• 한국조리학회지
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• 제16권4호
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• pp.206-219
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• 2010

본 연구는 외식 종사원이 지각하는 직무 스트레스의 유형을 확인하고 직무 만족과 이직 의도에 미치는 영향에 관한 연구이다. 또한, 직무 스트레스 요인이 직무 만족과 이직 의도에 영향을 미침에 있어 사회적 지원과 대처 전략의 조절 효과를 확인하는 것을 목적으로 하고 있다. 연구의 목적을 달성하기 위해 부산 지역 소재 호텔 및 뷔페 레스토랑에서 근무하고 있는 외식 종사원을 대상으로 조사가 수행되었다. 조사 결과, 외식 종사원이 지각하는 직무 스트레스 요인은 직무 환경, 대인 관계, 업무 역할, 업무 특성, 경력 개발, 개인 특성 요인 6가지 요인을 확인하였다. 직무 스트레스 요인 중 대인 관계와 경력 개발 요인이 직무만족과 이직 의도에 영향을 미치는 것으로 나타났다. 또한 사회적 지원과 대처 전략이 직무 스트레스가 직무 만족과 이직 의도에 영향을 미침에 있어 조절 효과를 확인하였다. 낮은 사회적 지원과 대처 전략을 나타낸 집단과 높게 나타난 집단의 높은 직무 만족과 낮은 이직 의도를 확인하였다.

• Journal of Hospice and Palliative Care
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• 제18권4호
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• pp.285-293
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• 2015

목적: 본 연구는 호스피스 완화의료 전문인력의 죽음에 대한 태도의 임종 돌봄 스트레스에 대한 효과를 탐구하고, 이 두 변수와 관련된 우울, 대처전략들의 변수와의 상관관계를 분석하기 위해 시도되었다. 방법: 연구 대상자는 호스피스 완화의료 전문인력 131명이며, J도를 중심으로 2개의 상급종합병원과 2개의 종합병원 암병동, 2개의 호스피스 시설, 2개의 전문요양병원 및 2개의 노인병원에서 실시되었다. 자료는 2015년 3월부터 6월에 수집되었으며, 자료 분석에는 SPSS/WIN 21.0과 AMOS 18.0 programs을 사용하였고, t-test, factor analysis, ANOVA ($Scheff{\acute{e}}$), Pearson's correlation 및 path analysis를 실시하였다. 결과: 죽음에 대한 태도는 낮았으며(2.63점), 우울 점수는 0.45점이였으나 15.0%의 대상자는 우울관리가 요구되었다. 임종 돌봄 스트레스가 높고(3.82점), 그 중 의료 한계에 대한 갈등이 가장 높았다(4.04점). 스트레스 대처는 낮았으며(3.13점), 대인관계 기피(4.03점), 간식이나 잠을 취하는 기본욕구 충족(3.65점)과 같은 소극적인 방법을 사용하였다. 죽음에 대한 태도는 임종 돌봄 스트레스에 직접적으로 부적 영향을 주었으며, 우울과 기본 욕구 충족(CS2)을 통한 간접적인 영향을 주었다. 결론: 호스피스 완화의료 전문인력들에게 죽음에 대한 태도를 향상시키고 효과적인 대처전략을 활용하게 하는 인지적 지지와 정서적 지지를 제공하는 프로그램 제공이 요구된다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1495-1504
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• 2012

Objective: Improvements in diet can decrease the cancer rates. The aim of the present study was to determine the relationships between self-perception of diet quality and personality, impulsiveness, stress, coping strategy, sense of coherence, self-efficacy, and social support. Methods: This cross-sectional study was conducted using a multiple-stratified random sampling method based on the Korea Census of 2007. In October 2009, investigators conducted 15-minute face-to-face interviews with 1,530 South Korean volunteers who ranged from 30 to 69 years of age without a history of cancer. Results: Respondents were more likely to perceive that they consumed a healthy diet if they were older than 50 years, lived with a partner, had a monthly family income greater than $4,000 USD, had a low perceived risk of cancer, consumed less alcohol, exercised regularly, had a less agreeable or conscientious personality, had low stress levels, had a high sense of coherence or self-efficacy, and had ample social support. Conclusion: Psychosocial factors, such as personality, stress, sense of coherence, self-efficacy, and social support, are associated with the self-perception of diet quality. Analysis of the factors that contribute to a perceived healthy diet could assist with the design of educational campaigns.

• Asian Pacific Journal of Cancer Prevention
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• 제14권4호
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• pp.2237-2242
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• 2013

Background: The aim of this study was to determine the impact of applied progressive muscle relaxation training on the levels of depression, anxiety and stress among prostate cancer patients. Materials and Methods: A quasi-experimental study was conducted at the University Malaya Medical Centre (UMMC) and Universiti Kebangsaan Malaysia Medical Centre (UKMMC) over six months. Prostate cancer patients from UMMC received the intervention and patients from UKMMC were taken as controls. The level of depression, anxiety and stress were measured using Depression, Anxiety Stress Scales - 21 (DASS-21). Results: A total of 77 patients from the UMMC and 78 patients from the UKMMC participated. At the end of the study, 90.9% and 87.2% of patients from the UMMC and UKMMC groups completed the study respectively. There were significant improvements in anxiety (p<0.001, partial ${\eta}^2$=0.198) and stress (p<0.001, partial ${\eta}^2$=0.103) at the end of the study in those receiving muscle training. However, there was no improvement in depression (p=0.956). Conclusions: The improvement in anxiety and stress showed the potential of APMRT in the management of prostate cancer patients. Future studies should be carried out over a longer duration to provide stronger evidence for the introduction of relaxation therapy among prostate cancer patients as a coping strategy to improve their anxiety and stress.

• 정신신체의학
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• 제3권2호
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• pp.126-138
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• 1995

For investigating a disease specific psychological mechanism in various dermatological disorders, we tried to explore the difference in correlation among stress perception, locus of control as a coping strategy, depressive symptoms and pruritic symptoms in the patients with psychological pruritis and chronic urticaria. The subjects were composed of 32 patients with psychol-ogical pruritis and 67 patients with chronic urticaria(subject group), and 25 patients with organic pruritis and 59 patient with major depression(control group). Global assesment of recent stress scale(GARS), I-E locus of control scale, Beck Depression Inventory(BDI) and medical college of wisconsin center pain follow up questionnaire were used for assesement. The results were as follows: 1) There were a significant positive correlation between stress perception and depressive symptom in patients with psychological pruritis, chronic urticaria, and major depression but not hi organic pruritis. 2) In relationship between locus of control and depressive symptom, patients with psychological pruritis, organic pruritis, and major depression except chronic ruticaria showed a significant negative correlation. 3) For intensity and pattern of pruritis, there were positive relations with depressive symptom and stress perception only in patients with chronic urticaria. Above results indicate that stress perception and locus of contorl may play a significant role in the formation of psychological and dermatological symptoms in psychological pruitis and chronic urticaria. But the mechanisms of these processes are different in either disorder.

• 대한간호학회지
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• 제37권5호
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• pp.635-644
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• 2007

Purpose: This study examined what characteristics and variables predict participation in support groups for women with breast cancer. Method: 282 women with breast cancer from 4 hospitals located in Busan were included in the study. Data was measured on each participant from September 2006 to February 2007. Data was collected using structured researcher-administered sheets and analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. Results: The clients reported medium levels of illness perception, anxiety and depression, stress with coping, social support and self-efficacy. 48.9% of women with breast cancer participated in support groups. Significant influencing factors on the participation in support groups were 'operation time(+)', 'illness perception(+)', 'social support(-)', and 'self-efficacy(+)' Those variables explained 73.4%. Conclusion: It is necessary to develop a strategy or promoting program for promotion of illness perception and self-efficacy of women with breast cancer. Thus, it is essential to provide participation to a support group to a women with breast cancer.

• 성인간호학회지
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• 제16권4호
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• pp.556-565
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• 2004

Purpose: According to Lazarus & Folkman (1984), appraising a stressor as a threat is associated with negative psychological and physical adjustment, whereas appraising a stressor as a challenge is positive psychological and physical adjustment. This study examined how cognitive appraisal of PTCA(heart disease threat and treatment appraisal) related to the cardiac risk reduction behaviors(smoking cessation, low salt and low cholesterol diet, regular exercise and stress management) 6 weeks following discharge. Method: Data were collected from 50 subjects with successful primary PTCA. Result: Heart disease threat was negative related to treatment appraisal (r=-0.240, p=0.046). Psychological well-being was negative related to heart disease threat (r=-0.317, p=0.012) and positive related to treatment appraisal(r=0.402, p=0.002). The cardiac risk reduction behaviors score was negative related to heart disease threat(r= -0.296, p=0.018) and positive related to treatment appraisal(r=-0.291, p=0.020). Conclusion: More negative appraisal was related to lower the cardiac risk reduction behaviors score. But more positive appraisal was related to higher the cardiac risk reduction behaviors score. So, there is a need to develop the cognitive-behavioral intevention that increase the coping strategy to replace with positive appraisal.

• 근관절건강학회지
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• 제21권3호
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• pp.255-264
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• 2014

Purpose: The purpose of the study were to analyze the research trends of compassion fatigue in Korea nurses and to suggest future research directions. Methods: For this study, RISS, KISTI, KISS, National Assembly Library databases were searched using the key words 'compassion fatigue', 'secondary traumatic stress', 'professional quality of life' that contains compassion fatigue as a sub-element, and 'nurses' for this study. A total of 124 articles published in June 2014 were searched and analyzed 19 articles for the final analysis. Results: The most frequently used study design was descriptive (N=17, 89.5%). High compassion fatigue was reported in this study. Factors affecting compassion fatigue were personal factors (e.g., age, health state, and sleep hours), work-related factors (e.g., experience with traumatized patients), and psychological factors (e.g., job stress, anxiety, excessive empathy, social support, and coping strategy). Finally, Consequence factors of compassion fatigue was reported burnout, silencing response and turnover intention. Conclusion: There was a few studies on compassion fatigue. Further research on compassion fatigue needs to use a variety of study designs instruments suitable for Korean nurses, and to develop management programs on compassion fatigue in nurses.

• 의학교육논단
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• 제26권2호
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• pp.140-154
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• 2024

A physician's empathy plays a crucial role in patient-centered care, and in modern medicine, patients, their caregivers, and society demand a high level of empathy from healthcare providers. The conceptualization of clinical empathy, which has emphasized cognitive empathy since the mid-20th century, has been widely accepted in medical schools and the healthcare industry without much critical ref lection. This study provides an overview of the ongoing debates on empathy versus sympathy and cognitive empathy versus affective empathy to clarify the concept of empathy. Based on recent research findings, clinical empathy is proposed to encompass three components: cognitive empathy, affective empathy, and empathic motivation. It is suggested that fully demonstrating these components requires empathic communication skills. Additionally, the cognitive characteristics of medical students and the features of the academic environment demonstrate the need for education to strengthen their empathy skills. Considering this, proposed intervention methods that medical schools can consider include utilizing tutoring programs and debriefing processes for team activities, which can facilitate problem-solving as a coping strategy for stress. Learning communities can create an environment where students can receive social support and recover from stress. Medical schools can contribute to the development of students' professional identities as practicing clinicians who embody empathy and respect by cultivating professors as positive role models. Additionally, utilizing scales to assess the empathic nature of doctor-patient communication or incorporating patients and caregivers as evaluators can actively improve empathic communication skills.

• 대한한방소아과학회지
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• 제33권4호
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• pp.74-88
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• 2019

Objectives The aim of this study is systematic evaluation of the quality of qualitative studies related to short stature. It will be utilized as fundamental data for future qualitative research about Korean Medicine Pediatrics treatment for short stature. Methods We searched qualitative studies related to short stature in the Pubmed. Two researchers independently assessed the quality of the qualitative researches by using Consolidated criteria for reporting qualitative research (COREQ) and Critical Appraisal Skills Program (CASP). We also qualitatively synthesized theme of each included studies. We presented integrated theme and categories with in vivo coding about qualitative research about short stature. Results A total of 47 papers were screened and 7 papers were finally selected. In the quality assessment using COREQ, detalied information about the researchers, methods of approach, reasons for non-participation, presence of non-participants, participant's review of the transcript, and participant's review of the findings were insufficient. In the quality evaluation using CASP, there were lack of justifications for the research methods, description method of research, and bias in process of data analysis. The findings were synthesized into three themes: fixed idea about height, discomfort caused by small stature and personal coping strategy with stress caused by short stature. Conclusions In further qualitative research, it is necessary to report the research according to COREQ and CASP checklist. It is also necessary to understand the stress and coping strategies to short stature of patients, We need to develop a social management strategy for short stature.