• Title/Summary/Keyword: helplessness

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Psychological Effects on the Development and Course of Cancer (암의 발생과 진행에 있어서 심리적 요인)

  • Jeon, Woo-Taek
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.10-21
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    • 1994
  • The author reviewed the effect of psychological factors on the development and course of cancer. Cancer is a bilogical disease, but it also has a large number of psychological aspects. There have been no reports that specific personality types had tendency to cause cancer. In some studies, however, type A personality was reported to have relevance to a higher incidence of cancer and a better prognosis. And in other studies, type C personality was reported to have relevance to a higher incidence of cancer. It was reported that people who had strong tendency to control their anger and regarded the rationality and antiemotionality in their behavior as important things were susceptable to cancer. In the course of cancer, the patients who had more positive and aggressive attitude and 'fighting spirit' to their disease tended to have a better prognosis than those who accepted their disease as fate. Some studies showed that feeling of helplessness and loss of control had a negative offset on cancer. It was reported that, in the early stage of cancer, the psychological factors had great influence on the prognosis, but in the middle and late stage, the influence decreased. For the future studies, cancer should not be regarded as a single disease and a single condition. The kinds and stages of cancer should be difined for studies. The scales for psychological evaluation for cancer patients should be sensitive and selected carefully, considering the complexity of the cancer patients mind. The need for prospective studies is emphasized. Finally, as the cured cancer patients have great difficulties in returning to their work and daily life, rehabilitation of cancer patients is also emphasized.

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Relationship between Covert Narcissism and Selfie Addiction Proneness: Focused on Mediating Effects of Self-objectification and Self-presentational Motivation (성인 여성의 내현적 자기애와 셀카 중독경향성 간의 관계: 자기대상화 및 자기제시동기의 매개효과를 중심으로)

  • Kim, Jae-Hee;Suh, Kyung-Hyun
    • The Journal of the Korea Contents Association
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    • v.18 no.7
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    • pp.207-220
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    • 2018
  • This study examines the mediating effects of learned helplessness and procrastination in the relationship between covert narcissim and selfie addiction proneness among women. The study subjects were 286 women with a mean age of 23.78(SD=4.34) years. The results of the study are as follows. First, there were significantly positive correlations between covert narcissism, self-objectification, self-presentational motivation, and selfie addiction proneness. Second, covert narcissism, self-objectification, self-presentational motivation were significant predictors for selfie addiction proneness and they accounted 25.7% for variance of selfie addiction proneness. Especially, self-presentational motivation accounted for selfie addiction proneness the most. Third, mediating effect analysis showed self-objectification had partial mediation effect on the relation between covert narcissism and selfie addiction proneness and self-presentational motivation had a partial mediating effect on the relation between covert narcissism and selfie addiction proneness. It is significant for this study to define the concept of selfie addiction proneness and understand psychological variables which significantly account for it. Limitations of the study and suggestions for the future studies were discussed.

Mixed Method Study on Patients' Level and Experience of Anxiety before Undergoing Esophagogastroduodenoscopy (위내시경 검사 목적에 따른 검사 전 불안 정도와 불안 경험: 혼합연구방법의 적용)

  • Cho, Sunghee;Suh, Eunyoung E.
    • Perspectives in Nursing Science
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    • v.17 no.2
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    • pp.61-71
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    • 2020
  • Purpose: This mixed method study aimed to investigate patients' level of anxiety and their experience of this before undergoing esophagogastroduodenoscopy (EGD). Methods: A total of 125 patients answered a questionnaire assessing their pre-EGD level of anxiety, and a total of 17 patients participated in individual interviews regarding their experience of EGD-related anxiety. The SPSS Software program was used for survey data analysis and content analysis was used for qualitative data. Results: The mean anxiety score was 40.00±9.86 and the factors related to anxiety levels were being female (p<.001) and being a relatively young age (20-30 years old, p=.004). There were no significant differences shown in level of anxiety according to the purpose EGD was performed for: screening, diagnosis, or disease follow-up. In the qualitative analysis, however, patients who underwent a follow-up procedure as a result of stomach cancer exhibited more complicated feelings of anxiety and helplessness than others. For those who underwent EGD for diagnostic reasons, they worried about the test results and were concerned about possible life changes after diagnosis. Those for whom EGD was performed for screening purposes expressed concern only in the event of EGD complications. Conclusion: This study explored the nature of pre-EGD anxiety according to the purpose of the procedure. Nurses and doctors should be aware that patients undergoing EGD may have different levels and experiences of pre-procedure anxiety.

Perception and Emotions of Mothers of High-risk Newborn Infants (고위험 신생아 어머니의 지각과 정서)

  • 이자형
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.557-567
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    • 1994
  • The purpose of this study was to defined mothers perception of their infants when the babies were high - risk babies, and to describe the feelings and responses of the mothers following on the birth of high - risk babies and on their hospitalization. The subjects of the study were 30 mothers of high-risk infants at D and M Hospital of E University. Data were collected between August 1993 and June 1994. Using the Neonatal Perception Inventory(NPI ) devised by Broussard to determine the perception of mothers and an open-ended, semi-structured interview which was conducted in the nursery room within 24 to 72 hours after delivery And NPI tested 1 month after the babies were discharged from the NICU also. Data were analyzed using SAS and content analy-sis. The results of this study are as follows ; 1. The mothers tended to perceive their infants positively, regardless of the condition of the infant. Mothers who perceived their infant negatively were slightly increased at 1 month after the babies were discharged from the NICU, but the difference was not statistically significant. 2. Mothers reported that they thought that the newborn can see and hear well, and also they can ex-press themselves. 3. There were many types of response noted such as anxiety, fear, helplessness, pity, resentment, guilt, resignation, hope, relief, appreciation, and feelings of being able to overcome the situation. These were differentiated into positive and negative responses. The finding of positive responses being expressed by mother of high -risk infants while their infants were in NICU was a unique finding especially, appreciation and feelings of being able overcome the situation. The results suggest the need for replication studies and for research on nursing interventions directed at improving the quality of life of high-risk infants and their mother.

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A Meta-Analysis of the Effects of the Supportive Nursing Intervention (지지 간호중재 효과에 대한 메타분석)

  • Park Young-Joo;Oh Ka-Sil;Lee Sun-Ok;Oh Kyung-Ok;Kim Jung-Ah;Kim Hee-Soon;Choi Sang-Soon;Lee Sook-Ja;Lee Sung-Eun;Chung Choo-Ja
    • Child Health Nursing Research
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    • v.7 no.2
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    • pp.225-235
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    • 2001
  • This meta-analysis was conducted to evaluate the effects of the supportive nursing intervention and analyze its components in 14 studies carried out from Jan. 1980 to Jun. 1997. The supportive nursing intervention studies divided into three types according to the components of conceptual definitons.; (1)supportive nursing behavior, (2)social support, and (3)combination of social support and supportive nursing behavior. The various terms referred to the supportive nursing intervention didn't have the clear differentiating conceptual and operational definitions and the logical relationship among them. The effects of supportive nursing intervention were measured by the 23 dependent variables using self-report and the 5 dependent variables using physiological indices. The dependent variables were measured more than two were role behavior compliance, anxiety, depression, health belief, knowledge about the disease, helplessness and stressful behavior response. The average effects of the supportive nursing intervention ranged from 0.218 to 2.745 for the d index. The three variables of them, which were anxiety, depression and stressful behavior response, were homogeneous statistically by homogeniety test. Results of the meta-analysis indicated that the supportive nursing intervention had moderate to large effects on anxiety(d=0.41), depression (d=0.66) and stressful behavior response (d=0.86).

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Hong Kong Chinese Women's Lay Beliefs about Cervical Cancer Causation and Prevention

  • Wang, Linda Dong-Ling;Lam, Wendy Wing Tak;Wu, Joseph;Fielding, Richard
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7679-7686
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    • 2014
  • Background: This study aimed to seek insights into Chinese women's lay beliefs about cervical cancer causal attributions and prevention. Materials and Methods: Twenty-three new immigrant adult women from Mainland China and thirty-five Hong Kong adult women underwent semi-structured in-depth interviews. Interviews were audio taped, transcribed and analyzed using a Grounded Theory approach. Results: This study generated three foci: causal beliefs about cervical cancer, perceived risk of cervical cancer, and beliefs about cervical cancer prevention. Personal risky practices, contaminated food and environment pollution were perceived as the primary causes of cervical cancer. New immigrant women more likely attributed cervical cancer to external factors. Most participants perceived cervical cancer as an important common fatal female cancer with increased risk/prevalence. Many participants, particularly new immigrant women participants, expressed helplessness about cervical cancer prevention due to lack of knowledge of prevention, it being perceived as beyond individual control. Many new immigrant participants had never undergone regular cervical screening while almost all Hong Kong participants had done so. Conclusions: Some Chinese women hold pessimistic beliefs about cervical cancer prevention with inadequate knowledge about risk factors. Future cervical cancer prevention programs should provide more information and include capacity building to increase Chinese women's knowledge and self-efficacy towards cervical cancer prevention.

Differences in depression and psychological emotions according to the degree of self-elasticity of college freshmen in COVID-19 (코로나 19상황에서 대학신입생들의 자아탄력성 정도에 따른 우울감과 심리적 정서의 차이)

  • Yang, Hye-Jin
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.3
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    • pp.75-82
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    • 2020
  • This study was attempted to identify differences in depression and psychological emotions according to the degree of self-elasticity of college freshmen in COVID-19. The survey was conducted online from April 6 to 13, 2020, and the results were analyzed using a total of 220 copies of the survey data, excluding insufficient surveys. As a result of the analysis, compared to the case where the self-elasticity is below average, the psychological emotion caused by COVID-19 as well as the depression of new students is statistically significant in all emotions such as anxiety, irritability, helplessness, anger, fear, confusion, and distrust. It was found to be higher. Based on these results, several roles and coping strategies were suggested to help students recover and maintain their psychological stability and mental health.

A Qualitative Analysis on Familial Caregivers' Burden in Utilizing a Nursing Home for the Elderly (유료 노인전문요양원 이용 경험에 관한 질적 연구)

  • 김완희;박종연;이지전;강임옥
    • Health Policy and Management
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    • v.13 no.1
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    • pp.1-22
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    • 2003
  • The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects' motives to consider admission to the nursing home might be attributed to familial caregivers' burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members' being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.

Behavior Patterns of Health Care Utilization in Terminal Cancer Patients (말기암 환자들의 의료이용행태)

  • Han, Tae-Hyung;Cho, Byung-Jin;Shin, Baek-Hyo
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.101-107
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    • 1999
  • Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.

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Stress, Self-esteem, and Powerlessness in Korean Husbands Married to Foreign Wives (여성 결혼이민자 남편의 스트레스, 자존감 및 무력감)

  • Kim, Kyeha;Sun, Jeong Ju;Oh, Suk Hee
    • Research in Community and Public Health Nursing
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    • v.24 no.1
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    • pp.29-39
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    • 2013
  • Purpose: The purpose of this study is to investigate levels of stress, self-esteem, and powerlessness in Korean husbands married to foreigner wives. Methods: The subjects were 183 Korean men who were living with foreigner wives in the Gwangju, Jeonnam and Jeonnbuk areas. Data were collected from January to May 2012 and analyzed by descriptive statistics, t-test, one-way ANOVA, Scheffe$\acute{e}$ test, Pearson's correlation coefficient, and backward multiple regression with the SPSS PC WIN version 18.0. Results: The average level of stress was 4.48, with difficulties in international marriage experienced by the subjects due to differences in language and culture. The average reported self-esteem score was 29.69, and the average powerlessness score 117.76. There were significant differences in perceived powerlessness depending on the employment statuses, income levels, and nationalities of the participants' wives, and their perceived levels of satisfaction with living with a foreigner wife. Powerlessness was positively correlated with stress (r=.41, p<.001), and negatively correlated with self-esteem(r=-.63, p<.001). The factors affecting the perceived powerlessness included self-esteem (${\beta}$=-.54, p<.001), stress (${\beta}$=.28, p<.001), lower income (${\beta}$=.13, p = .016), and working wife (${\beta}$=.12, p = .036). Conclusion: Healthcare providers need to explore strategies to improve self-esteem and powerlessness in Korean men married to foreigner wives.