• Title/Summary/Keyword: coping appraisal

Search Result 45, Processing Time 0.02 seconds

Stress and Adaptation in Family with Physical Disabled Children (신체적 장애아 가족의 스트레스와 적응 과정에 관한 고찰)

  • 양숙자
    • Journal of Korean Academy of Nursing
    • /
    • v.29 no.2
    • /
    • pp.238-247
    • /
    • 1999
  • The purpose of this study was to describe the relationship between family stress and adaptation in families with a disabled child through literature review using McCubbin's Double ABCX family crisis framework. The literature review focused on (1) family stress and factors affecting family stress, (2) the critical individual, familial and social resources which families acquire and employ over time in managing crisis situation. (3) the changes in definition and meaning families develop in an effort to make sense out of their predicament. (4) the coping strategies families employ. and (5) the range of outcomes of these family efforts The results showed that families reported financial difficulties and the burden of care-giving demands as major family stressors. Siblings of disabled children manifested depressive symptoms and social isolation. but was not consistent study results. The parents' views of the cause of the disabling condition fundamentally affected their behavior toward their disabled child. Especially. the fathers' views of the child's characteristics made the greatest contribution to positive changes in the mothers' perceptions. The term perceived social support refers to the cognitive appraisal by individuals that they are cared for and valued, that significant others are available to them if needed, and that they are satisfied with their interpersonal relationships. The perceived social support was more protective than social support source. network size and network density. Parental adaptation was found to be related to the child's communication competence rather than family coping strategies proposed by Lazarus and Folkman. One study results showed that there was no difference in depressive symptoms and physical health between mothers with a disabled child and those without all though mothers with a disabled child had negative attitudes and perceived themselves as having significantly less social support and lower family functioning. But a longitudinal study revealed decreases in the negative impact of the child and increases in sibling and overall family adaptation.

  • PDF

Factors Related to Family Caregivers' Burden with the Community-Dwelling Disabled Elderly under the Long-Term Care Insurance System (장기요양 재가서비스 이용자를 돌보는 가족주부양자의 부양부담감에 영향을 미치는 요인)

  • Han, Eun-Jeong;Lee, Jung-Myun;Kwon, Jin-Hee;Shin, Seul-Bi;Lee, Jung-Suk
    • Health Policy and Management
    • /
    • v.24 no.1
    • /
    • pp.71-84
    • /
    • 2014
  • Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients (암 환자 가족원의 소진 관련 변인들 간의 관계 구조)

  • Hong, Min Joo;Tae, Young Sook
    • Journal of Korean Academy of Nursing
    • /
    • v.43 no.6
    • /
    • pp.812-820
    • /
    • 2013
  • Purpose: The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958). Methods: Data were collected from July 10 to September 30, 2012 through direct interviews and a self -report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout). Results: Goodness of fit in the hypothetical model was ${\chi}^2=174.07$, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout. Conclusion: The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

Effects on Stress, Problem Solving Ability and Quality of Life of as a Stress Management Program for Hospitalized Schizophrenic Patients: Based on the Stress, Appraisal-Coping Model of Lazarus & Folkman (Lazarus와 Folkman의 스트레스 평가-대처 모델에 근거한 입원 스트레스 관리 프로그램이 조현병 환자의 스트레스, 문제해결능력 및 삶의 질에 미치는 영향)

  • Park, Sun Ah;Sung, Kyung Mi
    • Journal of Korean Academy of Nursing
    • /
    • v.46 no.4
    • /
    • pp.583-597
    • /
    • 2016
  • Purpose: The study was done to evaluate the effects a Stress Management Program (SMP) on stress, problem solving skills, and quality of life for hospitalized patients with Schizophrenia. Methods: A mixed method design was used: a combination of a repeated-measure design with a non-equivalent control group and qualitative data collection. The participants were 40 patients with schizophrenia admitted in three psychiatric hospitals. The experimental group (n=20) received the SMP twice a week for a total of 8 weeks. Results: Study results revealed that the SMP was effective for stress (F=321.02, p<.001), problem solving ability (F=246.28, p<.001), and quality of life (F=63.35, p<.001) for hospitalized persons with schizophrenia. Conclusion: The results suggest that a SMP can be an effective strategy to reduce patients' hospitalization stress, and improve problem solving skills and quality of life. Therefore, it is recommended that mental health nurses use this stress management program in clinical practice to assist adaptation to hospitalization for persons with schizophrenia.

Understanding Stress : Psychosocial Aspect (스트레스의 사회 심리적 이해)

  • Chung, Sang-Keun
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.9 no.1
    • /
    • pp.66-80
    • /
    • 2001
  • Most people experience stress during his or her life. The types of psychosocial stressors are variable. Also, the stress appraisal, coping, and responses in stress process are variable. These varieties reflect individual differences due to ongoing social situation, personal dispositions such as personal resources and vulnerability factors, etc. The stress process results in psychosocial growth or no substantial change in functioning or health, or adverse change in functioning(illness) or health to person. Therefore, the preventive management and treatment of stress need to be tailored to individual characteristics. All physicians managing the stress-related patients have to understand the multidimensional aspects of stress. To understand stress better in psychosocial aspect, I comprehensively reviewed the literature on stress.

  • PDF

A Study on Factors Influencing Privacy Decision Making on the Internet: Focus on Dual-Calculus Model (온라인 환경에서 프라이버시 의사결정에 영향을 미치는 요인에 관한 연구: 이중계산모델을 중심으로)

  • Kim, Sanghee;Kim, Jongki
    • The Journal of Information Systems
    • /
    • v.25 no.3
    • /
    • pp.197-215
    • /
    • 2016
  • Purpose This study aims to investigate the factors that influence decision making in relation to providing personal information on the internet with respect to the integration of the privacy calculus theory and protection motivation theory based on the dual-calculus model proposed by Li(2012). Design/methodology/approach The privacy calculus theory and protection motivation theory have been applied to explain privacy behavior to a certain degree but few studies have been conducted to explain privacy behavior based on the integration of these two theories. Although Li(2012) proposed the dual-calculus model, he only proposed its framework and did not carry out an empirical study. Therefore, this study proposes a research model that integrates these two theories and examines the relationship between the two theories through an empirical study. Findings According to the results of empirical analysis, it was found that all relations have statistically significant explanatory power except the relation between coping appraisal and privacy risk in the risk calculus process. Thus, the results verify that external threat played a decisive role in increasing the risk level of a consumer's privacy. It can be discussed the ways to enhance the privacy behavior of consumer on the internet through these findings.

Concept Development of Resilience - Focusing on Cancer Patients - (극복력(resilience) 개념 개발 - 암 환자를 중심으로 -)

  • Hong, Sung-Kyung
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.15 no.1
    • /
    • pp.109-119
    • /
    • 2009
  • Purpose: This study was done to develop the concept of resilience focusing on cancer patients in Korea. Methods: This study was done in three phases sugggested in the Hybrid Model; theoretical phase, fieldwork phase, and analytical phase. Eight cancer patients participated in the fieldwork phase. Results: The antecedent of the concept of resilience was the crisis or adversity that threatens life or changes the quality of life. The attributes of resilience were psychosocial, relational, situational confrontation and faith (philosophical) characteristics. 1) Psychosocial : self worth, self efficacy, self-confidence, independence, optimistic & positive mind, strong will, and responsibility, 2) Relational : relation-oriented, intimacy, and social interests, 3) Situational confrontation : appraisal of stress situation, problem-oriented coping, and ability to applicate a new situation, 4) Faith (philosophical) : the belief that self-knowledge is valuable, finding positive meanings, religious belief, a belief that lives are worthwhile and meaningful, and a balanced perspective of one's life. The consequences of resilience were acceptance of adversity, getting through one's dread and apprehensions, and gratitude & sharing life. The contributing factor of resilience is positive family support. Conclusion: The concept of resilience is necessary in order to manage cancer patients for promoting quality of life so that its application may have a positive impact on the patients care.

A Case Study on Redesigning the Retention Schedule of Common Functions in National Research Institutes of Science and Technology (과학기술분야 연구기관의 공통기능 보존기간기준표 설계 사례)

  • Lee, Mi-Young;Park, Yun-Mi;Shim, Se-Hyun;Kim, Seul-Gi;Kim, Hyun-Woo;Joo, Mi-Kyoung
    • Journal of Korean Society of Archives and Records Management
    • /
    • v.18 no.3
    • /
    • pp.125-143
    • /
    • 2018
  • This study is a record of the process of jointly designing the records classification scheme and the retention schedule for archival appraisal, which are vital in records management. A total of 8 institutes participated voluntarily and redesigned the retention schedule, which consists of 16 common functions, 66 tasks, and 381 files for about 4 months. The process consists of reviewing the regulations related to the records management of the participating organizations, determining the hierarchy and scope of the retention schedule, deriving 16 common functions as well as the unit task for each function, and constructing the file of each task. In situations wherein it is difficult to expect the government-led policy and strategy specific to the research institute and the research records management, the retention schedule designed jointly by the records managers of the scientific and technological field serves as a useful records management tool. This collaborative effort between records managers of similar agency records will also be significant in jointly coping with the new policy and innovation plans in the future.

A Study on the Information Protection Intention of Digital Healthcare Service Providers (디지털 헬스케어 서비스 제공자의 정보보호의도에 관한 연구)

  • Yang, Chang-Gyu
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
    • /
    • v.17 no.4
    • /
    • pp.163-172
    • /
    • 2022
  • This study investigates the IPI (Information Protection Intention) of DHS (Digital Healthcare Service) providers by introducing PMT (Protection Motivation Theory). This study examines the effects of protection motivation, such as threat appraisal and coping appraisal, on IPI, such as ICI(Induction Control Intention) and SDI(Self Defense Intention). The research model, based on the PMT, adopted severity, vulnerability, reaction efficacy and self-efficacy as independent variables. The research model was validated through quantitative research, a survey of 222 DHS providers in South Korea, using structural equation modeling. The results show that (1) a clear awareness of the consequences of security threats increases the understanding of DHS providers on the severity of closure of healthcare information, and thus may decreases abuse of DHS by providers; (2) user confidence and satisfaction on the security system may make them be confident that they can handle the closure of healthcare information by themselves; and (3) although DHS providers are realizing the consequences of closure of healthcare information, they think that they are unlikely to encounter such situations. As a result of this study, venture companies that provide DHS need to provide contents that can continuously increase providers' security level in order to increase providers' information protection intention. It suggests that IPI is important through trust of healthcare service providers.

Factors Affecting the Intention to Adopt Self-Determination Rights of Personal Medical Information (개인의료정보 자기결정권 행사 의도에 영향을 미치는 요인)

  • Yunmo Koo;Sungwoo Hong;Beomsoo Kim
    • Information Systems Review
    • /
    • v.20 no.1
    • /
    • pp.159-177
    • /
    • 2018
  • With an extensive proliferation of information and communication technology, the volume and amount of digital information collected and utilized on the Internet have been increasing rapidly. Also on the rapid rise are side effects such as unintended breach of accumulated personal information and consequent invasion of personal privacy. Informational self-determination is rarely practiced, despite various states' legal efforts to redress data subjects' damage. Personal health information, in particular, is a subcategory of personal information where informational self-determination is hardly practiced enough. The observation is contrasted with the socio-economic inconvenience that may follow due to its sensitive nature containing individuals' physical and health conditions. This research, therefore, reviews factors of self-determination on personal health information while referring to the protection motivation theory (PMT), the long-time framework to understand personal information protection. Empirical analysis of 200 data surveyed reveals threat-appraisal (perceived vulnerability and perceived severity of threats) and coping-appraisal (perceived response effectiveness), in addition to individual levels of concern regarding provided personal health information, influence self-determination to protect personal health information. The research proposes theoretical findings and practical suggestions along with reference for future research topics.