• Research in Community and Public Health Nursing
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• v.20 no.2
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• pp.113-122
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• 2009

Purpose: The purpose of this study is to explore the effect of aromatherapy on anxiety, depression, and stress. Methods:Medical and nursing literature databases were searched to identify studies comparing aromatherapy with a control group. Results: Thirty-one studies published till September 2008 were included in the analysis. Twenty-two studies showed that aromatherapy generally had positive effects on the anxiety level (ES: 0.61). Thirteen studies showed that aromatherapy has significantly decreased the depression level (ES: 0.91). Seven studies showed that aromatherapy had positive effect on the stress level (ES: 0.78). Further analysis found that aromatherapy was more effective for normal population than for patients group with anxiety and stress. On the contrary, aromatherapy was more effective for patients group than for general population with depression. Conclusion: Aromatherapy had positive effect on anxiety, depression and stress level. But there was no sufficient evidence to show the two different aromatherapy methods and two different period of aromatherapy had different effects due to small sample size and heterogeneity of sample. And it was needed to perform follow-up and further comparative studies.

• Journal of Korean Academy of Nursing
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• v.52 no.4
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• pp.451-463
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• 2022

Purpose: This study examined the reciprocal relationships between depression and income, and gender differences in these relationships among older adults in South Korea. Methods: Using 2015 to 2019 of the Korea Welfare Panel Study (KoWePS), we studied 6,070 older adults (2,394 men and 3,676 women) aged 60 years over in 2015. The generalized estimating equation was employed to explore the effect of an individual income on depression and the reverse causal link-that of depression on income. Results: The study found the reciprocal relationships between income and depression. Income has a significant impact on depression. Higher-income was linked to decreased risks of the Center for Epidemiologic Studies Depression (CES-D) scores among older adults (B = - 0.121, p < 0.001). Estimates of the reverse causal link show that higher CES-D scores were also linked to income reduction among Korean older adults (B = - 0.007, p < 0.001). In addition, we also observed gender differences in the impact of income on depression but not in the reverse causal link. Income has more detrimental to psychological consequence for older men (B = - 0.108, p < 0.001) than older women (B = - 0.057, p < 0.001). Conclusion: The finding implies that both psychological and social protection policies for the elderly are needed in view of gender perspective.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.1
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• pp.31-60
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• 2023

Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.

• Korean Journal of Adult Nursing
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• v.25 no.2
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• pp.157-169
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• 2013

Purpose: This study was to examine the impact of acculturation and social support on the mental health among Korean-American registered nurses. Methods: Data were collected with a convenience sample of 203 Korean-American registered nurses living in New York state and New Jersey state from 8th May to 25th August in 2012. The structured questionnaires measured the degree of acculturation, social support, and mental health. Data analysis was conducted using t-test, ANOVA, Pearson correlation efficient, and Stepwise multiple regression. Results: Lower level of integration and higher level of marginalization were associated with the lower mental health. Social support was also positively related to mental health and had mediating effect on the relationship between acculturation and mental health. The five variables, including participants' educational background, work shift, integration, marginalization, and social support were significant to predict the level of mental health among Korean-American registered nurses, accounting for 41% of the variability. Conclusion: The results imply that higher level of social support and strong identity of both home and host culture will enable Korean-American registered nurses to maintain sound mental health.

• Journal of Korean Public Health Nursing
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• v.16 no.2
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• pp.378-387
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• 2002

This study was conducted to investigate the degree of PSI (self-evaluative awareness of problem solving ability) in PMHNP (psychiatric mental health nurse practitioners) and to identified the factors predicting problem solving ability of them, in order to provide basic data for the development of the specific education programs to improve problem solving ability. Data was collected from 355 subjects who have the certificates of PMHNP working in hospitals and public centers. Chun Seok Kyun's instruments (1993) based on the Heppner and Petersen's Problem Solving Inventory (1982) was used to determine PMHNPs' PSI. The results were as follows; 1. The average score of PSI of PMHNP was $2.81\pm0.23$. Of the three factors. there marked the lowest score in the factor 3. personal control $(2.56\pm0.43)$, and the highest score was in the factor 1. problem-solving confidence $(2.95\pm0.34)$. 2. The differences in PSI were significant for degree of education and career in psychiatric settings (p=0.000l, p=0.0187). 3. Job satisfaction was the highest factor predicting PSI of PMHNP$(17.9\%)$. When degree of education, career in psychiatric setting and marital status were added, the total predictors explained $24.3\%$. As a result, it is necessary to conduct further research in relation to the problem-solving process, the development of education program. skill acquisition and measurement of problem solving in nursing practice.

• Journal of Korean Academy of Nursing
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• v.50 no.1
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• pp.26-38
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• 2020

Purpose: The purpose of this study was to explain a structural model of posttraumatic growth among psychiatric nurses based on existing models and a literature review and verify its effectiveness. Methods: Data were collected from psychiatric nurses in one special city, four metropolitan cities, and three regional cities from February to March 2016. Exogenous variables included hardiness and distress perception, while endogenous variables included self-disclosure, social support, deliberate rumination, and posttraumatic growth. Data from 489 psychiatric nurses were analyzed using IBM SPSS Statistics 19.0 and AMOS 20.0. Results: The modified model was a good fit for the data. Tests on significance of the pathways of the modified model showed that nine of the 14 paths were supported, and the explanatory power of posttraumatic growth by included variables in the model was 69.2%. For posttraumatic growth among psychiatric nurses, deliberate rumination had a direct effect as the variable that had the largest influence. Indirect effects were found in the order of hardiness, social support, and distress perception. Self-disclosure showed both direct and indirect effects. Conclusion: A strategy to improve deliberate rumination is necessary when seeking to improve posttraumatic growth among psychiatric nurses. Enhancing psychiatric nurses' hardiness before trauma would enable them to actively express negative emotions after trauma, allowing them to receive more social support. This would improve deliberate rumination and consequently help promote psychological growth among psychiatric nurses who have experienced trauma.

• Korean Journal of Occupational Health Nursing
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• v.32 no.3
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• pp.121-129
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• 2023

Purpose: The purpose of this study was to examine the impact of encounters with customer violence on the mental health of customer service workers, and to verify the moderating effect of coworker support. Methods: Workers who indicated that they engaged directly with individuals other than coworkers for more than 25% of their working hours, such as customers, passengers, students, and patients, were the focus of the 6th Korean Working Conditions Survey in 2020. A total of 13,682 people were chosen as the final research subjects, responses from dishonest respondents who had picked "don't know/no answer" or indicated "reject" to pertinent topics such mental health level, were discarded. After adjusting for socio-demographic and vocational characteristics that influence mental health in customer service workers, a hierarchical regression analysis was executed, which incorporated input on customer violence experiences, coworker support, and interaction terms on a step-by-step basis. Results: It transpired that interactions with customer violence had a negative impact on workers' mental health. Additionally, it was shown that workers' mental health status as coworker support increased. Conclusion: This study's limitations include differences in the period the questions were posed, and limitations in interpretation to all workers. And it is difficult to determine the relationship between the frequency of customer violence, occupational characteristics and mental health. Despite its limitations, this study makes an important contribution toward fostering an environment where coworkers can continue to help one another.

• Journal of the Korean Applied Science and Technology
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• v.35 no.4
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• pp.1285-1294
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• 2018

The purpose of this paper was to identify the relationship between the characteristics of community mental health, and to identify if mediatable contextual property acts as factor influencing community mental health. Data of 229 municipal population groups were collected from KNSO and The 6th Community Health Plan. The data were analyzed using ANOVA, Spearman correlation, and multiple regression analysis. The perceived stress showed significant difference depending on health budget, mental health budget, number of mental health personnel, and was negatively correlated with proportion of the elderly, employment rate, percentage of NBLS recipients, health budget, and number of mental health personnel. The depressive mood differed depending on the number mental health personnel, and was negatively correlated with percentage of NBLS recipients and number of mental health personnel. Mental health budget and number of mental health personnel were respectively influencing factor of perceived stress and depressive mood. Following the above result, in order to reduce the gap between the mental health of communities, the researcher suggests that mental health budget as well as overall health budget and the number of mental health personnel be enforced.

• Journal of Korean Public Health Nursing
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• v.10 no.1
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• pp.39-57
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• 1996

미국은 이제까지 서구 백인문화 중심적으로 간호학을 발전시켜왔다. 그러나 국제적인 세계화 흐름과 함께 이제까지 경시되어 왔던 소수 민족들에게 차츰 관심을 모으고 있다. 이러한 간호학의 추세와 함께 재미 한인들의 증가는 간호학 내의 한인들에 대한 문화적 지식의 확대를 필요로 하게 하였다. 이민이라는 과정을 통해서 이민자들은 새로운 가치관. 태도. 사회적 규범을 획득하게 되는데. 이러한 변화는 신체적. 정신적 건강에 부정적으로 영향을 미치는 것으로 보고되고 있다. 또한 이러한 이민 적응과정에서 오는 어려움 들은 이민자 들이 건강관리를 효과적으로 하지 못하게 하는 주원인으로 보고되고 있다. 이 연구에서는 재미 한인들의 건강관리실천을 그들의 초기 이민 과정에서 겪게 되는 여러 경험에 초점을 맞추면서 면담조사와 사례 연구를 통하여 살펴보았다. 임의 표본 추출된 미국 캘리포니아주 오클랜드에 있는 한 한인 교회의 20명의 교민들을 대상으로 그들의 초기 이민경험과 건강관리 실천에 관한 면담 조사가 이루어졌으며 대상자 중 3인을 대상으로 하여 사례 연구가 이루어졌다. 연구 결과, 재미 한인들은 타이민자들에 비해 소규모 사업에 종사하는 경우가 많고 높은 취업 율에 비해 낮은 수인을 가지는 것으로 나타났다. 한인들은 타이민자들에 비해 좀 더 보수적이며 그들의 문화와 관습을 가능한 한 고수하는 것으로 나타났다. 또한 한인들은 사회 참여와 대인 관계에 있어서 한인 사회에만 한정되게 활동하는 것으로 나타났다. 재미 한인들은 한인 사회 내에서 강력한 사회적 유대관계를 유지하는 것으로 나타났으며, 가족의 영향력이 타민족들에 비하여 강한 것으로 나타났다 언어 장벽이 가장 큰 문제로 보고되고 있으며 비록 성공적으로 미국 사회에 적응을 하더라도 계속적인 경제적인 생존 노력과 사회적으로 소외된 그들의 위치는 그들의 삶을 계속해서 어렵게 하는 것으로 나타났다. 이러한 초기 이민 적응과정에서 오는 어려움 들은 그들의 건강을 비효과적으로 관리하게 만드는 것으로 나타났다. 첫째, 적절한 통역자를 사전에 선정, 이용함으로써 적절한 간호를 제공할 수 있도록 하여야겠다. 둘째. 한인을 대하는 간호 제공자들은 한인에 대한 문화적 지식을 겸비하고 그 지식에 근거를 둔 문화적으로 적절한 간호를 제공하여야 할 것이다. 셋째, 간호 제공자들은 한인들의 치료법 혼용을 이해하고 동시에 여러 치료법을 사용하는 경우. 잘 살펴서 적절한 조치를 취해야 할 것이다. 넷째, 가족관계를 사정하고 적절히 가족 구성원을 간소 목적을 위하여 사용할 수 있어야 하겠다 마지막으로 이들 내의 위험 집단을 우선적으로 파악. 접근하여야 할 것이다. 위험 집단으로는 경제적 문제로 적절한 의료 이용을 할 수 없는 저소득층, 문화적으로 열등한 위치에 있는 여성층과 초기 이민 적응에 가장 문제를 일으킬 소지가 있는 노년층을 들 수 있겠다. 이 연구는 몇 가지 제한점을 가진다. 첫째. 연구 대상자 선정이 어려워서 자원자를 대상으로 연구가 행해졌다. 둘째. 적은 수의 연구 대상자를 대상으로 연구가 행해졌다. 셋째. 연구기간이 짧았던 까닭에 좀더 상세한 사례 연구가 이루어질 수 없었다 좀 더 신뢰할 수 있는 표본 추출 방법을 통하여 선정된, 많은 연구 대상자를 가지고, 심도 있는 연구가 추후 반복적으로 이루어져야 할 것이다.

• Journal of Hospice and Palliative Care
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• v.8 no.2
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• pp.163-172
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• 2005

Purpose: This study is to identify the effect of a death education program to the nursing students on their anxiety of death and attitudes toward nursing care of the dying. Methods: The design of this study is nonequivalent control group pretest-posttest design. The subjects of experimental group 20 and control group 16 in senior grade of department of Nursing G university in J city. The experimental group had Death education Program, which was a three days per week program, for 2 weeks. And post-test was carried out in the same way as the pre-test. Data analysis was done using frequency, percentage, mean, standard deviation, Chi-square test, t-test, paired Sample t-test using with SPSS win 10.0. Results: the experimental group was decreased in degree of anxiety of death and was improved in degree of positive attitudes toward nursing care of the dying. Conclusion: The death Education Program can be an effective nursing education program for their Nursing students to decrease their death anxiety and to prepare care of the dying.