• Women's Health Nursing
• /
• v.14 no.1
• /
• pp.44-55
• /
• 2008

Purpose: This study was done to assess the personal experiences of the coping process during pregnancy for single mothers. Methods: The participants were 17 single mothers who had stayed in a social welfare facility. Data was collected with an in-depth unstructured interview. Data analysis was done by the grounded theory method. Results: One-hundred twelve concepts and 49 sub-categories were confirmed in the analysis. The sub-categories were grouped into 19 categories; escape from a miserable family, wrong meeting, openness of sex, defenseless state of pregnancy, inevitable result of pregnancy, heartbreak by herself, closure, isolation, difficult situation of being alone, stigma, supporting & protecting, helplessness, seeking, empowering, feeling of loss, conflict, facing issues, assuring a fresh start and becoming-mature. "Being driven over the edge of a cliff" was the key phenomenon which the single mothers experienced during the process of pregnancy. Conclusion: The above results will help nurses assessing single pregnancy mothers' needs and developing a nursing intervention program for supporting them. Therefore, nurses will be able to stop them from "being driven over the edge of cliff". A more vigorous nursing intervention is suggested for the research of the vulnerable classes of medical health care including single pregnant mothers.

• Asian Pacific Journal of Cancer Prevention
• /
• v.13 no.10
• /
• pp.5313-5318
• /
• 2012

Psycho-educational interventions are not a substitute for analgesics, but they may serve as adjuvant therapy. Nurses can provide psychoeducational programmes to cancer patients to assist them in optimizing behavior that strengthen adjustment. The aim here was to determine the effects of psychoeducation on levels of adjustment to cancer in stage I-II breast cancer patients who met the study criteria (experimental group: 38 women, control group:38 women). The psychoeducational program consisted of eight 90 minute weekly sessions and data were collected using a questionnaire and the Mental Adjustment to Cancer Scale three times: before, six weeks and six months after the intervention. Data analysis was performed using descriptive statistical methods as well as the Chi square test, the Mann Whitney U test, repeated measures analysis of variance, the matched pairs t test and the Post Hoc Bonferroni test. The results at 6 weeks and 6 months after the program revealed that the experimental group had higher levels of "fighting spirit", lower levels of "helplessness/hopelessness, anxious preoccupation and fatalism" but there was no significant change in levels of "avoidance/denial" compared to the control group with regard to adjustment to cancer. In this study, psychoeducation was shown to cause positive changes in levels of adjustment to cancer in breast cancer patients

• Korean Journal of Adult Nursing
• /
• v.27 no.5
• /
• pp.515-526
• /
• 2015

Purpose: The purpose of this study was to describe the illness experience of patients with pressure ulcer. Methods: A phenomenological methodology was used for the study. The data were collected by individual in-depth interview with seven participants with pressure ulcer during 2013~2014. All interviews were audio-taped and verbatim transcripts were made for the analysis. The data were analyzed using Colaizzi's phenomenological method. Results: All participants had underlying disease, such as spinal paralysis and diabetes. Average period of having pressure ulcer was 18 months, ranged from 3 to 36 months. A total of seven theme clusters were derived from the analysis; unexpected wound, inherent vulnerability to infection, reversal of the treatment policy, unpleasant and strange feeling of wound, sweeping fear and helplessness, socioeconomic burden, and healing through specific actions and reflection. The participants faced various contradictory and paradoxical situations in managing their pressure ulcers as well as underlying diseases in their everyday life. However, they slowly overcome these situations by strictly practicing concrete action-oriented strategies that they have learned through suffering and appreciating miraculous wound healing. Conclusion: The results of this study can help developing a patient-specific intervention program with sufficient emotional support by providing insights of the paradoxical illness experience of patients with pressure ulcer.

• Journal of Families and Better Life
• /
• v.26 no.2
• /
• pp.103-114
• /
• 2008

The purpose of the study is to examine the influences of irrational belief and social support on adolescents' social anxiety. Questionnaires regarding irrational belief, social support, and social anxiety were administered to 566 2nd and 3rd grade middle-school students in Gyeonggi Province. Finally 523 questionnaires were collected and statistically analyzed through t-test, Pearson's correlation analysis, hierarchical and stepwise multiple regression analysis. The results of the study were as follows: 1) While there were gender differences in social anxiety, irrational belief, and social support sources, no differences in social support types were observed. 2) While social anxiety and irrational belief showed a positive correlation, social anxiety and social support revealed a negative correlation. Additionally, irrational belief and social support showed a negative correlation. 3) Irrational belief(catastrophizing, extreme anxiety and fear, personal perfection, and helplessness), emotional social support, and social support from friends were significant predictors of social anxiety. 4) Irrational belief which predicted each social anxiety subtype was varied.

• Journal of Family Resource Management and Policy Review
• /
• v.19 no.3
• /
• pp.17-40
• /
• 2015

The purpose of this study was to analyze the in-home child care support service experience of twenty child rearing families. In order to conduct this study, grounded theory method was employed. The central phenomenon of the service experience digged out from this study was 'difficulty' (i. e. insecurity and a feeling of helplessness). The causal conditions which brought about the central phenomenon were 'defect of system' and 'service characteristics' The intervening conditions included 'alternative resources' 'working conditions' and 'service institute manager discretion'. The contextual conditions consisted of 'maternal ideology' 'the public nanny's personality awareness'. The action/interaction strategies on the central phenomenon were 'inaction' 'insecurity decrease strategy' and 'dissonance decrease strategy. The final outcome was 'rearing gap fillup "the method of nanny managing" dissatisfaction accumulation' ''system improvement demand'. The families were classified as four types: 'management/subject' 'adaptation/dependent' 'patience/acceptant' 'supplementation/overcoming'. Based on these results, this study provided a few political and practice suggestions to improve this system.

• Journal of The Korean Dental Society of Anesthesiology
• /
• v.10 no.2
• /
• pp.203-208
• /
• 2010

Tremors are trembling movements and are seen in association with alcoholic intoxication, certain drugs, thyrotoxicosis, multiple sclerosis, hysteria, and nervous tension. Dental fears, such as, pain, drill, unknown, dependency, helplessness, mutilation and oral change, induce the neuroendocrine response (release of epinephrine and norepinephrine, etc). The clinical manifestations of epinephrine or other vasopressor overdose include : anxiety, tenseness, restlessness, throbbing headache, tremor, perspiration, weakness, dizziness, pallor, palpitation and respiratory difficulty. Signs of local anesthetic overdose appear clinically whenever the anesthetic level in the blood rises to an appropriate level in an individual. The clinical signs of moderate overdose levels include : talkativeness, apprehension, excitability, slurred speech, tremor and muscular twitching. This is a case report about the severe tremor care after the endodontic treatment under right mandibular block anesthesia in a 56-years old female patient.

• Journal of the Korean Data and Information Science Society
• /
• v.27 no.1
• /
• pp.101-110
• /
• 2016

Depression is a mental symptoms that accompany psychological symptoms such as anxiety, gloom, a sense of failure, helplessness as well as a physical symptoms that shows in the adaption process of stress. Depression may result in cognitive, emotional, and behavioral disorders in accordance with individual experience. In particular, the depression when growing lowers the concentration on studies of children and adolescents and also increases the violence and interpersonal problems causes a serious loss to individuals and society. This study analyzed the longitudinal data using mixed models to investigate how depression affects girls who experienced violence in home or at school.

• Perspectives in Nursing Science
• /
• v.9 no.2
• /
• pp.83-93
• /
• 2012

Purpose: The purpose of this study was to describe the post-traumatic stress experiences of firefighters and paramedics. Methods: The participants were 20 fire fighters and paramedics who belong to the Busan Fire Department. Data were collected through in-depth, unstructured audio-taped interviews by the investigator over a six-month period. The participants were asked to describe their post-traumatic stress. The data were analyzed according to Giorgi's method for phenomenological analysis. Results: The interview data were organized by theme into 7 categories that emerged from the analysis. Participants faced various post-traumatic stresses working as fire fighters or paramedics. The categories were suffering from disastrous situations, feeling of fear and helplessness in the face of death, re-experiencing vividly the past traumatic situation, avoiding painful reminders of the trauma, emotional numbing as time passes, suffering from emotional arousal and increased anxiety, and struggling to cope with the post-traumatic stress. Conclusion: This study provides a better understanding of post-traumatic stress experiences from fire fighters and paramedics and the knowledge gained from this study will help in developing appropriate post-traumatic stress management programs.

• The Korean Journal of Rehabilitation Nursing
• /
• v.5 no.2
• /
• pp.124-133
• /
• 2002

Purpose: to test of the reliability and validity of the Disabled's Motivation for Rehabilitation Scale, which was developed in 2002. Method: An experimental version of the scale was distributed to a sample of 441 disabled with ages above 18 and below 80 years. The subjects of the test-retest were 60 disabled. Results: revealed a satisfactory level of test-retest and internal consistency. The overall fit of the factor model to the data was good. Correlation among the subscales revealed a simple pattern that, in general, provides support for the self-determination continuum and the construct validity. In testing concurrent, criterion-validity, there was a positive correlation between the motivation scores for rehabilitation and the Health-Related Hardiness scores and a negative correlation between the motivation scores for rehabilitation and the Learned Helplessness scores. Conclusion: The Disabled's Motivation for Rehabilitation Scale revealed a useful instrument with a high degree of reliability and validity. In this sense, this instrument can be effectively utilized in rehabilitative nursing for the disabled.

• Korean Parent-Child Health Journal
• /
• v.5 no.1
• /
• pp.62-74
• /
• 2002

The purpose of this study was to explore bringing-up process of mothers with first baby in the context of Korean culture. The field survey was performed with four primiparae during four months from September, 2000 and grounded theory approach was used for data analysis. The results indicated that there were 27 primary categories and 12 secondary categories. Unclearness was extracted as an expression of the core category of bringing-up process. The subjects was faced with care of their baby after delivery and experienced formation and deepening of unclearness. After that, they also went through expression and disentanglement of complication caused by unclearness. It is found that the core concept of this study, the unclereness("Magmagham" in Korean) means a confusion, a burden, a helplessness and a hardness. New mothers make an effort to resolve this situation with strong motherhood in their mind. By supports from significant others, they are empowered and some mothers get depressive feelings. The findings of this study are contributed for nurses to understand new mothers in developmental crisis. We suggested that the nursing intervention strategies including learning baby care skills and preparing emotionally a motherhood must be given new mother during pregnancy period.