• 제목/요약/키워드: therapeutic relationship

검색결과 427건 처리시간 0.024초

정신과 환자의 치료적 활동에 관한 문헌적 고찰 (Literary Review of Therapeutic Activity of Psychiatric Patients)

  • 이소우
    • 대한간호학회지
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    • 제2권1호
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    • pp.175-188
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    • 1971
  • More and Tore emphasis is put on moral treatment in the care of psychiatric patients. Methods employed for moral treatment rake use of therapeutic activity for the mentally ill patient. In some psychiatric hospitals all of the therapeutic activities are categorized as occupational therapy, while in others these activities are departmentally categorized -recreational, musical, occupational and bibliotherapy. All of these constitute separate departmental therapies. By research, it is known at this time, that the above activities have been of great help in personality integration, reeducation and early recovery of patients, as well as in their social adjustment after discharge. The goal of these therapeutic activities incorporate the goals set by healthier interpersonal relationship and psychotherapy. Put the therapeutic activities require a prolonged time of therapy for effectiveness, economic support, special trained personnel, careful planning, guidance and proper evaluation. Therefore this treatment is a very complicated one. But it may be the most profitable therapy for certain patients. One true fact about this treatment is, that simple recreation, occupation, music, reading, etc., make the patients life in the ward more interesting and have a good effect on the interpersonal relationship between patients. Thus it has been proved that this kind of treatment demands the active and full participation of the personnel and the full support of the hospital administration.

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Aspirin (II) Structure-Activity Relationship of Salicylates and Improvements of Their Therapeutic Value through Structural Modification

  • Kim, Dong-Han
    • Archives of Pharmacal Research
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    • 제2권1호
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    • pp.71-78
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    • 1979
  • Since the introduction of aspirin as a therapeutic agent in 1899, there have been numerous attempts at the improvement of its therapeutic value through molecular modification. These endeavors have centered mainly around the following two approaches : (a) improvement of the potency by introduction of a suitable group or groups on the benzene ring; and (b) modification of the carboxylic acid group, which is thought to be an immediate cause of the irritant effect.

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의사-환자의 치료적 관계에 대한 질적 사례연구 (A Qualitative Case Study of the Medical Doctor-Patient Therapeutic Relationship)

  • 강성현;이도은;최정현;김광우;유영수;강형원;정문주
    • 동의신경정신과학회지
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    • 제34권3호
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    • pp.319-334
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    • 2023
  • Objectives: The purpose of this study was to identify the doctor-patient relationship perceived by doctors in clinical settings and the effect of doctor-patient relationships on treatment schemes. A qualitative case study was conducted for this purpose. Methods: In-depth interviews were conducted with five oriental medicine doctors and doctors working in clinical settings using a semi-structured questionnaire. Transcription and coding were performed to analyze the data. By analyzing each case individually through within-case analysis, we attempted to find themes that emerged from the research subjects' experiences with establishing relationships with patients. Afterward, a cross-case analysis was conducted to identify the meaning of the experiences through commonalities and differences. Results: Within-case analysis confirmed the thoughts and emotions of the research participants in recognizing, defining, and participating in doctor-patient relationships while delivering treatments. Case-to-case analysis derived two themes, seven categories, and 20 meaningful units for doctor-patient relationships. Conclusions: The study found that a doctor-patient relationship regarding patient treatment could be established based on the doctor's 'professional qualifications' and 'human qualities'. In the future, it is necessary to present an educational model for relationship-based intervention techniques and personality maturity. Follow-up research should be conducted to enable the establishment of therapeutic relationships between doctors and patients.

정신분열병환자에서 Taq I A 도파민 $D_2$ 수용체 다형성과 항정신병약물의 치료반응과의 연관 (The Relationship between Taq I A Dopamine $D_2$ Receptor Polymorphism and Therapeutic Response to Antipsychotics in Schizophrenic Patients)

  • 강철중
    • 생물정신의학
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    • 제12권2호
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    • pp.107-113
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    • 2005
  • Purpose:In an attempt to predict the interpersonal differences of therapeutic response to antipsychotic drugs on pharmaco-genetic bases, this study was designed to investigate the relationship between the therapeutic response to antipsychotic drugs and Taq I A dopamine $D_2$ receptor polymorphism in schizophrenic patients. Methods:The subjects were 158 patients diagnosed with schizophrenia(DSM-IV). The therapeutic response to antipsychotic drugs was evaluated using the Treatment Response Scale(TRS) retrospectively. Patients were divided into two groups, dopamine receptor antagonist responders, and serotonin-dopamine antagonist responders. The patients' Taq I A dopamine $D_2$ receptor polymorphism was determined by polymerase chain reaction(PCR) and restriction fragment length polymorphism(RFLP). Results:The dopamine receptor antagonist responders had the A1 allele in significantly higher incidences (${\chi}^2$(1)=4.875, p=0.027, two-tailed). No significant difference was found among the serotonin-dopamine antagonist responders between those with or without the A1 allele. Conclusions:The patients with the A1 allele responded better to dopamine receptor antagonists than those with no A1 allele. Based on these results, it is suggested that the pharmacological effect of dopamine receptor antagonists can be predicted depending on the presence of the A1 allele in schizophrenic patients.

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Investigation of Retail Therapy (RT) Values -How Body Consciousness Plays a Role in Therapeutic Shopping Motivations-

  • Lee, Sea Eun;Yoo, Jeong-Ju
    • 한국의류학회지
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    • 제45권4호
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    • pp.714-726
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    • 2021
  • The purpose of this study is to investigate the effect of retail therapy (RT) values and the role of body consciousness on therapeutic shopping motivations and outcomes. In order to accomplish our research aim, we investigated therapeutic shopping values (i.e., positive mood reinforcement and negative mood reduction) and the moderating effects of body surveillance, body shame, and weight preoccupation. A total of 247 female college students in the United States participated in an online Qualtrics survey, and structural equation modeling (SEM) and multigroup analysis were performed to analyze the data. The findings reveal that therapeutic shopping values (positive mood reinforcement and negative mood reduction) significantly influence therapeutic shopping motivation. Therapeutic shopping motivation, in turn, positively influences therapeutic shopping outcomes. Moreover, weight preoccupation moderates the relationship between negative mood reduction and therapeutic shopping motivation, suggesting that RT should especially be utilized for weight-conscious individuals. The results can be utilized for retailers to develop marketing strategies for consumers who are conscious about their appearance. Academic and managerial implications, along with future research, are suggested.

혈액투석 환자의 치료지시 이행정도와 생리적 지표와의 관계 (A Study of the Relationship between Compliance with Therapeutic Regimens and Physiological Parameters of Hemodialysis Patients)

  • 민혜숙;이은주
    • 대한간호학회지
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    • 제36권1호
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    • pp.64-73
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    • 2006
  • Purpose: This study was done to investigate correlations between compliance and physiological parameters of hemodialysis patients. Method: The subjects were 102 patients on hemodialysis at 3 hospitals in B city. Data was collected using Shon(l986)'s questionnaire and measuring physiological parameters (serum urea nitrogen, creatinine, hemoglobin, albumin, potassium, phosphorus, interdialytic weight gain). Result: Mean scores of compliance with the therapeutic regimen was $4.00\pm$ 0.55 on a 5 point scale. The area of visiting hospitals and taking medicines . were shown to have high compliance with therapeutic regimens; on the other hand, the areas concerning diet and symptoms were shown to be low. Interdialytic weight gain and phosphorus were significantly related to the compliance with therapeutic regimens. Conclusion: Hemodialysis patients' therapeutic compliance was related to the physiological parameters(potassium, phosphorus, interdialytic weight gain). Therefore, these findings give hemodialysis patients useful information for raising their therapeutic compliance.

두경부 악성 종양 조직내 간질액 압력 (Tumor Interstitial Fluid Pressure in Patients with Head and Neck Cancer)

  • 조문준;김재성;이인태;김준상;장지영;김기환
    • 대한두경부종양학회지
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    • 제16권1호
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    • pp.9-13
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    • 2000
  • Objectives: To determine the tumor interstitial fluid pressure(TIFP) in patients with head and neck cancerand predict radiotherapy outcome.Materials and Methods: In 12 biopsy proven primary head and neck cancer patients with accessible by direct inspection and palpation, and of sufficient thickness(>1cm) to permit accurate needle placement, we measured TIFP at cervical lymph node before and during radiotherapy using a modified wick-in-needle technique. Tumor size was measured clinically and radiologically. Results: The mean preradiotherapy TIFP was 23.4mmHg. Preradiotherapy TIFP had significant relationship with tumor size(p=0.0009). Preradiotherapy TIFP was not different between complete response group and partial or less response group(p=0.114). Radiotherapy outcome was not different between group with above and group with below average TIFP(p=0.09). Conclusion: The mean TIFP was elevated with 23.4mmHg before radiation therapy. Preradiotherapy TIFP had significant relationship with tumor size. It is not definitive that TIFP could be prognostic indicator of radiation response.

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교통사고로 한방병원에 입원한 환자에 대한 후향적 통계 분석 (Retrospective Statistical Analysis on Patients Admitted to a Korean Medicine Hospital by Traffic Accident)

  • 김홍경;김정일;김영일
    • 대한한의학회지
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    • 제42권1호
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    • pp.26-45
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    • 2021
  • Objectives: The purpose of this study was to investigate characteristics of patients who were admitted to an oriental medicine hospital by traffic accident. Methods: The medical charts of 346 patients admitted to an oriental medicine hospital from June 1, 2017 to May 31, 2018 were analyzed. The Numbering Rating Scale (NRS) and duration of hospitalization were used to evaluate characteristics of the patients. Results: Acupuncture, Moxibustion, Infralux were used to treat all the patients. The most frequently used herbal medication was Danggwisu-san(22.25%). 87 patients(25.14%) visited the outpatient department after being discharged from the hospital. The most frequent complaint in terms of pain was cervical pain(82.7%) and of systemic symptom was headache(23.7%). Men and younger aged patients showed higher therapeutic effect than women and older ages. The most common duration of hospitalization was 2~4 days(42.73%) and positively correlated with therapeutic effect. The most frequent interval between time of injury and visit to the hospital was from 0-1 days(68.90%) and showed no relationship with therapeutic effect. The most frequent admission pathway was "Directly to the hospital"(57.51%). Admission pathway was proportionally associated with duration of hospitalization and treatment results were not. The most common vehicle type involved in the traffic accidents was a sedan(72.25%), accident type was a rear-end collision(43.64%) and showed no relationship with therapeutic effect. Conclusions: In this study, therapeutic effects were highly correlated among men, younger ages, and duration of hospital stay, and was not for interval days, admission pathway, vehicle type, and accident type.

부부관계의 가족심리학적 이해 (A Theoretical Study of the Marital Relationship Based on the Concepts of Family Therapeutic Psychology)

  • 정애랑
    • 가정과삶의질연구
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    • 제5권2호
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    • pp.1-10
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    • 1987
  • The society, nowadays, is in a state of transition, and the family, which must always accomodate to society, is change with it. And because of transitional difficulties , the family's major psycosocial task has become more important than ever. That is , the family sill change. but it will aso reamin because it is the best human unit for rapidly changing societies. Under the circumstances, a healthy marital interaction is still the key to optimal family process, and the marital relationship is also the basis of the parental one. This paper aims to study an conceptual schema of family functioning chiefly concerned with marital relationship base d ton the family therapeutic psychology the systematic approaches of which have been recently developed. Subsequent to the importance of spouse functions and the characteristic of a functioning family the marital tension as a cause of marital problems and the theoretical approaches that will allow to deal with these problem , are also explained in this paper. On the otherhand, the sexual dysfunction, one aspect of a wider set of marital problems, and problems of dysfunctional children are not discussed in detail , because these problems shall become specialized fields. By this paper , it is expected to find a clue to the emotional and psycosocial aspects of marital problems, which will help us have a broader viewpoint in the study of family relationship.

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