• Title/Summary/Keyword: psychosocial risk

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Analyses of Studies on Cardiac Rehabilitation for Patients with Cardiovascular Disease in Korea (심장 재활 프로그램에 대한 국내 연구 논문 분석)

  • Song, Yeoung-Suk
    • Journal of Korean Academy of Nursing
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    • v.39 no.3
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    • pp.311-320
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    • 2009
  • Purpose: This study was to analyze research reports published in Korea on cardiac rehabilitation for patients with cardiovascular disease. Methods: Based on inclusion criteria, 19 research reports were included in this review. Published year of selected articles was between 1996 and 2008. Nineteen studies were analyzed by guidelines of the cardiac rehabilitation programs done by the American Heart Association(AHA) and Scottish Intercollegiate Guidelines Network(SIGN). Results: The characteristics of patients were mostly of ischemic heart disease, 50-59 yr old, and male. Educational sessions were administered twice, and each lesson lasted less than 30 min. Exercise was done 3 times per week for 6 weeks. Most educational content were about risk factors, but there was no information, such as coping with feelings. Most exercise was performed as ROM, treadmill, and cycle ergometer. A large percentage of outcome indicators were health behavior, hemodynamic changes, and exercise capacity. There was more 'no effect' than 'positive effect' in trait anxiety and depression, whereas similar in physiologic domain. Conclusion: Various types of cardiac rehabilitation in Korea were performed by researchers. Therefore, we need to develop the standard protocol, to add psychosocial intervention, and to study cost effectiveness of cardiac rehabilitation.

The role of the pediatrician in youth violence prevention

  • Kim, Soon Ki;Kim, Nam Su
    • Clinical and Experimental Pediatrics
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    • v.56 no.1
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    • pp.1-7
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    • 2013
  • School bullying has become a major social problem in Korea after the emergence of media reports on children who committed suicide after being victimized by bullies. In this article, we review the characteristics of bullying, and investigate the role of the pediatrician in the prevention of and intervention against bullying and school violence. Bullying can take on many forms such as physical threat, verbal humiliation, malicious rumors, and social ostracism. The prevalence of bullying in various countries is approximately 10% to 20%. In Korea, the prevalence of school violence is similar but seems to be more intense because of the highly competitive environment. From our review of literature, we found that children who were bullied had a significantly higher risk of developing psychosomatic and psychosocial problems such as headache, abdominal pain, anxiety, and depression than those who were not bullied. Hence, it is important for health practitioners to detect these signs in a child who was bullied by questioning and examining the child, and to determine whether bullying plays a contributing role when a child exhibits such signs. Pediatricians can play an important role in the prevention of or intervention against school violence along with school authorities, parents, and community leaders. Moreover, guidelines to prevent school violence, such as the Olweus Bullying Prevention Program, KiVa of the Finish Ministry of Education, and Connected Kids: Safe, Strong, Secure of the American Academy Pediatrics, should be implemented.

Complementary and Alternative Medicine Among Older Adults in the United States: Current Evidence and Future Directions

  • Yoon, Saun-Joo L.
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.73-89
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    • 2006
  • Complementary and alternative medicine has gained popularity and respectability in recent years in the United States. Since aging is often associated with chronic health conditions that commonly lead to physical and psychosocial disabilities (e.g., depression, functional and/or cognitive disabilities, and decreased quality of life), older adults often seek options to maintain health and treat chronic conditions as an adjunct to conventional medical care. Herbal products, the most commonly used among various complementary and alternative medicines (CAM), should be used with caution due to potential herbal-drug interactions (related to polypharmacy) and herbal-disease interactions (related to comorbidities). Five of the most common chronic conditions in older adults are chronic pain, cardiovascular problems, hypertension, diabetes, and chronic lung problems. A high rate of falls or risk of falling is also a problem unique to this older population. For these conditions, only a few types of CAM (e.g., acupuncture, qi gong, tai chi) were tested, with promising results. However, in spite of evidence supporting the use of certain types of CAM to alleviate some common chronic conditions, findings are limited in terms of other types of CAM tested and both short and long-term effects. More rigorous clinical trials of various CAM types are thus warranted to advance scientific knowledge and establish evidence-based practices to care for the growing number of older adults who deserve to have a better quality of life.

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Alcohol Experience, Alcohol Knowledge, and Alcohol Expectancy in Early Adolescents (초기 청소년의 음주경험, 음주지식, 음주기대에 관한 연구)

  • Tak, Young-Ran;Yun, E-Hwa;An, Ji-Yeon
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.35-43
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    • 2007
  • Purpose: This study was to explore the prevalence of alcohol experiences and to identify the expectancy on the effects of alcohol and alcohol knowledge in early adolescents. Method: The cross-sectional survey of 1854 students from seven middle schools in one district of Seoul was conducted by convenience sampling. Alcohol experience and early onset of alcohol use were measured by the Youth Risk Behavior Survey. Alcohol expectancy was measured by an Alcohol Effects Questionnaire. Result: Over sixty five percent of adolescents reported that they had previous drinking experiences. The participants with no alcohol drinking experience had a lower level of alcohol knowledge than those with experience(t=2.73, p=.007). In expectancy on effects of alcohol, girls had a more positive alcohol expectation than boys(t=-2.54, p=.011). Alcohol knowledge negatively correlated with alcohol expectancy(r=-.40 p=.000). In regression of alcohol expectancy, gender and alcohol knowledge were significant predictors explaining 17%. Conclusion: The results support that alcohol expectancy is an important link with early drinking experiences and alcohol knowledge, focusing on the importance of gender differences. Therefore, an alcohol prevention program in early adolescence is needed and should be focused on multidimensionality of the alcohol expectancy with developmental and psychosocial factors for early adolescents.

Do Drinking Problems Predict Gambling Problems? -The Association between Substance Abuse and Behavioral Addiction- (음주문제는 도박문제를 예측하는가? - 물질중독과 행위중독의 관계 분석 -)

  • Jang, Soo Mi
    • Korean Journal of Social Welfare
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    • v.68 no.2
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    • pp.5-25
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    • 2016
  • Despite previous literatures suggesting the co-occurrence of substance abuse and behavioral addiction, their relationship has not been systematically explored. Especially, college students are a high risk group for alcohol use and gambling activities and they have various psychosocial problems due to addictive behaviors. This study aimed to empirically examine that drinking problems predict gambling problems among college students. A total of 455 college students who experienced drinking and gambling completed a survey. Logistic regression analysis were performed. After adjusting for demographics and family related variables, drinking problems predicted the occurrence of problem gambling. Implications for social work practice, policy planning and research area on addiction are discussed.

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An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity

  • Kang, Na Ri;Kwack, Young Sook
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.1
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    • pp.15-25
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    • 2020
  • Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.

The Experiences of Young Adult with Hypertension (성인 전기 고혈압 환자의 경험)

  • Yoo, Seung Yun;Lee, Won Hee
    • Korean Journal of Adult Nursing
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    • v.19 no.2
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    • pp.248-259
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    • 2007
  • Purpose: The purpose of this study was to explore the experiences of young adults with hypertension, using phenomenology in order to describe the essence of such experiences and to understand them from the patients' point of view. Methods: Participants in this study were 4 hypertension patients with ages ranging from 20 to 35 years old, living in Seoul city. Data were collected from in-depth interviews done from October to November in 2005. Colazzi method(1978) was used to analyze the data. Results: The 12 themes were extracted in this study ; 'Discovery by accident', 'Denial of the diagnosis', 'A disease unworthy of the young men', 'Guilty feeling toward their parents', 'Fear of death', 'Unconvinced reason', 'Worry about the future', 'Attribute all symptoms to the disease', 'Will of not life-long medication', 'Concern for fertility problem', 'Not convinced with current treatment method', 'Becoming unimportant'. Conclusion: The results of this study show that the young adult with hypertension will be in a high risk group of non compliance, so helpful program for them should be developed and the nurses need to pay more attention to the psychosocial aspect of nursing.

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Factors Related to Self-perception of Diet Quality among South Korean Adults

  • Kye, Su-Yeon;Yun, E-Hwa;Park, Kee-Ho
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1495-1504
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    • 2012
  • Objective: Improvements in diet can decrease the cancer rates. The aim of the present study was to determine the relationships between self-perception of diet quality and personality, impulsiveness, stress, coping strategy, sense of coherence, self-efficacy, and social support. Methods: This cross-sectional study was conducted using a multiple-stratified random sampling method based on the Korea Census of 2007. In October 2009, investigators conducted 15-minute face-to-face interviews with 1,530 South Korean volunteers who ranged from 30 to 69 years of age without a history of cancer. Results: Respondents were more likely to perceive that they consumed a healthy diet if they were older than 50 years, lived with a partner, had a monthly family income greater than $4,000 USD, had a low perceived risk of cancer, consumed less alcohol, exercised regularly, had a less agreeable or conscientious personality, had low stress levels, had a high sense of coherence or self-efficacy, and had ample social support. Conclusion: Psychosocial factors, such as personality, stress, sense of coherence, self-efficacy, and social support, are associated with the self-perception of diet quality. Analysis of the factors that contribute to a perceived healthy diet could assist with the design of educational campaigns.

A Review of Cigarette Smoking-related Behaviors and Health Problems among University Students (대학생 흡연 관련 행태 및 흡연에 의한 건강문제)

  • Park, Soon-Woo
    • Korean Journal of Health Education and Promotion
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    • v.28 no.5
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    • pp.35-49
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    • 2011
  • Objectives: This article reviewed research on smoking behaviors and smoking-related health problems among university students to suggest evidences for developing smoking control strategies for them. Methods: Domestic research papers were screened through Research Information Sharing Service (RISS), Koreanstudies Information Service System (KISS), Medical Library Information System (MEDLIS), Korean Medical Database (KMbase), and digital national assembly library. International papers were searched mainly via PubMed. Results: Smoking prevalence among male college students were found to be over 50% in majority of Korean studies. While studies on smoking-related health problems were scant in Korea, several recent studies overseas showed possible effects of smoking on health among young adults, including decreased lung function, respiratory symptoms, cardiovascular problems, glucose intolerance, buccal disease, depressive symptoms, and so forth. Besides, smoking behaviors were closely related with other risk behaviors including drinking, and several psychosocial factors. Conclusions: To explore the smoking problem among college students, the first step should be a national representative survey with scientific methods. More research should be focused on the smoking-related problems among college students. To prevent smoking among college students, smoking prevention education, and smoking cessation counseling, and the initiatives of smoke free campus are needed.

Development and Effect of a Logotherapeutic Program for Problem Drinking in Female College Students (여대생 음주자를 위한 생의 의미찾기 프로그램 개발 및 효과)

  • Lee, Soohee;Kim, Sungjae
    • Perspectives in Nursing Science
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    • v.16 no.1
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    • pp.25-34
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    • 2019
  • Purpose: Alcohol use in South Korean women, particularly college students, is increasing. Women are more vulnerable than men to alcohol use, which puts them at greater risk of physical and psychosocial problems. Some studies have reported that on failing to find meaning in life, many South Korean college students experience depression, subsequently using alcohol as a coping mechanism. This study aimed to develop a logotherapeutic program and identify its effects on meaning in life, depression, and problem drinking among female college students. Methods: This study was a quasi-experimental trial. The participants were female college students who scored over 8 in the Alcohol Use Disorders Identification Test (AUDIT). Twenty-four students were assigned to the experimental group and twenty-three to the control group. Three scales were used in this study: the Purpose in Life test, Beck Depression Inventory, and AUDIT. The data were analyzed using the Mann-Whitney test in SPSS/WIN 12.0. Results: After the conclusion of the logotherapeutic program, the level of meaning in life and depression were more greatly improved in the experimental group than the control group. Conclusion: The logotherapeutic program is an effective method to help female college students find meaning in life and reduce depression in this population.