대인관계 역경 경험 대학생들의 역경 후 부정적 정서에 대한 자비로운 글쓰기 개입의 효능 및 조절변인으로서의 개입 전 우울증상

조승연,조용래 한국인지행동치료학회 2021 인지행동치료 Vol.21 No.2

본 연구는 자비로운 글쓰기 개입이 여러 종류의 역경 후 부정적 정서들에 미치는 효과를 검토하고, 이러한 효 과가 개입 전 우울증상 수준에 따라 조절되는지를 검증하고자 하였다. 대인관계 역경을 경험했다고 보고한 대 학생들 중에서 30명은 자비로운 글쓰기 개입을, 그리고 29명은 일상적 글쓰기 개입을 제공받았다. 분석 결과, 자비로운 글쓰기 개입 조건의 참가자들은 일상적 글쓰기 개입 조건의 참가자들에 비해 역경 후 분노 수준이 종결 2주 후에 유의하게 감소하였다. 또한, 역경 후 배신감의 경우 개입 전에는 두 가지 조건 간에 유의한 차 이를 보이지 않았으나, 개입 후에는 일상적 글쓰기 개입조건에 비해 자비로운 글쓰기 개입조건에서 유의하게 낮았다. 하지만, 다른 종류의 역경 후 부정적 정서들의 수준에서는 두 조건 간의 차이가 유의하지 않았다. 다 음으로, 종결 2주후에 역경 후 공포와 역경 후 죄책감 수준 각각에 대한 일상적 글쓰기 대비 자비로운 글쓰기 개입이 미치는 효과는 개입 전 우울증상 수준이 높을수록 더욱 컸고, 그 외에 다른 종류의 역경 후 부정적 정 서들에 대한 개입의 효과는 개입 전 우울증상 수준에 의해 조절되지 않는 것으로 밝혀졌다. 결론적으로, 이러 한 결과들은 자비로운 글쓰기 개입이 대인관계 역경 경험자들의 역경 후 분노와 배신감 수준을 완화하는 데 효과적이며, 대인관계 역경 경험자들 중에서 개입 전 우울증상 수준이 높은 사람들에게서 역경 후 공포와 역 경 후 죄책감을 낮추는 데 더 효과적이라는 점을 시사한다. This study examined the effects of a compassionate writing intervention for several kinds of post-adversity negative emotions and evaluated the role of pre-intervention depressive symptoms as a moderator in the treatment effects. Of the university students who reported a history of interpersonal adversities, 30 were provided with the compassionate writing intervention and 29 with daily writing intervention. Compared with the participants in the condition, those in condition showed a significant decrease in post-adversity anger at 2-week follow-up assessment. For post-adversity betrayal, there was no significant difference between the compassionate writing intervention and the daily writing intervention before intervention, but after intervention there was a significant difference between the two interventions. Significant differences in other kinds of post-adversity negative emotions were not found between the two conditions. At the follow-up, the compassionate writing intervention was superior to the daily writing intervention in the levels of both post-adversity fear and post-adversity guilt among those with higher pre-intervention depression symptoms, but did not among those with lower pre-intervention depression symptoms. In conclusion, these results suggest that the compassionate writing intervention is an efficacious treatment for post-adversity anger and betrayal among undergraduate students who experienced interpersonal adversities, and that the intervention is more effective in reducing post-adversity fear and post-adversity guilt among those who both experienced interpersonal adversities and reported higher pre-intervention depression symptoms.

NIC간호중재분류체계를 이용한 회복실 핵심간호중재분석

이윤영,지성애 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

The purpose of study was to survey to analysis of core nursing interventions performed by Post Anesthetic Care Unit nurses. The subject of the study were arbitrarily selected 59 nurses in 3 general hospitals located in Seoul, working for the Post Anesthetic Care Unit. The period for collected the data was 47 days from July, 15, 2000 to August, 30. 2000. The Instrument for study was the Korean translation of 486 Nursing Intervention Classification, developed by McClosky & Bulechek in 2000. In the 486 nursing interventions, 217 nursing interventions were selected by 50% or more of the 34% professional nurses group in post-anesthetic care unit. The 217 nursing interventions were used secondary questionnaire. In the secondary questionnaire, all 217 intervention labels and definitions were listed. The collected data were self-report by post anesthetic care nurses. The dada were analysed with SPSS program. The result of this study is as follows. 1. The most frequently used nursing intervention domains were 'Behavior', 'Physiological: Complex', 'Safety'. 'Physiological: Baasic', 'Health system', 'Family' 'community' 2. Post-anesthetic core nursing interventions were performed several times a day by 50% or more of the post anesthetic care nurses. Post-anesthetic core nursing interventions were 4domain('Behavior', 'Physiological: Complex', 'Safety' 'Physiological: Basic', 'Health system'), 19 class, 112 core nursing intervention. The most frequently used Post-anesthetic core nursing intervention domains were 'Physiological: Complex' The most frequently used Post-anesthetic core nursing interventions were medication : intravenous, airway management, oxygen therapy, anesthesia administration, fall prevention, fluid management, airway suctioning, aspiration precaution, airway insertion and stabilization, fluid monitoring, intravenous(IV) therapy, ventilation assistance, infection control: intraoperative, cough enhancement, temperature regulation, vital signs monitoring, documentation, analgesic administration, temperature regulation: intraoperative, emotional support, medication administration, artificial airway management, physician support, fluid/electrolyte management, mechanical ventilation. Post-anesthetic Core Nursing Interventions have implications for post-anesthetic care practice, education, research. and nursing information system.

긍정심리개입이 외상경험 대학생들의 심리적 건강 및 외상 후 성장에 미치는 효과

한상미,조용래 한국임상심리학회 2017 Korean Journal of Clinical Psychology Vol.36 No.2

The purpose of this study was to examine the effects of positive psychology intervention (PPI) on psychological health and post-traumatic growth in trauma-exposed university students. The PPI examined here was a structured 8-session group program aimed at cultivating positive feelings, positive behaviors, and positive cognitions. The PPI program consisted of 8 weekly sessions. Thirty participants in the PPI group completed the measures of resilience, posttraumatic growth, mental well-being, meaning in life, post-traumatic stress symptoms, depressive symptoms, and posttraumatic negative cognitions at pre-intervention, after the fourth session, at post-intervention, and 1 month after the intervention; conversely, 33 participants in the non-treatment control group completed the same assessment instruments three times (at pre-intervention, after the fourth session, and at post-intervention). Compared to the participants in the non-treatment control group, those in the PPI group showed significant improvements in resilience, posttraumatic growth, mental well-being and meaning in life, as well as reductions in depressive symptoms and post-traumatic negative cognitions. These effects of PPI were maintained at 1-month follow-up. However, a decrease in post-traumatic stress symptoms was not significantly different between the two groups. In conclusion, these findings suggest that PPI may be efficacious in enhancing resilience, post-traumatic growth, and positive mental health, as well as ameliorating depressive symptoms in trauma-exposed university students. Finally, implications of this study and directions for future research based on its limitations were discussed.

수술직후 환자에게 수행된 회복실 간호중재분석

박영례,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

The purpose of this study was to analysis of nursing interventions performed by the post-anesthetic care nurses practically from one university hospital in Seoul. The data were collected from the 94 people during the immediate postoperative or post-anesthesia recovery stage from one post-anesthetic care unit. The period for collected the data was July 29, 2002 to August, 16, 2002. The instrument for study was the list of 103 nursing interventions out of the post-anesthetic core nursing interventions presented by Lee, Yoon-Young(2000) selected form the 486 taxonomy of nursing interventions classification (NIC) which were translated into Korean. The data were analysed with SPSS program. The results are as follow : 1. The most frequently used nursing interventions were vital sign monitoring, touch, presence, intravenous(Ⅳ) therapy, fluid monitoring, health education, respiratory monitoring in rank. 2. The most frequently used nursing intervention domains were 'Physiological: Complex', 'Behavior', 'Safty', 'Physiological: basic', ''Health system' in rank. 3. There is little difference of the nursing interventions practiced frequently according to the operative regions. This study contributes to post-anesthetic care practice, nursing education, research and nursing information system.

외상 후 스트레스(PTSD) 관련 음악치료 중재 연구 동향 분석: 2000~2022년의 국내 학술지 및 학위논문 중심으로

황지선,이지경 학습자중심교과교육학회 2024 학습자중심교과교육연구 Vol.24 No.1

Objectives This study aims to understand the overall flow of past research by analyzing trends in music therapy intervention research related to Post-Traumatic Stress Disorder (PTSD) in South Korea and to present data that will serve as a direction and basis for follow-up research. Methods Initially, it was found 176 studies published between January 2000 and December 2022. A total of 19 papers were finally selected after 8 rounds of literature purification process. This was sequentially classified into research information, characteristics of study participants, and music therapy intervention-related information. Results Among the final 19 studies, 8 were quantitative studies and 9 were qualitative studies. The number of papers published every five years was the highest from 2005 to 2009 and from 2015 to 2019, with 6 papers each. As for the number of research participants, 10 studies (52.63%) had less than 10 participants, and 3 papers (15.79%) had more than 50 participants. 119(28.81%) participants were aged between teens and 40s. The most common type of trauma experienced by participants was ‘repetitive trauma’, with 17 people (89.48%). Regarding music therapy intervention, the independent variable was ‘expressive music activity’, which was the most common with 9 studies(47.37%), and the dependent variable was ‘composite’ variable with two or more areas established, which was the highest with 8 studies(42.11%). The type of intervention was ‘group’ in 10 cases (52.63%), and the number of sessions was 10 to 19 sessions, 8 cases (42.11%). The intervention time was 40 to 50 minutes in 4 cases (21.05%). Lastly, the location of music therapy intervention was often carried out in a ‘music practice room or music therapy room’. Except for four papers, treatment interventions were performed by professional music therapists. Conclusions This study provided a comprehensive perspective on the characteristics of music therapy for patients with post-traumatic stress disorder (PTSD).

Five Months Follow-up Study of School-based Crisis Intervention for Korean High School Students Who Experienced a Peer Suicide

차지민,김지은,김민아,심보영,차명진,이정재,한덕현,정운선 대한의학회 2018 Journal of Korean medical science Vol.33 No.28

Background: The purpose of this study was to examine post-traumatic stress, depression, anxiety, and complicated grief in Korean high school students who experienced a peer suicide. Methods: A total of 956 students were included in the statistical analysis. One week after a peer suicide, a school-based crisis intervention program was conducted. The cohort was followed-up at one week and five months after a peer suicide. The program consists of screening tests, educational sessions, and further interview with psychiatric specialists for the selected group. Screening tests were conducted for all students to measure the Child Report of Post-traumatic Symptoms (CROPS), the post-traumatic stress symptoms (The University of California at Los Angeles post-traumatic stress disorder [PTSD] reaction index; UCLA-PTSD-RI), the anxiety symptoms (The Korean-Beck Anxiety Inventory; K-BAI), the depressive symptoms (The Korean-Beck Depression Inventory-II; K-BDI-II), and the complicated grief reaction (The Inventory of Complicated Grief; ICG). For statistical analysis, the SPSS Statistics 21.0 program was used. Results: At baseline and five months follow-ups, 8.6% and 2.9% of the students showed post-traumatic stress symptoms. At five months follow-up, there was a statistically significant decline in the post-traumatic stress symptoms, anxiety, depression, and complicated grief among the ‘trauma group.’ A higher proportion of the female students showed post-traumatic stress symptoms after the incident of peer suicide than the male students. Conclusion: School-based crisis intervention helps improvement of trauma-related symptoms. It might be an effective way to prevent suicide spreading among students by alleviating trauma-related symptoms.

Effects of a Postpartum Back Pain Relief Program for Korean Women

Oh, Hyun-Ei,Lee, Young-Sook,Shim, Mi-Jung,Kim, Jin-Sun Korean Society of Nursing Science 2007 Journal of Korean Academy of Nursing Vol.37 No.2

Purpose. Despite the high prevalence of back pain and its subsequent effects in post-partum women, intervention programs are scarce. The purpose of this study was to test the effects of a back-pain-reducing program on post-partum women who experienced low-back pain during pregnancy. Methods. A non-equivalent control-group pretest-posttest design was used. Pregnant women who attended a hospital for prenatal check-ups and experienced back pain participated in an intervention program (n=27), and the results were compared with women in a control group from another hospital (n=25). Results. At 8 weeks post-partum, the pain intensity, functional limitations were lower in the intervention group than in the control group. However, differences in mean change of the pain intensity and functional limitations between 36 and 39 weeks of gestation and at 8 weeks post-partum were not statistically significant between the groups. Moreover, the flexibility, post-partum functional status, and post-partum depression did not differ significantly between the groups. Conclusions. A back-pain-relief program in this study was not effective to reduce the back-pain intensity in post-partum women and to decrease the associated functional limitations. The implications for nursing practice and directions for future research are discussed.

학생자살 사후개입에 참여한 교직원의 경험 및 개선방안

이영화(Young Hwa, Lee),이정숙(Jeong Sook, Lee) 한국범죄심리학회 2021 한국범죄심리연구 Vol.17 No.4

본 연구의 목적은 교직원의 학생자살 사안에 대한 경험과 사후개입의 개선방안을 탐구하는 데에 있다. 이를 위해 학생자살 사후개입에 참여한 경험이 있는 교직원 7명을 목적 표집하여 심층 면담하였다. 자료 수집은 연구 참여자 7명의 심층 면담 내용을 녹음하여 문서화 하였다. 수집된 자료는 합의적 질적 연구 방법 (Consensual Qualitative Research)으로 분석하였다. 연구의 결과 영역 3개, 범주 7개, 주요 개념 20개가 도출되었다. ‘학생자살 사안의 경험’ 영역에서는 ‘사안 인식’, ‘업무 반응’ 2개의 범주가 도출되었다. ‘사후개입 업무수행의 고충’ 영역에서는 ‘체계 및 제도의 문제’, ‘매뉴얼 적용의 어려움’ 2개의 범주가 도출되었다. ‘사후개입에 필요한 단계별 지원방안’ 영역에서는 3개의 범주가 도출되었는데 ‘사전’, ‘사안 직후’, ‘추후’가 그것이다. 이에 따른 20개의 주요 개념을 연구 참여자의 진술과 함께 설명하였다. 이후 학생자살 사후개입의 개선방안에 대해 논의하고 연구의 한계점과 의의를 밝히고 제언하였다. The purpose of this study is to explore the improvements perceived by the school staffs from the step of post-intervention for a student suicide incident. For this purpose, seven school staffs who had experienced participating in the post-intervention of student suicide incident were purposely-sampled and in-depth interviewed. After conducting in-depth interviews and recordings, the data were transcribed and analyzed according to the consensus qualitative analysis method. As a result of the study, a total of 3 domains, 7 categories, and 20 main concepts were derived. There are 2 categories derived from the ‘experience of student suicide incident’ domain, which are ‘issue recognition and work reaction . And also there are 2 categories derived from the ‘work difficulties in the post-intervention’ domain, which are ‘system problem’ and ‘difficulty in applying the manual’. A total of 3 categories were derived from the ‘Step-by-step support for post-intervention domain, which were Pre-intervention’, ‘Right after the issue’, and ‘Later intervention’. Based on the results of this study, theoretical and practical implications and recommendations were presented for further studies.

외상 후 스트레스 장애 환자를 위한 국내 프로그램 체계적 고찰

Ik-Sung KIM,Eun-Sol JU 국제융합경영학회 2024 융합경영연구 Vol.12 No.1

Purpose: This study attempted to systematically review the programs of patients with post-traumatic stress disorder in South Korea over the past decade, identify specific methods and effects, and present program guidance guidelines through them. Research design, data and methodology: This study is a systematic literature review, and studies registered in the RISS, NDSL, DBpia, and KmBASE search databases from January 1, 2013 to August 31, 2023 were targeted. Keywords were 'post-traumatic stress disorder', 'program' or 'treatment'. A total of 2,324 documents were searched, and 237 duplicate papers were excluded. After that, the title and abstract were viewed, and 2,058 papers that did not meet the inclusion criteria and exclusion criteria were excluded. In addition, the full text was checked and the final 11 documents were analyzed excluding 18 documents. Results: Among the 11 literatures, 45.45% of randomized control studies and 54.54% of non-randomized control studies were found. As for gender, 41.18% of women, 28.64% of 30-39 years old, and 34.27% of trauma causes were industrial accidents. Programs for patients with post-traumatic stress disorder were classified into art therapy, cognitive behavior therapy, and mindfulness programs, and art therapy was the most used at 45.45%. The sessions of the program were widely applied at 45.45% for 10 sessions and 36.36% for 60 minutes per session. Conclusions: This study has a limitation in that it only analyzed domestic intervention programs within 10 years. However, this study is meaningful in that it is intended to present program guidance guidelines through reviewing domestic programs for post-traumatic stress patients. In the future, it is necessary to conduct research such as expanding the scope of literature review at home and abroad.

Post–COVID-19를 대비한 효과적인 위기개입을 위한 접근과 활동: COVID-19 위기개입을 중심으로

이윤호,육성필 한국임상심리학회 2020 Korean Journal of Clinical Psychology Vol.39 No.4

본 연구는 우리나라 재난심리 지원체계와 미국의 재난심리 지원체계 및 위기상담 프로그램을 살펴보고, 그 시사점을 도출하여 Post–COVID- 19를 위한 한국형 심리방역체계 구축에 대한 방향을 제시하고자 하였다. 이를 위해 한국심리학회 COVID-19 특별대책위원회의 전화상담을 중심으로 한 재난 위기개입의 활동을 분석하였다. 본 연구의 주요 시사점은 다음과 같다. 첫째, 신속한 의사결정을 바탕으로 단기간에 전화상담을 위한 체계를 구축하였다. 둘째, 질병관리본부 등 공적체계와 연계하여 전화상담 홍보, 사례연계 등 유기적 관계를 형성하였다. 셋째, 위기개입 매뉴얼을 제작하고 배포하여 표준화된 위기개입의 틀을 마련하였다. 넷째, 코로나와 관련한 문제뿐만 아니라 재난에 노출된 사람들의 다양한 어려움과 폭넓은 심리상담 서비스 제공의 필요성을 확인하였다. 다섯째, 상담사를 위한 보호장치가 마련되어야 한다. 마지막으로 본 연구의 결과와 시사점을 바탕으로 한 제언을 하였다.