• 제목/요약/키워드: coping adaptation

검색결과 165건 처리시간 0.023초

회복력 중이론을 기반으로 한 폭력대처 프로그램이 응급실 간호사의 회복력, 폭력대처, 간호역량과 소진에 미치는 효과 (The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses' Resilience, Violence Coping, Nursing Competency and Burnout)

  • 이승민;성경미
    • 대한간호학회지
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    • 제47권3호
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    • pp.332-344
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms. Methods: A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks. Results: Levels of resilience, F=59.41, p<.001, active coping behavior, ${\chi}^2=33.09$, p<.001, and nursing competency, F=59.41 p<.001, increased significantly and levels of passive coping behavior, ${\chi}^2=22.92$, p<.001, and burnout, F=52.74, p<.001, decreased significantly in the experimental group. Conclusion: The results suggest that the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.

발달장애 성인자녀를 둔 부모의 돌봄 스트레스와 삶의 만족도 -가족탄력성, 대처방식의 매개효과- (The caregiving stress and life satisfaction of parents of adult children with developmental disabilities: The mediating effects of family resilience and coping styles)

  • 이원남;김경신
    • 한국가족관계학회지
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    • 제21권4호
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    • pp.27-50
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    • 2017
  • Objectives: This study was carried out in order to evaluate the overall process that the caregiving stress of parents of adult children with developmental disabilities affected their life satisfaction through the levels of family resilience, and coping styles on the basis of stress-coping-adaptation model of Lazarus and Folkman(1984). Method: For this purpose, the structured survey was conducted by 394 parents of adult children with developmental disabilities. The data was analysed by AMOS 20.0 version. Results: The findings can be summarized as follows: First, the structural equation model(SEM) analysis was conducted in order to examine the various paths that parents' caregiving stress affected their life satisfaction. The model's goodness-of-fit was fine($x^2=225.20$, df=95, p=000. RMSEA=.06, TLI=.95). There were significant relationships between caregiving stress and family resilience(${\beta}=-.36$, p<.001), emotion-focused coping style(${\beta}=.47$, p<.001), life satisfaction(${\beta}=-.53$, p<.001). Second, family resilience and emotion-focused coping showed mediating effects on the relationship between caregiving stress and life satisfaction. Conclusions: The strategies for enhancing family resilience and social services for applying effective coping methods should be expanded in order to diminish the caregiving stress of parents of adult children with developmental disabilities.

폐암 환자의 외상 후 성장에 영향을 미치는 요인 (Factors Influencing Posttraumatic Growth in Patients with Lung Cancer)

  • 김영숙;문진하;이영숙;김연우;허규림;오순금
    • 임상간호연구
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    • 제27권1호
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    • pp.98-108
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    • 2021
  • Purpose: This study was conducted to identify the factors influencing the posttraumatic growth (PTG) in patients with lung cancer and to provide basic data for nursing intervention development to improve PTG and adaptation. Methods: The study included 126 non-small cell lung cancer patients initially diagnosed at the Lung Cancer Center, C University Hospital in S city, Gyeonggi-do. Patients were asked to complete a questionnaire consisting of demographic characteristics, disease characteristics, posttraumatic growth, cancer coping, social support, and resilience. Data were analyzed using t-tests, ANOVA, and Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 56.39, cancer coping was 61.31, social support was 61.09, and resilience was 92.77. Significant positive correlations were found for PTG and cancer coping (r=.75, p<.001), social support (r=.52, p<.001) and resilience (r=.63, p<.001). Factors contributing to PTG of lung cancer patients were cancer coping (β=.53 p<.001), perceived health status(β=.20, p=.002), resilience (β=.21, p=.010) and importance of religion (β=.15, p=.013). This model explained about 64.0% of variances of PTG (F=29.58, p<.001). Conclusion: It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance coping and resilience to recovery. Longitudinal studies examining temporal changes in PTG among patients with lung cancer are suggested for future studies in this regard.

Affordable housing에 거주하는 한인 노인 이민자의 주거적응행태 (Housing Adjustment Behaviors of Korean Elderly Immigrants Living in Affordable Housing)

  • 전명희
    • 한국주거학회논문집
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    • 제25권3호
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    • pp.13-23
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    • 2014
  • This study explores the daily life patterns and housing adjustment behaviors of low-income Korean elderly immigrants residing in affordable housing in the Chicago metropolitan area. Utilizing an intercultural perspective, the study focuses on identifying the immigrants' their cultural attributes of daily living and coping responses to residential misfits. These housing adjustment behaviors are classified into five modes consisting of residential mobility, structural adaptation, residential alteration, normative adaptation, and behavioral adaptation. Two-hour in-depth interviews with open-ended questions were conducted with 138 participants from 15 affordable housing complexes. Collected information includes demographic data, immigration experiences and cultural identity, daily life patterns, as well as housing evaluation and housing adjustment behaviors. The study results indicate that many research participants maintained their cultural attributes of daily living accumulated from past experiences (i.e. mostly based upon Korean cultural contexts), but also made adjustments as they complied with their aging body and new living conditions. This also reflects that immigrants' cultural needs are not limited to the use of language and ethnic goods, but are also embedded deeply in their daily life patterns to influence one's uses of the dwellings in a broader sense. All five modes of housing adjustment behaviors were observed with research participants within their residential settings. More importantly, normative and behavioral adaptations along with residential alterations occurred more simultaneously rather than sequentially when the respondents perceived discrepancy between oneself (i.e. including one's attributes, needs, and preferences) and his/her dwelling.

자기존중감 및 통제소재가 병사의 군 적응에 미치는 영향: 사회적 지지와 스트레스 대처 방식의 매개 효과 (Effects of Self-esteem, Locus of Control to Military Life on Soldiers Adjusting: Mediating effect of Social Support and Stress Coping Strategies)

  • 이주희 ;김정규
    • 한국심리학회지 : 문화 및 사회문제
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    • 제21권3호
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    • pp.299-315
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    • 2015
  • 본 연구는 군 적응에 영향을 미치는 것으로 연구된 자기존중감, 통제소재, 사회적 지지, 스트레스 대처 방식의 요인들의 관련성을 살펴보고 구조 모형을 검증함으로써 군 적응에 대한 이해를 증진하고자 하였다. 본 연구의 대상은 강원도 소재 육군 소속 이병에서 병장까지의 현역 병사 447명이었다. 본 연구에서 사용된 측정도구는 다음과 같다. 자기 보고식 질문지를 통해서 자기존중감, 통제소재, 사회적 지지, 스트레스 대처 방식, 군 적응이 측정되었다. 신뢰도 검사를 통해 각 척도의 신뢰도를 측정하였고, 변인 간의 상관관계분석을 시행하였으며 연구모형 검증을 위해 구조방정식 모형 검증을 사용하였다. 본 연구의 결과를 다음 두 가지로 요약할 수 있다. 첫째, 자기존중감, 내적 통제와 같은 내적 특성이 각각 사회적 지지와 적극적 대처에 정적 영향을 미치며, 적극적 대처, 사회적 지지가 군 적응에 정적인 영향을 미치는 것으로 나타났다. 둘째, 내적 통제, 자기존중감이 사회적 지지와 적극적 대처를 통해 군 적응에 영향을 미친다. 이는 사회적 지지와 적극적 대처 방식이 내적 특성과 군 적응 사이의 매개 변인의 역할을 함을 밝힌 것이다. 본 연구는 개인의 내적 특성과 적응 간의 연구들에 제한점을 주는 것으로 사회적 지지 체계의 확립이나 대처 행동 훈련과 같은 개입의 중요성을 강조한다.

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만성질환자 가족의 질병 적응과정 연구(I) - 한방병원에 입원한 뇌졸중 환자를 중심으로 - (A Study of Family Adaptation with Chronically III Patients (I) - Stroke Patients at an Oriental Medical Hospital -)

  • 이영애
    • 동서간호학연구지
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    • 제3권1호
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    • pp.96-103
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    • 1998
  • This study was conducted to identify the adaptation process of the families with chronically ill patients. A descriptive comparative research design was used to the subjects of forty families that have stroke patients at an oriental medical hospital. Research tools were Demands of Illness Inventory(Woods, Haberman & Packard, 1987), Relative and Friend Support Index(McCubbin, Patterson & Glynn, 1982), Family Coping-Coherence Index (McCubbin, Larsen & Olson, 1982), Family Hardiness Index(McCubbin, McCubbin & Thompson, 1986), and Family Member Wellbeing Scale(McCubbin, McCubbin & Thompson, 1986). Data were collected from October 7, 1998 to November 7, 1998 at an oriental medical hospital located in IkSan city. The number of cases was forty and the data were analyzed by SPSS $PC^+$. Descriptive statistics of frequency, number, mean and standard deviation were used to report the results. The results were as follows ; 1. There was no significant differences between the two groups on the family stress. 2. There was significant differences between the two groups on the family strength (t value = - 3.09, p value=$.004^{**}$). 3. There was significant differences between the two groups on the family adaptation(t value= -2.08, pvalue=$.05^*$).

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정신지체아 가족의 스트레스와 적응과의 관계연구 (An Analysis on the Pathway between Family Stress and Adaptation in Families with Mentally Handicapped Children)

  • 이경희
    • 대한간호학회지
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    • 제24권4호
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    • pp.666-677
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    • 1994
  • In comparison with the long and continuous his-tory of research in the general area of stress and coping, theoretical and clinical interest in family stress and adaptation is a recent phenomenon. To understand the phenomena of family behavior, a comprehensive theoretical framework is needed to us provide an adequate background to for research. This study was designed to develop and test a hypothetical model for family stress and adaptation in families with handicapped children. A hypothetical model was constructed on the basis of the family stress theory developed by McCubbin etc. The model included six paths. For the purpose of model testing, empirical data was collected from May to August, 1992. The subjects of the study were 190 parents of chidren in five special schools and one private institute in Seoul and Choong Nam. An SPSS P $C^{+}$ and PC-LISREL 7.13 computer programs were used for descriptive and covariance structure analysis. The results of the study are as follows. (1) Family Stress(${\gamma}$$_{3l}$=-.288, T=-4.942) had a direct effect on Family Adaptation. (2) Family Functioning ($\beta$$_{21}$=-.373, T=5.595) had a direct effect on Situational Definition. (3) Family Functioning ($\beta$$_{31}$ =.334, T=5.375) had a direct effect on Family Adaptation. (4) Situational Definition( a2=.270, T=4.285) had a direct effect on Family Adaptation The model was supported by the empirical data. Thus it is suggested that the model could be adequately applied to family nursing care of families with a mentally handicapped child. In particular, the nursing interventions that enhance family functioning and the situational definition would improve family adaptation in families with mentally handicapped children.n.n.

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아파트 거주자의 주거환경 스트레스에 대한 대처방식 유형 - 광주시를 중심으로 - (Coping Styles about Residential Environmental Stress among Apartment Housing Dwellers - Focus on the Gwangju City -)

  • 노세희;김미희
    • 한국주거학회논문집
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    • 제20권6호
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    • pp.1-10
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    • 2009
  • Rapid social change affects residential environments and this in turn creates new stimuli to which people have to adapt. These stimuli have been seen to increase stress levels. Therefore, dwellers in these environments try to reduce stress through various methods. The purpose of this paper is to: 1) identify the general trends of coping styles about residential environmental stress, 2) analyze the differences in socio-demographic characteristics and how the physical characteristics of buildings affect stress, find out how personal backgrounds affect stress levels and the ability to get rid of environmental-related stress. The subjects in this study consisted of people living in multi-family housing in Gwangju. The city is divided into 5 districts and used quota sampling. 324 housewives were surveyed from the households by self-administered questionnaires. The survey was conducted in December, 2006, after the questionnaire was revised based on the results of preliminary survey. After all the questionnaires were collected, the data was coded and analyzed using the SPSS 12.0 program. This study confirmed that the manner in which those in multi-family housing coped with stress. Especially, we need a policy which seriously considers residents who are of low social-economic standing. As well as being exposed to residential environmental stress, they also have no means to deal with it. The age of a building had a strong impact on coping styles about residential environmental stress. We have to make special studies about the adaptive reuse of buildings for the reduction of residential environmental stress and to greatly improve coping styles. In conclusion, it emphasized the importance of education, information, and economic aid. Reasonable housing management would surely lead to a rise in residential satisfaction and the promotion of residential welfare.

간호대학생의 테크노 스트레스가 학업지속의향에 미치는 영향: 스트레스 대처의 매개효과를 중심으로 (The Effect of Technostress on Intent-to-persist in Nursing College Students: Focusing on the Stress Coping)

  • 최성애;박주영
    • 근관절건강학회지
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    • 제25권1호
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    • pp.39-49
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    • 2018
  • Purpose: The purpose of this study was to investigate the effect of technostress on intent-to-persist focusing on the stress coping in nursing college students. Methods: A cross-sectional descriptive design was conducted with a survey of 153 nursing college students attending a university. Data were collected using self-administered questionnaires. For data analysis, descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression, hierarchical analysis, and sobel test were performed using SPSS/WIN 23.0 for Windows. Results: The factor mediating technostress and intent-to-persist in nursing college student was emotion-focused coping behavior. Moreover, this mediating factor had a complete mediating effect between technostress and intent-to-persist in nursing college students. Conclusion: Based on this result, it will be necessary to develop educational strategies about smart device use and environmental supports that help them communicate about problems.

무배우자 노인의 일반적 특성에 따른 성생활 인식과 성 욕구 대처행동 (Perception of Sex Life and Sexual Desire Coping Behavior according to General Characteristics among the Spouseless Aged)

  • 최은영;하주영
    • 성인간호학회지
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    • 제26권1호
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    • pp.58-66
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    • 2014
  • Purpose: The aim of this study was to identify factors affecting the perception of sex life and sexual desire coping behavior among the spouseless elderly. Methods: The participants were 149 elders who resided in six administrative regions of B city. Data were collected from December 1, 2012 to March 3, 2013 using a questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$ test, Pearson's correlation coefficient, and Stepwise multiple regression in a PASW 18.0 program. Results: Stepwise multiple regression analysis of data indicated that the most likely predictor is gender. Gender, sexual relation, subjective health status and parent-child relationship explained 34% of the variance of perception of sex life. Gender, dating status and age explained 44% of the variance of sexual desire coping behavior. Conclusion: Based on the study findings, gender and current dating status should be considered to conduct comprehensive sex health care education for healthy sex life of the elderly with no spouse.