• 한국산학기술학회논문지
• /
• 제17권1호
• /
• pp.544-552
• /
• 2016

본 연구는 다문화 청소년의 스트레스와 학교생활 적응 상태를 파악하고 자아존중감, 사회적 지원, 스트레스 대처에 따라 어떠한 변화가 나타나는 지를 확인하여 향후 다문화 청소년을 위한 프로그램 개발의 기초자료를 활용되고자 시도되었다. 이를 위해 구조방정식을 활용하여 다문화가정 청소년의 스트레스와 학교생활적응 간의 관계를 파악하고, 스트레스 대처, 사회적 지원, 자아존중감의 매개효과를 살펴보고자 하였다. 본 연구의 결과는 다음과 같다. 다문화가정 청소년의 스트레스는 사회적 지원과 자아존중감에는 음(-)의 영향을 미쳤다. 하지만 스트레스 대처는 통계적으로 유의한 영향이 발견되지 못했다. 이어서 분석한 스트레스 대처, 사회적 지원, 자아존중감은 모두 스트레스와 학교생활적응 간의 관계에서 정(+)의 매개효과가 있음이 나타났다.

• 가정과삶의질연구
• /
• 제17권2호
• /
• pp.75-92
• /
• 1999

The purpose of this study was to investigate the caregiving and adaptation in families who awarded on filial piety. Using the qualitative methods-in depth interview genogram ecomap participation observation- 8 families were analyzed The major findings can be summarized as follows (1) These families showed very high family solidarity with strong collectivity. Their family role was interchangable and their familiarity was passed down from generation to generation. (2) Family members showed similar coping patterns on the basis of their own adaptationl Their coping was inclined toward acceptance especially religioous rather than emotional-focused ad hardly avoidance coping. (4) Although their economic emotional and service cares were family-centered with helps from their extended family household equipment for elder care was not prepared. (5) These families preferred to maintain this condition rather than to be well adapted. It was concluded that to help failed elder's family care iving social support program should be complemented in family life enrichment program for their children medical care program equipment rental program for elder in social network religion program and so on, Social norms forparent-children relation has be changed to more flexible care pattern. Also more social-emotional support has to be given to these families.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권9호
• /
• pp.4005-4012
• /
• 2014

Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

• 한국산학기술학회논문지
• /
• 제16권2호
• /
• pp.1328-1338
• /
• 2015

본 연구는 혈액투석 환자를 대상으로 인지적 대처와 환자역할행위 이행, 우울, 삶의 만족간의 관계를 조사하기 위함에 연구목적을 두고 있다. 본 연구는 횡단적 조사연구로, 충북 지역의 4개 병원에서 150명의 대상자가 참여하였다. 연구결과, 대상자들의 인지적 대처 전략은 환자역할행위 이행 및 우울, 삶의 질에 유의한 상관관계가 있는 것으로 나타났다. 인지적 대처 전략은 환자역할행위 이행, 우울, 삶의 만족에 대해 각각 20.5%, 10.5%, 24.6%의 설명력을 보였다. 인지적 대처 전략 중 가장 설명력이 높은 것은 '긍정적 초점변경'으로 나타났다. 이상의 연구 결과를 통해 인지적 대처 전략이 혈액투석 환자들의 심리적 적응에 기여할 수 있음을 알 수 있었다. 이에 혈액투석환자들의 적응 능력증진을 위해 '긍정적 초점변경'과 같은 인지적 대처 전략을 활용한 중재프로그램의 개발 및 적용이 필요할 것으로 사료된다.

• 한국산학기술학회논문지
• /
• 제21권7호
• /
• pp.120-126
• /
• 2020

본 연구는 간호대학생의 자기효능감, 스트레스 대처 및 대학생활적응과의 관계를 알아보기 위한 서술적 조사연구이다. 본 연구대상자는 K도에 소재하는 4년제 간호대학의 학생을 대상으로 편의 추출하였으며, 자료 수집은 2018년 10월 1일부터 12월 10일까지 실시되었다. 자료분석은 SPSS 22.0 프로그램을 이용하였으며, 빈도와 백분율, 평균과 표준편차, Pearson's correlation, t-test, ANOVA, Multiple regression을 이용하였다. 본 연구결과 간호대학생의 자기효능감은 3.07±.39점, 스트레스 대처 2.15±.24점, 대학생활적응 3.32±.49점으로 나타났으며, 변수들 간에는 유의한 상관관계가 있는 것으로 분석되었다. 연구대상자의 자기효능감과 스트레스 대처가 높을수록 대학생활적응이 높은 것으로 나타났다. 또한 일반적 특성에서 전공 만족과 학과 지원동기, 음주에 따라 유의한 차이가 있었다. 대학생활 적응력은 전공 만족이 높을수록, 지원동기가 확고한 편이 보통인 경우보다, 대인관계에서 음주를 하는 경우가 높았다. 이상의 연구결과를 보아 성공적 대학생몰 및 스트레스에 대처능력 강화를 위한 지원프로그램 개발이 요구된다.

• 근관절건강학회지
• /
• 제4권2호
• /
• pp.197-220
• /
• 1997

The lack of a comprehensive theory describing the mechanism of adaptation scientifically has been one of the limiting factors for the development of nursing intervention of patients with chronic illness. Since Roy's theory provides the general conceptual framework depicting adaptation process with structural stimuli and control mechanism, it is appropriate to understand the process of adaptation. But in Roy's theory, the propositions about cognator and regulator as control mechanisms are not clearly defined. For this reason, most of the previous researches applying the Roy's theory have disregarded the study of cognator and regulator. For the patients with chronic illness such as rheumatoid arthritis, it was reported that adaptation states were different for the same stimuli due to the difference of the control mechanism. Moreover in nursing it is important to identify the control mechanism which can be and must be intervened by nurses. It was the Lazarus and Folkman's theory that proposed the control mechanism. They suggested that individual differences in the reaction against the perceived stress are due to the difference in appraisal and coping. Therefore, the synthesis of Roy's and Lazarus and Folkman's propositions might help to clearly understand the mechanism of adaptation. From this point, a theoretical framework has been developed and tested. The subjects were the 297 patients who had been diagnosed rheumatoid arthritis and attended the outpatient clinic. A hypothetical prediction model of adaptation was tested by the covariance structure analysis with PC-LISREL 7.13. As a result, the overall fit was good($x^2$=78.83, p=0.00 ; GFI=0.96 : AGFI=0.90 ; RMR=0.04) for the hypothetical model. In the final model added GA(5, 1), the overall fit was increased ($x^2$=57.82, p=0.003 ; GFI=0.97 ; AGFI=0.93 : RMR=0.036). Except the fact that illness symptoms affected physical adaptation directly, it was supported that focal and contextual stimuli affected physical and psychosocial adaptation through appraisal and coping. Therefore, it was asserted that the synthesis of two theory's propositions was appropriate. So this model would be useful for the theoretical framework in the nursing practice. And this study synthesizing and testing the theory might contribute to establish nursing's scientific base.

• 대한방사선기술학회지:방사선기술과학
• /
• 제40권1호
• /
• pp.143-153
• /
• 2017

대학 태권도 선수들의 스포츠 상해 실태 중 발생시기와 주요원인은 체급과 선수경력에서 차이가 나타났으며, 발생상황은 학년과 체급, 선수경력에서 차이가 나타났다. 스포츠 상해 대처능력 방안 중 응급처치는 학년에서 차이가 나타났으며, 상해예방은 학년과 선수경력에서 차이가 나타났다. 치료방법은 차이가 없는 것으로 나타났다. 대학 태권도 선수들은 연습 시가 스포츠상해 발생시기이며, 넘어지는 상황에서 스포츠 상해가 가장 높게 나타난다. 또한 기술부족이 스포츠 상해의 주요원인이 된다는 것이 스포츠 상해 실태의 결론이다. 더불어 스포츠 상해의 대처능력 방안은 얼음찜질로 응급처치를 하고, 본인 마사지로 치료하였다. 또한 상해예방을 위해서는 충분한 피로회복이 상해예방의 최선으로 인지하였다.

• 대한간호학회지
• /
• 제50권6호
• /
• pp.813-821
• /
• 2020

Purpose: This study aimed to identify the actor and partner effects of daily stress and dyadic coping on marital satisfaction using the Actor-Partner Interdependence Mediational Model (APIeM). Methods: Participants were 314 couples who met the study's eligibility criteria. Data were collected from March to April 2016 through apartment and cooperative company communities in Seoul. Two APIeMs of positive and negative dyadic coping were analyzed using SPSS 20.0 and Mplus 7.4. All measures were self-administered. Results: Daily stress and positive and negative dyadic coping in both spouses had direct actor effects on their marital satisfaction. Daily stress in both spouses had an indirect actor effect on marital satisfaction through their positive and negative dyadic coping. The husband's daily stress had an indirect partner effect on the wife's marital satisfaction through his positive dyadic coping, while the wife's positive dyadic coping had a direct partner effect on the husband's marital satisfaction. The husband's daily stress had an indirect partner effect on the wife's marital satisfaction through his negative dyadic coping, while the wife's negative dyadic coping had a direct partner effect on the husband's marital satisfaction. Conclusion: Dyadic coping is an effective way to deal with couple's daily hassles as it increase their satisfaction in marriage.

• 대한간호학회지
• /
• 제48권3호
• /
• pp.375-388
• /
• 2018

Purpose: This study was conducted to assess the reliability and validity of the Korean version of the Coping and Adaptation Processing Scale-Short- Form in patients with cancer. Methods: The original scale was translated into Korean using Brislin's translation model. The Korean Short-Form and the Functional Assessment Cancer Therapy-General were administered to 164 Korean patients with cancer using convenience sampling method. The collected data were analyzed using SPSS 23.0 and AMOS 23.0. Construct validity, criterion validity, test-retest reliability, and internal consistency reliability of the Korean Coping and Adaptation Processing Scale-Short-Form were evaluated. Results: Exploratory factor analysis supported the construct validity with a four-factor solution that explained 60.6% of the total variance. Factor loadings of the 15 items on the four subscales ranged .52~.86. The four-subscale model was validated by confirmatory factor analysis (Normed ${\chi}^2=1.38$ (p=.013), GFI=.92, SRMR=.02, RMSEA=.05, TLI=.94, and CFI=.95), and criterion validity was demonstrated with the Functional Assessment Cancer Therapy-General. Cronbach's alpha for internal consistency of the total scale was .83 and ranged .68~.81 for all subscales, demonstrating sufficient test-retest reliability. Conclusion: The Korean version showed satisfactory construct and criterion validity, as well as internal consistency and test-retest reliability.

• 지역사회간호학회지
• /
• 제16권3호
• /
• pp.249-259
• /
• 2005

Purpose: The purpose of this study was to understand the coping process that family caregivers experience during the process of care, to grasp coping behaviors used to solve problems and, finally, to develop a substantive theory by analyzing the coping process. Method: The methodology of collecting and analyzing data used in this study followed the ground theory of Strauss and Corbin(1998). Data were collected through in-depth interviews with open-ended and descriptive questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between February 2000 and February 2001. The subjects of this study were 17 women. Result: The result of the study is as follows. The coping process of family caregivers while taking care of the demented elderly was found to have six stages: problem recognition: undertaking care: struggling: mental control: burden mediation; and acceptance. These stages proceed with reciprocal action and in cycle. Conclusion: The result of this study is helpful for developing effective and individual nursing strategies suitable for each coping stage. It is necessary to develop an assessment tool that can judge caregivers' coping stage based on the result of this study. Moreover, we need continuous study to practice nursing mediation and to analyze the change about nursing effect and family members' adaptation.