• Title/Summary/Keyword: helplessness

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The Role of Media Use and Emotions in Risk Perception and Preventive Behaviors Related to COVID-19 in South Korea

  • Kim, Sungjoong;Cho, Sung Kyum;LoCascio, Sarah Prusoff
    • Asian Journal for Public Opinion Research
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    • v.8 no.3
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    • pp.297-323
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    • 2020
  • The relationship between compliance with behaviors recommended to prevent the spread of COVID-19 and media exposure, negative emotions, and risk perception was examined using regression analyses of data from KAMOS, a nationally representative survey of South Korean adults. The strongest predictor of preventive behaviors in general was negative emotions, which had the largest βh (.22) among the independent variables considered. The eight negative emotions, identified using factor analysis of a series of 11 emotions, were anger, annoyance, fear, sadness, anxiety, insomnia, helplessness, and stress. Negative emotions themselves were influenced most strongly by the respondent's anxiety over social safety (βe=.286), followed by prediction of COVID-10 spread (β=.121, p<.001) and perceived risk of COVID-19 infection (β=.70, p=.023). Females (β=-.134) and those who felt less healthy (βo=-.097) experienced more negative emotions. Media exposure and increased media exposure both have significant relationships with negative emotions and both a direct and indirect impact on the adoption of preventive measures. Women, older people, and healthier people perceived greater risks and engaged in more preventive behaviors than their counterparts.

A Case Report of Panic disorder treated by Jukyeopseokgo Tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 죽엽석고탕(竹葉石膏湯) 투여 후 호전된 공황장애 1례)

  • Kim, Dae-Dam
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.155-164
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    • 2016
  • Objective : The purpose of this paper is to report the improvement of patient with panic disorder treated by herb medication based on Shanghanlun disease pattern identification diagnostic system. Methods :, The patient with panic disorder was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions'. The changing symptom of panic disorder was estimated by BAI(Beck Anxiety Inventory). Results : The patient was diagnosed with yin-yang-yi-cha-hou-lao-fu bing, number 397 provision, and took Jukyeopseokgo-tang herb medication about 113 days. The BAI score changed 37 to 12. Conclusions : The therapeutic intervention and herb medication showed a therapeutical effect on the patient. The anxiety and helplessness of the patient was improved. This patient's panic disorder was associated with poor sleep patterns and sensitivity to minor things and controled by Jukyeopseokgo-tang. The relationships between poor sleep patterns and 陰陽易差後勞復病, shortness of breath when sensitive to minor things and 少氣 need further study.

The Lived Experience of Patients with Heart Transplantation: A Phenomenological Study (심장이식환자의 체험: 현상학적 연구)

  • Hwang, Younghui;Yi, Myungsun
    • Journal of Korean Academy of Nursing
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    • v.47 no.1
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    • pp.110-120
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    • 2017
  • Purpose: The purpose of this study was to describe the lived experience of patients with heart transplantation in Korea. Methods: Individual indepth interviews and a focus group interview were used to collect the data from nine patients who had heart transplantations in 2015. All interviews were audio-taped and verbatim transcripts were made for the analysis. Data were analyzed using Colaizzi's phenomenological method. Results: Among the nine participants, eight were men. Mean age was 57.30 years. Six theme clusters emerged from the analysis. 'Joy of rebirth obtained by good luck' describes the pleasure and expectation of new life after narrow survival. 'Suffering from adverse drug effects' illustrates various psychosocial difficulties, such as low self-esteem, helplessness, alienation, and burnout, arising from the side effects of medications. 'Body and mind of being bewildered' illustrates disintegrated health and haunting fear of death. 'Alienation disconnected with society' describes isolated feeling of existence due to misunderstandings from society. 'Suffering overcome with gratitude and responsibility' includes overcoming experience through various social supports and suitable jobs. Finally, 'acceptance of suffering accompanied with new heart' illustrate changed perspective of life itself. Conclusion: The findings in this study provide deep understanding and insights of the lived experience of heart related illness for these patients and should help in the development of tailored-interventions for patients with heart transplantation.

The influences of boredom proneness, public self-consciousness, and dressing style on internet shopping (지루함, 공적 자의식, 스타일 지향성이 인터넷 구매에 미치는 영향)

  • Park, Hye-Jung
    • The Research Journal of the Costume Culture
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    • v.23 no.5
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    • pp.876-893
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    • 2015
  • The purpose of this study is to identify the influences of psychological variables and fashion-related psychological variables on purchasing fashion items on the Internet. Boredom proneness and public self-consciousness were selected as psychological variables, and dressing style was selected as a fashion-related psychological variable. It was hypothesized that boredom proneness and public self-consciousness not only influence the purchasing frequency of fashion items on the Internet directly, but also indirectly through dressing style. Data were gathered by surveying university students in Seoul using convenience sampling. Two hundred and eighty-six questionnaires were used in the statistical analysis. SPSS was used for exploratory factor analysis, and AMOS was used for hypothesized relationship testing. The factor analysis of boredom proneness revealed five dimensions, "helplessness," "affective response," "lack of internal stimulation," "lack of external stimulation," and "perception of time." The factor analysis of public self-consciousness revealed two dimensions, "appearance-consciousness" and "style-consciousness," and the factor analysis of dressing style revealed one dimension. The overall fit of the hypothesized model suggests that the model fits the data well. The hypothesized relationship test proved that boredom proneness and public self-consciousness influence the purchasing frequency of fashion items on the Internet indirectly through dressing style. The results implicate effective strategies for Internet shopping malls and suggestions for future study.

The Relationship of Powerlessness, Sense of Belonging and Nutritional Status in the Elderly (노인의 무력감, 소속감과 영양상태의 관계)

  • Park, Seon-Hwa;So, Hee-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.2
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    • pp.81-89
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    • 2008
  • Purpose: The aim of this study was to explore the relationship between powerlessness, sense of belonging and nutritional status of the elderly. Method: The study sample was 100 living at home and institutions. Data were collected by interview from Oct. to Dec. in 2003. The instruments were helplessness scale developed by Jung (1998), sense of belonging scale SOBI-A and nutritional initial screening. Results: The mean score of powerlessness was $2.71{\pm}0.30$, sense of belonging was $2.87{\pm}0.19$ and nutritional status was $4.42{\pm}3.34$. There was a statistically significant differences in powerlessness according to age (F=3.185, p=0.027), health status (F=6.945, P=0.002), religion (F=5.941, P=0.001), current spouse (t=-0.384, p=0.026), in sense of belonging according to age (F=4.40, P=0.006), length of education (F=10.64, P=<.0001) and in nutritional status according to age (F=3.34, P=0.022), health status (F=2.86, P=0.027). There was a statistically significant correlation between powerlessness and nutritional status (r=0.219, p=0.029). Conclusions: Nurses are able to decrease powerlessness or increase sense of belonging and nutritional status of the elderly by developing the health promotion program, improving perceived health status and empowering social interaction of the elderly specifically living at institutions.

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Development and Testing of an Instrument to Measure Family's Emotional Response toward Physically Restrained Patients (억제대 적용해 대한 가족의 정서적 반응 측정 도구개발)

  • Lee, Eun-Nam;Ha, Su-Jin;Kang, Ji-Yeon
    • Journal of Korean Academy of Nursing
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    • v.38 no.4
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    • pp.629-638
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    • 2008
  • Purpose: This was a methodological research to develop an instrument to assess the emotional response of family members of physically restrained patients. Methods: A primary instrument with 68 questions was developed based on literature review and semi-structured interviews with family members. A group of experts revised individual questions and removed 4 irrelevant questions. This secondary instrument, then, was tested with 199 family members of physically restrained patients in intensive care units of a university hospital. The validity and reliability of the instrument were tested by factor analysis. Results: After item analysis, 3 questions with a correlation coefficient under .30 were discarded and the questions with a factor loading under .45 on Varimax Rotation were also removed. After factor analysis on the final 37 questions, 7 factors were identified; avoidance, shock, helplessness, grudge, depression, anxiousness, and acceptance. The total variance explained was 55.63%. The reliability of this instrument was 0.93 of Cronbach's alpha. Conclusion: This instrument was statistically reliable and valid to measure family's emotional response to physical restraints of the patients. This instrument can be useful in assessing the effects of nursing interventions for family members of restrained patients.

ICU Nurses' Work Experience for Attempted Suicide Patient by Drug Ingestion: A Focus Group Study (일 대학병원 중환자실 간호사의 음독자살시도 환자 간호 경험: 포커스 그룹 연구)

  • Kim, Mi Ok;Cho, Heung Don;Bong, Eun Kyung;Son, Youn-Jung;Park, Young-Su
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.11-20
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    • 2013
  • Purpose: This study to describe experiences of nurses who work in intensive care units (ICUs) where they frequently encounter patients with attempted suicide by drug ingestion. Methods: Data were collected by 2 focus group interviews with 9 ICU nurses. The interview were recorded and transcribed, and data were analyzed using qualitative content analysis. Results: The results of data analysis, five themes were drawn: 'Confusion about for the attempted suicidal patient care', 'Helplessness for dying with attempted suicidal patients', 'Guilty for insufficient care', 'Ambivalence for the attempted suicidal patients', 'Recognition of need for professional approach'. Conclusion: The results of this study help us to understand patients who attempted suicide through the ICU nurses' experience. It would be useful to develop effective education programs for ICU nurses to preventive strategies for patients who are high risk of recurrence of suicidal crisis situation.

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Emotional Response of ICU Patients' Family toward Physical Restraints (중환자실 환자의 억제대 적용에 대한 가족의 정서적 반응)

  • Kang, Jiyeon;Lee, Eun-Nam;Park, Eun Young;Lee, Youngock;Lee, Mi Mi
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.148-156
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    • 2013
  • Purpose: The purpose of this study was to investigate the emotional response of family members of physically restrained patients in the intensive care units (ICUs). Methods: The study subjects were 200 family members of ICU patients who had been on physical restraints in two university hospitals. Data were collected using the "Instrument of family's emotional response toward physically restrained patients". Results: The mean score of familial emotional response was 2.69 out of a possible 5. The subcategory of acceptance was the highest with 3.56 points followed by depression (3.02), helplessness (2.94), anxiety (2.87), shock (2.74), avoidance (2.64), and grudge (2.08). Multiple stepwise regression analysis indicated that the age of family members, side effects of restraints, and information provision were the variables influencing on negative emotional response of family. Conclusion: Family members showed slightly negative emotional response toward the physical restraints. This finding could be influenced by their limited knowledge of the need for the restraints. Educational programs or fact sheets to be given to family members may be helpful.

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers (중환자실 환자 가족의 경험: 의료인들과의 상호작용)

  • Lee, Mimi;Yi, Myungsun
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.76-86
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    • 2017
  • Purpose: The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers. Methods: The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families. Results: Five themes and 13 sub-themes emerged. "Captive of patients' delayed death: Fear and anxiety" describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. "Families as the weak: Suppression and resistance" describes interpersonal difficulties arising due to lack of information and trust with healthcare providers. "Deprivation of authority and duty as families: Helplessness" illustrate situational barriers in attempting to protect and support family member. "Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation" describes how they satisfied with themselves by regaining trust relationship. Lastly, "Acceptance of reality through direct care participation: Relief and peace" illustrates peace of mind by gaining sense of reality through active direct care participation. Conclusion: This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions.

Phenomenological Study on Illness Experience of Men with Myocardial Infarction in Korea (한국 남성 심근경색증 환자의 질병 체험에 관한 현상학적 연구)

  • Yi, Myungsun;Kim, Kumja;Cha, Jieun
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.389-400
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    • 2015
  • Purpose: The purpose of the study was to identify and describe illness experiences of men with myocardial infarction. Methods: Data were collected through individual in-depth interviews with 10 male patients. Analysis was done using phenomenological analysis. Results: Five theme clusters including 11 themes emerged. 1) "Unexpected grave disease instantly dividing life and death" describes the great ignorance of symptoms and experience as a survivor narrowly escaping death. 2) "A disease still not considered a disease" illustrates the paradoxical and confusing situation between low level of awareness of the severity of the disease and high level of reflection on their unhealthy lifestyles. 3) "Fighting against me for health" illustrates their resolution and action to maintain health while experiencing helplessness. 4) "Relationships in a no-win situation" contains defensive posture due to social stigma and the dilemma of family breadwinners. And 5) "Introspection of past and future life" describes positive turnings in life through enlightenment in addition to remorseful feeling about the past and persistent worry of death. Conclusion: Health professionals need to support men with myocardial infarction by providing family-oriented and empowerment-based self-management interventions to lead to success in their illness journey and to improve their quality of life.