• 제목/요약/키워드: self adjustment

검색결과 708건 처리시간 0.032초

ADHD 아동과 외면화 증후를 공존질환으로 갖는 ADHD 아동간의 심리사회적 변인에 관한 비교연구 (A STUDY OF PSYCHOSOCIAL VARIABLES WITHIN ADHD WITH OR WITHOUT EXTERNALIZING SYMPTOM)

  • 이경숙;유윤정;안동현;신의진
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제7권2호
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    • pp.203-212
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    • 1996
  • 주의력결핍 과잉행동장애아(ADHD)와 품행장애나 반항성장애와 같은 외면성 증후를 공존질환으로 갖는 주의력결핍 과잉행동장애아(ADHD + CD/ODD)간에 사회경제적지위, 부모 학력수준, 생활 스트레스 사건, 친인척의 정신병력을 내용으로 하는 가족 배경과 부모의 결혼 만족도, 양육자 스트레스, 양육태도 등의 심리사회적 변인에 차이가 있는지 검증하였다. 연구결과, ADHD+CD/ODD집단이 위의 가족배경에서 가장 열악한 수준을 보이고 있었고, 부모의 결혼적응도에서도 ADHD+CD/ODD 집단이 가장 낮았으며, 양육자 스트레스에서는 ADHD+CD/ODD>ADHD>통제집단 순으로 높았으며 부모가 지각한 양육태도에서 임상집단의 어머니들이 증오적, 거부적 의존성을 포함하는 양육태도를 가지고 있었으며, 아동이 지각한 부모의 양육태도에서는 임상집단의 부모가 아동에게 더 거부적이고 지배적이고, 모순적인 양육태도를 지닌 경향성을 알 수 있었다.

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누적외상성질환 위험 요인의 정량적 평가 및 관리를 위한 점검표 개발 -자동차 조립 작업을 중심으로- (The Development of a Checklist for Quantitative Assessment of Risk Factors and Management of Cumulative Trauma Disorders : Application to Automobile Assembly Lines)

  • 이윤근;김현욱;임상혁;박희석
    • 한국산업보건학회지
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    • 제11권1호
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    • pp.56-69
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    • 2001
  • Objectives : This study was designed to develop and standardize a checklist for ergonomic risk factors, and to provide ergonomic guidelines for managing cumulative trauma disorders (CTDs) in automobile assembly lines. Methods : The Checklist for Ergonomic Risk Factors (CERF-1) was developed based on the results of previous studies, and then modified after performing pilot study. Information on the symptoms possibly related with CTDs was obtained using a self-reported Questionnaire from 465 automobile assembly workers. Their job conditions were examined to assess risk factors through both direct observation and video analysis. Results : Rate of detecting risky job through CERF-1 was 85.6%, and was similar to that (88.8%) by Occupational Safety and Health Adminstration(OSHA) checklist but higher than that (63.7%) by American National Standards Institute(ANSI) Z-365. Relationship of the exposure scores derived from CERF-1 with levels of symptom was greater (r=0.49) than OSHA (r=0.28) and ANSI Z-365 (r=0.22). Considering the relationship, jobs scoring higher than 16 could be classified as the Risk Job. and lower than 16 as the Low Risk Job. Sensitivity and specificity of the Risk Job were 92.5 % and 31.5 %, respectively. Odds ratio (OR) after age adjustment was 5.69 (95 % confidence interval 3.15-10.29) for the Risk Job, and these ORs were significantly different from those of the Low Risk Job. The exposure scores were Quite valid, in that the scores at the main survey were significantly correlated with those at the follow-up survey, as suggested by test-retest(r=0.88) and inter-rater reliability(r=0.80). Conclusions : The CERF-1, developed in this study, will be an efficient tool for evaluation of risk jobs for CTDs in automobile assembly lines, and can be used easily by health care providers.

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지각된 통제소재 (Locus of Control)가 통증환자의 심리상태에 미치는 영향 (The Influences of Perceived Locus of Control to Patients with Pain)

  • 조선미;진범수;송호정;김찬;한경림
    • 정신신체의학
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    • 제10권2호
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    • pp.101-109
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    • 2002
  • 연구목적: 통증환자의 인지적 특정은 통증에 대한 지각이나 치료에 대한 반응에서 중요한 역할을 한다. 지각된 통제소재와 같은 인지적 특정이 통증환자의 정서장애나 대처방식과 어떤 관련이 있는지 알아보고자 하였다. 방법: 통증클리닉을 내원하여 치료를 받고 있는 환자 96명을 대상으로 지각된 통제소재를 알아보는 질문지와 미네소타 다면적 인성검사 (MMPI), 대처방식질문지, 주관적으로 통증의 정도와 시간, 괴로움정도, 통제정도를 평정하도록 하여 이 자료를 토대로 분석하였다. 결과: 자료분석결과 환자가 지각하는 통제소재가 내부에 있다고 믿을수록 통증에 대한 통제감이나 통증을 감소시키려는 노력을 했을 때 감소정도가 높은 것으로 보고하였다. 반면 외부통제감이나 우연에 의한 통제감이 높을수록 지각된 통증정도나 통증경험시간, 일상생활 장애정도가 높았다. 또한 내부통제감은 MMPI척도중 자아방어관련척도와 유의한 정적상관을 보였으며, 우울, 불안, 정서억압과 같은 척도와는 부적상관을 보였다. 대처방식 중에서 자기진술 및 감각의 재해석과 같은 방식은 내부통제감를 유의한 정도로 설명하였고 외부통제감과 우연에 의한 통제는 재앙화에 의한 설명변량이 유의한 수준에 이르렀다. 결론: 통증은 비록 신체적 장애이지만 주관적 통증지각이나 일상생활기능정도, 정서적 어려움에는 지각된 통제감과 같은 인지적 요인이 영향을 미친다. 따라서 환자가 통증에 효율적으로 대처하도록 하기 위해서는 내부통제감을 증가시키고 보다 효율적인 대처방식을 사용하도록 인지들 수정해수는 것이 필요하다.

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Psychosocial Response and Symptom Burden for Male Smokers with Lung Cancer

  • Niu, Zhi-Min;Liang, Chun-Shui;Yu, Min;Wang, Yong-Sheng;Yu, Hai-Xia;Zhang, Qiong-Wen;Wei, Yu-Quan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.309-314
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    • 2014
  • Purpose: Cigarette smoking causes many kinds of cancer, and it is more closely related with lung cancer, rather than other cancers. Smoking is the leading cause of lung cancer and ninety percent of the smokers are male in China, but there is little published data concerning the psychological responses in the male smokers with lung cancer and its influence on the symptom burden. The aim of the study was to verify the hypothesis that male smokers with lung cancer have more positive attitude and less symptom burden, comparing to male non-smokers. Methods: A total of 194 men with cancer in West China Hospital, Sichuan, China, were assessed by self-administered questionnaire. Psychological response was measured by the Chinese version of Mini-Mental Adjustment to Cancer scale (Mini-MAC), and symptom burden was measured by the physical symptom distress scale from the Rotterdam Symptom Checklist (RSCL). Results: We found that smokers with lung cancer got higher scores in positive attitude and a smaller symptom burden than non-smokers. Patients with education lower than high school got higher scores of positive attitude compared to college graduate patients (p=0.038). Smokers with lung cancer who knew the potential carcinogenicity of cigarette showed less negative emotions (p=0.011). The psychological response was not affected by age, clinical stage, cell type, smoking duration and amount. Conclusions: Male smokers with lung cancer have a more positive attitude and fewer symptoms, comparing to male non-smokers. Appropriate psychological intervention for non-smokers with lung cancer deserves more attention.

탈북청소년들을 위한 가정생활교육프로그램의 개발과 평가 (Development and Evaluation of Family Life Education Program for North Korean Defector Adolescents in South Korea)

  • 이윤정;김경민;김미자;김유경;송지은;이연숙;이정규;이하나;임정하;정순화;한영선
    • 한국가정과교육학회지
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    • 제28권1호
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    • pp.41-57
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    • 2016
  • 본 연구는 탈북청소년들의 가족기능과 생활역량의 강화를 통하여 남한사회에의 적응을 돕는 가정생활교육프로그램의 개발을 목적으로 하였다. 이를 위하여 탈북청소년들과 탈북청소년을 위한 학교 교사들과의 인터뷰를 통하여 그들의 필요를 파악하였으며, 이를 근거로 교육 내용을 선정하였다. 교육은 2015년 4월부터 7월 사이에 탈북청소년을 위한 대안학교인 여명학교에서 시행되었다. 청소년들이 실생활의 여러 측면에서 적용할 수 있는 프로젝트를 중심으로 식생활, 의생활, 주생활, 가족생활 및 대인관계, 소비생활 등의 주제로 10차시 분량으로 준비되었다. 사전-사후 평가에서 의생활 및 가족생활을 제외한 모든 분야에서 학생들의 지식 및 역량 면에서 유의한 효과가 있었으며, 학생들의 구술 응답에서도 프로그램의 내용이 실생활에 도움이 될 것이라 하였으며 다른 학생들에게 추천할 의향이 있다고 답하였다. 이 프로그램은 북한의 청소년들에게 가족기능 및 생활역량 강화를 위한 정보를 제공함으로써 앞으로 다가올 미래의 통일한국을 대비하는 프로그램으로서도 활용될 수 있을 것으로 기대된다.

간호기록 행위에 관한 조사연구 (A STUDY ON NURSING RECORD BEHAVIOR IN PATIENT′S RECORDS)

  • 강윤희
    • 대한간호학회지
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    • 제4권1호
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    • pp.22-37
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    • 1974
  • Through the examination of hospitalized patient's records, this study purports to determine. the extent to which nursing record behaviors meet general expectations held for nursing records and the differences in nursing record behavior in relation to different nursing categories, period of recording and hospitals with different management patterns. Nursing record behaviors of 802 patient's records in four hospitals in Seoul were examined. by use of a check list, which was prepared by the author as an instrument for the study. Data obtained from this examination were processed into percentage values for percentage. test and chi-square test in order to determine their significance. Results are as follows; 1. Records pertaining to treatment ranked highest among all care categories in their extent of coverage, averaging 65.6 percent. 2. Of the treatment category records, records of medication led others at 94.3 percent. followed by records of test and collection of specimens at 59.9 percent. diet at 58.8 percent and treatment at 41.0 percent. 3. Records in the category of physical assessment and care averaged 44.1 percent, the second highest next to treatment category records, 4. Of the records in the category of physical assessment and care, records in vital signs. placed first at 98.9 percent, followed by sleep at 76.2 percent, body weight at 74.7 percent, symptoms and signs at 69.3 percent, rest at 44.5 percent, hygiene at 39.7 percent, activities and participation at 16.9 percent, positions at 10.3 percent, level of consciousness at 9.8 percent and physiological dysfunction at 1.1 percent in that order. 5. Records in the category of psychological assessment and care averaged 3.2 percent, the lowest of the -three major categories. 6. Of the records in the category of psychological assessment and care, records on emotional responses ranked top at 10.5 percent, followed by self-concern at 2.1 percent, adjustment at 2.0 percent, family, occupational and social relations at 0.7 percent and preferences. and interest at 0.5 percent in that order. 7. Records in relation to the category of specific conditions were found in 9.1 percent of the total records. 8. Of the records in the category of specific conditions, consultation and transfer records, stood first at 25.0 percent, followed by precautionary measurements at 1.4 percent and isolation at 0.9 percent 9. A great difference in nursing record behavior was observed between the first week of hospitalization and the last week, with the first week's recordings much higher than the last week in the categories of treatment and specific conditions (p<0.01). and of physical assessment and care (p <0.05). 10. A big difference was also observed among the hospitals (p<0.01). 11. A big difference was also observed between the government-run hospitals and the private hospitals in the categories of physical assessment and care and specific conditions in the first week of hospitalization (P<0.05l), and in the category of psychological assessment and care in the last week (P<0.05). 12. Between the hospitals established with foreign aid and the other hospitals, the difference in nursing record behavior was significant only in the category of physical assessment and care both in the first week and the last week (P<0.01). 13. The average nursing record behavior in all care categories stood at 45.1 percent in the extent of its coverage in relation to the general expectations.

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초.중학생을 위한 보건교육의 영역 및 주요개념 선정을 위한 일 연구 (A Study on the Selection of Health topic areas and major concepts for Health Education in Primary and Junior High Schools)

  • 이경자
    • 보건교육건강증진학회지
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    • 제7권1호
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    • pp.10-26
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    • 1990
  • In Korean education, the health contents are scattered in various course subjects throughtout the primary and junior high school curriculum. So it is very difficult to provide systematic health education. The purpose of this study was to provide a guide for health education using health topic areas and major concepts that represent the scope of material that should be covered in health instruction. The steps used in selecting these health topic areas and major concepts were as follows: 1. A review of the literature related to health and health education was done to develop the rationale underlying this study. 2. Health topic areas basic to the growth and development characteristics of children, to human needs and to societal needs for healthful living were indentified. 3. The major concepts for each health topic area based on health sciences and children's growth and development levels were selected. 4. The major concepts selected were organized in sequence to guide health education from grade one to grade nine. The results of this study were as follows: 1. The identification of eleven health topic areas essential for health education. These include: personal habits and health healthy growth and development nutrition and health prevention of disease and disorders drugs and health mental health family life and health sex education accident prevention consumer health community health 2. The identification of the major concepts(generalizations) for each health topic area: 33 major concepts were identified as a guide in determining the health content of health education programs. These are 1) body cleaniness, 2) health of the sensory organs, 3) dental health, 4) exercise and rest, 5) growth and development, 6) body structure and function, 7) developmental tasks, 8) balanced nutrition, 9) eating habits, 10) food preparation and food storage, 11) sources of disease and disorders, 12) disease preventive behavior, 13) care during illness, 14) drug use and misuse, 15) drug addiction, 16) emotional responses, 17) human relationship, 18) self concept, 19) social adjustment, 20) health habits of the family, 21) interdependence of family members, 22) origin of life, 23) characteristics of man and woman, 24) sexual instinct, 25) safety behavior, 26) emergency measures, 27) criteria for selection of health products, 28) proper use of health information, 29) utilization of health and medical services, 30) environmental conservation, 31) environmental pollution, 32) population control, 33) function of public health services. 3. The organization of the concepts(generalizations) in sequence and for continuity in health instruction at the primary and junior high school level.

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여성결혼이민자의 사회적 지지와 관련 변인 메타분석 (A Meta-Analysis of the Variables Related with Social Support for Female Marriage Immigrants)

  • 이은주;전미경
    • 가정과삶의질연구
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    • 제31권5호
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    • pp.125-141
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    • 2013
  • This research aims to integrate study results through a meta-analysis of previous studies on the variables related with social support for female marriage immigrants. Based on the results, this study established the foundation of an integrated social support system for female marriage immigrants which considers both the functional perspective and structural perspective of social support, and suggested plans for an efficient support system. All social support was positively associated with female marriage immigrants marriage life, child-rearing behavior and attitude, reduction of stress and depression and psychological stability. In relation to the effect size of each variable related with all social support, the marriage variable had the biggest relationship with it, followed by the parenting variable, the psychological variable and the stress variable in that order. With reference to the relationship with related variables according to the sub-domain of social support, from the structural perspective, spousale support showed a high relationship with the marriage variable and the stress variable. It was also especially, very highly related with the marriage variable. In addition, a married woman's family support and expert support had an intermediate relationship with the marriage variable, and the husband's family support and friend support had a low relationship with it. From the functional perspective, material support had a very high relationship with the marriage variable, whereas it had a low relationship with the stress variable and the psychological variable. Emotional support was also highly related with marriage variable, but showed an intermediate or low relationship with the psychological variable and the stress variable. On the other hand, informational support displayed an intermediate relationship with the stress variable and the psychological variable, and a high relationship with the marriage variable. Lastly, evaluative support had a high relationship with the marriage variable and the psychological variable. Based on these results, this study proposed plans for an integrated social support system as follows. First, education ought to be provided for the spouses, and support for marital adjustment should be offered. Second, there plans should be made for continuous bonding with the family of origin, and support should be given to address changes in awareness of the relationship with the husband's parents. Third, it is required to revitalize the local community and self-help groups, and provide the female marriage immigrants with opportunities to participate in social activities.

부업동기분석(副業動機分析)과 그 시사점(示唆點) (Motives for Moonlighting and Its Policy Implications)

  • 박진
    • KDI Journal of Economic Policy
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    • 제14권4호
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    • pp.107-121
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    • 1992
  • 본고(本稿)는 노동자들의 부업활동(副業活動)이 시장의 불완전성으로 인해 부득이하게 일어나는 측면이 크며, 본업(本業)에의 집중도를 떨어뜨려 생산성을 감소시킨다는 문제의식을 바탕으로 한다. 따라서 부업동기(副業動機) 분석은 부업감소방안(副業減少方案)을 도출함으로써 본업생산성 및 노동자효용의 향상방안에 연결될 수 있을 것이다. 부업동기(副業動機)의 주요한 부분은 실업으로 인한 다음 기(期) 소득의 불확실성이 충분히 보완되지 못함으로써 발생한다. 따라서 안정적 고용을 보장하거나 실업보험을 실시하면 소득불확실성이 줄어서 부업활동이 감소하므로 본업에서의 생산성 향상도 기대할 수 있다는 시사점이 본고(本稿)의 결론이다. 본고(本稿)는 1차노동시장에서 본업을 가지고 있으며 2차노동시장에서 부업을 하고 있는 노동자를 분석대상으로 한다. 그가 제(第)2기(期)에 실직(失職)할 위험성을 가지고 있다면 고용이 되어 있는 제(第)1기(期)에는 어떻게 소비수준(消費水準)과 부업노동시간(副業勞動時間)을 결정하며, 그 결정이 고용보장과 실업보험에 어떻게 영향받는가를 2기모형(二期模型) 안에서 알아볼 것이다.

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류마티스성 관절염 환자의 적응에 미치는 근이완술에 효과 (The Effects of Muscle Relaxation to The Rheumatoid Arthritis Patients' Adaptation)

  • 정향미
    • 근관절건강학회지
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    • 제1권1호
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    • pp.31-47
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    • 1994
  • The purposes of this research are to examine the effects of muscle relaxation to the rheumatoid arthritis patients' physiological, psychological, and social adaptation, and to verify that the technique Is an effective tool for improving the patients' adaptation. This research utilized a qusi-experimental design that compares the pre-experiment measures and the post-experiment measures. The subjects of this study were 37 out-patients who were diagnosed for rheumatoid arthritis in P university hospital and K clinic between September 12, 1993 and November 30, 1993. The experimental group consisted of patients treated on Monday, Wednesday and Friday. The control group consisted of patients treated on Tuesday, Thursday and Saturday The pre-experimental survey utilized the following tools. The physiological adaptation was measured by a graphic rating scale for pain and activity of daily living. The psychological adaptation was measured by Zung's depression scale and Rosenberg's self-esteem scale : and the social adaptation was measured by Derogatis' psychosocial adjustment scale. The experimental group received muscle relaxation treatment for 15 minutes per day for the period of 2 weeks, the control group received no treatment and had quiet time. The post-experiment measurement was carried out similar to the pre-experiment survey, SPSS $PC^+$ is used to analyze the collected data. The reliabilities of the measurement tools were examined by Cronbach's ${\alpha}$ coefficients. The homogeneities between the experimental and control groups were tested by t-test and chi-square test, hypotheses were tested by t-test. This research found that the general characteristics between the groups were statistically homogenious. The physiological, psychological, and social adaptation between the groups in the pre-experimental survey were also statistically homogenious. The results of this research can be summarized as follows : 1. Concerning the Physiological adaptation, the experimental group showed a statistically lower pain score than the control group. Thus, muscle relaxation was effective to relieve the pain of rheumatoid arthritis patients (t=-2.95, p=.006). 2. Concerning the psychological adaptation, the experimental group showed a statistically lower depression score than the control group. Thus, muscle relaxation was effective to reduce the patient's depression(t=-4.00, p=.001). 3. Concerning social adaptation, the experimental group showed a statistically higher score for the health maintenance and disease control than the control groups. Thus, muscle relaxation was effective for the health maintenance and disease control (t=2.09, p=.004). This research showed that the muscle relaxation is a nursing intervention that can promote the physiological, psychological and social adaptation of the rheumatoid arthritis patients in terms of short-term and cognitive changes. However, more fundomental changes in behavior and long-term physiology could not be found through such a short-term relaxation treatment.

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