• 제목/요약/키워드: Modified coping

검색결과 65건 처리시간 0.026초

유방암 환자의 외상 후 성장 영향 요인 (Influencing Factors for Post-traumatic Growth in Patients with Breast Cancer)

  • 최성희;이영휘
    • 한국콘텐츠학회논문지
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    • 제16권11호
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    • pp.499-509
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    • 2016
  • 본 연구는 유방암 환자의 외상 후 성장에 영향을 미치는 요인을 조사하고자 진행되었으며 자료수집은 인천광역시 내 대학병원 외래를 내원하여 유방암 진단을 받고 치료과정 중에 있는 유방암 환자 100명을 대상으로 하였다. 연구도구는 한국어판 외상 후 성장 척도(K-PTGI), 사회적지지(mMOS-SS), 유방암 자가관리에 대한 자기효능감 척도(SESSM-B)와 대처행동(CCQ) 도구를 사용하였다. 자료의 분석은 t-검정, ANOVA, Pearson 상관분석, 단계적 다중회귀분석을 하였다. 연구결과 외상 후 성장 정도는 5점만점에 평균 3.4(${\pm}0.9$)점이었다. 외상 후 성장은 사회적 지지, 유방암 자가관리에 대한 자기효능감, 대처행동과 통계적으로 유의한 양의 상관관계를 보였다. 단계적 다중회귀분석에서, 치료이행 자기효능감과 긍정적 재구조화 대처행동이 유방암환자의 외상 후 성장 영향 요인으로 나타났고, 이들 변수들의 설명력은 29%였다. 본 연구 결과를 바탕으로 유방암환자의 외상 후 성장을 향상시킬 수 있는 간호 중재 개발을 고려할 필요가 있겠다.

Approach toward footstep planning considering the walking period: Optimization-based fast footstep planning for humanoid robots

  • Lee, Woong-Ki;Kim, In-Seok;Hong, Young-Dae
    • ETRI Journal
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    • 제40권4호
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    • pp.471-482
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    • 2018
  • This paper proposes the necessity of a walking period in footstep planning and details situations in which it should be considered. An optimization-based fast footstep planner that takes the walking period into consideration is also presented. This footstep planner comprises three stages. A binary search is first used to determine the walking period. The front stride, side stride, and walking direction are then determined using the modified rapidly-exploring random tree algorithm. Finally, particle swarm optimization (PSO) is performed to ensure feasibility without departing significantly from the results determined in the two stages. The parameters determined in the previous two stages are optimized together through the PSO. Fast footstep planning is essential for coping with dynamic obstacle environments; however, optimization techniques may require a large computation time. The two stages play an important role in limiting the search space in the PSO. This framework enables fast footstep planning without compromising on the benefits of a continuous optimization approach.

초등교사는 과학 수업에서 어떠한 딜레마를 경험하고 어떻게 대응하는가? (Which Types of Dilemmas do Elementary School Teachers Experience and How do They Cope with in Science Classes?)

  • 윤혜경;한문현
    • 한국초등과학교육학회지:초등과학교육
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    • 제39권2호
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    • pp.268-283
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    • 2020
  • In this study, we aimed to look at what dilemmas of science teaching elementary school teachers experience and how they cope with their dilemmas in everyday science classes. Three elementary school teachers participated and qualitative data such as class log, class video, and interview materials were analyzed in inductive ways. The main findings are as follows. First, the dilemmas were classified based on the four factors that make up the science class; teacher, student, learning content, environment. However the dilemmas appeared to be not only one factor involved, but the rest of the factors intertwined. Thus, it was interpreted how the main factors causing the dilemmas conflicted with other factors. Second, the types of teachers' coping strategies to the dilemmas could be largely divided into 'give-up', 'stick to' and 'modified'. In some cases, teachers gave up on what they valued and did not take active action ('give-up'), teachers chose what they valued and made decisions to actively realize it ('stick to'), and in others, conflicts were adjusted by introducing new methods or elements to their classes ('modified'). Based on these results, we discussed that the teacher's dilemmas could facilitate the teacher's learning or professional development.

만성피로 환자의 증상관리 구조모형 구축 (A Structural Model for Symptom Management of the Patients with Chronic Fatigue)

  • 한금선
    • 대한간호학회지
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    • 제34권2호
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    • pp.333-343
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    • 2004
  • Purpose: This study was designed to construct a structural model for symptom management of life of the patients with chronic fatigue. The hypothetical model was developed based on the literature review and Self-regulating Model. Method: Data were collected by questionnaires from 252 patients with chronic fatigue in the 8 community from December 2002 to April 2003 in Seoul. Data analysis was done with SAS for descriptive statistics and PC-LISREL Program for Covariance structural analysis. Result: The fit of the hypothetical model to the data was moderate, thus it was modified by excluding 4 path and including free parameters and 3 path to it The modified model with path showed a good fitness to the empirical data($x^2$=318.11, p=0.0, GFI=.98, AGFI=.98, NNFI=.95, RMSR=.03, RMSEA=.05). The symptoms of stress, self-efficacy, and present fatigue level were found to have significant direct effect on symptom management of the patients with chronic fatigue. The ways of coping, perceived stress, and fatigue symptom were found to have indirect effects on symptom management of the patients with chronic fatigue. Conclusion: The derived model is considered appropriate in explaining and predicting symptom management of the patients with chronic fatigue. Therefore, it can effectively be used as a reference model for further studies and suggested direction in nursing practice.

레디믹스트 콘크리트의 품질개선(品質改善)을 위한 연구(研究) (A Study for Improving on Quality of Ready Mixed Concrete)

  • 문한영;최재진
    • 대한토목학회논문집
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    • 제3권4호
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    • pp.33-45
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    • 1983
  • 레디믹스트콘크리트가 배치 플랜트에서 출하되어 현장에서 타설을 완료 할 때까지의 운반시간이 지연되는 경우가 있으며, 이로 인하여 워커빌리티가 저하되어 적절한 조치를 취하지 않고서는 시공이 어려운 문제점이 종종 야기되고 있다. 그래서 레디믹스트콘크리트의 운반시간에 따른 품질변화를 알아보며, 저하된 워커빌리티의 개선과 아울러 소요의 품질을 유지하기 위한 수단으로 시멘트와 물 및 유동화제를 추가로 첨가하는 방법과 유동화제의 적정 첨가량을 구하기 위한 실험을 실시하였다. 그 결과 레디믹스트콘크리트에 유동화제를 첨가하여 재믹싱함으로써 품질개선에 얼마간 유효한 결과를 얻었다.

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무기질계 탄성 도막재와 자착식 고무 아스팔트 시트를 결합한 지붕구조물 비노출 방수공법에 관한 실험적 연구 (An Experimental Study about appling non-Exposure waterproofing method which combines the Cement Polymer Modified Waterproof Membrane coating and Self adhesive Rubberized Asphalt sheet to the Roof Structure.)

  • 문유석;이선규;송제영;곽규성;오상근
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2008년도 춘계 학술발표회 제20권1호
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    • pp.613-616
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    • 2008
  • 이 연구는 기존 무기질계 탄성 도막 방수재와 고무 아스팔트 시트 방수공법을 지붕구조물 적용에 있어서 나타나는 문제점들을 보완하기 위하여 두 재료를 결합한 비노출 방수공법 재료에 대한 연구이다. 이에 따라 두 재료를 결합한 방수공법의 7가지 성능평가를 실시하여 지붕구조물의 적용 특성을 확인하였다. 종합적인 연구 결과 본 복합방수공법은 지붕구조물에서 요구하는 중요한 성능인 표준 및 저온 고온 하에서의 기본적인 인장성능을 능가하고 구조물 거동에 따른 안정성 확보와 구조체와의 부착성능을 확보 함으로써 비노출 복합방수공법으로써 콘크리트 구조물에 적응가능하다고 판단된다.

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암환자 가족 중 주간호제공자의 적응모형구축 (Adaptation Model for Family Caregiver of Cancer Patient)

  • 신계영
    • 종양간호연구
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    • 제2권1호
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    • pp.5-16
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    • 2002
  • Purpose: This study was to develop a stress-adaptation model for family caregivers of cancer patients that could provide the basis of planning nursing intervention. Method: A hypothetical model was developed using the family adaptation model proposed by Haley et al. (1987). In the literature, the stressor was identified as patient's characteristics, caregiver's characteristics, duration of illness, and family life events. It affected stress appraisal, family resources, family coping and finally caregiver's adaptation. In this model, 18 paths were constructed. Data were collected from 241 caregivers, whose family members were in treatment between June and August 2000, at 3 university hospitals and were analyzed by SPSS and LISREL programs. Results: 1) The overall fitness indices of the hypothetical model were x 2=267.78 (P= .0), GFI= .92, AGFI= .87, NFI= .93, NNFI= .93, PNFI= .64, PGFI= .55, and RMR= .43. Ten of the eighteen paths proved to be significant. 2) To improve the model fitness, the hypothetical model was modified considering modification indices and the paths proved not significant. Final model excluded 3 paths demonstrated to be improved by x2=161.96 (P= .00), GFI= .95, AGFI= .91, NFI= .96, NNFI= .96, and RMR= .23. Twelve of fifteen paths proved to be significant. 3) Stress appraisal was influenced by disease related characteristics and duration of illness and was explained 22% of the variance. Family resources were influenced by stress appraisal and was explained 57% of variance. Family coping was influenced by disease related characteristics, caregiver's characteristics, duration of illness, family life event, and stress appraisal and was explained 57% of variance. Family caregiver adaptation was influenced by disease related characteristics, caregiver's characteristics, stress appraisal, and family coping and was explained 31% of variance. Twelve of fifteen paths were significant. Conclusion: Based on this study, to help family caregivers to adapt, individual intervention is necessary with consideration of disease related and caregiver's characteristics and duration of illness. The intervention should include efforts to raise the family resources and to identify positively the stress they encounter, and there is a need to establish an adaptation model that considers emotional aspects of family caregivers. Since there is a difference in emotional status depending on the disease stage, a study needs to be done to analyze the differences among the disease stages (diagnosis, treatment, recurrence, and terminal stages).

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간호대학생의 대학생활적응 모형 (Construction of the structural equation model on college adaptation in nursing students)

  • 김영선;서지영
    • Journal of the Korean Data and Information Science Society
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    • 제26권6호
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    • pp.1439-1452
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    • 2015
  • 본 연구는 간호대학생의 대학생활적응에 영향을 미치는 변수를 확인하고 구체적인 경로와 그 영향력을 규명하여 간호대학생의 대학생활적응에 대한 모형을 개발하고자 시도되었다. 구조모형에 사용된 변수로는 모애착, 자아개념, 스트레스, 임상실습스트레스, 심리적 안녕감, 대처와 대학생활 적응이었다. 연구결과 수정모형의 적합도는 ${\chi}^2=231.1$ (p <.001), ${\chi}^2/df=2.36$로 적합한 것으로 나타났으며, GFI=.91, AGFI=.86, NFI=.91, PNFI=.73 RMSEA=.07, CFI=.95로 권장수준을 만족하였다. 변수들 중 애착, 자아개념, 스트레스, 대처방식과 심리적 안녕감은 직접으로 대학생활적응에 영향을 주었다. 자아개념은 대처방식과 심리적 안녕감을, 스트레스는 심리적 안녕감을 경유하여 대학생활적응에 영향을 주었다. 또한 이들 변수는 간호대학생의 대학생활적응을 71% 설명하는 것으로 확인되었다. 따라서 간호대학생의 대학생활적응을 증진시키기 위한 방안으로 스트레스감소와 함께, 심리적 안녕감과 대처능력을 증진시킬 수 있도록 자기관리능력 및 자아성장을 추구할 수 있는 학생관리 프로그램 개발 등을 모색하는 것이 중요할 것으로 사료된다.

간호중재분류체계 (NIC)를 이용한 내외과계 중환자실 간호중재 분석 (Analysis of the Nursing Interventions done by MICU and SICU nurses using NIC)

  • 류은정;최경숙;권영미;주숙남;윤숙례;최화숙;권성복;이정희;김복자
    • 대한간호학회지
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    • 제28권2호
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    • pp.457-467
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    • 1998
  • The purpose of this research was to identify nursing interventions performed by MICU and SICU nurses. For data collection this study used the taxonomy of the Nursing Interventions Classification (NIC : 433 nursing interventions) which was modified by McCloskey and Bulecheck(1996). Each of the 433 interventions were identified as used by MICU and SICU nurses. More than 50% of the ICU nurses performed 280 nursing interventions at least monthly. Rarely used interventions included 26 nursing interventions in the childbearing care class. Overall, both MICU and SICU nurses used interventions in the Physiological : Complex domain most often on a daily basis and the interventions in the Family domain least often. The most frequently reported interventions as being used daily in the MICU were chest physiotherapy, airway suctioning and coughing enhancement and, in the SICU, documentation and airway suctioning. There were significant differences between MICU and SICU nurses in 17 nursing interventions childbearing care, cognitive therapy, communication enhancement, coping assistance, elimination management, lifespan care, health system mediation, immobility management, medication management, neurologic management, patient education, psychological comfort promotion, physical comfort promotion, respiratory management, risk management and information management. The SICU nurses performed there interventions more frequently than the MICU nurses. These findings will help in building of a standardized language for the MICU and SICU and enhance the quality of nursing care.

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청소년의 건강행위와 사회적 지지에 관한 연구 -일 지역 여고생을 중심으로- (A Study on the Correlation between Perceived Social Support and Health Behavior of Girl High School Students in All Girl Schools)

  • 이미자
    • 지역사회간호학회지
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    • 제9권2호
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    • pp.410-424
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    • 1998
  • The purpose of this study was to determine the relationship between social support and health behavior in girl high school students in all girl schools. The subjects were 190 girls in 2 Kunsan schools. The instruments used for this study were the social support scale developed by Park(1985) and the health behavior scale developed by Walker etc(1987). As modified by Lee & Han(1996). The data were analysed by correlation coefficient, regression coefficient using an SAS program. The results of this study were as follows: 1. The mean score of social support was 3.96 and the mean score of health behavior was 3.33. 2. 1) General characteristics were related to the degree of social support: personality, spending money, friend number, exercise(p<0.05). 2) General characteristics were related to the degree of health behavior: personality, spending money, friend number, exercise, stress(p<0.05). 3. The hypothesis of this study, 'The higher the degree of social support perceived by the student, the higher the degree of health behavior' was supported(r=0.5730, p=0.0001). For these subjects, there was a significant relationship between social support and the degree of health behavior. Nurses should plan interventions in promotion health behavior with social support as a significant factor in adolescents. If so, their coping ability and well- being may be promoted.

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