• 인간행동과 음악연구
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• 제20권1호
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• pp.21-46
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• 2023

본 연구의 목적은 탈북민을 대상으로 한 음악중재 연구를 고찰하여 외상 후 성장을 중심으로 내용을 분석하는 것이다. 이를 위해 총 11편의 논문을 선정하여 탈북민 대상 음악중재의 일반적 특성, 중재 내용 및 치료적 근거를 살펴보고, 음악중재를 통한 개인의 변화와 중재목표, 측정도구·측정결과 및 발달 시기에 따른 외상 후 성장과의 관련변인을 확인하였다. 분석한 결과 음악은 안전하고 친숙한 환경을 제공하여 자발적인 참여를 촉진하였으며, 음악중재를 통하여 개인 내적인 힘을 발견하여 일상에서의 적응력이 향상되었으며, 사회·관계 영역에서 긍정적으로 변화를 경험하였으며 미래를 살아갈 자신감이 강화된 것으로 확인되었다. 본 연구는 탈북민 대상 음악중재 논문을 외상 후 성장을 중심으로 분석하여 향후 외상 경험자를 대상으로 한 음악중재의 방향을 제시한 것에 의의가 있다.

• 대한간호학회지
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• 제42권6호
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• pp.907-915
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• 2012

Purpose: A diagnosis of breast cancer is one of the most traumatic events that threatens a woman's life, but while women adapt to and overcome these threats, they not only experience negative aspects, but also growth. The purpose of this study was to identify the many factors that affect growth, and to provide fundamental information for nursing interventions, which can help the women in their growth. Methods: The participants in this study were 131 married women patients with breast cancer, who were on medical treatment in one of two university hospitals, in Seoul and Chungnam. Data were collected for posttraumatic growth, self-esteem, cancer coping questionnaire, marital intimacy, and body image. The data were analyzed using the SPSS 19.0 program (IBM). Results: Interpersonal cancer coping, intrapersonal cancer coping (planning) and self-esteem accounted for 29.0% of posttraumatic growth. Conclusion: These findings indicate that in order to help the women's growth after the trauma of breast cancer, it is necessary to enhance their self-esteem, and to develop psycho-social nursing supportive programs.

• 임상간호연구
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• 제27권1호
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• pp.1-11
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• 2021

Purpose: The purpose of this study was to identify the factors that affect the posttraumatic growth (PTG) among nurses caring for patients with COVID-19. Methods: The subjects of this study were 194 nurses working at COVID-19 designated hospital who had experience in providing direct care for patients with COVID-19. Data were collected in November 2020 using self-administered questionnaires. Results: Deliberate rumination(β=.51, p<.001), calling (β=.20, p=.001), and religion (β=.11, p=.023) were found to affect the PTG of the subjects. Conclusion: The findings of this study demonstrate that it is necessary to develop intervention programs and policies to enhance deliberate rumination and calling in order to promote PTG among nurses providing care for patients with emerging infectious diseases.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.257-268
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• 2017

본 연구의 목적은 1형 당뇨병 자녀를 둔 부모의 불안, 당뇨관련 스트레스 및 외상 후 성장의 정도에 대해 알아보고, 일반적 특성 및 질병관련 특성에 따른 차이와 각 변수의 관련성을 알아보고자 하였다. 서술적 조사 연구로 자료수집은 2016년 1월 4일부터 29일까지 1형 당뇨 인터넷 카페에서 온라인 설문으로 이루어졌고 77명이 최종 분석에 포함되었다. 측정변수는 불안, 당뇨관련 스트레스, 외상 후 성장이었다. 통계분석은 t-test, Mann-Whitney U test, Kruskal-Wallis test와 Pearson correlation coefficient로 분석하였다. 연구결과 부모가 종교가 있는 경우 외상 후 성장이 유의하게 높았고(p<.05), 자녀의 연령이 6세 미만인 경우(p<.05), 저혈당 경험이 있는 경우(p<.05)와 당화혈색소가 높은 경우(p<.05) 부모의 불안과 스트레스가 높았다. 그 외의 변수에 따라서는 유의한 차이가 없었다. 상관관계에서는 불안과 스트레스가 정적 상관관계(r=.684, p<.001), 불안과 스트레스와 외상 후 성장은 부적 상관관계(r=-.401, p<.001; r=-.327, p<.05)를 보였다. 본 연구의 결과를 통해 외상후 성장은 부정적인 정서를 감소시키는 역할을 할 수 있을 것으로 생각되며, 외상 후 성장을 도모할 수 있는 중재와 불안과 스트레스를 낮출 수 있는 중재가 필요한 것으로 판단된다.

• 대한간호학회지
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• 제53권3호
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• pp.309-323
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• 2023

Purpose: This study aimed to develop and test a model for posttraumatic growth among cured patients with COVID-19. This model was based on Calhoun and Tedeschi's Posttraumatic Growth model and a literature review. Methods: The participants comprised 223 patients cured from COVID-19 who were ≥ 19 years of age. The data were collected through an online questionnaire from March 21 to 24, 2022. The assessment tools included the Impact of Event Scale: Revised Korean version, the Connor-Davidson Resilience Scale, the Distress Disclosure Index, the Multidimensional Scale of Perceived Social Support, the Korean version of the Event-related Rumination Inventory, and the Korean version of the Post-traumatic Growth Inventory. Data were analyzed using the IBM SPSS version 24.0 and IBM AMOS 26.0. Results: The modified model showed appropriate goodness of fit (χ² = 369.90, χ² /degree of freedom = 2.09, SRMR = .09, RMESA = .07, CFI = .94, TLI = .93). The post-traumatic growth of cured patients with COVID-19 was explained through distress perception, self-disclosure, and deliberate rumination, with the explanatory power being 70.0%. Conclusion: This study suggests preparing a disaster psychology program involving experts who can activate deliberate rumination is necessary. Further, this study may serve as basic data for developing a program to enhance the post-traumatic growth of patients cured from COVID-19.

• 동서간호학연구지
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• 제27권1호
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• pp.43-50
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• 2021

Purpose: The purpose of this study was to identify the influence of depression, optimism and posttraumatic growth on health-related quality of life in female breast cancer survivors received adjuvant chemotherapy. Methods: In total, 115 female breast cancer survivors participated in this descriptive correlational study. The participants answered self-report questionnaires. Data were collected from 1 June 2020 to 10 June 2020, and were analyzed using descriptive statistics, the t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 24.0. Results: The mean age of the breast cancer survivors was 45.83 years. The mean score for the degree of health-related quality of life was 81.85 out of 148 points. Participants' scores for health-related quality of life differed significantly based on economic status (F=5.36 p=.006) and hobbies (t=-3.37, p=.001). Health-related quality of life was negatively correlated with depression (r=-.73, p<.001), and positively correlated with optimism (r=.65, p<.001) and posttraumatic growth (r=.28, p=.002). Depression (𝛽=-.55, p<.001) was the most significant factor that affects health-related quality of life, followed by optimism (𝛽=.29, p<.001), and post-traumatic growth (𝛽=.12, p=.048), which together accounted for 62.2% (F=63.61, p<.001) of the variance. Conclusion: It is necessary to develop educational programs for breast cancer survivors to reduce depression, increase optimism and post-traumatic growth, and improve the health-related quality of life. By adapting these programs, positiveness may increase and this may lead to improvement of health-related quality of life for breast cancer survivors.

• 유통과학연구
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• 제19권2호
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• pp.25-36
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• 2021

Purpose: This paper attempts to explore a Christian perspective on the process leading to growth after complex trauma caused by family violence experience. To achieve it, the article tackles the analysis of relationship between the inflictor father and victim, interpersonal relationship, and relationship with God in terms of growth after suffering from the trauma of family violence with a Christian perspective. Research design, data, and methodology: This study employed an in-depth interview as a methodology. Seven Christian adults who have experienced family violence in childhood are selected for the qualitative case study. 58 concepts, 24 low-level categories, and eight high-level categories are derived from each interview case. Results: The results of the case study show that the negative emotion caused by family violence during childhood is likely to lead to narcissistic rage. It is found that the reflection for posttraumatic growth starts with crying to God, simultaneously expressing pain and suffering. Conclusions: The interesting thing is that they are willing to forgive in the process of trauma therapy. It should be noted that the research results also demonstrate that relationship restoration entails the meaning reconstruction in the interpersonal relations.

• Journal of Hospice and Palliative Care
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• 제17권1호
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• pp.1-9
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• 2014

목적: 본 연구는 암환자 가족돌봄자의 외상 후 성장수준과 이에 관련된 인구사회학적 및 돌봄관련 특성들을 심층 분석하여 암환자 가족돌봄자의 간호중재 모색에 활용하고자 시도되었다. 방법: 연구의 대상은 부산광역시에 소재하는 두 개의 종합병원과 일개의 대학병원에서 입원 및 외래 치료를 받고 있는 201명의 암환자의 가족돌봄자이다. 외상 후 성장은 한국판 외상 후 성장 척도(Korean posttraumatic growth inventory, K-PTGI)로 측정하였다. 수집된 자료는 IBM SPSS Statistics 21 프로그램을 이용하여 서술통계, t-test, one-way ANOVA, Scheffe's test로 분석하였다. 결과: 대상자의 외상 후 성장 점수 평균은 3.10점이었다. 하위 요인별로는 자기 지각의 변화, 대인관계의 깊이 증가, 새로운 가능성의 발견, 영적 종교적 관심의 증가 순이었다. 대상자들의 인구사회학적 특성과 돌봄 관련 특성에 따른 외상 후 성장 수준의 차이는 나이, 종교, 종교생활의 중요성, 돌봄으로 인한 일상생활의 어려움 정도에 따라 차이가 있었다. 결론: 암환자에 대한 질적인 간호를 제공함에 있어 환자뿐 아니라 가족돌봄자들도 포함해야 한다. 또한 암환자 가족돌봄자가 환자의 암 투병 경험에서 궁극적인 성장에 도달할 수 있도록 자신들의 영적 종교적 신념을 유지할 수 있는 영적 간호중재 개발이 필요하다고 본다.

• 성인간호학회지
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• 제28권3호
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• pp.247-255
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• 2016

Purpose: The purpose of this study was to investigate the influencing factors on Posttraumatic Growth(PTG) in patients with colorectal cancer. Methods: Eighty patients who were diagnosed with colorectal cancer at least twelve months ago were recruited from the oncology outpatient clinic of university hospital in Y city. Participants completed four survey questionnaires: Korean versions of PTG Index, Korean versions of Cancer Coping Questionnaire, Multidimensional Scale of Perceived Social Support, and a Resilience Scale. The data were analyzed by ANOVA, Pearson-correlation coefficient, and multiple regression analysis. Results: The mean score of PTG in these patients was 51.16 indicating relatively high growth. Posttraumatic Growth had significant correlations with coping, social support, and resiliency. In addition to the variables of age and education that are found to be associated with the PTG, the PTG was significantly influenced by resilience, coping, and importance of religion. Forty-nine percent of the variations in the PTG were explained by these three variables. Conclusion: The identified factors influencing colorectal cancer related to PTG could be considered in developing nursing interventions to promote positive psychological changes in response to adversity which colorectal cancer survivors might experience.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4311-4314
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• 2012

Posttraumatic growth (PTG) is the experience of positive change that occurs as a result of the struggle with highly challenging life crises. The need to understand PTG in relation to actual changes in an individual's life has recently been raised. Little is known about the role of social support in the experience of positive outcomes. The purpose of this study is to investigate the role of perceived social support in enhancing PTG in cancer patients. This study involved 105 cancer patients. The data were collected using a questionnaire that determined the socio-demographic features, posttraumatic growth inventory (PTGI) and perceived social support. Participants reported relatively high levels of PTG and social support. Total perceived social support, support from family, and friends were significantly positive associated with the development of PTG among cancer patients. Accordingly, the social surroundings of the patient should be informed about the importance of social support and how it helps the patient; they should be made aware of necessity of social support.