• Title, Summary, Keyword: abuse experiences

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Violence experiences, coping, and response of paramedics in the emergency room (응급실 내 1급 응급구조사의 폭력경험과 대처 및 반응)

  • Han, Seung-Eun;Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.2
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    • pp.51-65
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    • 2018
  • Purpose: The purpose of this study was to investigate experiences of violence with patients or family members by paramedics working at emergency rooms. Methods: A questionnaire was administered from June 1 to 31, 2017 to 225 paramedics working at 27 emergency medical centers. The collected data were analyzed with SPSS statistics ver 24.0 program. Results: Within the past year, 208(92.9%) of 224 participants experienced violence among whom 202(90.2%) experienced verbal abuse, 193(86.2%) experienced physical threat, 89(39.7%) experienced physical violence, and 52(23.2%) experienced sexual violence. The level of violence response depending on the overlapping experience of violence type showed significant difference from emotional response (p= .001), social response (p= .001), physical response (p= .004), and overall violence response (p= .001). Conclusion: In conclusion, paramedics are frequently exposed to violence in the emergency rooms, of which they mostly experience verbal abuse. In addition, because the reporting system in the event of violence and the coping process are not well-informed, paramedics are unable to sufficiently utilize the reporting system and programs established within the institution. Therefore, the support of the legal system is needed to create a safe working environment for the medical staff who work in the emergency medical centers.

A Preliminary Study of Childhood Trauma and Patterns of Psychotropic Medication Use in Patients with Schizophrenia (조현병 환자의 아동기 외상과 정신작용약물 사용 경향에 대한 예비 연구)

  • Kim, Chonggi;Kim, Daeho;Lee, Hyunji;Kim, Yangsuk
    • Korean Journal of Biological Psychiatry
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    • v.23 no.3
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    • pp.116-121
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    • 2016
  • Objectives Experience of early childhood abuse elevates the risk of developing schizophrenia in later period of life, incidence of psychiatric comorbidity, symptomatic severity and complexity. In this context, we hypothesized that the pattern of psychotropic medication used would reflect this; those with childhood trauma will received more types and higher doses of psychotropic medication. Methods From our database of 102 outpatients diagnosed with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) schizophrenia, we analyzed experiences of childhood trauma measured by the Childhood Trauma Questionnaire-Short Form and types and dose of prescribed psychotropic medication. Results We found significant positive correlations between child sexual abuse and the number of psychotropic medications (p = 0.029) and between child emotional neglect and the number of psychotropic medications other than antipsychotics (p = 0.045). Conclusions This preliminary study suggests that the pattern of psychotropic use may be affected by types of childhood trauma. Further studies will have to shed light on mediating factors such as symptoms or comorbid conditions that lead to prescription of certain psychotropic class.

Play Therapy for abused brother and sister (피학대 남매아동을 위한 놀이치료)

  • Choi, Jung-Mi
    • Korean Journal of Human Ecology
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    • v.17 no.5
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    • pp.915-925
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    • 2008
  • This research is based on two cases study of brother and sister who experienced difficulties due to their parent's abuse. The brother and sister play therapy was conducted for sixteen sessions. Each of the therapy and the activity sessions ran 90 minutes weekly. The purpose of this study is to decrease problematic behaviors and to improve self-confidence of abused brother and sister. As a result, the brother's and sister's self-confidence lowered by past negative experiences has been improved, poor social relationship patterns have changed and need for growth as a good person has arisen. The results of research indicate the effectiveness of play therapy to abused brother and sister.

A Study On Subjective Experience Of Drug Abuse Adolescent (약물남용 청소년의 주관적 경험에 관한 연구)

  • 김미희
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.7-17
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    • 2000
  • The purpose of this study is to affect health improvement of adolescent, to understand behavioral causes follow adolescent's drug abuse, to understand recovery and rehabilitaton process of adolescent drug abuser. The data are collected through open questionnaire and interview of 25 adolescents from the experienced drug abuse 16 students(male 8, female 8) in two vocational high schools and admissing adolescents 9 person in Alcohol-Drug Addiction Care Centre in Seoul from June 28th to August 31st, 1994. The collected data are arranged and explained through categorizing method stated contents about motives, causes, experiences and effected behaviors for using the drugs of drug abuser adolescents. DRUG USING MOTIVATION They are almost first son and daughter in their family. In their conversation person, male converses to their mother well, but female does not converse to their parents include family. Both groups respond positively to companionship and attitude to other, but negatively to self-confidence and actualizing attitude. They hope always peace of family and want to do their best for their life. In school group, hard and difficult things are school life and family problems, also using the drugs for resolving the them. About drug using behaviors, male responds to bad habbit and shamfull, but female is unconcerned with drug using attitude. The first background of drug using, male gets to use because of curiosity and to be induced from friends or seniors, but female gets to use for feminine beauty(thin body) and escape from reality. Used the drugs, male uses frequently Bond, Butane-Gas among inhalation materials and also marijuana, but female uses various diuretics. The times of drug using, both groups repond to use during the chaging of emotion or filling with stress. The place of drug using, both groups take drugs in vacant houses or in the mountain. The frequency of drug using, they use almost once in a day and they use mostly alone or drug user in friends. Experienced mental changing after drug using, which is fantasy, ecstasy, anxiety and suicidal feeling, and experienced physical changing after drug using, which is elevating sense, headach, abdominal pain, dyspnea and chaging of skin colour and reddish. They coincide with inconvenience feeling due to drug using. RECOVERY AND REHABILITATION PROCESS OF DRUG USING ADOLESCENTS The reason for reforming drug using behavior and attitude, both groups respond to reforming for oneself and social life. The difficult things during the stop to using drugs, all of them responed to family problems, friends problems and temptation and impulse. As for stop to using drug, they need good advise, understandable attitude and family love. But they do not need to be stigmatized, scolding, over protect and ridicule of friends. Also they entreat continuous understanding, advise, concern and the method for resolving stress. For the friends to want to use the drug, they will talk about the stories of their personal experiences and for the friends to stop to using the drug, they will consider for them how to stop. From the theses results, drug users understand personal problems due to drug using, and consider about why to stop and how to stop. Also drug users need to resolve the family problems, personal problems, stress and temptations or impulses. Accordingly this paper suggests that drug users in adolescents need understandable and acceptable atitudes, loving and tenderness, continuous advice and concern, and hopes for life.

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Risk Factors for Sexual Behaviors in Girl′s High School Students (여고생의 성관련 경험에 영향하는 위험요인에 대한 연구)

  • 손정남
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.430-439
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    • 2004
  • Purpose: The purpose of this study was to examine risk factors for sexual behaviors in Korean female high school students. Methods: Data was collected by a written questionnaire from June 22 to July 18, 2002 from 522 girls, who were stratified samples from a target population of 63,375 11th grade students from 200 regular high schools and 70 vocational high schools in Seoul, Korea. We conducted multiple regression analysis using the SAS pc+ program. Results: Risk factors for intimate behaviors were association with boy friends, differential association, family attachment, and family abuse experience. These variables cause 68% of intimate behaviors. Risk factors for sexual experiences were differential association, association with boy friend, and family attachment. These variables cause 14% of sexual experiences. Conclusion: Efforts to reduce sexual behaviors in girls should include the possible role of peers and develop peer leader programs.

FACTORS INFLUENCING PERCEPTIONS OF CHILD SEXUAL ABUSE: VIGNETTE STUDY FINDINGS (아동성폭력 상황인식에 영향하는 요인들에 관한 분석 : Vignettes를 이용한 연구결과를 중심으로 한 고찰)

  • Ko, Chung-Mee
    • Journal of Korean Academy of Community Health Nursing
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    • v.10 no.2
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    • pp.549-563
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    • 1999
  • This paper is a review of findings from studies that have used vignettes to identify salient characteristics that have been found to influence individuals' perceptions of child sexual abuse. Vignette studies finding avoid to unreliable and biased self-reports. A review of the literature revealed that factors influencing the perception process are divided into two groups. One group of factors relates to the details of the abuse situation including characteristics of sexual act (intrusiveness of the sexual act and the frequency of acts), characteristics of victim (age of victim, the gender of victim and victim resistance), and characteristics of perpetrator (age of perpetrator, gender of perpetrator and the relationship of the perpetrator to the child). The other group of factors focused on in research reflects individuals background variables that affect personal interpretations of the abuse situation. These factors include professional affiliation of the respondent and various other. demographics (e.g., gender of respondents, age, education, marital status, parental status, number of children, the length of experience, etc.), along with respondents own child sexual victimization experiences. Based on theses findings vignette studies have allowed researchers to learn how individuals vary their perceptions of various situational aspects of child sexual abuse situations, and how background characteristics of the respondents as observers may influence these perceptions.

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Youth's smoking status in Seoul in the international perspective: Overall comparisons with the results of the Global Youth Tobacco Survey (GYTS) (서울지역 청소년 흡연실태의 국제 비교: Global Youth Tobacco Survey(GYTS)의 자료를 이용하여)

  • Moon, In-Ok;Park, Kyoung-Ok
    • The Journal of Korean Society for School & Community Health Education
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    • v.6
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    • pp.1-16
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    • 2005
  • This study was conducted to the middle and high school students in some Seoul and Kyunki areas to identify the smoking behavior characteristics among adolescences. A self-administered survey was conducted to the 2nd grad students in 4 middle schools and 6 high schools and the survey Questionnaire included general characteristics, smoking and drug use history, the close people's smoking and drug use, smoking and drug abuse prevention education, smoking intention, and smoking attitude. A total of 2,452 youths finished the survey (1,182 middle school students and 1,270 high school students). Current smoking students were 14.6%, the ex-smokers were 5.5%, and the never smokers were 85.4%. Majority of students smoked less than 5 bars of cigarettes and their first smoking experiences were related to their family members (siblings, parents, and relatives), friends, advertisement in order. Other GYTS countries reported the similar sources of the smoking start and friend was prior smoking start factor to the other sources. The students who wanted to Quit smoking were 6.7% and the students who ever had tried to Quit smoking were 9.1%. The major reasons of Quitting smoking were for their health and for their financial burden. Approximately 60% learned about smoking and drug abuse in their regular school classes, 8.4% were in the special school activities, and 7.9% were in the class closing time sometimes in order. The students who learned in any regular class were smaller in the high school students than in the middle school students. The learning experiences in school of other GYTS countries were similar to that of Korea. In conclusion, students' smoking was affected not only by the preventive activities in school but also by the close people's behaviors and care in this study; therefore, the active partnership between school and family must be a strong strategy for youth's smoking prevention.

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Study on Mothers with Sexually Abused Children (성학대 피해 자녀를 둔 어머니의 경험에 관한 현상학적 연구)

  • Lee, Keung Eun;Kim, Mi Jung
    • Journal of the Korean Society of Child Welfare
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    • no.36
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    • pp.197-230
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    • 2011
  • This study is aimed to examine the emotional experiences of parents with children who have been sexually abused by others. Five mothers whose child was sexually abused participated in this study. They were first recruited through recommendations made by social welfare agencies that provided services to these children. We conducted two or more in-depth interviews for each mother to collect the data. The mothers' emotional experiences were analyzed using phenomenology. Mothers expressed that they felt like the whole world came crashing down around them, felt "totally lost", and felt deep pain together with their children, such that "my family and I were so devastated". Nevertheless, they gradually came to believe that they could overcome this tragedy by continuously making efforts to protect their children from the dangers outside. Despite their efforts, however, they kept the feeling of "hopelessness, neglect, and their children's wounds", deep inside them. The results indicate that it is necessary to have an intervention for mothers whose child has been sexually abused from a companions' perspective within 10 days after the sexual abuse incident.

Emergency Department Nurses' Recognition of and Educational Needs for Forensics Nursing Education (응급실 간호사의 법의간호 교육에 대한 인식과 요구도)

  • Yoo, Yang-Sook;Cha, Kyeong-Sook;Cho, Ok-Hee;Lee, Soo-Kyeong
    • Korean Journal of Adult Nursing
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    • v.24 no.5
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    • pp.499-508
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    • 2012
  • Purpose: The purpose of this survey was to investigate emergency department nurses' recognition of forensics nursing and their educational needs for forensics nursing education. Methods: Data were collected via questionnaires from 167 emergency department nurses who were working in 7 university hospitals. Nurses' experiences of trauma or accidents and their recognition of and educational needs for forensic nursing education were assessed. Results: All subjects reported having suffered bodily injury due to falling or serious traffic accidents; 92.2% reported having suffered bodily injury caused by suicide attempts; 91.6% reported having experienced physical violence or abuse; 76.0% reported having experienced sexual assault or abuse; 68.9% reported having experienced some difficulties during their nursing care due to lack of forensics knowledge; and 88.6% reported never having been trained in forensics nursing. The educational needs score for "forensics nursing" was 3.61; the needs score for "abuse- and violence-related education" was 3.65; the needs score for "incident data collection related education" was 3.47; and the needs score for "forensics theory related education" was 3.34. Conclusion: The findings of the study underscore a strong need to develop an educational program on forensics nursing for emergency department nurses.

Traumatic Experience and the obsessive behaviors in romantic relationship of Female Sex Workers (성매매 여성의 외상 경험과 이성 관계 집착)

  • Kim, Su-Sie
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1632-1643
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    • 2013
  • This study investigated the characteristics of obsessive behaviors in romantic relationship of 42 female sex workers and the effect of traumatic experiences on them. Research results that there was no significant difference in loneliness, jealousy, over sensitiveness between the female sex workers group and the controls. But fear of rejection and doubt in the romantic relationship are significantly higher in the female sex workers group than in the controls. Among the subscales, childhood neglect and family secret were most frequently associated with the various obsessive behaviors. This is also the case for the control group, with family secret and physical abuse being the most. Finally, in regression analysis, in the control group, childhood physical abuse had the biggest impact on the obsessive behaviors in romantic relationship. On the other hand, the target group, childhood neglect had the biggest impact on the obsessive behaviors in romantic relationship.