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The Relationship of Uncertainty, Hope and Quality of Life in Patients with Breast Cancer (유방암 환자의 불확실성, 희망 및 삶의 질과의 관계)

  • Jo Kae-Hwa;Son Bo-Kyung
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1184-1193
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    • 2004
  • Purpose: The purpose of this study was to explore the relationship of uncertainty, hope and quality of life in patients with breast cancer. Method: The subjects of the study were 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to September 30, 2003. Uncertainty was measured by the Mishel Uncertainty in Il1ness Scale (MUIS), Hope was measured by Nowotny's Hope Scale, and quality of life by Ro's Korean Quality of Life(QOL). Data was analyzed with the SPSS program by t-test, ANOVA, Spearman's rank correlation and Multiple Regression Analysis. Result: The scores of uncertainty were negatively correlated with hope and QOL(all p's<0.05). Uncertainty revealed that there was a negative correlation among subitems of hope such as confidence, relationship with others, possibility of future, and inner motivation(r=-.333, p=.000; r=-.230, p=.015; r=-.260, p=.006; r=-.291, p=.003). Uncertainty also showed a negative correlation among subitems of QOL such as emotional status, self esteem, and relationship with family(r=-.29, p=.004; r=-.326, p=.000; r=-.197, p=.044), whereas hope revealed a positive correlation among subitems of QOL such as emotional status, self esteem, relationship with neighbor, and relationship with family(r=.243, p=.011; r=.487, p=.000; r=.29, p=.001; r=.29, p=.001). The score of uncertainty was low in graduate school students and subjects using problem solving as a coping method. However, the score of hope was high in college students and subjects using a problem solving method, and the score of QOL was high in professionals. Conclusion: Based on the study results, breast cancer patients experienced living with uncertainty and maintaining hope. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve QOL of breast cancer patients.

Some Characterizations of Catenary Rotation Surfaces

  • Kim, Dong-Soo;Kim, Young Ho;Yoon, Dae Won
    • Kyungpook Mathematical Journal
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    • v.57 no.4
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    • pp.667-676
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    • 2017
  • We study the positive $C^1$ function z = f(x, y) defined on the plane ${\mathbb{R}}^2$. For a rectangular domain $[a,b]{\times}[c,d]{\subset}{\mathbb{R}}^2$, we consider the volume V and the surface area S of the graph of z = f(x, y) over the domain. We also denote by (${\bar{x}}_V,\;{\bar{y}}_V,\;{\bar{z}}_V$) and (${\bar{x}}_S,\;{\bar{y}}_S,\;{\bar{z}}_S$) the geometric centroid of the volume under the graph of z = f(x, y) and the centroid of the graph itself defined on the rectangular domain, respectively. In this paper, first we show that among nonconstant $C^2$ functions with isolated singularities, S = kV, $k{\in}{\mathbb{R}}$ characterizes the family of catenary rotation surfaces f(x, y) = k cosh(r/k), $r={\mid}(x,y){\mid}$. Next, we show that one of $({\bar{x}}_S,\;{\bar{y}}_S)=({\bar{x}}_V,\;{\bar{y}}_V)$, $({\bar{x}}_S,\;{\bar{z}}_S)=({\bar{x}}_V,\;2{\bar{z}}_V)$ and $({\bar{y}}_S,\;{\bar{z}}_S)=({\bar{y}}_V,\;2{\bar{z}}_V)$ characterizes the family of catenary rotation surfaces among nonconstant $C^2$ functions with isolated singularities.

A Study of the Factor on Behavioral Change of the Psychiatric in-patient (정신과 입원환자의 행동변화에 영향을 주는 요소에 관한 연구)

  • 이소우;김태경
    • Journal of Korean Academy of Nursing
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    • v.14 no.2
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    • pp.84-92
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    • 1984
  • This article examined relationships between selected variables, such as demographic background, care, treatment variables, environmental characteristics, and patient's daily behavior and mood change. Relationship were determined between independent variabltherapeutic-rapeutie approach, demographic data, environmental management approach-,and dependent variable-patient's daily behavioral and mood change. 35 patients selected within some criteria in a psychiatric ward, were obserbed during 5 weeks by use of Wyatt's Behavior & Mood Rating Scale ac-cording to the object of the study. At the same time, the frequence of the care and treatment were collected. Criteria for sample selection and independent variables as an influential factor to the patient behavioral change, based on a literature revienw and clinical experiences. Pearson's correlation and multiple regression analysis were used to determine the influfntial factors to the patient behavioral change. Systematic reading (r=.8324), Psychiatrist's individual interview (r=.5764), tranquilizer (r=.3441) and hospitalization processing date (r=.4143) were related with patient's behavioral change. That is these 4 variables can be said to influence to the patient's behavior and mood. A stepwise multiple regression analysis of the effect of the independent varibles of systematic reading, psychintrists individual interview, tranquilizer and hospitalization processing date on the dependent variable, patient's behavioral change was carried out. Systematic reading with on R²of. 69 revealed to be the main influential factor to the patient's behavior and mood change, as the next factor psychiatrist individual interview. A total inclusion of these factors revealed a 73% prediction for the patient's behavior and mood change. But the most influential factor was the interaction of the systematic reading and psychiatrist's individual interview.

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