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      • SSCISCIESCOPUSKCI등재
      • KCI등재

        성북구 재가 정신질환자를 위한 지역사회 정신보건 간호사업 프로그램 개발 : For Rehabilitation of Home-Stayed Long-Term Psychiatric Patients in Seong-Buk Gu in Korea

        하양숙,이정섭,양수,원정숙,김수지,김윤희,유숙자,이경순,김기숙,김소야자,이광자,조희,이미형,임영숙 대한간호학회정신간호학회 1997 정신간호학회지 Vol.6 No.1

        Korean economic development has proceeded at the rapid rate of in the past two decades with neglect to some areas of human development, especially in the case of mental illness. But the government has belatedly recognized the importance and urgency of welfare and health programmes to cope with increasing problems. Mental health problems are more serious among the economically underprivileged than others. Because of large portion of mental patients from the economically underprivileged segment are at the without proper treatment or care. Thus it is imperative to develop easily assessible, cost-effective alternatives that would offer effective mental health care as well as useful social rehabilitation programmes. The government enacted the National Mental Health Law in December 1995. This project will assist to clarify the appropriate roles of the most effective care system. 20 nurse practitioners began a study on voluntary basis to assess the patients and their family with assessment tool which developed by research members. After that managed the 46 patients and their families through telephone or home-visiting, day care center programmes(such as social skill training, group therapy, movement therapy, art therapy) and counselling, refering hospital and family support group. The goals of research is to strengthen the capacity of psychiatric mental health nurse practitioners to undertake home and community-based mental health care services through various training programmes and expected outcome is this programme will be developed continuously and implemented to another community mental health center. Lastly, the cost-effective study of community-based mental health care will have been undertaken with realistic data provided by the pilot programme policy recommendations prepared for the Ministry of Health and Welfare.

      • 病院分娩 新生兒의 Apgar Score에 관한 統計學的 考察

        河良淑 서울大學校保健大學院 1972 公衆保健雜誌 Vol.9 No.2

        This statistical study was made on 1,114 newborn infants delivered at the Seoul National University Hospital from Jan. 1 to Dec. 31, 1971 to figure out any relations between Apgar scores and obstetric problems such as the general characteristics of mothers and newborn infants, induction of the labor, mothers and newborn of the labr, mode of delivery, antenatal cares and obstetric complications. The results were summarized as followings: 1. The percentage distribution of Apgar score for 1,114 newborn infants was 85.3%(950) for score 7-10, 14.7%(164) for 0-6. 2. The birth weight of newborn infants had statistical significances in the general characteristics of mothers and newborn infants. The premature lower than 2,500gm was shown a reasonable neonatal depression. 3. The neonatal depression in the induction group was shown 6% lower than distribution is the spontaneous delivery group, and it was proven to have good results when the induction is used in the proper period. 4. There was no significant results between sedation group and non-sedation group in the neonatal depression. 5. The percentage distribution between duration of labor and Apgar score was disclosed 66% neonatal depression in the group taken more than 2 hours of the second stage of labor. 6. The percentage distribution of the group taken more 24 hours after membrane rupture was shown severe neonatal depression as 29.0% compared with the other groups. 7. Apgar score was greatly influenced by the modes of the deliveries, and compared with the spontaneous vertex delivery and the whole abnormal delivery, the percentage distribution was similar in neonatal depression. But the order of the bad condition in the abnormal delivery were hysterotomy, breech, C-section, vaccum and forceps. 8. There was a great neonatal depression in the non-antenatal care group than in the antenatal one. The group(274:24.6%) having obstertrical complications during pregnancy was disclosed 3 times neonatal depression than in the group not having it.

      • KCI등재

        노인 스트레스 반응에 관한 연구

        하양숙,서현미,유수정 대한간호학회정신간호학회 2000 정신간호학회지 Vol.9 No.4

        The main objectives of this study were to analyse the stress response and so as to provide basic data to develop stress managing nursing intervention program for elderly. The subjects were 350 elders over 65 years old who lives in Seoul. Kwang-Ju. Yang-Ju Gun Kyung-ki Do, Ui-Jung Bu, and Young-Am Kun, Jeun-Ra Nam Do. And the data of 331 elders(94%) were analyzed. Symptoms of stress(SOS) scale which used to measure the stress response for elderly and cronbach's α of the scale is .9495 on this study. Data were collected between January and March in 1996 and analyzed using the SPSS Win 8.o. The result are as follows: 1. The total mean of the stress response for elderly was 1.04 which is higher than other adult groups. The range of means on 10 subscales of stress response were .77-.1.45, which the subscale of central nervous system was the highest and peripheral symptoms was the lowest 2. There was significant difference in the stress response among sex, age, pocket money, living with spouse or son, disease or not, perceived health status. The above findings indicated the stress response in higher tan adult group and plausibility of the adopting stress managing nursing intervention for elderly. There should be further studies developing the stress response scale according to characteristics of stress for elderly. In addition, considering results of this study family is very important factor as managing of stress response, so it is needed to consider family in implementary nursing intervention program to manage stress response.

      • KCI등재후보

        Influencing Factors of Psychosomatic and Psychological Symptoms of Stress in Korean Adults

        하양숙,조선희,최명애,김금순,이명선,조소연 대한스트레스학회 2012 스트레스硏究 Vol.20 No.3

        The purpose of this study was to examine predictors of somatic symptoms and psychological symptoms of stress among Korean adults. A cross-sectional descriptive survey was conducted. A sample size of 815 male and 1,554 female adults residing in South Korea completed the instruments of perceived stress, symptoms of stress, and way of coping. Data was analyzed by multivariate regression. Influencing factors for eleven symptoms of stress were as follows: a) subjective health status, having disease, perceived stress level were significant influencing factors for all symptoms of stress; b) problem-focused coping was a significant influencing factor for psychological symptoms of stress; c) emotional-focused coping was significant influencing factor for both psychosomatic and psychological symptoms of stress; d) age, gender, subjective health status, having disease, and perceived stress level were significant influencing factors for psychosomatic symptoms of stress; e) emotion-focused coping predicted psychosomatic symptoms of stress. Feeling healthier and perceiving a lower stress level predicted more psychological symptoms of stress. In contrast, using more emotion-focused coping was significantly associated with more psychosomatic symptoms of stress. The findings suggest that community health providers need to develop interventions to aware coping strategies and to enforce problem-focused coping skills for community-dwelling Korean adults with psychosomatic complaints.

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