• Korean Journal of Psychosomatic Medicine
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• v.11 no.1
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• pp.15-24
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• 2003

Objectives: The object of this study was to compare perceived stress and quality of life among patients with HIV infection, patients with pulmonary tuberculosis and normal controls. Methods: Stress response inventory(SRI) and Symptom checklist 90-Revised(SCL-90-R) were used to measure perceived stress responses and psychopathology. Smithklein Beecham quality of life scale was used to measure quality of life. Results: Patients with HIV infection scored significantly higher on scores of tension, anger, depression, fatigue and frustration subscale of the SRI than those with pulmonary tuberculosis and normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism subscale were also significantly higher in patients with HIV infection than those with pulmonary tuberculosis and normal controls. Patients with HIV infection scored significantly lower in quality of life than those with pulmonary tuberculosis. In patients with HIV infection, age had a significantly negative correlation with scores of somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism subscale of the SCL-90-R. but the level of education had a significantly positive correlation with somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism subscale of the SCL-90-R. Conclusion: The results suggest that patients with HIV positive were likely to have higher levels of perceived stress response and psychopathology, and lower quality of life than those with pulmonary tuberculosis and normal controls.

• Korean Security Journal
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• no.13
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• pp.403-422
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• 2007

When people think about stress, they usually consider it as negative. However, stress can be both positive and negative. Positive stress is referred to as eustress, while negative stress is called distress. Stress is derived from the change which can be either positive or negative. Change is an inevitable aspect of life; therefore, people cannot avoid stress. Police works create a lot of stress among officers because of job characteristics. Police works require both physical and emotional strains. These strains lead to stress of officers. Danger, frustration, excessive paperwork, the daily demands of the job, and a lack of understanding from family members, friends, and the public are major causes of stress among police officers. The American Institute of Stress in New York ranks police job among the top ten stress-producing jobs in the United States. In this study, the author proposes the ways of stress management among police officers based on the medical model and the organizational health model. In the medical model, the author introduces the elimination, coping, and counseling as a way of dealing stress as an individual level. In the organizational health model, the author proposes following recommendations from the administrative point of view: 1) rationalization of personnel management system, 2) improvement of the welfare, 3) democratic management of police organization, 4) maintenance of a good partnership with citizens, and 5) development of stress management program for police family members.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.486-493
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• 2017

This study examined the stress reaction, resilience levels, and the effects of the stress reaction on the resilience among dental hygiene students. From July 11, 2016 to July 29, 2016, questionnaires were collected from 274 dental hygiene students in several areas. The collected data were analyzed by descriptive statistics, t-test, One-way ANOVA, Pearson correlation coefficient, and multiple regression using SPSS Statistics ver.21.0. The stress reaction level of dental hygiene students was found to be 2.59 out of 5 points and the resilience level was 4.47 out of 7 points. The stress reaction and resilience showed a significant negative correlation in Fatigue, Tension, Frustration, Anger, Depression, Aggression(p>0.001), and stomatization(p>0.05). In other words, the lower the resilience, the higher the stress reaction.The factors of stress reaction influencing the resilience were depression and somatization, which explained 25.6%(R2=0.256). Therefore, to enhance the resilience of dental hygiene students, it is important to investigation the stress reaction and there should be more concern with students who have higher depression and stomatization. In addition, efforts to control the stress reaction are needed.

• Korean Journal of Psychosomatic Medicine
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• v.10 no.2
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• pp.120-129
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• 2002

Objectives : The object of this study was to compare perceived stress and quality of life among patients with HIV infection, patients with pulmonary tuberculosis and normal controls Methods: Stress Response Inventory(SRI) and Symptom checklist 90-Revised(SCL-90-R) were used to measure perceived stress responses and psychopathology. Smithklein Beecham quality of life scale was used to measure quality of life. Results : Patients with HIV infection scored significantly higher on scores of tension, anger, depression, fatigue and frustration subscale of the SRI than those with pulmonary tuberculosis and normal controls. Scores of the SCL-90-R, somatization, depression, anxiety, hostility, phobic anxiety, paranoid ideation and psychoticism subscale were also significantly higher in patients with HIV infection than those with pulmonary tuberculosis and normal controls. Patients with HIV infection scored significantly lower in quality of life than those with pulmonary tuberculosis. In patients with HIV infection, age had a significantly negative correlation with scores of somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism sub scale of the SCL-90-R. but the level of education had a significantly positive correlation with somatization, obsessive-compulsive, interpersonal sensitivity, phobic anxiety, paranoid ideation and psychoticism sub scale of the SCL-90-R. Conclusion : The results suggest that patients with HIV positive were likely to have higher levels of perceived stress response and psychopathology, and lower quality of life than those with pulmonary tuberculosis and normal controls.

• Korean Journal of Psychosomatic Medicine
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• v.7 no.2
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• pp.263-273
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• 1999

Headache is a symptom with varied etiologies and extraordinarily frequent. Headaches can be a symptom of another diseases, such as meningitis, subarachnoid hemorrhage or brain tumor, may represent the disease entity itself as the case in migraine. The international Headache Society criteria were the first to distinguish between primary and secondary headache disorders. When evaluating a patient who presents with headache, the physician abviously needs to identify or exclude the myriad conditions that can cause secondary headache and initial diagnostic workup should be considered. If patient meets the criteria for a primary headache disorder, treatment commonly initiated without additional neurodiagnostic tests. The headache type, its associated feature, and the duration and the intensity of the pain attack all can influence the choice of acute therapy in migraine. Pharmacologically, such as NSAIDs, combination analgesics, vasoactive antimigraineous drugs, neuroleptics, antidepressants, or corticosteroids. Other approches to managing headache include a headache diary to identify triggers, biofeedback, relaxation technique and behavioral modification. Daily preventive medication should be considered by his attack frequency and intensity, and maintained for 4 to 6 months. Tension-type headaches are distinguished between episodic and chronic tension-type headache, but physician must make sure that patient is not drug-overuse or independent during symptomatic abortive therapy or preventive medication. The most difficult headache patients to treat are those with chronic daily headache. They often have physical dependency, low frustration tolerance, sleep problems, and depression. So discontinuation of overused medication is crucial. New developments in migraine therapy are broadening the scope of abortive and prophylactic treatment choices available to the physician. The enhanced ease of the use of sumatriptan and DHE will likely increase patient compliance and satisfaction.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.551-561
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• 2017

This study attempts to determine the strategy to improve the quality of staff supervision by exploring the experiences of the staff supervision in community welfare centers. For this purpose, multiple case study was performed by conducting in-depth interviews with 10 supervisors for the analysis data and analyzing the resulting themes. The key subjects from their experience were 'Supervisors recognize and prepare the supervision as Challenge and Aspiration', 'Supervision leaves only chaos and frustration', and 'Inspiration from the supervisor and infinite effort result in fruit'. Based on these results, this study suggests the following practical suggestions for the educational, administrative and supportive functions of Supervision. First, educational functions should be proposed as an extension of supervisor's education opportunities and manuals related to educational growth of supervision. Second, the administrative function should be changed to evaluate social welfare institution's evaluation framework so as to evaluate the supervision internal regulation and supervision according to it and various supervision models should be developed. Third, supportive supervision function that can be encouraged for supervisees should be enhanced. This study was meaningful because it presents specific suggestions for supervisors and supervisee's relation and situation in the community welfare center through the qualitative research method.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.628-639
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• 2017

The purpose of this study was to examine the effects of children's daily stress and employed mothers' nurturing attitude on children's problem behavior, as well as the mediating role of employed mothers' nurturing attitude. 160 children (aged 3-6, in city "D") and their mothers participated in this study. The SPSS 18.0 program was used to conduct a regression analysis to examine the correlation between the children's daily stress, their problem behavior and the employed mothers' nurturing attitude, depending on the gender of the children. The results were as follows : First, in the case of the boys, their aggression and attention have effects on their coercive attitude, and their anxiety and depression have effects of decreasing magnitude on their logical attitude, blaming / offensive stress and pride-hurt stress in that order. Secondly, in the case of the girls, their aggression has effects on their coercive attitude, and their attention has effects of decreasing magnitude on their anxiety / frustration stress and coercive logical attitude in that order. On the other hand, their anxiety / depression have effects of decreasing magnitude on their accused/offensive stress and coercive attitude in that order. Third, the employed mothers' nurturing attitude had mediating effects between the children's daily stress and their problem behavior. However, no such mediating effects were observed in the case of the boys. Therefore, the mothers tend to foster complementary and logical parenting, rather than coercive or negligent parenting. It is thought that children need to reduce their stress levels in everyday life (in order to?) reduce their problems.

• Korean Journal of Social Welfare
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• v.61 no.4
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• pp.307-332
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• 2009

This study is about the development and effectiveness of the 'Empowerment Program' for the persons with disabilities caused by industrial accidents. The program was developed on the basis of the analysis of focus group interviews for the rehabilitation counselors who work with the persons with disabilities caused by industrial accidents. Also, it was based on Miley et al's empowerment model and the group social work practice. The goal of the program was to strengthen the level of empowerment and decrease emotional frustration for the persons with disabilities caused by industrial accidents. The program consisted of two different types: one for the hospitalized person and the other for the discharged person. The program practiced once a week for 6 weeks and 8 weeks by the choice of the rehabilitation counselors. In order to verify the effectiveness of the program, the participants included 11 persons for the experimental group and 10 persons for the control group. The empowerment scores of the two groups were estimated at the point of pre-test and post-test and were analysed through the Wilcoxon signed rank test and Mann-Whitney U test. As the results of the analyses showed, there were significant differences in the increases in the areas of total empowerment and self-image as a sub-scale between the two groups. In conclusion, the effectiveness of the program was confirmed. Also, it has been verified that the program can be an important social work practice tool for strengthening the empowerment level of the persons with disabilities caused by industrial accidents.

• Journal of Korean Academy of Nursing
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• v.30 no.1
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• pp.84-97
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• 2000

The Necessity and Purpose of the Study Recently the number of patients with chronic diseases and the aged patients is increasing steadily. Furthermore, due to the expansion of health insurance system, the number of patients hospitalized in the general hospital is increasing at a surprising speed. However, hospitals urge the early discharge of the patients for the efficiencies of hospital administration, and therefore, the number of patients who must be taken care of in their home is also increasing. Homecare nursing is one of the health care service for the patients at home who require continual attention and care, and now increasing attentions are given to it as one of the professional nursing fields. However, it was almost impossible to find a study on the actual experiences of the homecare nurses written by their own language in Korea, that it also posed a great difficulty in understanding their diverse experience. Considering these situation, this study will help understanding of them, and provide the fundamental data on their experiences for making policies to develop homecare nursing. Methods of Research Phenomenological research method was employed to analyze the lived experiences of homecare nurses fundamentally. Data collection Data were collected from August 1998 to December 1998 from ten homecare nurses who worked for patients under the homecare nursing setting as model cases designated by Seoul Nurses Association and who agreed to the purpose of this study after listening to and understanding the explanation completely. The in-depth interview was carried at the time which was convenient both for the researcher and participants for one or two hours, and recovered with the approval participants. The first interview covered diverse and broad areas like the situation of homecare nursing, and their feelings and thoughts over it, and in the second and third interviews, more specific questions are asked. Data Analysis For the phenomenological analysis, contents analysis was employed. The data collected from the participants were analyzed into the following procedures according to Van Manen 's phenomenological analysis. 1) Reserve the preconception of the researcher by restricting it inside parenthesis. 2) Make a thorough observation of the lived experiences by insight process. 3) Analyze the contents (Find out the repetitive factors) 4) Interpret the essence found. 5) State the meaning of the interpretation. Results and discussion 1. Fear and expectation for the first visit. (unfamiliarity, awkwardness, anxiety, shivering) 2. Mingle with the family (feeling friendly with the family, becoming like a family member) 3. Being proud of her own know-how (learning the know-how, organizing alternatives, building up confidence) 4. Pity for the poor. (criticizing the current government, feeling ashamed, feeling anger) 5. Difficulty of constructing cooperative system with physicians (strenuousness, frustration) 6. Helplessness due to the lack of support system (difficulty to get supplies, annoyance, embarrassment by institutional restraints) 7. Anxiousness for heavy traffic and parking (annoyance, hastiness) 8. Ethical conflicts (pity for the patients and family, skepticism about lengthening life maintenance) 9. Burden for the possible accident (pressure, anxiety, conflict, physical exhaustion) 10. Establishment of identity as a professional (fulfillment, worth, joy) 11. Being distressed at other's ignorance

• Journal of Korean Academy of Nursing
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• v.12 no.2
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• pp.80-90
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• 1982

This study was undertaken to determine the influence of a chronic disease on body image, and to show that body image is directly related to one's self concept. Body image is the concept of one's own body based on present and past perception, and is elated to one's self concept. Body image is a dynamic concept constantly changing throughout the life cycle but it changes greatly in illness, surgery, and accident. The child with a chronic disease experiences pain and immobilization due to illness and he/she experiences a strange environment in the hospital. illness often brings feeling of frustration and loss of self-esteem. Therefore this study was done to compare the body image of a child with a chronic disease（Asthma), with that of a normal healthy child, and to determine the relationship between the body image and self concept. The subjects in this study were 36 children being treated for asthma at the allergy clinic of Y University Hospital in Seoul (patient group) and 44 children attending elementary school in Kwanak Ku Seoul (normal healthy group). For the measurement of the body image, the researcher used Secord & Jourard's Body Cathexis Scale, and another scale which was constructed after reading about Osgood's Semantic Differential Method. For the measurement of the self concept, the researcher used Jacox & Stewart's Health Self Concept. The period for data collection was from October 7th to October 27th, 1982. The analysis of data was done by use of Percentage, t-test, Chi-square test, Pearson Correlation Coefficient and ANOVA, The results of the study were as follows: 1. The first hypothesis,“That the chronically ill (Asthma) child will have a more negative body image than the normal healthy child.”was supported. 2. The second hypothesis,“The more negative the body image, the lower the self concept.”was also supported. 3. The researcher failed to obtain statistically significant results in the analysis of the general characteristics which affect the body image except in the case of the older child as compare to the younger Child having a mole positive body image (r=.2751, r=.2481, p<.05). However it was found that, 1) Boy's have a more positive body image than girls (Mean=〔37.81, 141.09〕,〔37.00, 126.54〕), 2) The child who has been hospitalized has a more negative body image than the child who has never been hospitalized (Mean=〔33.25, 122.45〕,〔35.68, 129.93〕). 3) The younger the child when the disease is discovered and diagnosed, the more negative the body image (Onset of illness: Mean=〔31.44, 117.33〕,〔34.00, 103.50〕, 〔35.75, 140.38〕,〔36.33, 130.00〕, Time of Diagnosis: Mean=〔29.00, 117.33〕,〔33.89, 115.00〕,〔33.36, 124.93〕,〔37.10, 139. 20〕). In conclusion the chronically ill(.Asthma) child has a more negative body image than the normal healthy child, and the more negative the body image the lower the self concept. Therefore the concept of body image is useful in understanding the influences of chronic disease on body' image and self concept.