• Title/Summary/Keyword: psychological difficulties

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The Difficulties for Parents of Children with Terminal Cancer (말기 암 환아 부모가 경험하는 어려움)

  • Kang, Kyung-Ah;Kim, Shin-Jeong
    • Child Health Nursing Research
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    • v.11 no.2
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    • pp.229-239
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    • 2005
  • Purpose: The objective of this study was to provide an understanding of the difficulties for facing parents of children with terminal cancer. Method: The design of this study was an inductive and descriptive study. Thirty???]one parents of children with terminal cancer participated in???]depth were interviewed s. C in depth and content analysis was used for analyzing the data. Results: The main categories in the findings were 'difficulties in coping', 'physical and psychological suffering of children', 'suffering of family', 'bereavement with children', 'economic problems', 'incurable situation', 'preparation of death', 'social isolation', 'coping after a child dies', 'spiritual problems', receiving active treatment', 'informing children of their condition', 'a sense of meaninglessness', 'emotional iunstability', and 'giving up hope'. Conclusion: The main point identified from this result in this study was that parents who have a child with terminal cancer don't never give up the hope of recovery for their child even when the child is in by the terminal stage of their children, even though and they are unwillingly to prepare for their child's death. This is a unique characteristic in the attitude of the families' attitude in child hospice care and differs from that found in adult hospice care. This result can be used as an important guide for nurses to in assessing the parents' needs in the terminal care setting.

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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.

Experiences of Precocious Puberty in Primary School Girls with Hormone Therapeutics (호르몬 치료를 받은 초등학교 여아의 성조숙증 경험)

  • Cheon, Soon-Mi;Jung, Hye-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.4
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    • pp.459-470
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    • 2019
  • Purpose: The purpose of this qualitative study was to identify the nature of precocious puberty and to explore what it means in primary schools. Methods: The participants of this phenomenological study were nine primary school girls who were diagnosed with precocious puberty and experienced hormone therapeutics, applying a convenience sampling method. Data were collected from July 2017 to January 2018 through individual in-depth interviews of the participants, including gestures, facial expressions and nonverbal means. The data analysis followed the method of Giorgi. Results: The study identified 37 concepts, 12 clusters, and five themes from experiences of precocious puberty. The essential five themes were as follows: 'ashamed and concealing experience', 'there is no therapeutics option', 'difficulties in the process of therapeutics', 'difficulties in daily life', and 'ambivalence toward therapeutics'. Conclusion: The findings of this study indicate physical, psychological and social difficulties faced by girls with precocious puberty. Based on this results of the study, it is necessary to develop nursing intervention programs focusing on healthy growth and development for children with precocious puberty.

Lived Experiences in the Life World of Korean Emerging Adults with Foster Care Backgrounds: A Qualitative Meta-Synthesis (자립준비청년의 생활세계 속 실존 체험에 관한 질적 메타분석)

  • Boram Choi;Jaerim Lee
    • Human Ecology Research
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    • v.62 no.2
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    • pp.279-294
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    • 2024
  • The purpose of this study was to synthesize and interpret the findings of previous qualitative studies that investigated the lived experiences of Korean emerging adults who aged out of the foster care system. Based on our selection criteria, we extracted and analyzed 14 papers that were published between 2010 to 2023. Our meta-synthesis found that the emerging adults' life world consisted of seven domains: family experience, life tasks, education and work, financial issues, home and family, interpersonal relationships, and psychological and emotional issues. We restructured the emerging adults' lived experiences using van Manen's concepts of lived time, lived space, lived things, lived self-other, and lived body. Our meta-synthesis revealed that these emerging adults experienced multidimensional difficulties due to shortcomings of formal and informal social support after aging out of the foster care system. Their difficulties accumulated in their interaction with lived time. Based on the level of their accumulated difficulties, we categorized the emerging adults into stable, struggling, and isolated groups. However, it is important to note that many of them adapted to their own life world and strived to move forward. This qualitative meta-synthesis provides a comprehensive understanding and new interpretation of emerging adults who transition from foster care to independent living in the context of Korea.

The Long-Term Effects of Parental Divorce or Separation on Childhood, Adolescent and Adult Psychosocial Health in UK

  • Sohn Byoungduk
    • International Journal of Human Ecology
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    • v.5 no.2
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    • pp.51-59
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    • 2004
  • Parents' marital conflicts are often linked to various emotional and behavioural difficulties of their children but rarely known about later adolescent and adult lives. This study was undertaken to examine if serious parental conflict such as divorce and/or separation in childhood was associated with emotional and social performance during later adolescent and adult lives. The research literature on divorce was briefly reviewed. The data was derived from the National Child Development Study (NCDSS 1974/age 16 - 1991/age 33) which followed the lives of 17,500 individuals born on March 3-9, 1958 in England, Scotland and Wales. Regression analyses indicate strong evidence that the experience of parental divorce or separation in childhood negatively affects the child's emotional and social performance in their subsequent life. The higher likelihood of having emotional problems, being less competent at their job, experiencing health/disability problems, being a lone-parent, unemployed, and homeless were strongly associated with parental divorce or separation experienced in childhood. Intervention is desirable to address the concerns influencing socio-psychological performance amongst children who have experienced parental divorce or separation.

The Analysis of the Coping behaviors of Mothers who have Children with Autism -Subjective Perspectives of Mothers and Experts- (자폐아 어머니의 심리적응 유형 분석 연구 -어머니와 전문가의 주관적 관점을 중심으로 -)

  • 구미향;이양희
    • Journal of the Korean Home Economics Association
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    • v.40 no.6
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    • pp.117-131
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    • 2002
  • The purpose of this study was to analyze coping behavior types of mothers of autistic children. Through the use of Q methodology using a sample of 23 pairs of mothers and therapists, four factors were derived that account for the coping strategies of mothers of children with autism. The mothers of the first type have either accepted their child's disability and their own situation. For the second type, the mothers engaged in therapeutic work for their child with a positive attitude. These mothers accepted their child as a family member. The third type shared ambivalent feelings and responses regarding their child's disability. And the last type expressed concerns and difficulties related to the situation. They tried to get social support to deal with the stressful situation. The agreement of mothers'psychological adjustment from the exports'and mothers'perceptive was found to be 52%.

Determinants of the Utilization of Micro-enterprise Support Services (소액창업 지원서비스 이용에 영향을 미치는 요인 분석)

  • Chung, Youngsoon;Shim, Haisun;Kim, Kyoyeon
    • Korean Journal of Social Welfare Studies
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    • v.41 no.4
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    • pp.135-160
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    • 2010
  • This study was designed to analyze, by using a hierarchical logistic regression analysis method, how difficulties in business start-ups and personal characteristics independently determine the utilization of micro-enterprise support services. The services were categorized into eight areas: capital, technical service, psychological service, item feasibility and business plan, site selection and interior service, marketing, finance and accounting, employment service. This study found that difficulties in business start-ups were a significant factor in six areas. Personal characteristics were a significant factor in four areas, when difficulties in start-ups were controlled. Among the personal characteristics, higher possibility of service utilization was anticipated in people with start-ups experience than people without experience, and in women than men. This results point out that service strategies should be targeted for people with difficulties in order to improve the accessibility of micro-enterprises support services. The results also indicate that the strategies should be considered for people with no start-ups experience, low academic ability, and female entrepreneurs who are vulnerable.

The Influence of Job Stress of Care Workers on Customer Orientation -The Moderation Effect of Self-Perceived Health Level- (요양보호사의 직무스트레스가 고객지향성에 미치는 영향 - 본인인지건강수준의 조절효과)

  • Lee, Gyu-Hee;Cho, Kyoung-Won
    • The Korean Journal of Health Service Management
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    • v.10 no.3
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    • pp.173-184
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    • 2016
  • Objectives : This research analyzed the general characteristics of care workers and verified the correlation among self-perceived health, job stress and customer orientation. Methods : We conducted a survey from May 1st, to May 31st, 2015 of 260 care workers who are affiliated with elderly care facilities or home care facilities in Busan, Korea. Results : The more the workers were stressed about their organizational culture, the more they recognized psychological difficulties. However, there was no correlation between organizational culture and their tendency to be oriented toward customers. It was verified that the recognized psychological health has a positive regulation effect between customer orientation and job stress such as job skill requirement(p<0.01), job autonomy(p<0.01), and organizational culture(p<0.01). Conclusions : Because both suppliers and recipients of care services are aging, it is necessary for elderly care facilities to make a greater effort to minimize the physical and psychological losses of recipients.

The Life Experiences of the Sheltered Homeless (노숙자의 삶의 경험 - 시설 노숙자를 중심으로 -)

  • Won, Jeong-Sook
    • Korean Journal of Adult Nursing
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    • v.15 no.1
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    • pp.56-66
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    • 2003
  • Purpose: The purpose of this study is to describe the psychological aspects of experiences of men living in a homeless shelter in Seoul. This study focused on understanding about the life of the homeless in the shelter by Phenomenological method. Method: The participants in this study were seven men who are living in a homeless shelter in Seoul. The following data were collected though the in-depth interviews and analyzed by the Phenomenological analytic method of Giorgi. Result: There are five focal significances about the life of the homeless. (1) Unplanned Life : Difficult life comes from outside situation, Freedom, The acceptance of unconsciousness life, Laziness, Unreliability, The dissolute life, No purpose to life, Relying on drinking, (2) Self-rationalization : Feeling of defeat, Give up, Desire for a support system, Lack of willingness, Anxiety, Chivalry, Falsehoods, (3) Superficial Interpersonal Relationships : Ignorance, Pressure, Discord, Hiding from one anther, avoidance. (4) A sense of devestation : Negative perspective, Mental weakness, Difficulties in employment, ambivalance with social structure, The place to escape, Complaining against the opposite sex, Sense of regret, Lack of relationship with family, The lack of self-confidence, Loss of volition (5) The Hope of new life : Realization, Desire for change, Dreaming of married life, Dependence in God Conclusion: The conclusion of this study shows that the men in the shelter had various psychological reasons for being in the homeless shelter. Further studies need to be done to validate this information and formulate ways to assist these men with their psychological needs.

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Music Therapy in Hospice Care (호스피스에서의 음악치료)

  • Moon, Ji-Young
    • Journal of Hospice and Palliative Care
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    • v.10 no.2
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    • pp.67-73
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    • 2007
  • To make ones life meaningful is one of human's most valuable goal. Nevertheless, for cancer patients who are in the last phase of their lives obtaining this goal may be threatened by physical, psychological, and social difficulties. Music therapy ran be utilized to effectively fill in these physical, psychological, and social needs. In the form of a creative art, music therapy can be effective in easing the pain and tension as well as assisting the patient to discover meanings of life through psychological comfort. Further, music is itself a verbal/non-verbal communication tool and thus connects the patients with their families with understanding and sympathy. This study aims to examine the need and role of music therapy in hospice.

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