out Spielberger's State-Trait Anxiety questionnaire. The pain-level was measured by VAS (Visual analog Scale). The blood-pressure and the pulse rate were recorded at waiting period, preparation and anesthesia period, 5 minutes after anesthesia, beginning of extraction and every five minutes after extraction to the end of surgery. Results: The anxiety-level was significantly lower in the experimental group than in the control group during the extraction procedure (p<0.01). The pain-level was significantly lower in the experimental group than in the control group (p<0.05). The mean systolic blood pressure was significantly lower in the experimental group than in the control group at the beginnig of extraction and 10 minutes after extraction (p<0.01, p<0.05 each). The mean diastolic blood pressure was significantly lower in the experimental group than the control group at 10 minutes after extraction (p<0.01). The mean of pulse rate was significantly lower at the beginning of extraction (p<0.05). Conclusion: The music therapy could offer not only the psychological stability but also the physiological stability during the surgical extraction of impacted 3rd molar.