Purpose: This study was to conduct a Korean cultural adaptation of the WHO disability assessment schedule (WHODAS) 2.0: 36-item version. Methods: An internationally standardized process of translation and cultural adaptation of an instrument was used to develop a Korean version of WHODAS 2.0: 36-item version. Linking each item into the International Classification of Functioning, Disability and Health (ICF) was also conducted in order to ensure the concepts in the translated instrument were compatible with ICF. All translated versions of the instrument, linking results and feedback from participants were used for the final adaptation of the Korean version of the instrument. The Korean version of the instrument was assessed twice on different occasions to examine Inter- and intra-rater reliability, and the intra-class correlation coefficient (ICC) was calculated. Results: Twelve participants were involved in the translation and linking process. Ninety-five volunteers were invited to participate to examine the reliability of the instrument. Fifty participants completed the self-rated version of the instrument and 45 finished the interviewer version. The Korean WHODAS 2.0: 36-item version was found to have excellent reliability: self-rated version and interviewer version reliability coefficients were ICC=0.92 and ICC=0.94, respectively. Thirty-four items of the translated instrument were to be linked to ICF categories. Some adaptation was made; details and a familiar example were added to help respondents answer the questions. Conclusion: The study results show that the adaptation of the 36-item version of WHODAS 2.0 to Korean was successful and the instrument is ready for use in testing its psychometric properties.
Purpose: The purpose of this study was to construct a hypothetical model based on Meleis and colleagues' Transition Theory and a literature review to explain women's menopausal transition, constructing a modified model considering previous studies and model fit and testing the effects between variables. Methods: With a correlational survey design, middle-aged Korean women aged 40 to 64 years who had experienced menopausal symptoms were recruited and filled out a self-administered study questionnaire. Measures included menopausal symptoms, resilience, social support, menopause management, menopause adaptation, and quality of life. The data were analyzed using SPSS 24.0 and AMOS 24.0. Results: The model fit indices were considered acceptable: 𝛘2/degree of freedom=2.93, standardized root mean residual=.07, comparative fit index=.90, and parsimonious normed fit index=.73. All eight direct-effect paths-from menopausal symptoms to support and adaptation, from support to adaptation and resilience, from resilience to adaptation and management, from management to quality of life, and from adaptation to quality of life-were significant. The explanatory power of the menopause transition model was 63.6%. Conclusion: Women who experience menopausal symptoms may be able to maintain and improve their quality of life if menopause management and menopause adaptation are successful through resilience and social support. Future research is needed to confirm whether strengthening facilitation as a nursing intervention strategy may promote healthy response patterns.
Purpose: The purpose of this study was to explore and identify patterns from the phenomenon of the role adaptation process in elementary school health teachers and finally, suggest a model to describe the process. Methods: Grounded theory methodology and focus group interviews were used. Data were collected from 24 participants of four focus groups. The questions used were about their experience of role adaptation including situational contexts and interactional coping strategies. Transcribed data and field notes were analyzed with continuous comparative analysis. Results: The core category was 'establishing their own positions', an interactional coping strategy. The phenomenon identified by participants was confusion and wandering in their role performance. Influencing contexts were unclear beliefs for their role as health teachers and non-supportive job environments. The result of the adaptation process was consolidation of their positions. Pride as health teachers and social recognition and supports intervened to produce that result. The process had three stages; entry, growth, and maturity. Conclusion: The role adaptation process of elementary school health teachers can be explained as establishing, strengthening and consolidating their own positions. Results of this study can be used as fundamental information for developing programs to support the role adaptation of health teachers.
Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.
This study examined positive and negative marital factors on social adaptation to South Korea among North Korean refugees. In terms of previous studies, family variables play an important role in the adaptation to new society among refugees. We analyzed three major marital factors of marriage background, dyadic adjustment, and marital violence. Marital factors consisted of place of birth, place of marriage, dyadic consensus, dyadic satisfaction, dyadic cohesion, emotional violence, physical violence, and sexual violence. We analyzed the data of 295 North Korean refugees who resided in Seoul, Gyeonggi province and Incheon using snowballing sampling. The result indicated that the refugees married to non-Korean partners (including Korean-Chinese, Chinese, or Russian) are more likely to suffer in social adaptation. Place of marriage (whether the couple got married before escaping, during the escape or after living in South Korea) did not have a significant impact. Dyadic satisfaction was helpful in social adaptation, while sexual violence had a negative effect. The findings of this study suggest alternatives for more successful social adaptation by North Korean refugees to South Korea, a need for more services that target married couples and families rather than individuals, and suggestions for the use of counselors who are also North Korean refugees.
Purpose: This study was conducted to identify the disease adaptation and related factors for the pediatric patients with diabetes mellitus. Methods: Participants in this study were 75 diabetic children or adolescent whose age were 10 to 18 years old visited the out-patient clinic in one general hospital located in Seoul. Data were collected using self-report questionnaires. Research tools measuring resilience, family support, psychological adaptation, Hemoglobin A1c (HbA1c) protein were used. Results: Resilience showed significant differences according to the age, gender, academic achievement, and hospitalization experience of the children. Family support was significantly different according to the age, religion, academic achievement, fathers' education level, and hospitalization experience of the children. Psychological adaptation to diabetes showed significant differences according to academic achievement. HbA1c was shown to be significant difference according to fathers' education level and hospitalization experience of the children. Positive correlations were identified among resilience, family support, and psychosocial adaptation, while negative correlations were found between HbA1c and all others including resilience, family support, and psychosocial adaptation. Conclusion: This study suggests that the educational programs as nursing intervention needs to be developed to enhance the resilience and family support for the pediatric diabetic patients.
Purpose: This study was conducted to identify resiliency factor, to test causal relationship and effect of resiliency factors on adaptation in families of children with cancer. A conceptual framework was constructed based on McCubbin's resiliency model. Hypotheses were tested with empirical data. Method: Data were collected using self-report questionnaire from 232 families of children with cancer. The collected data were analyzed using the SAS program and LISREL program for covariance structural analysis. Result: Family hardiness and problem-solving coping had significant direct effects on adaptation in families of children with cancer. Social support had significant indirect and total effect on adaptation. Family Schema had significant direct effect on family hardiness and problem-solving coping. Problem-solving communication had a significant direct effect on family hardiness and an indirect effect on family functioning and problem-solving coping. Among the resiliency factors, family hardiness had the greatest effect on adaptation in family of children with cancer. Conclusion: The findings suggest that nursing interventions to enhance family hardiness, problem-solving coping and social support would result in an increase in adaptation in families of children with cancer. An integrated intervention that emphasizes and promotes resiliency factors should be developed and established for families of children with cancer.
Purpose: This study was designed to examine the basic data for an effective measure for the caregiver's burden and adaptation of industrial accident patient. Method: The data were computerized by the SPSS/pc for Window. Results: 1) The burden felt by the caregiver of the patients who were in hospital was more than 'average', and objective burden was higher than subjective one. 2) The adaptation felt by the caregiver was more than 'average'. 3) The objective burden of the caregiver based on the general characteristics varied in the relationship between the caregiver and the patient, the level of education of the caregiver, the age of the caregiver, nursing period, nursing time per day, and so forth. The subjective burden was significantly related to the relationship between the caregiver and the patient, the level of education of the caregiver, the age of the caregiver, nursing period, nursing time per day, and the religion. 4) The adaptation of the caregiver based on the general characteristics varied in monthly income and nursing period. 5) The relationship between the burden and adaptation of the caregiver were reverse. Conclusion: Even though the caregiver have high burden, they positively adaptation it.
This study was to examined the relationship between goal setting, self improvement, social support of parents, friendship, school adaptation, drop out. In our research model, goal setting, self improvement, social support of parents, and friendship is exogenous variable and school adaption and drop out is endogenous variable. A total of 323 undergraduate student(254 female, 69 male) complete the questionnaires. Structural equation modelling showed that, as hypothesized, establishment of goals, social support of parent and friendship have effect on school adaptation, and friendship also have direct effect on drop out. School adaptation mediate path from goal setting, social support of parents, and friendship. This study provides empirical evidence for a model that show how to control the drop out of students.
Journal of the Korea Academia-Industrial cooperation Society
/
v.18
no.12
/
pp.335-345
/
2017
This is an empirical study with the purpose of analyzing the effects of interpersonal relationship skills and social support on adaptation to college life targeting freshmen. For the objective and questions of this study, 268 freshmen of D University located in Gyeonggi-do were selected and a survey was carried out. The collected survey data were analyzed using factor analysis, reliability analysis, frequency analysis, descriptive statistics, correlation and regression analysis with the SPSS program. The results of this study are as follows. First, there was a significant positive correlation among interpersonal relations, social support and adaptation to college life. Second, the factors, forming initial relationships, claiming rights, mental support and dealing with interpersonal conflicts in interpersonal relations, had a significant effect on adaptation to college life. Third, in the area of social support, family support, friend support and instructor support had a significantly positive effect on adaptation to college life. This indicates that interpersonal relations and social support by family, friends and instructors play an important role in adapting to the new environment of college, so it is necessary to develop and adopt various programs that foster interpersonal relation ability for college students to adapt smoothly to college life.
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