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곽민영,임미해 한국정신간호학회 2022 정신간호학회지 Vol.31 No.2
Purpose: Firefighters belong to an occupational group that is consistently exposed to psychological challenges, such as post-traumatic stress disorder (PTSD). This study examines firefighters’ perceptions of psychological intervention programs. Methods: Semi-structured interviews were conducted with 12 firefighters who were divided into two focus groups. Qualitative data were analyzed using content analysis. Results: Six barriers and seven suggestions regarding psychological intervention programs were identified. The barriers were “work overload”, “uncomfortable counseling situation”, “perfunctory programs”, “lack of consulting specialists”, “limited number of participants”, and “lack of replacement workers while attending the intervention programs”. Suggestions to overcome these barriers included developing “sustainable” and “highly accessible” intervention programs “focused on positive aspects of traumatic events”, considering “job characteristics” and “individual psychosocial characteristics”, as well as employing “experts with knowledge of firefighters’ duties”, and “creating a supportive work environment for psychological intervention”. Conclusion: Based on these findings, the interventions should focus on the positive aspects of traumatic events, with flexibility and practicality, tailored to the individual and occupational characteristics of firefighters.
지진 피해자의 외상 후 성장에 영향을 미치는 요인들 간의 구조모형
곽민영 한국지역사회간호학회 2019 지역사회간호학회지 Vol.30 No.3
Purpose: The purpose of this study is to construct and test a structural equation model of posttraumatic growth(PTG) of earthquake victims based on Tedeschi and Calhoun’s model(2004). Methods: Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination(β=.58, p<.001), resilience(γ=.18, p=.001), and distress perception(γ=.20, p=.002). These predictors explain 51.8% of variance in posttraumatic growth. Conclusion: Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.
어지럼증이 동반되지 않은 급성 저주파 감각신경성 난청의 고실 내 스테로이드 및 경구 이뇨제 병용 요법
곽민영,유광규,강용경,윤상원,심현준,안용휘 대한이비인후과학회 2015 대한이비인후과학회지 두경부외과학 Vol.58 No.1
Background and Objectives The effectiveness of intratympanic dexamethasone injections (ITD) alone is compared against the combination therapy of ITD and oral diuretics as treatments for acute low frequency sensorineural hearing loss (LFHL) without vertigo. Subjects and Method A total of 36 patients, with LFHL ≤500 Hz that had been developed within the last 1 month, were enrolled and then were retrospectively categorized into two groups: 1) those treated with ITD four times each day for 4 consecutive days (ITD only group; 19 patients) and 2) those treated with ITD in the same way and diuretics orally for 2 weeks (combination group; 17 patients). After 8 weeks, treatment outcomes were analyzed for LFHL using subjective improvement and audiometric change. Results Hearing thresholds at low frequencies ≤500 Hz were significantly reduced at 8 weeks after treatment in both ITD only and combination group (p<0.05). The cure rate of the combination group was higher than that of the ITD only group but was not statistically significant (52.9% vs. 42.1%, p>0.05). For subjective symptoms, there were no statistically significant differences in the improvement rate in either group (combination 58.8% vs. ITD only 63.2%, p>0.05). In pure tone audiometry, the improvement rate of the combination group was not significantly different from that of the ITD only group (76.5% vs. 73.7%, p>0.05). There was a significant correlation between the complete recovery rate and duration of symptoms. Conclusion ITD alone is an effective treatment modality for LFHL within 1 month after onset. Diuretics have no additive effect for the recovery of hearing in patients with acute LFHL without vertigo.
곽민영,강용경,심현준,안용휘 대한이비인후과학회 부산,울산,경남 지부회 2014 임상이비인후과 Vol.25 No.2
Recent advances in antibacterial drugs have greatly reduced the incidence of intracranial complications of tem-poral bone infections. We report an unusual case of a 77-year-old male with lateral sinus thrombosis that devel-oped after subclinical mastoiditis, presenting with dyspnea, mild fever and right arm weakness. The patient washospitalized for septic pneumonia, and brain images showed left lateral sinus thrombosis with otitis media. Sur-gical intervention was not performed because general condition was stabilized by intravenous antibiotics and an-ticoagulation.