• 대한간호학회지
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• 제44권3호
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• pp.339-349
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• 2014

Purpose: This study was done to develop a measurement for stress experienced by patients with schizophrenia during hospitalization. Methods: The preliminary tool was developed through in-depth interviews and a validity verification test of content. For data collection, 15 inpatients with schizophrenia were selected as participants for in-depth interviews and 195 patients admitted to one of eight psychiatric hospitals in four provinces were recruited as participants to test reliability and validity of the preliminary tool. Results: The questionnaire was developed as a four-point Likert-type scale in a self-report form with 28 items. Factor analysis showed 28 items in six factors. Factors were named 'Unjust human rights infringement', 'Futureless life', 'Alienation from other family members', 'Infringement of basic needs', 'Infringement of personal preference' and 'Inconvenience of shared living'. The six factors explained 63.5% of the total variance. Cronbach's alpha for the total items was .93 and for the factors ranged from .65 to .87. Conclusion: A tool to measure stress in patients hospitalized with schizophrenic was developed based on identified hospitalization stress experiences. Study results indicate that this tool can be used to evaluate hospitalization stress in these patients and will contribute to establishing nursing interventions for relief of hospitalization stress.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.33-40
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• 2016

Objectives: The study aimed to determine the prevalence of and the relationship between stress and musculoskeletal symptoms among undergraduate students. Methods: The convenience sampling method was used for this cross-sectional survey that was conducted from June 16, 2014 to June 21, 2014. A total of 223 subjects (88 men, 135 women) participated in the study and completed a comprehensive self-administered questionnaire requesting information on demographics, medical history, lifestyle, and musculoskeletal symptoms. The Depression Anxiety Stress Scale (DASS) was also administered to the subjects. A total of 223 subjects from 12 universities completed the questionnaires; the data obtained was used for the final statistical analysis. Results: Women had a higher prevalence of stress and musculoskeletal symptoms. Adjusting for sex and age, subjects who were stressed had a 2.85-fold higher risk of musculoskeletal symptoms than subjects who were not stressed. Stratified analyses by sex also showed that women had a higher risk of musculoskeletal symptoms (Modified OR 2.98, 95% CI 1.38-6.45). Conclusions: We found a positive association between stress and musculoskeletal symptoms in undergraduate students; sex differences were present. Further dose-response relationship between stress and musculoskeletal symptoms will be identified by a longitudinal study with a larger sample size.

• 성인간호학회지
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• 제22권1호
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• pp.51-59
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• 2010

Purpose: This study was to identify the mental health and self-care activities according to perceived stress level in type 2 diabetic patients with metabolic syndrome. Methods: The descriptive survey design was conducted using a convenient sample. One hundred and fifty-two diabetic participants with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, Students' t-test, and ANOVA with SPSS/WIN 12.0. Results: The high, moderate, and low stress groups according to perceived stress score consisted of 30.9%, 38.2%, and 30.9%, respectively. Differences of mental health and total self-care activities among the three groups were statistically significant. Depression (F=46.73, p<.001), trait anger (F=5.75, p<.01), and anger expression-in (F=4.60, p<.01) of participants in the high stress group were higher than other groups, whereas the total of self-care activities (F=2.85, p<.05) and exercise (F=3.49, p<.05) were lower than other groups. Conclusion: This study concluded that type 2 diabetic patients with metabolic syndrome with a high stress level were low in self-care activities along with elevated depression and anger.

• 여성건강간호학회지
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• 제20권1호
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• pp.38-47
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• 2014

Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-coping models for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. A total of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August to October, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instruments measuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. The data were analyzed using descriptive statistics, t-test, Parson's correlation analysis, and stepwise multiple regression. Results: The mean score of prenatal depression was $11.95{\pm}6.2$, then showing 19.6% with mild depression, 15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression had positive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlation with self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors of pregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance of prenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and to control the influencing factors.

• 가정∙방문간호학회지
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• 제28권3호
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• pp.223-232
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• 2021

Purpose: This study aims to examine the effects of occupational stress, coping flexibility, and hardiness on burnout in nurses and the factors influencing these relationships. Methods: Convenience sampling was used in this study to engage a total of 122 nurses from two general hospitals. A structured questionnaire was used to assess the nurses' occupational stress, coping flexibility, hardiness, and burnout. The collected data were analyzed with regard to descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression by using the SPSS program. Results: There were differences in the extent of burnout in nurses depending on their age, marital status, educational level, and religion. Burnout and occupational stress were positively correlated, whereas there was a negative correlation between burnout and hardiness. For the factors influencing nurses' burnout, occupational stress was identified to be most influential, followed by hardiness, total clinical career, religion, and working unit. Conclusion: To decrease burnout in nurses, there is a need for developing and deploying programs which can reduce their occupational stress and enhance hardiness.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권4호
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• pp.178-184
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• 2019

Objectives: The aim of this study was to measure the effect of a group-based parent education program on parenting stress and attitude and comparing the same according to adult attachment styles. Methods: Twenty-two mothers who enrolled in the parent education program participated in our study. The participants filled in the Korean version of the Experience in Close Relationship Revised (ECR-R), Korean-Parenting Stress Index-Short Form (K-PSI-SF), Maternal Behavior Research Instrument (MBRI), and Symptom Checklist-90-Revised (SCL-90-R) before and after the program. We compared the pre - and post-scores of the groups and compared the differences in effect according to adult attachment styles. Results: For all study participants, the Parent Distress (p=0.023) and Total Parenting Stress (p=0.018) significantly declined after the parent education program. There were no differences in other variables. Within the secure attachment group, the Total Parenting Stress (p=0.008), Parent Distress (p=0.015), and Difficult Child (p=0.011) scores in the K-PSI-SF significantly decreased after participating in the program. The Difficult Child scores (p=0.040) significantly dropped in the K-PSI-SF post program within the secure attachment group, compared to the insecure attachment group. Conclusion: The group-based parent education program impacted parenting stress. Depending on the adult attachment styles, the effect of the program varied.

• 대한통합의학회지
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• 제11권3호
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• pp.11-23
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• 2023

Purpose : The stress of job-seeking college students is gradually worsening due to the continuing recession in the job market. Therefore, this study aims to verify whether intervention with an 'aromatherapy education program,' which combines theory and practice, has greater effect on stress, self-efficacy, and autonomic nervous system function than simple inhalation of essential oils in female college students preparing for employment. Methods : A single-blind, randomized controlled trial was conducted once a week for a total of 4 weeks with 29 female college students preparing for employment. Interventions included essential oil inhalation combined with an aromatherapy education program (experimental group(EG), n=14) and essential oil inhalation alone (control group(CG), n=15); measurements were taken before, immediately after, and 2 weeks after completion of the intervention. Evaluations were conducted using the job-seeking stress scale, stress VAS, self-efficacy scale, and a pulse-wave measuring instrument. Results : There were significant differences between the CG and EG groups with repeated measurements of job-seeking stress (p=.003), cognitive stress (p<.001), and self-efficacy (p<.001). There was a significant interaction between group and time. There were also significant differences between the CG and EG in terms of autonomic nervous system changes stress index(p=.047), total power(p=.029), high frequency(p=.036), and low frequency/high frequency ratio(p=.049). However, there was no significant difference in low frequency between the groups. Conclusion : The aromatherapy education program was more effective in improving job-seeking stress, cognitive stress, self-efficacy, and autonomic nervous system function than simple essential oil inhalation. For the aromatherapy education program to be useful as a complementary intervention for stress management in job seekers, it will be necessary to gather additional evidence of its efficacy by conducting follow-up studies with diverse participants and expanding the numbers, and durations, of the interventions.

• 한국가정과교육학회지
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• 제20권1호
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• pp.1-19
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• 2008

본 연구는 청소년기 남자 중학생을 대상으로 스트레스 정도와 식행동 실태를 조사하고, 스트레스가 식행동에 미치는 영향을 분석하였다. 스트레스 요인으로 가족, 학업, 오락, 건강, 동성친구, 이성 친구, 교사, 일상생활의 8개 영역, 식행동 요인으로 식사의 규칙성과 균형성, 건강식의 3개 영역으로 구분하여 분석하였다. 대전 중구 지역에 위치한 남자 중학생 140명을 대상으로 2006년 7월 10일부터 7월 14일 사이에 설문조사를 실시하였으며, 수집된 설문지 140부 중 총 128부(91.4%)를 최종 분석에 사용하였다. 연구의 결과를 요약하면 첫째, 조사대상자의 스트레스 실태는 5점 만점에 평균 2.36으로 중간 정도 수준이었다. 영역별 차이는 크지 않았으며, 학업 영역에서의 스트레스(2.93)가 높았고, 이성 친구 관련 스트레스(1.96)가 낮았다. 둘째, 식행동 점수는 5점 만점에 3.02로 중간 수준이었다. 셋째, 스트레스 정도에 따라 낮은 군, 중간 군, 높은 군의 3개 집단으로 구분하였을 때, 중간 군의 식행동 점수가 가장 높았고 높은 군의 식행동 점수가 가장 낮았으나 유의한 차이는 아니었다. 넷째, 스트레스와 식행동의 상관관계를 살펴본 결과, 스트레스 총점은 식생활 균형성과 상관이 있었으며, 규칙성은 가족, 학업, 건강 관련 스트레스와 상관관계가 있는 것으로 확인되었다. 즉 가족, 학업, 건강 관련 스트레스를 많이 받을수록 규칙성 점수는 낮았다.

• 동의신경정신과학회지
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• 제18권1호
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• pp.95-110
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• 2007

Objective : The purpose of this study was to investigate molecular basis of neuroprotective effect in total ginsenosides. After H202 induced neurotoxicity, gene expression profiling of SH-SY5Y neuroblastoma cells treated by total ginsenosides is analyzed. Method : After SH-SY5Y cells were cultured, they were damaged by H202 induced oxidative stress. After twenty four hours, experimental group is treated by total ginsenosides and control group is treated by 0.9% saline. A high density cDNA microarray chip is used to analyze the gene expression profiling of SH-SY5Y cells. The Significance Analysis of Microarray method is used for identifying genes on a microarray. Results : 1. According to the results of microarray experiment, 17 genes were up-regulated, 38 genes were down-regulated. 2. Expression of OPHNl, KTANl, ATM, PRKCE, MAPKs genes associated with cell proliferation, neural growth, and the prevention of apoptosis were increased. 3. Change of EPX gene was the greatest among all genes. EPX gene associated with oxidative stress, and tumor suppressor gene ADAM11 were decreased. Conclusion : According to this study, molecular basis of neuroprotective effect of total ginsenosides is as followings: the increase of gene expression associated with cell proliferation, neuron growth, the prevention of apoptotsis and decrease of gene expression associated with oxidative stress and tumor suppressor.

• 한국항만경제학회지
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• 제39권2호
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• pp.97-110
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• 2023

본 연구는 거시경제 충격이 우리나라 해운기업 안정성에 미치는 영향을 분석하였다. 우리나라 해운기업의 부실 발생 빈도가 상대적으로 적다는 점을 고려하여 퍼스로짓모형을 통해 해운기업의 부실 확률을 추정하였다. 부실 예측모형 추정 결과, 총자산은 부실 확률과 음의 상관관계를 지닌 것으로 나타난 한편, 총부채는 부실 확률과 유의한 양의 상관관계가 있는 것을 확인할 수 있었다. 부실 예측모형 추정결과를 바탕으로 총매출, 총자산 및 총부채 충격이 해운기업 부실 확률에 미치는 영향을 스트레스 테스트하였다. 스트레스 테스트 결과, 매출 및 총자산 감소는 해운기업의 재무 안정성을 크게 악화시키는 것을 확인할 수 있었다.