• Journal of Korean Critical Care Nursing
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• v.17 no.1
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• pp.1-16
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• 2024

Purpose : This study aimed to explore and describe intensive care unit (ICU) nurses' experience of clinical adaptation. Methods : The participants were 14 ICU nurses with more than two years of working experience in the ICU. Data were collected through in-depth individual interviews conducted between July and October 2021. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using the Strauss and Corbin method. Results : A total of 79 concepts, 37 subcategories, and 16 categories were identified through open coding. Axial coding based on the paradigm model revealed that the central phenomenon was "The harsh adversity faced in the nursing field where life and death are determined" and the core category was "Enduring the adversity of caring for critically ill patients and achieving self-realization." ICU nurses' clinical adaptation process was explained in five phases: "confrontation period," "turbulent period," "seeking period," "struggling period," and "stabilized period." The five phases that affect interventional conditions were "Support from reliable people," "Recognition of administrative and financial support." Conclusion : This study provided novel insights for a comprehensive understanding of ICU nurses' clinical adaptation processes. Furthermore, the findings are expected to be used as basic data to develop multifaceted strategies to help ICU nurses' adaptation to critical care.

• Korean Journal of Adult Nursing
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• v.24 no.2
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• pp.99-108
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• 2012

Purpose: The study was done to identify factors influencing the quality of life of elderly in non-paid or paid assisted living facilities. Methods: Data were collected by questionnaires from 634 elderly in Seoul and Gyeonggi province. Measures were self-esteem, activities of daily living, depression, family support, health status, facility adaptation, care facility's quality, and quality of life. Data were analyzed using $x^2$-test, independent t-test, ANCOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 15.0 version. Results: The significant factors influencing quality of life of elderly in non-paid assisted living facilities were care facility's quality, depression, self-esteem, family support, education, and activity of daily living, which explained about 40.4% of the variance. The significant factors influencing quality of life of elderly in paid assisted living facilities were activity of daily living, depression, family support, education, care facility's quality, and facility adaptation, which explained about 83.9% of the variance. Conclusion: The results suggest that type of assisted living facilities in developing nursing interventions to improve quality of life of elderly should be considered.

• The Journal of the Korea Contents Association
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• v.14 no.3
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• pp.301-313
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• 2014

This study aimed to identify the correlation of stress-coping, humor sense, and adaptation to college of nursing students. Three hundred thirty eight subjects completed a structured questionnaire in June 2012. Data were analyzed using SPSS/WIN 21.0 program. The mean scores were as follows; stress-coping 43.33, humor sense 72.18, and adaptation to college 68.02. It meant beyond the intermediate level. Significant differences were found between adaptation to college scores and general characteristics such as gender, academic year, family type, economic status, campus life satisfaction, relation with faculties, grade, and the relationship with the opposite gender. There was significant but weak correlation of stress-coping, humor sense, and adaptation to college. These results suggest that it is necessary to develop individualized education programs considering students' characteristics. Additionally, university adjustment related factors should be studied.

• ALGAE
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• v.38 no.2
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• pp.141-150
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• 2023

Light quality is a common environmental factor which influences the metabolism of biochemical substances in algae and leads to the response of algal growth and development. Pyropia yezoensis is a kind of economic macroalgae that naturally grows in the intertidal zone where the light environment changes dramatically. In the present study, P. yezoensis thalli were treated under white light (control) and monochromatic lights with primary colors (blue, green, and red) for 14 days to explore their physiological response to light quality. During the first 3 days of treatment, P. yezoensis grew faster under blue light than other light qualities. In the next 11 days, it showed better adaptation to green light, with higher growth rate and photosynthetic capacity (reflected by a higher rETR_max = 61.58 and E_k = 237.78). A higher non-photochemical quenching was observed in the treatment of red light than others for 14 days. Furthermore, the response of P. yezoensis to light quality also results in the difference of photosynthetic pigment contents. The monochromatic light could reduce the synthesis of all pigments, but the reduction degree was different, which may relate to the spectral absorption characteristics of pigments. It was speculated that P. yezoensis adapted to a specific or changing light environments by regulating the synthesis of pigments to achieve the best use of light energy in photosynthesis and premium growth and metabolism.

• Journal of Industrial Convergence
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• v.17 no.4
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• pp.139-146
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• 2019

This study was done to compare college adjustment and life stress of nursing students by grades in Korea. A total of 417 participants were recruited using a convenient sampling method. Data were collected using a self-reported questionnaire from October 15 to October 30, 2019. The results of the study showed that the college adjustment of nursing students was significantly higher in 4th grade (3.45 ± 0.53) than 1st grade (3.18 ± 0.61). Life stress was highest in first grade (0.91 ± 0.46), followed by fourth grade, second grade, and third grade. college adaptation and life stress by grade were inversely correlated in all grades. Therefore, it is necessary to check the difference between college adaptation and life stress according to grade level, and to prepare customized programs according to the grades, so that students can make a good college adjustment through stress management of nursing college students.

• Korean Journal of Adult Nursing
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• v.25 no.4
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• pp.389-399
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• 2013

Purpose: The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model. Methods: For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction. Conclusion: The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.

• Journal of Korean Gerontological Nursing
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• v.20 no.3
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• pp.193-203
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• 2018

Purpose: This study was done to develop a predictive model for quality of life of elderly residents in long-term care facilities (LTCF). The study was based on Brofenbrenner's ecological system theory and a literature review. Methods: Data were collected using a convenience sample of 205 elderly residents in 2 nursing homes located in D city and 1 nursing home located in K province. The exogenous variables were individual factors, family support, and facility environmental factors. The endogenous variables were self-esteem, accommodation adaptation and quality of life of elderly residents in LTCF. Collected data were analyzed through structural equation modeling using AMOS 20.0. Results: Eleven of the twelve hypotheses were supported, but the hypothesis that facility environment factors effect self-esteem was not supported. Quality of life of elderly residents in LTCF was explained first by facility environmental factors, followed by self-esteem, individual factors, accommodation adaptation, and family support with an explanatory power of 83.0%. Conclusion: To improve the quality of life of elderly residents in LTCF, the service and environment preparation provided by facilities is important, and it is necessary to provide emotional counseling to improve the self-esteem of these elders.

• Korean Journal of Head & Neck Oncology
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• v.16 no.2
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• pp.191-195
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• 2000

Objectives: Despite various attempts to preserve the normal voice in advanced laryngeal cancer, it is inevitable for many advanced laryngeal cancer patients to undergo total laryngectomy and thus making a trade off between quality and quantity of life. Laryngectomees are faced with voice loss, change in physical appearance and health deterioration which hinder their efforts to rehabilitate back into their family and employment leading to poor quality of life. The objectives of this study were to evaluate the quality of life in long term surviving laryngectomees to, define the factors which are most important in determining their present quality of life and to propose a theoretical model for quality of life after laryngectomy in Korea. Materials and Methods: From 1986 to 1995, 120 laryngectomees with no evidence of disease were followed up for at least 3years were evaluated. Each of 15 quality of life domains with a total of ten points were given for a quality of life score. Results: There was no significant difference in the physical-mental adaptation index such as general health and mental health between the laryngectomees and control group(p>0.05). However, social adaptation index such as social activity, occupational status and economic status for laryngectomees were significantly lower with 2.3, 3.5, and 4.4 points compared to control group with 8.5, 7.6, and 7.1 points respectively(p<0.05). Conclusion : Vocational and social rehabilitation should be emphasized with highest priority for improving their economic status and thus improving their quality of life.

• Journal of Convergence for Information Technology
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• v.10 no.10
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• pp.246-252
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• 2020

In this study, we surveyed the students enrolled in the dental hygiene program to identify how academic self-efficacy and subjective happiness affect academic resilience and, therefore, to help in guidance and adaptation to college life for dental hygiene students. We conducted the self-administered survey by randomized inclusion of dental hygiene students from Daejeon and South Chungcheong Province. A total of 175 students were finally analyzed. The study result showed that subjective happiness and academic self-efficacy were the factors that affected academic resilience and explanatory power accounting for 25.6%. This study has provided a foundational basis for the development of programs to enhance students' adaptation to college life by providing guidance for dental hygiene students and suggesting factors related to adaptation to college life.

• Women's Health Nursing
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• v.29 no.4
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• pp.302-316
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• 2023

Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy's adaptation model. Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment). Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=-.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=-. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=-.56 p=.023) indirectly affected QoL. Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.