• 제목/요약/키워드: Process of Coping with

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만성질환아를 가진 어머니의 비통감과 이에 대응하는 정도에 관한 연구 (A study on the grief and coping pattern of mothers who have a chronically ill child)

  • 한정석;오가실
    • 대한간호
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    • 제29권4호
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    • pp.73-88
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    • 1990
  • This study was done in order to identify symptoms of grief and patterns of coping in mothers of chronically ill children. Nurses, as health professionals, must understand helpful coping methods for mothers who have chronically ill children. Based on this knowledge, nurses can develop appropriate nursing intervention strategies, and so help the mothers to develop effective ways of coping and give support to mothers with chronically ill children in process of coping with this grief. The research questions guiding this research were: 1. what type of grief does the mother have at the time of child's diagnosis and at present\ulcorner 2. what are the problems confronting the mother 3. what are the coping patterns of the mother\ulcorner 4. is there a difference according to child's diagnosis in the mother's grief and coping pattern\ulcorner The subject for this study were obtained by taking a convenience sample of 120 mothers with a chronically ill child. Interviews took place in four medical school hospitals and one medical center in Seoul from March 19th to May 16th 1990. The tools used in this study were Mcfarlan's(1983), Grief contents, Folkman & Lazarus(1983), Ways of Coping and Hymovich's (1983) the Chronicity Impact and Coping Instrument. The findings were as follows; 1. Grief items had a maximum score of three points. The highest item scrores at the time of diagnosis, were in order, heart broken, talkative, and could not do anything, at the present, 'talkative', 'heart broken' and 'busy myself with other things'. 2. The problems confronting the mothers were 'worry about ill child's future', 'her responsibilities in taking care of the ill child.' 3. Most of the mothers used similar ways of coping, that is 'problem focused coping', 'detachment', 'wishful thinking', 'seeking social support" and 'focusing on the positive and hardly any of them used 'tension reduction'. 4. There was a sinificant difference in coping methods according to the childs diagnosis, leukemia, cancer hemophillia and nephrotic syndrome. The most frequently used coping method was detachment, especially for the mother of the child with. 5. At the time of diagnosis there was a positive correlation between the level of grief and the coping method of detachment and seeking social support.

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입원 환아 가족의 대처 (Family coping of family who has a hospitalized child)

  • 탁영란;여지영;박영의
    • Child Health Nursing Research
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    • 제6권2호
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    • pp.240-248
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    • 2000
  • Nurses working with families who has a hospitalized child are aware of the complexity of the tasks and stresses they deal with new setting of environment. The challenge is to assess the family coping activity that require the most immediate intervention for the effective nursing care for child and family. This study describe the family coping inventory for the clinical guidance to identify a family coping with stressors. The purpose of this study was to look at the factors related to the family's coping activity when the child was hospitalized. The data were collected with a questionnaire between July and August, 1999, in a sample of 106 families who have hospitalized child. Family coping was assessed using Family Crisis Oriented Personal Evaluation Scale(F-COPES). Data was analyzed using correlation coefficient and analysis of variance. Positive correlation was found between social support, reframe with mobilizing the family to acquire and accept help in sub-domain of family coping. Strongest correlation existed between the family's spiritual support and total family coping. The type of diagnosis, the level of family income, religion, and child's age were significantly different in family coping. The result show that the family coping is affected by the characteristics of child and family, as well as the factors of coping activity. Therefore, early assessment of family coping skill and activity is important to the prevention of problem with function toward wholeness as a unit and child's well being. It can be used with a broad range of child's hospitalization process. It also serve as a nursing record and planning tool for documenting issues that may become priorities for future interventions.

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Experiences of Turkish Women with Breast Cancer During the Treatment Process and Facilitating Coping Factors

  • Gunusen, Neslihan Partlak;Inan, Figen Sengun;Ustun, Besti
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3143-3149
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    • 2013
  • Background: Breast cancer is the most common type of cancer among women in Turkey and around the world. Treatment adversely affects women's physical, psychological, and social conditions. The purpose of this study was to identify the experiences of Turkish women with breast cancer and the facilitating coping factors when they receive chemotherapy. Methods: A phenomenological approach was used to explain the experiences and facilitating factors of breast cancer patients during the treatment period. Data were collected through individual semi-structured interviews. The sample comprised 11 women with breast cancer receiving treatment. Results: At the end of the interviews conducted with women with breast cancer, two main themes were identified: adjustment and facilitating coping factors. The adjustment main theme had two sub-themes: strains and coping. Women with breast cancer suffer physical and psychological strains as well as stress related to social and health systems. While coping with these situations, they receive social support, turn to spirituality and make new senses of their lives. The facilitating coping factors main theme had four sub-themes: social support, disease-related factors, treatment-related factors and relationships with nurses. It has been determined that women receiving good social support, having undergone preventive breast surgery and/or getting attention and affection from nurses can cope with breast cancer more easily. Conclusions: Women with breast cancer have difficulty in all areas of their lives in the course of the disease and during the treatment process. Therefore, nurses should provide holistic care, teaching patients how to cope with the new situation and supporting them spiritually. Since family support is very important in Turkish culture, patients' relatives should be informed and supported at every stage of the treatment.

간호대학생의 의사소통 유형, 스트레스 대처가 대학생활 적응에 미치는 영향 (Influence of Communication Styles and Stress Coping on College Adaptation in Nursing Students)

  • 이난희;유소연
    • 부모자녀건강학회지
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    • 제20권2호
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    • pp.58-66
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    • 2017
  • Purpose: This study was to investigate the effects of communication styles and stress coping on college adaptation in nursing students. Methods: The data was collected by questionnaires from 180 nursing students in a university in Gyeongsan, Korea. The data were analyzed with the SPSS/Win 23.0 program, using descriptive statistics, independent t-test, and multiple logistic regression. Results: A positive correlation was found for college adaptation with a functional communication pattern such as leveling stance (r=.36, p<.001) and stress coping (r=.39, p<.001). With more using of functional communication and with higher level of active coping of stress coping, nursing students appeared to more successfully adaptation to college life. It was also found that an explanatory power for college adaptation of these factors was 29.8% (F=20.01, p<.001). Conclusion: The study results indicate that it is necessary to develop various programs that can improve effective communication and active coping of stress coping of nursing students in order to enhance the adaptation process to college life.

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일 대학병원 암환아 어머니의 스트레스와 대처 (The Stress and Coping in Mothers of Children with Cancer)

  • 김랑순;박인혜
    • 종양간호연구
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    • 제6권1호
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    • pp.66-75
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    • 2006
  • Purpose: The present study was to identify the levels of stress and coping and their relationship in mothers of children with cancer. Methods: A total of 124 mothers were recruited from a university hospital from June 1, to August 31, 2004. Parental Stress Scale developed by Miles and Carter (1983), and the Coping Behavior Patterns developed by McCubbin (1979) were used. Data were analyzed using SAS PC+ 8.0 program. Results: The mean score for the stress level in the mothers of the children with cancer was 195.6 from the range of 0-250. The mean score for the level of coping stress by the mothers of children with cancer was 121.8 from the range of 0-165. The level of coping stress was particularly high when the relationship with their husband was good, and when they felt hope for the children's health status. Conclusions: The most stressful element to the mothers of the children with cancer was the 'treatment and the nursing process for the children.' The frequently used coping methods were 'communication with other parents in the same situation' and 'consultation with the expert.'

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Experiences of Family Caregivers of Cancer Patients Receiving Chemotherapy

  • Sercekus, Pinar;Besen, Dilek Buyukkaya;Gunusen, Neslihan Partlak;Edeer, Aylin Durmaz
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권12호
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    • pp.5063-5069
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    • 2014
  • Background: Cancer is a disease which affects not only patients but also their families physically and emotionally. The purpose of this study was to determine the needs, challenges and ways of coping of caregivers of cancer patients. Materials and Methods: In the study, a phenomenological approach was used. Data were collected through semi-structured individual interviews. The study sample comprised 16 family members providing care for a cancer patient. Results: The study findings are grouped under four main themes: the impact of caregiving, masking feelings, experienced challenges and expectations, and coping. During the caregiving process, patient relatives are affected physiologically, psychologically and socially. It was determined that patient relatives hid their feelings and avoided talking about the disease for fear that they might upset the patient, and that they had difficulty in coping with the patient's reactions during the treatment process. Family members had difficulties arising from the health system, hospital conditions and treatment in addition to transportation and financial problems. Support is very important in coping, but it was determined that some of the relatives of patients did not receive adequate support. Patient relatives expect that health care professionals should provide them with more information about their patient's condition and the course of the disease that their patients should be dealt with by the physicians specialized in cancer, and that psychological support should be provided both for them and for their patient. Conclusions: During the caregiving process, family members are faced with many difficulties and they exhibit different coping behaviors which health care professionals should take into account.

예기치 않게 직위해임을 당한 간호부서장의 대처경험 (The Coping Process of Chief Executive Nurses(CENs) Who Had Experienced Unexpected Dismissal)

  • 윤순녕;서은영;김춘미
    • 한국직업건강간호학회지
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    • 제19권2호
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    • pp.140-149
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    • 2010
  • Purpose: The purpose of this study was to explore the coping process of chief Executive Nurses(CENs) Who Had Experienced Unexpected Dismissal.The research question was "would you tell me about your experience of sudden dismissal?" Method: The methodology of collecting and analyzing data used in this study followed the ground theory of Strauss and Corbin (1998). Data were collected through in-depth interviews with open-ended questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between April and May, 2007. The subjects of this study were 5 CENs. Result: The results of the study are as follows. Core category of This Study was "Battling unsupported against the overwhelming reality." The participants had to face the most unexpected reality of being laid off. Their emotional/psychological response were betrayal, powerlessness, lonesomeness, sorrow, and hopelessness. They felt like a general who is facing overwhelming enemy in a war. The coping process was found to have four stages: shocked stage, resisting stage, negotiating stage and reflecting and transcending stage. Conclusion: The result of this study suggested that ceaseless exertion and cooperation at organizational and individual levels are needed to establish stable status and power of nursing departments and CENs in hospitals.

비전문직 취업모의 역할긴장에 대한 대처행동 및 관련변수 연구 (Role Strain Coping Behaviors and Associated Variables among Non-professional Working Mothers)

  • 조은숙
    • 대한가정학회지
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    • 제36권12호
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    • pp.55-71
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    • 1998
  • The purpose of this study was to identify the characteristics of coping behaviors of non-professional working mothers and find out the individual and situational factors which affect the degree of coping behaviors. For this research, the working mothers in non-professional job with children under age 18 answered the structured questionaire. The findings were as follows. First, the degree of coping behaviors was rather high in multiple role management strategies, strengthening family system and positive thinking, but rather low in housework socialization and role reduction/standard adjustment. Second, the effect of associated variables were different according to the subcategories of coping behaviors. So we conclude that, the coping behaviors of the non-professional working mothers were different from those of professional working mothers in some aspects, althought they have much similarities. The different aspects were 1) The relationship of family income and the degree of housework socialization was more evident. 2) The work-related variables did not affect the coping process significantly because of the conservative sex-role attitued of them. Second, non-professional working mothers should use coping behaviors such as housework socialization, role reduction/standard adjustment more for the more effective management of the role strain. Third, the attitude of occupational and parental role was one of the most important factors in using the role strain coping behaviors. And such an unconscious use of the coping behavior won't be helpful in the feeling of control over environment including role strain and active coping of working mothers.

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중.노년기 여성의 배우자사망에 대한 적응:사회적 지지와 자기복합성의 중재적 효과 (The coping Process to the death Spouse among Middle and Old-Aged Widows; The Moderating Effect of Social Support and Self-Complexity)

  • 최혜경
    • 가정과삶의질연구
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    • 제16권3호
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    • pp.1-10
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    • 1998
  • The study attempts to examine the moderating effects of social support and self-complexity in coping to the death of spouse among middle and old-aged widows. The important findings from the data based on the sample of 161 widows are (1) age differentiates the types of stress experienced by widows (2) social support and self-complexity may either buffer or intensify depending on the circumstances in which widows reside in the negative effects of stress on psychological health among widows and (3) the moderating role of social support and self-complexity differs according to age of widows with older widows being more affected by these coping resources The results of the study support the assumptions drawn from Life-Course Perspective to explain the coping process to the death of spouse.

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기업 팀장이 인식하는 팀원과의 의사소통 과정 연구 (A study on communication process with team members perceived by team leader in corporation)

  • 백은정;신효정
    • 한국심리학회지 : 코칭
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    • 제5권2호
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    • pp.25-51
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    • 2021
  • 본 연구는 기업 팀장이 인식하는 팀원과의 의사소통 과정을 깊이 있게 탐색하는데 목적이 있다. 이를 위해 서울·경기 지역의 대기업, 중견 기업, 외국계 기업의 팀장 10명을 대상으로 심층면접을 진행하였고, Strauss와 Corbin이 제시한 근거이론 연구방법 절차에 따라 분석하였다. 분석 결과에 따라 총 51개의 개념과 17개의 하위범주 그리고 8개의 범주가 도출되었다. 인과적 조건으로는 '조직에 필요한 소통을 고민하고 재해석함'이 개념으로 도출되었고, 이에 따른 중심현상은 '업무대화와 사적대화 병행방식으로 의도적인 노력을 함'으로 나타났다. 맥락적 조건은 '환경변화에 대한 대처 필요성을 인식함', 중재적 조건은 '스스로 성찰하고 셀프코칭 시간을 가짐'이 도출되었다. 작용/상호작용 전략은 업무중심 대처, 갈등해결 대처, 관계증진 대처를 의사소통 과정으로 개념화되었고, 중심현상 상호작용 결과로서 '조직 내 선순환 소통을 인식함'으로 확인되었다. 팀장의 의사소통 과정분석 결과는 노력단계, 접근단계, 대처단계, 순환단계로 나타났고, 그 유형 분석 결과로써 업무중심 대처는 촉진자, 갈등해결 대처는 조력자, 관계증진 대처는 배려자로 나타났다. 본 연구는 기업 팀장이 팀원과의 관계에서 의사소통을 어떻게 인식하고 표현하는지에 대한 경험적 연구로 기업에서의 리더십 코칭과 리더 대상 상담에 차별적인 개입전략을 세우기 위한 정보를 제공하는데 의의가 있다.

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