• 제목/요약/키워드: coping appraisal

검색결과 43건 처리시간 0.024초

노인대상자를 돌보는 비전문 간호제공자의 대응기전과 건강반응 예측요인 (Coping Strategies Utilized in the Caregiving Situation and Predictors of Health Responses among Informal Caregivers of Older Adults)

  • 이해정;송라윤
    • 대한간호학회지
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    • 제30권4호
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    • pp.893-904
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    • 2000
  • The sample of this study consisted of 140 informal caregivers who provided care to the older adults(over 60 years of age) in Great Cleveland, USA. Self-rated questionnaires were utilized to collect information. The purpose of the study was to identify coping strategies most frequently utilized by informal caregivers of older adults and to examine predictors of the caregivers' health responses to the caregiving situation applying Lazarus and Folkman stress model(1984). Stepwise multiple regression was used to identify significant predictors among caregivers' demographic-socio-economic factors, older adult's dependency of activities of daily living(ADLs), caregiver's appraisal to the caregiving situation, and coping strategies. Informal caregivers (N=140) included in the study utilized help-seeking and problem-solving coping strategies more than self-blame and minimization of threat coping strategies. Caregivers' responses to the caregiving situation were observed by caregivers' perceived physical health, depression and life satisfaction. For perceived physical health, threat appraisal, older adult's dependency on ADLs, existential growth coping strategy, and monthly income accounted for 25% of the variance. Caregivers who appraised the caregiving situation as more threatening, reported higher dependency on ADLs, used more existential growth coping strategy, and had higher monthly income reported better physical health. For depression, threat appraisal, stress appraisal, existential growth coping strategy, self-blame coping strategy, and monthly income accounted for 48% of the variance. Caregivers who used more existential growth coping and less self-blame coping, appraised the situation as less threatening, less stressful, and had higher monthly income reported less depression. For life satisfaction, self-blame coping, existential growth coping, monthly income, stress appraisal accounted for 49% of the variance. Caregivers who used more existential growth coping, less self-blame coping, less stress appraisal, lower monthly income reported better life satisfaction. In conclusion, informal caregivers in this study utilized positive coping strategies such as problem-focused, existential growth, help-seeking, rather than negative coping strategies including self-blame. When they utilized positive coping strategies more often, caregivers experienced higher perceived physical health, higher life satisfaction and lower depression. Therefore, nursing intervention which utilized positive coping strategies is needed to enhance informal caregivers to have positive health responses to the caregiving demands.

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암환자의 일차간호제공가족의 스트레스 인지평가 영향 요인 분석 (Factors Influencing Stress Appraisal of Cancer Patients' Primary Caregivers)

  • 신계영;김매자
    • 성인간호학회지
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    • 제14권1호
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    • pp.125-134
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    • 2002
  • Purpose: The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. Method: The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. Results: Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. Conclusion: These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.

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입원한 조기진통 임부의 불확실성이 불안에 미치는 영향: 불확실성 평가와 대처양상의 매개효과를 중심으로 (Impact of Uncertainty on the Anxiety of Hospitalized Pregnant Women Diagnosed with Preterm Labor: Focusing on Mediating Effect of Uncertainty Appraisal and Coping Style)

  • 김은미;홍세훈
    • 대한간호학회지
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    • 제48권4호
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    • pp.485-496
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    • 2018
  • Purpose: This study aimed to test the mediating effect of uncertainty appraisal and coping style in the relation between uncertainty and anxiety in hospitalized pregnant women diagnosed with preterm labor. Methods: The participants were 105 pregnant women diagnosed with preterm labor in hospitals in Korea. Data were collected from July to October 2017. The measurements included the Uncertainty in Illness Scale, Uncertainty Appraisal Scale, Coping Style Scale, and State Anxiety Inventory. Data were analyzed using descriptive statistics, an independent t-test, correlation, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results: The mean score for anxiety was 2.29 out of 4.00 points and for uncertainty it was 2.46 out of 5.00 points. There were significant correlations among uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, problem-focused coping, emotion-focused coping, and anxiety. Uncertainty danger appraisal (${\beta}=.64$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=4.54, p<.001). Uncertainty opportunity appraisal (${\beta}=-.45$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=3.28, p<.001). Emotion-focused coping (${\beta}=-.23$, p=.021) had a partial mediating effect in the relation between uncertainty and anxiety (Z=2.02, p=.044). Conclusion: Nursing intervention programs focusing on managing uncertainty appraisal and improving emotion-focused coping are highly recommended to decrease anxiety in hospitalized pregnant women diagnosed with preterm labor.

Roles of Threat and Coping Appraisal in Adoption of Green Information Technology: Ordered Protection Motivation Theory Perspective

  • Lee, Namyeon;Jin, Yanshou;Kwon, Ohbyung
    • Asia pacific journal of information systems
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    • 제23권2호
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    • pp.87-109
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    • 2013
  • While many surveys show very positive attitudes on the part of consumers towards eco-friendly products, the market share actually reflecting green IT purchases remains low in most countries. The motivations behind green IT purchase behavior are still obscure. Several studies have addressed the question of green IT diffusion from economic and normative viewpoints in an attempt to interpret IT adoption behavior. This study comes at the question from a different angle, namely negative frame, examining threat and coping behaviors using the Ordered Protection Motivation (OPM) model and threat appraisal theory. The results show that attitudes toward fairness and positive change, which are precedents of threat appraisal, play an important role in determining threat appraisal. Perceived threats in the green IT arena include habit change and ecological change. Appraisal for coping with these threats directly affects initial adoption behaviors regarding available green IT, and then indirectly encourages the purchase of new green IT products.

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스트레스에 대한 인지적 평가와 지각된 사회적 지지가 청소년의 대처행동에 미치는 영향 (THE EFFECTS OF COGNITIVE APPRAISAL AND PERCEIVED SOCIAL SUPPORT ON ADOLESCENTS' COPING BEHAVIOR)

  • 문성원;한종철
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제7권2호
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    • pp.233-246
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    • 1996
  • 성인의 스트레스에 관해서는 많은 연구가 존재하지만, 청소년의 스트레스에 관해서는 포괄적인 연구가 아직 부족한 단계이다. 성인과는 다른 발달과업을 가지고 있고, 더구나 학교라는 구조적 환경 내에서 생활의 대부분을 보내기 때문에. 청소년의 스트레스에 관한 연구는 더욱 필요하다. 따라서, 본 연구에서는 청소년들이 현재 느끼는 스트레스의 종류와, 그에 대한 대처 행동의 기제를 경험적 조사를 통해서 알아보고자 하였다. 기존의 스트레스 연구들이 구조적 변인에 관해서만 다루거나, 혹은 구조적 변인마저도 과정적 관점에서 다루려고 하는 경우가 많았기 때문에, 사회적 지지 정도에 관한 지각을 구조적 변인으로, 인지적 평가에 관한 부분을 과정적 변인으로 가정하여 대처 행동과 맺고 있는 관련을 측정하였다. 서울 시내 고교 2년생 519명에 대한 설문 조사 결과, 인지적 평가는 스트레스 상황에 따라서 달라지는 과정적 변인임이, 그리고 지각된 사회적 지지는 스트레스 유형에 대해서 독립적인 구조 변인인 것이 확증되었다. 인지적 평가는 대처 행동보다는 스트레스에 관한 질적 평가과정에 더 많은 관련을 가지고 있었고, 지각된 사회적 지지는 평가와 행동에 모두 영향을 미치는 중요한 구조 변인인 것으로 나타났다.

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경호업무수행자의 성격특성과 직무스트레스 대처행동 및 대처효과의 관계 (The Relationship of Safeguard Accomplishment Personality and Stress Coping Behavior)

  • 김종탁
    • 시큐리티연구
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    • 제6호
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    • pp.255-272
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    • 2003
  • The purpose of this research is to find relationships between safeguards' personality traits and stress coping behaviors. The findings then could provide data to adapt safeguards to their duties. For that, personality traits such as sociability, stability and stress coping behaviors and the effects were investigated. In addition, cognitive aspects which were known to influence stress coping behaviors were appraised. The findings of this research are as follows, First, regarding personality traits and stress coping behaviors, the unstable and unsocial group used the emotion-focused coping style more than the stable and social group. The two groups didn't show any significant differences in the problem-focused coping style. The A-type group used both the problem-focused style and the emotion-focused style more than the B-type group. The common characteristic of the unstable, the unsociable and the A-type groups was the heavy use of avoidance behaviors of the emotion-focused coping style. Second, In the correlation between the personal traits and the stress coping effects regarding adaptability, the stability influenced stress coping effects. Third, regarding the personality traits, the coping styles and the coping effects, A-type group showed high correlation with the sociability but not with the stability. The problem-focused coping style showed high correlation with the emotion-focused style. Fourth, the cognitive appraisal on the stress causes influenced the stress coping styles but not the stress coping effects. Fifth, the cognitive appraisal on the same stress causes didn't show any significant differences among the personality traits.

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류마티스 관절염 환자의 불확실성에 대한 적응에 영향을 미치는 요인 탐색 (An Exploratory Study of Factors affecting on Adaptation to Uncertainty in Rheumatoid Arthritis Patients)

  • 유경희
    • 근관절건강학회지
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    • 제8권2호
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    • pp.230-249
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    • 2001
  • This study was conducted to investigate the affecting factors on the adaptation to uncertainty in patients having rheumatoid arthritis. Subjects of the study constituted 222 patients who visited outpatient of rheumatic center in Seoul. Self report questionnaires were used to measure the variables affecting the adaptation to uncertainty. The variables affecting the adaptation to uncertainty were uncertainty, mastery, appraisal of danger, appraisal of opportunity, emotion focused coping, problem focused coping, pain, depression and activity of daily life(ADL). Reliability coefficients of these instruments were found Cronbach's $Alpha\;=\;.70{\sim}.94$. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics, Pearson's correlation, and multiple regression analysis. The results were as follows. 1) The range of total pain scores was from 0 to 147 and the mean score of the pain in rheumatoid arthritis patients was 72.64. 2) The range of total depression scores was from 20 to 72 and the mean score of the depression in rheumatoid arthritis patients was 39.86. 3) The range of total ADL scores was from 22 to 80 and the mean score of the ADL in rheumatoid arthritis patients was 72.56. 4) Among the independent variables, significant factors to explain the adaptation to pain in patients were danger appraisal of uncertainty(p<.05) and emotion focused coping(p<.05). 5) Among the independent variables, significant factors to explain the adaptation to depression in patients were danger appraisal of uncertainty(p<.001), opportunity appraisal of uncertainty(p<.001) and mastery(p<.005). 6) Among the independent variables, significant factors to explain the adaptation to ADL in patients were mastery(p<.001) and danger appraisal of uncertainty(p<.05).

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보호동기이론(PMT)과 건강신념모델(HBM)을 이용한 관광객 위기대응 행동 분석: COVID-19 위기 (Examining Tourists' Behavior Using Protection Motivation Theory and Health Belief Model: Covid-19 Crisis)

  • 우은주;이상탁
    • 아태비즈니스연구
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    • 제13권1호
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    • pp.301-315
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    • 2022
  • Purpose - The main objective of this study was to investigate tourists behavior by applying protection motivation theory and health belief model during COVID-19 pandemic. Specifically, the study examined how risk perception of COVID-19 affects tourists' protection motivation and travel avoidance intention. Design/methodology/approach - The empirical data was collected by self-administered questionnaires to obtain perception and behavior regarding COVID-19 pandemic situation. A total of 486 questionnaires were used for data analysis and SEM analysis was applied in order to examine seven hypotheses. Findings-The results showed that COVID-19 risk perception is a significant antecedent of threat appraisal, coping appraisal, and cue to action (H1, H2, H6). Moreover, protection motivation is affected by threat appraisal and coping appraisal (H3, H4) and influences on travel avoidance intention (H5). However, cue to action does not affect protection motivation (H7). Research implications or Originality - This study provides insightful implications for tourism industry practitioners who will prepare the post-corona field and the results enrich knowledge of the tourist behavior during pandemic situation.

PTCA 시술 환자의 인지적 평가와 위험요인수정행위 (Relationship between Cognitive Appraisal and Cardiac Risk Reduction Behavior Following Coronary Angioplasty)

  • 한숙원;이명선
    • 성인간호학회지
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    • 제16권4호
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    • pp.556-565
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    • 2004
  • Purpose: According to Lazarus & Folkman (1984), appraising a stressor as a threat is associated with negative psychological and physical adjustment, whereas appraising a stressor as a challenge is positive psychological and physical adjustment. This study examined how cognitive appraisal of PTCA(heart disease threat and treatment appraisal) related to the cardiac risk reduction behaviors(smoking cessation, low salt and low cholesterol diet, regular exercise and stress management) 6 weeks following discharge. Method: Data were collected from 50 subjects with successful primary PTCA. Result: Heart disease threat was negative related to treatment appraisal (r=-0.240, p=0.046). Psychological well-being was negative related to heart disease threat (r=-0.317, p=0.012) and positive related to treatment appraisal(r=0.402, p=0.002). The cardiac risk reduction behaviors score was negative related to heart disease threat(r= -0.296, p=0.018) and positive related to treatment appraisal(r=-0.291, p=0.020). Conclusion: More negative appraisal was related to lower the cardiac risk reduction behaviors score. But more positive appraisal was related to higher the cardiac risk reduction behaviors score. So, there is a need to develop the cognitive-behavioral intevention that increase the coping strategy to replace with positive appraisal.

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