• Women's Health Nursing
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• v.29 no.4
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• pp.302-316
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• 2023

Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy's adaptation model. Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment). Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=-.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=-. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=-.56 p=.023) indirectly affected QoL. Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.

• Korean Journal of Culture and Social Issue
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• v.20 no.1
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• pp.19-44
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• 2014

This study was conducted to investigate the types of personality of North Korean female refugees, which were extracted from the T-scores of SPFQ(scales of the Sixteen Personality Factor Questionnaire) and psychological adaptation. For this, The data of 158 North Korean female refugees located in Seoul Yangchun-Gu and Gayang-Gu was analyzed. The results were as follows. Firstly, the ratio of over 65T in ego-strength, self-control, social-boldness, anxiety scales and under 34T in abstractedness and openness to change scales was higher than in other scales. Secondly, there were statistically significant differences in personality characteristics based on the demographic variables especially age and the term of residence in South Korea. Thirdly, three distinct groups were extracted from the K-means cluster analysis. The first group was characterized with emotional-unstability and negative emotionality. And the North Korean female refugees in the second group hesitated to enter into and maintain proper relationships with south korean, while they were unlikely to accept norms and rules in South Korea. The third group, characterized by higher emotional stability, ego-strength, and agreeableness, was met normal range in all the scale of SPFQ. Finally, each three groups were showed statistically significant differences in psychological adaptation scales(self-identity and resilience). We expected that these results contributed to explore the psychological and the political plans for North Korean female refugees' settlement in South Korea.

• Journal of Families and Better Life
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• v.23 no.5 s.77
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• pp.39-51
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• 2005

This study aims at investigating the adaptation process of the mothers of autistic children. A qualitative research method was adopted for this study: in-depth interviews were conducted using semi-structured questionnaires, then the transcribed interviews were analyzed to sort out patterns of adaptation and social support. Major results of the study are as follows: First the interviewees had common processes and patterns in their experiences and went through similar emotional and psychological processes. More specifically, most of the interviewees went through the stages of denial and isolation, anger, bargaining, depression, and acceptance. However, the interviewees did not experience the stages in the exact sequence, as the stages sometimes would repeat, or would overlap one with another, Second, the data showed that many of the mothers of autistic children could not obtain the social support that they acutely needed Also, it was found that when adequate social support was provided, it relieved the stress of the interviewees, improved their adaptation, reduced the negative effects of crises or changes in the family, and further strengthened the solidarity of the family.

• Human Ecology Research
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• v.53 no.2
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• pp.179-193
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• 2015

This study examined the retirement adaptation process for middle-aged and elderly couples. Twelve couples who had experienced retirement were recruited by theoretical sampling. Data were collected through in-depth interviews and analyzed through the grounded theory approach of Strauss and Corbin (1998). This study showed the results of 124 concepts, 41 sub-categories and 17 categories indicated through an open coding process. As a paradigm in axial coding, the causal conditions in the adjustment procedures of elderly couples whose spouses are retired were 'retirement preparation,' 'retirement acceptance,' and 'marital satisfaction.' A central phenomenon was 'crisis and conflicts of twilight couples.' The contextual conditions that correspond to this phenomenon were 'psychological separation from adult children,' 'division of household labor,' and 'economic status.' The action/interaction strategies to control the phenomenon were 'recognition of marital relationships,' 'conflicts coping,' 'resolution methods,' and 'self-reflection.' The intervening conditions that facilitate action/interaction strategies were 'attitudes of husbands,' 'mutual awareness of couple,' 'health status,' and 'support systems.' The consequences were 'readaptation of marital relationships,' and 'unresolved conflicts,' and 'trying alone.' This research classified middle-aged and elderly couples' adaptation into three types such as mutual effort, separation & resignation, and conflicts vestige. The findings provide basic information to develop a retirement adaptation program for the middle-aged and elderly.

• Child Health Nursing Research
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• v.23 no.2
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• pp.238-248
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• 2017

Purpose: The main purpose of this study was to explore the adaptation experience of adolescent cancer survivors during and after cancer treatment, and their perceived social support networks. Methods: This study was a qualitative descriptive study using the in-depth interview. Eight adolescent cancer survivors who were diagnosed with cancer between 11 to 18 years old participated in the study. Results: The adaptation experiences of adolescent cancer survivors over time were identified within five categories for during their treatment such as "being catapulted from one's life," "standing at the center of discomfort," "falling behind the line," "accepting the change," "being developed", and another five categories for after the treatment including "being shackled," "encountering the forgotten reality," "overcoming and emerging from the reality," "growing into adulthood," "entering into a new orbit." Participants reported the various members of their social support network and their roles during and after the treatment as well. Conclusion: While adolescent cancer survivors adjusted to their changing situations after the cancer diagnosis, their internalized adaptation, as well as perceived social support from their diverse surrounding network, played significant roles. These findings will become a valuable asset for developing age-appropriate nursing interventions to promote psychosocial adjustment of adolescents with cancer.

• Journal of Korean Academy of Nursing
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• v.46 no.6
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• pp.858-870
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• 2016

Purpose: The purpose of the study was to explore and describe the adaptation process of older people to group homes. Methods: Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method. Results: From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was 'gradually giving up'. Causal conditions were 'good-for-nothing body', contextual conditions were 'pushed', 'beleaguered'. Intervening conditions were 'reliable pillar: children', 'having affection (情) more than having it from family: facility workers', 'comfort - like feeling at home', 'relieved: system'. Action/interaction strategies were 'facing the unfamiliar reality', 'building relationships with other people', 'accepting reality'. Consequences were 'a good place, more than expected', 'hope for the remaining days', 'waiting for a peaceful death'. Conclusion: The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.

• Child Health Nursing Research
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• v.25 no.3
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• pp.333-343
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• 2019

Purpose: This study sought to develop the Breastfeeding Adaptation Scale-Short Form (BFAS-SF) for use at 4 weeks postpartum, to test its validity and reliability, and to examine its measurement invariance. The latent mean score of the BFAS-SF across multiple groups was also compared. Methods: This methodological research study was conducted to develop a short form of the BFAS and to test its psychometric properties and measurement invariance. Data were collected twice for measurement invariance testing. The sample included 431 and 272 breastfeeding mothers at 2 weeks and 4 weeks postpartum, respectively. Results: Confirmatory factor analysis supported six dimensions of the BFAS-SF at 4 weeks postpartum. Multi-group confirmatory factor analysis revealed evidence for invariance of the BFAS-SF according to employment status, parity, delivery mode, and the postpartum period. There were statistically significant latent mean differences. Mothers who were unemployed and who had a vaginal delivery showed significantly higher scores for breastfeeding confidence, sufficient breast milk, and baby's satisfaction with breastfeeding. Conclusion: The BFAS-SF is valid, reliable, and an appropriate instrument for assessing mothers' breastfeeding adaptation. It can be used to compare mean scores according to employment status and delivery mode.

• Korean Journal of Adult Nursing
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• v.25 no.6
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• pp.725-735
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• 2013

Purpose: The purpose of this study was to investigate the levels of burden, family resilience and adaptation of caregivers of elderly patients with dementia, and further to identify factors influencing their adaptation. Methods: A cross-sectional descriptive study was designed. Data were collected from questionnaires distributed to 131 family caregivers of elderly patients who visited at the Centers for Dementia in Seoul during 2012~2013. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The average age of the care giving subjects was 63.58, and 31.3% were male, and 41.2% were the spouses. Statistically significant relationships were found between burden and adaptation (r=-.38, p<.001), and between family resilience and adaptation (r=.52, p<.001), and between burden and family resilience (r=-.35, p=.001). Thirty percent of adaptation was explained by burden and family resilience. The most influencing factor to adaptation was family resilience which explained about 27% of the variance. Conclusion: The results of the study clearly indicate that family resilience explains better than burden on adaptation of family caregivers. Thus, to develop more effective nursing intervention for family caregivers of elderly patients with dementia, it would be necessary to integrate family resilience in the programs. 27% is not that much and I wonder if we have to do more work to identify the factors that influence care giving.

• The Journal of the Korea Contents Association
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• v.17 no.5
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• pp.461-469
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• 2017

The purpose of this study was to investigate college life adaptation and loneliness of non-traditional adult learners with nursing major. A cross-sectional survey was conducted on one hundred and ten participants from selected universities in G city. A structured questionnaire which included general characteristics, a College Life Adaptation Scale and a Revised UCLA Loneliness Scale was a study instrument. Descriptive statistics, independent t-test, one-way ANOVA, and Pearson correlation coefficients were used for data analysis. The average level of college life adaptation was 44.8, while the score for loneliness was found to be 40.3. There was a significant difference in college life adaptation according to perceived health status. Loneliness showed a significant difference according to grades. A significant positive correlation was observed between college life adaptation and loneliness. In other words, the greater the loneliness, the lower the adaptation to college life. Thus, the results suggest that Korean universities should pay close attention to psychological factors such as loneliness to improve the adaptation of non-traditional adult learners with varied backgrounds to college.

• Journal of the Korean Home Economics Association
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• v.27 no.4
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• pp.167-191
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• 1989

The present study was conducted to devlop and appropriate retirement home model for the elderly in terms of clothing and textiles; nutrition, health, and foodservice; housing and environment; and psychological adaptation. Specifically, the purposes of the study were: 1) to provide basic guidelines for clothing by comparing the clothing behavior of the elderly living in the retirement home and those living in their own homes with family, 2) to provide basic guidelines for balanced diet and effective foodservice, 3) to develop an ideal life space and facilities, and 4) to assess the psychological characteristics of the elderly. Questionnaires, observation, experimental method, and survey of literature were used for the study. Clothing behavior showed that the elderly were much concerned about clothing, and they preferred comfortable as well as fashionable designs. The elderly in the retirement homes complained of a lack of quantity and variety in clothing. They preferred natural fiber rather than blended fabrics. Flame resistance, thermal insulation, and flexibility of textile fabrics were found to be prime considerations in manufacturing and selecting clothing materials for the elderly. The health status of the surveyed elderly was generally good, but some poor eating habits were observed. Dietary nutrients intakes were generally sufficient, but several nutrients intakes were insufficient. The level of equipment in the kitchens of the institutions was low. Furthermore, the employment rate of dietitians in institutional settings was extremely low. This resulted in a lack of systematic foodservice management. Residents in the institution were generally satisfied with present life space and facilities but this was mainly because of abandonment, adaptation, and past experience. Optimal allocation of residents per bedroom and an adequate design for storage, bathroom, utility room, and dining room were recommended. The comparison of psychological status of the elderly living at home was more stable than those living in an institution. The emotional state of the elderly living in the institution was characterized by loneliness; they did not have close interpersonal relationships or future plans. An appropriate model for the elderly was developed on the basis of these findings.