• Title/Summary/Keyword: Illness Perception

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The Relationships among Perceived Parental Bonding, Illness Perception, and Anxiety in Adult Patients with Congenital Heart Diseases (성인 선천성 심장질환자들이 지각한 부모 양육태도, 질병인식과 불안간의 관계)

  • Shin, Nayeon;Jang, Youha;Kang, Younhee
    • Journal of Korean Academy of Nursing
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    • v.47 no.2
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    • pp.178-187
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    • 2017
  • Purpose: The purposes of this study were to identify the relationships among perceived parental bonding, illness perception, and anxiety and to determine the influences of perceived parental bonding and illness perception on anxiety in adult patients with congenital heart diseases. Methods: In this study a descriptive correlational design with survey method was utilized. The participants were 143 adult patients with congenital heart disease being cared for in the cardiology out-patient clinic of A medical center. Data were collected using the Parental Bonding Instrument, Illness Perception Questionnaire Revised Scale, and Cardiac Anxiety Questionnaire Scale. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation analysis, and hierarchial regression analyses. Results: There showed significant positive relationships of anxiety with maternal overprotection, consequences, and personal control respectively. Among predictors, maternal overprotection (${\beta}=.45$), consequence (${\beta}=.26$), and personal control (${\beta}=-.03$) had statistically significant influence on anxiety. Conclusion: Nursing interventions to decrease maternal overprotection and negative consequence, and to enhance personal control are essential to decrease the anxiety of adult patients with congenital heart diseases.

Predictors of Participation in Support Groups among Women with Breast Cancer (유방암 환자의 자조집단 참여 예측요인)

  • Oh, Jin-A
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.635-644
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    • 2007
  • Purpose: This study examined what characteristics and variables predict participation in support groups for women with breast cancer. Method: 282 women with breast cancer from 4 hospitals located in Busan were included in the study. Data was measured on each participant from September 2006 to February 2007. Data was collected using structured researcher-administered sheets and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. Results: The clients reported medium levels of illness perception, anxiety and depression, stress with coping, social support and self-efficacy. 48.9% of women with breast cancer participated in support groups. Significant influencing factors on the participation in support groups were 'operation time(+)', 'illness perception(+)', 'social support(-)', and 'self-efficacy(+)' Those variables explained 73.4%. Conclusion: It is necessary to develop a strategy or promoting program for promotion of illness perception and self-efficacy of women with breast cancer. Thus, it is essential to provide participation to a support group to a women with breast cancer.

An Inquiry to the Causal Perceptions & Emotions of Rheumatoid Arthritis Patients (류마티스 관절염 환자의 원인지각에 대한 연구 - Q방법론적 접근 -)

  • Kim, Boon-Han;Jung, Yun
    • Journal of muscle and joint health
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    • v.6 no.2
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    • pp.226-241
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    • 1999
  • This study was undertaken to find out the causal perception of rheumatoid arthritis patients, and to understand the typology. The Q-population consisted of 236 statements of causal perception were collected. Thirty eight Q-samples of causal perception were selected. The P-sample for this study were made up of 28 first visiting female rheumatoid arthritis patients from a rheumatoid arthritis specialty hospital. Each respondent responded Q-set of causal perception according to 9-point scale. The result of Q-sorting were coded and analyzed using QUANL PC program. 1) Typological Observation on Causal Perception (1) Physical Fatigue Type : Type 1 perceived that the illness occurred due to excessive work requiring physical labor or strain that had occurred from not resting after excessive physical labor, therefore, thinking the origin of the illness was from physical strain. (2) Physical origin Type : Type 2 perceived that the major cause for the illness is not only excessive physical labour but also fecundity and old age. (3) Causality to Environment Type : Type 3 perceived that rheumatoid arthritis occurred from injury to the joints or bad and humid weather. (4) Conscience of Guilty Type : Type 4 consisted of people with guilty conscience for lack of religious commitment. They perceived that the illness was a punishment from God for not praying or because of bad luck. (5) Rationally Perceiving Type : People who belong in type 5 perceived the cause of illness in light of scientific facts such as genetics, unbalanced diet or lack of exercise. (6) Psychological Stress Type : People who belong in type 6 believed that excessive stress was the cause of the illness. 2) Emotions of Rheumatoid arthritis patients Rheumatoid arthritis patients' positive emotions included determination, courage, coping, acceptance, hope, and adoption ; and their negative emotions were prostration, worry, stupor, conflicts, grievance, giving-up, resignation, depression, loss, solitariness, fear, anxiety, avoidance, anger and loneliness. Rheumatoid arthritis patients experience different level of emotions from their suffering experience from the severe pains. Rheumatoid arthritis patients also experience negative emotions when they could not perform self-care and lose their self-esteem from painful suffering ; however, they regain positive emotions when they recover from pain with the use of drugs, physical therapy or exercise. Their emotional states are closely connected to level of and presence of pain.

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Study of Relationship Between Illness Perception and Delay in Seeking Help for Breast Cancer Patients Based on Leventhal's Self-Regulation Model

  • Attari, Seyedeh Maryam;Ozgoli, Giti;Solhi, Mahnaz;Majd, Hamid Alavi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.167-174
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    • 2016
  • One of the major causes of morbidity and mortality in breast cancer patients is delay in seeking help. Leventhal's self-regulation model provides an appropriate framework to assess delay in seeking help. The aim of this study was to investigate the relationship between "illness perception" and "help seeking delay" in breast cancer patients based on Leventhal's self-regulation model. In this correlational descriptive study with convenience sampling conducted in 2013, participants were 120 women with breast cancer who were diagnosed in the last year and referred to chemotherapy and radiotherapy centers in Rasht, Iran. Data collection scales included demographic data, Revised Illness Perception Questionnaire (IPQ-R)and a researcher made questionnaire to measure the delay in seeking help. Pre-hospital delay (help seeking delay) was evaluated in 3 phases (assessment, disease, behavior). The data were analyzed using SPSS-19. The mean (SD) age calculated for the patients was $47.3{\pm}10.2$. Some 43% of the patients had a high school or higher education level and 82% were married. The "pre-hospital delay" was reported ${\geq}3months$. Logistic regression analysis showed that none of the illness perception components were correlated with appraisal and behavioral delay phases. In the illness delay phase, "time line" (p-value =0.04) and "risk factors"(p-value=0.03) had significant effects on reducing and "psychological attributions" had significant effects on increasing the delay (p-value =0.01). "Illness coherence" was correlated with decreased pre-hospital patient delay (p-value<0.01). Women's perceptions of breast cancer influences delay in seeking help. In addition to verifying the validity of Leventhal's self-regulation model in explaining delay in seeking help, the results signify the importance of the "illness delay phase" (decision to seek help) and educational interventions-counseling for women in the community.

The Experience of Siblings of children with Cancer (암환아 형제자매의 경험)

  • Cheon Na Young
    • Child Health Nursing Research
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    • v.4 no.2
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    • pp.294-304
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    • 1998
  • Illness is a situational crisis which affects entire family members. Children have different experiences and responses when their sibling has a cancer. there are many studies on sibling experiences to childhood cancer which have many problems in the USA. The main purpose of this study is to describe sibling experiences to childhood cancer accurately and coprehensively by collecting data from sibling to provide the data to develop nursing interventions for the families with childhood cancer. The data was collected from October 1 to November 6, 1995. A total of ten siblings with childhood cancer were interviewed. The meaningful contents were classified and categorized to four areas. Theses areas include knowledge and perception related to illness, changes in family life, changes in school life, and siblings' marturation. The results of this study were as follows 1. Knowledge and perception related to childhood cancer : Children had limited knowledge about illness and expressed the desire to tow more about sibling's illness. 2. Changes in family and school life : Children expressed loneness, emptiness, sadness, depression about seperation with the mother and sibling, family mood change, leisure activities and financial difficulites. Many children reported that their school performance had suffered since sibling's illness. 3. Maturation of children : Some positive outcoms related to having a sibling with a cancer are maturation, increased affection for the sibling, empathy for their parents. The results of this study indicate that it is important to develop comprehensive nursing intervention programs for the families with a childhood cancer.

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Influence of Illness Perception and Physiological Indicators on Self Management of Hemodialysis Patients (혈액투석환자의 질병지각과 생리적 지표가 자기관리에 미치는 영향)

  • Kang, Bomi;Lee, Yoonshin;Sok, Sohyune
    • The Journal of the Korea Contents Association
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    • v.20 no.4
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    • pp.464-474
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    • 2020
  • This study provides basic data for nursing intervention to increase self management of hemodialysis patients by identifying the relation among their illness perception, physiological indicators, and self management. The participants were 134 patients receiving hemodialysis at a general hospital in Seoul. Data were collected by using a structured questionnaire and medical records. The collected data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple regression analysis with the SPSS/WIN 23.0 program. The significant factors influencing self-management of hemodialysis patients have been identified with 8 variables. The first one is registration for kidney transplantation (β=-.20, p=.034). Among sub items of illness perception are consequence (β=-.20, p=.031), treatment control (β=.19, p=.040), and illness coherence (β=-.18, p=.049). In addition, among physiological indicators are hematocrit (β=.38, p<.001), hemoglobin (β=.29, p=.005), BUN (β=-.25, p=.010), and phosphorous (β=.22, p=.033). These variables explained 26.3% for self-management of hemodialysis patients. In order for hemodialysis patients to improve their self-management, a concrete nursing intervention improving the treatment control among illness perception as well as improving the understanding of physical indicators needs to be provided.

Stress Perception of Patients with Extrinsic Type of Bronchial Asthma (외인성 기관지천식환자들의 스트레스지각)

  • Koh, Kyung-Bong;Hong, Chein-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.45-51
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    • 1993
  • Stress perception was investigated in 53 outpatients with extrinsic type of bronchial asthma, using GARS scale and other questionnaires. 40% of the patients were found to be psychosomatic. The patients were more likely to consider their physical symptoms as severe than the allergist Severity of symptoms rated by the allergist had significantly positive correlation with scores of stress perception related to changes in relationship. However, no significant correlation was found between severity of symptoms rated by patients and scores of stress perception. Psychosomatic group was significantly higher in scores of stress perception related to illness and injury, financial burden, and change or no change in routine than non-psychosomatic group. Female. older age, higher education. presence of religion. and presence of psychological stressors at onset and/or aggravation of the illness were found to increase stress perception. These findings indicate ant extrinsic asthmatics an less likely to perceive psychological stress than physical symptoms, and that they are less vulnerable to psychological stressors than patients with other diseases.

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A Study on Risk Perception Characteristics for Food Risk Elements of University Students in Yeungnam Region (영남 지역 대학생들의 식품 위해요인에 대한 위험 지각 특성 연구)

  • Kim, Hyochung;Kim, Meera
    • Journal of the East Asian Society of Dietary Life
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    • v.27 no.4
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    • pp.450-458
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    • 2017
  • The purpose of this study was to investigate the levels of risk perception characteristics for food risk elements using a psychometric paradigm from 298 university students in Yeungnam region, Korea, by a self-administered questionnaire. The respondents showed the highest level of risk concern about radioactive contaminated foods and the lowest level about GM (genetically modified) foods. In the risk perception characteristics for food risk elements, they perceived radioactive contaminated foods as a catastrophic, worried, new, and uncontrollable risk. In addition, they regarded food additives and foodborne illness as a chronic, controllable, old, and scientifically and individually known risk. According to the results of the factor analysis for risk perception characteristics, dread and unknown were categorized. In the risk perception map, mad cow disease, heavy metal contaminated foods, and radioactive contaminated foods were considered as a dreaded and unknown risk, whereas pesticide residues and GM foods were perceived as a less dreaded and unknown risk. Additionally, food additives and foodborne illness were regarded as a less dreaded and known risk and endocrine disruptors and avian influenza as a dreaded and known risk. These results imply that risk perception characteristics of consumers should be considered to establish strategies for risk communication in food science.

The Association of Perception of Health Status with Lifestyle of Yanbian Koreans and Yanbian Chinese (중국 연변지역 조선족 및 한족의 건강수준인식과 생활양식간의 관련성)

  • Ahn, Hyun-Ock;Kim, Ki-Soon;Ryu, So-Yeon;Lee, Chul-Gab;Park, Jong;Kim, Yang-Ok;Ro, Hee-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.4 s.63
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    • pp.828-843
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    • 1998
  • To find the association of perception of health status with lifestyle of different ethnic groups living in north-eastern part of China, a cross-sectional questionnaire survey was done by 10 local health workers for 375 Korean immigrants and 217 Chinese whose age was 30 years old or more. Because Korean immigrants showed higher mortality than Chinese, we expected to find significant lifestyle related with perception of health status which was known to be a predictor of mortality by different ethnic groups. The results were as follows : 1. We found that 59.7% of Yanbian Koreans and 42.9% of Yanbian Chinese felt unhealthy (p=0.000). 2. For Yanbian Koreans, significant variables associated with perception of health status were selected through logistic regression analysis and they were sex; female to male with an OR=2.45 (95% confidence interval[CI] 1.06, 5.64), prevalence of chronic illness with an OR=5.48 (95% CI: 4.62, 15.56), mont of meal; small or moderate to full with an OR=2.67 (95% CI : 1.40, 5.09), preference of spicy food with an OR=1.78 (95% CI : 1.04, 3.04), and less amount intake of vitamin $B_2$, with an OR=2.29 (95% CI : 1.33, 3.93). 3. For Yanbian Chinese, significant variables associated with perception of health status were prevalence of chronic illness with an OR=4.97 (95% CI : 2.11, 11.68), history of taking ginseng with an OR=3.72 (95% CI : 1.33, 10.43), and less intake of vitamin C with an OR=0.18 (95% CI : 0.07, 0.46). In conclusion, sex, presence of chronic illness, dietary habit, and amount of $vitamin-B_1$ intake were associated with perception of health status in Yanbian Koreans. Presence of chronic illness, experience of ginseng intake, and amount of vitamin C intake were associated with perception of health status in Yanbian Chinese. To prove cause-effect relation between perception of health status and lifestyle, further study is needed for these different ethnic groups.

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A Study on the Use of the Media for Positive Perception and Attitude towards People with Mental Illness: Focusing on Depression, Obsessive-Compulsive Disorder, and Panic Disorder (정신질환자에 대한 태도와 인식 개선을 위한 대중매체 활용 방안 연구 : 우울증, 강박증, 공황장애를 중심으로)

  • Park, Jong-Ho;Lee, Hyun-Sim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.250-263
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    • 2019
  • This study aimed to improve the public perception of people with mental illness by suggesting the need for public efforts and proposing specific plans. Demographic differences in the attitudes towards mental illness, the need of public service announcements to improve public perception of mental illness, and the current and expected situation of each advertising medium were analyzed, and plans to improve the advertising were proposed. Three mental illnesses that are possible to recover from through treatment-depression, obsessive-compulsive disorder(OCD), and panic disorder-were examined primarily, and the general public residing in Seoul and the capital area were surveyed. A comparison of the respondents' attitudes towards people with mental illness showed that there were significant differences in their attitudes with respect to gender, marital status, age, and family history. On the other hand, there was no significant difference with respect to religion, monthly income, or academic background. Most of the respondents recognized that public efforts to improve the public perceptions of mental illness, i.e., efforts through the mass media, were necessary and should be intensified though television, Internet, radio, billboard, and transport advertising. Based on the above findings, this study highlights the necessity for advertising through mass media for positive public perceptions of people with mental illness and proposes plans to intensify the advertising, focusing on social, organizational, and individual levels.