• Title/Summary/Keyword: Stress outcomes

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Factors Influencing Relocation Stress Syndrome in Patients Following Transfer from Intensive Care Units (중환자실 환자의 일반 병동 전실 시 스트레스 영향요인)

  • Park, Jin-Hee;Yoo, Moon-Sook;Son, Youn-Jung;Bae, Sun-Hyoung
    • Journal of Korean Academy of Nursing
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    • v.40 no.3
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    • pp.307-316
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    • 2010
  • Purpose: The purpose of this study was to identify the levels of relocation stress syndrome (RSS) and influencing the stress experienced by Intensive Care Unit (ICU) patients just after transfer to general wards. Methods: A cross-sectional study was conducted with 257 patients who transferred from the intensive care unit. Data were collected through self-report questionnaires from May to October, 2009. Data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 12.0. Results: The mean score for RSS was $17.80{\pm}9.16$. The factors predicting relocation stress syndrome were symptom experience, differences in scope and quality of care provided by ICU and ward nursing staffs, satisfaction with transfer process, length of stay in ICU and economic status, and these factors explained 40% of relocation stress syndrome (F=31.61, p<.001). Conclusion: By understanding the stress experienced by ICU patients, nurses are better able to provide psychological support and thus more holistic care to critically ill patients. Further research is needed to consider the impact of relocation stress syndrome on patients' health outcomes in the recovery trajectory.

Mid-term outcomes of bony increased offset-reverse total shoulder arthroplasty in the Asian population

  • Tankshali, Kirtan;Suh, Dong-Whan;Ji, Jong-Hun;Kim, Chang-Yeon
    • Clinics in Shoulder and Elbow
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    • v.24 no.3
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    • pp.125-134
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    • 2021
  • Background: To evaluate clinical and radiological outcomes of bony increased offset-reverse total shoulder arthroplasty (BIO-RSA) in the Asian population at mid-term follow-up. Methods: From June 2012 to August 2017 at a single center, 43 patients underwent BIO-RSA, and 38 patients with minimum 2 years follow-up were enrolled. We evaluated the clinical and radiological outcomes, and complications at the last follow-up. In addition, we divided these patients into notching and no-notching groups and compared the demographics, preoperative, and postoperative characteristics of patients. Results: Visual analogue scale, American Shoulder and Elbow Surgeons, University of California-Los Angeles Shoulder Scale, and Simple Shoulder Test scores improved significantly from preoperative (5.00, 3.93, 1.72, 3.94) to postoperative (1.72, 78.91, 28.34, 7.66) (p<0.05) outcomes. All range of motion except internal rotation improved significantly at the final follow-up (p<0.05), and the bone graft was well-incorporated with the native glenoid in all patients (100%). However, scapular notching was observed in 20 of 38 patients (53%). In the comparison between notching and no-notching groups (18 vs. 20 patients), there were no significant differences in demographics, radiological parameters, and clinical outcomes except acromion-greater tuberosity (AT) distance (p=0.003). Intraoperative complications included three metaphyseal fractures and one inferior screw malposition. Postoperative complications included ectopic ossification, scapular neck stress fracture, humeral stem relaxation, and late infection in one case each. Conclusions: BIO-RSA showed improved clinical outcomes at mid-term follow-up in Asian population. However, we observed higher scapular notching compared to the previous studies. In addition, adequate glenoid lateralization with appropriate humeral lengthening (AT distance) might reduce scapular notching.

Effects of Herbal Medicine (Gan Mai Da Zao Decoction) on Several Types of Neuropsychiatric Disorders in an Animal Model: A Systematic Review - Herbal medicine for animal studies of neuropsychiatric diseases -

  • Kim, Su Ran;Lee, Hye Won;Jun, Ji Hee;Ko, Byoung-Seob
    • Journal of Pharmacopuncture
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    • v.20 no.1
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    • pp.5-9
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    • 2017
  • Objectives: Gan Mai Da Zao (GMDZ) decoction is widely used for the treatment of various diseases of the internal organ and of the central nervous system. The aim of this study is to investigate the effects of GMDZ decoction on neuropsychiatric disorders in an animal model. Methods: We searched seven databases for randomized animal studies published until April 2015: Pubmed, four Korean databases (DBpia, Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System, and Research Information Sharing Service), and one Chinese database (China National Knowledge Infrastructure). The randomized animal studies were included if the effects of GMDZ decoction were tested on neuropsychiatric disorders. All articles were read in full and extracted predefined criteria by two independent reviewers. Results: From a total of 258 hits, six randomized controlled animal studies were included. Five studies used a Sprague Dawley rat model for acute psychological stress, post-traumatic stress disorders, and unpredictable mild stress depression whereas one study used a Kunming mouse model for prenatal depression. The results of the studies showed that GMDZ decoction improved the related outcomes. Conclusion: Regardless of the dose and concentration used, GMDZ decoction significantly improved neuropsychiatric disease-related outcomes in animal models. However, additional systematic and extensive studies should be conducted to establish a strong conclusion.

Psychological Effects on Medical Doctors from the Middle East Respiratory Syndrome (MERS) Outbreak : A Comparison of Whether They Worked at the MERS Occurred Hospital or Not, and Whether They Participated in MERS Diagnosis and Treatment (메르스(Middle East Respiratory Syndrom)의 유행이 의사의 정신건강에 미치는 영향 : 확진자 발생 병원 근무 여부, 메르스 진료 참여 여부에 따른 비교)

  • Um, Dae Hyun;Kim, Jang Sub;Lee, Hae Woo;Lee, So Hee
    • Journal of Korean Neuropsychiatric Association
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    • v.56 no.1
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    • pp.28-34
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    • 2017
  • Objectives The purpose of this study was to evaluate psychological effects of an outbreak of Middle East respiratory syndrome (MERS), a newly emerged infectious disease, on doctors. Methods After the MERS outbreak was over, we conducted an online survey of doctors who worked at the hospitals in which exposure to MERS cases had been confirmed or who were directly involved in MERS diagnosis and treatment. The Patient Health Questionnaires-9 (PHQ-9) and the Impact of Event Scale-Revised (IES-R) assessment methods were used to assess the severity of depressive and posttraumatic stress symptoms among the 64 doctors participating in the survey. Results The results of the survey indicate that 26.6% (n=17) of participants exhibited depressive symptoms and 7.8% (n=5) had post-traumatic stress symptoms. The doctors employed at hospitals with MERS cases had higher PHQ-9 and IES-R mean scores than those in doctors were not so employed. In contrast, there was no significant difference in those test scores between doctors who participated directly in MERS diagnosis and treatment and those doctors who did not. Conclusion The survey demonstrated that 28.1% (n=18) of doctors involved in MERS care suffered from depressive or posttraumatic stress symptoms, even though the MERS infection was being controlled. Working at a hospital with MERS cases was the primary determinant of the adverse psychological outcomes among doctors ; however, direct participation in the diagnosis and care of MERS patients was not significantly related to such outcomes.

Structural Modeling of Parenting Behavior of Mothers with Preschool Children (미취학 자녀를 둔 어머니의 양육행동 구조모형)

  • Yoon, Ji-Won;Cho, Hun-Ha
    • Child Health Nursing Research
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    • v.17 no.2
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    • pp.111-119
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    • 2011
  • Purpose: This study was done to build and test a theoretical model that could be used to explain and predict parenting behavior of mothers with preschool children. Methods: The participants were 298 mothers with preschool children. Data were analyzed using the SAS (Statistical Analysis System) and AMOS (Analysis of Moment Structures) programs. Results: Parenting stress showed a direct effect on parenting satisfaction. Parenting efficacy showed a direct effect on parenting behavior. Parenting stress showed an indirect effect on parenting behavior. Parenting efficacy was found to mediate the relationship between parenting stress and parenting behavior. Income and mother's perfectionism had an impact on parenting behavior. Conclusion: The outcomes of this study indicate the necessity of designing intervention programs that emphasize increasing parenting efficacy in order to increase positive parenting behavior.

Stress Corrosion Cracking Behavior of Cold Worked 316L Stainless Steel in Chloride Environment

  • Pak, Sung Joon;Ju, Heongkyu
    • Journal of Korea Foundry Society
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    • v.40 no.5
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    • pp.129-133
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    • 2020
  • The outcomes of solution annealing and stress corrosion cracking in cold-worked 316L austenitic stainless steel have been studied using x-ray diffraction (XRD) and the slow strain rate test (SSRT) technique. The good compatibility with a high-temperature water environment allows 316L austenitic stainless steel to be widely adopted as an internal structural material in light water reactors. However, stress corrosion cracking (SCC) has recently been highlighted in the stainless steels used in commercial pressurized water reactor (PWR) plants. In this paper, SCC and inter granular cracking (IGC) are discussed on the basis of solution annealing in a chloride environment. It was found that the martensitic contents of cold-worked 316L stainless steel decreased as the solution annealing time was increased at a high temperature. Moreover, mode of SCC was closely related to use of a chloride environment. The results here provide evidence of the vital role of a chloride environment during the SCC of cold-worked 316L.

Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers (재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인)

  • Kim, Nam-Hee;Tae, Young-Sook;Choi, Yooun-Sook;Bae, Joo-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.188-201
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    • 2016
  • The aim of this descriptive correlation research was to identify the factors influencing stress in caregivers of stroke patients in rehabilitation centers. The data were collected from 200 caregivers at three rehabilitation centers in B City from September 1 to 30, 2015. The data were also collected utilizing the Connor-Davidson Resilience Scale, the Caregiving Mastery Scale, the Medical Outcomes Study (MOS) Scale, and Burden Interview (BI) Scale. The data were analyzed using the SPSS Win 18.0 program. The factor with the greatest impact on stress was social support, which accounted for 9.3% of stress, followed by the duration of giving care to the patient, religious status, economic conditions, caregiver's age, resilience, caregiver's health status, patient's conscious status, and patient's age, all of which accounted for 30% of the stress for caregivers. Therefore, it is essential to develop social support programs that can reduce the stress for caregivers of patients in rehabilitation centers and to develop stress intervention programs, taking all the factors affecting stress into consideration.

The effect of job stress and organizational climate on the organizational effectiveness of hospital nurses (직무 스트레스와 조직풍토가 간호사의 조직 효과성에 미치는 영향)

  • Yee, Jung-Ae;Ko, Jong-Wook;Yom, Young-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.4
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    • pp.605-614
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    • 2002
  • Purpose : The purposes of this study is twofold: (a) to investigate the effect of job stress and organizational climate on the organizational effectiveness of hospital nurses, and (2) to examine the moderating effect of organizational climate on job stress. Method : Three organizational effectiveness variables(e .g., job satisfaction, organizational committment and group productivity) as outcomes variables were examined. The sample consisted of 602 nurses from 5 general hospitals affiliated university. Data were collected with self-administrated questionnaires and analyzed using hierarchical regression. Results : It was found that: (a) seven job stress variables(e. g., workload, role conflict, schedule, lack of knowledge, conflict with superior, conflict with other personnel and conflict with patients) have negative effect on job satisfaction and organizational committment; (b) organizational climate have positive main effects on job satisfaction and organizational committment; (c) the negative effects of job stress variables on job satisfaction and organizational committment are not moderated by organizational climate. Conclusion : Organizational climate mediates the effects of job stress on group productivity, but the size of the mediating effects was small. Various outcome variables need to be discussed further research.

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Validation of a Path Model on Adolescents' Suicidal Ideation and Violent Behavior (청소년의 자살사고.폭력행동 경로모형 분석)

  • Park, Hyun-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.835-843
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    • 2007
  • Purpose: This study examined the fitness of a path model on the relationship among stress, self-esteem, aggression, depression, suicidal ideation, and violent behavior for adolescents. Methods: The subjects consisted of 1,177 adolescents. Data was collected through self-report questionnaires. The data was analyzed by the SPSS and AMOS programs. Results: Stress, self-esteem, aggression, and depression showed a direct effect on suicidal ideation for adolescents, while stress, self-esteem, and aggression showed an indirect effect on suicidal ideation for adolescents. Stress, self-esteem, aggression, and suicidal ideation showed a direct effect on violent behavior for adolescents, while stress, self-esteem, aggression, and depression showed an indirect effect on violent behavior for adolescents. The modified path model of adolescent's suicidal ideation and violent behavior was proven correct. Conclusion: These results suggest that adolescent's suicidal ideation and violent behavior can be decreased by reducing stress, aggression, and depression and increasing self-esteem. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes reducing stress, aggression, and depression and increasing self-esteem in order to decrease adolescents' suicide ideation and violence.

The Relationship Between Employee Consultation and Workplace Stress: Evidence from the Current Literature

  • Kyungsun JI;Seong-Gon KIM
    • The Journal of Industrial Distribution & Business
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    • v.14 no.6
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    • pp.9-16
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    • 2023
  • Purpose: The relationship between employee consultations and job/workplace stress remains one of the most consequential owing to its impact on the well-being of the employees and their final output. The current study aims to look closely at the connection employee consultation and job stress, investigating the prior and present literature dataset to explore employee consultations' approaches, effects, and impacts in reducing job stress. Research design, data and methodology: The current research has conducted literature content analysis, and all collected prior studies were selected and screened thoroughly by the topic and keywords of the research. Results: The result of this study shows that meaningful consultations for workers are pertinent and essential in addressing the causes of workers' job stress, thus critical in reducing them as follows: Mitigation of Workers' Stressful Concerns, Booting Interpersonal Relationships at Work, Employees Personal Improvement, and Proper Communication Tendencies and Culture. Conclusions: All in all, this study concludes that employee consultation equally deals with positive aspects such as areas of strengths and achievements of employees. It entails discussing ways to maintain or consistently improve a worker's abilities and performance. Through the above dimensions, employee consultation reduces job stress and improves performance and outcomes.