• 한국콘텐츠학회논문지
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• 제11권1호
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• pp.277-283
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• 2011

본 연구는 만 19세 이상의 성인 여성 374명을 대상으로 비용이 저렴하고 안전한 초음파 검사를 이용하여 자궁근종을 확인하였으며, 자궁근종이 진단된 모집단과 자궁근종이 없는 대조군을 대상으로 한국어판 스트레스 척도인 BEPSI-K(Brief Encounter Psychosocial Instrument, BEPSI-K) 설문서를 이용하여 스트레스와 자궁근종과의 상관관계를 알아보았다. 초음파 검사로 진단된 자궁근종의 유병률은 29.7%로 나타났으며, BEPSI-K 설문에 따른 스트레스와 자궁근종과의 상관관계를 교차분석한 결과, 자궁근종이 진단된 모집단이 대조군에 비하여 많은 스트레스를 받는 것으로 나타났다. 통계적 유의수준은 p<0.05로 하였다. 이는 명확한 원인이 밝혀지지 않은 현대 여성의 자궁근종 발생 요인 중 스트레스가 자궁근종의 발병 원인 중의 하나 임을 확인하였다.

• Journal of Preventive Medicine and Public Health
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• 제30권4호
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• pp.791-804
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• 1997

Irritable bowel syndrome(IBS) is one of the common health problem that has been considered as stress-induced. This study was conducted to investigate the relationship between life style and the level of stress and IBS by structured questionnaire which included questions on life style, the self-esteemed gastrointestinal symptoms, and Psychosocial Well-being Index(PWI). Subjects were 1,498 male white collars who get the regular health check and participated in survey at Inje University Health Promotion Center from January to ,December, 1996. The overall prevalence of IBS was 37.5%(561 cases), and the level of stress by PWI score was higher in IBS group$(41.8{\pm}14.2)$ than symptom-free group$(34.6{\pm}12.6)$. As the result of comparison between the two groups, heavier smoking (adjusted O.R=2.48, 95% C.I 1.81-3.41), longer daily working time (adjusted O.R=5.19, 95% C.I 3.59-7.56), stimulatory food materials-mainly hot or salty (adjusted O.R=1.87, 95% C.I 1.44-2.45), higher body mass index (adjusted O.R=1.80, 95% C.I 1.27-2.57), and higher level of stress (adjusted O.R=2.81, 95% C.I 1.80-4.43) were estimated as risk factors of IBS. On the contrary, 6-8 hours sleeping per day (adjusted O.R=0.38 95% C.I 0.21-0.70), 3-4 times exercise per week (adjusted O.R=0.57 95% C.I 0.39-0.83), and tenure more than 20 years (adjusted O.R=0.25 95% C.I 0.16-0.35) were considered as protective factors to IBS. In summary, the assessment of the stress level might be placed in the first priority to control IBS, at least by some degree, which suggested that IBS could be controlled by avoiding such risk factors and by encouraging such protective factors.

• 대한간호학회지
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• 제28권2호
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• pp.403-413
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• 1998

The Resilience is described as the personal capacity which brings psychosocial comeback. The role of nursing is to do its best to rehabilitate patients and to explore the individual in order to promote patients psychosocial change. However, as the current nursing is heavily physical nursing oriented, the identity of the nursing would be lost. Therefore this researcher reviewed if the concept of resilience can be applied to the nursing after examing the concept of resilience by Documents and Fieldwork. The methodology of this research is Hybrid Model developed by Schwartz-Barcott and Kim for the concept development and analysis. The process and procedure consist of The Theoretical Phase, The Fieldwork Phase and The Final Analytical Phase in accodance with the Hybrid Model. The followings the summary of the Research. 1. The Concept of Resilience Finally Analyzed by Documents and Fieldwork (1) The Redefinition of Resilience The resilience is the latent psychosocial capacity which minimize the negative emotion and promote the adaptation under adversity. Resilience appears as cognitive, emotional and behavioral response in the course of changing from negative response to positive response through the interaction of the individual and the enviroments in a given time. Resilience changes and decreases according to time and situation and it can be nurtured. Resilience is the higher concept including hardiness, sense of coherence and self-strength which maintain the health under stress. (2) The Attribute of Resilience The attribute of resilience was devided into psychological and social dimension. In psychological attributes, there are admittion of reality of situation, denial of negative emotion, desire to live, responsibility, confidence, courage, hope, pursuit of positive meaning, identification and pursuit of goal, self-esteem, reception, spontaneity, planning, positiveness, will power, flexibility and creativity. In social attributes, there are a sense of belonging, perception of social support and active social relations. (3) The Process of Resilience There are 4 resilience phases which were the process minimizing the possibility of the negative chain reactions under adversity, the process minimizing the negative emotion under adversity, the process gaining the desire to live and the process exposing the active social relations. 2. The Application Possibility of Resilience Concept to Nursing The resilience concept is the psychosocial capacity with which an individual manages adversity. As many nursing scientists have developed nursing theory based on this capacity and the identification of nursing has been established in this field, resilience is not the new conception in nursing. However, since resilience appears in the attributes related with the resilience process concretely, it would help a lot when nurses execute psychosocial nursing.

• 한국아동복지학
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• 제57호
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• pp.43-82
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• 2017

절대적 소득을 강조하는 물질적 관점으로 사회경제적 지위에 따른 건강 격차를 설명하는 것에 대한 한계가 지적되면서, 비교적 최근 개인의 주관적인 사회경제적 지위와 건강의 관계에 주목한 연구들이 등장하기 시작하였다. 이들 연구는 주로 성인을 대상으로 수행되었으나, 자기평가를 위한 사회적 비교를 활발히 수행하는 학령후기 아동 역시 자신의 사회경제적 지위를 주관적으로 인식할 가능성이 있다. 따라서 본 연구는 아동이 인지한 주관적 사회경제적 지위와 그들의 신체건강과의 관계는 물론, 구체적으로 어떠한 경로를 통해 영향을 미치는지를 심리사회적 관점에 기초하여 살펴보았다. 이를 위해 서울교육건강복지패널 1차 년도(2014) 자료의 초4 아동 394명 및 그들 부모의 응답에 대해 구조방정식분석을 실시하였다. 그 결과, 학령후기 아동의 주관적 사회경제적 지위가 신체건강에 직접적으로 미치는 영향은 유의미하지 않았지만, 심리사회적 관점에 근거한 매개변인인 스트레스, 자기효능감, 및 건강행동을 통해 신체건강에 간접적으로 유의미한 영향을 미침을 확인하였다. 본 연구는 이상의 연구 결과를 바탕으로, 낮은 주관적 사회경제적 지위가 심리사회적 요인에 부정적인 영향이 미침으로써 열악한 신체건강을 초래하는 것을 예방하기 위한 노력을 비롯하여, 아동기 건강증진을 위한 몇 가지 고려사항들을 제안하였다.

• 한방안이비인후피부과학회지
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• 제19권3호통권31호
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• pp.146-157
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• 2006

Objective : This study is to explore the various of the stress by perceived by paitents with Bell's palsy Methods : 50 patients who were diagnosed as Bell's palsy were sequentially interviewed and examined Results : The results were as follows 1. The mean average PWI(Psychosocial well-being index, total : score)was $41.58{\pm}17.53$ :Factor I(Social performance and self-confidence) with a mean of $11.18{\pm}8.38$, Fact II( Depression) with a mean of $8.94{\pm}6.26$, Factor III(Sleeping disturbance and anxiety) with a mean $of7.56{\pm}5.20$, Factor IV(General well-being and vatality)with a mean $of9.90{\pm}4.44$ 2. With the respect to the general characteristics of subjects, there were statistically significant differences in the patients's stress perception by sex, having an occupation and the amount of sleeping time. Conclusions : We needed the further study about the relation between stress and Bell's palsy

• 한국사회복지학
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• 제46권
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• pp.263-289
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• 2001

Many studies have shown that the parents of developmentally disabled children are adversely affected by the experience of raising a child of this type. However, the range of reactions to parenting a handicapped child is quite varied and is presumably affected by a wide variety of variables. This study examined a number of demographic and psychosocial variables to determine which particular combination could best predict the current level of stress and coping behavior of mothers. Among predictor variables, marital satisfaction and dysfunctional attitude are variables that I am particularly interested in which can mediate parental stress. Five variables are found to be related to the stress of mothers, that is, level of disability, level of needed help, marital satisfaction, type of disability, father's education level. Also variables that affect four different types of stress (which are four factors of QRS-F) are analysed and the results presented. Among these variables, some are pre-determined and some are intervenable. We should make an effort to make changes in those intervenable variables such as marital satisfaction, beliefs and attitude about disability, and level of needed help. In future research we need to search and clarify the beliefs and attitude that help mothers adjust to a life with a disabled child. Also governmental support and policy making to reduce the burden of these mothers should be accompanied as well.

• 한국보건간호학회지
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• 제5권1호
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• pp.35-52
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• 1991

The purpose of this study was to assess the degree of stress and patterns of coping for that Stressful events on family members because of the hospitalization of the patients. Stress and coping were measured with a tool on the basis of Volicer and Bell's questionnaire. In data collection, the modified 38 items of Volicer's stress scale and Bell's 18 item coping scale were administered. The subjects consisted of 259 family members of general ward-patients in Seoul National University Hospital during April in 1990. They were randomly selected on the basis of relationship of patients; patient's spouse, patient's daughters or sons. The stressors of the family members were ranked as follows; The first rank Stressful events was related to the patient's diseases and pain, the second ones was related ·to caring of their patients and family's psychosocial life. Families used long term coping method significantly more than short term ones. The results indicated that there was no difference in use of coping method between pre and post hospitalization. Finding out more about situation and optimism were the most common coping methods, and the least frequent coping method was the use of drugs. In conclusion, the identification of perceived stress and coping patterns of family members provides useful information for family nursing and aimes at better nursing care for the hospitalized in patients.

• 한국보건간호학회지
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• 제34권3호
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• pp.355-367
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• 2020

Purpose: This study aims to identify factors influencing the health-related quality of life among women merchants at traditional markets. Methods: Participants in this cross-sectional descriptive study included 121 women merchants. Data were collected from May 01 to June 30, 2019 using the patient health questionnaire-9 (PHQ-9), psychosocial well-being index-short form (PWI-SF), subjective health status, and HRQoL. Selected data were analyzed using descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression by applying the SPSS/WIN program 22.0. Results: The HRQoL was significantly different by age (F=5.87, p=.001), education (F=2.98, p=.022), working period (F=4.70, p=.004), exercise (t=2.20, p=.030), chronic disease (t=-2.57, p=.011), BMI (F=5.04, p=.008), depression (F=4.70, p=.004), stress (F=7.82, p<.001), and subjective health status (F=7.91, p=.001). Factors influencing the HRQoL for women merchants included BMI (β=-.35, p<.001), subjective health status (β=.33, p<.001), and stress (β=-.18, p=.021). The explanation power of this regression model was 29.8% (F=5.51, p<.021). Conclusion: BMI, subjective health status, and stress affect the HRQoL of the subjects evaluated. Therefore, there is a need for health management programs that may decrease stress, control the BMI, and improve the subjective health status of women merchants at traditional markets.

• Journal of Korean Biological Nursing Science
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• 제24권4호
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• pp.227-234
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• 2022

Purpose: Smoking is a way of coping with anxiety and stress. This study aimed to identify the effects of forest-thermal combined therapy on anxiety and depression in smokers who desire to quit smoking. Methods: Thirty participants were included in the study, 15 in the experimental group and 15 in the control group. Those in the experimental group participated in a three-day forest-thermal combined therapy program. The program includes forest walks, meditation and thermal therapy in the charcoal kiln. Results: Before and after the program, physiological indicators such as cortisol, heart rate variability, and serotonin anxiety level using the state-trait anxiety inventory (STAI), and stress level using the psychosocial well-being index (PWI) were measured in both groups. The differences in STAI (p=.012) and PWI (p=.006) scores between the experimental and control groups were statistically significant. However, cortisol, heart rate variability, and serotonin were not significantly different between the two groups after the program. Conclusion: These results show that forest-thermal combination therapy effectively reduces anxiety and stress in smokers. It suggests that forest-thermal therapy can potentially increase smoking cessation rates.

• 한국보건간호학회지
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• 제23권1호
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• pp.40-49
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• 2009

Purpose: To investigate the relationships among stress, depression, family function, and activities of daily living in elderly females. Methods: Using a descriptive correlation for the study design, data was collected from 134 elderly females older than 60 years of age. Result: The level of depression among the subjects was 6.04($\pm5.30$) and level of stress was 1.62($\pm.70$). The performance capacity of the activities of daily living was 17.79($\pm0.87$), and the instrumental activities of daily living was 22.33($\pm2.66$). The family function was 2.82($\pm3.47$). Depression and stress showed a positive correlation(p<.001) and had a negative correlation with family function(p=.025), as the correlation with instrumental activities of daily living was negatively related(p=.008). Stress had a positive relationship with family function(p<.001). and was negatively related to instrumental activities of daily living (p=.041). Conclusion: For health promotion of elderly females, it is critical to make an effort to establish and constantly develop a program, as well as policy for the health of the elderly considering and understanding gender differences.