• 제목/요약/키워드: coping efficacy

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금연 프로그램 참여자들의 장$\cdot$단기 금연 성공과 관련된 심리적 요인 탐색 (Psychological Factors Associated with Short-tenn and Long-tenn Abstention Following a Smoking Cessation Program)

  • 서경현;이석민
    • 보건교육건강증진학회지
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    • 제21권1호
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    • pp.137-151
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    • 2004
  • Objectives: This study aims to investigate the psychological factors associated with abstention following a smoking cessation program, and to suggest useful information for those who want to stop . smoking and health practitioners who help them Methods: Participants were 73 smokers (65 males, 8 females) that participated in a hospitalized smoking cessation program, whose mean age was 44.89 (SD=9.61). Participants completed questionnaires and psychological tests including: Demographic sheet, Eysenck's Personality Questionnaire, Multidimensional Coping Scale, Fagerstrom Test for Nicotine Dependence, and Jerusalem and Schwarzer's Self-Efficacy Scale. To identify whether the subjects abstained or not and to encourage them to abstain, the researcher called them on the telephone once a week for three months. After three months, they were contacted every other week till six months passed since they had left the smoking cessation program Tthey were THEN contacted once a month for another six months. The data was analyzed by using ANCOVAs with SPSS 10.0 for Windows. Results: 42 (57.5%) out of 73 abstained for one month and 26 (35.6%) abstained for one year. People who failed to abstain within a month showed a higher psychoticism and introversion personality trait than those who abstained for one month, while people who abstained for one month were coping actively in most situations, showed a higher self-efficacy and lower nicotine dependence than those who failed to abstain within a month, and people who failed to abstain within a year showed a higher psychoticism than those who abstained for one year. While people who abstained for one year were coping actively, obstinate, and interpreting positively most situations, they showed a higher self-efficacy than those who failed to abstain within a year. Conclusion: These findings reiterate the roles of personality, self-esteem, nicotine dependence in smoking and suggest the roles for smoking cessation. And it was found the roles of coping styles ,in smoking cessation. It might help smokers who want to stop smoking and health practitioners who help them

극소저출생체중아 어머니를 위한 병원중심의 추후관리프로그램의 효과 (Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants)

  • 김민희;지은선
    • 대한간호학회지
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    • 제46권1호
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    • pp.79-89
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    • 2016
  • Purpose: This paper reports the results of a hospital centered follow-up program on parenting stress, parenting efficacy and coping for mothers with very low birth weight (VLBW) infants. Methods: The follow-up program consisted of home visiting by an expert group and self-help program for 1 year. A non-equivalent control group pre-post quasi-experimental design was used. Participants were 70 mothers with low birth weight infants and were assigned to one of two groups, an experimental groups (n=28), which received the family support program; and a control group (n=27), which received the usual discharge education. Data were analyzed using ${\chi}^2$-test, t-test, and ANCOVA with IBM SPSS statistics 20.0. Results: Mothers' parenting stress (F=5.66, p=.004) was significantly decreased in the experimental group. There were also significant increases in parenting efficacy (F=13.05, p<.001) and coping (F=8.91, p=.002) in the experimental group. Conclusion: The study findings suggest that a follow-up program for mothers with VLBW infants is an effective intervention to decrease mothers' parenting stress and to enhance parenting efficacy and coping.

만성 정신 질환자의 사회 적응에 영향을 미치는 요인 분석 (Influencing Factors on Social Adaptation of Chronic Mental Illness)

  • 이평숙;한금선
    • 대한간호학회지
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    • 제31권2호
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    • pp.340-350
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    • 2001
  • The purpose of this study was to investigate the factors influencing social adaptation of chronic mental illness. The subjects of this study were 190 patients, over the age of 20 with chronic mental illness diagnosed by a physician, and living in Seoul, Korea during May, 2000 to December 2000. The instruments for this study were the social adaptation scale by Wallace (1979), the self-esteem scale by Rogenberg (1965), social support scale by ParkJiWon (1985), coping behavior scale by Shirley Zeitlin (1978), self efficacy scale by Sherer et. al (1982), and Rand mental health inventory(1979). The data were analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. The results of this study are as follows: 1. The level of social adaptation showed moderate (M=3.43). 2. The social adaptation showed significant positive correlation with self-esteem (r=0.39, p=0.00), self-efficacy (r=0.31, p=0.00), social support (r=0.47, p=0.00), self-productive coping (r=0.14, p=0.05), self-flexible coping (r=0.22, p=0.00), environment-active coping (r=0.21, p=0.00), and environment-flexible coping (r=0.14, p=0.04). The social adaptation showed significant negative correlation with anxiety (r=-0.16, p=0.02), and emotional problems (r=-0.18, p=-0.00). 3. The stepwise multiple regression analysis revealed that the most powerful predictor of social adaptation was social support (21%). A combination of social support, depression, behavioral controllability, self-efficacy, and environmental coping behavior accounted for 39% of the variance in social adaptation in chronic mental illness. From the results of this study, it is suggested to develop and apply a social adaptation training program for chronic mental illness.

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COVID-19 팬데믹 시대 성인의 불안과 우울의 예측 요인 (Predictors of anxiety and depression in Korean adults during COVID-19 pandemic)

  • 손정남
    • 한국간호교육학회지
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    • 제28권3호
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    • pp.328-339
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    • 2022
  • Purpose: This study was conducted to identify the mental health status of Korean adults during the COVID-19 pandemic and to verify the predictors and mediating effects of avoidance coping on the relationship between the intolerance of uncertainty and anxiety and the intolerance of uncertainty and depression. Methods: An online survey was completed by 191 Korean adults from 19 to 64 years old. Using the IBM SPSS Win 19.0 program, the data were analyzed through the frequency, mean, t-test or analysis of variance, Pearson's correlation coefficient, linear regression analysis and Sobel test. Results: Of the survey respondents 21.5%, and 33.5% respectively were classified into anxiety and depression risk groups. The predictors of anxiety were intolerance of uncertainty (β=.52), avoidance coping (β=.21), and response efficacy (β=-.15). Those variables explained 47.7% of the respondents' anxiety. The predictors of depression were intolerance of uncertainty (β=.40), avoidance coping (β=.20), and response-efficacy (β=-.12). These variables explained 34.9% of the participants' depression. Among the predictors of anxiety and depression, avoidance coping was the significant mediating variable. Conclusion: The predictors of anxiety and depression during the COVID-19 pandemic were revealed to be intolerance of uncertainty, avoidance coping, and response-efficacy. These results indicate the necessity of providing the cognitive interventions and reducing the use of avoidance coping strategies on a personal level. Community-level efforts, including early detection and health communication strategies, should prioritize risk groups for example young adults. The study suggests it will be necessary to provide sufficient information, psychological support and economic policy alternatives related to the COVID-19 pandemic on the national level.

제2형 당뇨병 환자의 심혈관질환 위험요인 예측인자 (Predictors of Cardiovascular Risk Factors among Type 2 Diabetic Patients)

  • 이해정;박경연
    • 성인간호학회지
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    • 제18권3호
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    • pp.426-435
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    • 2006
  • Purpose: The purpose of this study was to explore the predictors of cardiovascular risk factors among type 2 diabetic patients. Method: Data were collected from November, 2003 to June, 2004 using a physiological index and questionnaires. Patients(N=159) aged 40 and above were conveniently recruited from health care centers in B city. Data were analyzed with descriptive statistics, Pearson correlation and stepwise multiple regression using SPSS WIN 10.0 program. Results: The cardiovascular risk factors were negatively related with female gender, household monthly income, educational experience about diabetes, physical activity, self-care, self-efficacy and problem oriented coping, while positively related with the duration of diabetes, diabetic family history and depression. Self-care, diabetic family history, female gender, monthly household income, self-efficacy, affective-oriented coping and physical activity predicted 41.5% of the variance in cardiovascular risk factors of diabetic patients. Conclusion: According to the findings of this study, we concluded that cardiovascular risk factors of type 2 diabetic patients are related to the modifiable and non-modifiable variables. Self-care, self-efficacy, affective oriented coping, and physical activity were identified as modifiable variables. Intervention programs to increase those variables are warranted to reduce cardiovascular risk factors among type 2 diabetic patients.

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노인요양병원 사회복지사의 대처전략과 직무효능감이 직무소진에 미치는 영향 (Influences of Coping Strategies and Vocational Self-Efficacy on Burnout among Social Workers in Long-Term Care Hospitals)

  • 김석훈;양정빈
    • 한국콘텐츠학회논문지
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    • 제17권3호
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    • pp.350-358
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    • 2017
  • 본 연구의 목적은 노인요양병원에 종사하는 사회복지사의 직무소진 정도를 살펴보고, 대처전략과 직무효능감이 직무소진에 미치는 영향을 확인하는 것이다. 이를 위해 노인요양병원협회 회원으로 등록된 전국 528개(2015년 9월 기준) 노인요양병원 중 병상의 규모가 100병상 이상인 병원의 사회복지사 138명을 대상으로 설문조사를 실시하였다. 분석 결과 근무시간, 외재화 전략, 자기 효능감, 집단효능감이 직무소진과 유의한 영향을 보이고 있었다. 즉, 근무시간이 길수록 소진의 정도가 심각해지는 반면, 외재화 전략, 자기효능감, 집단효능감이 높을수록 직무소진이 경감되었다. 본 연구결과를 토대로 노인요양병원 사회복지사의 직무소진을 경감시키기 위해 슈퍼비전 체계의 구축. 소진 경감 프로그램의 개발, 그리고 보수 교육 제공 등과 같은 개입 방안들을 제안하였다.

간호대학생의 자기효능감, 스트레스 대처, 대학생활적응과의 관계 (Correlation of Self-Efficacy, Stress Coping and Adjustment to College Life Nursing Students)

  • 김중경;김원종;이선주
    • 한국산학기술학회논문지
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    • 제21권7호
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    • pp.120-126
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    • 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.

임파워먼트 프로그램이 뇌성마비 아동 어머니의 부담감에 미치는 효과 (Effects of an Empowerment Program on the Burden of Mothers Having a Child with Cerebral Palsy*)

  • 어용숙
    • 대한간호학회지
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    • 제35권1호
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    • pp.154-164
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    • 2005
  • Purpose: The purpose of this study was to develop an empowerment program as a nursing intervention for mothers who care for a child with cerebral palsy at home and to determine the effects of the program on those mothers' self efficacy, coping behavior and burden. Method: An non-equivalent control group pretest-posttest design was used in this study. An Empowerment program was developed based on Dunst & Trivette's model. Using the program, the study was carried out from Dec. 13, 2003 to Jan. 17, 2004, mothers whose children, aged 1 to 6, were outpatients of the Dept. of Rehabilitation Medicine, at P University Hospital or registered at educational institutions for early disabled children. The experimental group of subjects were included in the new empowerment program which was held for two and half hours every week for 6 times. Results: After treatment with the Empowerment Program, the experimental group was found to be significantly increased in score for self efficacy(t=4.55, p<.01), coping behavior(t=5.54, p<.001), objective burden(t=-3.96, p<.01) and subjective burden(t=-5.05, <.01), in comparison to the control group. Conclusion: The Empowerment Program is very effective in increasing self efficacy and coping behavior of mothers having a child with cerebral palsy and decreasing their burden. Finally, this study would recommend that an empowerment program should be extended to community facilities such as public health offices and welfare centers.

'긍정의 말' 실험학습이 새내기 간호 대학생의 부정적 정서, 자기효능감 및 스트레스 대처방식에 미치는 효과 (The Effects of 'Affirmative Language' Experiment on Negative Affect, Self-Efficacy and Stress Coping Style in Freshmen Nursing Students)

  • 차진경;문인오;최연숙;김지현
    • 한국학교ㆍ지역보건교육학회지
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    • 제15권2호
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    • pp.63-76
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    • 2014
  • Objectives: The purpose of this study was to explore the effects of 'affirmative language' experiment upon freshmen nursing students' negative affect, self-efficacy and stress coping style. Methods: A nonequivalent control quasi-experiment was conducted on the subjects of 55 freshmen nursing students for 26(experimental group) and 29(control group). Data were analyzed using x2-test and t-test for participants' homogeneity test and conducted content analysis of process diary record and personal impressions. Results: As for negative affect, in case of the experimental group, depression(t=-2.384, p=.022) and anxiety(t=-2.243, p=.025) were significantly low with no difference for the control group. As for self-efficacy, both experimental and control groups showed significance and as for stress coping style, the control group used sub-categorized strategies better than the experimental group. There were 4 topics and subsequent 15 topics derived from the content analysis. 'Affirmative language' experiment showed alleviation of depression and anxiety helpful for study participants in self-reporting measurement, and helpful for stress self-management competence. Conclusion: It is necessary to connect the curriculum operation with interest of competence and practice of students stress self-management through the participating experiment experience.

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만성관절염과 루푸스의 피로, 통증, 및 통증효능감에 관한 연구 (The study on Fatigue, Pain, and Efficacy on Pain of Chronic Arthritis and Lupus)

  • 임난영;이은영;양용숙;정순애;차경옥;이여진
    • 근관절건강학회지
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    • 제7권1호
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    • pp.53-62
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    • 2000
  • This study was designed to distinguish by the characteristic difference and the degree of symptoms such as fatigue, pain, coping to pain, and efficacy on pain, and to offer descriptive data for nursing intervention for improving coping ability to pain along each characteristics of disease in chronic arthritis and systemic lupus erythematosus. The subjects were 135 outpatients in the hospital for rheumatic disease in H-university, Seoul. The data were collected by structural questionnaire, from April 29 to June 29, 1999. The results were that the fatigue score was high in the OA patients while the RA patients and SLE patients experienced middle range of fatigue score, but which was not statistically different. Although the RA patients felt higher pain than other diseases, they have well coped with their pain than the others. In efficacy on pain the SLE patients had higher score than others but all of the disease showed lower score. No statistically significant difference among the three group was recorded in efficacy on pain. Therefore, pain management in the RA patients was primary nursing intervention because they felt severe pain and have well coped with pain while they had lower pain efficacy score than the others. It is also important that fatigue management and coping strategies on pain for the OA patients and SLE patients are specially supportive in the nursing intervention.

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