• The Journal of Korean Academic Society of Nursing Education
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• v.17 no.3
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• pp.365-375
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• 2011

Purpose: This study aimedto develop a structural equation model on the relationship among ego-resilience, and teaching effectiveness on clinical education, stress coping style, perceived family support, and satisfaction of clinical practice in nursing students in order to increase the satisfaction of clinical practice. Methods: The subjects were 399 undergraduate nursing students enrolled in 7 universities and participating in 10 clinical practice setting areas in 5 cities in South Korea. The research was conducted from December 5th, 2009 to February 20th, 2010. The structural equation model was used to perform the analysis with the statistics program of SPSS win 17.0 and AMOS 5.0. Results: Teaching effectiveness and family support showed a direct effect on satisfaction of clinical practice, while ego-resilience and stress coping styles showed an indirect effect. The biggest total effect on satisfaction of clinical practice was teaching effectiveness followed by family support, ego-resilience, and stress coping styles respectively, which accounted for 50.9%. Conclusion: Based on outcomes of this study, the proposed model allows better understanding of the satisfaction of clinical practice. This result implies that strategies or intervention programs enhancing extrinsic protection factors, motivation factors, and intrinsic protection factors should be considered. In addition, a structural support system for increasing the satisfaction level of clinical practice in nursing students should also be considered.

• Perspectives in Nursing Science
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• v.14 no.2
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• pp.81-89
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• 2017

Purpose: This study was performed to identify levels of clinical practice stress and coping strategies according to the personality/behavior types of nursing students. Methods: The subjects of this study were 143 third- and fourth-grade nursing students in 14 nursing colleges who had experienced clinical practice. The questionnaire consisted of instruments to identify Dominance, Influence, Steadiness, and Conscientiousness (DISC) personality/behavior types, clinical stress, and stress coping strategies. The data were analyzed using Cronbach's ${\alpha}$, descriptive statistics, and ANOVA, using the SPSS 24.0 program. Results: The DISC pattern showed high priority in Steadiness (48.3%), followed by Conscientiousness (21.0%), Influence (16.1%), and Dominance (14.7%), in that order. The steadiness type showed the lowest level of stress among four patterns. Conclusion: This study found that the personality/behavior types of nursing students differ. Additionally, different personality/behavior types can be attributed to stress levels and stress coping behaviors. Based on these results, different personality and behavior types of nursing students should be considered to manage their stress levels related to the clinical practicum experience.

• Korean Journal of Psychosomatic Medicine
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• v.5 no.1
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• pp.31-42
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• 1997

This study was aimed to investigate dysfunctional attitudes, stress coping strategies and depressive symptoms in psychiatric patients. The subjects of this study consisted of 210 patients(138 schizophrenic patients, 29 depression patients, 43 alcohol dependence patients) according to DSM-IV criteria. Futhermore, the instruments were K-BDI(Beck Depression Inventory-Korean version), DAS(Dysfunctional Attitude Scale) and multidimensional coping strategy scale. The results were the following. 1) There were statistically significant correlations between depressive symptoms and dysfunctional attitudes in psychiatric patients. 2) In terms of coping strategies, there were positive correlations between depressive symptoms and focus on and venting emotions, accommodation, active forgetting, self-criticism, positive comparison, fatalism, passive withdrawal. Whereas, there was significant negative correlation between depressive symptom and active coping. 3) In terms of coping strategies, there were significant correlations between dysfunctional attitudes and focus on and venting emotions, active forgetting, self-criticism, positive comparison, fatalism, passive withdrawal. 4) Depression groups reported significantly higher BDI scores than schizophrenia groups. 5) In depression groups, DAS scores were significantly higher than those in schizophrenia groups. 6) In terms of coping strategies according to diagnosis, there were significant differences in venting emotions, active forgetting and self-criticism. As for venting emotions, alcoholic groups were scored significantly higher than schizophrenic groups. As for active forgetting, depression groups were scored significantly higher than schizophrenic groups. In self-criticism, depression groups and alcohol dependence groups reported significantly higher scores than schizophrenic groups.

• Journal of Home Health Care Nursing
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• v.26 no.2
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• pp.219-229
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• 2019

Purpose: This study aimed to investigate the difference between primary caregivers' self-efficacy and coping strategy according to the communication styles of home care nurses. Methods: Data were collected from 123 primary caregivers of patients who were registered at a home care nursing center in D city and who had been receiving home care for more than 3 months from January 1 to February 27, 2018. The questionnaire included items on communication style, self-efficacy, and stress coping strategy. The data were analyzed using descriptive statistics, t-test, and ANOVA. Results: Regarding primary caregivers' self-efficacy in terms of communication style, the caregivers showed higher efficacy in providing informative and friendly communication (F=14.07, p=.001). Regarding home care nurses' communication style and the stress coping strategy of the primary caregivers, the informative-friendly communication style was adopted the most for the problem-solving coping strategy (F=7.17, p=.001). Regarding the social support-seeking coping, home care nurses' friendly communication style was the most adopted (F=4.40, p=.014). Conclusion: This study suggests that home care nurses will plan to provide informative and friendly communication-oriented nursing care, and to improve self-efficacy and positively influence the coping method by using the communication styles appropriate to the state of the primary caregiver.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.14 no.2
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• pp.239-247
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• 2007

Purpose: The purpose of this descriptive study was to explain the relationship between ways of coping and health-related hardiness in university students at G city. Method: The participants were a convenience sample of 250 students. The data were collected by a questionnaire given to the students between June 1 to June 10, 2006. Descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression were used to analyze the data. Results: The most frequently used method of coping was pursuit of social support. The mean score for level of health-related hardiness was $3.34{\pm}0.55$. There were significant differences in ways of coping according to satisfaction with college life (F=4.036, p=.008). There were significant differences in health-related hardiness according to smoking or not (F=6.237, p=.002). There were positive correlation between problem focused coping and hardiness (r=.357, p=.000), between social support and hardiness (r=.345, p=.000), between hope seeking thought and hardiness (r=.247, p=.000). In regression analysis, ways of coping was significantly influenced by hardiness(16.6%). Conclusion: The results suggest that programs for strengthening hardiness can be considered as significant nursing interventions for helping university students cope with stress.

• Korean Journal of Health Education and Promotion
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• v.29 no.3
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• pp.103-114
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• 2012

Objectives: The purpose of this study was to investigate the relationship between mental health status, stress, coping ability, and coping strategies of college students. Methods: The questionnaires were handed out to 162 college students in the Gyeonggi province. Data was collected using the Symptom Checklist-90-Revised (SCL-90-R) scale of the 90 items, the 'Person in the Rain' drawing test, and the 20-item coping strategies questions. Results: 17.3% of the respondents were belonged to the groups of abnormal or abnormal tendency in the mental health status according to the Global Severity Index (GSI) scores. The clinical/border groups were more commonly used in the 'emotion-focused' coping strategies compared to the normal group. This difference was also statistically significant. Both coping resource and coping ability were significantly associated with the mental health status. Conclusions: These findings suggest that future intervention for effective coping strategies should be carefully designed to promote better mental health among college students. It is also important to detect problematic and weak student's behaviors in the early stages.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.125-134
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• 2013

The purpose of this study was to identify the influencing factors of college adjustment in nursing students. A quantitative descriptive design was used to study 400 nursing students in Busan and Ulsan, recruited from May 1 to 30, 2011. The instruments used were the clinical stress scale, stress coping scale and college adjustment problem checklist. The data were analysed SPSS program, using descriptive statistics, Pearson correlation coefficient, and simultaneous multiple regression. Findings of the study can be summarized as follows; First, the average of clinical stress was 3.68 points, the problem-solving coping was 2.85 points, the emotional-focused coping was 2.48 points, and college adjustment was 3.03 points. Second, The correlation of the clinical stress and college adjustment relations showed negative correlation in all areas. The correlation of problem-solving and emotional-focused coping and college adjustment showed positive correlation. Third, The significant predictors of college adjustment were satisfaction in major, psychological factors, problem-solving coping, perceived health status, emotional-focused coping, knowledge, skills, assignment/reports. These variables showed explanatory power of 43.2%. The study suggested to help reduce clinical stress and to strengthen problem-solving coping for college adjustment in nursing students.

• Journal of the Korean Society of School Health
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• v.19 no.2
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• pp.25-36
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• 2006

Purpose : To investigate academic stress, coping method, and stress symptoms of high school students. Methods : Four hundreds-forty five high school students were studied from 14th July to 21th July, 2006. All subjects were in 1st, 2nd and 3rd grade of two high school in Seoul. The academic stress, coping method and stress symptoms were evaluated by questionnaire. Results : Male students showed more academic stress than female students. There was a significant difference in the academic stress according to sex. The 2nd grade students show the highest score of academic stress in the 3 factors(parents, teacher, and friend). Male students used more active coping methods to academic stress than female students. There was a significant difference in the coping methods to academic stress according to sex. There were positive correlations between the academic stress and the stress symptoms. Among the academic stress factors, parents and teacher factor influenced physiologic, psychologic, and behavioral symptom of stress symptoms. The friend factor influenced psychologic and behavioral symptom of stress symptoms. Conclusion : According to the study results, we must provide high school students more effective coping methods to academic stress at school environment.

• The Korean Journal of Community Living Science
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• v.21 no.3
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• pp.341-350
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• 2010

The purpose of this study was to identify the level of care givers' job stress, burn-out and stress coping strategies and to determine the mediator effect of coping strategies in the relationship between job stress and burnout. The research subjects were 193 care givers for the elderly in Jeollanamdo. The data analysis was performed by using SPSS Win 17.0. The results of this study were as follows; The level of care givers' job stress which they perceived was 2.68 points in a scale of 5 points, stress coping strategies was 2.39 points in a scale of 4 points, and the degree of burnout was 2.27 points in a scale of 5 points. There was a positive correlation between the care givers' job stress and burnout. There was a negative correlation between the job stress and stress coping strategies. There was a positive correlation between the stress coping strategies and burnout. And the stress coping strategies showed mediating effects between the care givers' job stress and burnout. Accordingly, we found that stress coping strategies had an mediating effect on care givers' burnout and various coping strategies were related to the burnout.

• Journal of Society of Preventive Korean Medicine
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• v.17 no.1
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• pp.13-25
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• 2013

Objectives : This study was conducted to analyze the stress, coping and physical symptoms relevant to factors influencing physical symptoms on high school girls. Methods : The subjects were 521 high school girls in I city. The data was collected by using structured questionnaire. T-test, ANOVA, Pearson's correlation and Stepwise-multiple regression were performed by SPSS/PC 17.0. Results : Study-related stress were higher in the freshmen than sophomore (p=.001). The sophomore have highest level in family (F=5.32, p=.005), friends (F=3.13, p=.044), and appearance-related stress (F=5.49, p=.004). Poor grades in their studies were related to family-related stress (p=.010) and study-related stress (p=.009), They complained severe discomfort, displeasure, and G-I symptom in order. The more physical symptoms were, the more coping with their stress do (p=.001). Factors affecting physical symptoms are study-related stress (${\beta}$=.38), unhealthy (${\beta}$=.16), friends (${\beta}$=.14), active coping with stress (${\beta}$=.15) and sophomore (${\beta}$=.11), family (${\beta}$=.11), and they explained 33.3% of variables. Conclusions : Students have to learn how to cope with their stress. Therefore, it is needed program development to improve stress management for high school girls.