• Title/Summary/Keyword: Coping with symptoms

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A Structural Model for Premenstrual Coping in University Students: Based on Biopsychosocial Model (생물심리사회모델에 근거한 여대생의 월경전증후군 대처 예측모형)

  • Chae, Myung-Ock;Jeon, Hae Ok;Kim, Ahrin
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.257-266
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    • 2017
  • Purpose: The aims of this study were to construct a hypothetical structural model which explains premenstrual coping in university students and to test the fitness with collected data. Methods: Participants were 206 unmarried women university students from 3 universities in A and B cities. Data were collected from March 29 until April 30, 2016 using self-report structured questionnaires and were analyzed using IBM SPSS 23.0 and AMOS 18.0. Results: Physiological factor was identified as a significant predictor of premenstrual syndrome (t=6.45, p<.001). This model explained 22.1% of the variance in premenstrual syndrome. Psychological factors (t=-2.49, p=.013) and premenstrual syndrome (t=8.17, p<.001) were identified as significant predictors of premenstrual coping. Also this model explained 30.9% of the variance in premenstrual coping in university students. A physiological factors directly influenced premenstrual syndrome (${\beta}=.41$, p=.012). Premenstrual syndrome (${\beta}=.55$, p=.005) and physiological factor (${\beta}=.23$, p=.015) had significant total effects on premenstrual coping. Physiological factor did not have a direct influence on premenstrual coping, but indirectly affected it (${\beta}=.22$, p=.007). Psychological factors did not have an indirect or total effect on premenstrual coping, but directly affected it (${\beta}=-.17$, p=.036). Conclusion: These findings suggest that strategies to control physiological factors such as menstrual pain should be helpful to improve premenstrual syndrome symptoms. When developing a program to improve premenstrual coping ability and quality of menstrual related health, it is important to consider psychological factors including perceived stress and menstrual attitude and premenstrual syndrome.

Experience of Self-management and Coping with Acute Exacerbation of Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환자 자가관리와 증상악화에 대한 대처 경험)

  • Choi, Ja-Yun;Yun, So-Young
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.342-353
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    • 2020
  • This study aimed to identify the experience of daily self-management (SM) and coping with acute exacerbation (AE) in COPD patients. A interview was conducted with 32 COPD patients, and data were analyzed according to the content analysis method. As a result of this study, the experience of daily SM was 'Implementing activities preventing from disease', 'Performing endurable exercise', 'Compliance with the medication regimens', 'Enforcing the dietary management', and 'Taking a rest.' Five major themes were drawn. And, for the experience of coping with AE, four major themes were derived: 'Using medical services', 'Getting enough rest', 'Taking prescription drugs', and 'Taking breathing technique.' COPD patients need continous education to detect earily specific symptoms and to cope with worsening symptoms.

Predictors of Health Status in Patients with Hemodialysis: A Two-year Longitudinal Study (혈액투석 환자의 건강상태 예측요인: 2년 종단연구)

  • Cha, Jieun
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.359-367
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    • 2016
  • Purpose: The purpose of this study was to examine the effects of physical, psychological, and social factors on the health status of patients undergoing hemodialysis using longitudinal data. Methods: Two surveys were conducted within a period of two-year. A total of 75 patients participated in both surveys. Eight variables including symptoms, treatment belief, hope, meaning-focused coping, family support, friend/peer support, healthcare provider support, and health status were measured. Data were analyzed by paired t-test, Pearson's correlation coefficients, and hierarchical multiple regressions. Results: The mean age of the participants was 47.31 and the average duration of dialysis was 8.27 years. There was no difference in scores on perceived health status between the two year-interval surveys. The two-year follow-up on perceived health status was correlated with baseline perceived health status, friend/peer support, meaning-focused coping, hope, and symptoms. As the result of the regression analysis, friends/peer support (${\beta}=.31$, p=.013) and baseline perceived health status (${\beta}=.30$, p=.020) were found to be significant predictors of subsequent health status which explained 39.0% of the variance. Conclusion: This study suggests the importance of psychosocial resources for positive health outcomes in patients with a chronic illness. Nursing interventions aimed to provide renal peer support need to be developed and tested.

Effects of Stress-coping Styles on Depression in Children from Multi-cultural Families : Focusing on Mediating Effects of Social Support (다문화가정 초등학교 아동의 스트레스 대처양식이 우울에 미치는 영향 -사회적 지지의 매개효과를 중심으로-)

  • Yang, Sim-Young;Rhee, Ji-Young;Lee, Ju-Yeon
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.810-822
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    • 2012
  • The present study aims to investigate the mediating effects of social support in regard of the impacts of stress-coping styles on depression in children from multi-cultural families. In a nutshell, the findings in this study are as follows: First, the stress-coping styles of children from multi-cultural families and depression were found to be negatively related, while social support and depression were negatively correlated. Second, as for the effects of stress-coping styles in children from multi-cultural families on depression, the more passive and active stress-coping styles of children from multi-cultural families, the less their depression, behavior disorder, loss of interest, self-abasement and physical symptoms. Third, high levels of teachers' support partially mediated the relation between stress-coping styles and depression in children from multi-cultural families. This finding implies that children from multi-cultural families, who perceive high levels of peer support, cope with stress better and thus reduce depression.

Development of a Coping Scale for Emergency Situations with Elementary School Students (학령기 아동의 응급상황에 대한 대처 측정도구 개발)

  • Kim, Shin-Jeong;Lee, Jung-Eun;Kang, Kyung-Ah;Song, Mi-Kyung;Lee, Sook-Kyung;Kim, Sung-Hee
    • Child Health Nursing Research
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    • v.15 no.3
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    • pp.271-281
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    • 2009
  • Purpose: This study was conducted to develop an instrument to measure coping in emergency situations. Methods: The process included construction of a conceptual framework, generation 60 primary items, verification of construct validity and extraction of final items. The.60 preliminary items were reviewed for content validity by seven experts and were tested to evaluate inter-item correlation coefficient by three groups of elementary school students. From November 1 to December 10, 2008, data were collected from 920 elementary school students according to residential characters (major city, small town, rural area). Item analysis, factor analysis with rotation Varimax and Cronbach's alpha were used to analyze the data. Results: 1) There were 45 items in the final instrument categorized into 8 factors. 2) The factors were labeled as "Call for help and check" (8 items), "Care for common symptoms" (6 items), "Appropriate response for the situation" (5 items), "Evacuation" (6 items), "Care for tissue damage" (8 items), "Care for injury by heat, cold or foreign body" (6 items), "Offer help" (4 items) and "Rescue & escape" (2 items). 3) Cumulative percent of variance was 53.10% and eigen values ranged from 1.04 to 13.38. 4) Cronbach's alpha for the total was .943 and ranged from .527 to .869. Conclusion: Validity and reliability of the scale are confirmed in this study showing its utility for measuring coping in emergency situations with elementary school students. Utilization of the scale will also contribute to designing appropriate coping education programs for elementary school students.

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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.

Stress and Coping Associated with an Early Childhood Teacher Education Practicum : The Student Teacher's Perspective (보육실습 현장에서 실습생이 들려주는 스트레스와 대처)

  • Kim, Sun-Young;Seo, Won-Kyung
    • Korean Journal of Child Studies
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    • v.31 no.2
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    • pp.135-150
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    • 2010
  • This qualitative study explored the causes of student teacher stress during an early childhood teaching practicum and investigated the ways in which student teachers cope with this stress. Four student teachers in the same practicum placement were individually interviewed. The findings revealed that stress arose over a variety of concerns including both lack of professional knowledge related to the teaching practice and the challenges involved in establishing a positive relationship with their cooperating teacher, the parents and staff. The stress experienced by the student teacher was accompanied by physical symptoms such as exhaustion, fatigue, and the onset of vulnerability to colds. However, the students were found to be generally unsuccessful in managing their stress effectively. The results suggest that attempts to improve the practicum environment should be accompanied by academic interests and practical issues related to these stresses and that there is a clear need for programs designed to assist student teachers develop stress management skills.

Coping with Experiences in Multiple Chronic Diseases in the Rural Elderly (농촌 노인의 복합만성질환에 대한 대처 경험 - 문화기술학적 방법으로 -)

  • Joung, Eun-Ok;Kwon, Sung-Bok;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.18 no.1
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    • pp.32-41
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    • 2007
  • Purpose: The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases. Method: Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases. Results: According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'. Conclusion: The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

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Model Predicting Irritable Bowel Syndrome Severity in University Students (대학생의 과민대장증후군 중증도 예측모형)

  • Park, Bin-Hee;Lee, Kyung-Sook
    • Journal of Korean Biological Nursing Science
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    • v.22 no.2
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    • pp.90-101
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    • 2020
  • Purpose: The purpose of this study was to build and verify a structural model that could predict the severity of irritable bowel syndrome in university students. Methods: Participants were 205 students enrolled in college with irritable bowel syndrome using the irritable bowel syndrome module of the ROME IV Adult Questionnaire. The data were collected using online questionnaires in AprilMay 2019. The data were analyzed using the SPSS WIN 25.0 and AMOS 20.0 programs. Results: 1) The symptom severity that participants experienced were mild (14.6%), moderate (45.4%), and severe (40%). 2) Fit indices of the model were x2= 79.66 (df = 52, p= .009), CFI= .94, TLI= .96, RMSEA= .05, RMR= 1.59, GFI= .94, and TLI= .96.3). The severity of irritable bowel syndrome was influenced directly by anxiety and sleep, and indirectly by family history, perfectionism, social support, coping, and stress. The severity of irritable bowel syndrome was indirectly affected by the following: family history through anxiety; perfectionism through stress, anxiety, and sleep; social support through coping, stress, anxiety, and sleep; coping through stress and anxiety; and stress through anxiety and sleep. Conclusion: Based on the results of this study, a nursing intervention is needed to reduce the anxiety and stress and improve the quality of sleep to improve the health of the college students and manage the symptoms of patients with irritable bowel syndrome.

Tingling Sensation and Difficulty in Daily Living of Clients Treated FOLFOX Chemotherapy after Colon Resection (FOLFOX 항암화학요법을 받는 대상자의 저림감과 일상생활 어려움)

  • Lee, Hye-Seon;Kim, Myung-Hee;Kang, Eun-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.2
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    • pp.97-104
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    • 2010
  • Purpose: This study was to investigate difficulties in daily activities and tingling from patients having treatment of FOLFOX chemotherapy after colon resection. Method: This study included 103 patients hospitalized for FOLFOX chemotherapy in one of the university affiliated hospital from August 1, 2008 through September 30, 2009. Data were collected using the questionnaire comprised general symptoms, tingling, difficulties in daily activities and coping behavior. Using the SPSS 14.0 program, data analytic methods include Chi-Square test, ANOVA, Scheffe's test. Results: The tingling sensation occurred in hands, feet, mouth, throat. Contacts with cold objects and the number of chemotherapy cycle worsen tingling sensation. Patients experienced difficulties in daily activities such as personal hygiene, kitchen work, eating cold food, sleeping cold, using fine motors like button up, writing, or using knife. The coping behavior included drinking warm water, sleeping warm, using gloves and socks, wearing comfortable shoes, massaging hands and getting help from supporters. Conclusion: An educational guideline for promoting coping behavior to relieve tingling sensation and difficulty in daily living in patients with FOLFOX chemotherapy is needed.