• Title/Summary/Keyword: coping with stress

검색결과 708건 처리시간 0.022초

간호진단 분류체계에 근거한 간호개념틀 개발 (Development of a Conceptual Framework of Nursing from Selected Concepts of Nursing Diagnoses)

  • 김조자
    • 대한간호학회지
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    • 제26권1호
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    • pp.177-193
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    • 1996
  • For the purpose of integrating nursing diagnosis into the nursing curriculum, a descriptive survey research was done using the inductive method with questionnaires and a literature review. Research subjects included nurse educators, textbooks of adult nursing published in Korea, and the course outline for adult nursing used in one college of nursing. The Results show that there was common agreement on 39 nursing diagnosis which should be in cluded in the adult nursing curriculum, textbooks of adult nursing, and patient care on the medical-surgical units. The two existing nursing diagnosis classification systems(NANDA and Gordon's Human Response Patterns) show different basic frameworks and difficulties were discovered in integration of nursing diagnosis into the curriculum. To develop a conceptual framework for a nursing diagnosis classification system, diagnosis were classified into three categories ; health promotion, high risk problem, and actual problem on the basis of the framework used in adult nursing textbooks and Gordon's 11 Functional Health Patterns. Subconcepts for actual problems were classified as ; activity and rest, nutrition and elimination, perception and coordination, stress and coping. Progress in this study supports further development of a conceptual framework of nursing based on a nursing diagnosis classification system, from which improvement in nursing education and clinical practice can be expected.

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간호학 관점에서의 부모-자녀 관계 연구동향 (Research Trends on Parent-Child Relationships from the Perspective of Nursing)

  • 김미란;박영희;박은숙
    • Child Health Nursing Research
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    • 제16권4호
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    • pp.249-258
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    • 2010
  • Purpose: This study was done to provide a basis for future theory development by analyzing the phenomenon of parent-child relationships based on the 4 areas described by Kim (2000). Methods: A descriptive research design was used to identify research trends in nursing related to the phenomenon of parent-child relationships. Results: Before 1990, the trend in research design was quantitative designs, but since 1990, qualitative research has also been done. Mothers were the most popular research target for these studies followed by mothers and children together. In analyzing the 4 areas outlined by Kim (2000), it was found that most of the research was done on client domain and parents. The research concepts relevant to the essentialistic concept of research target, were 'child rearing', 'breast-feeding' and 'attachment'. For problematic concepts, the concept of 'stress' was continuously dealt with over the period and for the health-care experiential concept, 'adjustment' and 'coping' by parents were the main focus of research. Conclusion: The results show that parent-child relationship research was mainly concentrated on research participants and concepts. In the future, improvements should be made in research development of nursing practice programs and development of theory, to address the complete phenomenon of parent-child relationships.

Key Success Factors of Home-Based Business among Female Entrepreneur in Saudi Arabia

  • bin Dahari, Zainurin;Abu Bakar, Abdul Rahim;Al-Gosaibi, Sahar
    • Asia Pacific Journal of Business Review
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    • 제3권2호
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    • pp.43-66
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    • 2019
  • Home-based business (HBB) is one of the fastest growing form of business start-ups where the business is conducted from home. In develop economies, the HBB industry is an engine for economic growth that has proven its viability through significant contribution to the national GDP. In view of its importance, the Saudi Ministry of Commerce and Industry encourage local women to start and develop their own HBB as it gives them the flexibility while still contributing to the national economy. Although various initiatives have been taken place, little information is available about Saudi HBB. This study therefore aims to determine the factors that contribute to the growth as well as the challenges of female HBB in Saudi Arabia. The study was based on qualitative approach which adopted an in-depth interview with eleven Saudi females who run HBB. The findings revealed that HBB contributing factors comprised of access to funding, sufficiency of savings and the influence of the intrinsic and extrinsic motivation in starting the business. Meanwhile, the obstacles are government regulations and policies, culture, and home design. The study recommendations include improving banks and service institution policy and procedures to enable HBB to have access to funding and services and to develop legal policies to protect the right of the HBB operator and customers. Finally, the study also suggests future research on managerial factors that can contribute to HBB female success, the stress coping mechanism of HBB and the factors contributing to the difference between HBB in growth strategies.

The Effect of Psychological Counseling using Art Therapy on Improving Worker's Job Efficiency

  • Soomin, HAN
    • 산경연구논집
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    • 제14권3호
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    • pp.19-26
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    • 2023
  • Purpose: There is little emphasis on alternative forms of communication in psychotherapy, thus leaving a gap in research on the impact and effects of alternatives such as using artistic expressions. The current research, therefore, seeks to address the gap by investigating the effect of psychological counseling using Art Therapy on improving workers' job efficiency. Research design, data and methodology: The present author collected topic related to prior studies in terms of psychological counseling, art therapy, and employee job efficiency. And then, the author conducted clear procedure of the screening to eliminate inappropriate previous works including conference papers and dissertations so that this research could obtain only journal articles and books which have been proven by high degree of reliability and validity. Results: This research has concluded that psychological counselling using art therapy is pertinent to improving the worker's job efficiency in various ways, addressing properly mental health issues ranging from small to complicated or acute issues, thus promoting the well-being of employees to work at their optimum or best possible conditions. Conclusions: Psychological counseling using art therapy improves self-confidence, esteem, and awareness. Further, it enhances their social skills, expression capability, and general work ability. Elsewhere it improves coping with pain and reduces stress and depression.

Transfer anxiety in parents of children transferred from pediatric intensive care units to general wards in South Korea: a hybrid concept analysis

  • Park, Jisu;Choi, Eun Kyoung
    • Child Health Nursing Research
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    • 제28권2호
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    • pp.154-165
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    • 2022
  • Purpose: This study aimed to analyze the concept of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Methods: The hybrid model by Schwarz-Barcott and Kim was used to analyze the characteristics of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Results: Transfer anxiety was defined by the following attributes: 1) stress concerning the adaptation process, 2) concern about the child's condition worsening due to the parent's caregiving, and 3) involuntary changes in daily life due to the treatment. Transfer anxiety has the following antecedents: 1) uncertainty; 2) a lack of knowledge about the illness, medical devices, and caregiving; and 3) a lack of social support. It resulted in 1) caregiver burden, 2) a decrease in the capacity for coping with caregiving, 3) delays in the child's physical and psychological recovery, and 4) decreased quality of life. Conclusion: It is necessary to develop an assessment scale that considers the attributes of transfer anxiety in parents of children transferred from pediatric intensive care units to general wards. Furthermore, an effective nursing intervention should be developed to reduce transfer anxiety.

도재전장금관을 위한 코핑의 변형에 관한 연구 (A STUDY ON THE DISTORTION OF THE COPINGS FOR CERAMOMETAL CROWNS DURING REPEATED FIRING)

  • 이기홍;정헌영;이선형;양재호
    • 대한치과보철학회지
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    • 제35권4호
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    • pp.706-718
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    • 1997
  • Ceramometal crowns are common restorations in fixed prosthodontics because of their casting accuracy, the high strength properties of the metal, and the cosmetic appearance of porcelain. However, deterioration of the initial fit of the metal coping has been observed after the porcelain firing cycle. The distortion due to repeated firing makes it difficult to fit crown margin and elicits microleakage. The major causes of distortion are the residual stress that accumulate during wax-up, casting, cold work and the induced stress caused by the mismatch of porcelain-metal thermal contraction. This study examined the marginal fit changes of metal copings in relation to repeated firing and the effects of heat treatment that reduce the distortion resulted from residual stress. The marginal changes of the copings that were treated with conventional method and those treated with heat before repeated firing, were evaluated. The metal die which represented preparations of a maxillary central incisor was fabricated, and 45 wax patterns were cast with nonprecious metal alloys. The heat treatment of each group was performed as follows. Group 1(control) : Casting - Devesting - Cold work - Firing Group 2 : Casting - Heat treatment - Devesting - Cold work - Firing Group 3 : Casting - Devesting - Cold work - Reinvesting - Heat treatment - Devesting - Firing The copings were fired 3 times. After each firing, the marginal fit changes were measured with inverted metallurgical microscope at the 4 reference points located at labial, lingual, and both proximal surface. Measurements were compared, and statistically analyzed. The results were as follows ; 1. In all groups, the highest value of marginal fit changes of the copings studied were found after the first firing cycle. 2. When the distortion of each experimental group at the first firing cycle were compared, group 1 exhibited the greatest changes($20-27{\mu}m$), followed by group 2($9-13{\mu}m$), and group 3($8-10{\mu}m$). 3. The copings treated with heat before devesting(group 2) revealed significantly smaller marginal fit changes than the copings treated with conventional method(group 1). (p<0.01) 4. The copings treated with heat after reinvesting(group 3) revealed significantly smaller marginal fit changes than the copings treated with conventional method(group 1). (p<0.01) 5. No siginificant differences in marginal fit changes were found between the copings treated with heat before devesting(group 2) and the copings treated with heat after reinvesting(group 3). (p>0.01)

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중학생의 스트레스와 인터넷 이용동기가 인터넷 중독에 미치는 영향 (The Effect of Stress Among Middle School Students and the Effect of Motive on Their Addiction to the Internet)

  • 박혜영;이은희;박상미
    • 가정과삶의질연구
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    • 제27권6호
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    • pp.65-82
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    • 2009
  • The following research aimed to determine the effect of stress among middle school students on their addiction to the Internet. This research's target was a group of male students who had a high probability of getting addicted to the Internet while playing c/t games. The study distributed 357 questionnaires and used 340 copies, which meant discarding 17 copies that were considered inadequate. The research results are as follows: First, there appeared subordinate factors in the stress suffered by the students. These included stress from their families, from conflicts with their teachers, from the living environment, current schoolwork and future course in college, insecurity over their physical appearance, bullying from other students, and relationships with friends. Among these factors, stress caused by conflicts with teachers and family was the most frequently cited, while stress from their friends was the least cited. The motive in using the Internet was found to be bound with several factors. These include: a form of diversion, a way to communicate with others, a means in coping with loneliness, a source of news and information, a form of passing away time, a kind of habit, and others. Among these motives, passing away time and indulging a habit were cited the most, followed by news and information search, and a form of diversion. Second, as a subordinate factor in Internet addiction, the following were cited: formation of tolerance, health issues, occurrence of problems related to daily life, satisfaction or a pleasant sensation, withdrawal, cover-up on the use of the Internet, and formation of virtual interpersonal relationships, and others. Among these, the formation of tolerance came out the highest, followed by health issues, daily life, and problems related to daily life. Third, in terms of the effects of stress on the motive in using the Internet, the research found that the more the students felt stressed out by conflicts with their teachers and family, the more they tended to use the Internet to communicate with others, to cope with loneliness, to obtain newsI and information, to passawaytime, and to indulge a habit Also, the more they felt stressed out by the living environment, the more they tended to use the Internet to communicate with others, to cope with loneliness, and use news and information. The more they felt stressed out by their schoolwork and future course in college, they tended to use the Internet as a form of diversion and to secure news and information. The more they felt stressed out by their insecurity over their physical appearance and being victimized by bullies, the more they tended to use the Internet to cope with loneliness. Fourth, as for the effect of several variables on student addiction to the Internet, the study found that the more students felt stressed out by their living environment, by schoolwork and future course in college, by their physical appearance, and bullying from other students, the more they used the Internet as a form of diversion, a communication tool, and as a means of passing away time or indulging a habit. The study came up with the finding that the more the students used the computer and the Internet, the probability of their getting addicted to the Internet got higher.

흡연 여부에 따른 Glutathione S-transferase (GST) M1 및 T1 유전자 다형성이 우리나라 젊은 성인의 임파구 DNA 손상과 항산화 영양상태 지표들 간의 관련성에 미치는 영향 (Lymphocyte DNA Damage and Anti-Oxidative Parameters are Affected by the Glutathione S-Transferase (GST) M1 and T1 Polymorphism and Smoking Status in Korean Young Adults)

  • 한정화;이혜진;강명희
    • Journal of Nutrition and Health
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    • 제44권5호
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    • pp.366-377
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    • 2011
  • Glutathione S-transferase (GST) is a multigene family of phase II detoxifying enzymes that metabolize a wide range of exogenous and endogenous electrophilic compounds. GSTM1 and GSTT1 gene polymorphisms may account for inter-individual variability in coping with oxidative stress. We investigated the relationships between the level of lymphocyte DNA and antioxidative parameters and the effect on GST genotypes. GSTM1 and GSTT1 were characterized in 301 young healthy Korean adults and compared with oxidative stress parameters such as the level of lymphocyte DNA, plasma antioxidant vitamins, and erythrocyte antioxidant enzymes in smokers and non smokers. GST genotype, degree of DNA damage in lymphocytes, erythrocyte activities of superoxide dismutase, catalase, and glutathione peroxidase (GSH-Px), and plasma concentrations of total radical-trapping antioxidant potential (TRAP), vitamin C, ${\alpha}$- and ${\gamma}$-tocopherol, ${\alpha}$- and ${\beta}$-carotene, and cryptoxanthin were analyzed. Lymphocyte DNA damage assessed by the comet assay was higher in smokers than that in non-smokers, but the levels of plasma vitamin C, ${\beta}$-carotene, TRAP, erythrocyte catalase, and GSH-Px were lower than those of non-smokers (p < 0.05). Lymphocyte DNA damage was higher in subjects with the GSTM1- or GSTT1-present genotype than those with the GSTM1-present or GSTT1- genotype. No difference in erythrocyte antioxidant enzyme activities, plasma TRAP, or vitamin levels was observed in subjects with the GSTM1 or GSTT1 genotypes, except ${\beta}$-carotene. Significant negative correlations were observed between lymphocyte DNA damage and plasma levels of TRAP and erythrocyte activities of catalase and GSH-Px after adjusting for smoking pack-years. Negative correlations were observed between plasma vitamin C and lymphocyte DNA damage only in individuals with the GSTM1-present or GSTT1- genotype. The interesting finding was the significant positive correlations between lymphocyte DNA damage and plasma levels of ${\alpha}$-carotene, ${\beta}$-carotene, and cryptoxanthin. In conclusion, the GSTM1- and GSTT1-present genotypes as well as smoking aggravated antioxidant status through lymphocyte DNA damage. This finding confirms that GST polymorphisms could be important determinants of antioxidant status in young smoking and non-smoking adults. Consequently, the protective effect of supplemental antioxidants on DNA damage in individuals carrying the GSTM1- or GSTT1-present genotypes might show significantly higher values than expected.

매실과 홍삼 부산물이 스트레스에 대한 육계 생체 반응에 미치는 영향 (Effect of Feeding Plum and Red Ginseng Marc on Vital Reaction in Broiler Stress)

  • 봉미희;지상윤;박준철;문홍길;이상철;이준헌;홍준기
    • 한국가금학회지
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    • 제38권3호
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    • pp.213-223
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    • 2011
  • 본 연구는 매실박과 홍삼박을 사료에 첨가하여 육계 체내 생리활성 효과를 구명하고자 실시하였으며, 이를 위해 고온 스트레스 자극과 LPS 염증 반응을 유도하여 스트레스에 대한 반응을 조사하였다. 이를 위해 고온 스트레스 자극에 따른 생산성 및 혈액생화학 변화를 조사하였으며, LPS로 염증 반응이 유도된 육계에서 immunoglobulin 농도 및 비장 조직내 cytokine mRNA 발현을 조사하였다. 공시계로는 1일령 Ross종 육계수컷 192수를 선별하여 고온 환경(96수)과 일반 환경(96수)으로 구분하였다. 고온 환경은 불쾌지수 86($33^{\circ}C$, 75%)의 고온 스트레스를 자극하여 5주간의 사양 시험을 실시하였으며, 일반 환경은 5주간의 사양 시험 종료 후 LPS를 주입하였다. 환경에 따라 각각 처리당 24수(3수${\times}$8반복)씩 4처리구에 총 96수를 임의 배치하여 실시하였다. 시험구 배치는 무첨가구(negative control; C), 시판 면역 증강제 첨가구(positive control: PC, 25 ppm ${\beta}$-glucan), 매실 부산물 1% 첨가구(PM: plum marc), 홍삼 부산물 3%(RGM: red gingeng marc)로 배치하였다. 고온 스트레스에 대한 혈액생화학 조성에서 매실박 첨가구는 Mg 농도를 높게 유지하여 Ca/Mg 비율을 무첨가구보다 낮게 유지하였으며, 홍삼박 첨가구는 Mg 농도가 무첨가구와 같았지만, Ca 농도를 높여 Ca/Mg 비율을 무첨가구보다 낮게 유지하였다(P<0.05). 따라서 매실박과 홍삼박 첨가구는 고온 환경에서 무첨가구보다 C a/Mg 비율을 낮게 유지하여, Ca/Mg 비율과 정의 상관관계에 있는 cholesterol 수준을 낮추는데 긍정적으로 작용할 것이라 사료된다. LPS 접종 후 IgM 농도는 매실박 첨가구가 무첨가구에 비해 유의적으로 낮은 수준을 나타내었으며(P<0.05), 홍삼박 첨가구는 무첨가구에 비해 낮은 경향을 나타냈지만 유의적인 차이는 없었다. 또한 비장 조직 내 cytokine mRNA 발현에서 홍삼박 첨가구의 경우 공통적으로 IL-1, IL-2 및 IL-6의 mRNA 발현 비율이 무첨가구에 비해 유의적으로 낮았으며, 매실박 첨가구도 IL-1, IL-2에서 무첨가구와 베타글루칸 첨가구보다 낮게 나타났다(P<0.05). 따라서 육계에서 매실박은 LPS 감염 시 IL-1, IL-2 같은 친염증 사이토카인의 발현을 감소시킴으로 염증 반응을 줄여 IgM 상승을 억제하는 것으로 사료된다. 홍삼박 첨가구의 경우 친염증성 사이토카인 억제 효과가 높았지만 항체 농도는 무첨가구와 같은 수준으로 상승하였는데, 생산성, 면역 반응을 개선할 수 있는 첨가 수준에 대한 추가적인 연구가 필요할 것으로 사료된다. 또한 이 실험에서 양성 대조군으로 활용한 ${\beta}$-glucan 전체적으로 긍정적인 효과를 보이지 않았는데, 양성 대조군 활용 시 첨가 수준에 대한 세밀한 검토가 필요할 것으로 사료된다. 결론적으로 매실박과 홍삼박은 고온 스트레스와 외부 병원성 물질 자극에 대한 반응을 최소화하는데 긍적적으로 작용하는 것으로 사료된다.