• 제목/요약/키워드: conflict-coping

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일부 도시주부들의 스트레스 생활사건 및 신체증상에 관한 연구 (Stressful Life Events and Somatic Symptoms of Urban Women)

  • 김영희;박형숙
    • 대한간호학회지
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    • 제22권4호
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    • pp.569-588
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    • 1992
  • This study examined the relationship between the experience of stressful life events and somatic symptoms of urban women. Data were collected by interviewing 200 women from June to July 1, 1991. Vsable data work obtained from 162 of the women. Modified version of a stressful life events measurement tool developed p.5. Lee (1984) and the Somatic Discomfort Inventory by Wittenborn were used to measure the variables. Data were processed by an 5.p.5.5. program and analyzed. statistically for percentage, T-test, ANOYA and Pearson Correlation coefficient. Result of the Study are as follows : 1) The group total mean score of stressful life events was 92.66 $\pm$ 10.41. The higher scores in the $\boxDr$Test and school$\boxUl$ of the Extrapersonal factor, in the $\boxDr$Health problems$\boxUl$ of the Intrapersonal factor and $\boxDr$Conflict and differences within the family$\boxUl$ of the Interpersonal factor, factors. which a suggested by Neuman's model. 2) The group total mean score for somatic symptoms was 100.41$\pm$9.74. The higher scores were for the factors of $\boxDr$Fatigue (1.94)$\boxUl$, $\boxDr$Menopause (1.74)$\boxUl$, $\boxDr$Muscular system(1.67)$\boxUl$ and $\boxDr$Sleeping (1.67)$\boxUl$ 3) The mean scores of stressful life events were higher in the 40~60 age group, for middle school graduates(P<.05), career women and those in nuclear families (P>.05). 4) The mean scores of somatic symptoms were higher in the 45~60 age group, for middle school graduates, non career women and women with 5 or more children(P<.05). 5) There was a positive correlation between the scores of stressful life events and somatic symptoms (r=.585 P<.05). The higher the level of stressful life events the higher the score of somatic symptoms, the results were consistent with the Extrapersonal, Intrapersonal and Interpersonal stress factors of Neuman's Health Care Systems. This research assessed the stressful life events of women, who play the most important role in the family for illness prevention and health promotion and suggested the importance of programs in the Primary Health Services to build basic coping resources.

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지적장애 청소년의 사회적 관계에 관한 포토보이스 연구 (A Photovoice Study of Social Relationships among Adolescents with Intellectual Disabilities)

  • 김민아;허일권;정상미;서정아
    • 사회복지연구
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    • 제48권2호
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    • pp.5-33
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    • 2017
  • 본 연구는 포토보이스 연구방법을 이용하여 지적장애 청소년이 사회적 관계에서 경험하는 어려움과 바람을 탐색하였다. 일반 고등학교에 재학 중인 지적장애 청소년 6명(평균연령=18.33세)은 7회기로 구성된 포토보이스 프로그램에 참여하였다. 이들은 집단토의를 통해 사람들과의 관계에 대한 구체적인 주제를 선정하였고, 선정된 주제와 관련한 사진을 직접 촬영하여 참여자들과 공유하였다. 본 연구에서는 지적장애 청소년들의 5가지 사회적 관계(친구, 학교 선생님, 이성친구, 부모님, 필요한 사람)와 관련하여 총 15가지 하위주제-(1)친구들과의 관계(친구들과 어울리지 못해 외롭고 고독함, 친구들로부터 놀림과 괴롭힘을 당함, 친구들과의 관계를 회복하기 위해 노력함), (2)학교 선생님과의 관계(나의 마음을 이해해 주는 선생님께 감사함, 선생님과 교류가 많지 않아 속상함, 선생님이 나의 학교생활에 관심을 가져주기를 바람), (3)이성친구와의 관계(이성친구와 교제하고 싶음, 이성친구를 사귀는 것이 두렵고 걱정됨, 이성친구를 사귀기 위해 노력함), (4)부모님과의 관계(부모님의 한결같은 사랑에 감사함, 부모님과 함께 하는 시간이 즐거움, 아버지와 관계가 소원하여 아쉬움), (5)나에게 필요한 사람(나와 함께 해 주는 사람, 나의 어려움을 도와주는 사람, 나를 포기하지 않는 사람)-가 도출되었다. 본 연구는 지적장애 청소년의 사회적 관계를 증진시키기 위해 또래관계 향상 프로그램 및 또래갈등 대처방식 훈련, 이성관계 교육, 사회적 기술 강화, 비장애 청소년 및 교사, 사회복지사를 대상으로 하는 장애학생의 사회적 욕구에 대한 교육 등 사회복지실천적 함의를 제공하였다.

관광경험과 학습의 관계: 활동이론적 접근 (Tourism Experience and Learning: Approach of the Activity Theory)

  • 전주형
    • 산업융합연구
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    • 제19권1호
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    • pp.53-63
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    • 2021
  • 관광자는 타지역을 이동하면서 자신의 생각과 충돌하는 수많은 사실과 만난다. 이때 새로운 것을 알게 되고 삶에 대처하는 자신의 견해를 바꾼다. 이런 면에서 관광은 현장 적응적인 학습 방법의 하나다. 이 연구에서는 활동이론을 적용하여 관광지에서 겪는 경험과 학습의 관계를 분석했다. 활동이론의 분석단위는 관광활동의 주체, 목표, 공동체, 역할, 방법과 규칙, 성과물, 공동체와 관련성으로 설정하였다. 이를 바탕으로 관광경험에 큰 영향을 미치는 해설사·안내자와 심층면접을 진행하여 관광자의 학습과정을 분석했다. 분석결과 관광하는 동안에 일어나는 경험은 해설사·안내자의 해설과 안내의 활동체계 단위는 물론이고 단위 안에서 다양한 형태의 상호작용에 의해서 일어나고 있었다. 이 상호작용이 관광경험 활동체계의 변화를 유도하여 관광자의 학습을 가능하게 만든다. 학습 내용은 안내자와 해설사의 역할이 커질수록 학습 가치도 올라간다는 점, 관광경험이 사회적·문화적 차원의 학습 효과에 포함된다는 점, 활동체계 내 혹은 활동체계 간에는 상호작용하면서 이때 발생되는 모순의 해결과정을 관광자가 스스로 찾는다는 점, 관광경험은 고립된 단위가 아니라 계층 구조와 네트워크 교차점에 존재하기 때문에 공동체의 활동과 환경에 의하여 영향을 받는다는 점 등이다.

만성통증 환자의 통증 조절 (Chronic pain control in patients with rheumatoid arthritis)

  • 은영
    • 근관절건강학회지
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    • 제2권1호
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    • pp.17-40
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    • 1995
  • Rheumatoid arthritis is the one of the chronic diseases, one of its major symptoms is a chronic pain. Despite developing medical treatment and surgical techniques, it is suggested that to control the pain is the goal of the treatment. But pain is an inner experience and even those closest to the patient cannot truly observe its progress or share in its suffering. The National Academy of Sciences Institute of Medicine's report on Pain and Disability concluded that there is no objective measure of pain-(exactly) no pain thermometer-nor can there ever be one, because the experience of pain is inseparable from personal perception and social influence such as culture. To explore chronic pain experience is to understand the process and property of the patient's perception of pain through the response to pain, the coping with pain, and the adaptation to pain. Therefore a qualitative study was conducted in order to gain an understanding of pain experience of patients with RA in korea. I used naturalistic inquiry as a research methodology, which had 5 axioms, the first is that realities are multiple, constructed, and holistic, the second is that knower and known are interactive, inseparable, the third is only time and context bound working hypotheses(idiographic statements) are possible, the forth is all entities are in a state of mutual simultaneous shaping, so that it is impossible to distinguish causes from effects and the last is that inquiry is value-bound. Purposive sampling was conducted as a sampling. 20 subjects who experienced pain over 10 years, lived in middle-sized city and big city in Korea, and 17 women and 3 men. The subject's age was from 32 to 62 (average 48.8), all were married, living with their spouse and children, except two-one divorced and the other widow before they became ill. I collected data using In depth structured interview. I had interviews two or three times with each subject, and the interviews were conducted at each subject's home. Each interview lasted about two hours an average. A recording was taken with the consent of the subject. I used inductive data analysis-such as unitizing and categorizing. unitizing is a process of coding, whereby raw data are systematically transformed and aggregated into units. Categorizing is a process wherby previously unitized data are organized into categories that provide descriptive or inferential information about the context or setting from which the units were derived. This process is used constant comparative method. The pain controlling process is composed of behavior of pain control. The behaviors of pain control are rearranging of ADL, hiddening role conflict, balancing treatment, and changing social relation. Rearranging of ADL includes diet management, sleep management, and the adjustment of daily life activities. The subjects try to rearrange their daily activities by modified style of motions, rearranging time span & range of activities, using auxillary facilities, and getting help in order to keep on the pace of daily life. Hiddening role conflict means to reduce conflicts between sick role and their role as a family member. In this process, the subjects use two modes, one is to control the pain complaints, and the other is to internalize the value which is to stay home is good for caring her children and being a good mother. To control pain complaints is done by 'enduring', 'understanding' the other family members, or making them undersood in order to reduce pain. Balancing treatment is composed of two aspects. One is to keep the pain within the endurable level, the other is to keep in touch with medical personnel in order to get the information of treatment and emotional support. Changing social relation is made by information seeking and sharing, formation of mutual support relation, and finally simplification of social relationships. The subjects simplify their social relationships by refraining from relations with someone who makes them physically and psychologically strained. In particular the subjects are apt to avoid contact with in-laws, and the change of relation to in-laws results in lessening the family boundary. In the course of this process, they confront the crisis of family confict result in family dissolution. This crisis is related to the threat of self-existence. Findings from this study contribute to understanding the chronic pain experience. To advance this study, we should compare this result with other cases in different cultural contexts. I think to interpret these results, korean cultural background should be considered. Especially the different family concept, more broader family members and kinship network, and the traditional medical knowledge influences patients' behavior.

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