• Journal of Korean Academy of Nursing
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• v.46 no.6
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• pp.894-904
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• 2016

Purpose: The purpose of this study was to explore decision making experiences of Korean women with breast cancer who underwent breast reconstruction with/after a mastectomy. Methods: Data were collected during 2015-2016 through individual in-depth interviews with 10 women who had both mastectomy and breast reconstruction, and analyzed using phenomenological method to identify essential themes on experiences of making a decision to have breast reconstruction. Results: Five theme clusters emerged. First, "expected loss of sexuality and discovery of autonomy" illustrates various aims of breast reconstruction. Second, "holding tight to the reputation of doctors amid uncertainty" specifies the importance of a trust relationship with their physician despite a lack of information. Third, "family members to step back in position" describes support or opposition from family members in the decision making process. Fourth, "bewilderment due to the paradox of appearance-oriented views" illustrates paradoxical environment, resulting in confusion and anger. Lastly, "decision to be made quickly with limited time to oneself" describes the crazy whirling process of decision making. Conclusion: Findings highlight aims, worries, barriers, and facilitators that women with breast cancer experience when making a decision about breast reconstruction. Deciding on breast reconstruction was not only a burden for women in a state of shock with a diagnosis of breast cancer, but also an opportunity to decide to integrate their body, femininity, and self which might be wounded from a mastectomy. These findings will help oncology professionals provide effective educational counselling before the operation to promote higher satisfaction after the operation.

• Journal of Korean Association for Spatial Structures
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• v.9 no.4
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• pp.89-96
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• 2009

Apartment is the most favorite residential type which already occupies more than 50 percent of total number of housing unite in Korea. The interior space design shows various changes of trends within old and legal standard in terms of basic dimension. The most important function of housing means that Provides comfortable living spaces for a family and enjoying relaxation of stress form social activities. This residential space effects direct or indirect to each family members self-satisfaction and relationship. The basic factor for space design brings dimension which is enable space efficiency together with behavioral route, size of electronics and furnitures. Apartment dwelling type was introduced from out of countries. From the very beginning that inharmonious conflicts found and adjusted for several decades. But, the changes of body conditions of new generation has not considered as a dwelling space design yet. This research may call for attention of changing human scale standards for housing in various field of study.

• Clinical and Experimental Reproductive Medicine
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• v.30 no.4
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• pp.281-291
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• 2003

Objectives: In determining to perform non-spousal artificial insemination by donor (AID) to an infertile married couple, infertile couple requires not only the thorough understanding of the medical procedure but also scrutinizing the effect, which it will have on the relationship of the family including the baby to be born itself. Materials and methods: 148 cases with non-curable male infertility were enrolled in this inquiry survey. The donor insemination questionnaire consists of 18-items which are assessing subjects' clinical properties, the background for AID practice, psychological traits, and long term influence. Results: Of the survey, 49 cases were returned (33.1%) and 10 cases (20.4%) of these gave birth after AID practice. The mean age of husbands and wives of the 49 cases were $34.6{\pm}4.2$ and $32.1{\pm}3.0$ yers old, respectively and the duration of marriage was 5 years and 4 months. In about half of the cases, AID was first suggested by husband and the decision was made by only the couple. The major reason for the operation was to form a complete family. In the item of the psychological effects, two-third of the couples felt anxiety related to the procedure which are mostly about the possible congenital or acquired deformity of baby. The AID was positively suggested in overall by all of recipients. After giving birth to a child, most couples felt positive about their decision. As a child grows up, about half of the couples felt the child as their own and expected not to tell of the AID. In overall, about 50% of couples presented satisfaction with the procedure. Conclusions: As the above results, various psychological impacts including anxiety about a child-to-be-born were accompanied to those who were recommended of AID. To overcome these problems, sufficient medical information and consultation about the course of selecting the donor and the whole procedures of AID should be provided beforehand.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.2
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• pp.43-67
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• 2011

Objectives: The purpose of this study was to analyze factors affecting school life adjustment of athletes in middle and high school. Methods: The data in this study came from the survey which conducted to 500 students of physical education high school athletes and elite athletes in general school from the beginning of December 2009 to the end of January 2010 in Seoul and Kyunggi. Finally 436 cases was used. The dependant variable in this study was school life adjustment. And the independent variables were socio-demographic factors, stress and depression factors, social support factors. The analysis methods were T-test, ANOVA, correlation analysis, stepwise multiple regression analysis by using SPSS Ver. 12.0. Results: First, there was a statistically significant result between school life adaptation and sex, family circumstances, life satisfaction variables Second, there was a negative correlation between social support and stress, depression. Third, there was a negative correlation between school life adjustment and some stress factors, all depression factors. Also relationship between school life adjustment and social support showed a positive correlation. Fourth, Taking a look at the impact on school life adjustment, family factors and practical environmental factors in the stress factors and the feeling of worthlessness in the depression factors appeared to influence negatively. Also teachers' support in the social support factors showed positive effects. Explanatory power of the final regression model was 25.6%. Conclusions: The first step in order to improve the school life adjustment of athletes in middle and high school is the teachers' support. Athletes in middle and high school can have capability, responsibility, initiatives through teachers' attention and affection. The effective prevention education and health education programs on stress and depression should be introduced and carried out in the health education programs actively for student athletes to be free from stress, depression.

• Women's Health Nursing
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• v.17 no.1
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• pp.39-51
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• 2011

Purpose: This study aimed to examine postpartum depression of Vietnamese married immigrant women and Korean women, and to identify factors that affect postpartum depression. Methods: Subjects of one hundred and thirty-five women who had delivered a baby within 3 years were part of the study. Of these women, sixty were Vietnamese married immigrant women and sixty seven were Korean women living in Gangwon Province. Kim's (2005) Korean version of Cox's (1987) EPDS (Edinburgh Postnatal Depression Scale) was used to evaluate postpartum depression. The reliability of the entire subjects was Cronbach's ${\alpha}$=.677, Vietnamese women .743, and Korean women .654. Results: There were significant differences between the two groups in demographic data and obstetric history. There were significant differences in EPDS (t=-0.236, p=.814) of the type of household between the two groups. Korean women experienced more depression in the items of EPDS 1,2,5, and Vietnamese women experienced more depression in the items of EPDS 7, 8, and 10 when comparing item by item. The influencing factors of EPDS in entire subjects were marriage type, satisfaction of relationship with the husband and other household extended family members, and emotional experience during pregnancy. Conclusion: Postpartum depression has occurred regardless of ethnicity, therefore prevention programs targeted at depression, and family support programs should be developed for all childbearing women.

• Korean Institute of Interior Design Journal
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• v.20 no.1
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• pp.117-127
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• 2011

Townhouse have been developed as alternative housing types for combining the characteristics of detached houses and high-rise apartments, Much research on townhouse have investigated physical environments of townhouse and provide a number of planning factors to be considered. However, these factors do not reflect the residents' experiences of the environments sufficiently. The aim of this research is to investigate residents' satisfactions in townhouse as an exploratory study which can be a basis for the improvement of residential environments in townhouse. First of all, we selected a target townhouse and conducted a field study to examine the existing state of the townhouse. Then a customized questionnaire was developed and distributed to residents in the townhouse for investigating their satisfactions on the residential environment. The questions included are divided into four categories; site environment, unit space, community area and housing management. Through the statistic analyses of the residents' responses, the residents' satisfactions of the residential environment were identified. Especially the residents' satisfaction on the community area, which revitalizes neighborhood relationships, is very high. They were also satisfied with the conditions of the sub-categories, 'a distinctive exterior' 'a private planning', 'outdoors' and 'landscapes', in townhouse. In conclusion, we suggested considerations for the improvement of the residential environments and the quality of life in townhouse.

• Journal of Preventive Medicine and Public Health
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• v.28 no.3 s.51
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• pp.563-575
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• 1995

In order to investigate the prevalence and the factors related to the depression and burnout among private practice physicians, a SDS(self-rating depression scale) and MBI(Maslach burnout inventory) -based questionnaire study was performed on 344 private practice physicians in Kwangju and Chonnam area. The results were summarized as follows. 1. Mean SDS score was 38.3 in total subjects and the prevalence rate of depression was 48.8%. As for the frequency order of the items of the SDS, decreased libido, diurnal variation and hopelessness were relatively high, and suicidal rumination, constipation and agitation were noted low. 2. Noticeable factors related with depression were smoking, coffee use, sleeping time and satisfaction with income. 3. As a result a factor analysis with the MBI data, five factors named as emotional exhaustion, depersonalization, personal accomplishment, involvement and self-interest were extracted. Statistical analysis of the data demonstrated that 48.8% of the physician sample reported high scores on emotional exhaustion, and 45.3% scored high on depersonalization. Personal accomplishment scores remained high with 45.3% reporting high personal accomplishment. 4. Variables related to the burnout were age, sleeping time, family size religion, medical speciality, duration of practice setting, visiting patient number, closing day per month and job satisfaction. 5. In the relationship with depression, burnout was closely related to depression. Above results showed that the high percentage of private practice physicians experiencing depression and burnout suggests the need for further research to establish trends, to identify causal factors, and to develop avenues to reduce stress.

• The Korean Journal of Emergency Medical Services
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• v.20 no.3
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• pp.107-120
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• 2016

Purpose: The purpose of this study was to investigate the factors influencing death anxiety, hospices knowledge, and attitude towards end-of-life care among paramedic students. Methods: A self-reported questionnaire was completed by 196 paramedic students in D university college in J city from November 2011 to November 2014. The study instruments included death anxiety, hospices knowledge, and attitude towards end-of-life care. Data were analyzed by t test, ANOVA, post hoc $Scheff{\acute{e}}$ test, Pearson's correlation test, and stepwise multiple regression analysis using SPSS v. 20.0. Results: According to a stepwise regression on the factors influencing attitudes towards end-of-life care, 80.4% of variance (F=161.360, p<.001) was explained by experience of death, hospices knowledge, disappearance of death anxiety, satisfaction with relationships (${\geq}2$) and student attitude toward end-of-life care. In addition, 44.1% of the variance (F=39.434, p<.001) was explained by experience of death, satisfaction with relationship(${\leq}4$), warning of others about death anxiety, and family attitude towards end-of-life care. Conclusion: The attitude towards end-of-life care was influenced by hospices knowledge and death anxiety in paramedic students. It is necessary to provide training in understanding attitudes towards death anxiety and end-of-life care. An effective educational program should be developed and implemented among paramedic students to improve their awareness of death and anxiety hospices knowledge.

• Journal of Korean Academy of Nursing
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• v.39 no.3
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• pp.446-457
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• 2009

Purpose: The aim of this study was to construct a structural equation model that would further explain the continuously increasing substance use disorder in Korean adolescents. Methods: Survey visits using a structured questionnaire were conducted with 3,885 students in 2 middle schools and 2 high schools in Busan. A total of 13 instruments were used in this model. The analysis of data was done with both SPSS 14.0 for descriptive statistics and AMOS 5.0 for covariance structure analysis. Results: Based on the constructed model, belief on substance use was found to have a significantly direct effect in influencing adolescent substance use. In addition, other factors such as family environment, satisfaction with school life, self-concept, social support, and personality vulnerability indirectly affected substance use. The final modified model yielded Chi-square=2,987(p<.001), df=121, ${\chi}^2$/df=22.1, GFI=.96, AGFI=.93, NFI=.91, PNFI=.72, PGFI=.72, RMSEA=.07 and exhibited fit indices. Conclusion: This study constructed a model that addresses the factors related to adolescent substance use and explains the relationship of these factors in influencing substance use among Korean adolescents. Findings from this study can contribute to designing appropriate prevention strategies to reduce substance related disorders in adolescents.

• Korean Journal of Human Ecology
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• v.16 no.1
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• pp.89-101
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• 2007

This study deals with classification of various approaches regarding consumer experience, core characteristics, and contribution of experiential marketing. This study classifies seven approaches regarding consumer experience into 4 broad views (1)experience as experiential brand concept, 2)experience as a behavior, 3)experience as a behavior focusing on an affect, 4)experience as a holistic experience. Each of these 4 views of experience as well as the seven approaches is further explained in details. Five core characteristics of experiential marketing are suggested: l)forming a deep relationship between a customer and a brand, 2)being related to personal final values, 3)holistic experience with a brand, 4)fun, pleasure, and immersion, and 5)keeping customers through customer satisfaction and giving impression to a customer. Five propositions based on these core characteristics are suggested. The contribution of experiential marketing is suggested.