• Title/Summary/Keyword: Coping with symptoms

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Factors Affecting Quality of life in the Elderly with Chronic Musculoskeletal Pain (근골격계 만성통증 노인의 삶의 질 영향요인)

  • Jeong, Hyesun;Lee, Yoonju
    • Journal of muscle and joint health
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    • v.25 no.2
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    • pp.92-103
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    • 2018
  • Purpose: This study aimed to identify factors affecting the quality of life of the elderly people with chronic musculoskeletal pain. Methods: The data were collected from 307 older adults aged 65 years or older with chronic musculoskeletal pain, who visited senior welfare centers in two cities. We used self-rated questionnaires including NRS for pain, WHOQOL-BREF for quality of life, Pain Response Inventory for coping responses to pain, and MSPSS for social support. Stepwise multiple regression analysis were performed using SPSS/WIN 23.0 to identify factors affecting the study subjects' quality of life. Results: The regression model explained 43% of quality of life, which was statistically significant (F=34.11, p<.001). Educational level of high school (${\beta}=.13$, p=.006), pain (${\beta}=-.13$, p=.013), restriction of function (${\beta}=-.13$, p=.028), accommodative pain coping (${\beta}=.24$, p<.001), family support (${\beta}=.18$, p<.001), colleague's support (${\beta}=.25$, p<.001), and perceived health status (${\beta}=.25$, p<.001) were identified as influential factors on subjects' quality of life. Conclusion: Developing integrative interventions is necessary to improve accommodative pain coping skills and to engage family and colleague in support for positive perception of older adults' health status and management of symptoms.

A Literature Review of Compassion Fatigue in Nursing (간호사의 공감피로 문헌분석)

  • Yang, Young-Hee;Kim, Jong-Kyung
    • Korean Journal of Adult Nursing
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    • v.24 no.1
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    • pp.38-51
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    • 2012
  • Purpose: In this study the literature of compassion fatigue in nurses was reviewed in order to analyze the trends of overall research for level of fatigue, symptoms, and factors. Methods: For this study, five databases were searched using the key words 'compassion fatigue', 'secondary traumatization', 'secondary traumatic stress', and 'vicarious traumatization'. Thirty-six papers were analyzed. Results: Most of the compassion fatigue research (86%) was conducted between 2006 and 2011 and the most frequent research approach was quantitative research with the ProQOL which was the most frequently used instrument in the studies. He research was conducted in pediatric, emergency & trauma, oncology, psychiatric, and hospice units with no consistent patterns of t compassion fatigue levels. Factors affecting compassion fatigue were personal factors such as age, education background, work-related factors such as caring for trauma patients, work hours, psychological factors such as work stress, burnout, and support/coping factors such as organizational support, and coping resources. Conclusion: Nurses' compassion fatigue varied from low to high by nursing specialties. Many factors affected the compassion fatigue of nurses. In the future there is a need for study on Korean nurses, and identification of groups at risk for compassion fatigue. Furthermore there is a need to develop management programs on compassion fatigue in nurses, stress reduction and wellbeing.

Effects of feeding leaf positions on the growth and fruit quality in muskmelon plants showing leaf yellowing symptoms

  • Lee, Hee-Ju;Lee, Sang-Gyu;Park, Sung-Tae;Kim, Sung-Kyeom;Choi, Chang-Sun;Chun, Chang-Hoo
    • Korean Journal of Agricultural Science
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    • v.42 no.4
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    • pp.293-297
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    • 2015
  • This study was conducted to evaluate the influence of feeding leaf positions on the growth, net formation of fruits, and occurrence of leaf yellowing symptoms (LYS) in muskmelon plants. Plants having five or ten more leaves above the fruit-bearing node produced the greater biomass than those of plants having equal or five less leaves above the fruit-bearing node. The number of leaves above the fruit-bearing node also influenced on the occurrence of LYS. The number of plants with LYS decreased as the number of leaves borne on the nodes above the fruit-bearing node increased. The LYS infected ratio of BL-5 treatment were the greatest, while fruit weight of BL+5 treatment were the greatest among all the tested treatments. In addition, the net formation of BL-5 treatment showed the poorest. Results indicated that maintaining the higher number of leaves over the fruit-bearing node might be feasible the practical method for coping physiological damages from yellowing symptoms.

Anger, Anger Expression, Psychoticism, Addiction, and Coping among Aggressive Victims of Dating Violence (공격적 데이트 폭력 피해여성의 분노 및 분노표현, 정신병적 경향성, 중독성과 대처방식)

  • Kyung-Hyun Suh
    • Korean Journal of Culture and Social Issue
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    • v.14 no.2
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    • pp.21-39
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    • 2008
  • The purpose of this study was to explore anger and its expression, psychoticism, addiction, and coping styles of victims, especially aggressive victims of dating violence, and to provide valuable information for prevention of dating violence and rehabilitation of victims. The participants were 477 female college students who had the experience of heterosexual dating relationships, whose ages ranged from 17 to 29 (M=20.59, SD=1.44). The psychological tests used in this research included the following: Straus' Conflict Tactics Scale, Spielberger's State-Trait Anger Expression Inventory, Eysenck Personalty Inventory, and multidimensional Coping Scale. Results revealed that victims only were more likely to receive violence as well as sexual harassments from their dating partners than aggressive victims of dating violence. Aggressive victims of dating violence showed higher level of trait anger and anger-out, and difficulty in control their anger than victim only and women who had not experienced dating violence. In addition, they also revealed symptoms of paychoticism and addiction. And aggressive victims of dating violence showed less active coping and more active forgetting and renunciation than victims only and women who had not experienced dating violence. Victims only of dating violence more like to criticize themselves and pursue religious coping than aggressive victims. Researcher discussed these results with previous studies.

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The study on Fatigue, Pain, and Efficacy on Pain of Chronic Arthritis and Lupus (만성관절염과 루푸스의 피로, 통증, 및 통증효능감에 관한 연구)

  • Lim, Nan-Young;Lee, Eun-Young;Yang, Yong-Sook;Chung, Soon-Ae;Cha, Gyeong-Ok;Yi, Yeo-Jin
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.53-62
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    • 2000
  • This study was designed to distinguish by the characteristic difference and the degree of symptoms such as fatigue, pain, coping to pain, and efficacy on pain, and to offer descriptive data for nursing intervention for improving coping ability to pain along each characteristics of disease in chronic arthritis and systemic lupus erythematosus. The subjects were 135 outpatients in the hospital for rheumatic disease in H-university, Seoul. The data were collected by structural questionnaire, from April 29 to June 29, 1999. The results were that the fatigue score was high in the OA patients while the RA patients and SLE patients experienced middle range of fatigue score, but which was not statistically different. Although the RA patients felt higher pain than other diseases, they have well coped with their pain than the others. In efficacy on pain the SLE patients had higher score than others but all of the disease showed lower score. No statistically significant difference among the three group was recorded in efficacy on pain. Therefore, pain management in the RA patients was primary nursing intervention because they felt severe pain and have well coped with pain while they had lower pain efficacy score than the others. It is also important that fatigue management and coping strategies on pain for the OA patients and SLE patients are specially supportive in the nursing intervention.

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Health Problems and Coping of Workers under Special Employment Relationships: Home-visit Tutors, Insurance Salespersons, and Credit Card Recruiters (특수고용형태근로종사자들의 건강문제와 대처: 학습지 교사, 보험설계사, 신용카드회원모집인을 중심으로)

  • Park, Bohyun;Jo, Yeonjae;Oh, Sangho
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.4
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    • pp.208-220
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    • 2019
  • Purpose: This study aimed to determine health problems experienced by workers in special employment relationships (WSER) and identify coping strategies used when such problems occur. Methods: This qualitative study used the focus group interview method. Thirteen study participants included five home-visit tutors, five insurance salespersons, and three credit card recruiters. The interviews were conducted from November 2018 through January 2019, with each occupational group interview lasting about 2 hours. Analysis based on phenomenological research was independently performed by two researchers. Results: Most participants had common health problems involving vocal cord symptoms, and stress related to emotional labor and traffic accidents. The unique health problems included cystitis, musculoskeletal, and digestive symptoms in home-visit tutors; reduced vision and hearing in insurance salespersons; and mental distress in credit card recruiters. There was no protection system for their health coverage, and the company emphasized their self-employed status to avoid taking responsibility for them. Twelve participants did not purchase occupational accident insurance owing to both not having adequate information and economic burden concerning premium status. Conclusion: WSER experienced both physical and mental health problems. These problems were caused by their unstable employment status, and the social security system for their coverage being non-functioning.

Improvement and Backsliding after Chronic-disease Self-management Education in Japan: One-year Cohort Study

  • Park, Min Jeong
    • The Korean Journal of Rehabilitation Nursing
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    • v.20 no.1
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    • pp.42-51
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    • 2017
  • Purpose: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan. Methods: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year. Results: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved. Conclusion: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.

The Factors Affecting the Perceived Symptoms of Temporomandibular Disorders in Academic High School Students (일부 인문계 고등학생들의 측두하악장애 자각증상 관련 영향요인)

  • Ji, Min-Gyeong
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.215-222
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    • 2021
  • The purpose of this study was to analyze the factors affecting the awareness of temporomandibular disorders in high school students and to provide basic data for the development of easy-to-access program to help the management of temporomandibular disorders. For data collection, convenience sampling was performed among academic high school students in Daejeon and North Jeolla Province to complete a self-administered questionnaire from December 1 to 30, 2019. The statistical analysis was conducted by t-test, one-way ANOVA, and Pearson correlation. Stepwise multiple regression analysis was conducted. Oral parafunctional habits were positively correlated with trait anxiety and both of them were positively correlated with the perceived symptoms of temporomandibular disorders. The most influential factors on the awareness symptoms of temporomandibular disorders in high school students were oral parafunctional habits, health habits, and trait anxiety. It is necessary to make positive communication and intervention, which meets high school age, in coping well with anxiety and managing oral parafunctional habits and apply an oral health promotion program that involves socio-psychological efforts to prevent them.

Daily Functioning in Chronic Pain: Study of Structural Relations with Posttraumatic Stress Disorder Symptoms, Pain Intensity, and Pain Avoidance

  • Cho, Sung-Kun;Heiby, Elaine M.;McCracken, Lance M.;Moon, Dong-Eon;Lee, Jang-Han
    • The Korean Journal of Pain
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    • v.24 no.1
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    • pp.13-21
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    • 2011
  • Background: This study aimed to evaluate processes from the mutual maintenance model in relation to daily functioning in patients with both chronic pain and a history of a traumatic experience. The mechanism illustrated the structural relations for daily functioning among pain intensity, hyperarousal, re-experiencing, trauma avoidance, and pain avoidance. Methods: Archival data (N = 214) was used for this study and data were analyzed for 142 chronic pain patients reporting a traumatic experience and seeking treatment at a tertiary pain clinic in Korea. Results: The results indicated that pain intensity, hyperarousal, and pain avoidance had significant direct effects on daily functioning. Also, pain intensity showed significant indirect effects on daily functioning through hyperarousal and pain avoidance; and hyperarousal through pain avoidance. Conclusions: Results suggest a direct contribution of high levels of pain, hyperarousal symptoms of PTSD, and pain avoidance behaviors to reduced daily functioning. Also, elevated pain as reminders of the trauma may trigger high levels of hyperarousal symptoms of PTSD. Subsequently, avoidant coping strategies may be used to minimize pain so that the trauma would not be re-experienced, thus inhibiting the activation of hyperarousal symptoms of PTSD. However, prolonged use of such strategies may contribute to decline in daily functioning.

The Relationships among Stress Perception, Locus of Control and Depressive Symptom of The Patients with Psychological Pruritis and Chronic Urticaria (심인성 소양증환자와 만성 담마진환자의 스트레스지각과 통제소재 및 우울증상과의 관계)

  • Lee, Young-Ho;Ko, Dae-Kwan;Han, Ki-Seok;Chung, Young-Cho;Kim, Yong-Sang;Lim, Sung-Chun;Nam, Ki-Heum;Kim, Chung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.2
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    • pp.126-138
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    • 1995
  • For investigating a disease specific psychological mechanism in various dermatological disorders, we tried to explore the difference in correlation among stress perception, locus of control as a coping strategy, depressive symptoms and pruritic symptoms in the patients with psychological pruritis and chronic urticaria. The subjects were composed of 32 patients with psychol-ogical pruritis and 67 patients with chronic urticaria(subject group), and 25 patients with organic pruritis and 59 patient with major depression(control group). Global assesment of recent stress scale(GARS), I-E locus of control scale, Beck Depression Inventory(BDI) and medical college of wisconsin center pain follow up questionnaire were used for assesement. The results were as follows: 1) There were a significant positive correlation between stress perception and depressive symptom in patients with psychological pruritis, chronic urticaria, and major depression but not hi organic pruritis. 2) In relationship between locus of control and depressive symptom, patients with psychological pruritis, organic pruritis, and major depression except chronic ruticaria showed a significant negative correlation. 3) For intensity and pattern of pruritis, there were positive relations with depressive symptom and stress perception only in patients with chronic urticaria. Above results indicate that stress perception and locus of contorl may play a significant role in the formation of psychological and dermatological symptoms in psychological pruitis and chronic urticaria. But the mechanisms of these processes are different in either disorder.

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