• 제목/요약/키워드: coping adaptation

검색결과 165건 처리시간 0.031초

자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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국내 중국 유학생의 문화적응 유형에 따른 극복력과 건강상태 (Health Status and Resilience according to Acculturation Types among Chinese Students in Korea)

  • 장혜경;한수정;양남영;유명란;고은자;김희경;임경춘;이미라;손연정
    • 성인간호학회지
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    • 제22권6호
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    • pp.653-662
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    • 2010
  • Purpose: This study was to identify the health status and reported resilience according to acculturation type among Chinese students in Korea. Methods: The subjects were 386 Chinese students studying in three universities in Chungnam province. The data were collected by standardized questionnaires and SPSS/WIN 15.0 program was used to analyze the data with descriptive statistics, Chi-square, t-test, and ANOVA. Results: Subjects reported the following Acculturation type: integration (26.7%), assimilation (28.5%), separation (32.4%), and marginalization (12.4%). The reported resilience was significantly different according to economic status. The health status was significantly different according to religion and economic status. Acculturation type was significantly different according to age, educational level, length of stay, type of residency and economic status working style. The health status and resilience were significantly different according to acculturation type. Conclusion: The findings suggest that integration of acculturation type is most useful to health status and resilience among Chinese students in Korea. Future studies need to examine acculturation type as coping strategy for foreign students' adaptation.

효율적인 지역사회 건강관리를 위한 데이터베이스 시스템 구현- 보건소의 가족단위 방문간호사업을 중심으로- (Development of a Database System for Efficient Community Health Management - Focus on the Home Visiting Care of Family as a Unit by the Health Centers-)

  • 최인희
    • 지역사회간호학회지
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    • 제11권1호
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    • pp.67-79
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    • 2000
  • In recent years, the recipients of the services of the health centers in Korea have been shifted from individual sick persons to families as a unit. As a result, the home visiting care records which are all filled out manually, will be increased. Since there is virtually no increase in the number of community health nurses, the CHNs are required to work more efficiently. One of the ways to make the CHNs' work more efficient is to reduce recording time by using a computer. However, a computer system that can manage the families as a unit has not yet been developed. In response to this need, we developed a database system that can be utilized in home visiting care service. The family assessment data is collected. diagnosed. and evaluated according to the family diagnosis classification. The system for family diagnosis consists of seven areas. Those areas are family structure. maintenance of the family system, interaction and interchange. support. coping and adaptation, health management. and housing environment. The areas of the family diagnosis consists of 99 items in all. We expect the following from this system. First. the CHNs will be able to identify family problems more easily. Second. the community's health level can be confirmed by the statistics the system produces. Thirdly, the CHNs' nursing services will be cost effective via reduced recording time. Finally, the family problems of the sick individuals which have been neglected under the health system oriented on individual persons can be effectively managed.

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여중생들의 월경력과 심리적 변인들과의 관계 (Relationships between Menstrual History and Psychological Variables in Middle School Girls)

  • 송민선;최찬헌
    • 동의생리병리학회지
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    • 제27권2호
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    • pp.253-260
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    • 2013
  • This study was focused on the relationships between menstrual history and psychological variables in middle school girls. The study included 165 students. Self image, optimism and self-efficacy are measured structured questionnaires each. Statistical analysis was performed using t-test, ANOVA and Scheffe's test. The proportion of the students with bleeding period less than 7 days was higher in the group with high self image(p=.002). The self image was higher in the group who take analgesics occasionally than the group who take daily(p=.009) and in the group with irregular menstruation(p=.024). Emotional tone was higher in the group with irregular menstruation(p=.008), and psychopathology was higher in the group who take analgesics occasionally(p=.008). Family relationship was higher in the group with bleeding period less than 7 days(p=.004), in the group who take analgesics occasionally(p=.007) and in the group with irregular menstruation(p=.015). Mastery and coping was higher in the group with bleeding period less than 7 days(p=.026). Adaptation was higher in the group with irregular menstruation(p=.034). Also optimism was higher in the group with bleeding period less than 7 days(p=.005), in the group who experienced menorrhalgia a few years after menarche(p=.014) and the group with irregular menstruation(p=.027). Self-efficacy was higher in the group of polymenorrhea(p=.029). Because menstruation is related with psychiatric factors, it is necessary to ask menstruation history and psychiatric status. This study can be used in the development of the questionnaire for the oriental medical examination.

불안 및 스트레스 개념을 다룬 국내 간호 논문의 분석 (Analysis of Studies of Anxiety and Stress Conducted in Korea from 1970 to 1990)

  • 이은옥;이은주;이은희;전경자;김주현;박재순;이병숙;정면숙
    • 대한간호학회지
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    • 제22권3호
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    • pp.271-296
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    • 1992
  • The purposes of this study were 1) to identify patterns and trends of studies of anxiety and stress and 2) to provide direction on which to base further research. Research studies of anxiety and stress were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Central Journal of Medicine, the New Medical Journal, Monthly Nurse, and from theses and dissertations, which had been conducted for the 20 years from 1970 to 1990. The total population of the studies numbered 463. Seven studies were excluded from the analysis because of duplication, so that 252 studies of anxiety and 204 of stress were analyzed. These studies were analyzed for 1) time of publication or presentation, 2) research design, 3) characteristics of subjects used in each study, 4) types of correlated variables, and 5) types of nursing interventions. Findings obtained in the study were as follows : 1. The number of studies related to anxiety and stress has increased rapidly since the early 1980's. 2. The studies were primarily descriptive throughout the 20 years. However, correlational studies, comparative studies and experimental studies slowly increased. 3. Anxiety studies tend to be conducted more on patients and stress studies with normal subjects in non - experimental research. However, experimental studies were conducted more with patients than with normal subjects. 4. In correlational studies, the trend was to study physical conditions in relation to anxiety, and coping and adaptation in relation to stress. 5. In experimental studies, teaching and information therapy and relaxation were the most popular interventions for anxiety, and supportive care for stress. On the bases of these findings, the following recommendations were made : 1. These patterns of studies related to anxiety and stress in Korea need to be compared with studies conducted in other countries. 2. More attention is needed in terms of research design, reliability and validity of tools, and results of statistical analysis. 3. Meta -analysis should be done to analyze and integrate the results of various studies. 4. For theory testing and identification of useful intervention methods, experimintal studies with the same protocols must be conducted rather than more descriptive studies.

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상담프로그램이 가정폭력 피해 여성의 정신건강과 심리·사회적 요인에 미치는 효과분석 (The Effects of Consultation Program upon the Mental Health of Female Victims of Domestic Violence and Psychological·Social Factors)

  • 유해선;변상해
    • 한국산학기술학회논문지
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    • 제16권4호
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    • pp.2511-2519
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    • 2015
  • 본 연구는 가정폭력 피해여성들을 위한 상담 프로그램을 개발하고 그 효과성을 평가하고자 한다. 연구를 위해 실험집단과 통제집단을 각각 30명씩 선정하였고, SPSS 20.0 for Windows를 활용하여 빈도분석, 신뢰도분석, 동질성검사와 독립표본 t검정을 실시하였다. 분석결과는 다음과 같다. 첫째, 상담프로그램이 가정폭력 피해여성들의 자아존중감을 향상시키고, 우울 수준, 불안을 감소시키는데 효과가 있는 것으로 조사되었다. 둘째, 상담프로그램이 가정폭력피해 여성들의 심리사회적 요인을 긍정적으로 향상시켰으며 하위영역인 의사소통 만족도와 갈등대처방식에도 긍정적인 영향을 미치는 것으로 나타났다. 따라서 본 프로그램이 가정폭력 피해여성들의 대인관계, 의사소통 문제를 해결하려는 태도 등에도 밀접한 관계가 있는 것으로 나타났다. 즉, 학대 후유증에서 벗어나 심리사회 적응에 효과가 있는 것으로 검증되었다.

기후변화 불확실성에 대응하는 수자원계획 의사결정: Robust Decision Making (Decision making for coping with climate change uncertainty in water resources planning: Robust Decision Making)

  • 강노을;정은성;김영오;박준형
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2012년도 학술발표회
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    • pp.94-94
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    • 2012
  • 기후변화 대응은 온실가스 배출의 감축 및 흡수원을 확대하는 완화(mitigation)와 기후변화로 인한 영향과 취약성을 평가하여 피해를 최소화하는 적응(adaptation)이 상호 균형을 이루어야 한다. 지금까지 우리나라를 포함한 국제사회는 대부분 완화를 위해 노력해 왔지만 최근에 들어 완화만으로는 기후변화의 영향을 회피하기 어렵다는 사실이 인식되면서 적응 연구가 다양하게 이루어지고 있다. 이러한 상황 가운데 적응 계획의 실현화를 위해서 기후변화의 불확실성을 고려한 의사 결정에 관한 연구가 반드시 뒷받침 되어야 한다. 기존의 일반적인 의사결정은 다양한 미래 시나리오들 하에 가장 높은 효용을 가져오는 최적(Optimal)의 대안을 채택하는 고전적 결정분석(Classical Decision Analysis)의 프레임을 사용하였다. 그러나 기후변화로 인해 미래 기후 예측 시나리오의 불확실성이 증대되면서 최근에는 최적의 대안을 선정하는 것에 대한 의문이 제기되며 새로운 기법에 대한 연구가 이루어지고 있다. 본 연구는 기후변화의 불확실성을 고려하기 위한 새로운 의사결정 기법인 로버스트 의사결정(Robust Decision Making, RDM)을 실제유역의 적용을 통해 제안하고자 한다. 로버스트 의사결정은 RAND에서 개발한 것으로 최적의 대안을 채택하는 것 대신 모든 가능한 시나리오 가운데 가장 안정적인 전략을 채택한다는 것에서 기존의 의사결정 체계와 차이가 있다. 연구의 적용은 안동-임하댐 유역을 대상으로 온실 가스 배출 시나리오 A1B, A2, B1시나리오에 대해 15개의 GCMs에서 산출된 기후자료를 기반으로 기후변화의 시나리오를 작성하였으며, 다양한 측면의 대안을 설정하여 용수공급량을 평가하였다. 연구의 결과로 산정될 각 대안 별 안정적인 정도와 취약한 시나리오에 대한 정보는 기후변화의 불확실성을 전제한 의사결정을 할 때 로버스트 의사결정이 갖는 장점이 될 수 있다.

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자기적응형 소프트웨어를 위한 목표 기반의 외부상황 평가 기법 (Goal-based Evaluation of Contextual Situations for Self-adaptive Software)

  • 김재선;박수용
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제33권3호
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    • pp.316-334
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    • 2006
  • 기존의 컴퓨팅 패러다임에서 개발자들은 잘 정의되고 고정된 실행 환경을 가정하고 소프트웨어를 설계하였다. 그러나 실제 실행 환경은 복잡하기 때문에 발생되는 상황들을 완벽하게 분석하는 것은 불가능하다. 그로 인해서 원하는 입력 값만을 가정하고 구현한 소프트웨어는 실행 중에 실패(failure)가 발생되기 쉽다. 이에 대한 해결책으로 자기적응형 소프트웨어(self-adaptive software)는 예상하지 못한 상황에 대해서 적응하여 실행 중의 실패가 발생되는 것을 막을 수 있다. 이를 위해 자기적응형 소프트웨어는 우선 적응의 필요성을 판별하기 위해서 실행 중에 외부 상황을 평가해야 한다. 기존의 연구들은 외부 상황의 문제를 판별하기 위한 추상화(abstraction) 기법을 제공하지 않는다. 따라서 외부 환경이 복잡해짐에 따라서 문제 자체를 판별하는 데에 한계가 발생된다. 그리고 판별 가능한 외부 상황 문제의 확장성을 지원하지 못한다. 본 연구에서는 이를 해결하기 위한 기법으로 목표(goal) 기반의 외부 상황 평가 기법을 제안한다.

근위축성측삭경화증 환자의 사상체질 특성 (Sasang Constitutional Characteristic of Amyotrophic Lateral Sclerosis)

  • 박수정;정호현;장은수;김상혁;김성철;주종천
    • 사상체질의학회지
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    • 제26권2호
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    • pp.156-164
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    • 2014
  • Objectives The purpose of this study was to analyze the Sasang constitution and psychological traits of amyotrophic lateral sclerosis (ALS) patients and to utilize the results in treatment and management. Methods The differences of Sasang Constitution distribution, psychological characteristics, comorbid disorders between ALS group of 26 patients and general group of 1132 persons were investigated and analyzed. Results There was no significant different distribution of Sasang Constitution between ALS group and general group but there was Yang-like personality tendency in ALS group than general group. In overall constitution, ALS group had the high prevalence rate of musculoskeletal disorders and diabetes than general group. In Soyangin constitution, ALS group had a high prevalence rate of musculoskeletal disorders than genral group. In Taeeumin constitution, ALS group had a high prevalence rate of diabetes and hypertension than general group. Conclusion ALS patients have the Yang-like personality. It is due to the adaptation of personality on the environmental change or coping strategy on diseases rather than the characteristics of congenital Sasang Constitution.

비수술적 요법을 받는 척추관협착증, 추간판탈출증 환자의 요통 경험 (Experience of spinal stenosis, herniation of intervertebral disk patients with low back pain under non-surgical treatment)

  • 강명미;김애경
    • 디지털융복합연구
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    • 제19권8호
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    • pp.385-396
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    • 2021
  • 본 연구의 목적은 비수술적 요법을 받는 척추관협착증과 추간판탈출증 환자의 요통 경험 과정을 탐색하는 것이다. 비수술적 요법을 적용받는 척추관협착증, 추간판탈출증 환자 10명을 대상으로 심층 면담을 실시하여 Corbin과 Strauss(2015)의 근거이론 방법을 적용한 질적연구이다. 연구 결과 핵심 범주는 고통의 늪에서 내 몸과 타협하기로 도출되었고, 인과적 조건은 과도한 육체적 활동과 부적절한 자세이었으며, 상황적 맥락은 노화와 운동 부족으로 확인되었다. 중심 현상은 극심한 통증으로 위축된 삶으로 나타났고, 작용/상호전략을 조절하기 위한 중재적 상황은 지지체계, 꾸준한 관리, 경제적 여건이 확인되었다. 작용/상호전략으로 의학적 치료, 바른 신체선열 유지, 운동을 사용하였으며, 결과는 생활 양식의 변화와 삶의 의미를 생각함이었다. 요통의 경험 과정은 인식기, 대처기, 적응기 3단계로 확인되었다. 따라서, 본 연구는 요통 경험에 대한 심층적 이해를 바탕으로 단계별 간호중재 프로그램의 개발과 적용을 위한 기초 자료가 될 수 있을 것이다.