• 대한간호학회지
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• 제47권4호
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• pp.488-498
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• 2017

Purpose: The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies. Methods: Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0. Results: The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging. Conclusion: The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.

• 대한간호학회지
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• 제34권6호
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• pp.1047-1056
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• 2004

Purpose: The purpose of the study was to research how elder abuse affected the abuse results (self-esteem, depression, somatization) through coping strategies. Method: A convenient sample consisted of 499 subjects from 65 to 85 years old. Data was collected using structured questionnaires from July to August, 2002. The SPSS WIN 10.0 version was used for data analysis. Results: The pathway of elder abuse affecting elder's self-esteem was researched by passive coping, emotional abuse, financial abuse, and physical abuse as the variables that directly affected self-esteem. The pathway of elder abuse affecting elder's depression was researched by passive coping, aggressive coping, verbal abuse, and neglect as the variable that directly affected depression. The pathway of elder abuse affecting somatization was researched by neglect, emotional abuse, and aggressive coping as the variables that directly affected somatization. Conclusion: We should develop a systematized intervention program so that elders can learn positive coping in their abuse circumstance.

• 생물정신의학
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• 제22권2호
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• pp.55-62
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• 2015

Objectives Social workers can suffer from occupational stress resulting from dealing with clients, which might lead to metal health problems. We aimed to investigate the association of duty-related traumatic experiences and stress coping strategies with post-traumatic stress symptoms among social workers in public sector. Methods A total of 110 social workers in public sector (men 30.9%, $36.5{\pm}7.6$ yrs) participated in this study. All subjects were evaluated the frequency and the impact of duty-related traumatic events. Additionally, they completed questionnaires including the Impact of Event Scale-Revised for post-traumatic stress symptoms, the Beck Depression Inventory-II for depressive symptoms, the Scale for Suicidal Ideation for suicide symptoms and the Ways of Coping Checklist for stress coping strategies. Results The most frequent traumatic events were "Violent or abusive language from a client" (95.0%) and "Client made a fuss" (94.5%). The most distressing traumatic event was "Seeing a dead body on duty" (7.6 out of 10), which predicted post-traumatic stress symptoms (odds ratio 4.04 ; 95% confidence interval, 1.79-9.11). Among 4 types of stress coping strategies, the emotion-focused coping was positively correlated with post-traumatic stress symptoms after controlling age and sex (${\beta}$ = 0.50, p < 0.001). Conclusions Social workers in public sector showed high level of post-traumatic stress symptoms. Duty-related traumatic events and the emotional-focused coping strategies were associated with the severity of post-traumatic stress symptoms. The modification of stress coping strategies would alleviate post-traumatic stress symptoms in social workers in public sector.

• 정신신체의학
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• 제6권1호
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• pp.35-45
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• 1998

Objectives : The purpose of this study was to determine correlation between coping strategies to disease and quality of life in chrome viral B hepatitis patients ; to investigate difference of coping strategies to disease and quality in life between chronic viral B hepatitis patients and normal persons ; and to identify major variables related to quality in life of chronic viral B hepatitis patients. Methods: The authors used Weisman coping strategy scale for measuring coping ability and efficacies, and the questionnaire for measuring quality of life including physical, psychological, social and economical aspects and satisfaction of sexual life was made by authors based on related literatures. Data were collected through questionnaire survey over a period from Sep 15, 1994 to Nov 11, 1994. Subjects served for this study consisted of 94 chronic viral B hepatitis patients visited to department of internal medicine at one general hospital and 100 normal persons visited to one general hospital for routine check up of health. The collected data were analyzed by SAS and the statistical methods for analysis were Chisquare, t-test and multiple regression analysis. Results : 1) It was revealed that coping strategies to disease significantly correlated to individual's quality of life. 2) There was no significant difference in coping strategies to disease between chronic viral B hepatitis patients and normal persons. However, chronic viral B hepatitis patients showed the lower scroes of quality of life in physical, psychological and economical aspects. 3) The most important variables which were influenced upon quality of life were coping strategies to disease and satisfaction of sexual life. That is, the more active coping strategies to diseases and the higher satisfaction of sexual life, consequently the higher quality of life was. Especially male patient group or normal persons showed each other the higher scores of quality of life in physical and psychological area than female group or patient group. 4) No statistically significant difference in coping strategies to disease and quality of life was found between HBeAg positive group and HBeAg negative group. Conclusions : The authors suggest that chronic viral B hepatitis patients may show the lower score of quality of life than normal person. Therefore, quality of life assessment should become an integral part of all clinical area that seek to assess the effectiveness of treatment. Also, through the interdisciplinary approach, a comprehensive paradigm that can better account for the effects of chronic disease on the individual' s quality of life should be developed.

• 한국노년학
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• 제37권3호
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• pp.583-600
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• 2017

이 연구의 목적은 한국의 도시 노인들이 우울을 겪을 때 어떤 대처 전략을 사용하는지, 그 이유와 맥락은 무엇인지에 대해 질적으로 탐색하는 것이다. 연구 참여자는 서울시 소재 한 노인복지관의 60세 이상 이용자와 미 이용자이며, 이 중 우울을 경험한 34명의 응답을 분석에 활용하였다. 수집한 자료는 내용분석을 통해 분석하였다. 분석 결과, 참여자들이 사용했던 우울 대처 전략은 크게 6가지 영역과 11가지 하위영역-건강 행동(의료적 접근/운동 및 섭식), 가족 및 사회적 접촉(사회적 교류/외출 및 여행/가족과 소통), 종교 활동(종교 활동), 평생 교육(취미 활동/교육 활동), 생산적 활동(노동), 건강 위험 행동(음주 및 도박/체념)으로 나타났다. 노인들의 우울 대처 전략과 그 맥락에서 나타난 특징은 다음과 같다. 먼저, 우울에 대처하기 위해 노인들은 문제 중심(problem-focused)의 대처 전략들을 사용하였다. 둘째, 다양한 대처 전략을 함께 고려하고 동시에 사용했다. 셋째, 노인을 위한 시설공간은 쉼터 혹은 피난처로서 기능하였다. 넷째, 의료적 접근을 사용한 사례도 있으나 재이용 의향은 매우 낮았다. 이 연구를 통해 노인들이 우울에 보다 성공적으로 대처할 수 있도록 다음과 같이 제안하였다. 첫째, 다양한 대처 전략의 접근성을 증진해야 한다. 둘째, 노인이 편안하게 시간을 보낼 수 있는 장소들을 제공해야 한다. 셋째, 정신건강 치료에 대해 느끼는 부담감을 해소시켜야 한다.

• 지역사회간호학회지
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• 제10권2호
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• pp.387-399
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• 1999

The purpose of this study is to identify the relationships of job stressor. coping strategies. and stress responses of manufactoring workers. Data were collected through self-reported questionnaires from 262 of the manufacturing workers in a local electronic company from July to August. 1999. For data analysis. Cronbach's a. Factor Analysis. Descriptive statistics. ANOVA. and Pearson's correlation coefficient with SPSS/PC+ 7.5 version program were used. The results were as follows: 1. Regard to the stress responses and coping strategies by sociodemographic variables. 'the overall stress responses' showed significant differences by sex. age. marrital state. The use of 'control coping strategy' showed significant differences by sex and the type of work. The use of 'avoid coping strategy' showed significant differences by sex. age. married state. year of career. and income. 2. The average scores of 'the job characteristics and participation in decision making factor'. 'the physical environmental factor'. and 'the role and leadership factor' were 2.66. 2.59. 2.59 in order. The average scores for 'the avoid coping strategy' and 'the control coping strategy' were 3.03. 2.97. The average scores for 'the overall. psychosoical. and physical stress responses' were 2.18. 2.18. 2.23. 3. The 'control coping strategy' was negatively related to 'the job characteristics and participation in decision making factor'. 'the role and leadership factor'. 'the psychosocial stress responses'. and 'the overall responses'. 'The control coping strategy' was positively related to all of 'the job stressors'. 'the physical stress responses', and' the overall stress responses'. 'The physical environment factor' was positively related to all of 'the stress reponses'. 'the role and leadership factor'. and 'the job characteristics and participation in decision making factor'. According to the results of this study, the suggestions were as follows: 1. The coping strategies of manufacturing workers in the specific job stress situation should be considered to future studies. 2. In order to applying the stress management program in the workplace. The organizational intervention focused on 'the job characteristics and participation in decision making' will be needed. 3. To support and use of 'control coping strategy' of the workers. the organizational efforts should be required.

• 한국콘텐츠학회논문지
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• 제17권10호
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• pp.206-215
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• 2017

본 연구는 만성 요통 환자의 통증 신념과 우울, 통증 신념과 통증생활방해 사이의 통증대처(능동적 대처와 수동적 대처)의 매개 효과를 확인하고자 하였다. 수집된 자료는 SPSS-WIN 21.0 프로그램으로, 다중매개 효과는 Indirect SPSS macro (Bootsrapping)를 사용하여 분석하였다. 분석결과 통증신념은 $3.42{\pm}9.67$점이었고, 수동적 대처 $29.68{\pm}8.04$점, 능동적 대처 $25.49{\pm}4.22$점, 우울은 $25.49{\pm}11.56$점, 통증생활방해는 $46.94{\pm}12.65$점 이었으며, 이 5 가지 변수 간에 유의한 상관관계가 있었다. 만성요통 환자의 통증신념과 우울 사이에서 수동적 대처와 능동적 대처의 다중매개효과는 (b=.453, 95% CI=.228, .703)로 유의하였다. 통증신념과 통증생활방해에서 수동적 대처와 능동적 대처의 다중매개효과는 (b=.285, 95% CI=.131, .519)로 유의하였다. 능동적인 대처 전략은 통증 신념과 우울, 통증생활방해 사이의 관계에 긍정적인 중재 효과로 작용할 수 있음을 발견하였으며, 수동적 대처 전략은 부정적인 효과를 보임을 알 수 있었다. 따라서 만성 요통 환자를 대상으로 능동적 대처를 늘리는 대처 전략 프로그램이 필요하다.

• 한국간호교육학회지
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• 제20권4호
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• pp.502-512
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• 2014

Purpose: The purpose of this study is to identify differences in stress levels and stress coping strategies according to the degree of emotional intelligence in nursing students. Method: Study participants included 367 nursing students from three universities in Gyeonggi and Chungnam provinces. Data were collected through a self-administered questionnaire in December 2012 and subsequently analyzed via the IBM SPSS 20.0 program with descriptive statistics, independent t-tests, one-way ANOVA and Scheffe tests. Results: The emotional intelligence of nursing students was slightly higher than average. Perceived stress and clinical practice stress among nursing students were high and nursing students used more problem-focused compared to emotion-focused coping strategies. Nursing students who had a higher level of emotional intelligence exhibited lower levels of perceived stress (t=2.26, p=.025) and clinical practice stress (t=9.37, p<.001) and more used problem-focused coping strategies (t=-7.56, p<.001) than those who had a lower level of emotional intelligence. Conclusion: These results suggest that nursing interventions to improve the emotional intelligence of nursing students are necessary to manage stress more effectively.

• 대한가정학회지
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• 제37권11호
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• pp.167-179
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• 1999

This study was designed to investigate the relation between stress coping behavior and social adjustments in late childhood. Total 657 teenagers (238 ten-year-olds, 230 twelve-year-olds, and 189 fourteen-year-olds) and their parents living in Inchon area participated in the study. Each child was evaluated whether they cope either (a) defensively or (b) actively in several stressful domains by completing the Stress Coping Hating Scales (Korean). Their social adjustments were measured in areas like peer relationship, family relationship, and conformity with Social Adjustment Scales (Korean). The final examination scores were used to rate children’s Academic Achievements. Finally Korean version of Achenbach’s Child Behavior Check List were completed by parents. As results, girls were found to use more defensive strategies to cope stress, showed more conformity and withdrawn behaviors and achieved higher scores academically than boys. Generally younger children tended to adjust better socially than older children. As children grew older they used more and more defensive strategies to cope with everyday stress. Also older children showed more withdrawn behavior and aggressive behavior than younger children. As anticipated children who used more defensive coping strategies were reported to have more behavior problems, showed poorer social adjustments and academic achievements. Children who used more active coping strategies, on the other hands, were reported to haute less behavior problems, adjusted better socially and had better academia achievements. Finally children who adjusted better socially and had high academic achievements were reported to have less behavior problems.

• 가정과삶의질연구
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• 제10권2호
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• pp.99-112
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• 1992

This research was designed to illuminate that work domains and family domains are not separated but interacting spheres and to suggest efficient coping strategies than alleviate work/family role conflicts. The subjects of this study were 395 employed professional wives living in Seoul. Korea. Survey methods were questionnaires. Data analysis strategies were percentile, frequency, one-way-anova and multiple classification analysis. The results were as follows; 1)Employed wives experienced time-based conflicts and strain-based role conflicts. This finding supports the scarcity approach that multiple roles inevitably create strain. 2) Individual, family and work-related variables were predictors of work/family role conflicts. This findings indicate that work domains and family domains cannot be regraded as separated spheres. 3) Employed wives tried to meet all the given roles demands not by reducing role responsibilities, but by increasing the efficiency of role performance. This finding reflects the characteristics of employed wives who try to perform successfully all the responsibilities. 4)The negative correlation of coping strategies and work/family role conflicts suggests that strategies can function effectively in alleviating the work/family role conflicts.