• Journal of Korean Academy of Nursing
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• v.30 no.3
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• pp.694-708
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• 2000

The main purpose of this study was to identify the relationship of self efficacy and social support to the psychosocial adjustment in people with epilepsy. Data were collected from October 1 to October 15, 1999 from 101 people with epilepsy who were being treated regularly at one of the university hospitals located in Seoul. The research instruments were a questionnaire to gather demographic and disease-specific data, the Epilepsy Psycho- Social Effects Scale developed by Chaplin et al(1990), the Epilepsy Self Efficacy Scale developed by DiIorio et al(1992a) and translated by Park(1999), the Norbeck Social Support Questionnaire developed by Norbeck et al(1981) and translated by Oh(1985). Data were analyzed using the SPSS program. The results are as follow : 1. Of the 14 psychosocial adjustment areas, 75 of 101 subjects experienced problems in ten or more areas and 28 in all 14 areas. The severity of the psychosocial adjustment problem was moderate or more in six areas. 2. The score for self efficacy was an average of 1103.86 out of a possible 1800, for social support 117.57 for total functional out of a possible 720, and 48.21 for total network out of a possible 264. There were an average of five people on the network. The main network people were parents, brothers and sisters, spouse, friends. 3. Of the 14 psychosocial adjustment areas, six areas correlated with self efficacy and 'problems with taking medication' area had a negative correlation with social support. In conclusion, people with epilepsy have various problems in psychosocial adjustment. Nursing interventions using self efficacy should be developed to improve psychosocial adjustment in people with epilepsy. Also, instruments and interventions for regimen-specific supports which are suitable for epilepsy should be developed.

• Journal of Korean Academy of Nursing
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• v.28 no.2
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• pp.291-302
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• 1998

The purpose of this phenomenological study was to understand and describe the essence and the structure of lived experience of people with kidney transplantation. Initially, nine individual interviews were conducted to gather data regarding their subjective experiences. And two focus group interviews were utilized to validate or discard the themes that were emerged from the analysis using Colaizzi's method. Among 17 participants, 13 had living related kidney donations, one living unrelated, and the remaining two cadavor donations. About 130 significant statements were extracted and these were clustered into 11 themes. All participants felt anxiety and fear toward the rejection of transplantation and the complication of immunosuppressive drugs. Although they were initially satisfied with their life after kidney transplantation, most of them lost a self-confidence and experienced loneliness, depression, and despair. Most of the participants also felt guilty for not being able to accomplish their appropriate roles in the family, They also had financial difficulties and social restrictions. However, they overcame these psychosocial distress by exercising, working and sharing love with others. They also could overcome it by living a religious life and by working to help others with kidney transplantations. Most of them felt gratitude toward the donor and did not have a psychological rejection toward the kidney transplanted. The results of the study might help nurses who work with people with kidney transplantations in establishing and implementing an effective nursing intervention by understanding their lived experience.

• Journal of Korean Academy of Nursing
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• v.33 no.2
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• pp.293-300
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• 2003

Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.

• Journal of Korean Academy of Nursing
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• v.45 no.6
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• pp.868-878
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• 2015

Purpose: The aim of this study was to verify psychosocial issues faced by psychiatric and community mental health nurse practitioners (PCMHNP) working in community mental health centers, and to identify the adaptation processes used to resolve the issues. Methods: Data were collected through in-depth interviews between December 2013 and August 2014. Participants were 11 PCMHNP working in community mental health centers. Analysis was done using the grounded theory methodology. The first question was "How did you start working at a community mental health center; what were the difficulties you faced during your employment and how did you resolve them?" Results: The core category was 'regulating within relationships.' The adaptation process was categorized into three sequential stages: 'nesting,' 'hanging around the nest,' and 'settling into the nest.' Various action/interaction strategies were employed in these stages. The adaptation results from using these strategies were 'psychiatric nursing within life' and 'a long way to go.' Conclusion: The results of this study are significant as they aid in understanding the psychosocial adaptation processes of PCMHNP working in community mental health centers, and indicate areas to be addressed in the future in order for PCMHNP to fulfill their professional role in the local community.

• Journal of Korean Academy of Nursing
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• v.21 no.2
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• pp.218-229
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• 1991

The problem addressed by this study were to explore the effect of hardiness on psychosocial adjustment of persons with a colostomy and to identify factors which influence that psychosocial adjustment. The purpose was to suggest a theoretical base for the planning of supportive nursing interventions to increase the level of adjustment. Among members of the Korea Ostomy Association, 34 subjects who had undergone colostomy from March, 1990 to March, 1991 were selected as the sample. Data were collected from April 8 to May 8, 1991 using a mailed questionnaire. The instruments used for this study were the Health -Related Hardiness Scale(Pollock, 1984) and the Psychosocial Adjustment to illness Scale (Derogatis, 1975). ANOVA, Pearson correlation coefficient and Stepswise Multiple Regression were used for data analysis. The results of the study are summarized as follows. 1. Hardiness was significantly related to psychosocial adjustment(p＝0.009). That is, the higher the hardiness, the higher the level of psychosocial adjustment. 2. Among the demographic variables, only economic level was significantly related to the level of psychosocial adjustment. (p＝0.005). 3. The important factors influencing the level of psychosocial adjustment of persons with a colostomy were economic level, commitment, challenge (subconcepts of hardiness). Therefore, in order to increase the level of the psychosocial adjustment, it might be helpful to provide them with hardiness training to strengthen their commitment and their challenge.

• Asian Oncology Nursing
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• v.9 no.2
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• pp.129-135
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• 2009

Purpose: This study was to explore the psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. Methods: The subjects were 90 post-mastectomy patients (stage I or II) who were eligible and agreed to participate in the study. The data collection period was from March to May, 2008. Subjects completed a survey including demographics, psychosocial adjustment scale by Lee (a 4-point Likert scale), marital intimacy scale by Kim (a 4-point Likert scale), and family support by Shim (a 5-point Likert scale). Data were analyzed using SAS (ver 9.0) program and frequency, mean (SD), t-test, ANOVA and Pearson correlation coefficients were used. Results: The mean scores of the psychosocial adjustment and marital intimacy were 2.8 (${\pm}0.4$) and 2.5 (${\pm}0.5$). Also, the mean score of the family support was 3.6 (${\pm}0.7$). Regarding the correlation between the psychosocial adjustment, marital intimacy and family support, there was a positive correlation. Conclusion: These results showed that subjects who had higher marital intimacy and family support showed better in psychosocial adjustment. To improve psychosocial adjustment of post-mastectomy patients for breast cancer more effectively, there is an necessity to provide various strategic supports and intervention for effective communication with spouse and family.

• Journal of the Korean Home Economics Association
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• v.46 no.5
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• pp.19-33
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• 2008

The main purpose of this study was to assess the effects of SES, mother's psychological well-being, child-rearing behavior and child's peer relationship on school adjustment. A total of 237 children enrolled in the 5th and 6th grade and their mothers were used for this study. Data was collected via questionnaires completed by children and their mothers. The path analysis of antecedent variables influencing child's school adjustment revealed two different patterns. Firstly, socioeconomic status influenced child's school adjustment through maternal psychological well-being. Secondly, maternal psychological well-being affected by socioeconomic status contributed to child's school adjustment through positive child-rearing behavior and positive peer relationship. Focusing on maternal psychological well-being and mother's child-rearing behavior, the implication for promoting child's school adjustment are discussed.

• Child Health Nursing Research
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• v.9 no.1
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• pp.85-95
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• 2003

Purpose: The purpose of this study was to compare psychosocial adjustment in children aged 4-11 years with cancer between on and off treatment. Method: The data was collected from parents of children with cancer through interviews with structured questionnaire at the pediatric outpatient department and inpatient ward of one university hospital located in Seoul. The instrument were the Child Behavior Check List(CBCL) developed by Achenbach(1991) and revised to standardize for Korean children by Oh et al(1997). Result: Total behavior problem score for children on treatment was greater than the score off treatment but there was no significant difference. Children on treatment reported higher levels of depression/anxiety, withdrawal, internalizing scores than children off treatment. Social competence score of children off treatment was greater than the score on treatment and the difference of school performance score of children between on and off treatment was not significant. The scores on the withdrawal, somatic complaints, social immaturity, internalizing scales in the cancer group including both on and off treatment was greater than normative findings in the general population. The scores on the school competence of children off treatment were lower than the norms for healthy children. Conclusion: Findings from this study support the importance of nursing interventions to facilitate the adjustment of children with cancer both on and off therapy.

• Journal of the Korean Home Economics Association
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• v.39 no.11
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• pp.175-192
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• 2001

This study investigated the relationships between inter-cultural experience and socio-psychological adjustment to the current life among children who have refilmed from living abroad. The subject of research consisted of 102 boys and 110 girls from fourth grade through sixth grade who returned to their home country after living in a foreign correlation Data were collected from 5 elementary schools in Seoul. Descriptive statistics, t-tests, correlation analysis and regression were used for data analysis. The results of children's social-psychological adjustment were represented by 3 categories: school/friend relationship, stress/strain and language/learning. The following are the summarized results; First, girl students were more likely to adapt to school/friend relationships in Korea and had lower stress/strain than boys. Second, the children having shorter period of residence in foreign county, lower adaptation ability to different culture and extrovert personality showed higher socio-psychological adjustments after returning to Korea. Third, the adjustment to school/friends was influenced by period of residency in the foreign county, the experience of different culture, and extrovert personality. The experience of different culture and extrovert personality effected stress/strain, and the adjustments to language/learning were influenced only by the ewperiecne of different culture. Lastly, the experience of different culture was the most important variable influencing all 3 categories of socio-psychological adjustments.

• Korean Journal of Culture and Social Issue
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• v.27 no.1
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• pp.35-49
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• 2021

The purpose of this study was examine the depression among Mongolians in South Korea. We also determined the effect of acculturative stress and social support on depression. In this study, total of 200 adults over age 18 completed the BDI-II of Mongolian Version, Acculturative stress scale for international student, The Multi-dimensional Scale of Perceived Social Support. Data were analyzed by using the factor analysis, correlation analysis, t-test, and hierarchical regression analysis. We used SPSS 22.0, AMOS 22.0. We found significant difference in mean scores between groups according to socio-demographic characteristics. The level of depression was high in over 3 years immigrants group (M = 8.41, SD = 9.6954), marriage immigrants group (M = 19.1, SD = 16.7649), and female groups (M = 7.61, SD = 9.2188) than compared to reference groups. Acculturative stress and social support of Mongolian immigrants had a significant impact on depression (β = .365, p <.001; β = .- 555, p <.001). There was a moderating effect of social support on the relationship between acculturative stress and depression (β = 1.080, p <.001). The limitations and implications of the study were discussed. We conclude that this study can be used to assess the depression and the mental health of Mongolians in South Korea.