• 농업과학연구
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• 제50권4호
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• pp.735-747
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• 2023

This study was conducted to identify the appropriate space requirements for forest healing program for physical and mental health care of female cancer survivors in their 40s and 60s. From September to November 2023, 12 cancer survivors were surveyed at Chungnam National University Forest and Daejeon Healing Forest. One Forest Therapy instructor and two researchers conducted a forest healing program once a week for eight sessions of two hours each, Perceptions and satisfaction with the program and space were assessed using pre and post program questionnaires, and the effect of participation in the forest healing program on mood status was evaluated. The satisfaction survey results were supplemented by qualitative studies conducted through post-interviews. Result of the analysis showed that the satisfaction of the participants was very high (4.8/5.0). There was a notable increase in vigor and a decrease in total mood disturbance after participation in the program. Toilets and water facilities (11), tool boxes (9), pest control facilities (3), deck facilities (3), forest hut (3), electrical outlets (2), shade shelters (2), and shoe hairy (1) were proposed as required facilities for cancer survivors. This study demonstrated that the forest healing program is effective in reducing distress in female cancer survivors in their 40s and 60s and appropriate facility standards for the forest healing space are needed to increase the satisfaction of cancer survivors.

• 디지털융복합연구
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• 제20권1호
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• pp.391-398
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• 2022

본 연구의 목적은 고등학생의 정신건강에 영향을 미치는 요인을 확인하기 위함이다. 연구대상은 B시 소재 인문계 고등학교 3학년에 재학 중인 학생 216명을 대상으로 하였으며, 자료수집은 2020년 5월 1일부터 5월 20일까지 시행하였다. 자료분석은 기술통계, t-test, ANOVA, Pearson's corelation coefficient, Scheffe's 사후검증과 다중회귀분석을 이용하였다. 연구결과, 자아존중감은 5점 만점에 평균 3.75±0.64점, 지각된 스트레스는 5점 만점에 평균 2.86±0.58점, 정서조절능력은 5점 만점에 평균 3.43±0.65점, 정신건강은 5점 만점에 평균 1.91±0.71점이었다. 정신건강은 자아존중감(r=-.64, p<.001), 정서조절능력(r=-.61, p<.001)과는 음의 상관관계를 보였으며, 지각된 스트레스(r=.54, p<.001)와는 양의 상관관계를 보였다. 정신건강의 영향요인은 자아존중감(β=-.46, p<.001), 정서조절능력(β=-.37, p<.001), 지각된 부정 스트레스(β=.17, p=.001)이었으며 설명력은 총 60.0%로 나타났다. 그러므로 고등학생의 정신건강 증진을 위해 자아존중감을 향상시키고 부정적 정서를 잘 조절할 수 있도록 도움을 줄 수 있는 프로그램 개발이 필요할 것이다.

• 한국학교ㆍ지역보건교육학회지
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• 제15권3호
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• pp.43-54
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• 2014

Objectives: The purpose of this study was to find out the relation factors of weight control behaviors, mental health status and body image perception in adolescents and to use basis data of health promotion for adolescents. Methods: This study used data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-2, 2011). The subjects were 653 between 12-19 age. Data analysis was done with SPSS/WIN 19.0 using Chi-square test, and Logistic regression. Results: The result is as follows. The case of female adolescents, abnormal perception of body image was significantly higher on weight reduction effort and normal weight, low weight in BMI. The case of male adolescents, abnormal perception of body image was higher on normal weight in BMI. Conclusions: The adolescents tend to do unreasoning weight loss behavior without properly perception for their body image. Therefore, we suggest that adolescents be provided social support for positive body image and be developed perception program with the importance of inner values.

• 대한간호학회지
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• 제42권1호
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• pp.56-65
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• 2012

Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

• 인간식물환경학회지
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• 제21권6호
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• pp.565-574
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• 2018

Previous studies have shown that forest therapy program can help prevent dementia. However, few studies have focused on low-income elderly people living alone. The current study examined the meanings that the elderly living alone receiving medical care assigned to the urban forest therapy program, as a way to understand the pathways that nature-based intervention affect preventing dementia. Twenty-one participants were recruited and they participated in a five-week urban forest therapy program. Semi-structured interviews were carried out with 21 participants who experienced the urban forest therapy program, and analyzed qualitative data using thematic analysis. Results showed that all themes identified were related to connectedness with oneself, neighbors and nature. Awarenesses of change were consisted of positive and negative themes. The themes of positive awareness were improvements of mental and emotional condition, feelings of isolation and loneliness, and health-related lifestyle. The negative themes were terminations of short-term programs and inconvenient access to the urban forest. Based on these data, we suggest an urban green welfare framework for future research and interventions for preventing dementia of underprivileged elderly group.

• 한국치위생학회지
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• 제14권4호
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• pp.495-502
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• 2014

Objectives : The purpose of this study was to investigate the relationship between psychosocial stress and depression symptoms in dental hygiene freshman. Methods : A self-reported questionnaire of 45 questions was filled out by 207 dental hygiene students in Gyeongnam from December 9 to 11, 2013. Data were analyzed using SPSS WIN 18.0 program for descriptive statistics, t-test, ANOVA. Results : Religion tended to influence on positive effects on academic stress because those having religion had less academic stress. Economic condition also influenced on physical and mental stress in the students($8.52{\pm}5.63$)(p=0.000). Low economic status influenced on academic problems(p=0.022), family problems(p=0.014), rational relationship problems(p=0.002), and interpersonal problems(p=0.007). There was no significant difference between future problems(p=0.125) and self-efficacy(p=0.076). The physical symptoms included digestive disorders($16.73{\pm}5.37$), cardiac symptoms($14.61{\pm}5.51$), headache($9.46{\pm}3.59$), insomnia($8.32{\pm}3.67$) (p=0.000). The mental symptoms included negative emotions($15.07{\pm}3.94$)(p=0.000). Conclusions : In order to reduce the psychosocial stress symptoms in dental hygiene freshman, it is important to develop the stress debriefing program in the future.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.1-14
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• 2003

이 연구는 농촌지역 정신보건의료서비스의 필요도와 공급수준을 파악하고 일차정신보건시설로서 보건소가 운영하는 정신보건사업을 평가하고자 하였다. 필요도는 유병률과 정신보건서비스 이용률로 한정하여 2001년도에 보건복지부가 주관하여 실시한 정신질환 실태 역학조사 결과를 이용하여 도농간 차이를 비교하였다. 공급수준은 입원 및 요양 병상수와 일차정신보건의료시설의 기초자치 단체별 설치율로 한정하여 전자는 2002년도에 보건복지부 산하 지역사회 기술지원단이 작성한 보고서 결과내용 중 일부를 발췌하였고 후자는 보건복지부의 2003년도 정신보건사업 안내서와 정신보건의료기관 총람의 내용을 토대로 재구성하였다. 농촌지역의 보건소 정신보건사업을 평가하기 위하여 2002년도에 각 기초자치단체가 중앙에 제출한 제3기 지역보건 의료계획서들 중 농촌형지역과 도농복합형지역으로 구분하여 각각 중앙 및 광역자치단체 정부의 지원 여부에 따라 지원한 경우 1-2개, 지원하지 않는 경우 광역자치단체별로 각각 2개소를 무작위 추출하여 정신보건사업내용부문을 사업대상 및 등록, 구조, 과정으로 나누어 정신보건사업안내서에 제시한 기준을 가지고 평가하였고 담당자들이 작성한 정신보건사업의 문제점들을 분석하였다. 이 연구는 2003년 4월 1일부터 5월 10일까지 이루어졌고 그 결과는 다음과 같다. 첫째, 니코틴 장애를 제외한 평생유병률과 일년유병률은 도시지역이 24.9%, 13.2%, 농촌지역이 28.2%, 17.7%이었으며 정신분열증, 주요우울증, 불안장애, 알코올 사용장애 등 주요 정신질환 역시 도시보다 농촌지역이 더 높은 것으로 나타났다. 또한 지난 일년간 정신보건의료서비스 이용률은 전체적으로 8.9%에 불과하였다. 둘째, 입원 및 요양 병상수는 2001년 현재 인구 천명당 0.97병상이며 요양시설을 포함할 경우 1.27병상으로 세계 보건기구가 권장하는 인구 천명당 1.0병상, 그리고 병상 감소정책을 추진하고 있는 유럽이 0.93병상임을 고려할 때 양적으로 부족하지는 않다. 그러나 광역자치단체간 편차가 큰 것으로 나타났는데 서울, 인천, 울산 등 대도시지역이 충북, 충남, 경남, 전남지역의 1/6내외수준이었다. 셋째, 일차정신보건의료시설의 기초자치단체 충원율을 살펴보면, 정신과 의원은 광역시 및 특별시형은 100%인 반면 농촌형지역 89곳 중 15곳(16.9%)만이 설치되어 있었으며 사회복귀시설은 전반적으로 낮았으며 농촌지역의 충원율이 7.9%로 가장 낮은 것으로 나타났다. 보건소 정신보건사업에 대한 중앙 및 광역자치단체의 지원율이 광역시 및 특별시형이 42%인 반면 농촌형지역은 22.5%인 것으로 나타났다. 다섯째, 농촌형지역과 도농복합형지역 모두에서 지원을 받지 않은곳이 자체예산을 추가로 확충하지 않아 사업인력 및 예산이 매우 취약하고 중앙정부가 제시하는 기본사업에 대한 충실도가 매우 낮은 것으로 나타났다. 이상의 결과를 종합해볼 때 농촌지역이 도시지역에 못지 않게 정신보건의료서비스에 대한 필요도가 높으나 서비스 이용률은 매우 낮았으며 도시지역에 비해 농촌지역의 일차정신보건의료시설들이 매우 부족한 것으로 나타났다. 또한 일차정신보건의료시설로서 보건소가 도시지역 보다 농촌지역에서 더 중요한 역할을 수행해야 하나 중앙의 지원율은 오히려 농촌지역 보다 도시지역이 더 높았고 지원을 받지 않는 보건소의 정신보건사업프로그램은 매우 형식적으로 진행되고 있었다. 앞으로 중앙정부는 일반의료서비스에 있어서 농어촌의료서비스 개선정책을 추진하듯이 정신보건정책에 있어서도 이러한 고려가 필요하다.

• 한국산학기술학회논문지
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• 제14권11호
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• pp.5737-5744
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• 2013

이 연구는 14세의 여중학생의 초경 경험과 정신건강과의 연관성을 파악하고자 수행되었다. 연구 대상으로 제 8차 (2012년) 청소년건강행태 온라인 조사에 참여한 여중생 1학년 5,991명을 선별하였다. 데이터는 spss프로그램을 사용하여 빈도분석, t-test, chi-square, 로지스틱 회귀분석을 통하여 분석하였다. 대상자중 4,473명의 초경경험 여학생군(여학생의 평균 초경연령은 12.8세)과 1,518명의 비 초경경험 여학생군을 확인하였다. 초경경험과 정신건강의 로지스틱 분석결과, 지각 스트레스(OR=1.39, 1.20-1.62, p<0.001), 인지 우울증(OR=1.25, 1.10-1.42, p<0.05), 자살 생각(6OR=1.60, 1.38-1.87, <0.001), 자살 계획(OR=1.66, 1.33-2.81, p<0.001)과 자살 시도 (OR=1.42, 1.09-1.86, p<0.05)에 대한 위험 비 (OR)[95% confidence interval (CI)]는 초경 경험군에서 초경 비 경험군보다 높았다, 이러한 결과는 초경의 경험이 여중생의 정신건강에 연관성이 있음을 보여주고 있으며, 초경의 경험이 여자 청소년의 정신건강에 영향을 주는 중요한 요인이었음을 시사한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권1호
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• pp.17-25
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• 2019

Objectives: We aimed to compare the differences in parenting stress, parenting attitudes, and parents' mental health between different adult attachment styles. Methods: Forty-four parents who completed a parental education program were enrolled in our study. They completed the Korean version of the Experience of Close Relationship Revised, Korean-Parenting Stress Index-Short Form, Maternal Behavior Research Instrument, and Symptom Checklist-90-Revised. Results: The avoidant attachment score positively correlated with parenting stress. The anxious attachment score showed a positive relationship with parenting stress, hostile parenting attitude, and psychopathology, but a negative association with an affectionate parenting attitude. The secure attachment group exhibited a more autonomous, affectionate parenting style and a less hostile parenting attitude and less parenting stress than the insecure attachment group. Dismissing-avoidant attachment parents reported significantly higher parenting stress scores than secure attachment parents. Preoccupied and fearful-avoidant attachment parents displayed a more hostile parenting style than secure attachment parents. Dismissing-avoidant and preoccupied parents reported a less affectionate parenting attitude than secure attachment parents. Conclusion: There were differences in parenting stress, parenting attitudes, and parents' mental health depending on the adult attachment style. More specific education and interventions based on parental attachment type are necessary for parents.

• 보건의료산업학회지
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• 제9권4호
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• pp.79-90
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• 2015

Objectives : The aim of this study was to investigate the effect of musculoskeletal symptoms and job stress on the fatigability of 268 dental health care workers in Busan. Methods : A structured, self-administered questionnaire was given from Oct 1 through Oct 10, 2015. The collected data were analyzed with the SPSS 18.0 program. Results : The results were as follows. First, for musculoskeletal symptoms, job stress and fatigability, the highest scores were for low back pain (3.23), business stress (2.95) and physical fatigability (3.32), respectively. Second, physical fatigability increased with increasing myofascial pain syndrome, low back pain and business stress. Mental fatigability increased with increasing business stress, human relationships and social activities and decreasing age. Conclusions : Taking the above into consideration, this thesis suggests that there is definite influence from musculoskeletal symptoms and job stress factors on physical and mental fatigability.