• Title/Summary/Keyword: Coping process

Search Result 324, Processing Time 0.025 seconds

A Grounded-theory Approach to the Process of Life Adaptation in Women with Cervical Cancer (자궁경부암 여성의 삶의 적응에 관한 근거이론적 접근)

  • Lee, Sook-Hee;Kim, Jeung-Im;Lee, Hae-Kyung;Kang, Nam-Mi;Kim, Hae-Won;Lee, Eun-Hee;Hur, Myung-Haeng;Park, Young-Sook
    • Women's Health Nursing
    • /
    • v.10 no.1
    • /
    • pp.32-41
    • /
    • 2004
  • Purpose: The purpose of this study was to explore and describe the process of life adaptation in women with cervical cancer. Method: A grounded theory method with guided data collection and analysis was used. Fifteen women with cervical cancer who had some kind of treatment at the hospital were asked open-ended and descriptive questions with a guideline. All interviews were tape-recorded and transcribed verbatim. Result: The core category that emerged from the comparative analysis was "overcoming cancer" named as a process of life adaptation in the participants. The process of overcoming cancer evolved three stages - "admitting reality", "attempting health-care" and "continuing health-care". Depending on the paradigm model, the central phenomena of the experiences was "powerlessness". The internal factors motivating women to overcome cancer were "denial of cancer" and "desire for life". Strategies of overcoming cancer included "living as a cancer patient," "selective food eating," "steady exercising," "getting rid of stress," and "preparing for death". The intervening conditions, "supportive system," "forms of life," and "burden on family," influenced overcoming cancer. Conclusion: The results of this study could help clinical nurses to understand life adaptation in cervical cancer patients and establish efficient coping strategies in dealing with the problems they face.

  • PDF

Occupational Stress of Hospital Workers (병원종사자의 직업성 스트레스에 관한 연구 - 서울시내 500병상 이상 병원종사자를 중심으로 -)

  • Lee, Woo-Cheon
    • Korea Journal of Hospital Management
    • /
    • v.3 no.1
    • /
    • pp.1-33
    • /
    • 1998
  • The purpose of this thesis is to study theoretical access to the methods that have been used for the research of occupational stress, thereby providing management methods of occupational stress of hospital workers. With a stress model of hospital workers set up from the viewpoint of organization management, 929 sets of questionnaires were collected from intern doctors, resident doctors, nurses, nursing aides, pharmacists, medical technicians, workers in patient affairs(reception and medical insurance workers), administrators and clerks from the 8 hospitals in Seoul with more than 500 beds. Upon variance analysis, correlation analysis and regression analysis of the collected questionnaires, this work examined how differences in stress caused by specific occupations and formulated a method of stress management for the hospital workers. The results are as follows. 1) If some duties of the nurses suffering from role-overloaded stress are transferred to the nursing aides dissatisfied with insufficient role, the two grunting groups can be satisfied at the same time. It is also necessary to transfer some jobs of the overloaded workers in patient affairs to the administrators, or the other way around. To reduce stress of conflict and ambiguity of role caused by the obscure division of roles between the workers, the role of each occupation should be delineated and the clear division of roles should be translated into action strictly according to that delineated. 2) Stress of inefficiency of organization from which the student doctors suffer can be relieved by management of participation. If they have access to the process of decision-making in general hospital affairs and consequently their understanding and the autonomy of job performance are promoted, such stress will be reduced. 3) To cope with stress of career development from which nurses, medical technicians, administrators, workers in patient affairs suffer, it is necessary to establish whether they have a chance to revive their careers, whether there are any ways of remotivation for less contributive workers, and whether they encourage each other to develope their careers. If they are given a chance to develope their careers, such stress will be relieved. 4) Pharmacists, suffering from stresses of living and personal relations, have strong cohesive power among themselves and organize a well-integrated team; thereby reducing the stress of personal relations and increasing productivity. 5) For administrators and student doctors confined to lesser social supports and for nurses and workers in patient affairs whose recognition of stress and job satisfaction are affected by social supports, emotional and informational supports for job performance help alleviate an individual's mental, and physical stress. 6) In addition to the above-mentioned stress-management methods, if an organizational coping strategy is provided according to the types of stress from the general viewpoint of the whole group of hospital workers, it would be of great help to managing stress. For example, the redesign of jobs, the management of objective, the improvement of working environment, the formation of an autonomous working group and various working plans can be set up for those who suffer from stress related to inappropriate role, while career counseling and development of career process can be provided for those dissatisfied with career development. Participation in the process of decision-making and the restructuring of the organization are needed for those who suffer from stress of malfunctioning organization, whereas creation of a supportive organizational atmosphere is desired for those who feel stressed due to personal relations. As well, such organizational coping strategies. as the increase of welfare facilities, seminars and educational programs and provision of health-promotion facilities can be provided.

  • PDF

Perceived Social Support as a Predictor on Adaptation of Family Who has a Child with Pediatric Cancer (소아암 환아 가족이 인지한 사회적 지지가 적응에 미치는 영향)

  • Tak Young-Ran;Yun E-Hwa;Chon Young-Shin;An Ji-Yeon
    • Child Health Nursing Research
    • /
    • v.9 no.1
    • /
    • pp.9-17
    • /
    • 2003
  • Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part-Ⅱ developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with β=.43, p<.01. In the group of family of child with leukemia, social support as general has effect on adaptation (β=.40, p<.01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(β=.46, p<.01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

  • PDF

Development of the P-C-M (Procurement-Construction-Maintenance) Support Prototype System in Agricultural Facilities (농촌시설물 P-C-M(조달-시공-유지관리) 지원 프로토타입 시스템 개발)

  • Kim, Mi-Gyeong;Shin, Han-Woo;Kim, Tae-Hui;Kim, Gwang-Hee;Son, Bong-Ki
    • Journal of the Korea Institute of Building Construction
    • /
    • v.10 no.4
    • /
    • pp.67-74
    • /
    • 2010
  • Currently domestic rural communities are coping with the modernization of farming and agricultural competitiveness. Nevertheless, year after year many agricultural facilities have accidents due to the collapse or damage of facilities due to natural disasters or technical problems. This research is the development of a P-C-M prototype support system to solve the problems related to collapse or damage accidents at agricultural facilities. The P-C-M support system is a process encompassing procurement, construction and maintenance. In this research, a P-C-M support system process module design is performed, a P-C-M support system algorithm is developed, and a P-C-M support prototype system is developed. In conclusion, the developed P-C-M support system is expected to contribute to information-sharing on agricultural facilities, and communication between the user and suppliers.

Effects of the Variables related to the Health Action Process Approach Model on Physical Activity: A Systematic Literature Review and Meta-analysis (신체활동에 대한 건강행동과정접근모델(Health Action Process Approach Model) 관련 변인의 효과: 체계적 문헌고찰 및 메타분석)

  • Choi, Yun;Yang, Sook Ja;Song, Hye Young
    • Research in Community and Public Health Nursing
    • /
    • v.29 no.3
    • /
    • pp.359-370
    • /
    • 2018
  • Purpose: The purpose of this study is to identify effects of the variables of Health Action Process Approach (HAPA) Model on physical activity. Methods: This study has conducted a systematic literature review and meta-analysis. Sixteen articles were searched through electronic databases (PsycINFO, PubMed, CINAHL, Web of science, Science Direct, RISS, KMBASE, KoreaMed, KISS, DBpia) and additional journals from 2000 to July, 2017. To estimate the effect size (ES), the meta-analysis of the studies was performed by using Comprehensive Meta-Analysis programs. Results: The overall effect size of the variables of HAPA on physical activity was median (ES=.28). Of the core variables of HAPA model, action control (ES=.43) showed the largest effect size, followed by coping self-efficacy (ES=.31) and planning (ES=.31).Additional variables were identified as preparatory behavior (ES=.39) and past physical activity (ES=.24). Through the moderator effect analysis, the effect size was higher in the volitional phase than in the motivational phase, and higher in the healthy group than in the patient group. The higher the proportion of males and the lower the age, the larger the effect size. Conclusion: This finding shows empirical evidence that all core variables of the HAPA model are useful for predicting physical activity. We propose the use of the HAPA model to develop physical activity promotion intervention.

A Study on the Effects of Vocational High School Students' Smoking Cessation Program Operation - Focused on the Transtheoretical Model - (실업계 고등학생의 금연프로그램 운영 효과에 관한 연구 - 범이론적 모형(Transtheoretical Model)을 중심으로 -)

  • Lee Hye Sook
    • Journal of Korean Public Health Nursing
    • /
    • v.18 no.2
    • /
    • pp.205-217
    • /
    • 2004
  • This study conducted a survey with the 67 students who are in their 2nd year at 3 vocational high schools. The researcher of this study developed and operated the smoking cessation program based on the Transtheoretical model. To evaluate the effects, experiments were repeatedly done. The data were collected from June 21, 2004 till July 9, 2004. The survey was done based on the questionnaire-interview before and after education. The collected date was computerized by using SPSS-WIN 10.0 program. The results are as follows: Firstly. before education, the smoking cessation stage of change shows precontemplation stage $37.3\%$, preparation stage $37.3\%$, and contemplation stage $25.4\%$ respectively. However, after education it shows preparation stage $44.8\%$, action stage $25.4\%$, contemplation stage $19.4\%$, precontemplation stage $10.4\%$. The positive result was $62.7\%$ and smoking cessation stage of change made a 0.9 step increase. Secondly, process of change rose in all the areas except helping relationship. It also shows statistical improvement in all the fields except the dramatic relief of the experiential process, the helping relationship of behavioral process and stimulus control Thirdly, negative affective situation temptation, positive social situation temptation, and habitual strength temptation's average points decreased but showed statistical differences. Weight control temptation's average points decreased after education but didn't show statistical differences. Self efficiency increased measurably after education. Fourthly, concerning the social pros and coping pros caused by smoking, the average points were low after education and showed statistic decrease. As for the cons due to smoking, the average points increased but didn't show any statistical differences. In conclusion, thanks to the smoking cessation program applied by the Transtheoretical model, the smoking rate of vocational high school students became low and their smoking temptation also dropped considerably. In conclusion, while the pros for smoking were lessened, its corns were heightened through the educational awareness offered by this program.

  • PDF

Psychosocial Reaction Patterns to Alopecia in Female Patients with Gynecological Cancer undergoing Chemotherapy

  • Ishida, Kazuko;Ishida, Junko;Kiyoko, Kanda
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.16 no.3
    • /
    • pp.1225-1233
    • /
    • 2015
  • This study aims to clarify the psychosocial reactions of female patients with gynecological cancer undergoing chemotherapy and in the process of suffering from alopecia and to examine their nursing support. The target group comprised female patients who had received two or more cycles of chemotherapy, were suffering from alopecia, and were aged 30-65. Data were collected from semi-structured interviews, conducted from the time the patients were informed by their doctors that they might experience alopecia due to chemotherapy to the time they actually experienced alopecia and until they were able to accept the change. Inductive qualitative analysis was employed to close in on the subjective experiences of the cancer patients. The results showed the existence of six phases in the psychosocial reactions in the process of alopecia: phase one was the reaction after the doctor's explanation; phase two was the reaction when the hair starts to fall out; phase three was the reaction when the hair starts to intensely fall out; phase four was the reaction when the hair has completely fallen out; phase five was the reaction to behavior for coping with alopecia; and phase six was the reaction to change in interpersonal human relationships. The results also made it clear that there are five types of reaction patterns as follows: 1) treatment priority interpersonal relationship maintenance type; 2) alopecia agitated interpersonal relationship maintenance type; 3) alopecia agitated interpersonal relationship reduction type; 4) alopecia denial interpersonal relationship reduction type; and 5) alopecia denial treatment interruption type. It is important to find out which of the five types the patients belong to early during treatment and provide support so that nursing intervention that suits each individual can be practiced. The purpose of this study is to make clear the process in which patients receiving chemotherapy come to accept alopecia and to examine evidence-based nursing care on patients with strong mental distress from alopecia.

A Single Case Study of an Adolescent with a Mild Intellectual Disability in Preparation for Independence after Discharge from a Childcare Institution (아동양육시설 퇴소를 앞둔 경증지적장애 청소년의 자립준비를 위한 단일 사례연구)

  • Yu, Jin-Hee;Kim, Min-Kyeong
    • Journal of the Korea Convergence Society
    • /
    • v.11 no.5
    • /
    • pp.229-239
    • /
    • 2020
  • The purpose of this study was to help young people with mild intellectual disabilities with counseling and self-supporting life experiences. The topic of the counseling contents could be categorized as follows: "institutional life was clumsy and hard, but it was also full of memories," "my adolescent was aching, growing, and lonesome," "an irresistibie being," "independence process is filled with anxiety, excitement." In his process of going independent, the subject showed a strong will for the preparation for independence where he gets through the unfavorable situation surrounding the arduous and lonely independent process. This result proves the effectiveness of the therapeutic intervention based on the coping skills that meet the needs of the social situation for the adolescents who are discharged from institutions in their independence preparation and job search.

The Effects of Stigma on Happiness among Children in Community Child Centers: Mediating Effects of Empowerment and Community Social Capital (지역아동센터 이용아동이 인식하는 낙인감이 행복감에 미치는 영향: 임파워먼트와 지역사회자본의 매개효과)

  • Kim, Su-Jeong
    • The Journal of the Korea Contents Association
    • /
    • v.21 no.4
    • /
    • pp.533-544
    • /
    • 2021
  • This study was focused on social stigma in utilizing community child centers which are selective child welfare institutions. The study model derived from the stress process model. The purpose of this research was to investigate the effects of stigma on happiness among children in community child centers and mediating effects of empowerment and community social capital as coping resources. The data were collected from 5, 6th grade students who are attending community child centers located in Daegu and Gyeongsan city. Data of 175 were analyzed and SPSS Process Macro and bootstrapping method were used. The results of the study were follows. First, stigma among children in community child centers showed significant direct effects on happiness. Second, empowerment and community social capital had significant mediating effects on the relationship between stigma and happiness. Based on the results, the policy and practice implications to improve happiness of children in community child centers were suggested.

Experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment (비수술적 요법을 받는 척추관협착증, 추간판탈출증 환자의 요통 경험)

  • Kang, Myoung-Mi;Kim, Ae-Kyung
    • Journal of Digital Convergence
    • /
    • v.19 no.8
    • /
    • pp.385-396
    • /
    • 2021
  • The purpose of the study was to explore the process of experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment. 10 participants attended in-depth individual interview. Data analyzed using the Grounded theory methodology of Corbin and Strauss(2015). A core category emerged as 'Compromise with my body in the swamp of pain'. Central phenomenon was 'Constrained life by severe pain'. The process of the low back pain experience included three phases: 'cognition', 'coping', and 'adaptation'. This finding will be helpful for understanding the low back pain experience and be as fundamental data as for developing and applying nursing intervention program according to the low back pain experience process.