• 대한간호학회지
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• 제26권1호
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• pp.165-176
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• 1996

The purpose of this study was to contribute to family nursing in the areas of reducing stress and improving coping for parents of mentally retarded children. Data were collected through self-report questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 176 parents (88 mothers and 88 fathers) of mentally retarded children attending schools for the handicapped. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively. The coping scale developed by Folkman ＆ LaZarus was adopted to measure the level of coping, and the patterns of adaptation scale developed by Damrosch ＆ Perry was adopted to measure the patterns of adaptation. The data were analyzed by a SAS program using Fisher's exact test, paired t-test, and oneway ANOVA. The results are as follows ; 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced a significantly greater level of parental role stress than fathers did. No significant difference in the level of coping was observed between mothers and fathers. There were differences in maternal and paternal patterns of adaptation. 2. The adaptation pattern of fathers was different according to their level of general stress, parental role stress and coping. The adaptation pattern of mothers was not different according to their level of general stress and parental role stress, but was according to their level of coping. 3. General stress experienced by fathers was different according to education, health status and support from their spouses. Satisfaction with family life, satisfaction with spouse and the support from spouse influenced coping used by fathers. Their level of parental role stress was not associated with any of their general characteristics. 4. In mothers, the level of general stress was different according to their health status, the level of parental role stress was related to satisfaction with family life and satisfaction with spouse. Their level of coping was associated with the sup port from spouse. The above findings indicate that mothers did not have more coping strategies than fathers did, despite the results which showed that mothers experienced greater stress than fathers did. Especially, the adaptation pattern of mothers was different according to their level of coping. Hence, nursing interventions directed at managing stress and improving coping should be used with mothers who use adaptation pattern 1. In particular, fathers should actively participate in parenting, and support their spouses.

• 한국직업건강간호학회지
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• 제17권1호
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• pp.23-33
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• 2008

Purpose: The purpose of the study was to identify attitudes of middle managers toward employees with psychological problems and to determine factors affecting their attitudes. Methods: A questionnaire with Community Attitudes Toward Mentally Ill (CAMI) scales was administered to 161 middle managers working in small and medium-sized enterprises based in Seoul and Gyeonggi Province. Results: There are four separate subscales on the CAMI. Mean score for authoritarianism was $35.0{\pm}4.4$, benevolence $23.0{\pm}4.8$, social restrictiveness $32.3{\pm}4.9$ and community mental health ideology $27.2{\pm}5.1$ According to multiple regression analysis, middle managers with no experience of learning mental illness through mass media or higher levels of depression symptom were more authoritative and less benevolent towards employees with psychological problems. The experience of meeting a patient with mental problem contribute to positive attitudes toward people with mental illnesses in social restrictiveness subscale and community mental health ideology subscale among CAMI. Conclusion: This study suggests that experience of having patients with mental problems and information on psychological problems will have great influence on attitudes of middle managers toward employees with psychological problems. It might be important to help middle manager manage their depression because their depression also affects their attitudes toward employees with psychological problems.

• 한국노년학
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• 제36권3호
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• pp.693-709
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• 2016

손자녀를 돌보는 한국 조모들의 돌봄 특성에 따른 우울 증상을 살펴보기 위하여 시행한 연구이다. 한국고령화연구패널조사 4차 자료(2012년) 참여자 중, 손자녀가 1명 이상인 여성은 총 3,291명이다. 이 중 손자녀를 돌본경험이 있는 127명을 대상으로 하였다. 돌봄 제공 손자녀 수, 연간 돌봄 기간 및 주당 돌봄 시간에 따라 우울증상에 차이가 있는지 다중 로지스틱 회귀분석을 실시하였다. 사회경제적 특성과 건강상태(주관적 건강, 만성질환 이환 개수, 통증 유무)를 통제하였을 때, 조모들은 손자녀 돌봄 기간이 길수록 우울 증상이 낮게 나타났고, 이와 반대로 주당 돌봄 시간이 길수록 우울 증상이 높게 나타났다. 손자녀를 돌보는 조모는 고령여성이 가지는 다양한 건강 문제와 더불어 돌봄 제공자 역할을 받아들일 수밖에 없으며, 이 과정에서 주당 돌봄 시간이 길수록 우울 증상 고위험군에 속할 확률이 높아진다. 손자녀 돌봄 특성과 정신 건강의 관련성에 대한 상세한 파악과 이해를 통해 손자녀 돌봄에 대한 사회적 책임 분담 등 지원 서비스와 정책에 대한 논의가 이어져야 하겠다.

• 여성건강간호학회지
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• 제10권3호
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• pp.200-209
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• 2004

Purpose: This study was to investigate the types and seriousness of pregnancy-related physical and psychological symptoms among pregnant couples. Method: Subjects consisted of 77 pregnant couples at one hospital in Seoul, Korea. The pregnant couples had not been diagnosed with any medical complications. Data were analyzed by the SPSS WIN program. Result: In the degree of physical and psychological symptoms of pregnancy experienced by subjects, the mean score of perceived physical symptoms (2.40, 1.86) was higher than the mean score of psychological symptoms(2.13, 1.83) for both pregnant women and their spouses. In the couple's difference of physical and psychological symptoms of pregnancy experienced by subjects, there were not statistically significant differences in the physical symptoms: "I have hemorrhoids"(t=1.91, p=.06), "My body weight decreased"(t=1.78, p=.08), "I have colds more often"(t=1.77, p=.08), and "I became more active than ordinary times"(t=1.99, p=.05) or in the psychological symptoms: "I am more elated than ordinary times"(t=.83, p=.41), and "I feel inferior"(t=1.62, p=.11). Therefore, these symptoms are coincidental between couples. In the difference of physical and psychological symptoms of pregnancy experienced by subjects according to general characteristics, there were not significant differences. In the relationship between physical and psychological symptoms experienced by subjects, there were statistically significant correlations between subject's physical symptoms and psychological symptoms(r=.54, p<.001; r=.78, p<.001). Conclusion: Physical and psychological symptoms of pregnancy experienced by pregnant couples are an issue for nurses who perform an important role in the care of pregnant women and their spouses.

• 대한간호학회지
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• 제10권1호
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• pp.57-64
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• 1980

The purpose of the study was to find out the relationship between experienced stressful events and its coping behavior within mentally wellness and illness, and to define the effective coping method under the stressful situation. By doing so, during the period of April, 1978- to March, 1979 the objects of this study were 100 persons who were under the psychiatric facilities in their first hospitalization, and who were registered in psychiatric out patient department in the form general hospitals located at Seoul selected as a experimental group. As a control group 100 persons who never experienced psychiatric treatment who were not under the current medical treatment, and who were tarring appropriate social roles in their community were selected, and in both groups utilized questimaires for Social Readjustment Pating Scale and Coping Scale. This study was tested by X$^2$ examinationand by F-ratio（analysis of variance). Results were as follows : Hypothesis 1. The actually experienced life events were expected to be higher in the experimental group than in the control group, but they did not show the significant difference between the groups.（ p >0.05) Thus hypothesis 1 was rejected. Hypothesis : 2. The stress scores were expected to be higher in the experimental group than in the control group, and also did show the significant difference between the groups ( p< 0.05）. Therefore hypothesis 2 was supported. Hypothesis 3. The non-effective coping behavior were expected to be higher in the experimental group than in the control group, and also did show the significant difference between the two groups(p < 0.001). Also hypothesis 3 was supported. Hypothesis 4 . The higher stress score groups (above 250 LCU ) were expected to utilize non.effective coping method more frequently than in the lower stress score groups (below 249 LCU ), and not only they showed high in utilizing non-effective coping method but also showed high in utililzing effective coping method. Thus hyphothesis 4 was partially supported. (p < 0.001) The following are drawn out based on the result of this study that the stress scores were higher, and more utilized non-effective coping method in the emotionally disturbances than in the emtionally healthies.

• 한국직업건강간호학회지
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• 제22권3호
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• pp.228-239
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• 2013

Purpose: This study aims to assess the effects of psychosocial work environment and self-efficacy on stress, depression, and burn-out among office workers. Methods: Survey data were collected from 331 office workers who worked in one workplace from April 10 to 30, 2012. The impact of psychosocial work environment and self-efficacy on stress, depression, and burn-out was analyzed with hierarchical multiple regression using SAS version 9.3. Results: Work-family conflicts and emotional demands were identified as main factors influencing mental health. Other work environment factors influencing mental health were role clarity for stress, possibilities for development, meaning-of work, social support-from supervisors and job insecurity for depression, and social community at work for burn-out. Self-efficacy was correlated with most psychosocial work environment and factor with independent influence on stress and depression. The final models including general characteristics, psychosocial work environment, and self-efficacy accounted for 34%, 44%, and 36% for stress, depression, and burn-out respectively. Conclusion: To promote mental health in office workers, there is a need to decrease work-family conflicts and emotional demands and to improve work organization and job contents, social support, and self-efficacy.

• 대한간호학회지
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• 제7권2호
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• pp.31-42
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• 1977

This study investigated the anxiety of families of psychiatric patients at discharge. The purpose was to contribute to the improvement of psychiatric nursing care, rehabilitation and social adjustment of psychiatric patients and community mental health. The objectives of this study were to identify the acceptance of the psychiatric nurse by the families, their anxiety at the time of discharge, whether any help was wanted to reduce anxiety, the attitude toward the patient after discharge and feelings about the patients. The population studied consisted of 180 family members of patients from 10 mental hospitals (including local clinic) in Seoul and Kyung- Ki province, from March I to April 30, 1977. The date were collected by an interview schedule, and compared and analysed by Computer usings х$^2$- test. Results were as follows : 1. Many of the families(83.6%) expressed a acceptance of psychiatric nurse. 2. A little more than half of the families(51.1%) expressed happiness but a largo portion (38.9%) had "anxious" feelings at discharge. 3. Almost all families(92.6%) wanted a physician′s help to reduce discharge anxiety. Younger families tended to want the physician′s help more. 4. Many of the families(83.1%) wanted a nurse′s help. Families of parents patients admitted for the 1 st time wanted the nurse′s help more. 5. Comparing the feelings at a previous discharge with the present discharge, 49.1% of the family expressed greater happiness at tile latter than the former. 6. More than half the families responded positively toward the patient. Unmarried family members responded more positively than married Families of 1 st admission patients responded more positively than families of readmission patients. 7. Many families(78.8%)had positively feelings toward the patients. More negative responses came from women than from men, from lower education levels, lower incomes and readmission patients.

• 대한간호학회지
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• 제28권3호
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• pp.801-809
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• 1998

This study was carried out the group communication program which I had composed of using the Satir's communication family theory and skills. The purpose of this study was to investigate the effects on the dysfunctional communication self-esteem and depression, executed this program for the mothers group with caring the mental disorders. and then for the test of some hypotheses it was devided two groups ; the experimental group(n=20) and control group(n=25). In the control group they were learned two session family education program in the psychiatric clinics of Pusan National University Hospital and in the experimental group they had experienced during the 10 session by the group communication program. In the methods of the statistics on this datas, it was to statistics X²test for the comparison between the experimental group and control group with general characteristics. The effect of the Group Communication Program was to analyse ANCOVA between pre-post test on the disfunctional communication, self-esteem and depression in the control group and experimental group. The conclusions were derived from the results and test of hypothesis as followings ; 1) The results were tested the differentiation between the experimental and control group, and the pre-post test in the experimental group with dysfunctional communication self-esteem and depression. Some hypothesis were tested and supported as followings : It was supported that the level of dysfunctional communication of the experimental group would be lower than the control group (Hypothesis 1) It was supported that the level of self-esteem of the experimental group would be higher than the control group (Hypothesis 2). It was supported that the level of depression of the experimental group would be lower than the control group (Hypothesis 3). 2) The relation of the dysfunctional communication with the self-esteem was presented negative correlation and with the depression was not correlation. The relation of the self-esteem with the depression was presented significantly negative correlation. The relation of the sacrificuny pattern of dysfuntional communication with the self-esteem was presented negative correlation and with the depression positive correlation.

• 지역사회간호학회지
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• 제29권1호
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• pp.1-10
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• 2018

Purpose: The purpose of this study was to examine the prevalence and risk factors of suicidal ideation among middle class Korean. Methods: Cross sectional study was designed for secondary data analysis. From the 8th Korea Health Panel survey (2008~2013), a total of 6,037 data was drawn and analyzed by developmental stage using descriptive statistics including frequency, percentage, $x^2$ test, and logistic regression analysis. Results: Across all age groups, high physical-mental stress, frustration, anxiety about the future and low self-perceived health status or social class were found to be the risk factors of suicidal ideation. Peer-compared subjective health status and frustration significantly influenced the adolescents. The young adults'suicidal ideation was mainly influenced by physical and mental stress, frustration and absence of economic activity. For the middle-aged, physical and mental stress, frustration, future anxiety, low peer-compared subjective health status were found to be the major influencing factors. The predominant risk factors for the elderly were frustration and low peer-compared subjective health status. Conclusion: Making comparisons to others significantly influence suicidal ideation throughout all life cycles. Improvement of mental health and suicide prevention can be enhanced by avoiding negative comparison to others.

• 대한간호학회지
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• 제22권4호
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• pp.476-490
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• 1992

This study was designed to develop and test a structural model for maternal adaptation and family stress in families with mentally handicapped children. A hypothetical model was constructed on the basis of the family stress theory developed by McCubbin etc. The model included 6 theoretical concepts and 11 paths. For the purpose of the model testing, empirical data were collected from May to August, 1992. The subjects of the study constituted 190 mothers of children in five special schools and one private institute in Seoul and Choong Nam. An SPSS PC＋ and PC－LISREL 7.13 computer programs were used for descriptive and covariance structure analysis. The results of the study were as follows. (1) The hypothetical model showed itself a good fit to the empirical data ［Chi - square＝18.35(df＝7, P＝0.005), Goodness of Fit Index＝0.991, Adjusted Goodness of Fit Index＝0.959, Root Mean Square Residual＝0.042), Non Normed Fit Index＝0.90, Normed Fit Index＝0.96］. (2) The results of Hypothesis testing indicated : 1) Social support(${\gamma}$$_{11}$＝.238, T＝2.352), Family functioning(${\gamma}$$_{12}$＝.729, T＝5.957) and Family life event stress(${\gamma}$$_{13}$＝.125) had direct effects on situational definition. 2) Life event stress(${\gamma}$$_{23}$＝.319, T＝3.872) had direct effects on the effect of the handicapped child on the family. Family functioning(${\gamma}$$_{22}$＝-.245) and situational definition($\beta$$_{21}$＝-.335, T＝3.227) had direct effects on the effect of the handicapped child on the family. 3) Situational definition($\beta$$_{31}$＝-.273, T＝3.493), family life event stress (${\gamma}$$_{33}$＝.124, T＝2.169) and the effect of the handicapped child on the family($\beta$$_{32}$＝.264, T＝-3.227) showed the direct effect on the maternal adaptation. The model was supported by the empirical data. Thus it was suggested that the model could be applied to family nursing care with the families with the mentally handicapped. The construction and testing of the comprehensive model seem to be the first trial in Korea.a.a.a.