Effects of Community- Based Psychological Interventions on Depressive Symptoms and Blood Glucos e Control for Older Individuals with Type 2 Diabetes: A Systematic Review and Meta- Analysis

Heajin Yu(유혜진),Boyoung Hwang(황보영) 대한스트레스학회 2020 스트레스硏究 Vol.28 No.1

본 연구에서는 노인 당뇨 환자를 대상으로 한 지역사회 기반 심리 중재가 환자들의 우울 증상과 혈당조절에 미치는 효과를 체계적으로 고찰하였다. 국내외 7개의 데이터베이스를 사용하여, 2008년 1월 1일부터 2018년 7월 31일까지 발표된 문헌들을 확인하였다. 선정기준에 따라 다섯 편의 연구가 최종 선정되었으며, 총 대상자는 제2형 당뇨 진단을 받은 지역사회 거주 노인 596명이었다. 메타분석에 선정된 네 편의 연구 모두 행동 교육을 목적으로 프로그램을 구성하였다. 추후에는 표본 크기를 늘려 심리적 중재 프로그램을 시행하는것이 바람직하며 더욱 다양한 지역에서 수행하는 것이 필요함을 확인할 수 있었다. Background: To review the effects of community-based psychological interventions on depressive symptoms and blood glucose levels of older individuals with type 2 diabetes (T2D). Methods: A literature search was conducted using seven electronic databases (CINAHL, EMbase, PubMed, CENTRAL, KoreaMed, KISS, and KMbase). The main search terms were ‘diabetes’, ‘depression’, ‘older adult’, and ‘psychological intervention’. The search was restricted to peer-reviewed RCTs published between January 1, 2008 and July 31, 2018. Results: Five studies with a total of 596 participants met the inclusion criteria. Four studies that were included in the meta-analysis incorporated some form of behavioral strategies. Depressive symptoms were measured in four of the five studies, and HbA1c was measured in two of the five studies. The pooled SMD for depressive symptoms was −0.13 (95% CI, −0.31, 0.04; p=0.13) and −0.63 (95% CI, −0.98, −0.28; p<0.001) for HbA1c. Conclusions: This review highlights the need for additional clinical trials for psychological interventions in older individuals with T2D, especially trials on a larger scale with a wider geographical scope.

인지행동치료 프로그램이 대학생의 지각된 스트레스와 신체 증상에 미치는 효과

남수현(Soohyun Nam),황보영(Boyoung Hwang) 대한스트레스학회 2017 스트레스硏究 Vol.25 No.3

본 연구에서는 스트레스로 인해 신체 증상을 호소하는 대학생들에게 인지행동치료 프로그램을 적용하여 지각된 스트레스, 신체 증상, 부정적 자동적 사고, 역기능적 태도에 미치는 효과를 검증하였다. 지방 소재 1개 대학교에 재학 중인 학생들 중 신체 증상 설문 총점 7점 이상인 대상자를 선별하여 참여를 원하는 집단을 선택하도록 하였다. 실험군(17명)은 매주 60분 간 총 5회기에 걸친 집단 중재에 참여하였고 대조군(15명)은 참여하지 않았다. 두 군간 결과변수의 전후 변화 차이는 반복측정 분산분석을 사용하여 분석하였다. 실험군의 지각된 스트레스, 신체 증상, 부정적 자동적 사고 점수의 중재 전후 변화량이 대조군의 변화량보다 유의하게 컸으나, 역기능적 태도 점수의 변화 양상은 실험군, 대조군 간 유의한 차이가 없었다. Background: The purpose of this study was to evaluate the effects a cognitive behavioral intervention on perceived stress, somatic symptoms, automatic negative thoughts and dysfunctional attitudes in college students. Methods: This was a quasi-experimental study with a nonequivalent control group design. Students who agreed to participate in the study and had a total score of 7 or greater on the Patient Health Questionnaire-15 were asked to choose one of the two groups to attend: Experimental and control groups. Students in the experimental group (N=17) received 5-weekly group sessions of the intervention, each of which lasted 60 minutes. The interventions were not provided to the control group (N=15). Students in both groups were asked to complete a set of questionnaires at baseline and five weeks. Descriptive statistics were calculated, and t-test, Mann-Whitney U test and repeated measures ANOVA were performed. Results: There was a significant interaction between time and group for perceived stress, somatic symptoms and automatic negative thoughts. Dysfunctional attitudes, on the other hand, were not significantly different by group. Conclusions: The findings showed that the intervention was effective for college students suffering from perceived stress and somatic symptoms. In particular, the significant decrease in automatic negative thoughts among students in the intervention group suggests that the effect of the cognitivebehavioral intervention was mediated by the cognitive factors of somatic symptoms.

간호사가 경험하는 수평적 폭력이 간호사의 소진과 환자에 대한 공감에 미치는 영향: 의사소통의 조절효과를 중심으로

남수현(Soohyun Nam),황보영(Boyoung Hwang) 대한스트레스학회 2019 스트레스硏究 Vol.27 No.3

본 연구는 간호사가 경험하는 수평적 폭력이 간호사의 소진과 환자에 대한 공감에 미치는 영향에서 의사소통의 조절효과를 확인하기 위해 이차자료분석을 활용한 횡단적 서술연구이다. 일개 대학병원에 재직 중인 직원들을 대상으로 2019년 5월 20일부터 2주 간 온라인 설문조사를 통해 수집된 자료 중 직장에서 수평적 폭력을 경험한 간호사 211명의 자료를 위계적 다중회귀모형을 사용하여 분석하였다. 분석 결과, 의사소통의 조절효과는 수평적 폭력과 소진 간 관계에서 유의하게 나타났으나, 수평적 폭력과 환자에 대한 공감 간 관계에서는 유의하지 않았다. 따라서, 수평적 폭력으로 인한 간호사의 소진을 경감시키기 위해 의사소통 교육 프로그램을 개발, 활용하는 것이 필요하겠다. Background: Horizontal violence or lateral violence among nurses is a critical social issue given its global prevalence and frequency. In this study, we examined the effects of lateral violence on nurses’ burnout and empathy with patients by examining the moderating effect of communication in each relationship. Methods: This was a secondary analysis of data from a cross-sectional descriptive study, including a total of 211 registered nurses who had worked for more than six months at a medical institution in Seoul, South Korea. The data were collected between March 20, 2019 and June 1, 2019 using self-administered online surveys. Descriptive statistics and Pearson’s correlation coefficient were calculated, and hierarchical multiple regression analyses were performed. To test the moderating effect of communication, an interaction term was added to each model. Results: Communication negatively moderated the relationship between lateral violence and burnout. On the other hand, there was no significant moderating effect of communication on the relationship between lateral violence and empathy with patients. Conclusions: From these findings, we revealed the effect of communications between lateral violence and burnout. The higher the communication ability, the less the effect of lateral violence on burnout. Our findings highlight the importance of communication when developing interventions to reduce burnout in the presence of lateral violence.

췌장암 환자의 삶의 의미, 사회적 지지가 외상 후 성장에 미치는 영향

김유진 ( Kim Youjin ),황보영 ( Hwang Boyoung ) 한국정신간호학회 2021 정신간호학회지 Vol.30 No.4

Purpose: The purpose of this study was to examine the correlations among meaning in life, social support, and posttraumatic growth and to identify the factors related to posttraumatic growth in pancreatic cancer patients. Methods: A total of 118 pancreatic cancer patients who received care in an outpatient clinic and inpatient units in an oncology center in Seoul were enrolled from February 2021 to March 2021. We collected data using self-report survey tools. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and hierarchical multiple linear regression with SPSS/WIN 26.0 Results: Meaning in life, social support, and posttraumatic growth had significant positive correlations with each other, and the correlation between posttraumatic growth and meaning in life was the highest (r=.63, p<.01). In the hierarchical multiple regression model of posttraumatic growth (adjusted R²=.48, p<.001), marital status (β=-.14, p=.04), meaning in life (β=.44, p<.001), and social support (β=.27, p=.001) were statistically significant. Conclusion: There is a need for nursing interventions that provide social support and promote the meaning in life to facilitate posttraumatic growth in pancreatic cancer patients.

로드샵 쿠션 파운데이션 마케팅 요소 비교·분석 연구 - 「화해」어플리케이션에 게시된 소비자 평가 글을 중심으로 -

백소진 ( Sojin Baek ),이가영 ( Gayoung Lee ),김다영 ( Dayoung Kim ),양주원 ( Joowon Yang ),황보영 ( Boyoung Hwang ),박효진 ( Hyojin Park ),이정미 ( Jeongmi Lee ),이종문 ( Jongmoon Lee ) 한국디지틀도서관포럼 2016 디지틀 도서관 Vol.81 No.-

본 연구에서는 로드샵 화장품 브랜드의 쿠션파운데이션에 대한 소비자 평가를 분석하였다. 유비쿼터스 시대가 도래함에 따라 소비자의 정보 습득 행태는 다양해지고 서로의 생각과 정보를 공유하는 것이 일상화 되었으며, 이에 화장품의 구매결정에 영향을 미치는 요소를 파악하였다. 브랜드 A, B, C, D, E사의 쿠션 파운데이션 중 주력 제품 A, B, C, D, E를 대상으로 「화해」 어플리케이션에 게시된 다섯 가지제품의 진솔한 리뷰를 조사·분석하였다. 전반적인 소비자 평가와 커버력, 수분감, 밀착력, 지속력 등 기능적인 요소, 가격, 용량 등에 대해 다섯 가지 제품을 비교하며 문제점을 도출하고 개선방안을 제시한다. This study analyzes the customer responses regarding cushion foundation creams in road shops. With advent of the ubiquitous era, customers not only acquire a variety of information but share their opinions with others. This research investigates factors affecting customer`s buying behavior. Selecting each main product among five brands` cushion foundation creams, I review and analyze the customer responses about the five items uploaded in `Hwahae`, a beauty-related App. This examination includes overall evaluation, price, capacity, and functioning factors (coverage, moisture, and adhesion). Based on the customer feedback, I compare the five cushion foundation creams, summarize controversial issues, and finally provide solutions for each item.

자발적 의약품 부작용 보고자료를 이용한 성별에 따른 부작용 발현 차이

연하림(Ha Rim Yeon),강상오(Sang Oh Kang),민경현(Kyung Hyun Min),최윤정(Yunjeong Choi),황보영(Boyoung Hwang),김현정(Hyun Jeong Kim),이경은(Kyung Eun Lee) 대한약학회 2020 약학회지 Vol.64 No.1

The aim of this study was to assess and characterize sex differences in adverse drug reactions (ADRs) reported to the Korea Institute of Drug Safety and Risk Management (KIDS). This retrospective pharmacoepidemiological study was performed using the Korea Adverse Event Reporting System (KAERS) database from the KIDS in 2014-2018. Variables used in the analyses include sex and age of patients, suspected drug, type and severity of ADR, and severity of ADR. A ratio of reports concerning women and men was calculated for ADRs reported. A dataset of 22 drugs selected from the FDA label and UpToDate?? database were requested to KIDS. Among 22 drugs, 17 of them were reported as suspected drugs to cause ADR and these were further analyzed in detail. The total reported number of ADRs was 241,974 and reports from female patients comprised of 54.5%. Aprepitant had the highest number of ADR reports (n=179,716), followed by fluorouracil (n=17,807), oxycodone (n=14,643) and cisplatin (n=14,191). Reports of serious adverse events were mostly from aprepitant and evidently high in female patients in aprepitant. Sex differences exist in ADRs based on KIDS-KAERS database which varies among drugs and type of ADRs. Further studies are warranted to examine details of clinical information of patients to conclude gender differences in adverse drug reactions.