• Korean Journal of Psychosomatic Medicine
• /
• v.20 no.2
• /
• pp.82-90
• /
• 2012

Objectives : Though gastric cancer is one of the most common cancer in Korea, there have been few studies to explore psychological distress in gastric cancer. The purpose of this study was to investigate the prevalence and associated risk factors of psychological distress among patients with gastric cancer. Methods : With consecutive sampling, a total of 274 patients with gastric cancer who admitted to a cancer center in a general hospital were recruited and assessed on psychological distress using the Hospital Anxiety and Depression Scale(HADS). Sociodemographic and cancer-related clinical variables were also evaluated. Results : One hundred fifty-three(55.8%) patients with gastric cancer showed psychological distress. Logistic regression models revealed that having alcohol drinking experience[odds ratio(OR)=2.10, p=0,034] and low performance status(OR=2.40 p=0.002) were significantly associated with psychological distress in patients with gastric cancer. Conclusions : These findings indicate that approximately half of patients with gastric cancer suffered from psychological distress and having alcohol drinking experience and low performance status would be associated risk factors, suggesting the need for distress screening and psychosocial supportive care in patients with gastric cancer.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.6
• /
• pp.240-251
• /
• 2018

This study was conducted to evaluate the moral distress, moral sensitivity, and the factors that influence moral distress and the experience of moral distress among nurse working in a long-term care hospital. Overall, 180 nurses working in long-term care hospital in G Province were evaluated. Date were collected from March 21 to April 8, 2016 and analyzed using the SPSS/WIN 23.0 program. The mean of moral distress among nurses was 3.57 and the moral sensitivity was 4.82, and these factors was significantly and positively correlated (r=0.494, p<0.001). Regression analysis revealed that the factors that significantly influenced moral distress were moral sensitivity and ethical dilemmas when conducting nursing practices. Situations that caused nurses to experience moral distress included inappropriate care behavior was not guaranteed the quality of nursing care, conditions related to unethical the human rights, conditions related to the lack of nursing staff and conditions related to the lack of support at the organizational and national level. Therefore, to reduce moral distress, nursing intervention programs that improve the moral sensitivity and ability to solve ethical-problems are needed for nurses working in long-term care facilities.

• Proceedings of the Korean Institute of Navigation and Port Research Conference
• /
• 2015.10a
• /
• pp.87-90
• /
• 2015

Equipments that can transmit maritime distress signals in accordance to Global Maritime Distress Safety System are the followings: A1 water(Very High Frequency, SART), A2 water(MF/HF Radio Equipment), A3 water(INMARSAT), A4 water(Emergency Position Indicating Radio Beacon). Institutions with the capacity to receive distress signals are Korea Coast Guard affiliated radio stations, patrol ships, Rescue Coordination centers, Vessel Traffic centers, Complex problems regarding repetitive distress alarms, inaccurate statistics, multiple control towers are existent. Consequently, effective measurement to resolve dispersed operating maritime distress signal system are in time of need. Moreover, current KCG Headquarter is considering to integrate five distress radio stations dispersed across nation into a single international safety communication center. The integration of radio stations are efficient in terms of information coordination between nations, however, it cannot support efficient response to real-time maritime incident. Therefore, in this study, a new system that can rapidly response to real-time maritime incident will be proposed.

• Korean Journal of Culture and Social Issue
• /
• v.24 no.1
• /
• pp.49-62
• /
• 2018

The purpose of this study is to examine the effect of distress tolerance on subjective well-being and the mediating effect of experiential avoidance in the relationship between distress tolerance and subjective well-being. We conducted an online survey a total of 285 normal adults in the nation from October 21 to 24, 2015. The questionnaire was composed of a distress intolerance index, a concise measure of subjective well-being, and acceptance action questionnaire. And questionnaires were distributed and retrived by an online survey company. Collected data has been analyzed by the structural equation modeling. The correlation analysis showed that distress tolerance was positively correlated with subjective well-being, while negatively with experiential avoidance. Also, the verification of mediating effects of experiential avoidance in the relation between distress tolerance and subjective well-being indicated that experiential avoidance partly mediated the relationship at a meaningful level. Additionally, deflection correction bootstrap analysis was used to verify indirect effects and its results revealed that the mediating effect going from distress tolerance to subjective well-being passing through experiential avoidance was statistically significant. That is, distress tolerance not only influences subjective well-being directly but also influences indirectly through experiential avoidance. Finally, significance and limitations of this study were discussed along with the suggestions for further research.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.16
• /
• pp.6895-6898
• /
• 2015

Background: We aimed to explore whether levels of patient-centredness, job satisfaction and psychological distress varied between oncology nurses and doctors. Materials and Methods: In a cross-sectional study using self-administered questionnaires, a total of 24 nurses and 43 doctors were assessed for patient-centredness, psychological distress, and job satisfaction using the Patient-Practitioner Orientation Scale, Hospital Anxiety and Depression Scale, and Job Satisfaction Scale. Data were analysed using descriptive statistics, independent samples t-test and MANCOVA, with p<0.05 considered significant. Results: Overall response rate was 95.6% (43/45) for physicians and 85.7% (24/28) for nurses. Even after adjusting for known covariates, our principal finding was that doctors reported greater psychological distress compared to nurses (p=0.009). Doctors also reported lower job satisfaction compared to nurses (p = 0.017), despite higher levels of patient-centredness found in nurses (p=0.001). Findings may be explained in part by differences in job characteristics and demands. Conclusions: Mental health is an important concern not just in cancer patients but among healthcare professionals in oncology.

• Journal of Families and Better Life
• /
• v.27 no.4
• /
• pp.103-116
• /
• 2009

This study aims to investigate the process of family distress to family crisis in multi-cultural families based on Hill's ABCX model. For this study, the qualitative study with depth interview was conducted with 8 multi-cultural families(e.g. husband, wife, child and elderly parent). The depth interview contents were marriage process, family relation or family interactions, social adaptation process, and social services needs. Results showed the followings: First, multi-cultural families had multiple distressors so that these distressors made multi-cultural families vulnerable to family crisis. Second, Hill's ABCX model explained the process of family distress to family crisis in the multi-cultural families in that they had few resources(both individual resources and family resources) and even worse they had negative cognitions about their own multi-cultural family systems. This situation made them difficult to solve their problems and to cope with their distressors. Third, major distressors in multi-cultural families were founded in this study. These were different cultural gap, communication difficulties, social discrimination to multi-cultural families, and lack of social support networks. Discussion will address suggestions about effective family policies for multi-cultural families in order to make them resilient to family crisis and help to well-adjusted in the korean society.

• Asian Oncology Nursing
• /
• v.11 no.1
• /
• pp.9-19
• /
• 2011

Purpose: The purpose of this study was to explore and describe the distress of the patients with ostomy. Methods: A descriptive research design was adopted for data collection and analysis. Six patients with ostomy participated in the study. The consent from the participants was obtained for ethical protection. Data were collected from July 31, 2009 to January 10, 2010 using in-depth interview technique. Krippendorff's content analysis method was utilized for data analysis. Results: Eight categories and 26 themes were extracted from the data which illustrated the lived distress of the patients with ostomy. The categories were "do not have any freedom to eat whatever I wish to eat", "uncontrolled defecation"tomy", "can not live with comfort", "easily take a pessimistic view", and "see how the wind blows in daily family life". Conclusion: Ostomates were affected by the distress of having an ostomy in their physical, psychological, social and spiritual life. Individualized and continued nursing education program has to be developed in hospital and community settings in order to improve the quality of life of the ostomates.

• Journal of Preventive Medicine and Public Health
• /
• v.31 no.4 s.63
• /
• pp.719-727
• /
• 1998

This study was carried out to assess the relationship between jobstrain, psychosocial distress and homocysteine. The study design was cross-sectional, and included 152 industrial workers in middle sized city. A self-adminstered questionnaire measured general characteristic, job strain and psychosocial distress. Blood was drawn into EDTA tube, and total plasma homocysteine was measured by HPLC. Homocysteine in the high job demand group was sagnificantly higher than that in the low job demand. Cholesterol in the high job control group was significantly higher than that in the low job control. Homocysteine was significantly higher in the high job strain group than that in the other group. Folate and vitamin B12 showed a significantly negative correlation with homocysteine. Multiple regression analysis was used to determine whether the psychosocial distress and other variable contributed to explaining the homocysteine. Stress correlates with the homocysteine.

• Journal of East-West Nursing Research
• /
• v.17 no.2
• /
• pp.103-109
• /
• 2011

Purpose: The purpose of this study was to examine the effects of music therapy on the anxiety and distress in patients taking thoracentesis. Methods: The quasi-experimental design was used with a nonequivalent control group pre-post test time series. Participatns were divided into the experimental (n=20) or control group (n=20). Music therapy was given to the experimental group with a CD that was made by the investigator by themes. The research tools included the VAS Anxiety Inventory, and the Subjective and Objective Distress Inventory. Data were analyzed using SPSS 14.0 program by ${\chi}^2$-test and t-test. Results: There were statistically significant differences in state (VAS) anxiety and subjective distress between two groups. Conclusion: The music therapy was effective in reducing the anxiety and subjective distress of patients taking thoracentesis. In the future, music therapy will be useful in the field of nursing as a nursing intervention to alleviate stress and enhance well-being.

• Journal of the Korean Home Economics Association
• /
• v.37 no.6
• /
• pp.59-76
• /
• 1999

This study was to investigate casual relation of psychological well-being and quality of life of married couples. For the data set 434 married couples living in Pusan, Korea were chosen. The data were analyzed using M, SD, t-test, Pearson's correlation, multiple regression, and path analysis. The findings of this study are as follows; First, marital satisfaction and the level of quality of life are higher for husbands than wives. Whereas psychological distress is higher for wives than husbands. Second, for husbands, husband's level of education, job satisfaction, husband's housework participation, and job stress have significant effect on marital satisfaction. For wives, wife's level of education, husband's housework participation, and husband's job stress have significant effect on marital satisfaction. Third, for husbands, job satisfaction and job stress have significant effect on psychological distress. For wives, husband's job stress have significant effect on psychological distress. Fourth, for husbands, job stress, marital satisfaction and psychological distress have significant direct effect on quality of life. Besides, husband's age, husband's level of education, job satisfaction, job stress, husband's housework participation, and marital satisfaction are indirectly associated with quality of life. For wives, marital satisfaction and psychological distress have significant direct effect on quality of life. Besides, wife's level of education, husband's job stress, husband's housework participation, and marital satisfaction are indirectly associated with quality of life.