• Title/Summary/Keyword: psychological and social adaptation

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Effects of the Program Improving Adjustment to Military Life, on Stress, Depression, Idea of Suicide, Self-esteem, and Adjustment to Military Living in Auxiliary Police (군생활 적응 향상 프로그램이 전.의경의 스트레스, 우울, 자살생각, 자아존중감, 군생활 적응에 미치는 효과)

  • Kim, Jong-Im;Yoon, Hye-Sun;Han, Sun-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.3
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    • pp.387-394
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    • 2008
  • Purpose: This study was done to identify whether the program, improving adjustment to military life would have an effect on stress, depression, idea of suicide, adjustment to military living, and self-esteem in auxiliary police. Method: This quazi experimental study using a non-equivalent control group pretest and posttest design was conducted from February 1 to May 30, 2007. Using convenience sampling, the researcher recruited 120 auxiliary police and randomly assigned each to either the experimental and the control group. The experimental group received an 8-week program to improve adjustment to military life. Results: Anxiety, stress, depression, idea of suicide, self-esteem, and adjustment to military living were significantly different between the experimental and control groups. Conclusion: These results suggest that programs to improve adjustment to military life would improve psychological health and adaptation of military living in auxiliary police. Replication studies are needed to confirm the effects of this program and to identify the long-term maintenance effects of the program.

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A Follow up Study for Elderly's Disabilities in Performing Activities of Daily Life (ADL) after Lumbar Spinal Surgery (노인 척추 수술환자의 수술 후 일상생활 활동수행 장애)

  • Jun, Myung-Hee;Jung, Ji-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.1
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    • pp.140-149
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    • 2010
  • Purpose: This follow up study was performed to survey the problem in performing ADLs at home after surgery. Method: Twenty elderly patients were assessed 3 times; from the time of hospitalization for surgery until 3 weeks after discharge. Measuring tools are numeric rating scales (NRS) for pain and 3 questionnaires developed by the authors to measure difficulties in ambulation, performing indoor ADLs, and emotional status. Pearson correlation, variance analysis and descriptive statistics were used to analyze the data. Result: The level of pain significantly decreased after surgery, but the difference between pain at the time of discharge and that of 3 weeks after discharge were not significant. Pain showed a positive relationship with emotional difficulties. Elderly with a higher education, family caregiver, and regular exercise showed a lower level of emotional difficulties. Conclusion: Comprehensive approaches for chronic pain including physical, psychological, and social aspects should be considered when caring for the elderly with spinal surgery. In addition, home care nursing interventions should include an exercise program to promote adaptation and rehabilitation after discharge.

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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    • v.28 no.2
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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.

A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19 (COVID-19 완치자의 외상 후 성장 예측모형)

  • An, Soo Young;Choi, Heejung
    • Journal of Korean Academy of Nursing
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    • v.53 no.3
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    • pp.309-323
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    • 2023
  • Purpose: This study aimed to develop and test a model for posttraumatic growth among cured patients with COVID-19. This model was based on Calhoun and Tedeschi's Posttraumatic Growth model and a literature review. Methods: The participants comprised 223 patients cured from COVID-19 who were ≥ 19 years of age. The data were collected through an online questionnaire from March 21 to 24, 2022. The assessment tools included the Impact of Event Scale: Revised Korean version, the Connor-Davidson Resilience Scale, the Distress Disclosure Index, the Multidimensional Scale of Perceived Social Support, the Korean version of the Event-related Rumination Inventory, and the Korean version of the Post-traumatic Growth Inventory. Data were analyzed using the IBM SPSS version 24.0 and IBM AMOS 26.0. Results: The modified model showed appropriate goodness of fit (χ2 = 369.90, χ2 /degree of freedom = 2.09, SRMR = .09, RMESA = .07, CFI = .94, TLI = .93). The post-traumatic growth of cured patients with COVID-19 was explained through distress perception, self-disclosure, and deliberate rumination, with the explanatory power being 70.0%. Conclusion: This study suggests preparing a disaster psychology program involving experts who can activate deliberate rumination is necessary. Further, this study may serve as basic data for developing a program to enhance the post-traumatic growth of patients cured from COVID-19.

Acculturation and Psychological Adjustment of Returnees: A Study of Korean College Students with Extended Experience of Living aborad (해외거주 후 국내대학에 진학한 귀국 대학생의 문화적응양상과 심리사회적 적응)

  • Kyung Ja Oh ;Curie Park ;Seojin Oh
    • Korean Journal of Culture and Social Issue
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    • v.16 no.2
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    • pp.125-146
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    • 2010
  • A total of 181 college students(61 males 121 females) with at least 5 years of living abroad (Returnee Group) and another group of 181 students (92 males and 93 females) without extended period of living abroad (Comparison Group) participated in the study by completing a questionnaire consisting of Acculturation Index, Multidimensional Acculturation Scale, Student Adaptation to College Questionnaire, Revised UCLA Loneliness Scale, CES-D, and WHOQOL. The results indicated that the Returnee Group, compared to the Comparison Group, reported as good adjustment toward college life in Korea and positive attitude toward the Korean identity, but a higher level of loneliness. When the Returnee Group were divided into 4 different groups on the basis of acculturation pattern, the Integration and Assimilation Type reported a better adjustment to college life, lower depression and loneliness and better quality of life than the Marginalization Type. The Mariginalization Type appears to be the most vulnerable group, experiencing difficulties in all areas of adjustment, and is clearly in need of interventions. Limitations of the present study and suggestions for future research were discussed.

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The Rehabilitation of Gambling Addiction: Comparison with the other psychiatric disorder (도박중독의 재활: 타 정신장애와의 비교)

  • Heung-Pyo Lee;Tae-Woo Kim
    • Korean Journal of Culture and Social Issue
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    • v.16 no.3
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    • pp.241-265
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    • 2010
  • This study reviewed the present state and differences of rehabilitation programs of the gambling addiction by comparing with other psychiatric disorder(including psychotic disability and alcohol addiction). This study also intended to suggest necessities, meanings and inherent fields of the rehabilitation in gambling addiction. First of all, the government and a few gambling industries run clinic centers for gamblers and their families, but have been lacked rehabilitation services for social comeback and adaptation or devaluated rehabilitation services than therapies. Gambling addict didn't have impairments of the cognitive function and their daily abilities was better than any other psychiatric disorders. But Damage of social role or function of gambling addiction was severe. And it is caused by nonadaptive nature of gambling behavior, personality/emotional change through gambling addiction process, and previous personality problem etc. There are many severe failure of social role and its attendant bankrupcy, family's problems and social poverty in gambling addiction, Therefore, important fields in the rehabilitation of gambling addiction should be services for basic social comeback support service, credit recovery support, monetary management, support of rehabilitation of family and vocational rehabilitation. Finally, the significance and critical points of the current study has been discussed as well.

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Analysis of Nursing Research Trend Associated with Breast Cancer in Korea (유방암 관련 국내 간호연구 동향)

  • Park, Young-Mi;Lee, Hyang-Yeon
    • Journal of East-West Nursing Research
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    • v.9 no.1
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    • pp.91-103
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    • 2004
  • Purpose: This study was attempted to see the trends in breast cancer researches in Korea. Method: We collected a total of 94 articles associated with breast cancer and published in Korea from 1976 to August 2004 and analyzed the characteristics of those articles, the journals which published those articles in each year, the research designs, subjects, intervention effects in experimental studies, the subjects and concept distribution in comparative researches and themes of the articles. Result: 1. Articles published and associated with breast cancer have increased since 1990 and picked after 2000. 2. Most research designs are survey and correlation studies which are non-experimental research(70.2%) and next are experimental and qualitative researches. 3. In a total 17 articles which are experimental researches, intervention studies which use exercise programs are most(5 articles) and the next are education program, supportive nursing intervention, guided imagery, massage and rehabilitation programs. 4. In correlational researches, concepts such like social-psychological adaptation, partner support, health promotion behavior and family support are treated frequently. 5. Subjects in most comparative studies are patients with breast cancer and normal women. 6. Most nursing research themes are psycho/spiritual problems, 16 articles(17.0%). Conclusion: These results show that the researches related with breast cancer have actively increased and body functions and psycho-social variables have been improved through nursing intervention. Therefore, it seems that more systematic interdisciplinary studies and systematic complement are necessary for future breast cancer nursing researches.

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The Relationship among the Coping Style, Social Support, and Post-Traumatic Stress Disorder in Breast Cancer Patients Treated with Chemotherapy (항암치료 단계 유방암 환자의 대처방식, 사회적지지 및 외상 후 스트레스 장애와의 관계)

  • Yang, Seung Kyoung;Kim, Eunshim
    • Journal of Hospice and Palliative Care
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    • v.18 no.1
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    • pp.35-41
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    • 2015
  • Purpose: This study was conducted to examine how patients' coping style and social support affect post-traumatic stress disorder (PTSD) in breast cancer patients who are treated with chemotherapy. Methods: The sample consisted of 134 outpatients who received breast cancer treatments at the cancer clinic of a university hospital. The collected data were analyzed by frequency, percentage, t-test, ANOVA, ${\chi}^2$-test, Pearson correlation coefficients using SPSS for Windows, version 18.0. Results: Among total, 26.9% of patients were classified into a high-risk PTSD group. In the high-risk group, a positive correlation was found between active and passive coping styles and between social support and active coping styles. Conclusion: In this study, the stronger the social support was, the more active the coping style was for high-risk PTSD patients with breast cancer. Considering the fact that cancer requires life-long self-management, strong social support could improve patients' healthcare capability. Furthermore, solid social support could effectively reduce the stress level and improve the quality of life for breast cancer patients in the high-risk PTSD group.

Nurses' Experience of Middle East Respiratory Syndrome Patients Care (메르스 환자 간호에 대한 간호사의 경험)

  • Kim, Jiyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.185-196
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    • 2017
  • This study was conducted to investigate the practical experience of nurses in MERS patients care. Nine nurses in one general hospital in S city underwent in-depth interviews from August 2015 to March 2016. The collected data were analyzed according to the procedure of the phenomenological method of Colaizzi. The following five categories were derived: '1. Anxiety and burden due to the risk of transmission of new infectious diseases', '2. Social isolation because of being the nurse in charge of MERS patients', '3. Faced with problems due to an unprepared treatment environment', '4. Overcome the burdensome MERS patient care process', '5. Reflect on the steps for preparing against new infectious diseases'. These results suggest that it is important to draw positive experiences as well as the negative effects of nurses who are involved in treatment of various infectious diseases, including MERS. Based on this, it can be used as a basis for reducing negative psychological and social impacts and improving positive adaptation. Additionally, it is necessary for healthcare workers including nurses to establish the necessary workforces, departments and guidelines for nursing new infectious disease patients.

Dimensionality of emotion suppression and psychosocial adaptation: Based on the cognitive process model of emotion processing (정서 처리의 인지 평가모델을 기반으로 한 정서 억제의 차원성과 심리 사회적 적응)

  • Woo, Sungbum
    • Korean Journal of Culture and Social Issue
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    • v.27 no.4
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    • pp.475-503
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    • 2021
  • The purpose of this study is to clarify the constructs of emotion suppression and help understanding on the multidimensional nature of emotion suppression by classifying constructs for suppression according to the KMW model. Also, this study examined the gender differences of emotion suppression. For this purpose, 657 adult male and female subjects were evaluated for attitude toward emotions, and difficulty in emotional regulation, as well as depression, state anger and daily stress scale. As a result of the exploratory factor analysis on the scales related to the emotion suppression factors, the emotion suppression factors corresponding to each stage of the KMW model were found to be 'distraction against emotional information, 'difficulty in understanding and interpretation of emotions', 'emotion control beliefs', 'vulnerability on emotional expression beliefs'. Next, the study participants were classified by performing a cluster analysis based on each emotion suppression factor. As a result, four clusters were extracted and named 'emotional control belief cluster', 'emotional expression cluster', 'emotional attention failure cluster', and 'general emotional suppression cluster'. As a result of examining the average difference of male depression, depression, state anger, and daily stress for each group, significant differences were found in all dependent variables. As a result of examining whether there is a difference in the frequency of emotional suppression clusters according to gender, the frequency of emotional suppression clusters was high in men, and the ratio of emotional expression clusters was high in women. Finally, it was analyzed whether there was a gender difference in the effect of the emotional suppression cluster on psychosocial adaptation, and the implications were discussed based on the results of this study.