• Journal of Korean Academy of Nursing
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• v.25 no.4
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• pp.668-680
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• 1995

The purpose of this study was to contribute to family nursing for reducing stress and improving coping of the parents of mentally retarded children. Data were collected through self-reported questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 180 parents (90 mothers and 90 fathers) of mentally retarded children attending schools for the handicapped and 186 parents (93 mothers and 93 fathers) of normal children. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively, while the Coping scale was adopted to measure the level of coping. The data were analyzed by using Chi-square test. fisher's exact test, Repeated masured ANOVA, oneway ANOVA and Scheffe comparison test. The results were as follows ; 1. The level of general stress was significantly higher in the mothers and the fathers of the men-tally retarded than in the respective parents of the normal. Of the parents, the mothers experienced significantly greater level of general stress than the fathers did in both groups of the retarded and of the normal. 2. As for the parental role stress, the mothers and the fathers of the mentally retarded experienced significantly greater stress than respective parents of normal children did. In particular, the stress was significantly higher in the mothers than the fathers of these children in both groups. The difference in the levels of parental role stress experienced by mothers and by fathers was significantly bigger among those of the mentally retarded tnan among those of normal children. 3. No significant difference in the level of coping was observed between the mothers of both groups and the fathers of both groups. By contrast, the fathers revealed significantly greater scores in coping than the mothers in both groups. 4. General stress experienced by the fathers of the mentally retarded was different by health status, satisfaction with spouses, and the supports from their spouses. Health status, satisfaction with spouses, and monthly income Influenced parental role stress experienced by those fathers. Their level of coping was associated with their satis-faction with spouses and family life. 5. Of the mothers of the mentally retarded, the level of general stress was different by their health status, while parental role stress was related to the satisfaction with their spouses and the child's age. The level of coping among the mothers was different by the supports from their spouses. The above findings indicate that those parents of the mentally retarded did not take more coping strategies than those of the normal did, despite greater stress experienced among themselves. Hence, nursing intervention for managing stress should be given to those parents including fathers of mentally retarded children. Mothers of the mentally retarded, in particular, should receive high priority in planning nursing care, since they experience greater levels of both general stress and parental role stress than their spouses, which is most likey due to primary responsibility in child rearing given to them at home.

• Journal of Korean Academy of Nursing
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• v.26 no.1
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• pp.165-176
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• 1996

The purpose of this study was to contribute to family nursing in the areas of reducing stress and improving coping for parents of mentally retarded children. Data were collected through self-report questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 176 parents (88 mothers and 88 fathers) of mentally retarded children attending schools for the handicapped. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively. The coping scale developed by Folkman ＆ LaZarus was adopted to measure the level of coping, and the patterns of adaptation scale developed by Damrosch ＆ Perry was adopted to measure the patterns of adaptation. The data were analyzed by a SAS program using Fisher's exact test, paired t-test, and oneway ANOVA. The results are as follows ; 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced a significantly greater level of parental role stress than fathers did. No significant difference in the level of coping was observed between mothers and fathers. There were differences in maternal and paternal patterns of adaptation. 2. The adaptation pattern of fathers was different according to their level of general stress, parental role stress and coping. The adaptation pattern of mothers was not different according to their level of general stress and parental role stress, but was according to their level of coping. 3. General stress experienced by fathers was different according to education, health status and support from their spouses. Satisfaction with family life, satisfaction with spouse and the support from spouse influenced coping used by fathers. Their level of parental role stress was not associated with any of their general characteristics. 4. In mothers, the level of general stress was different according to their health status, the level of parental role stress was related to satisfaction with family life and satisfaction with spouse. Their level of coping was associated with the sup port from spouse. The above findings indicate that mothers did not have more coping strategies than fathers did, despite the results which showed that mothers experienced greater stress than fathers did. Especially, the adaptation pattern of mothers was different according to their level of coping. Hence, nursing interventions directed at managing stress and improving coping should be used with mothers who use adaptation pattern 1. In particular, fathers should actively participate in parenting, and support their spouses.

• Women's Health Nursing
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• v.8 no.4
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• pp.550-558
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• 2002

This study was designed to examine the factors that influence the burnout of nurses practice healthcare in a hospital setting. Subjects for this study were 245 nurses working at University K hospital in Seoul, Korea. Data for this study was collected from 15 to 27 April, 2002. The data collection instruments used for this study are as follows: Maslach Burnout Inventory(1981), Orientation to Life Questionnaire(Sense of Coherence, SOC) by Antonovsky (1987) and Modified Coping Resources Inventory developed by author. The analysis of the data was completed using the descriptive, ANOVA, Pearson correlation analysis, and stepwise multiple regression using the SAS program software. The results of this study were as follows: 1. Total mean score of burnout was 4.0. Mean scores of the subscales were; emotional exhausion 4.7, personalization 3.7, and personal accomplishment 3.4.2. Significant statistical differences according to demographic characteristics of the subjects were found in the variables of age, job position, years of working, perceived job stress, and burnout. 3. Burnout was negatively related to sense of coherence(r=-.65) and coping resources (r=-.40); subscales of SOC of comprehensibility(r=-.57), manageability (r= -.55), and meaningfulness(r= -.52); subscales of coping of self-care(r=-.36), and cognitive coping(r=-.39). 4. Job stress was the highest factor influence burnout. Sixty-one percent of the total variance of burnout was experienced by variables of comprehensibility, meaningfulness, age, self-care, manageability and leisure activities including job stress. In conclusion, it was found that a low level of burnout was related to high scores of SOC and coping resources. Job stress, manageability, and meaningfulness were the highest factors influencing the level of subscale of emotional exhausion, depersonalization, and personal accomplishment. Therefore, it is necessary to search for strategies to promote SOC and coping resources for reducing the level of burnout of nurses.

• Korean Journal of Adult Nursing
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• v.23 no.1
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• pp.20-30
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• 2011

Purpose: The aim of this study was to examine patients with Chronic Hepatitis B (CHB) and their level of knowledge of their disease, uncertainty, stress and health behaviors and to identify factors influencing their health behavior. Methods: A cross-sectional, descriptive design was used. The sample included 136 patients in a gastroenterology outpatient department at one hospital located in Seoul. The mean age of the subjects was 41 and 77.2% were male. Data were collected using a structured questionnaire from April to June 2009. The collected data were analyzed using SPSS/WIN 15.0. Results: The reported scores for knowledge of the disease, uncertainty, stress, and health behaviors were 14.43, 81.50, 26.50, 52.11, respectively. There were statistically difference between health behaviors and gender, age, marital status and antivirus treatment. A positive correlation existed between knowledge of disease and health behaviors (r=.199, p=.020). In contrast, there was a negative correlation between uncertainty and health behaviors (r=-.250, p=.003). The factors influencing health behaviors were knowledge of disease, gender, age, uncertainty, antivirus treatment, and marital status ($R^2$=.267, p<.001). Conclusion: These findings support that strategies for enhancing knowledge of disease and reducing uncertainty are needed to promote health behavior in patients with CHB.

• Journal of Korean Academy of Nursing
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• v.45 no.5
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• pp.627-640
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• 2015

Purpose: The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia. Methods: A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes. Results: Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25). Conclusion: The review results indicate that a support programs can assist family caregivers in reducing their psycho-emotional distress.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.8
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• pp.301-310
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• 2016

This study was to conducted to examine the associations between job stress and musculoskeletal symptoms of child care teachers. Questionnaires were administered to 132 child care teachers and the responses were analyzed using the SPSS/WIN 18.0 program. The average total job stress was 2.80. Based on NOISH criteria, musculoskeletal symptoms were prevalent in 46.2% of the participants. The musculoskeletal symptoms by body part appeared mostly on the shoulder (25.8%), followed by the lower back (18.9%), hands/wrist/fingers (17.4%), neck (11.4%), legs/feet (9.1%), and arms/elbows (7.6%). The positive symptom group showed higher levels of total job stress, work overload, and relationship with school parents stress scores than then the symptom free group. Musculoskeletal symptoms were significantly associated with job stress, work overload, and relationship with school parents stress. Overall, the results of this study indicate that it is necessary to develop strategies for reducing job stress to prevent musculoskeletal symptoms.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.55-63
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• 2018

This study was intended to identify path structures through pathway analysis with an emphasis on the cognitive elements that influence the acculturative stress of marriage-based immigrant women. The results of the study were designed to establish a foundation for practical measures and policies to support marriage-based immigrant women to adjust their lives in the culture. This study has established research model on the path structure according to the psychological stress theory as to how social support, coping strategy, and acculturative attitude recognized as a cognitive element of marriage-based immigrant women on the acculturative stress and implement practical verification. In addition, control variables for the use of ages, education level, period of marriage, and income level of socio-demographic variables were analyzed. To obtain data for the study, convenience sampling and snowball sampling of marriage-based immigrant women that resided in the area of C and J were conducted simultaneously through surveys and applied to the analysis of 204 cases. Analysis of the path structure of influence of social support, coping strategies, and acculturative attitudes that were perceived as a cognitive element of marriage-based immigrant women influencing acculturative stress revealed that these factors were specifically weighted towards acculturative. Moreover, comprehensive acculturative attitude was identified as a crucial variable reducing the effects of acculturative stress during the acculturative procedures of marriage-based immigrant women. This assumes that establishing and performing policies supporting co-existence of homeland cultures of marriage-based immigrant women and Korean cultures might be an efficient action for dealing with acculturative stress rather than forcing them to adjust to Korean culture.

• The Journal of Industrial Distribution & Business
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• v.9 no.10
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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.

• Journal of Internet of Things and Convergence
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• v.6 no.2
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• pp.73-86
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• 2020

This study examines the North Korean defectors' economic and psychological adjustment status in South Korean society focusing on the specificity of North Korean defectors with the social integration perspective. We conducted a questionnaire survey of 225 North Korean defectors in Seoul and Gyeonggi-do and conducted analysis using the SPSS 22.0 program. The results of the study are as follows. First, the economic adaptation of North Korean defectors was evaluated to be generally low. Second, North Korean refugees' psychological and social adjustment status is generally lower than average, especially cultural adaptation stress, friendship, and satisfaction with physical and mental health. Third, the psychological and cultural adaptation strategy and social support of defectors affected the life satisfaction positively and the adaptation stress had significant negative impact on life satisfaction. Therefore, strategies which reducing adaptive stress and enhancing psychological and cultural adaptation strategies are needed to be implemented in South Korean society. Based on results, policy alternatives were discussed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.6
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• pp.155-164
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• 2017

The purpose of this study is to identify correlations among married nurses' parenting stress, job involvement and intent to stay, as well as to clarify factors that affect nurses' intent to stay. This is a descriptive study conducted based on evaluation of 174 married nurses from one university hospital and two general hospitals (200 beds or above) located in C region, all of who had at least one child <6 years of age. Data were collected from Aug 20 until Sep 15, 2016, after which data were analyzed by aT-test, ANOVA, Pearson's coefficient, and stepwise multiple regression. The mean score of parenting stress was $2.67{\pm}0.54$ out of 4, while that of job involvement was $3.11{\pm}0.58$ out of 5, and intent to stay was $3.56{\pm}0.79$ out of 5. Intent to stay was significantly negatively correlated with parenting stress(r=-0.186, p=0.014), while it was positively correlated with job involvement(r=0.345, p<0.001). Factors influencing intent to stay were education level(${\beta}=0.28$, p=0.042), job satisfaction(${\beta}=0.60$, p<0.001), weekend work(${\beta}=0.20$, p=0.042), job involvement(${\beta}=0.31$, p<0.001) and parenting stress(${\beta}=-0.22$, p=0.038). These factors explained 36.8% of intent to stay(F=21.18, p<0.001). Overall, the results indicate that intervention strategies may be necessary to increase intent to stay by reducing parenting stress and enhancing job involvement.