• 제목/요약/키워드: active coping

검색결과 255건 처리시간 0.028초

뇌졸중 환자의 질병경험에 관한 연구 (A Study of CVA patients에 Experience of the Illness)

  • 남선영
    • 대한간호학회지
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    • 제28권2호
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    • pp.479-489
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    • 1998
  • This work was done for 9 patients having experience of a herb medical treatment after being diagnosed as CVA during a year from January, 1996 to December, 1996 by using an ethnographic research method. The summarized results of this research are following. Ⅰ. THE EXPERIENCE OF THE ILLNESS First, the falling-ill phase is the time that they have the first stroke of paralysis and the decision pattern of medical institution' comes out. The emotional experience in the period is something like 'flustration', 'anxiety', 'despair', and 'expectation'. Second, the active-treatment phase is the time that the patients as well as their family or care giver not only show the positive attitude and actively participate in the illness treatment but also show a lot of interest in medical institutions and activities of health recovery. There is a primary factor of the continuation of treatment as an experience of treatment and being crushed and sensitivity as an experience of the illness. Third, the rehabilitation phase is the time that the patients or their family become tired and insensitive to the treatment and recuperation, and then reduce the treatment activity. There is a primary influence factor of the discontinuance of treatment as an experience of treatment and physical experience and emotional experience as an experience of the illness. The physical experience is divided into 'personal-hygiene care', and 'the sphere of activity' The emotional experiences are 'blaming someone', 'contempt' and 'despair' as a negative experience and 'hope' as a positive experience. Ⅱ. COPING STRATEGY There are a physical coping, an emotional and mental coping, a social coping, and a spiritual coping as a coping strategy used for the patients to overcome their illness and adjust themselves to their altered life. First, the physical coping comes out as 8 categories, 'using an auxiliary tool', 'doing exercise', 'protecting', 'improving their diet', 'taking care of something', 'using subsidiary medicines', 'trying a folk remedy', and 'having interest in their health'. Second, for the emotional and mental coping, there are 'accepting' and 'trying' as a positive coping and a failure of control as a negative coping. Third, the social coping is appeared as 'being supported'. Fourth, the spiritual coping is recognized as' recourse to God' and 'preparation of death'. After all, the elderly CVA patients in an agricultural area choose the act of treatment based on the traditional belief and the relationship with a caretaker. A personal health can be maintained by taking care of themselves and controling their mind, and the overcome of the illness is decided on the basis of traditional concepts and cultural principles in which the patients as well as the family, neigbors and take carers should work out together and cooperate with each other in order to achieve that.

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뇌질환아 어머니의 스트레스와 대처방법 (A Study on Stress and Coping Methods of Mothers of Children with Brain Disease)

  • 윤정희;조결자
    • 대한간호학회지
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    • 제24권3호
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    • pp.389-412
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    • 1994
  • This study was done to investigate stress and coping methods of mothers with brain disease children. The subjects for this study were obtained by taking a sample of mothers with brain disease children hospitalized in neurosurgery ward of K medical center in Seoul from Nov. 20, 1992 to Mar. 10, 1993. The collected date were analized by S.P.S.S. program(frequency, percentage, mean, t-test, ANOVA, Pearson Correlation). The results of the study were as follow. 1. The mean of the degree of mothers' stress was 3.681. Of the stress categories, illness treatment (4.216) was highest, and the next were in order of ill-ness status and prognosis(4.154) , family relation-ships and personal roles(3.202), interpersonal relationships(2.916). 2. The mean of the degree of mothers' coping method was 2.930. Of the coping method categories, communication with medical team or parents in similar situations(3.332) was highest, and the next were in or-der of family cooperation and optimistic thought about the situation(3.241), reforcement of self esteem and maintenance of psychological stability(2.538). 3. There was not seen a stastically significant correlation between stress factors and coping methods of mothers. But with categories, the higher the stress to illness status and prognosis was, the hight coping methods' degree of communication with medical team or parents in similar situations was shown a positive correlation, if not high (r=.2776, P=.046) . And the higher the stress to illness treatment was, the higher coping methods' degree of communication with medical team or parents in simial situations was shown a positive correlation, if not high (r=.2727, P=.049). 4. With the difference of stress according to mothers' general characteristics, religion and monthly income shew a statically significant difference. The mothers' group who have a religion shew the higher degree of stress(t=-3.17, P=.003), The group who get the most income shew highest degree of stress (F=.4693, P=.0156). With the difference of coping according to mothers' general characteristics, the most support-ing person, satisfaction with husbands and mothers' own health status shew a statistically significant difference. The group who get the most support from parents-in-law(F=3.7508, P=.013), the group who are much satisfied with husband(F=3.589, P=.016), and the group whose health status are good(F=3.3675, P=.046), shew the highest coping degree. 5. There were no significant difference in degree of stress and coping by children's characteristics The significance of the study will be concluded as follows. 1. Investigating the stress factors, which mothers are perceiving, it will be utilized as the basic materials of nursing plan so as to reduce the stress of mothers. 2. In searching for the ways of mothers' more helpful coping methods, it shows the necessity of the active nursing intervention for the mothers in the process of coping with their stress. That is, the nurse should serve the earnest nursing as counselor, supporter, educator, and information - provider. 3. Recogning mothers as well as children with brain disease as a client, the nurse will be able to help the mother, who is taking care of the children, cope with the stress situation well, and to make a contribution to the recovery, rehabilitation, and health of the children and to the enhancement of the family' health.

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임상치과위생사들의 직무소진과 대처행동 (Burnout among Clinical Dental Hygienists and Its Coping Behaviors)

  • 김영선;윤희숙
    • 치위생과학회지
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    • 제7권4호
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    • pp.225-233
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    • 2007
  • 본 연구는 임상치과위생사들의 직무수행 과정에서 느끼는 직무소진 및 대처행동을 파악하기 위하여 대구, 경북, 울산지역에 근무하는 치과위생사 322명을 대상으로 설문조사를 실시하여 다음과 같은 결론을 얻었다. 1. 전체 대상자들의 영역별 직무소진 평균은 정서적 소진 3.26, 냉소적 태도 2.63, 직업효능감 감소 2.58이었고, 전체 평균은 2.82이었다. 2. 영역별 대처행동 평균은 적극적 대처가 3.36, 소극적 대처 2.95이었고, 전체 평균은 3.19이었다. 3. 일반적인 특성과 직무소진의 차이는 연령과 교육수준이 낮을수록 직업효능감 감소와 소진계가 유의하게 높았고, 미혼인 경우 냉소적 태도, 직업효능감 감소, 소진계가 유의하게 높았으며, 내성적인 성격은 정서적 소진, 냉소적 태도, 소진계가 유의하게 높았다. 4. 근무환경과 직무소진의 차이는 근무경력이 낮고, 일반직에서 일반진료 담당이 직업효능감 감소가 유의하게 높았고, 연봉이 낮을수록 냉소적 태도, 직업효능감 감소, 소진계가 유의하게 높았다. 5. 일반적인 특성과 대처행동의 차이는 연령이 낮고, 미혼이 소극적 대처에서 유의하게 높았고, 종교가 있는 경우 적극적 대처와 대처계가 유의하게 높았다. 6. 근무환경과 대처행동의 차이는 근무기관이 의원급인 경우 소극적 대처와 대처계가 유의하게 높았고, 근무경력이 낮을수록 소극적 대처에서 유의하게 높았으며, 연봉이 낮을수록 적극적 대처는 유의하게 낮았고, 소극적 대처는 높았다. 7. 직무소진과 대처행동간의 관련성에서 소진계는 적극적 대처 및 대처계와 유의한 역상관을 보였고, 소극적 대처와는 유의한 순상관을 보였다. 8. 대처행동에 따른 영역별 소진 차이는 대처계는 A그룹(평균미만)이 B그룹(평균이상)보다 직업효능감 감소와 소진계가 유의하게 높았고, 적극적 대처는 A그룹이 B그룹보다 냉소적 태도, 직업효능감 감소, 소진계가 유의하게 높았으며, 소극적 대처는 B그룹이 A그룹보다 정서적 소진, 냉소적 태도, 소진계가 유의하게 높았다. 이상의 결과에서 치과위생사의 연령, 근무경력, 연봉이 낮을수록, 미혼자가 소진과 소극적 대처가 높았고, 종교가 있는 경우 적극적 대처가 높아 경력이 낮은 치과위생사들의 직무소진을 감소시키고 적극적 대처행동을 활용할 수 있도록 하는 방안이 요구된다.

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일상적 생활 스트레스에 대한 아동의 대처행동 척도 개발 (Development of Daily Hassles Coping Scale for Children)

  • 민하영
    • 대한가정학회지
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    • 제36권7호
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    • pp.83-96
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    • 1998
  • The purpose of this study was the development of a scale to assess daily hassles coping behaviors for school aged children. The subjects were 398 children consisted of 197 3rd grade an 201 6th grade. They were selected from elementary school in Seoul, InCheon, DaeJeon, GwangJu and Pusan(202 males and 196 females) A questionnaire as the methodological instrument composed of 65-item daily hassles coping scale, demographic questions, 27-item Children's Depression Inventory and 20-item Locus of Control Scale. Statistics such as mean, %, X2, Cramer's V, Cronbach's α, factor analysis and Person's γ was used for used data analysis. The major findings of this study were as follows; 1)55 items of the 65-item scale were selected through item discriminant method. The discriminant coeffcients of the items(Cramer's V) ranged from .35 to .68. 2)5 factors were extracted from the 1st and the 2nd factor analysis. The subscales labelled 'active' 'passive' 'aggressive' 'avoidant' and 'social support seeking' coping. The criterion validity of this scale was assessed by computing the correlation measures of Children's Depression Inventory and Locus of Control Scale with this scale. Most coefficients were significant(ranging from r=-.16 to r=.40,p<.01,p<.001), although their correlations were modest. 3)Finally, the internal consistency of this scale appeared to be at an acceptable level(Cronbach's α=.90)

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장애아동 어머니의 성격유형에 따른 대처행동에 관한 연구 (Coping Behavior According to the Personality Type of Mothers of Children with Disabilities)

  • 조미림
    • 한국엔터테인먼트산업학회논문지
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    • 제15권8호
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    • pp.403-409
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    • 2021
  • 본 연구는 장애아동 어머니의 성격유형에 따른 대처행동에 대해 파악하고자 하였다. 2020년 6월부터 9월까지 장애아동 어머니 102명을 대상으로 성격유형과 대처행동에 대한 설문을 진행하였다. 성격유형은 에니어그램을 사용하여 평가하였고 대처행동은 한국판 장애아부모 대처행동 척도를 사용하여 평가하였다. 연구결과, 장애아동 어머니의 성격유형은 장형이 가장 많았다. 대처능력은 장애자녀를 위한 적극적 문제해결이 가장 높은 점수를 보여주었다. 장애아동 어머니의 성격유형에 따른 대처행동을 분석한 결과, 장애아동 어머니의 대처능력과 부부협력 강화, 사회적-정서적 지지추구에서 유의한 차이가 나타났다. 사후검증 결과 대처능력과 부부협력강화, 사회적-정서적 지지추구 모두 가슴형과 장형 간 유의한 차이가 있었으며, 가슴형이 장형에 비해 점수가 높았다. 장애아동 가족을 위한 중재 개입 시, 장애아동 어머니의 성격유형에 따른 대처행동을 예측하고 개별화된 프로그램을 제시한다면 더욱 효과적인 서비스를 제공할 수 있을 것이다.

암 환자의 연령에 따른 정서반응과 대처양상 (The Emotional Response and Coping Pattern by Age among Patients with Cancer)

  • 이내영;김영혜;김복련;김정순
    • 종양간호연구
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    • 제5권1호
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    • pp.22-30
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    • 2005
  • Purpose: The aim of this study was to investigate the differences in emotional response and coping pattern by age among cancer patients. Method: As descriptive research, from November 2000 to April 2001, data was collected with semi-structured questionnaire to 90 adult cancer patients, and analyzed using quantitative analysis. Result: Most emotional response at the time of diagnosis of cancer is despair in 20-39years & more than 60 years, and Impact in 40-59years. In emotional response during treatment by age, there were most much hope in 20-39 years, fear in 40-59years, and acceptance in more than 60years. In difficulties by age during treatment, there were most much mental burden in 20-29years, problems about occupation/finance in 40-59years, and physical discomfort related to treatment in more than 60 years. Resolution of difficulties of treatment shows avoidance in 20-39years, active participation in 40-59years and compliance in more than 60 years. Coping pattern during treatment was positive thinking in 20-39years, refreshment in 40-59years, and despair/avoidance in more than 60 years. Coping with treatment & progress shows in 20-39years maintenance of current health, 40-59years impossible to recover, more than 60year health recovery. Conclusion: Nursing could be considered emotional response and coping pattern according to age.

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만성 정신 질환자의 사회 적응에 영향을 미치는 요인 분석 (Influencing Factors on Social Adaptation of Chronic Mental Illness)

  • 이평숙;한금선
    • 대한간호학회지
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    • 제31권2호
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    • pp.340-350
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    • 2001
  • The purpose of this study was to investigate the factors influencing social adaptation of chronic mental illness. The subjects of this study were 190 patients, over the age of 20 with chronic mental illness diagnosed by a physician, and living in Seoul, Korea during May, 2000 to December 2000. The instruments for this study were the social adaptation scale by Wallace (1979), the self-esteem scale by Rogenberg (1965), social support scale by ParkJiWon (1985), coping behavior scale by Shirley Zeitlin (1978), self efficacy scale by Sherer et. al (1982), and Rand mental health inventory(1979). The data were analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. The results of this study are as follows: 1. The level of social adaptation showed moderate (M=3.43). 2. The social adaptation showed significant positive correlation with self-esteem (r=0.39, p=0.00), self-efficacy (r=0.31, p=0.00), social support (r=0.47, p=0.00), self-productive coping (r=0.14, p=0.05), self-flexible coping (r=0.22, p=0.00), environment-active coping (r=0.21, p=0.00), and environment-flexible coping (r=0.14, p=0.04). The social adaptation showed significant negative correlation with anxiety (r=-0.16, p=0.02), and emotional problems (r=-0.18, p=-0.00). 3. The stepwise multiple regression analysis revealed that the most powerful predictor of social adaptation was social support (21%). A combination of social support, depression, behavioral controllability, self-efficacy, and environmental coping behavior accounted for 39% of the variance in social adaptation in chronic mental illness. From the results of this study, it is suggested to develop and apply a social adaptation training program for chronic mental illness.

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일부 치위생과 학생들의 취업스트레스 및 대처유형에 관한 연구 (A Study on the Employment Stress and the Coping Type in Some Dental Hygiene Students)

  • 김은주;김진경
    • 한국치위생학회지
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    • 제8권4호
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    • pp.65-77
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    • 2008
  • The purpose of this study was to offer basic data in order to make it possible for becoming the mentally more matured dental hygienist by being aware of stress factors on employment in preliminary dental hygienists and examining a coping plan according to it. The self-administered questionnaire research was carried out targeting Dental Hygiene Students at 4 colleges in metropolitan area for 1 month from October to November in 2007. Totally 209 questionnaires were collected. Among them, 206 copies were analyzed with methods in frequency analysis, correlation analysis, and ANOVA analysis by using SPSS WIN10.0 statistical program. As a result, the following conclusions were obtained. 1. 84.5% out of subjects were the active students. 95.2% and over 95.6%, respectively, were surveyed to be more than 'moderate' as for the academic achievement level and the satisfaction with college life. 2. the majority in the survey subjects were researched to receive high stress as for 'a guiding professor doesn't lead and have interest in my employment, thereby being disappointing' and 'failing to be employed is likely to lead to hurting pride so much'. 3. a coping type with stress in the survey subjects was researched to select a coping plan much as for 'sincerely hoping for the work to be well done', 'going out for a change', 'establishing a few countermeasures for solving a problem', 'overeating', and 'waiting while thinking it to be solved some time.' 4. most of stress factors had high correlation with a coping type with saying of 'trying to be alone as a whole', and had high correlation with 'failing to be employed is likely to lead to hurting pride so much' and 'overeating'. Even additionally, it was surveyed to have high correlation with 'smoking' and 'depending on the past experience'.

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

  • 이유리;박정숙
    • 한국융합학회논문지
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    • 제9권2호
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    • pp.323-329
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    • 2018
  • 본 연구는 대학생의 정서적 공감과 스마트폰 중독 간의 구조적 관계에서 스트레스 대처방식이 갖는 매개효과를 분석하는데 목적이 있다. 이를 위해 4년제 대학생을 대상으로 정서적 공감, 스트레스 대처방식, 스마트폰 중독 척도를 이용하여 설문조사 하였고, 주요 분석결과는 다음과 같다. 첫째, 정서적 공감과 스마트폰 중독 사이 그리고 스트레스 대처방식과 스마트폰 중독 사이에 직접적인 영향관계가 있는 것으로 나타났다. 둘째, 스트레스 대처방식은 정서적 공감과 스마트폰 중독 사이의 영향관계에서 부분매개효과가 있는 것으로 분석되었다. 적극적 대처방식은 스마트폰 중독 수준을 감소시키는 간접효과가, 소극적 대처는 스마트폰 중독을 악화시키는 간접효과가 있는 것으로 확인되었다. 셋째, 성별에 따른 영향력 분석결과, 여학생의 스마트폰 중독 수준이 더 높고, 남학생의 경우 적극적 대처방식을 더 많이 활용하는 것으로 분석되었다. 이 결과를 토대로 대학생의 스마트폰 중독을 중재할 수 있는 유용한 실천적 함의를 제시하며, 스트레스 대처방식 및 성별에 따른 차별화된 전략 수립을 위한 기초자료를 제공하고자 하였다.

간호대학생의 임상실습 만족도에 영향을 미치는 요인 (Factors Influencing Satisfaction on Clinical Practice in Nursing Students)

  • 전민경;김미숙
    • 한국산학기술학회논문지
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    • 제18권1호
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    • pp.40-48
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    • 2017
  • 본 연구는 간호대학생의 정서조절능력, 스트레스 대처방식과 임상실습 만족도 간의 관계를 파악하고, 간호대학생의 임상실습 만족도에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 자료 수집은 K시와 B시에 소재한 4개의 간호대학에서 3, 4학년에 재학 중인 간호대학생 201명을 대상으로 2016년 5월 1일부터 2016년 6월 30일까지 자가보고 설문지를 통하여 조사하였다. 수집된 자료는 SPSS/Win v 20.0을 이용하여 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, stepwise multiple regression으로 분석하였다. 간호대학생의 감정조절 능력 평균은 5점 만점에 $3.79{\pm}0.48$점, 적극적 대처는 4점 만점에 $2.79{\pm}0.41$점, 소극적 대처는 $2.53{\pm}0.36$점, 임상실습 만족도는 5점 만점에 $3.58{\pm}0.46$점 이었다. 임상실습 만족도는 정서조절능력(r=.391, p<.001), 적극적 대처(r=.361, p<.001) 및 소극적 대처(r=.276, p<.001)와 통계적으로 유의한 상관관계가 있는 것으로 나타났다. 또한 임상실습 만족도에 영향을 미치는 주요 요인으로는 전공만족도(${\beta}=-.318$, p<.001)와 정서조절 능력(${\beta}=.230$, p<.001)으로, 이들 모형의 설명력은 28.1%로 나타났다. 본 연구결과를 바탕으로 간호대학생의 임상실습 만족도를 향상시키기 위해서는 간호대학생의 전공만족도를 높이고, 긍정적인 정서조절 능력을 향상시킬 수 있는 효과적인 프로그램의 개발이 필요하리라 사료된다.