This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clini...
This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clinical studies are definitely dominant. As for the fields of research, the concept of Hwabyung was studied more frequently than the others. As for the authorship. psychiatrists prevailed but nursing professionals are on the increase. Research subject in clinical and survey study, patient was definitely dominant and the place of study was almost always a hospital (75%), data collection was higher on interview (58.3%). Hwabyung was considered unique culture bounded syndrome related to Korean culture. Frequent etiologic factor of Hwabyung were a husband's extra-marital affair, conflicts between houses wives and mothers-in-laws, and financial loss and suffering. From the incidence of Hwabyung, a greater number of patients with Hwabyung were middle aged women in the low economic and educational classes, and these were connected with the culture and the family system. The symptoms of Hwabyung included psychological and physical symptom, neurological disorder and disease behavior. Defense mechanisms and coping strategies for Hwabyung were somatization, suppression, orality, withdrawal, isolation, regression, help-seeking, complaining, and wreaking anger. Treatment of Hwabyung were medication, effort by herself, communication with families, consultation with psychologist, acupuncture, negative therapy, moxa, and Qi-kong. Psychiatric therapy, behavior therapy, nursing intervention on multi-interdisciplinary approach and psychiatric nursing approach were recommended for the nursing care of a Hwabyung patient.
This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clinical studies are definitely dominant. As for the fields of research, the concept of Hwabyung was studied more frequently than the others. As for the authorship. psychiatrists prevailed but nursing professionals are on the increase. Research subject in clinical and survey study, patient was definitely dominant and the place of study was almost always a hospital (75%), data collection was higher on interview (58.3%). Hwabyung was considered unique culture bounded syndrome related to Korean culture. Frequent etiologic factor of Hwabyung were a husband's extra-marital affair, conflicts between houses wives and mothers-in-laws, and financial loss and suffering. From the incidence of Hwabyung, a greater number of patients with Hwabyung were middle aged women in the low economic and educational classes, and these were connected with the culture and the family system. The symptoms of Hwabyung included psychological and physical symptom, neurological disorder and disease behavior. Defense mechanisms and coping strategies for Hwabyung were somatization, suppression, orality, withdrawal, isolation, regression, help-seeking, complaining, and wreaking anger. Treatment of Hwabyung were medication, effort by herself, communication with families, consultation with psychologist, acupuncture, negative therapy, moxa, and Qi-kong. Psychiatric therapy, behavior therapy, nursing intervention on multi-interdisciplinary approach and psychiatric nursing approach were recommended for the nursing care of a Hwabyung patient.
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문제 정의
본 연구는 1977년부터 2000년까지 우리나라에서 발표된 홧병관련 문헌 총 19편을 대상으로 객관적인 분석 틀에 의거하여 연도별로 분석함으로써 지금까지의 홧병에 대한 연구경향을 파악하고 향후의 홧병 연구에 도움을 주고자 시도하였으며 발표연도별 연구대상 문헌의 특성, 발표연도별 임상연구와 조사연구의 특성 및 연구대상 문헌별 홧병의 특성을 조사하여 다음과 같은 결론을 얻었다.
본 연구는 신경정신의학을 비롯한 각종 연구논문집에 수록된 홧병관련 논문과 홧병을 주제로 한 단행본 등의 문헌들을 대상으로 연구경향 및 홧병의 특성을 파악하여 향후 홧병연구에 도움을 주고자 시도하였으며 구체적인 목적은 다음과 같다.
제안 방법
1) 발표연도는 홧병관련 연구가 거의 이루어지지 않았던 1985년까지를 한 단위로 하고 그 후로 1986년부터 2000년까지 5년 단위로 구분하였다.
3%. 갈등을 풀기 위한 가족의 노력(58.6%), 가족, 환자와의 대화(58.3%)를 나타내었으며, 비 홧병군에서는 자신이 안정하려고 노력해야 (83.9%), 가족 친지와의 대화 (65.7%), 갈등을 풀기 위한 가족의 노력(65.0%)으로 두 군이 모두 자신이 안정하려고 노력해야'로 응답하였으며 , 정신과. 상담치료와 약물치료 등이 네 번째로 선택되었다.
후속연구
개발 할 수 있도록 도와야 하며. 감정을 표현하거나 점진적 이완법, 신체운동, 이완과 양질의 수면을 위한 건강증진 행위들을 권장해 줄 필요가 있고 또한 홧병은 단시간에 발병된 것이 아니고 장기간에 누적되어온 질병인 만큼 종합적이고 다면적인 간호가 요구될 것이며 이에. 대한 개별적인 간호를 필요로 한다(Koh et al.
기존의 연구가 대부분 정신과 의사와 한의사에 의해 이루어져 있어서 홧병에 대한 간호학적 측면에서의 탐색적 연구가 더 절실하며 간호요구를 가진 지역사회에 거주하는 홧병 환자의 증상완화를 위한 간호중재 개발을 위한 실험연구가 필요한 것으로 사료된다.
본 연구는 홧병에 관한 연구대상 문헌이 신경 정신의학을 비롯한 다양한 논문집에 실려있으므로 말미암아 전체문헌을 수집하기가 어려웠으며, 연구대상 문헌 중 한의학자의 연구물은 단행본으로 발행된 것으로 일반 논문과 같이 비교하기에는 무리가 있었다.
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