• Journal of Korean Academy of Nursing
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• v.47 no.3
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• pp.332-344
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• 2017

Purpose: The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms. Methods: A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks. Results: Levels of resilience, F=59.41, p<.001, active coping behavior, ${\chi}^2=33.09$, p<.001, and nursing competency, F=59.41 p<.001, increased significantly and levels of passive coping behavior, ${\chi}^2=22.92$, p<.001, and burnout, F=52.74, p<.001, decreased significantly in the experimental group. Conclusion: The results suggest that the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.

• Research in Community and Public Health Nursing
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• v.30 no.1
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• pp.11-24
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• 2019

Purpose: This study tries to systematically understand factors that explain levels of happiness among pregnant women in the Ecological systems theory. Methods: A descriptive, cross-sectional study was conducted with 169 pregnant women in Korea. Collected data from self-report questionnaires were analyzed by hierarchical regression analysis using the SPSS statistics 23 program. Results: A total of 5 models were examined according to individual, microsystem, mesosystem, exosystem, and macrosystem in the Ecological systems theory. In the first model including individual factors, extraversion, neuroticism, and physical and psychological change constitute significant factors explaining happiness. In the second model with microsystem factors and in the third one with mesosystem factors, marital intimacy appears to be a significant factor. In the fourth model including exosystem factors, community service is a significant factor. In the final model with social atmosphere, personality (${\beta}=.15$ for extraversion; ${\beta}=-.30$ for neuroticism), physical and psychological change (${\beta}=-.15$), marital intimacy (${\beta}=.35$), and community service (${\beta}=.18$) turn out to be significant. These factors explain 59% of the variance of happiness in the pregnant women in Korea. Conclusion: Considering the fact that pregnant women's happiness is explained by microsystem and exosystem factors as well as individual factors, developing intervention programs that can promote influencing factors such as marital intimacy and community service is necessary to improve levels of happiness among pregnant women in Korea.

• Research in Community and Public Health Nursing
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• v.30 no.2
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• pp.217-225
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• 2019

Purpose: The purpose of this study is to assess socio-demographic, disaster-related, physical health-related, psychological, and social factors that may adversely affect disaster victims' QoL (Quality of Life). Methods: A cross sectional study was designed by using the secondary data. From the 3rd Disaster Victims Panel Survey (2012~2017), a total of 1,659 data were analyzed by using descriptive statistics including frequency, percentage, t-test, ANOVA, and multivariate linear regression. Results: Older people with lower health status lacking financial resources prior to a disaster were more at risk of low levels of QoL. Lower levels of perceived health status, resilience, and QoL were reported by disaster exposed individuals, while their depression was higher than the depression in the control group of disaster unexposed ones. Resilience, social and material supports were positively associated with QoL whereas depression and PTSD (Post-Traumatic Stress Disorders) were negatively associated. Conclusion: These findings suggest that psychological symptoms and loss due to disasters can have adverse impacts on the QoL of disaster victims in accordance with their prior socio-demographic background. They also indicate that targeted post-disaster community nursing intervention should be considered a means of increased social support as well as physical and mental health care for disaster victims.

• Women's Health Nursing
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• v.27 no.1
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• pp.14-26
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• 2021

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

• Human Ecology Research
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• v.59 no.3
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• pp.369-386
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• 2021

The purpose of this study was to examine which aspects of coresident intergenerational relationships were associated with the life satisfaction of unmarried children in established adulthood and of their parents. In this study, the coresident relationship characteristics included support exchange, emotion, interference-conflict, and perceptions of coresidence. Data were collected from (a) 250 never-married adults who were 35+ years old and lived in Seoul with at least one parent aged 75 years or younger and (b) 250 older adults who were 75 years old or younger and had at least one unmarried child aged 35+ years living in the same household. Our multiple regression analysis of unmarried children showed that the adult child's financial support, the adult child's psychological reliance on parents, the parent's psychological reliance on the child, and relationship quality were significantly related to higher levels of life satisfaction. In contrast, the parent's daily interference, daily conflicts, and anticipation of future care of parents were related to lower levels of life satisfaction. Second, the characteristics that were positively associated with the parent's life satisfaction were the parent's instrumental support, relationship quality, the coresident child's daily interference, positive perceptions of intergenerational coresidence, and expectation of future care of parents. In contrast, the parent's financial support, daily conflicts with the child, and taking intergenerational coresidence for granted were negatively related to the parent's life satisfaction. This study advances our understanding of coresidence between unmarried children in established adulthood and their older parents by focusing on the multiple aspects of intergenerational coresidence.

• Anxiety and mood
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• v.18 no.1
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• pp.17-25
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• 2022

Objective : The aim of this study was to investigate the prevalence of anxiety symptoms and its association with psychological factors in patients with hypertension. Methods : The Participants included 124 patients with hypertension. Anxiety symptoms were evaluated by the Hospital Anxiety and Depression Scale. Socio-demographics, perceived stress, state-trait anger, life satisfaction, and ego resiliency were assessed. Stepwise multiple regression analyses were carried out to examine the impact of perceived stress, state-trait anger, and life satisfaction on anxiety symptoms. In addition, moderated regression analysis was performed to explore the moderating effect of ego resiliency between perceived stress and anxiety symptoms. Results : A total of 17 subjects (13.7%) were identified as having anxiety symptoms. Higher perceived stress and state-trait anger, and lower life satisfaction were found to be significant correlates of anxiety symptoms. In the final model, higher levels of perceived stress (β=0.378, p<0.001) and trait anger (β=0.320, p<0.001) were related to higher levels of anxiety symptoms, while a higher level of life satisfaction (β=-0.166, p=0.025) was associated with a lower level of anxiety symptoms. Further, ego resiliency buffered the negative effect of perceived stress on anxiety symptoms. Conclusion : This study demonstrated the prevalence of anxiety symptoms and associated psychological factors among patients with hypertension. Our findings suggest that improving life satisfaction and ego-resiliency as well as controlling stress and anger may be important in the management of anxiety symptoms in patients with hypertension.

• Journal of Korea Entertainment Industry Association
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• v.15 no.3
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• pp.251-261
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• 2021

The purpose of this study is to find out how much psychosocial factors affecting the intention to use mental health services and the characteristics of respondents in college students. Specifically, the influence of the level of knowledge about mental health, subjective norms, attitudes for seeking help, and social psychological stress levels on the respondents'intention to seek help is examined. As a result of the study, it was found that the subjective norms, social and psychological stress levels, and mental health students'intention to use mental health services were influenced by factors. It was found that subjective norms, psychosocial stress level, and attitude toward using mental health service were factors that influence the intention to use mental health service. The influence of these factors on help seeking intention was in the order of psychosocial stress level, help seeking attitude, and subjective norm. The study provided implications that were helpful in message development when executing mental health promotion and awareness campaigns by identifying predictive factors of the intention to use mental health services of college students.

• Journal of Korean Academy of Nursing
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• v.52 no.2
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• pp.157-172
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• 2022

Purpose: This study aimed to construct and test a hypothetical model to explain the predictive factors and causal pathways for exercise levels in patients with ankylosing spondylitis based on the self-determination theory. A conceptual framework was constructed assuming that autonomy support by health care providers would satisfy the three basic psychological needs of patients, which would increase their autonomous motivation for exercise, resulting in its initiation and continuation. Methods: This cross-sectional study included 221 patients with ankylosing spondylitis who were visiting rheumatology clinics in two tertiary hospitals. Health Care Climate Questionnaire-exercise regularly, Basic Psychological Needs Satisfaction scale, Behavior Regulation in Exercise Questionnaire-2, and exercise level were used to collect data. Results: The fitness of the hypothetical model met the recommended level (𝛘²/df ≤ 3, SRMR ≤ .08, RMSEA ≤ .08, GFI ≥ .90, AGFI ≥ .85, NFI ≥ .90, TLI ≥ .90, CFI ≥ .90). The model effect analysis revealed that autonomy support by health care providers had a positive effect on patients' autonomy, competence, relatedness, autonomous motivation, and exercise level. Competence and relatedness had positive effects on autonomous motivation and exercise level, respectively. Autonomous motivation had a positive effect on exercise level. Conclusion: The predictive factors of exercise level in patients with ankylosing spondylitis were autonomous motivation, health care providers' autonomy support, competence, and relatedness. Considering these factors, we recommend the development of an effective program for improving exercise levels in these patients.

• Herbal Formula Science
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• v.32 no.3
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• pp.263-275
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• 2024

Background : Recent studies have shown that stress fundamentally influences the functional modulation of organ and stress-related disease causes high morbidity and mortality rates. Objective : The present research investigated the effect of restraint stress on psychological and physiological responses. Results : Body weight and food intake were changed in stress group. Body weight has continuously decreased, and food intake has been slightly altered. As a result of measuring each tissue's weight, the liver and kidney's weight loss was greater than that of other organs. The lipid profile of stressed animals showed significant increases in cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL), and high-density lipoprotein (HDL) levels compared to control. As hepatic marker enzymes, serum glutamic pyruvic transaminase (GPT; alanine aminotransferase), glutamic oxalacetic transaminase (GOT; aspartate aminotransferase), and lactic dehydrogenase (LDH) were increased in the stress group. However, levels of serum cortisol and corticosterone did not affect. Results of the behavioral tests show that the stress group has increased activity, sluggish movements, and anxiety in the central part compared with the control group through the open field test. In the forced swim test, the stress group models had a longer duration of slowing movement, and its rate also increased. Also, in immunoblotting, stress increased the inflammatory factors Inducible Nitric Oxide Synthase (iNOS), cyclooxygenase-2 (COX-2) and activated the mitogen-activated protein kinase (MAPK) pathway. Conclusions : We observed that mouse model were affected behavioral response and liver injury when exposed to restraint stress, indicating the importance of the restraint stress in the development of psychological and physiological processes.

• Journal of the Korean Home Economics Association
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• v.40 no.4
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• pp.179-200
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• 2002

The purposes of this study are as follows: (1) how are marital relationships classified by wives' perception of marital conflict and intimacy? (2) how do these types differ in terms of demographic variables (age, income, educational level, and employment status), individual psychological variables (self-esteem, differentiation) and interaction-related variables (affective self-disclosure, conflict resolution styles)?, and what are the relative discriminant powers of these variables in explaining marriage types? The data for this study were collected from 944 married women in Dajeon, who had one or more children, using the structured questionnaire. Classification using median and discriminant analysis were used with SPSS-PC for windows program. The major findings are as follows: The characteristics of each type are as follows: (1) The 'devitalized couples' consist of 18.2% of the whole sample. The levels of positive self-concept and positive interaction are the lowest. (2) The 'intimate couples' consist of 32.6% of the sample. They tend to be found most frequently in the population which is high in the educational level and income level and low in age. While the levels of positive self-concept and positive interaction are the highest, the levels of negative conflict resolution styles are the lowest. (3) The 'intimacy-persuaded couples' take 17.3% of the sample. The levels of positive self-concept and interaction are similar to the 'intimate couples'. (4) The 'conflict-habituated couples' take 31.9% of the sample. Whereas the levels of negative conflict resolution styles are the highest, the levels of positive self-concept and positive interaction are the lowest. The results of this study suggest several implications for the family-life education. It needs to apply different approaches to improve marital quality for each type of marriage.