• Title/Summary/Keyword: Coping with stress

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The Convergent Effect of Stress, Social support, and Self-esteem on Depression in Female Students (여대생의 스트레스, 사회적 지지, 자아존중감이 우울에 미치는 융복합적 영향)

  • Lee, Sun-young;Lee, Jeong-sook
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.335-344
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    • 2016
  • The purpose of the study was to investigate the effect of stress, social support, and self-esteem on depression in female students. A self-reported questionnaire was completed by 249 females students from November to December 2015. The study instruments comprised stress, social support, self-esteem, and depression. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and hierarchial multiple linear regression using SPSS/WIN 18.0 program. Depression was closely related to school year(F=7.03, p<.001), health status(F=15.19, p<.001), major satisfaction(F=18.02, p<.001), and student activity(t=1.98, p=.049). The significant factors influencing depression were stress(${\beta}=.45$, p<.001), self-esteem(${\beta}=-.34$, p<.001), social support(${\beta}=-.14$, p=.004), major satisfaction(${\beta}=-.11$, p=.018). To decrease depression, it is necessary to develop a program coping with stress and increasing the self-esteem and social support. Thus, it will be able to enhance the mental health of female students.

Factors Influencing Mental Health among Nursing students (간호대학생의 정신건강에 영향을 주는 요인)

  • Jee, Youngju;Lee, Yun-Bok;Lee, A Reum;Jeon, Jeong Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3866-3875
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    • 2013
  • The purpose of this study was to investigate the degree of mental health among nursing students in Korea and identify factors influencing the tendency to mental health. A self-report survey was conducted with South Korean nursing students who were from 19 to 23 years old. 269 nursing students were included in the study. The instruments utilized in the study were Symptom Checklist-90-Revision, Stress and multidimensional coping. Data were analyzed using descriptive statistics, Pearson correlation and Simultaneous multiple regression with SPSS WIN 20.0. The average mental health score of the participants was 0.57. Significant predictors for mental health 'College-level stress', 'Self-criticism', 'Passive withdrawal', 'Nursing satisfaction' and 'Health state'. The study findings suggest that nursing students require special concern regarding the risk of mental health. Multi and interdisciplinary mental health promotion program will enhance the mental health of nursing students.

Palliative Care Education in Gynecologic Oncology: a Survey of Gynecologic Oncologists and Gynecologic Oncology Fellows in Thailand

  • Ratanakaaew, A;Khemapech, N;Laurujisawat, P
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6331-6334
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    • 2015
  • Background: The main purpose of this study was to survey the education and training of certified gynecologic oncologists and fellows in Thailand. A secondary objective was to study the problems in fellowship training regarding palliative care for gynecologic cancer patients. Materials and Methods: A descriptive study was conducted by sending a questionnaire regarding palliative care education to all certified gynecologic oncologists and gynecologic oncology fellows in Thailand. The contents of the survey included fellowship training experience, caring for the dying, patient preparation, attitudes and respondent characteristics. Statistics were analyzed by percentage, mean and standard deviation and chi-square. Results: One hundred seventy completed questionnaires were returned; the response rate was 66%. Most certified gynecologic oncologists and fellows in gynecologic oncology have a positive attitude towards palliative care education, and agree that "psychological distress can result in severe physical suffering". It was found that the curriculum of gynecologic oncology fellowship training equally emphasizes three aspects, namely managing post-operative complications, managing a patient at the end of life and managing a patient with gynecologic oncology. As for experiential training during the fellowship of gynecologic oncology, education regarding breaking bad news, discussion about goals of care and procedures for symptoms control were mostly on-the-job training without explicit teaching. In addition, only 42.9 % of respondents were explicitly taught the coping skill for managing their own stress when caring for palliative patients during fellowship training. Most of respondents rated their clinical competency for palliative care in the "moderately well prepared" level, and the lowest score of the competency was the issue of spiritual care. Conclusions: Almost all certified gynecologic oncologists and fellows in gynecologic oncology have a positive attitude towards learning and teaching in palliative care. In this study, some issues were identified for improving palliative care education such as proper training under the supervision of a mentor, teaching how to deal with work stress, competency in spiritual care and attitudes on responsibility for bereavement care.

Resilience among Undergraduate Freshmen during the COVID-19 Pandemic: The Development of Resource Promotion Program (COVID-19 팬데믹 상황에서 대학신입생의 회복탄력성: 자원 증진 프로그램의 개발)

  • Kim, Jae Yoon;Lee, So Young;Park, Eunyoung;Mana, Mana;Baek, Joon Sang;Kang, Min Ju
    • Human Ecology Research
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    • v.60 no.2
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    • pp.243-256
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    • 2022
  • Undergraduate freshmen are currently encountering numerous difficulties in adapting to college life due to the outbreak of the COVID-19 pandemic. Thus, several studies have underlined the need to develop interventions focused on undergraduate students' resilience during this situation. We adopted the service design method in identifying the difficulties faced by undergraduate freshmen during this pandemic, and also developed interventions for raising their resilience. The service design method is a person-centered approach which adopts the user's viewpoint in developing solutions, thereby enabling their requirements to be satisfied. Surveys and in-depth interviews revealed that undergraduate freshmen were experiencing psycho-emotional problems which were derived from schoolwork and college life. This is particularly the case with students who are experiencing greater levels of academic difficulty, and were insufficiently equipped with resources such as stress-coping strategies and social support. Four undergraduate freshmen were recruited online to test the effectiveness of a resource promotion program aimed at enhancing their resilience. This program has proved to be helpful in relieving daily/academic stress and in building relationships among freshmen, regarding which the participants showed a high level of satisfaction. The results were discussed by focusing on psycho-emotional difficulties and resources of college freshmen, as well as the effectiveness of the resource promotion program. Further research is required in order to verify the efficiency of the program and to confirm conclusions.

The Effects of Leisure Experiences on Emotional Exhaustion: Focusing the Mediating Effects of Psychological Detachment (여가경험이 정서적 소진에 미치는 영향: 심리적 분리의 매개효과)

  • Jaehee Lee;Kwangsu Moon;Yejin Lee;Shezeen Oah
    • Korean Journal of Culture and Social Issue
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    • v.19 no.3
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    • pp.409-433
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    • 2013
  • Despite leisure has been well-studied as an influence in coping with stress, psychological process of leisure experience have not examined. This study examined the effect of leisure experience on emotional exhaustion. Also, we attempted to find out whether psychological detachment from work has mediating effects on the relationship between leisure experience and emotional exhaustion. Data were collected from 215 workers employed in a variety of organizations. We divided leisure experience into perceived competence, social relation, nature relation, and control nature based on factor analysis. Results indicate that only perceived competence was negatively associated with emotional exhaustion. Further, psychological detachment partially mediated this relation. This result presented that perceived competence is most important factor in leisure experience for psychological recovery.

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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
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    • v.9 no.1
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    • pp.9-17
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    • 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.

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The Lived Experience of Children of Alcohol Dependent Fathers (알코올중독 아버지와 사는 자녀의 경험에 관한 연구)

  • Kim Myung Ah
    • 한국보건간호학회:학술대회논문집
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    • 2002.10a
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    • pp.224-227
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    • 2002
  • Alcoholism affects not only the individuals who depend on it, but also their families. Children who have an alcohol dependent parent have various problems and need help, but little attention has been given to them. Many references report only negative characteristics of these children. In order to help the children of alcohol dependent parents, health professionals need more information. A wholistic understanding and analysis of these children is needed as a basis for the development of suitable programs of help them. A phenomenological methodology was used to identify the experience of children whose fathers were addicted to alcohol. The findings portray the essence of the lived experience of children of alcohol dependent fathers. Nine adolescents participated in in-depth inverviews and observation with the researcher, done between October and December 2001. The data were recorded on audio tape and transcribed. Sampling was continued until the data were theorectically saturated. The Colaizzi's method was used for data analysis. The results of this study are as follows. Three themes and twenty six meanings were identified. The first theme is Living Alone: living abusively as partner to an alcohol dependent father, living dangerously like an explosive fury, living as an object that ha no self, living with rejection of fatherly being, living with felt responsibility but having no power to help mother who suffers patiently with pain and abuse, living along with no shoulder to lean on, and living with the prejudice of sex discrimination. The second theme is Paradoxical Coping in Life. The meanings are obsessive behavior as a way to control father's behavior, always on the defensive due to anxiety and tension, being afraid of life alone due to paranoid thoughts, contradictory expectation about father's drinking behavior due to life with chronic tension, stress becoming familiar and life being boring and tendious without stimulation, life that is fake and filled with misinterpretations about reality, affection sought from others due to loneliness, compensatory life within peer group, negative expectation about the future due to negative experiences, controling others to protect ego, denial of real emotion to protect self from hurt, life of regretting self, and strong need for approval from others. The third theme is sustaining life. The meanings are ambivalence between revenge on father and pity, struggle for desirable self against fear of gather-like image, understanding father through self reflection, hope to find fatherly being through father's recovery, being able to stand through emotional control and cognitive restructuring, nurturing the seed of hope for the future while in a situation of desperation. The contribution of this study is to give a wholistic understanding of the empirical reality of children of alcohol dependent parents and to develop substantive theory in nursing knowledge. In nursing practice, the results of this study can provide a foundation for the development of programs for children of alcohol dependent parents.

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A Study on the Correlation between Perceived Social Support and Health Behavior of Girl High School Students in All Girl Schools (청소년의 건강행위와 사회적 지지에 관한 연구 -일 지역 여고생을 중심으로-)

  • Lee, Mee-Ja
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.410-424
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    • 1998
  • The purpose of this study was to determine the relationship between social support and health behavior in girl high school students in all girl schools. The subjects were 190 girls in 2 Kunsan schools. The instruments used for this study were the social support scale developed by Park(1985) and the health behavior scale developed by Walker etc(1987). As modified by Lee & Han(1996). The data were analysed by correlation coefficient, regression coefficient using an SAS program. The results of this study were as follows: 1. The mean score of social support was 3.96 and the mean score of health behavior was 3.33. 2. 1) General characteristics were related to the degree of social support: personality, spending money, friend number, exercise(p<0.05). 2) General characteristics were related to the degree of health behavior: personality, spending money, friend number, exercise, stress(p<0.05). 3. The hypothesis of this study, 'The higher the degree of social support perceived by the student, the higher the degree of health behavior' was supported(r=0.5730, p=0.0001). For these subjects, there was a significant relationship between social support and the degree of health behavior. Nurses should plan interventions in promotion health behavior with social support as a significant factor in adolescents. If so, their coping ability and well- being may be promoted.

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Relationships Between Sex Role Identity, Health Promoting Behaviors, and Premenstrual Symptoms Among Female University Students (여대생의 성 역할 정체성, 건강증진 행위 및 월경 전 증상의 관련성)

  • Kim, Hae-Won
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.1003-1012
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    • 2007
  • Purpose: The role of sex role identity types and health promoting behaviors in relation to premenstrual symptoms and interrelatedness among the three variables were examined. Methods: A cross sectional descriptive study was employed with 327 female university students. KSRI, HPLP, and MDQ were used as measurement tools. Results: Four types of sex role identities were classified; undifferentiated(33.7%), androgyny (32.7%), masculinity(16.8%), and femininity(16.8%) in order. Premenstrual symptoms(F=3.11, p= .027) and health promoting behaviors(F=12.74, p= .000) were significantly different by sex role identity types. As determinants of premenstrual symptoms, health promoting behaviors for all subjects, stress coping for the feminine type, and interpersonal relationships for the undifferentiated type were identified. In discriminating between the feminine type and undifferentiated type, premenstrual symptoms and self responsibility were shown as significant factors. Conclusion: Interrelatedness among sex role identity, health promoting behaviors and premenstrual symptoms imply the importance of a psychosocial aspect in premenstrual symptoms. Therefore, these three variables should be applied more specifically for nursing assessment and management of women having premenstrual symptoms.

Behavioral Response and Immune Alterations by Electric Footshock in Mice (생쥐에서 전기자극 스트레스에 의한 행동반응과 면역 기능 변화)

  • Kim, Jung-Bum;Park, Won-Kyun;Song, Dae-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.44-53
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    • 1996
  • The present experiment was designed to investigate the effects of behavioral, response to immune function in response to electric footshock in mice. Mice were subjected to electric footshock for 3 days(two sessions a day, 11 times of shock for about 31 minutes a session). The humoral immune response was measured using mice immunized with rat RBC. The cell-mediated immune responses were evaluated by contact hypersensitivity to 2, 4-dinitrofluorobenzene(DNFB) and by phytohemagglutin(PHA)-stimulated splenocytes proliferation assay. In stressed group, electric footshock suppressed significantly anti-rat RBC antibody production(p<0.05), but enhanced significantly $T_{48}$ relative to $T_{24}$ in contact hypersenstivry (P<.01) and T-cell proliferation response(P<.05) by PHA stimulation elative to control group. T-cell proliferation response by PHA stimulation was significantly correlated to the movement than the sensitivity and coping behavior in the mouse, in response to the electric footshock. These data supper the importance of behavioral response in stress-induced changes of immune functions.

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