• Journal of the Korea Convergence Society
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• v.8 no.8
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• pp.105-114
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• 2017

The purpose of this study was to identify the convergent interaction effects of work environment on the relation between patients related stress and nurse's burnout. Data were collected with a convenience sample of 168 nurses at hospital in Seoul, Korea from 1 July to 15 July 2014. The structured questionnaires measured patients related stress, work environment, and burnout. In the results, patients related stress enhanced burnout. The analysis of moderating effect of work environments to relation between patients related stress to burnout showed that high control, rewards, fairness, and value and low overload reduced the influence of patients related stress to burnout. And community had main effect to burnout. Based on these results, it is necessary to develop nurse's work environment improvement strategies for relieving burnout.

• Korean Journal of Social Welfare
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• v.65 no.4
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• pp.367-393
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• 2013

Quality of life(QoL) of older cancer patients have not gained enough attention from researchers even when cancer is the number one cause of death of Korean elderly. Therefore, this study aims at understanding the QoL of older cancer patients and factors related to it, applying Taylor(2012)'s Stress-Coping Process model, and by comparing with older chronic disease patients and middle-aged cancer patients. Results indicated that physical health QoL of older cancer patients was the worst and their mental health QoL was similar with middle aged cancer patients. Multi-group analysis of Structural Equation Modeling indicated that the relation between QoL and the stress coping resources was not statistically different from older cancer patients and older chronic disease group, as well older cancer patients and middle-aged cancer patients. Implications of results to improve the QoL of older cancer patients are discussed.

• Proceedings of the KAIS Fall Conference
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• 2009.12a
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• pp.484-486
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• 2009

본 연구는 본 연구는 입원중인 뇌졸중 환자들이 겪는 경제적 스트레스 및 우울이 삶의 질에 미치는 영향을 알아보기 위해 대전에 소재하고 있는 대학병원, 종합병원, 재활센터 등에서 치료를 받고 있는 뇌졸중환자 209명으로 하였다. 자료수집방법은 각각 구조화된 설문지를 통해 1:1 면접조사를 실시하였다. 연구도구는 경제적-불편감척도(Gore, 1978)와 Arruda J.E가 개발한 시각상사척도와 GHO-60(Goldberg, 1972), MOS SF-36(Ware 등, 1992)을 김건엽(2002)이 표준화한 23문항 중 삶의 질을 측정하는 12문항을 수정, 변경하여 사용하였다. 수집된 자료는 SPSS(Statistical for the Social Science)12.0을 이용하여 분석하였고, 뇌졸중 환자의 일반적 특성, 물리치료 관련 특성, 질병 관련 특성, 경제적 스트레스, 독립변수로 빈도와 백분율, 평균과 표준편차를 구하고, 전체 연구 대상자의 기술 역학적 특성을 파악하기 위하여 기술통계와 일반적 특성, 물리치료, 질병관련 특성에 따른 환자의 경제적 스트레스, 우울, 삶의 질과의 차이를 알아보기위해 t-검정과 일원분산분석(analysis of variance, ANOVA)을 사용하였다. 발병 후 가계수입(p<0.05), 재정적 압박 수준(p<0.01), 삶의 질(p>0.05), 생활수준(p<0.05)이 통계적으로 유의한 것으로 나타났다. 감정상태가 낮고 생활수준과 재정적 압박 정도가 매우 심할 경우 더 유의하게 경제적 스트레스 점수가 높게 나왔다. 이는 뇌졸중환자가 겪는 경제적 스트레스 요인이 우울과 함께 중요한 영향을 미치며,인구분석학적 결과를 보더라도 가구의 소득수준이 큰 영향을 미치는 것으로 건강에 대한 재정적 부담, 가족으로부터 소외 일과에의 영향, 올가미를 쓴 느낌 이상의 결과로 볼 때 본 연구에서는 시각적 감정 상태, 재정적 압박상태, 우울, 생활수준, 질병 관련 특성, 삶의 질을 위주로 하여 경제적 스트레스 관련 요인을 살펴본 결과 후속연구에서는 보다 정확한 경제적 부담 수준을 측정하고 더불어 보다 객관적인 경제적 스트레스를 측정할 수 있는 도구를 이용하여 조사를 한다면 임상적으로 중요한 자료가 될 것이다. 또한 뇌졸중 환자의 경제적 스트레스를 감소하고 삶의 질 수준을 증진시킬 수 있는 치료적 중재의 개발이 절실히 요구된다.

• Korean Journal of Psychosomatic Medicine
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• v.20 no.2
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• pp.82-90
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• 2012

Objectives : Though gastric cancer is one of the most common cancer in Korea, there have been few studies to explore psychological distress in gastric cancer. The purpose of this study was to investigate the prevalence and associated risk factors of psychological distress among patients with gastric cancer. Methods : With consecutive sampling, a total of 274 patients with gastric cancer who admitted to a cancer center in a general hospital were recruited and assessed on psychological distress using the Hospital Anxiety and Depression Scale(HADS). Sociodemographic and cancer-related clinical variables were also evaluated. Results : One hundred fifty-three(55.8%) patients with gastric cancer showed psychological distress. Logistic regression models revealed that having alcohol drinking experience[odds ratio(OR)=2.10, p=0,034] and low performance status(OR=2.40 p=0.002) were significantly associated with psychological distress in patients with gastric cancer. Conclusions : These findings indicate that approximately half of patients with gastric cancer suffered from psychological distress and having alcohol drinking experience and low performance status would be associated risk factors, suggesting the need for distress screening and psychosocial supportive care in patients with gastric cancer.

• Korean Journal of Psychosomatic Medicine
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• v.2 no.1
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• pp.88-97
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• 1994

A comparison was made between gastric cancer and gastritis patients regarding stress Perception and depression, using Global Assessment Recent Stress(GARS) scale and Beck Depression Inventory(BDI). 50% of gastric cancer patients and 38% of gastritis patients were found to be depressed on scores of BDI scale, respectively. There was no significant difference in scores of stress perception between both the groups. However, gastric cancer patients tended to be more depressed than gastritis patients, although the difference is statistically not significant. In the gastric cancer patients, severity of psychic distress showed significantly positive correlation with depression, whereas in the gastritis patients, severity of physical symptoms showed significantly positive correlation with depression. It suggested that depression of gastric cancer patients was more likely to be related to the extent of psychic distress than that of physical symptoms. In each of both the groups, female patients showed significantly higher stress perception than male patients, and age was found to have significantly negative correlation with stress perception. In conclusion, severity of pathology of the same organ was not related to extent of stress perception and of depression in which denial of gastric cancer patients might play a role. Thus, it is emphasized that psychosocial approach is more needed for gastric cancer patients than for gastritis patients.

• Korean Journal of Psychosomatic Medicine
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• v.8 no.1
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• pp.11-19
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• 2000

Objectives : The object of this study was to make a comparison regarding perceived stressor, perceived stress responses, and coping strategies between patients with gastric ulcer and patients with chronic gastritis. Subject and Methods : Subjects consisted of 40 patients with gastric ulcer and 100 patients with chronic superficial gastritis. Global assessment of recent stress(GARS) scale and perceived stress response inventory(PSRI) were used to measure perception for stressors and stress responses. Coping scale was used to measure coping strategies. Results : Scores of perceived stress related to work or job, changes in relationship on GARS scale were significantly higher in patients with gastric ulcer than those with chronic gastritis. Scores of perceived stress responses related to general somatic symptom, specific somatic symptom, passive-responsive and careless behavior on PSRI were significantly higher in patients with chronic gastritis than those with gastric ulcer. Scores of seeking social support, escape-avoidance on coping scale were significantly higher in patients with gastric ulcer than those with chronic gastritis. Conclusion : The above results suggest that perception for stressors were likely to be higher in patients with gastric ulcer than those with gastritis, whereas perception for stress responses were likely to be higher in the latter than the former. It is also suggested that patients with gastric ulcer were likely to use more dependent and passive coping strategies than patients with gastritis.

• Proceedings of the KAIS Fall Conference
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• 2009.12a
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• pp.755-758
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• 2009

본 연구는 요양보호사들의 직무스트레스가 직무만족도에 미치는 영향을 알아보고자 하는 연구로 연구대상은 대전지역의 요양시설에 근무하는 요양보호사 302명을 대상으로 2008년 10월 6일부터 10월 30일 까지 구조화된 설문지를 이용하여 다음과 같은 결론을 얻었다. 연구 대상자의 직무스트레스에 대한 요인은 총 4개로 요인별 평균값은 환자관련이 2.38(표준편차 1.27), 업무관련 2.27(표준편차1.23), 대인관계 2.04(표준편차 1.01), 경제적인면 2.09(표준편차 1.17)로 나타났다. 연구 대상자의 직무만족에 대한 요인은 총 2개로 요인별 평균값은 업무자체에 대한 만족여부가 3.36(표준편차 0.690), 이직의사 2.36(표준편차 0.796)으로 나타났다. 업무에 대한 만족여부는 환자관련(P=0.021) 스트레스와 업무관련(P=0.014)스트레스가 유의하게 나타났고, 이에 대한 영향으로는 연령에서 50대(P=0.002), 40대(P=0.008), 20대(P=0.030), 종교를 가지고 있는 그룹(P=0.041), 근무동기로는 일에 대한 보람(P=0.042), 경력은 3년이상(P=0.002), 6개월이상 1년미만(P=0.006), 6개월미만(P=0.002)인 그룹, 소유자격증에 관해서는 간호사(P=0.009)면허 소지 그룹, 돌보는 환자수로는 1~5명(P=0.034), 6명~10명(P=0.001), 근무시간은 24시간(P=0.000)근무와 8시간 교대근무(P=0.026)가 유의한 영향을 주는 것으로 나타났다. 5. 이직의사 여부에서 요인2.업무관련(P=0.002)스트레스 유의하게 나타났고, 이에 대한 영향은 무교(P=0.010)인 그룹, 근무동기로는 미래에 대한 준비(P=0.012), 월급여로는 100만원~149만원(P=0.030), 돌보는 환자수로는 6명~10명(P=0.020)이 유의한 영향으로 나타났다.

• Journal of Digital Convergence
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• v.10 no.8
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• pp.275-286
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• 2012

The purpose of this study was to investigate stresses from job, patients and guardians experienced by general hospital nurses caring for elderly patients and their stress coping methods. For this study, data were collected from 280 nurses employed at general hospitals with the capacity of more than 400 beds which were located in Seoul. Frequency analysis, t-test and one-way ANOVA were utilized to analyze the data and Scheffe test was used to conduct post-hoc tests. This study found that, of the general hospital nurses' three types of stresses, stress from guardians was the most serious one, followed by stress from patients and stress from job; and that, of the six coping methods utilized by the general hospital nurses, social support was the most-utilized one, followed by problem-focused coping strategy, positive perspective, tension relaxation, indifference and hopeful perspective. Based on these findings, follow-up studies were suggested to develop the hospital nurses' abilities to cope with the ever-changing complex circumstances for the elderly patients.

• Korean Journal of Psychosomatic Medicine
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• v.12 no.1
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• pp.47-55
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• 2004

Objectives: The aim of this study was to investigate alexithymia, depressive symptoms, and stress response of patients with alcohol dependence. The results were taken as a basic data of ameliorating the quality of life. Methods: 94 patients with alcohol dependence completed stress response inventory, Korea depression scale, and toronto alexithymia scale successfully. Results: 55% of variance of alexithymia of patients with alcohol dependence were explained by the stress response and depressive symptoms and score of ADS, and the stress response had the most explanatory power. Conclusions: The alexithymia of patients with alcohol dependence may be influenced by depressive symptoms, education, frequency of drinking, and stress response. The specialists were identifying symptoms of depression and optimizing the management, therefore increasing the compliance and quality of life of patients with alcohol dependence.

• Korean Journal of Psychosomatic Medicine
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• v.8 no.2
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• pp.165-171
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• 2000

Objectives : Alopecia areata has been known to be closely related to stress. The purpose of this study is to examine the relationship between stress and alopecia areata investigating how life events(which alopecia areata patients experience), amount of stress, coping strategy, and their personality type affect the oneset and aggravation of the disease. Methods : The subjects were 43 alopecia areata patients who visited the department of dermatology outpatients clinic, and 36 fungal infection diseases patients as the control group. They all completed Scale of Life Events, Coping Style Cheklist, Eysenck A-type Personality Inventory. The analysis of covariance with the age as covariate was carried out. Results : Compared to the control group, alopecia areata patients had significantly more stressful life events, and higher amount of stress, but there was no significant difference in coping strategy. Type A Personality is also resulted to have no significant relationship to alopecia areata. Conclusions : Alopecia areata patients had significantly higher amount of stress than the control group, and this result is consistent with the previous studies which suggest that stress contributes to the oneset of alopecia areata. The causual relationship between stress and alopecia areata should be further examined in order to be applied in clinical setting.