• Title/Summary/Keyword: Stress outcomes

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A study on the Mediating Effect of Stress Coping Strategies in the Relationship between Emotional Empathy and Smartphone Addiction of University Students (대학생의 정서적 공감, 스트레스 대처방식, 스마트폰 중독의 구조모형 연구: 스트레스 대처방식의 매개효과를 중심으로)

  • Lee, Yu-Ri;Park, Jeong-Sook
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.323-329
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    • 2018
  • This study aimed to investigate the mediating effects of stress coping strategies in the relationship between emotional empathy and smartphone addiction. To get the results, a survey was conducted, targeting university students. Key outcomes of the analysis were as follows. First, it was verified that emotional empathy and smartphone addiction, stress coping strategies and smartphone addiction had statistically meaningful direct relationships. Second, it was analyzed that stress coping strategies had partial mediating effects in the relationship between emotional empathy and smartphone addiction. Third, difference analysis according to gender, female students showed higher smartphone addiction and lower active stress coping strategy in comparison with male students. Based in these results, comprehensive interventions for preventing smartphone addiction were proposed.

Efficacy and Safety of Incontinence Surgery According to the Surgeon's Specialty and Performance of a Preoperative Urodynamic Study

  • Choi, Jin Bong;Han, Kyung-Do;Ha, U-Syn;Hong, Sung-Hoo
    • International Neurourology Journal
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    • v.22 no.4
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    • pp.305-312
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    • 2018
  • Purpose: The aim of this study was to analyze the efficacy and to estimate the complication rate of incontinence surgery according to the surgeon's specialty and whether a preoperative urodynamic study (UDS) was performed, using a nationally representative dataset. Methods: We enrolled 356,155 women over 20 years old who had undergone surgery for stress urinary incontinence between 2006 and 2015. Patients were followed for up to 3 years to analyze the reoperation and complication rates. Data were obtained from the National Health Claims Database of the National Health Insurance Service (NHIS) of Korea. Multiple Cox regression analysis was conducted to examine the efficacy and safety of incontinence surgery according to the surgeon's specialty and whether a preoperative UDS was performed. Results: The hazard ratio (HR) for reoperation was significantly higher for procedures performed by nonurologists than for procedures performed by urologists (HR, 1.174; 95% confidence interval [CI], 1.103-1.249). Acute urinary retention, postoperative infections, procedure-associated pain, and other complications were also more common in procedures performed by nonurologists than in those performed by urologists. When stratified by whether a preoperative UDS was performed, the HR for reoperation according to the surgeon's specialty varied by performance of a preoperative UDS. While the reoperation rate was significantly higher in procedures performed by non-urologists when a preoperative UDS was performed (HR, 1.208; 95% CI, 1.122-1.3), there was no significant difference in the HRs for reoperation according to specialty when a preoperative UDS was not performed. Conclusions: This population-based study showed that the postoperative outcomes of incontinence surgery were dependent upon the surgeon's specialty and that the reoperation rate according to the surgeon's specialty varied based on whether a preoperative UDS was performed.

The Outcomes of an e-Wellness Program for Lupus Patients in Thailand: A Participatory Action Research Approach

  • Nop T. Ratanasiripong;Steven Cahill;Christine Crane;Paul Ratanasiripong
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.2
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    • pp.154-163
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    • 2023
  • Objectives: Systemic lupus erythematosus (SLE) or lupus patients usually experience various physical and psychological challenges. Since the coronavirus disease 2019 pandemic, these challenges have become even harsher. Using the participatory action research approach, this study evaluated how an e-wellness program (eWP) impacted SLE-related knowledge and health behaviors, mental health, and quality of life among lupus patients in Thailand. Methods: A 1-group, pretest-posttest design study was conducted among a purposive sample of lupus patients who were members of Thai SLE Foundation. The 2 main intervention components were: (1) online social support, and (2) lifestyle and stress management workshops. Sixty-eight participants completed all the study requirements, including the Physical and Psychosocial Health Assessment questionnaire. Results: After being in the eWP for 3 months, participants' mean score for SLE-related knowledge increased significantly (t=5.3, p<0.001). The increase in sleep hours was statistically significant (Z=-3.1, p<0.01), with the percentage of participants who slept less than 7 hours decreasing from 52.9% to 29.0%. The percentage of participants reporting sun exposure decreased from 17.7% to 8.8%. The participants also reported significantly lower stress (t(66)=-4.4, p<0.001) and anxiety (t(67)=-2.9, p=0.005). The post-eWP quality of life scores for the pain, planning, intimate relationship, burden to others, emotional health, and fatigue domains also improved significantly (p<0.05). Conclusions: The overall outcomes showed promising results of improved self-care knowledge, health behaviors, mental health status, and quality of life. It is recommended that the SLE Foundation continues to use the eWP model to help the lupus patient community.

Improvement of Seismic Performance Evaluation Method for Concrete Dam Pier by Applying Maximum Credible Earthquake(MCE) (가능최대지진(MCE)을 적용한 콘크리트 댐 피어부 내진성능평가 방안 개선)

  • Jeong-Keun Oh;Yeong-Seok Jeong;Min-Ho Kwon
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.27 no.6
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    • pp.1-12
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    • 2023
  • This paper assesses the suitability of existing standards for plastic material models and performance level evaluation methods in seismic performance evaluations of concrete dam piers during Maximum Credible Earthquakes (MCE). Dynamic plastic analysis was conducted to examine the applicability of the plastic material model under various conditions. As a result reveal that when the minimum reinforcement ratio is not met, the average stress-average strain method recommended in current dam seismic performance evaluation guidelines tends to underestimate pier responses compared to the predicted outcomes of dynamic elastic analysis. Consequently, the paper proposes an improvement plan that treats dam piers with an insufficient minimum reinforcement ratio as unreinforced and integrates fracture energy into concrete tensile behavior characteristics for performance level evaluation. Implementing these improvements can lead to more conservative evaluation outcomes compared to current seismic performance evaluation methods.

Family Stress, Perceived Social Support, and Coping in Family who has a Developmentally Disabled Child (발달장애아동가족의 가족스트레스, 인지적 사회 지지와 가족 적응)

  • Tak Young Ran;Lee Hee Young
    • Child Health Nursing Research
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    • v.3 no.1
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    • pp.42-51
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    • 1997
  • Although a family-centered approach to health care for developmentally disabled children has been advocated, existing systems of care have not adequately addressed the support needs of the family system and the essential role that parents play in the daily care of these children. The overall purpose of this research is to examine family system adaptation to the care of a developmetally disabled child using the Resiliency Model of Family Stress, Adjustement, and Adaptation Framework. Relationships among family system demands (stressors, strains, transitions, child's illness factors) and family system strengths and capabilities(resource of social support) were examined to determine their separate and combined contribution to explanining the variability in family system outcomes (family system coping ). The subject for this study was 46 families who have a child with developmental disabilities(mental retardation and / or autism) from three special educational programs in Seoul, Korea. Results from correlation and hierachial regression analysis revealed that perceived social support operated as a resiliency factor between family stress and coping. Child and family characteristics appeared to be important predictors of perceived social support and coping. In summary, there is evidence that the resource of social support as a family strength and capability was found to improve the family coping. These findings also must be viewed within the context that sample of families of children with disabilities was relatively small and eligible families from support group of special educational program.

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New evidences of neurotoxicity of aroclor 1254 in mice brain: potential of coenzyme q10 in abating the detrimental outcomes

  • Majumdar, Anuradha;Nirwane, Abhijit;Kamble, Rahul
    • Environmental Analysis Health and Toxicology
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    • v.29
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    • pp.1.1-1.7
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    • 2014
  • Objectives The present subacute study was designed to evaluate the effect of coenzyme Q 10 (CoQ10) in the 28 days aroclor 1254 exposure induced oxidative stress in mice brain. Methods Biochemical estimations of brain lipid peroxidation (LPO), reduced glutathione (GSH), and activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx) and acetyl cholinesterase (AChE), and histopathological investigations of brain tissue were carried out. Results Oral exposure of aroclor 1254 (5 mg/kg) led to significant decrease in levels of GSH, and activities of SOD, CAT, GPx, and AChE, and increase in LPO. These aberrations were restored by CoQ10 (10 mg/kg, intraperitoneal injection [IP]). This protection offered was comparable to that of L-deprenyl (1 mg/kg, IP) which served as a reference standard. Conclusions Aroclor 1254 exposure hampers the activities of various antioxidant enzymes and induces oxidative stress in the brains of Swiss albino mice. Supplementation of CoQ10 abrogates these deleterious effects of aroclor 1254. CoQ10 also apparently enhanced acetyl cholinesterase activity which reflects its influence on the cholinergic system.

Effect of a Randomized Controlled Trial Walking Program on Walking, Stress, Depressive Symptoms and Cardiovascular Biomarkers in Elderly Korean Immigrants

  • Sin, Mo-Kyung;Ibarra, Brandon;Tae, Thomas;Murphy, Patrick J.M.
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.89-96
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    • 2015
  • Purpose: Despite well-known benefits of walking on cardiovascular health, no structured walking exercise program has been formally tested on elderly Korean immigrants (EKIs). This pilot randomized controlled trial study assessed the effect of a walking program on walking behavior (pedometer steps count), stress (cortisol), depressive symptoms (CESD-10), and cardiovascular disease biomarkers (hs-CRP and fibrinogen) via venipuncture in EKIs. Methods: Seventy EKIs recruited from a Korean community were randomly assigned to a 12-week walking group or control group in a 3:2 ratio. The working program included a pedometer, buddy, monthly coffee card, weekly call for goal setting, and physical activity consultation. Walking group EKIs maintained the Centers for Disease Control and Prevention recommended exercise guidelines and good mental health status over 12 weeks. Results: There was no significant difference in the outcomes between control and walking groups. Conclusion: Social networking with Koreans in the senior center and church from a well-established Korean community might have positive effects on mental health.

A Study on the Effect of Job Stress, Self-Leadership and Social Supports of Long-Term Care Hospital Nurses on Nursing Performance (요양병원 간호사의 직무스트레스, 셀프리더십, 사회적 지지가 간호업무성과에 미치는 영향)

  • Park So-Young;Cho, Jeong-Lim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.1159-1172
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    • 2023
  • Through this study, we aim to investigate the impact of job stress, self-leadership, and social support on nursing performance among nurses in long-term care hospitals. Our objective is to identify specific measures to enhance nursing performance by understanding how these factors influence overall nursing work outcomes. Participants were nurses working at long-term care hospitals in B city and G city. Data were collected with structured questionnaires from February 1 to February 25, 2018. Data were analyzed SPSS 22.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Factors which had effect on nursing performance were self-leadership(β=.415, p<.001), age(β=.251, p=.001), social supports(β=.206, p<.001), job stress(β=-.159, p=.001) and position(β=.102, p=.047). We anticipate that the findings of this study, which reflects the job characteristics of nurses in long-term care hospitals, can serve as foundational data for the development of intervention programs related to nursing performance. These results can contribute to the creation of programs aimed at improving nursing outcomes in accordance with the unique work characteristics of nurses in long-term care settings.

Presenteeism in Clinical Nurses: An Integrative Literature Review (임상간호사의 프리젠티즘 연구에 관한 통합적 고찰)

  • Kwon, Minjung;Choi, Eunsuk
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.3
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    • pp.160-171
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    • 2017
  • Purpose: This review aimed to integrate the results of studies related to presenteeism in clinical nurses and to suggest directions for future research. Methods: The search for relevant studies was conducted using six data bases according to predetermined index terms, "$nurs^*$" and "presenteeism." Thirteen studies that met the inclusion criteria were selected and analyzed. Results: This review found that the conceptual use and scope of presenteeism were not consistent among the studies. Most studies investigated the nurses' health-related variables as the most important factors and reported their positive association with presenteeism. Presenteeism was also found to be associated with job stress, job satisfaction, social support, and organizational culture and had a negative impact on nursing outcomes such as patient safety. Conclusion: The research on presenteeism can be used as a way to explain outcomes in the field of nursing where direct measurement of productivity is difficult. Presenteeism is a multidimensional problem, and a theoretical foundation is needed to explain the presenteeism of clinical nurses.

The efficacy and safety of a Huanglian-jie-du decoction on Hwa-byung patients: A study protocol for a randomized controlled trial

  • Choi, Yu-Jin;Chung, Sun-Yong;Cho, Seung-Hun
    • Journal of Pharmacopuncture
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    • v.21 no.1
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    • pp.7-13
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    • 2018
  • Objective: Hwa-byung is one of the cultural concept of distress in Korea resulted from chronic accumulated anger. It is characterized by various symptoms like stuffy in the chest, hot or heat sensation, something pushing up in the chest, feeling of mortification, and a flush of anger. This protocol aims to explore the efficacy and safety of Huanglian-jie-du decoction on various somatic symptoms and insomnia in patients with Hwa-byung. Methods: This is study protocol for a randomized, double-blind, placebo-controlled trial. A total of 44 patients will be randomly assigned to the experimental group or the placebo group in a 1:1 ratio. All medications will be taken orally 3 times per day for 7 consecutive days. The primary outcomes are the mean changes in Patient Health Questionnaire of physical symptoms (PHQ-15) and Insomnia Severity Index (ISI) after the 7 days of administration. The secondary outcomes include the scales to assess stress response, symptoms of Hwa-byung, and state anger. Conclusion: The results of this study will provide high quality and explorative evidence to investigate the effect of Huanglian-jie-du decoction on Hwa-byung.