• Title/Summary/Keyword: active coping

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The Relationship between Perceived Stress and Coping Strategies in Patients with Chronic Low Back Pain (만성요통 환자들에서 스트레스지각과 대응전략 간의 관계)

  • Shin, Yoon-Sik;Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.18-26
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    • 2002
  • Objectives : The object of this study was to investigate the relationship between coping strategies and perceived stress or pain discomfort in patients with chronic low back pain. 80 patients with chronic low back pain and 100 normal controls participated in this study. Methods: Global assessment of recent stress (GARS) scale and Stress Response Inventory (SRI) were used to measure perception for stressors and stress responses. Coping scale and pain discomfort scale were used to measure coping strategies and pain perception. Results : Scores of perceived stress related to work or job, interpersonal relationship, changes in relationship, sickness or illness and the total scores on the GARS scale were significantly higher in those with chronic low back pain than normal controls. Scores of the SRI fatigue subscale scored significantly higher in those with chronic low back pain than normal controls. No significant difference was found on total scores of the pain discomfort scale between those with chronic low back pain and normal controls. The patients with chronic low back pain scored significantly higher on planful problem solving and positive reappraisal than normal controls. In the patient group, pain perception had significant positive correlations with total scores of the SRI and scores of stress perception related to illness or injury. The extent of escape-avoidance showed significant negative correlations with age, whereas the extent of distancing or escape-avoidance had significant negative correlations with the level of education. Significant difference was also found in accepting responsibilities between male subjects and females. However, no significant correlations were found between coping strategies and perceived stressors, stress responses or pain perception. Conclusion : The results suggest that patients with chronic low back pain were more likely to use more active coping strategies than normal controls, though the former had more perception for stressors than the latter. It was also found that coping strategies used by the patients were associated with sociodemographic factors, but that they were not associated with perceived stressors, stress responses or pain perception.

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Stress and Coping for Patients with Hemiplegia during the Rehabilitation Process (편마비 환자의 재활과정에 따른 스트레스와 대처의 변화양상)

  • 강현숙
    • Journal of Korean Academy of Nursing
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    • v.24 no.1
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    • pp.18-32
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    • 1994
  • It is important to understand that patients with hemiplegia are under stress during the rehabilitation process. This study was designed to determine what changes occur in the stress perceived by these patients during the rehabilitation process. and what changes occur in the ways they coped with stress. A decriptive study with a longitudinal design was conducted. A total of 57 patients with hemiplegia who were admitted to one general hospital made up the sample for this study. A questionnaire, observations and interviews were used for the data collection which was done in three phases(within one week after admission : within one week before discharge ; within one month after discharge ). Data were analyzed using t-test, ANOVA repeated measures of ANOVA, and post hoc paired t -test, Bonferroni correction. The results of this study are : 1. Changes in the perception of stress during the rehabilitation process : There was a statistically significant differencs in the perception of stress among these patients during the rehabilitation process. On the post-hoc test. the perception of stress showed a statistically significant decrease from admission to discharge. The perception of psychological stress was high during the rehabilitation process as compared with the perception of physical and social stress. 2. Changes in the way the patients coped during the rehabilitation process : On admission passive coping was used by most of the subjects(91.2%). Passive coping showed an decrease from admission to discharge, but an increase from discharge to follow-up at one month post discharge. There was, however, no statistically significant changes in the way the patients coped during the rehabilitation process. 3. Changes in perception of stress during the rehabilitation process according to variables. Perception of stress among patients classified as So-Um was higher during the rehabilitation process, when compared with patients classified as So- Yang and Tae-Um. There was, however, no statistically significant difference in perception of stress over time. The patients with right sided paralysis perceived higher stress than those with left sided paralysis. There was, however, no statistically significant difference in perception of stress over time. Hence, stress was not influenced by which side was paralyzed th frequency of the relapse of the disease, or the time in the rehabilitation process. 4. Changes in coping during the rehabilitation process according to variables. There was a statistically significant difference in the way the patients coped at follow- up according to the three different kinds of the constitution groups. In other words, coping was not used by patients classified as Tae-Um but was used by those classified as So-Um. On the repeated measures of ANOVA, there was a statstically significant difference in stress over time, and an interaction between constitution and time. But the way of coping during the rehabilitation process was not influenced by which side was paralyzed nor by the frequency of the relapse of the disease. In conclusion, perception of psychological stress was high during the rehabilitation process, as compared to perception of physical and social stress. There was a statistcally significant difference in the perception of stress over time, Perception of stress showed a gradual decrease from over admission to follow-up period. There was. however, no statistically significant difference in the way of coping over time. Passive coping was used by most of patients. In the study, these findings suggest a need for nursing care related to the psychological support for patients with hemiplegia both in the hospital as well as at home, and the need for education and counseling on independent self-care to help the hemiplegic patients adapt to stress using active coping.

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A Study on Hardiness, Knowledge of Menopause, Menopausal Management among Middle Aged Women (중년여성의 강인성, 폐경지식과 폐경관리에 관한 연구)

  • Shin, Hye-Sook;Kown, Sook-Hee
    • Women's Health Nursing
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    • v.5 no.2
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    • pp.247-261
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    • 1999
  • The purpose of this study was to figure out related factors to the self-reported climacteric symptoms and the relationship among the health promoting behaviors, climacteric symptoms and degree of Sanhujori, the Korean traditional postpartal care. A cross-sectional survey design was employed in this study. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60 years. They were selected in seoul and Kyoung-ki province, Korea, Data were collected from Oct.25 Nov. 10, 1997 by a structured questionnaire. The instruments used for this study were the revised health Promotion Lifestyle(HPLP) developed by Walker, Sechrist & Pender, and revised Climacteric Symptoms Scale developed by Chi, Sung Ai. the data were analyzed by the SPSS/$PC^+$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low($2.42{\pm}0.35$). There were statistically significant differences in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, whether or not taking a restorative food and degree of Sanhujori, especially the period (t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of score self-reported climacteric symptoms was 1.69%;99% of middle-aged women had symptoms. There were statically significant differences in the score of middle -aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormon replacement therapy (HRT) or consultation by a professional, perceived health status and self evaluation of Sanhujori(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. women's degree of Sanhujori was a positive correlation with health promoting behaviors(r=0.34, p=0.00) and negative correlation with the degree of self-reported climacteric symptoms(r=-0.19,p=0.03). 4. The influencing factors to the climacteric symptoms were self actualization, interpersonal support, and perceived health status among the health promoting behaviors with 57% of variance($R^2$=0.57). 5. The middle-aged women's type of coping pattern for the climacteric symptoms was classified as active behavioral coping, spiritual & psychological coping, and negative coping. In conclusion, to intervene the middle aged women's climacteric symptoms and develop nursing strategies for their health, health promoting behavior, especially ; self actualization, interpersonal support, and perceived health status should be considered. And, as the primary prevention strategy for women's health during the period of childbearing and also middle age, especially for the climacteric symptoms, Sanhujori should be reconsidered.

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A study on the parenting stress factors and the copying strategies of marriage immigrant women raising middle and high school student (중·고등학생 자녀를 양육하는 결혼이주여성의 양육스트레스와 대처방안에 대한 연구)

  • Huang, Haiying;Lee, Mijung
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.5 no.4
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    • pp.415-426
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    • 2015
  • This study is intended to learn about the factors appearing in parenting stress and the copying strategies by targeting marriage immigrant women who are raising middle and high school student. To this end, in-depth interviews were conducted on seven participants of Marriage Migrant Women who are living in Seoul and Gyeongi area. Generally to say, first of results showed that the personal factors, family factors, social factors and enculturative factors were found out as the factors of parenting stress of them. Secondly, problem-centered and emotion-focused coping strategies for the factors of stress were the main ways. Specifically, as the individual factors, the self-efficiency was coped with problem-focused ways and the parenting roles were coped with emotion-focused ways. As the family factors, child's activity and sociality impact their school adjustment and their mother's parenting stress and, various copying strategies were used depending on the different situation. For the social factors, looking for family supporting as the active problem-focused coping ways were used in husband's family and looking for emotional comfort as the emotion-focused coping ways were used in parents' home. In the case of enculturative factors, the emotion-focused coping strategies were used for the Public gaze and the prejudice around them that caused overwhelming sense of helplessness.

Fatigue and Its Association with Socio-Demographic and Clinical Variables in a Working Population (직장인의 피로 심각도 및 이와 연관된 사회 인구학적, 임상적 변인)

  • Park, Soyoung;Joe, Sook-Haeng;Kim, Seung-Hyun;Han, Chang-Su;Ham, Byung-Joo;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.22 no.1
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    • pp.3-12
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    • 2014
  • Objectives : We aimed to explore the relationship among fatigue and perceived stress, depressive mood in the working population. We also examined associations with demographic and life style factors and investigated the effect of individual coping skills on these associations. Methods : Fatigue Severity Scale(FSS), Perceived Stress Scale(PSS), Brief Encounter Psychosocial Instrument - Korean version(BEPSI-K), Beck Depression Inventory(BDI), Stress Coping Skill Questionnaire were administered to 621 civil servants. All of above and other demographic factors are self-administered questionnaire survey and this study is cross sectional. Results : Mean FSS score was 3.04 which was lower than 3.22, the severity cut off score. FSS, PSS, BEPSI-K, BDI were all higher in female. Subjects with active coping skills showed relatively low fatigue, perceived stress, depressive mood than those with passive coping skills. Logistic regression analyses indicated that the PSS, BDI, BEPSI-K in working population increase the risk of fatigue and regular exercise lowers the risk. Conclusions : Adults who were afflicted by stress, experienced depressive mood or were physically inactive were at much higher risk of feeling fatigue. Since no other large data sets are available for fatigue, the results from this study could serve a very useful purpose, to furnish a basis for comparison with future research results based on more complete data.

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Burnout, Secondary Traumatic Stress, and Compassion Satisfaction of Military Officers Responding to COVID-19 (COVID-19 대응 군 간부의 소진, 이차적 외상성 스트레스 및 공감만족)

  • Baek, Seoyoung;Hwang, Sinwoo
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.217-227
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    • 2022
  • Purpose: The purpose of this study was to identify individual and occupational factors influencing burnout, secondary traumatic stress, and compassion satisfaction in military officers who experienced supporting civilians in responding to COVID-19. Methods: This descriptive study was conducted on 140 special forces' military officers who experienced responding to disasters within 3 months. Data were collected through an online survey from September to November 2021. Results: The mean scores for burnout, secondary traumatic stress, and compassion satisfaction were 21.67±6.03, 20.54±8.21, and 39.72±8.12 out of 50, respectively. The significant factors that influenced burnout and secondary traumatic stress were 'higher passive stress copying styles' (B=0.17, p<.001; B=0.31, p=<.001, respectively) and 'lower social support (B=-0.11, p=.031; B=-0.10, p=.001, respectively). The compassion satisfaction was more significantly associated with 'higher self-efficacy' (B=0.37, p=<.001), 'higher active stress copying styles' (B=0.19, p=.006), and 'education responding to disasters' (B=2.04, p=.029). Conclusion: The results suggest that the strategies to increase social support, self-efficacy, and active stress coping styles should be considered in developing educational programs for military officers responding to disasters to minimize burnout, secondary traumatic stress and to improve compassion satisfaction.

Improvement of Vehicle Directional Stability in Cornering Based on Yaw Moment Control

  • Youn, Weon-Young;Song, Jae-Bok
    • Journal of Mechanical Science and Technology
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    • v.14 no.8
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    • pp.836-844
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    • 2000
  • In this research any abnormal motion of a vehicle is detected by utilizing the difference between the reference and actual yaw velocities as sell as the information on vehicle slip angle and slip angular velocity. This information is then used as a criterion for execution of the yaw moment control. A yaw moment control algorithm based on the brake control is proposed for improving the directional stability of the vehicle. The controller executes brake controls to provide each wheel with adequate brake pressures, which generate the needed yaw moment. It is shown that the proposed yaw moment control logic can provide excellent cornering capabilities even on low friction roads. This active control scheme can prevent a vehicle from behaving abnormally, and can assist normal drivers in coping with dangerous situations as well as experienced drivers.

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Control of the Intraocular Pressure by Using the Micro Valve Actuator for a Glaucoma Implant

  • Byunghoon Bae;Park, Junhyun;Park, Kyihwan;Lee, Jonghyun;Lee, Yeon;Hongseok Kee;Kim, Seonho;Taeseok Sim;Kim, Yongkweon
    • 제어로봇시스템학회:학술대회논문집
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    • 2002.10a
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    • pp.74.6-74
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    • 2002
  • $\textbullet$ A new implant capable of controlling IOP actively and coping with personal difference among patients $\textbullet$ The valve actuator of the active implant is proposed and fabricated. $\textbullet$ In vitro experiments are carried out extensively with and without a rabbit. $\textbullet$ The experiments are conducted by using the open and closed loop pressure control. $\textbullet$ The experiment with the rabbit is similar as a in vivo experiment, $\textbullet$ since the compliance and the aqueous humor of the rabbit's eye are included. $\textbullet$ The experimental results verify the possibility of the valve actuator for a glaucoma implant.

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A Comparative Analysis on the Foreign Trade ACT between Korea and China (한국과 중국의 대외무역관리제도 비교분석)

  • Kim, Chang-Bong;Hong, Gil-Jong
    • International Commerce and Information Review
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    • v.7 no.3
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    • pp.213-228
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    • 2005
  • China is our second largest trade partner and the biggest country of our investment. For this reason, the Korea active strategy for coping with China's changes is very critical at the current point in time due to the economic structure of Korea dependent on exports. This essay is aimed at studying the Foreign Trade Administration System of China and selecting Korea's prospective exports-imports to China. The purpose of this, essay is to help Korean trading corporation to understand the difference between Korea and China in foreign trade administration in order to promote bilateral trade between Korea and China.

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A Qualitative Study on Breast Cancer Survivors' Experiences (유방암 생존자의 질병 극복 경험)

  • Yun, Mira;Song, Misoon
    • Perspectives in Nursing Science
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    • v.10 no.1
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    • pp.41-51
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    • 2013
  • Purpose: This study was performed to understand the characteristics and the meaning of the illness experience of breast cancer survivors as basic data for the development of an intervention program. Methods: The participants were 25 breast cancer survivors who had completed treatment at a tertiary hospital in Seoul. Data were collected through in-depth and unstructured audio-recorded interviews by the investigator. The participants were asked to describe their illness experience. The data were analyzed according to Giorgi's method for phenomenological analysis. Results: The interview data were organized by theme into 6 categories that emerged from the analysis. The themes were acceptance of the illness, active coping with reality, gaining strength through the support of surrounding people, struggling to overcome a negative mindset, self-reflection, and the pursuit of a meaningful new life. Conclusion: We recommend the development of a survivorship program based on self-reflection, which can engender self-transcendence and spiritual well-being.

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