• 제목/요약/키워드: Stress appraisal

검색결과 66건 처리시간 0.025초

Lazarus와 Folkman의 스트레스 평가-대처 모델에 근거한 입원 스트레스 관리 프로그램이 조현병 환자의 스트레스, 문제해결능력 및 삶의 질에 미치는 영향 (Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman)

  • 박순아;성경미
    • 대한간호학회지
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    • 제46권4호
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    • pp.583-597
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    • 2016
  • Purpose: The study was done to evaluate the effects a Stress Management Program (SMP) on stress, problem solving skills, and quality of life for hospitalized patients with Schizophrenia. Methods: A mixed method design was used: a combination of a repeated-measure design with a non-equivalent control group and qualitative data collection. The participants were 40 patients with schizophrenia admitted in three psychiatric hospitals. The experimental group (n=20) received the SMP twice a week for a total of 8 weeks. Results: Study results revealed that the SMP was effective for stress (F=321.02, p<.001), problem solving ability (F=246.28, p<.001), and quality of life (F=63.35, p<.001) for hospitalized persons with schizophrenia. Conclusion: The results suggest that a SMP can be an effective strategy to reduce patients' hospitalization stress, and improve problem solving skills and quality of life. Therefore, it is recommended that mental health nurses use this stress management program in clinical practice to assist adaptation to hospitalization for persons with schizophrenia.

청소년의 스트레스, 사회적 지지 및 충동성이 인터넷 중독에 미치는 영향 (The Effects of Stress, Social Support and Impulsiveness on Adolescents' Internet Addiction)

  • 박지은;최연희
    • 재활간호학회지
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    • 제14권2호
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    • pp.145-152
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    • 2011
  • Purpose: The study was to identify the influences of stress, social support and impulsiveness on the internet addiction of adolescents. Methods: A cross-sectional study was conducted with 243 male middle and high school students in D city. Data were collected from March to April in 2009 using self-report questionnaires such as internet addiction test, perceived stress, social support appraisal scale and Barratt impulsiveness scale. Data were analyzed using frequency, mean, Pearson's corelation coefficient, & hierarchial multiple regression. Results: The results showed that adolescents who had poor social support or higher stress and impulsiveness were more likely to have higher levels of internet addiction. The internet addiction was positively related to the stress and impulsiveness and negatively related to the social support. And education, record at school, stress, social support and impulsiveness had influence on the depression. Conclusion: Based on the findings, school nurses need to screen the risk of the internet addiction for adolescents who are in serious stress and have poor social support and impulsiveness. It is necessary to develop some preventive programs for those in high risk of internet addiction.

Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support

  • Kokoroko, Emmanuel;Sanda, Mohammed A.
    • Safety and Health at Work
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    • 제10권3호
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    • pp.341-346
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    • 2019
  • Background: Although the concept of workload is important to nursing practice, only a few nursing researchers have focused on the issue of workload within the nursing context. Knowledge of how the dynamics of workload affects the job stress of nurses working in a specific unit or department in a hospital setting, and the influence of coworker support on this relationship, still remains limited. This study, therefore examined the effect of workload on job stress of Ghanaian outpatient department nurses and the moderating effect of coworker support on this relationship. Methods: A cross-sectional survey design was used, and questionnaire was used to collect data from a sample of 216 outpatient department nurses from four major hospitals in Ghana. The data collected measured workload, job stress, and coworker support using National Aeronautics and Space Administration (NASA) Task Load Index, job stress scale, and coworker support scale, respectively. Data were analysed using descriptive statistics, correlation, and hierarchical regression. Results: High levels of workload were associated with high levels of job stress of the nurses. Also, higher levels of workload were related to higher levels of job stress for nurses who received high levels of coworker support, but this was not the case for those who received low levels of coworker support (reserve buffering effect). Conclusion: The finding reiterates the adverse effect of workloads on employees' health, and the reverse buffering effect implies that supporting a colleague at work should be conveyed in a positive manner devoid of negative appraisal.

노인장기 요양시설 종사원의 서비스 지향성 결정요인에 관한 연구 (Determinant Factors of Service Orientation for Human Resources of Long Term Care Facility)

  • 이성덕;황용철
    • 산경연구논집
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    • 제9권10호
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    • pp.39-50
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    • 2018
  • Purpose - This study is to propose discriminative management strategies to long-term care facilities based on the empirical analysis after reviewing the effects of social support, perceived by long-term care facility employees, to service orientation. Research design, data, and Methodology - The research model designed social support, job stress, organizational commitment, and service orientation. The survey collected data from 453 customers in a long-term care facility in jeju. The SPSS 18.0 package was used for analysis. Results - First, social support for long-term care facility employees has a negative(-) effect to job stress. Test results, social support factors except appraisal support had a negative impact on job stress. Second, social support has a positive(+) effect to organizational commitment. Test results, informational support, tangible support and appraisal support had significant effects on organizational commitment. However, emotional support had a positive impact on affective commitment and normative commitment. Third, social support has a positive(+) effect to service orientation. Test results had a positive impact. Fourth, job stress has a negative(-) effect to organizational commitment. In the test results, employee's continuance commitment and normative commitment had significant negative effects in job stress. However, affective commitment had no significant impact. Fifth, job stress has a negative(-) effect to service orientation. Test results showed a negative impact. Conclusions - The study implies the following. First, that there should be a change in the social perception of long-term care facilities. 'Long-Term Care Insurance for The Elderly' was enacted to emphasize this responsibility for the elderly problems as a new system. Enactment of this Act was expected to improve the quality of life of the people by stabilizing the elderly life and reducing the burden of families. Therefore, long-term care facility system should be as efficient as possible for making plans for systematic and organizational support. Second, the efforts of facility managers to minimize job stress of employees is necessary. Accordingly, performing spontaneous work is required for a comfortable working environment and management. Third, the systematic education and training to employees for service oriented behavior of the facility will be required in the long term.

암 환자 가족원의 소진 관련 변인들 간의 관계 구조 (Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients)

  • 홍민주;태영숙
    • 대한간호학회지
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    • 제43권6호
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    • pp.812-820
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    • 2013
  • Purpose: The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958). Methods: Data were collected from July 10 to September 30, 2012 through direct interviews and a self -report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout). Results: Goodness of fit in the hypothetical model was ${\chi}^2=174.07$, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout. Conclusion: The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

치위생과 학생의 감성지능 및 자아탄력성과 임상실습 스트레스와의 관련성 (Relationships among emotional intelligence, ego resilience, stress in clinical practice of dental hygiene students)

  • 강현주
    • 한국치위생학회지
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    • 제16권4호
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    • pp.625-634
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    • 2016
  • Objectives: The purpose of this study was to identify the relationship between emotional intelligence, ego resilience and stress in clinical practice of dental hygiene students. Methods: The data were analyzed by the frequency analysis, t-test, one way ANOVA, and Duncan post-hoc analysis, correlation analysis, multiple regression analysis using SPSS 21.0. The subjects were 278 dental hygiene students in a college in Gyeongsangnam-do from June 20 to 30, 2016. Results: Self-emotional appraisal $5.13{\pm}0.94$, Ego resilience $2.69{\pm}0.38$, practice education environment $3.45{\pm}0.65$ were above average. ego resilience was significantly different according to satisfaction with dental hygiene students as a grade, satisfaction in clinical practice. Stress in clinical practice was significantly different according to grade, duration of clinical practice, satisfaction with dental hygiene students as a grade, satisfaction in clinical practice, main tutor in clinical practice. Conclusions: It is necessary to develop the program that can help increase the emotional intelligence, ego resilience, and apply such program to the curricula.

막구조 정착부의 볼트접합부 막재료의 신장 및 파단상태를 통한 응력전달체계에 관한 연구 (Study on stress transition mechanism by tensile and fracture characteristics of membrane material at bolting part in clamping part of membrane Structures)

  • 김희균;심천보;김재열
    • 한국공간구조학회논문집
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    • 제23권4호
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    • pp.97-105
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    • 2023
  • The membrane structure should maintain the membrane materials in tension for structural stability guaranty. The anchoring part in the membrane structure is an important part. It has the function to introduce tension into membrane materials and function to transmit stress which membrane materials receives to boundary structure such as steel frames. In this paper, it grasps anchoring system of the anchoring part in the membrane structure concerning the fracturing characteristic condition of membrane structure, and the influence which is caused to yield it designates the stress state when breaking the membrane structure which includes the anchoring part and that stress transition mechanism is elucidated as purpose. This paper follows to previous paper, does 1 axial tensile test concerning the bolting part specimen, grasp of fracturing progress of the bolting part and the edge rope and hardness of the rubber, does the appraisal in addition with the difference of bolt tightening torque. As a result, the influence which the bolt anchoring exerts on the fracturing characteristics of the membrane material in the membrane structure anchoring part is examined.

A Study on the Creep and Autogenous Shrinkage of High Performance Concrete with Expansive Additive and Shrinkage Reducing Admixtures at Early Age

  • Park, Sun-Gyu;Noguchi, Takafumi;Kim, Moo-Han
    • International Journal of Concrete Structures and Materials
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    • 제18권2E호
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    • pp.73-77
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    • 2006
  • This paper shows a study of the efficiency of expansive additive and shrinkage reducing admixture in controlling restrained shrinkage cracking of high performance concrete at early age. Free autogenous shrinkage test of $100{\times}100{\times}400mm$ concrete specimens and simulated completely-restrained test with VRTM(variable restraint testing machine) were performed. Creep and autogenous shrinkage of high-performance concrete with and without expansive additive and shrinkage reducing admixture were investigated by experiments that provided data on free autogenous shrinkage and restrained shrinkage. The results showed that the addition of expansive additive and shrinkage reducing admixture effectively reduced autogenous shrinkage and tensile stress in the restrained conditions. Also, it was found that the shrinkage stress was relaxed by 90% in high-performance concrete with and without expansive additive and shrinkage reducing admixtures at early age.

유방암 환자의 스트레스 대응능력 증진을 위한 심리사회적중재의 효과 (The Effects of Psychosocial Interventions to Improve Stress and Coping in Patients with Breast Cancer)

  • 김조자;허혜경;강덕희;김보환
    • 대한간호학회지
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    • 제36권1호
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    • pp.169-178
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    • 2006
  • Purpose: The purpose of this study was to examine stress, coping, and immune response effects of a psychosocial intervention program based on the PNI model and Stress-Appraisal-Coping for Korean patients with breast cancer. Methods: A nonequivalent control group pretest-posttest design was used. The participants who had survived breast cancer and lived in Wonju city and the surrounding area were assigned to an intervention group (N=21) or a control group(N=18).We conducted a 12-week intervention, 2 hours a day weekly, and measured the variables at baseline, six and twelve weeks later. Dependent variables are: stress, anxiety-depression and anger, and immune response. Results: Patients in the psychosocial intervention program reported significantly less stress perception (U=31.500, p=.023), more problem solving ability and less problem avoidance in coping (U=20.500, p= .013; U=29.500, p=.040), and less anxiety-depression (U=22.000, p=.023). No difference, however, was found in anger and. immune responses between the two groups. Intervention effects were evident at week 6 and 12 for anxiety-depression, and at week 6 for problem avoidance in coping, the same time that NK cell counts and the T8 decreased. Conclusions: These results suggested positive effects of a psychosocial intervention program. However, the results are inconclusive due to the small sample.

조손가족 조부모의 양육스트레스와 우울 간 사회적 지지와 대처행동의 조절효과 (A Study on the Moderating Effects of Social Support and Stress Coping Behaviors in between Parenting Stress and Depression of Grandparents of Grandparents and Grandchildren Family)

  • 송유미;이선자
    • 한국노년학
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    • 제31권3호
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    • pp.795-811
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    • 2011
  • 최근 양육스트레스에 따른 조손가족 조부모의 우울이 높아지면서 조부모의 양육스트레스를 조절하기 위한 관심이 증가하고 있다. 이에 본 연구는 조손가족 조부모의 양육스트레스가 우울에 미치는 영향에 있어 사회적 지지와 대처행동을 조절변수로 설정하여 이들의 조절효과를 파악하고자 했다. 이를 위해 전국 조손가족 중 사회복지서비스를 제공받고 있는 조부모 369명을 대상으로 조사했고, 그 중 334명의 조사결과를 토대로 SPSS 19.0 프로그램을 활용한 위계적 회귀분석과 구조방정식모형을 이용한 다집단분석을 실시하였다. 분석결과는 다음과 같다. 첫째, 양육스트레스, 우울, 사회적 지지, 그리고 대처행동 간에 양육스트레스가 높을수록 우울이 높고, 사회적 지지가 높을수록 양육스트레스가 낮은 관계가 있었다. 또 양육스트레스가 높을수록 대처행동 중 신앙의 의지, 부정적 감정표출, 수동적 회피의 정도가 높은 관계가 있었고, 문제 재정립은 낮은 관계가 있었다. 둘째, 사회적 지지 중 정서적 지지, 정보적 지지, 물질적 지지는 양육스트레스가 우울에 미치는 영향을 조절하는 효과가 있었다. 그러나 평가적 지지는 양육스트레스가 우울에 미치는 영향을 조절하는 데는 효과가 없었다. 셋째, 대처행동 중 신앙의지, 낮은 수동적 회피는 양육스트레스가 우울에 미치는 영향을 조절하는 효과가 있었다. 그러나 문제 재정립은 양육스트레스가 우울에 미치는 영향을 조절하는 데는 효과가 없었다. 한편, 감정표출은 양육스트레스와의 상호작용에서 조절효과를 설명하는데 무의미한 결과가 나왔다. 이를 통해 조손가족 조부모의 양육스트레스와 우울 간 사회적 지지와 대처행동의 조절효과를 높일 수 있는 사회복지실천적 함의를 도출하였다.