• Title/Summary/Keyword: Perceived symptom

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Effects of a Stress Management Program on Perceived Stress, Depression and Somatic Symptom in the Elderly (스트레스 관리 프로그램이 노인의 지각된 스트레스, 우울 및 신체화 증상에 미치는 효과)

  • Lee, Young-Hee;Park, Chai-Soon
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.17 no.2
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    • pp.127-134
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    • 2010
  • Purpose: This study was done to identify the effects of stress management program on perceived stress, geriatric depression, and somatic symptom in elderly Korean subjects. Methods: A pre-post test design with a nonequivalent control group was used. Fifty elderly Korean subjects with mild depression were recruited from the registerants at four public senior citizen centers within S-gu in Seoul. They were randomly allotted to the experimental group(n=25) and control group(n=25). The intervention was performed for one hour each week at each center for 5 weeks. The effects were measured by Perceived Stress Scale, Geriatric Depression Scale-Korean, and Patient Health Questionnaire-15. Results: Perceived stress and depression were significantly reduced in experimental group. The somatic symptom was not significantly different in the experimental group. Conclusion: The stress management program may have merit in improving mental health of elderly Koreans, although this conclusion is equivocal pending further well-controlled studies that include mediation techniques such as conversion therapy and health gymnastics.

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The Effect of Symptom Experience and Resilience on Quality of Life in Patients with Colorectal Cancers (대장암 환자의 증상경험과 극복력이 삶의 질에 미치는 효과)

  • Choi, Kyung-Sook;Park, Jung-Ae;Lee, Joo-Hyun
    • Asian Oncology Nursing
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    • v.12 no.1
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    • pp.61-68
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    • 2012
  • Purpose: This study aimed to investigate the influence of resilience and symptom experience on quality of life. Methods: Seventy five patients in an active treatment stage were recruited from 2 hospitals between October and December 2010. A survey including perceived health status, physical functional status, the symptom experience index, resilience, and the functional assessment of cancer therapy-colorectal (FACT-C) was completed. Results: The level of FACT-C was 86.61 (${\pm}18.91$), which was higher than for patients with colostomy, but lower than for patients in a rehabilitation stage. Participants without physical functional limitations showed higher level of both resilience and quality of life. Participants with bad health status showed a lower level of both resilience and quality of life and higher level of symptom experience. The quality of life was related to the level of resilience (${\beta}$=.373), symptom experience (${\beta}$=-.292), and perceived health status (${\beta}$=-3.961). Conclusion: Proactive nursing approaches to manage symptoms and to improve perceived health status would enhance the quality of life of colorectal cancer patients. Furthermore, various strategies to strengthen the level of resilience should be developed.

Nurses' Perceptions Regarding Sign & Symptom Management in End of Life Care in Nursing Homes (노인요양시설 간호사의 임종 징후 관리에 대한 인식)

  • Lee, Se-Hyun;Chang, Sung-Ok;Kim, Mi-So
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.209-219
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    • 2010
  • Introduction: The phenomenon related to sign & symptom management for end of life of the patients is of interest to researchers in nursing society today. This study was conducted to clarify and to conceptualize the factors of sign & symptom management in end of life care though nurses' perceptions on this phenomena. Methods: The qualitative study method was used to explore the experienced nurses' perceptions related to sign & symptom management in end of life care. It included a field study carried out in South Korea using in-depth interviews with 30 experienced nurses from three nursing home facilities. Results: This study identified the following categories related to end of life care with sub-categories for each category: (1) nurses' modes in identifying the signs related to patients' end of life, (2) nurses' perceived directions on patients' end of life care, (3) nurses' perceived strategies in end of life care and (4) nurses' perceived barriers in end of life care Conclusion: Through this study, characteristics of the way nurses' provide for patients' end of life care are identified, along with how nursing decisions are made to manage the sign & symptom indicating patients' end of life.

Analysis of the Determining Factor of Depressive Symptom among the Menopausal Women in Korea (한국 폐경기 여성의 우울증 경험에 관한 관련요인 분석)

  • Kim, Hyun-Soon;Han, Sam-Sung;Yoo, Wang-Keun
    • The Korean Journal of Health Service Management
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    • v.9 no.1
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    • pp.157-168
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    • 2015
  • A majority of menopausal women experience serious depressive symptom because they are disturbed by their menstruation stop and by multiple physiological symptoms. The purpose of this study is to analyze the related factors of depressive symptom of menopausal women in Korea. A multiple regression model was used to study in association with depressive symptom, controlling for socio-economic characteristics, health status and behavior characteristics, women's health, and family support characteristics. For the data, Menopausal women were 4,680 peoples were selected for this study. PASW 18.0 was used to study in association with affecting factors of depressive symptom in the menopausal women The study shows that Education level, Marital status, Income, Employment status, Activity limitations, Perceived health status, Perceived body Image recognition, Current smoking, AUDIT, Frequency of induced abortion, Frequency of eating out, Breakfast with family, Lunch with family were associated with depressive symptom of menopausal women in Korea.

Response Characteristics of Perceived Stress Response Inventory in Patients with Upper Gastrointestinal Disorder (상부 위장관 장애 환자에서의 스트레스반응 지각척도의 반응특성)

  • Suh, Yong-Woo;Cho, In-Hee;Shin, Kwang-Chel;Chung, Yong-Kyoon
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.172-180
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    • 2000
  • Objectives : We investigated the characteristics of perceived stress response and relationship between some variables of gastrointestinal symptoms(esp., dyspepsia) and subscales of perceived stress response inventory(PSRI) in patients with upper gastointestinal disorder when they perceived stress. Methods : 84 patients with upper gastrointestinal disorder(gastritis, gastric ulcer, duodenal ulcer etc.) and 94 normal controls completed the PSRI developed by Korean psychiatrists. The patient group performed the questionnaire including some variables of gastrointestinal symptoms. Results : Internal consistency was statistically significant in all subscales of PSRI. The patient group was significantly higher at total score of PSRI, general somatic symptom subscale score, specific somatic symptom score than control group. As the result of stepwise regression analysis for relationship between some variables of gastrointestinal symptoms ans subscales of PSRI, specific somatic symptom subsclae closely related with illness duration, past illness history and severity of symptom, and the lowered cognitive function & general negative thinking subscale related with the existence of emotional distress. Conclusion : Patients with upper gastrointestinal disorder showed stronger perceived stress response than control group and they experiences somatic symptoms related to autonomic nervous system and/or gastrointestinal symtoms rather than emotional, cognitive, behavioral symtoms when they perceived stress. They also responded to stress as they expeirenced specific somatic symtom when they had long illness duration, past illness history, and high severity of symptom and the existence of emotional distress could develop lowered congnitive function and general negative thinking.

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The satisfaction and subjective symptom level by indoor air quality in dental parlor in Capital and Jeon-nam area (일부지역 치과위생사의 치과진료실 실내공기질에 대한 만족도 및 자각증상 비교)

  • Choi, Mi-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.3
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    • pp.405-417
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    • 2011
  • Objectives : A precedent research has documented that indoor air pollution is closely associated with increased the risk of symptom and decreased in job satisfaction. This study was conducted in an effort to assess the relationship of indoor air quality to self-perceived symptom and satisfied with working environment. Methods : This research is based on self-filling survey which 393 dental hygienists who work in seoul and Jeon-nam area participated on October 2010 through January 2011. This survey was compared and analyzed about the level of satisfaction and subjective symptom by the indoor air quality that dental office's working environment. Results : The result of satisfaction degree of hospital working environment was pretty low about office air. Most people mentioned that they were sore and dull all over the back, shoulder, and neck. Also, they were drowsy and exhausted in work place. Conclusions : In conclusion, it is need to improve their quality of life and mental health by developing proper air conditioning system and using one in their work place.

Symptom Experience and Related Factors in Patients with Angina Pectoris (협심증 환자의 증상경험과 관련요인에 관한 연구)

  • Woo, Soo-Hee;Eom, Ae-Yong;Oh, Eui-Geum
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.3
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    • pp.447-456
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    • 2006
  • Purpose: This study was done to examine symptom experiences and related factors in angina patients. Method: The participants were 92 patients admitted to C university hospital between October and December 2004. The tools used were a questionnaire on symptom experience related to angina developed by Gensini(Coronary Angiographic Gensini Score). Global Assessment of Recent Stress Scale and a tool measuring performance of health behavior. Results: The mean score for symptom experience was relatively low (M=27.65, SD=18.44) as was the score for coronary severity (Gensini score) was 16.30 point (SD=18.04). The mean score for perceived stress was moderate (M=30.16, SD=12.26). Compliance was relatively good in these patients with angina (M=61.55, SD=7.60). Analysis of the correlation of symptom experience showed a statistically significant positive relationship with perceived stress (r=.410, p=.000). There was significant negative relationship (r=-.251, p=.016) between symptom experience and compliance. In the regression analysis, symptom experience was found to be significantly influenced by stress ($R^2$=.168, p=.000), age ($R^2$=.057, p=.002), and economic status ($R^2$=.061, p=.007). These variables explained 26.2% of the variance in symptom experience. Conclusion: The results of this study provide evidence that symptoms of angina can present not only as chest pain itself but also with fatigue, shortness of breath, and sleep disturbance as the most common symptoms.

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Effect of College Students' Perceived Stress, Cognitive Response to Stress, and Somatization on Heart Rate Variability (대학생의 지각된 스트레스, 인지적 스트레스, 신체화가 심박변이도에 미치는 영향)

  • Park, Keum Suk;Yoon, Hea Min
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.178-187
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    • 2019
  • Purpose: The purpose of this study was to investigate how college students' perceived stress, cognitive stress, and somatization affect their heart rate variability (HRV). Methods: This study is a cross-sectional survey research on 191 university students, registered at the G University. The perceived stress scale (PSS) and cognitive stress response scale, were used to assess level of stress. The somatization symptom scale of the Symptom Check List 90 (SCL-90), was used to assess level of somatization caused by stress. To assess heart rate variability (HRV), we conducted a five-minute test using a pulse wave analyzer, to analyze short-term HRV. Results: The SCL-90 somatization score had relatively high positive correlation (p< .001) with cognitive stress, but low positive correlation (p< .001) with perceived stress. Cognitive stress response had low negative correlation (p< .001) with 1nSDNN and 1nRMSSD among HRV parameters. Perceived stress was not correlated with HRV. Multiple regression analysis showed that variables of perceived stress, cognitive stress, and somatization symptoms, could not explain HRV. By contrast, one of the HRV indicators, 1nSDNN, was affected by age, gender, and aggressive-hostile thought, the latter being a subscale of the cognitive stress response scale. Conclusion: This study suggests that stress evaluation for people in early adulthood will be more effective, if the evaluation examines cognitive stress and heart rate variability.

Effects of Dental Hygienists Job Stress on Somatization in an Area

  • Kim, Mi-Jeong;Kim, Hyeon-Sun;Lim, Cha-Young
    • Journal of dental hygiene science
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    • v.20 no.1
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    • pp.59-66
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    • 2020
  • Background: This study aims to analyze the job stress of dental hygienists and the factors affecting somatization and to provide basic data for effectively managing job stress and somatization of dental hygienists. Methods: In this study, the data collected from 208 dental hygienists working in Jeollabuk-do Province were analyzed. Job stress was investigated using a questionnaire with 43 questions. In addition, the degree of somatization was evaluated through a simplified psychotherapy examination (Symptom Check List-90-Revision). Results: Age, employment history, position, average monthly income, night duty execution status, and perceived health status were significantly associated with job stress (p<0.05). The job stress sub-items scores based on general characteristics showed significance in 'workload' for those working a five-day workweek and perceived health status (p<0.05). Age, average monthly income, and perceived health status were noted in 'role conflict as a professional'. In 'lack of expertise and skill', it was noted that age, employment history, position, income, and night clinic were implemented. In 'improper treatment and interpersonal issues', level of education and perceived health status were significant (p<0.05). The higher the job stress, the higher the somatization symptom score (p<0.05), and the higher the job stress component, the higher the somatization symptom score (p<0.01). Conclusion: The job stress of dental hygienists should be reduced, and the symptoms of somatization should be mitigated. To improve the quality of medical services and the work efficiency of dental hygienists, proper treatment and compensation systems should be implemented for them to take pride as professional. Further, programs and regulations on mitigating job stress and somatization symptoms should be developed.

Determenants of Health Promotion Behaviors in the Clients of Health-Promoting Center (건강증진센터 내원자의 건강증진행위)

  • Jung, Mi Sook;So, Hee Young
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.1
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    • pp.42-55
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    • 1999
  • The purposes of this study were to understand health-promoting behavior of client visiting health-promoting center, to identify the major subscales affecting performance in health promoting behavior to facilitate nursing intervention for health promoting of this population and to test Pender's Health Promotion Model. The subjects for this study were 177 sampled among clients from health-promoting center in General Hospital at Teajon. Data was collected by self-reported questionnaires from February 11 to May 22, 1998. Analysis of the data was done by frequency, t-test, ANOVA, Pearson Correlation Coefficient, Stepwise multiple regrssion using SPSS-PC. The results of the study were summarized as follows : 1. The mean score of performance in the health-promoting behavior was 109.22 and range was 71 to 170. The subscale of the highest mean score was self-actualization(30.77) and the subscale of the lowest mean score was exercise(10.50). 2. The most important variable in the health promoting behavior was the perceived self-efficacy. The perceived self-efficacy explained 15.8% of the variance in health promoting behavior. The combination of perceived self-efficacy, perceived barriers, religion, perceived benefits, perceived symptom, and age explained 43.5% of the variance in health promoting behavior. 3. In the relationships between individual characteristics and experience and health promoting behavior, age, religion, the significant differences in the subscale of the health promoting behavior ; sex, educational state, previous occupation, monthly income, marrital state, perceived symptom, and visiting plan of health-promoting center. 4. The health promoting behavior was statistically significant correlated with perceived benefits, perceived barriers, affect related to action, and perceived self-efficacy.

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