• Title/Summary/Keyword: Psychosocial problem

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The Psychosocial Adjustment of Adopted Children in Non-traditional Adoption of Korea (국내 공개입양의 입양아동의 심리사회적 적응 : 입양모의 양육행동과 입양모 - 자녀 간 의사소통을 중심으로 -)

  • Park, Mee-Jung
    • Korean Journal of Social Welfare Studies
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    • v.40 no.3
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    • pp.69-98
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    • 2009
  • The purpose of this study is to examine the psychosocial adjustment level of adopted children in non-traditional adoption of Korea and to verify the variables which influence their psychosocial adjustment. Moreover, this study concentrates on the parenting style of an adoptive mother and the openness of communication between the adoptive mother and her adopted child. And, six control variables which are individual characteristics of the adopted child and his(her) adoptive mother were utilized. The participants of the this research consisted of 61 adopted children in non-traditional adoption of Korea aged six and above and their adoptive mothers of 61. Door-to-door surveys for data collection were conducted nationally from December of 2007 to February of 2008. As the results of this study, out of 6 behavior problem variables, the adopted child showed the highest points in immaturely dependence, and their social competence was verified to be good. The psychosocial adjustment of the adopted children in non-traditional adoption of Korea showed meaningful differences according to the warmhearted parenting style of the adoptive mother, the openness of adoptive mother-adoptee's communication on both general and adoption related issues, and control variables. It was also verified that the warm-heartedness and the respect for autonomy of adoptive mother's parenting style, openness of adoptive mother-adoptee's general communication, and five control variables were the important variables influencing the psychosocial adjustment of the adopted child in non-traditional adoption of Korea. Accordingly, the adoptive parents' education of parenting for adopted child should be required more professional and individual approach at the adoption practice of Korea.

An autoethnography of a nursery principal in her fifties growing up with experiences of gender discrimination -From the perspective of Erik Erikson's psychosocial development- (성차별사회에서 자란 50대 어린이집 원장의 자문화기술지 -에릭 에릭슨의 심리사회발달단계를 중심으로-)

  • Kim, Ok Gyeong;Yoon, Eun Suk
    • Journal of Convergence for Information Technology
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    • v.8 no.4
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    • pp.189-197
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    • 2018
  • This study is an autoethnography from the perspective of Erikson's psychosocial development to investigate how gender discrimination has affected the development of one person. Research materials were diaries, essays, phone interviews, and interviews. As a result, this study indicated that the wounds suffered during infancy persisted for a long time. After growing up, although it was possible to change one's ideas of gender discrimination by learning, it seemed difficult to overcome from trauma completely. Therefore, this study is meaningful to show the understanding of the development of an individual through a social problem and can be expanded to research the same subject by combining other categories.

Occupational Health Problems and Lifestyle Changes Among Novice Working-From-Home Workers Amid the COVID-19 Pandemic

  • Ekpanyaskul, Chatchai;Padungtod, Chantana
    • Safety and Health at Work
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    • v.12 no.3
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    • pp.384-389
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    • 2021
  • Background: Social distancing by working-from-home is an effective measure to decrease the spread of COVID-19. However, this new work pattern could also affect the well-being of workers. Therefore, the aim of the study was to study the magnitude of occupational health problems and lifestyle changes among workers who have only recently started working from home. Methods: A cross-sectional study was conducted using online self-administered questionnaires during the coronavirus disease 2019 pandemic in the Bangkok metropolitan area, Thailand. The participants were from any organization that allowed working from home. The demographic data including the analysis of the characteristics of working from home, the occurrence of occupational health problems, and the lifestyle changes caused by working from home were analyzed. Results: A total of 869 workers were included as study participants. The highest prevalence of physical health problems among all workers was identified to be weight gain at a rate of 40.97% (95% confidence interval = 37.69-44.24), and the highest prevalence of psychosocial problems was identified to be cabin fever at a rate of 31.28% (95% confidence interval = 26.66-35.90%) among full-time working-from-home workers. The health effects that were significantly related to the intensity of working from home (p for trends <0.05), either positively or negatively, included body weight changes, ergonomic problems, indoor environmental problems, and psychosocial problems. Meanwhile, the lifestyle changes related to work intensity included eating pattern, sleep habits, and exercise. Conclusions: Working from home can affect workers' well-being in various aspects. Hence, occupational health providers must prepare for risk prevention and health promotion in this "new normal" working life pattern and for future pandemics.

Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

  • Tuncay, Tarik
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.9
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    • pp.4005-4012
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    • 2014
  • Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

Concept Development of Resilience - Focusing on Cancer Patients - (극복력(resilience) 개념 개발 - 암 환자를 중심으로 -)

  • Hong, Sung-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.109-119
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    • 2009
  • Purpose: This study was done to develop the concept of resilience focusing on cancer patients in Korea. Methods: This study was done in three phases sugggested in the Hybrid Model; theoretical phase, fieldwork phase, and analytical phase. Eight cancer patients participated in the fieldwork phase. Results: The antecedent of the concept of resilience was the crisis or adversity that threatens life or changes the quality of life. The attributes of resilience were psychosocial, relational, situational confrontation and faith (philosophical) characteristics. 1) Psychosocial : self worth, self efficacy, self-confidence, independence, optimistic & positive mind, strong will, and responsibility, 2) Relational : relation-oriented, intimacy, and social interests, 3) Situational confrontation : appraisal of stress situation, problem-oriented coping, and ability to applicate a new situation, 4) Faith (philosophical) : the belief that self-knowledge is valuable, finding positive meanings, religious belief, a belief that lives are worthwhile and meaningful, and a balanced perspective of one's life. The consequences of resilience were acceptance of adversity, getting through one's dread and apprehensions, and gratitude & sharing life. The contributing factor of resilience is positive family support. Conclusion: The concept of resilience is necessary in order to manage cancer patients for promoting quality of life so that its application may have a positive impact on the patients care.

A Meta-Analysis of the Variables related to Agitation in Patients with Dementia (치매 환자의 초조행동 관련변인에 관한 메타분석)

  • Park, Heeok;Gang, Minsuk;Park, Eunsil
    • Korean Journal of Adult Nursing
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    • v.28 no.2
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    • pp.213-225
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    • 2016
  • Purpose: The purpose of this study was to provide basic data about agitation in patients with dementia by surveying the literature. Method: Key words used for search through hand-search and electronic database (CINHAL, Pubmed, Google scholar, Riss, Kiss, DBpia) included 'dementia', 'Alzheimer disease', 'agitation', 'aggression or aggressive behavior', 'problem or disruptive behavior', and 'abnormal behavior.' Seventeen studies met the inclusion criteria for the Meta-analysis and 'R' version 3.2.2 was used to analyze the correlated effect size. Results: Study results showed that variables related to agitation were identified as the demographic (age, gender), dementia-related (cognition, medication uses), physical (Activity of Daily Living [ADL], pain), psychological (depression, psychotic symptom, caregiver burden) and environmental (psychosocial environment) factors. The effect size between the correlated variables and agitation were low to moderate (caregiver burden .36; ADL -.24; psychotic symptom and depression .21; pain .19; cognition -.15; medication uses .12; and psychosocial environment -.12). Conclusion: Based on the findings of this study, strategies to improve patients' depressive and psychotic symptoms and ADL and to reduce caregivers' burden are needed for prevention and management of agitation in patients with dementia.

The Effect of Problem-Based Learning for Patient Safety on Self-Leadership, Patient Safety Competencies, and Reflective Thinking of Nursing Students

  • Park, Jung-Ha;Yun, Ji-Ah;Park, Kyoung-Duck
    • International journal of advanced smart convergence
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    • v.11 no.2
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    • pp.194-204
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    • 2022
  • This study is a one-group pretest-posttest design to evaluate the effect of problem-based learning (PBL) for patient safety on self-leadership, patient safety competencies, and reflective thinking of nursing students. The research was conducted from March 2 to April 15, 2022, in which 57 nursing students participated. PBL for patient safety was examined in a total of 8 sessions in the order of motivation, problem identification, task performance planning, problem-solving methods, summary and solution, presentation, and evaluation. The following topics of patient safety were selected for each team: nursing records, high-alert medication, medication error and intravenous fluid regulation, blood transfusion care, fall, bedsore, infection control, and pain management. We provided feedback on the learning process and outcomes of nursing students. According to the results, self-leadership showed a statistically significant improvement in self-expectations (t=2.60, p=0.01), goal setting (t=2.84, p<0.01), self-reward (t=3.32, p<0.01), and self-criticism (t=2.32, p=0.02). Patient safety competencies showed a statistically significant improvement in patient safety knowledge (t=13.05, p<0.001) and patient safety skills (t=4.87, p<0.001) but not in reflective thinking. The results prove that PBL for patient safety is an effective teaching-learning strategy to improve self-leadership and patient safety competencies. Future studies must develop and validate specific and long-term teaching-learning methods to improve reflective thinking.

A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns (제왕절개분만 산욕부와 신생아의 가정간호 사례분석)

  • 김혜숙;최연순;전은미
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.696-705
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    • 1994
  • This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.

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The Effects of Poverty on the Psychosocial Adjustment of Adolescents -Testing Mediator Effects of Neighborhood Environments and Parental Depression- (가족 빈곤이 청소년의 심리사회적 적응에 미치는 영향 -지역사회 환경과 부모우울의 매개효과를 중심으로-)

  • Ha, Tae-Jeong;Kang, Hyun-ah
    • Journal of the Korean Society of Child Welfare
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    • no.40
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    • pp.139-166
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    • 2012
  • The purpose of this study is to investigate the effects of poverty on the psychosocial adjustment of adolescents. Particularly, this study seeks to examine the mediating effects of neighborhood environments and parental depression. The 2008 'the Korean Youth General Survey' data were utilized. We analyzed data from 2,218 adolescents between the ages of 12 and 18 and their parents. We defined poverty as the income-to-needs ratio, and measured neighborhood environment using the degrees of neighborhoods' disorder, attachment, cohesion, and informal social control. Adolescents' externalizing and internalizing problem behaviors were used as indicators of adolescents' psycho-social adjustment. Structural equation modeling was utilized as the major analytic method. This study found that adolescents in low income families were more likely to reside in disadvantaged and dangerous neighborhoods. More importantly, the results revealed that psychosocial adjustment of the adolescents was indirectly influenced by poverty through the mediators, neighborhood environment and parental depression. Based on the results, we discussed policy and practice implications, including various interventions that may improve parental mental health and neighborhood environment of low income communities.

Factors Influencing on Quality of Life in Gynecological Cancer Patients (부인암 환자의 삶의 질 예측요인)

  • Park, Jeong-Sook;Oh, Yun-Jung
    • Korean Journal of Adult Nursing
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    • v.24 no.1
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    • pp.52-63
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    • 2012
  • Purpose: The purpose of this study was to measure the quality of life (QOL) and to identify the factors influencing QOL in gynecological cancer patients. Methods: The subjects of this study were 242 people who were receiving medical therapy or follow-up after surgery from one general hospital in Daegu. Data were collected from August 1, 2010 to January 31, 2011. A questionnaire including questions on QOL, distress score, distress problem, depression, anxiety, insomnia, perceived health status and body image were completed by the subjects. Results: The mean score of QOL was $70.68{\pm}13.40$. Religion, job, presence of spouse, level of education, household income, financial compensation, disease stage and recurrence were the significant factors related to QOL. Distress score, distress problem, depression, anxiety, insomnia, perceived health status and body image were also significant factors influencing QOL. Sixty eight percent of the variance in subjective overall QOL can be explained by body image, distress problem, distress score, anxiety, level of education and perceived health status (Cum $R^2$=0.689, F=76.316, $p$ <.001). Body image was the most important factor related to QOL. Conclusion: An integrative care program which includes general, disease-related and psychosocial characteristics of patients is essential to improve QOL in gynecological cancer patients.