• Title/Summary/Keyword: mediating effects of anxiety

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Self-care in Patients with Atrial Fibrillation Based on the Theory of Unpleasant Symptoms (불쾌 증상 이론을 적용한 심방 세동 환자의 자가관리)

  • Kim, Min Young;Lee, Sun Hee;Park, Han Jong
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.23-33
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    • 2022
  • Purpose: This study aimed to identify the relationships among disease severity, anxiety, depression, social support, unpleasant symptoms and self-care among patients with atrial fibrillation based on the unpleasant symptom theory, and to examine the mediating effects of unpleasant symptoms. Methods: A cross-sectional study was conducted. The participants were 216 patients with atrial fibrillation who were being followed up on an outpatient basis at a university hospital in Seoul. Data were collected from November 1, 2020 to June 30, 2021, using self-report questionnaires. Data were analyzed using IBM SPSS/WIN 27.0 and PROCESS macro with 95% bias-corrected bootstrap confidence interval(CI). Results: The average age of participants in this study was 66.0years. Disease severity (β=10.19, p<.001) and depression (β=1.53, p<.001) had significant positive relationships with unpleasant symptoms. Also, unpleasant symptoms (β=-0.03, p=.006) had a negative relationship with physical activity, which is a subscale of self- care. Social support (β=0.06, p<.001) was positively related with physical activity. Unpleasant symptoms showed a mediation effect in the relationship between disease severity and physical activity (Bias corrected bootstrap CI -0.65, -0.04). Depression had an indirect effect on physical activity that was mediated by unpleasant symptoms (Bias corrected bootstrap CI -0.11, -0.00). Conclusion: The findings of this study suggest that integrated strategies including physical, psychological, and social factors should be considered to promote self-care in patients with atrial fibrillation.

The Effects of Lifelong Education for the Elderly People on Self-esteem and Self-integration -Mediating Effect of Empowerment- (노년기 평생교육이 자아존중감과 자아통합감에 미치는 영향 -임파워먼트의 매개효과-)

  • Kim, Mi Jung;Chae, Myungsin
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.601-613
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    • 2019
  • Today's elderly people is no longer dependent, but is being transformed into learning, serving, producing and contributing. Therefore, the importance of lifelong education for the elderly people to overcome the social and psychological anxiety of the elderly people and improve the quality of life is increasingly emphasized. In addition, the starting point of lifelong education for the elderly people is getting faster and faster to prepare for the post-aged society. The purpose of this study is to examine how lifelong education for the elderly people affects self-esteem and self-integration, and how empowerment mediates between lifelong education for the elderly people and self-esteem, lifelong education for the elderly people and self-integration. To this end, 220 members over 50 years of age who participated in lifelong education responded to the survey, and statistical analysis was conducted by SPSS and AMOS. The results of this study proved that lifelong education for the elderly people improves self-esteem, self-integration and empowerment, and empowerment plays a mediating role in the between lifelong education for the elderly people and self-esteem, and in the between lifelong education for the elderly people and self-integration. As a result of this study, the importance of lifelong education for the elderly people was confirmed and the practical plans were found. Finally, the direction of lifelong education for the elderly people and the limitations of this study were discussed.

The Effect of Resilience of Middle-aged Employees on Job Satisfaction: Meditating Effect of Retirement Attitude (중년재직자의 회복탄력성이 직무만족도에 미치는 영향: 퇴직태도의 매개효과)

  • Jung, Kyung Hwa;Kim, Ki Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.452-462
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    • 2020
  • This study analyzed the impact of resilience on the job satisfaction of middle-aged employees and the meditating effect of retirement attitude. The survey was administered to 468 regular workers aged 40 or older in Seoul and the surrounding metropolitan area. This study utilized SPSS 19.0 statistical program, and multiple regression and mediated effect analyses were applied with descriptive statistics, reliability and validity of measurement tools to analyze differences between correlations and groups. First, male workers had higher self-regulation ability and job satisfaction than women. Female workers had higher old age rest than male ones. The higher the educational background, the higher the recognition of retirement as a new beginning, The longer the working years, the higher the self-regulation ability and job satisfaction. The higher the household income, the higher the positiveness. Second, the Resilience had a positive effect on job satisfaction. Third, resilience had had a negative impact on the forced frustration and a positive influence on the new beginning of retirement attitudes. Fourth, the forced frustration and new beginning showed mediating effects of resilience and job satisfaction. The study results confirmed the importance of resilience and demonstrated the need for measures to enhance resilience in order to reduce anxiety about retirement and increase job satisfaction.

The Effect of Career Planning on Subjective Career Success of Organization Employees: Mediating Effects of Person-Organization Fit and Person-Job Fit (직장인의 경력계획이 주관적 경력성공에 미치는 영향: 개인-조직적합성과 개인-직무적합성의 매개효과)

  • Kim, Dongyoun;Jin, Sungmi
    • Journal of vocational education research
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    • v.37 no.1
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    • pp.31-53
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    • 2018
  • Uncertainty of career environment driven by globalization and shift of employment context drives heavy competition of labor market and anxiety of employment for individuals. New career paradigm based on this environmental change puts emphasis on subjective career success from individual's viewpoint as important career outcome and individual's proactive career development efforts. In addition to this, importance of person-environment fit and person-job fit is growing in relationship between career planning and career success. Based on this perspective, this study aims to identify whether person-environment fit and person-job fit mediate the relationship between career development and subjective career success. Data analysis of questionnaire from 220 employees showed that both fits mediate the relationship. This result implies that individual's proactive career planning is critical to career success and this strengthens one's satisfaction to organization and job. To organization, strategies need to be developed to design career development of employees' based on their career needs and organizational intervention such as job-rotation system.

Development and Practical Application of a Psychological Skill Training Program for National Wheelchair Curling Players -Frontal EEG Asymmetry (휠체어컬링 국가대표선수의 경기력 향상을 위한 심리기술훈련 프로그램의 개발 및 적용 -EEG 뇌파활용 연구)

  • Kim, Sung-Woon;Choi, Seok Lip;Kim, Han-Cheol
    • Journal of the Korea Convergence Society
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    • v.10 no.3
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    • pp.275-290
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    • 2019
  • The present study aimed to develop a sports psychological skill training program and to test its applicability to improve the performance of national wheelchair curling players. A total of 4 participants completed the study. Subjects have been to 12 sessions of 6 different psychological skills training programs (routine training, attentional focus training, writing practice training in diary, relation training, self-control training, and positive self-talk training). The effectiveness of psychological skills training has been evaluated with 6 questionnaires and EEG measurement. The result was that psychological skills training had improved coping with adversity, peaking under pressure, and concentration, self-management and reduced anxiety of Korean national wheelchair curling player. The result was that the EEG inter-hemispheric asymmetry index showed negative emotional states before psychological skill training but positive emotional states after. The result implies that psychological skill training plays an important mediating role in bringing about positive effects in the psychological elements and competitiveness in national wheelchair curling players.