• Title/Summary/Keyword: Psychosocial symptom

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Relationship between Psychosocial Factors and Symptom Experience in Patients with Cardiovascular Disease: Over a Six-month follow-up Period (심장질환자의 심리사회적 요인 및 증상 경험간의 관계 : 6개월 추적조사)

  • Kim Cho-Ja;Kim Gi-Yon;Roh Young-Sook;Song Eun-Kyeung;Kang Seok-Min;Yoo Myung-Sook;Son Youn-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.76-85
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    • 2006
  • Purpose: The purpose of this study was to identify the relationship between psychosocial factors and symptom experience of patients with cardiovascular disease over a 6-month follow-up period. Method: Baseline data for each of the 138 patients were collected. Eighteen patients were dropped for a final total of 120 patients in the present study. To monitor patients' symptom experience after discharge, each patient was interviewed by telephone, and interviewed directly with a questionnaire at each clinic visit. Results: Mean scores for hostility, anger, anxiety, and depression were 51.63, 22.87, 48.95, and 41.21, respectively. Mean scores for the level of symptom experience at discharge, 3 months and 6 months after discharge were 32.83, 24.79, and 26.70, respectively. There were significant differences in the level of hostility by gender, BMI, job, and monthly income. Also the differences in the level of anxiety and depression were statistically significant according to gender and existence of spouse. In the regression analysis, depression was identified as the significant factor associated with symptom experience at discharge, 3 months, and 6 months after discharge. Conclusion: This study presented baseline data to elucidate whether psychosocial factors were associated with the progression of cardiovascular diseases. Accordingly, it suggests that nurses need to take into consideration psychosocial factor as well as physiological factor in symptom management for patients with cardiovascular disease.

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A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer (초기 유방암 환자의 심리사회적 적응 구조모형)

  • Kim, Hye-Young;So, Hyang-Sook
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.105-115
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    • 2012
  • Purpose: This study was done to propose a structural model to explain and predict psychosocial adjustment in patients with early breast cancer and to test the model. The model was based on the Stress-Coping Model of Lazarus and Folkman (1984). Methods: Data were collected from February 18 to March 18, 2009. For data analysis, 198 data sets were analyzed using SPSS/WIN12 and AMOS 7.0 version. Results: Social support, uncertainty, symptom experience, and coping had statistically significant direct, indirect and total effects on psychosocial adjustment, and optimism had significant indirect and total effects on psychosocial adjustment. These variables explained 57% of total variance of the psychosocial adjustment in patients with early breast cancer. Conclusion: The results of the study indicate a need to enhance psychosocial adjustment of patients with early breast cancer by providing detailed structured information and various symptom alleviation programs to reduce perceived stresses such as uncertainty and symptom experience. They also suggest the need to establish support systems through participation of medical personnel and families in such programs, and to apply interventions strengthening coping methods to give the patients positive and optimistic beliefs.

Assessment of Job stress and Psychosocial stress level using Psychosocial health measurement tool in dental technicians (사회심리적 건강측정도구를 이용한 치과기공사의 스트레스 평가)

  • Kim, Wook-Tae;Han, Tae-Young
    • Journal of Technologic Dentistry
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    • v.31 no.3
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    • pp.67-85
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    • 2009
  • This study aims to provide the research for dental technician's stress prevention and management with basic materials by understanding dental technician's psychosocial stress level and examining relevant factors. The subject of this study is 255 dental technologists who work mainly in Seoul Gyeonggi district for a month of April of 2009 and I conducted cross-sectional study through self administered survey. The contents of survey include general feature, occupational feature, health behavior feature. I used Karasek's Job Content Questionnaire, JCQ and Psychosocial well-being index, PWI-SF as means of measurement. To compare the level of dental technician's psychosocial stress, I conducted t-test and ANOVA and I measured the factors that are related with psychosocial stress symptom with step by step multiple regressive analysis. According to the result of Cronbach's a value which is yielded to verify the reliability of means of measurement, the reliability of concept is sufficient. The detailed result of this study is as follows. 1. According to the result of analyzing the stress symptom in accordance with general feature and occupational feature, those dental technologists who are older and not married, graduate from junior college, have lower position, work at university hospital or general hospital show lower stress(p<0.05). There is no difference in the level of psychosocial stress with regard to duty related feature, period of service, daily average working hours, monthly average pay. 2. With regard to health behavior feature, those dental technologists who control weight better and have meal more regularly show lower stress(p<0.05). Those dental technicians who smoke, drink liquid and take a suitable sleep show low stress but the difference does not have significance statistically. 3. With regard to the factors of stress in the workplace, those dental technicians who have lower duty related requirement, have higher duty related control ability, have higher social support, have less instability of employment and have less workload and physical burden show lower stress(p<0.05). 4. According to the result of analyzing the factors that influence dental technologist's stress symptom, social support has the most enormous influence on stress symptom. Unstable employment, regular exercise, regular eating, daily average sleeping hours and technological capacity are also important in this order. According to the result of this study, those dental technicians who have higher social support, less instability of employment, do exercise more regularly, take enough sleep more soundly and have higher technological capacity show lower psychosocial stress symptom. Therefore, to adjust appropriately the dental technician's stress and properly maintain and improve the dental technician's mental health, effective management plan that enables dental technicians to maintain smooth human relationships for dental technicians should be sought. In addition, heath education and health management for dental technicians should be given more thoroughly so that they can establish desirable health behavior in daily life.

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Literature Review of Psychosocial Problems, Measurement Tools and Intervention Effects in Patients with Cancer (암환자의 심리사회적 기능, 측정 도구 및 중재 효과에 관한 고찰)

  • Choi, Eun-Ok
    • Journal of Korean Biological Nursing Science
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    • v.7 no.2
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    • pp.31-48
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    • 2005
  • Purpose: Studies focus on cancer control, prevention, or assessment of psychosocial problems and intervention methods. However, few studies exist concerning psychosocial problems, measuring tools for those problems, and interventions for cancer patients in Korea. One of the purposes of this study was to review studies in this area, to examine various psychosocial problems experienced by cancer patients. This is a crucial area to investigate, since psychosocial problems in turn negatively influence the patients' immune function, which speeds the progress of the disease. Another goal was to identify instruments used to measure psychosocial functioning and problems in cancer patients, to analyze their validity and reliability, with the aim to discover the best instruments. A final goal was to explore and compare the effects of psychosocial interventions, to determine the most effective practices. Method: Journal articles published since 1995 were searched from PubMed Data base, Google search engine, and published cancer-related studies, using search keywords "psychosocial function and intervention for the cancer patients"; whole articles of selected references were reviewed and analyzed. Result: Most common psychosocial problems were depression, fatigue, nausea, pain, distress, resulting in a low quality of life. The seven scales found in the literature to assess the psychosocial functioning were Center for Epidemiological Studies-Depression, State-Trait Anxiety Inventory, Symptom Checklist 90-R, Profile of Mood States, Psychosocial Adjustment to Illness Scale, Brief Symptom Inventory, and SF-36 HRQOL(Health Related Quality of Life). Social support interventions for cancer patients were effective in improving quality of life scores. Conclusion: It is necessary to apply support intervention strategies to help cancer patients in Korea. These strategies can help to reduce the effects of psychosocial symptoms, which in turn affect the development and control of cancer. Strategies developed in Western countries may need to be modified for use within Korea. Further studies are warranted to review the support intervention strategies that were being used to for cancer patients

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Predictors of Depression Trajectory among the Elderly: Using the Korean Welfare Panel Data (노년기 우울궤적의 예측요인: 한국복지패널을 이용하여)

  • Jeon, Hae-Sook;Kahng, Sang Kyoung
    • 한국노년학
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    • v.29 no.4
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    • pp.1611-1628
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    • 2009
  • It is well known that health and psychosocial factors are closely associated with depressive symptoms. Due to limitations in available data and analysis methods, however, little is known about the effects of health and psychosocial factors on depression trajectory. In order to address the limitations, this study examines the predictors of depression trajectory using latent growth curve modeling involving individuals aged 60 and over who participated in the Korean Welfare Panel Study (N=4,919). Controlling for socioeconomic variables, health and psychosocial variables were cross-sectionally associated with depressive symptoms, which is consistent with previous findings. However, the effects of health and psychosocial variables on the rate of depressive symptom change varied. Health variables were significantly associated with the levels of depressive symptoms at wave 1, but these were not significantly associated with the rate of depressive symptoms change. By contrast, although psychosocial variables were significantly associated with depressive symptoms at wave 1, the effects of psychosocial variables on the rate of depressive symptom change varied. Specifically, while self-esteem and family relationship were positively associated with the rate of depressive symptom change, social relationship was negatively associated with the rate of depressive symptom change. Based on the findings, this study discussed implications for intervention and future research.

The Impacts of Psychosocial Work Environments on Depressive Symptoms among Korean Registered Nurses (심리·사회적 근로환경이 간호사의 우울에 미치는 영향)

  • Choi, Eunsuk;Jeon, Gyeong-Suk
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.1
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    • pp.30-39
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    • 2017
  • Purpose: The aim of this study was to explore the association between psychosocial work environments and depressive symptoms among Korean registered nurses. Methods: The study population of 331 registered nurses was derived from the 2014 Korean Working Condition Survey (KWCS). Depressive symptom was assessed using the WHO-5 wellbeing index. Results: The thirty-five percentage of Korean registered nurses reported the risk for depressive symptom. Korean nurses with higher 'work-family conflict' were more likely at the risk of depression almost 1.83 (95% CI 1.04~3.20) times than their counterpart. Higher 'possibilities for development' were more likely decrease almost 60% of the risk of depressive symptom. Conclusion: Work-family conflict and possibility of development were associated with depressive symptom among Korean registered nurses. We suggest future researches identifying strategies for decreasing work-family conflict and its negative effects.

A Correlation between the Perceived Symptom of Musculoskeletal Diseases and Psychosocial Factors of Dental Professionals in C Region (C지역 치과종사자의 근골격계 질환 자각증상과 사회심리적 특성과의 관계)

  • Han, Ji-Hyoung;Kim, Jin;Nam, Soo-Hyoun;Kim, Chang-Hee
    • Journal of dental hygiene science
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    • v.10 no.4
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    • pp.279-286
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    • 2010
  • To investigate the correlation between the perceived symptom of musculoskeletal diseases and psychosocial factors in dental professionals in Chungcheong province, a self-administered survey was conducted on 206 dental professionals in Chungcheong province from March 9th, 2009 to March 28th, 2009. SPSS WIN 12.0 software was used to analyze the data and the following results were obtained. 1. As for the perceived symptom degree of musculoskeletal diseases based on measured body parts, the frequency of 'high' was the highest in all the parts of the body. 2. As for gender, females showed higher interest in musculoskeletal diseases than males (p=.000). As for age, subjects ranged 26~30 years showed the highest interest in musculoskeletal diseases, which was statistically significant (p=.000). 3. Work satisfaction showed a positive correlation with the perceived symptom of musculoskeletal diseases in lumbar group and lower extremity group. Work stress showed a weak negative correlation with the perceived symptom of musculoskeletal diseases in lumbar group and lower extremity group. Coworker satisfaction showed a positive correlations with the perceived symptom in upper extremity group and lower extremity group. Hospital satisfaction showed a positive correlations with the perceived symptom in upper extremity group, lumbar group and lower extremity group. Working environment satisfaction showed a positive correlations with the perceived symptom in neck group, shoulder group, upper extremity group and lower extremity group. This study showed a correlation between psychosocial factors and the perceived symptom of musculoskeletal diseases based on body parts. Therefore, psychosocial factors should be considered when the prevention and management program of musculoskeletal diseases are developed.

A comprehensive model for musculoskeletal disorders of hospital workers based on ergonomic risk and psychosocial factors (병원근로자의 근골격계질환에 대한 인간공학적 위험도 및 사회심리적 요인의 영향에 대한 연구 -경로분석 모델을 중심으로-)

  • Choi, Soon-Young;Son, Chang-Won;Hur, Kook-Kang;Park, Dong-Hyun
    • Proceedings of the Safety Management and Science Conference
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    • 2008.11a
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    • pp.329-341
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    • 2008
  • The psychosocial stress and musculoskeletal disorders(MSDs) have been one of major health problems for hospital workers. This study tried to understand the relationship between symptoms associated with MSDs and risk factors such as working posture, job stress, psychosocial stress and fatigue. A total number of 655 hospital workers participated in this study. Specifically, REBA was applied for evaluating working posture and a checklist prepared by KOSHA(Korean Occupational Safety and Health Agency) was used for symptom survey. A questionnaire from KOSHA was also used for collecting data associated with job stress, psychosocial stress and fatigue. All these data were formulated and modeled by path analysis which was one of major statistical tools in this study. Specifically, path analysis for the data we collected came up with several major findings. The risk scores from working posture based on REBA had indirect effects via fatigue factor(MFS) as well as direct effects on symptoms. The factors associated with job stress(KOSS) and psychosocial stress(PWI-SF) had significant effects on symptoms. Specifically, indirect effect of job stress factors via fatigue factors(MFS) had bigger than that of direct effect of job stress on symptom.

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Effect of Emotional Labor, Job and Psychosocial Stress, and Fatigue of Beauty Industry Workers on the perceived Symptoms of Musculoskeletal Diseases (미용업 종사자의 감정노동, 직무 및 사회심리적 스트레스, 피로도가 근골격계질환 관련 자각증상에 미치는 영향)

  • Lee, Hye-Young;Choi, Seo-Yeon
    • Journal of the Korea Safety Management & Science
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    • v.14 no.4
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    • pp.51-58
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    • 2012
  • This study attempted to evaluate the direct and indirect effect of emotional labor, job and psychosocial stress, and fatigue of beauty industry workers on their musculoskeletal diseases. The findings of this study showed that, among the workers with perceived symptoms of musculoskeletal diseases, the body part with the most commonly occurring symptom was the shoulder, followed by neck, low back, wrist, arm, foot and knee. As for the effect of work-related psychological factors on musculoskeletal diseases, it was found that the workers with musculoskeletal diseases were more affected by emotional labor and fatigue than non-symptom workers. It was also shown that when their job stress increased, the fatigue level also increased, though their psychosocial stress decreased. In addition, it was found that both direct and indirect effects of emotional labor on fatigue were high, and the indirect effect of job stress through fatigue on musculoskeletal diseases was significant.

Factors Related to Psychosocial Stress and Fatigue Symptom Among Nurses Working at Ward and Operating Room in University Hospitals (대학병원 병동 및 수술실 근무 간호사의 사회심리적 스트레스와 피로수준에 관련된 요인)

  • Park, An-Sook;Son, Mi-Kyung;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.4
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    • pp.1781-1791
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    • 2013
  • The present study was intended to measure the level of psychosocial stress and fatigue symptom according to the various characteristics such as sociodemographic, health-related, job-related, job stress factors, and psychosocial factors among nurses working at ward and operating room in university hospitals, and to reveal the relation between these factors and psychosocial stress and fatigue symptom. The self-administered questionnaires were given to 220 nurses working at ward, and 147 nurses working at operating room in 4 participating hospitals located in Daejeon City during the period from July 1st to Aug 31st, 2012. As a results, the factors related to the psychosocial stress of nurses working at ward were age, subjective health status, job career, satisfaction of work, fit to the job, job demand, job control, coworker support, self-esteem, locus of control, type A behavior pattern. In operating room, there were age, sleep hours, subjective health status, job career, physical burden of work, satisfaction of work, fit to the job, consider quitting the job, job demand, job control, type A behavior pattern. The factors related to the fatigue symptoms of nurses working at ward were age, leisure time, subjective health status, satisfaction of work, consider quitting the job, job demand, locus of control, type A behavior pattern. In operating room, there were age, subjective health status, physical burden of work, supervisor support, coworker support, locus of control. Based on the study results, we suggest that the factors related to psychosocial stress and fatigue symptom of nurses were different from working station. We need development and application of programs to keep under management psychosocial stress and fatigue symptom.