• 제목/요약/키워드: approach coping

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만성(慢性) B형(型) 간염환자(肝炎患者) 삶의 질(質) (Quality of Life in Chronic Viral B Hepatitis Patients)

  • 김헌수;이민규
    • 정신신체의학
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    • 제6권1호
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    • pp.35-45
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    • 1998
  • Objectives : The purpose of this study was to determine correlation between coping strategies to disease and quality of life in chrome viral B hepatitis patients ; to investigate difference of coping strategies to disease and quality in life between chronic viral B hepatitis patients and normal persons ; and to identify major variables related to quality in life of chronic viral B hepatitis patients. Methods: The authors used Weisman coping strategy scale for measuring coping ability and efficacies, and the questionnaire for measuring quality of life including physical, psychological, social and economical aspects and satisfaction of sexual life was made by authors based on related literatures. Data were collected through questionnaire survey over a period from Sep 15, 1994 to Nov 11, 1994. Subjects served for this study consisted of 94 chronic viral B hepatitis patients visited to department of internal medicine at one general hospital and 100 normal persons visited to one general hospital for routine check up of health. The collected data were analyzed by SAS and the statistical methods for analysis were Chisquare, t-test and multiple regression analysis. Results : 1) It was revealed that coping strategies to disease significantly correlated to individual's quality of life. 2) There was no significant difference in coping strategies to disease between chronic viral B hepatitis patients and normal persons. However, chronic viral B hepatitis patients showed the lower scroes of quality of life in physical, psychological and economical aspects. 3) The most important variables which were influenced upon quality of life were coping strategies to disease and satisfaction of sexual life. That is, the more active coping strategies to diseases and the higher satisfaction of sexual life, consequently the higher quality of life was. Especially male patient group or normal persons showed each other the higher scores of quality of life in physical and psychological area than female group or patient group. 4) No statistically significant difference in coping strategies to disease and quality of life was found between HBeAg positive group and HBeAg negative group. Conclusions : The authors suggest that chronic viral B hepatitis patients may show the lower score of quality of life than normal person. Therefore, quality of life assessment should become an integral part of all clinical area that seek to assess the effectiveness of treatment. Also, through the interdisciplinary approach, a comprehensive paradigm that can better account for the effects of chronic disease on the individual' s quality of life should be developed.

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만성두통 환자에 대한 인지행동치료경험 (Experience of Cognitive-Behavioral Treatment for Patients with Chronic Headache)

  • 고경봉
    • 정신신체의학
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    • 제4권1호
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    • pp.85-90
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    • 1996
  • Cognitive-behavioral approach to two cases with chronic headache was presented. Cognitive-behavioral interventions focus on indirectly altering symptom-related physiological activity by changing the way patients cope with headache-eliciting stressors. This treatment focuses directly on the patients' cognitive and behavioral changes. Cognitive-behavioral treatment can be divided into three phases Education, self-monitoring, and problem-solving or coping-skills training. Literature reviews on the follow-up evaluation of therapeutic effectiveness revealed that cognitive-behavioral treatment is effective in the management of chronic headache.

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학업중단 청소년의 사회적지지, 자아탄력성과 스트레스 대처방식 연구 (A Study on the Social Support, Ego-resiliency and Stress Coping Strategies of School-Dropout Adolescents)

  • 김현지;양명숙
    • 디지털융복합연구
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    • 제15권1호
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    • pp.23-34
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    • 2017
  • 본 연구는 학업중단 청소년의 스트레스 상황에 대하여 적응적인 대처를 돕고자 사회적지지, 자아탄력성과 스트레스 대처방식의 상대적 설명력을 살펴보았다. 이를 위해 대전, 충남, 충북의 각 지역에서 학교 밖 청소년지원 사업과 소년원, 청소년 보호치료시설 등에 직접 방문 및 의뢰하여 학업중단 청소년 101명을 대상으로 설문조사를 실시하였다. 분석방법으로는 기술통계, Pearson 상관관계, 위계적 회귀분석을 실시하였으며, 연구결과는 다음과 같다. 첫째, 스트레스 대처방식은 사회적지지와 자아탄력성과 정적 상관관계를 나타내었다. 둘째, 스트레스 대처방식에 더 많은 설명력을 나타낸 변인은 환경적 변인인 사회적지지였다. 셋째, 스트레스 대처방식에 있어서 환경적 변인인 사회적지지와 개인적 변인인 자아탄력성을 동시에 투입했을 때 더 많은 설명력이 나타났다. 따라서 학업중단 청소년이 직면한 어려움을 극복하기 위해 개인의 대처능력 향상뿐만 아니라 학교, 지역사회, 국가의 정책적 노력과 더불어 체계적 접근이 필요함을 시사한다.

혁신체제론의 과학기술정책: 기본 관점과 주요 주제 (The Innovation System Approach and Science and Technology Policy)

  • 송위진
    • 기술혁신학회지
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    • 제5권1호
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    • pp.1-15
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    • 2002
  • This study reviews the new Perspectives of science and technology Policy based on "the innovation system ap-proach" . It examines the theories of innovation and the economic rationale of government intervention of the in-novation system approach and compares them with those of traditional nee-classical approach. It also examines the basic theme of science and technology Policy of "the innovation system approach" It argues that the enhancement of innovating capability, the transformation of innovation system coping with changing technological and econom-ic environments, and the policy learning of the government and innovators are very important and peculiar sub-jects of the science and technology Policy based on "the innovation system approach".ovation system approach".uot;.

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응급실 간호사들의 폭력 경험에 대한 현상학적 방법론의 융합적 접근 (Convergent approach of phenomenological methodology about Emergency Nurses' experience of hospital violence)

  • 정영희
    • 한국융합학회논문지
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    • 제6권5호
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    • pp.63-75
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    • 2015
  • 이 연구는 살아 있는 인간의 경험을 잘 기술할 수 있는 현상학적 방법을 융합하여 응급실 간호사들의 폭력에 대한 경험을 알아보기 위해 시도되었다. 연구 방법으로는 질적 연구로서 응급실에서 근무하는 간호사 5인을 대상으로 심층 면담을 실시하여 Colaizzi의 현상학적 분석 방법의 융합적 접근을 이용하였다. 연구 결과, 심층 면담 후 면담 진술로부터 41개의 의미 있는 진술이 도출되었고 17개의 주제 묶음, 6개의 상위 범주가 도출되었다. 도출된 상위 범주로는 폭력의 배경, 정서적 반응, 신체적 반응, 사회적 반응, 소극적 대처, 적극적 대처로 나타나는 경험과 반응들이었다. 본 연구결과를 볼 때 폭력이 간호사에게 미치는 부정적인 영향은 다양한 측면에서 나타났으며, 폭력 예방에 대한 대책이 절실히 요구된다.

기러기가족의 초국적 적응전략 및 가족 경로 (Transnational Life of Korean 'Wild Geese Family': Coping Strategies and Family Paths Across Time)

  • 강유진
    • 한국지역사회생활과학회지
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    • 제20권2호
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    • pp.205-221
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    • 2009
  • My concern was to explore how the Korean 'wild geese families' functioned to maintain 'familyhood' in spite of spatial separation by using a qualitative approach. I used personal narratives from eleven 'geese mothers' living in the United States. Family paths across time were analyzed to understand their complicated nature. Respondents adopted some coping strategies to obtain the flexibility and the stability for relocating their transnational lives. These were 1) communications, 2) relocation of household work, and 3) reinterpretation of 'sacrifice.' It seemed that their family paths become either the continuous type (prolong their stay) or the discontinuous type (not prolong their stay). These were shaped by complex individual, familial, and social forces which affected differently according to the steps of family life cycles. Therefore, this study showed that the Korean 'wild geese family' did not move toward the uni-direction with the same experiences and nature. More importantly, it is noteworthy to acknowledge that the prevalence of 'wild geese family' reveals the dynamic interactive nature of the family, i.e., actively responding to the changes and challenges from the diverse circumstances. It is inferred that the social and cultural factors such as the class mobility, the education system, and the values may influence the family life style.

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희망과 설명 요인과의 함수적 관계에 대한 메타 분석 (Meta-Analysis of the Research Findings Concerning Functional Relationships of Explanatory Variables to Hope)

  • 김달숙;문원희;안성윤;오현숙;권경희;박문경;최현숙;이미옥;김영주
    • 대한간호학회지
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    • 제34권5호
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    • pp.673-684
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    • 2004
  • Purpose: The purpose of the study was to meta-analyze the relationships of major concepts, which were made by synthesizing similar explanatory variables into more comprehensive concepts, to hope. Method: The relevant researches from Jan 1980 to Dec 2003, performed in adults or adult patients, were collected. Using the SAS program, meta-analysis were done with the input data of the number of subjects, the correlation coefficients provided from most of the studies or a few transformed correlation coefficients from F value. In order to get the analysis to be done in homogeneous status of the data regarding each relationship of each major concept to hope(p> 0.05), heterogeneous data were eliminated in repeating Q-test. Result: The major variable regarding relationship to self/transcendental being/life(spiritual wellbeing & self esteem) and social support(social support & family support) have very large positive effects on hope(D=l.72, D=l.27). The negative effect of the variable regarding captive state(uncertainty in illness, perceived unhealthiness status, & fatigue) and positive effect of coping(approach coping) on hope are in the level between moderate to large(D=-0.61, D=0.78). All the effects of the major concepts on hope were verified as significant statistically(p=.000). The Fail -Safe numbers showed the significant effects of the three major concepts except coping on hope were reliable. Conclusion: The results can be a guide to advance hope theory for nursing.

사이버 명예훼손 피해자의 외상 후 스트레스가 대처행동에 미치는 영향 : 합리적 행동 이론을 중심으로 (Effects of Cyber Defamation Victims' Post-Traumatic Stress on Coping behaviour : Focusing on the Theory of Reasoned Action)

  • 김영수;변상해
    • 디지털산업정보학회논문지
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    • 제15권1호
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    • pp.29-41
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    • 2019
  • The purpose of this study examined how post-traumatic stress, caused when internet users in web portal or social media are defamed in cyberspace, influence on coping behaviour, through the Theory of Reasoned Action's two major factors: Attitude on behaviour and subjective norm. In so doing, it aims to provide a technical and political solution that would fundamentally prevent future victims in cyberspace. In an effort to examine its research theory, a survey was conducted on people who have had the experience of being defamed in cyberspace. The results showed, first, hypersensual has no significant influence over attitude on behaviour and subjective norm. Second, intrusion has no significant influence over attitude on behaviour and subjective norm. Third, avoidance showed significant influence over attitude on behaviour and subjective norm. Fourth, attitude on behaviour and subjective norm showed significant influence on behaviour. This study has both theoretical and practical significance; Unlike previous studies on cyber defamation with qualitative research method, this study employed quantitative method through theory-based approach. In other words, the researcher did not arbitrarily set variables, but utilized the Theory of Reasoned Action for examination.

중도시각장애인 부인의 위기 직면 및 극복 경험에 관한 내러티브 연구 (A Narrative Study on the Experiences of Facing and Coping the Crisis in the Wives of Men Having Visual Impairment)

  • 권진숙;박시현
    • 한국보건간호학회지
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    • 제33권2호
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    • pp.242-257
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    • 2019
  • Purpose: This study examined the life experiences of the wives of men who were born with normal vision but gradually developed a visual impairment, with particular focus on their way of facing and coping with their life crisis. Method: A narrative approach was used to not only understand women's experiences within sociocultural contexts, but also reveal the subjective meaning of their personal life stories through their own voices. A purposive sample of three participants having husbands unexpectedly diagnosed with visual impairment during their marriage was recruited. The data were analyzed using the narrative analysis methods suggested by Clandinin and Connelly. Results: The wives took the crisis of their husbands' visual impairment as an economic crisis of the family. They faced a variety of difficulties, including extreme despair, role changes, and economic burdens. On the other hand, they tried to keep the family secure through a range of coping strategies that were motivated by compassion toward the husbands, maternal affection for the children, and a sense of responsibility for their families. Conclusion: This study revealed the need for financial support for temporarily disadvantaged families. In addition, various nursing and counseling programs for the family members will also be needed to help recover the family functions.

Have you Exposure to a trauma and No PTSD? Which factors help and which are not?

  • Bulathwatta, Asanka;Witruk, Evelin;Reschke, Konrad
    • 식품보건융합연구
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    • 제5권1호
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    • pp.21-31
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    • 2019
  • Exposure to a traumatic events gives people many post traumatic conditions resulting Post Traumatic Stress Disorder (PTSD) or Post Traumatic Growth (PTG). Some of them may come up with acute Stress Disorder and some may having with grievances. But most of people overcome their traumatic condition with using their Emotional Intelligence and Resilience capacities. This article is focused on indicating basic mechanisms and resources in which can be lead to have better social rehabilitation along with the matters that can be important in trauma coping. The later part of the article appeals the concept of social work theory highlighting the psych dynamic approach which can be impact positively on psycho social rehabilitation. Traumatic experiences are really unpredictable and it can be resulted Post Traumatic Stress Disorders, Post traumatic growth in the end. But developing skills that required to overcoming trauma is facilitated by the Emotional Intelligence, Resilience, and Coping capacities that people having with. Exposure to a traumatic experience and not having a PTSD is determined by the many other factors such as social support system and government facilitation of the wellbeing afterwards the trauma. Here in this article the basic components of Emotional Intelligence, Resilience, and coping mechanisms have been considered as the major factors.