• Title/Summary/Keyword: adaptation program

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Perceived Social Support as a Predictor on Adaptation of Family Who has a Child with Pediatric Cancer (소아암 환아 가족이 인지한 사회적 지지가 적응에 미치는 영향)

  • Tak Young-Ran;Yun E-Hwa;Chon Young-Shin;An Ji-Yeon
    • Child Health Nursing Research
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    • v.9 no.1
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    • pp.9-17
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    • 2003
  • Families of children with cancer face many illness-related demands. The perceived social support is a critical resource for the family adaptation process. And the patterns of family adaptation to childhood cancer varies as characteristics of disease, which is prognosis, the influence of cognition function, and treatment process. The conceptual definition of social support is not unidimensional. However, most studies focus on general aspect of mediating effects on adaptation. Diverse dimensions of perceived social support should be considered in its effectiveness for intervention. Therefore, this study was undertaken to determine whether family's perceived social support influences the family adaptation of family with pediatric cancer and what dimension influences mostly in family adaptation as the characteristics of disease in the family of children with cancer. The subject was consisted of 102 families with pediatric cancer who had been diagnosed as leukemia or brain tumor last 2 years. Those families had participated in the education program or meetings for family who have with pediatric cancer children. The measurement for this study were Personal Resource Questionnaire (PRQ) Part-Ⅱ developed by Brandt and Weinert to measure parents' perceived social support, and the McCubbin's Coping Health Inventory for Parents (CHIP) to measure family coping. The results of this study can be summarized as follows; Regression analysis showed that perceived social support has effect on family adaptation with β=.43, p<.01. In the group of family of child with leukemia, social support as general has effect on adaptation (β=.40, p<.01) and specially, social support perceived as intimacy was strongly effect on family adaptation. And In the group of brain tumor, Social support has effect on adaptation(β=.46, p<.01) and among the social support domains, the self esteem dimension was most predictable to family adaptation. In conclusion, the perceived social support is a predictor on family adaptation and useful vehicle to help family who has child with pediatric cancer. An important clinical implication is that specified support program for intervention may be useful and critical for the family who has diverse pediatric conditions of childhood cancer. Further studies should stress the effects of family support for clinical intervention and is needed with diverse stage of development and pediatric conditions.

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Effects of the Family Resilience Enhancement Program for Families of Patients with Chronic Schizophrenia (만성조현병 환자 가족의 극복력 증진 프로그램의 개발 및 효과)

  • Lim, HeeSu;Han, KuemSun
    • Journal of Korean Academy of Nursing
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    • v.43 no.1
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    • pp.133-142
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effects of the Family Resilience Enhancement Program (FREP) on family hardiness, family sense of coherence, family problem solving communication, family crisis oriented personal evaluation, and adaptation in families of patients with chronic schizophrenia. Methods: The study design was a nonequivalent control group prepost test design. Study participants were 17 families in the experimental group and 17 in the control group. Ten sessions of FREP were provided over 5 weeks. The data were analyzed using SPSS 15.0. Results: There were statistically significant differences in family hardiness, family sense of coherence, family problem-solving communication, family crisis-oriented personal evaluation, social resources, and family adaptation between the experimental group and the control group. Conclusion: FREP based on the family resilience model developed in this study, shows the effect of leading the families to positive family adaptation.

A Study on the Performance of Early Adaptation Support Program for People with Mental Illness Living in Independent Housing : Focused on Comparing Housing Types (독립주거 정신장애인의 초기적응지원 프로그램 성과 연구 : 주거형태별 비교를 중심으로)

  • Choi, Hee-Chul;Bae, Eun-Mi
    • Journal of Convergence for Information Technology
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    • v.11 no.1
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    • pp.91-101
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    • 2021
  • The purpose of this study is to understand the performance of the initial adaptation support program for people with mental illness living in independent housing. The group of people with mental illness living in independent housing from T mental rehabilitation facilities in Seoul were assigned to the experimental group, and the other group of people with mental illness in living facilities and group home were assigned to the control group. After that, the degree of community performance between groups was compared with pre-post tests. As a result of the study, the pre-post analysis of the total social support of the experimental group showed significant differences. Also, the results were statistically insignificant in all of the control groups, so the initial adaptation support program was found effective in improving the total social support of the independent housing group. Based on the results of this study, the direction of housing support and establishment of a performance system for housing services for stable settlement of discharged people with mental illness into the community was suggested.

Psychosocial Adaptation and Related Factors in Patients with a Permanent Colostomy (영구적 결장루 보유자의 심리사회적 적응과 관련 요인에 관한 연구)

  • Cha, Bo-Kyoung;Baek, Eun-Seon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.4
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    • pp.506-514
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    • 2009
  • Purpose: This study was conducted to define factors influencing psychosocial adaptation of patients with a permanent colostomy. Independent variables including perceived stress, stoma care self-efficacy, self-care behavior, self-esteem and family support were used to predict psychosocial adaptation. Method: The data was analyzed using the SPSS pc program window version 12.0 for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Ninety patients with a permanent colostomy were recruited between September 2007 and May 2008. The reliability of the instruments was tested with Cronbach's alpha which ranged from .78 to .92. Result: The results were as follows: The mean psychosocial adaptation score was 3.05. There were significant correlations between all the predictive variables and psychosocial adaptation (r= .63~ -.43, p<.001). Stepwise multiple regression analysis showed that self-esteem (40%), stoma care self-efficacy (7%), perceived stress (2%), and self-care behavior (2%) accounted for 51% of the variance in psychosocial adaptation. Conclusion: These findings indicate that to improve psychosocial adaptation of patients with permanent colostomy, the major related factors identified in this study should be considered.

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The Influence of Mentoring Function on Department Adaptation of University Students in a Fashion Related Department -The Moderating Role of Self-efficacy and Mentor Competence- (멘토링 기능이 패션 관련 학과 대학생의 학과적응에 미치는 영향 -자기효능감과 멘토역량의 조절효과-)

  • Park, Hyun Hee;Lee, Seung Min
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.10
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    • pp.1074-1086
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    • 2012
  • This study examines the influence of mentoring function on major adaptation of university students in a fashion related department and identifies the moderating role of self-efficacy and mentor competence on the effectiveness of a fashion mentoring function. Questionnaire data were gathered from 266 university students in a fashion related department with previous experience in a mentoring program. The results showed that the psychosocial function, sensitivity developmental function, and the fashion career developmental function had a positive impact on the department adaptation (adaptation for professor and adaptation for learning). In addition, there were moderating effects of self-efficacy on the influence of the fashion career developmental function on professor adaptation and the moderating effects of mentor competence on the influence of the sensitivity developmental function on professor adaptation. The results of this study provide various guidelines for professors or administrators of fashion related departments who are interested in mentoring systems.

Factors Affecting Mother's Adaptation to Breastfeeding (어머니의 모유수유 적응에 영향을 미치는 요인)

  • Kim, Sun-Hee
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.225-235
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    • 2010
  • Purpose: The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors. Methods: The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child. Conclusion: Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

The Influence of Job Stress, Self-Esteem, and Resilience on the Field Adaptation in Newly Graduated Nurses (신규간호사의 직무 스트레스, 자아존중감, 회복탄력성이 현장적응에 미치는 영향)

  • Son, Joung Eun;Kim, Sang Hee
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.2
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    • pp.151-160
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    • 2019
  • Purpose: This study aims to determine the relation among job stress, self-esteem, resilience, and field adaptation of the newly graduated nurses, through which an effective mediation strategy toward field adaptation and basic data on improving nursing quality can be established. Methods: The subjects were 110 newly graduated nurses who have worked at a tertiary hospital and a general hospital for less than 12 months. The data were collected, using self-reported questionnaires, from July 9 to July 31, 2018, and were analyzed by descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient and stepwise multiple regression using an SPSS/WIN 24.0 program. Results: The study result showed that the newly graduated nurses' job stress, resilience, job satisfaction, and desired department influenced their field adaptation, explaining 60.2% of the variance in the field adaptation (F=42.14, p<.001). The nurses' job stress had the biggest influence on their field adaptation, explaining 38.7% of the variance. Conclusion: Human resource management strategy considering those influencing factors may improve the filed adaptation of newly graduated nurses and help them to retain in their work field.

Relationships among Bullying, Ego-Resilience, Perceived Stress, and College Adaptation in Nursing Students (간호대학생의 집단따돌림 피해 경험, 자아탄력성 및 지각된 스트레스와 대학생활 적응과의 관계)

  • Park, Mi Sook;Oh, Chung-Uk;Kang, Hye-Kyung
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.73-81
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    • 2017
  • The purpose of this study was to investigate the relationship among bullying, ego-resilience, perceived stress and adaptation on college in nursing students. A total of 212 students from 1-4 grade in one nursing college were recruited into the study. The data were collected using questionnaire about bullying, ego-resilience, perceived stress and adaptation and were analyzed with PASW Statistics 18.0 program. Bullying and perceived stress had a significant negative association with nursing college adaptation(r=-.261, p<.001; r=-.261, p<.001) and nursing college adaptation was positively correlated with ego-resilience(r=.337, p<.001). The significant predictors of nursing college adaptation were grade(${\beta}$=-.216, p=.003), satisfaction with major(${\beta}$=-.245, p<.001), the latest semester grade(${\beta}$=.210, p=.028) and ego-resilience (${\beta}$=.324, p<.001), explaining 29.1% of the variance in nursing college adaptation(F=9.691, p<.001). According to the results, ego-resilience could be a key factor to improve college adaptation and bullying and perceived stress were associated with adaptation. Therefore many trials have to be need for enhancing college adaptation in a multiple and convergent way and it is suggested that the program to strengthen college adaptation should be developed.

A Comparative Study of Health State and School Adaptation between Children in Divorced Family and in Normal Family (학령기 정상가정자녀와 이혼가정자녀의 건강상태와 학교생활적응정도 비교연구)

  • Cho, Kyoul-Ja;Ji, Eun-Sun
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.743-756
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    • 2002
  • Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.

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The Effects of Bibliotherapy Program on Elementary School Students' Adaptation to School Life: Based on Play oriented interaction (독서치료 프로그램이 초등학생의 학교생활 적응에 미치는 영향 - 상호작용 놀이 활동을 중심으로 -)

  • Jung, Ho Sun;Cho, Miah
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.31 no.2
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    • pp.5-26
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    • 2020
  • This study applied a bibliotherapy program based on play-oriented interaction to lower-graders in elementary school and examined its effect on the ability to adapt to school life. For this purpose, reading therapy research was conducted using research subjects consisting of ordinary second graders in elementary school located in District K, Seoul. Total of twelve ninety-minute sessions of the reading therapy program were implemented in school library once or twice a week. Adaptability to school life was tested before and after the reading therapy program and the Kinetic School Drawing (KSD) test, which was conducted before and after the implementation of reading therapy program. The results of this study can be summarized as follows; First, the reading therapy program based on play-oriented interaction was proven to have a positive impact on overall adaptation of second graders in elementary school. Second, among the sub factors of the adaptability to school life among the second graders in elementary school, reading therapy program based on play-oriented interaction positively affected teacher relation, peer relation, school lesson, and compliance with the school rules.