• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.648-667
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• 2002

This was a descriptive study designed to identify the level of coping method and its influencing factors on the family caregivers of demented patients, and resolve the family caregivers' level of stress. The data were collected from September 10 to October 10, 2001. Subjects for this study were recruited from four clinics, which were chosen from 15 clinics located in Chunbuk-Do as the study sites because of their cooperation for the study. They were similar in terms of size, the characteristics of the local community. and the population and registration status of the demented patients. The instruments used for the study were as follows: 1. Problematic behaviors of demented patients are measured by the Memory and Behavior Problem Checklist (Zarit, 1980), and the Linguistic Communication Symptoms Questionnaire (Bayles and Tomoeda, 1991) 2. The ability to carry out daily activities was measured using the Barthel Index (1965) and Katz Index (1963), which as well-known ADL assessment methods. 3. Burden was measured using Cost of Care Index by the Kosberg and Cairl (1986). 4. Coping strategy was measured Bell's 18 methods (1977). The data were analyzed using SPSS/PC. The study results were as follows: 1. The total stress score was 2.90 out of a maximum score of 5. The highest score reported was 3.09 on the dimension of restriction of individual and social activities, and the lowest region reported was 2.58 on the dimension of mental and physical health. 2. The total score of the coping method was 2.65 out of a maximum score of 5. The highest score reported was 4.01 on the dimension of thinking that includes an ideation such that it is better than any possible worst case, and the lowest score reported was 1.45 on the dimension of the self-image as a scapegoat. 3. There were significant differences in coping method among the subjects by age (F=2.752 p=0.04), caregiver (F=4.33 p=0.003), care-giving period (F=2.68 p=0.049), and dementia stage (F=2.87 p=0.034). 4. There were highly negative correlations ($\gamma$=-0.301 p=0.000) between problematic behaviors of demented patients and the coping method of their family caregivers. The highest correlation coefficient ($\gamma$=-0.339 p=0.000) was found between aggressive behaviors of the demented patients and the coping method of their family caregivers. 5. There was a low negative correlation ($\gamma$=-0.201 p=0.019) between the ADL of the demented patients and the coping method of their family caregivers. 6. There were highly negative correlations ($\gamma$=-0.213 p=0.005) between stress and the coping method of the family caregivers. The highest correlation was found between financial burden ($\gamma$=-.327 P=.000) and the coping method of the family caregivers. There was no significant correlation among unpleasant aspects of the demented patients, willingness to the demented patients, and the coping method of the family caregivers.

• Journal of Oriental Neuropsychiatry
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• v.12 no.2
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• pp.193-202
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• 2001

Purpose: Hwabyung is a culture-bound syndrome in Korea, characterized by emotional stress such as anger, depression, and anxiety. The purpose of the present study was to explore the characteristics of Hwabyung patients, based on constitutional medicine, for their symptoms, duration, and coping styles. Method: Participants were 57 Hwabyung patients selected by Hwabyung criteria. They were also diagnosed for their constitution by doctors specialized in constitutional medicine. Each participant was asked to respond to a variety of items such as cause and duration of stress, symptoms of hwabyung, anger and depression, and coping styles. Eight patients were excluded from the total sample; two male patients and six patients unable to be diagnosed for any particular type of constitution. Thus, final sample was 49 female hwabyung patients, which will be reported in what follow. Result: To begin with, constitutional type revealed significant differences in such coping styles as 'perseverance,' 'positive interpretation,' 'positive comparison,' and 'emotional pacification.' More specifically, post-hoc comparison revealed that Taeeumin(person who have taeeum characteristics) was higher in 'perseverance' compared-to other two types of constitution. Taeumin also revealed higher score than Soeumin(person who have soeum characteristics) in 'positive comparison.' With respect to the marital status, the married compared to the unmarried showed higher score in 'anger-control,' and lower score in 'anger-in.' The married compared to the unmarried, regarding coping styles, also showed higher score in 'accommodation,' but lower score in 'emotional expression.' The duration of hwabyung revealed that the longer duration of hwabyung, the more frequent utilization of 'positive interpretation' and 'emotional pacification. Conclusion: The main purpose, the exploration of hwabyung based on four types of constitution, was not supported, as a whole in the present study. However, marital status and duration of hwabyung appear to influence on emotional stress (e.g., anger) as well as coping styles, suggesting that these variables should be dealt with in future studies on hwabyung.

• Asian Oncology Nursing
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• v.3 no.1
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• pp.75-84
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• 2003

Purpose: this study was to identify influencing factors of burnout on oncology nurses. Method: the data was collected using a questionnaire from October 18, 2002 to November 20, 2002 in five general hospitals at Seoul. Participants of this study were the nurses who worked in the wards occupied by more than 50 percent of cancer patients. The collected data were analyzed by using the SPSS10.0 program. Result: 1. The burnout of the subjects show a mean score of 2.72 using the 5 point Likert scale. There were statistically significant difference in burnout between the general characteristics; age, marital status, educational background, job experience, position, nursing service period, and attitudes on nursing job. 2 The self-esteem of the subjects show a mean score of 3.72 using the 5 point Likert scale. The spiritual well-being of the subjects show a mean score of 3.83 using the 6 point Likert scale. The social support of the subjects show a mean score of 3.74 using the 5 point Likert scale. The job stress of the subjects show a mean score of 2.16 using the 4 point Likert scale. 3. The result of correlation between burnout and other variable was that relationship between the burnout and job stress(r=-.206, p<.05), self-esteem(r=-.417, p<.01), spiritual well-being(r=-.403, p<.01), social support(r=-.386, p<.01) were significant variables. 4. The result of the Stepwise Multiple Regression was that self-esteem (17.4%), spiritual well-being(7.9%), social support(3.4%) and job stress(2.3%) explained 31% of burn out.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.28 no.2
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• pp.130-142
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• 2015

Objective : The purpose of this case study is to report the effectiveness of Sihochunggan-tang gagambang in respect of liver meridian wind-heat or liver-heat on 7 seborrheic dermatitis patients who were in high stress and had unhealthy dietary habit. Methods : VAS (Visual Analogue Scale) score was used to check the prognosis of 7 seborrheic dermatitis patients, who have been treated with Sihochunggan-tang gagambang and acupuncture. Results : VAS score decreased as a result of Sihochunggan-tang gagambang treatment in 7 patients. Conclusion : Sihochunggan-tang gagambang can be effective treatment for the high stress and unhealthy diet related seborrheic dermatitis when diagnosed as liver meridian wind-heat or liver-heat

• Korean Journal of Community Nutrition
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• v.17 no.5
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• pp.579-588
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• 2012

This study was conducted to investigate the association among demographic characteristics, lifestyle, food habits, and stress status of 437 males and females aged over 25 years in Chungnam. Overall, the stress status of the subjects was high showing an average of 103 points out of 156 points based on the something scale. Results of the study revealed that marital status, exercise status, and health status had significant relationships with food habits and stress scores. The subjects who were married, had a higher frequency of exercise, and were healthier, had a significantly higher food habit score but a significantly lower stress score compared with their counterparts. Also, food habit scores had a significantly negative relationship with stress scores. Thus, this research showed possible links among healthy food habits, desirable lifestyle, and low stress status. In other words, people who experience a high level of stress may be more likely to have unhealthy food habits, resulting in a poor healthy conditions. These results show that appropriate food habits and adequate dietary management are deemed necessary for people with a high degree of stress. Further in-depth studies are needed to clarify a direct relationship between stress and food habits and to determine the proper diet that may help relieve stress.

• Korean Journal of Occupational Health Nursing
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• v.17 no.2
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• pp.146-154
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• 2008

Purpose: The purpose of this study is to investigate the degree of job stress and job satisfaction and the relationship between job stress and job satisfaction of Medical Aid Client Managers. Method: Data were collected from 185 Medical Aid Client Managers in 234 areas between April 2-15, 2007. Collected data was analyzed for the frequency, t-test, ANOVA, Pearson's Correlation Coefficient etc. Results: The average score of job stress was 2.6. Job instability was highest as 2.9 and job autonomy was lowest as 2.2. in eight items. When the job stress of Medical Aid Client Managers was converted to 100 point, the average was 51.7 and ranked in upper 50% of Korean woman workers' job stress. Among the eight items, because the relationship satisfaction and the instability of duty regime ranked in upper 25% of Korean woman workers' job stress, those items were identified to have high stress. The average score of job satisfaction was 2.3 out 4.0 which could be interpreted as unsatisfactory. The correlation between the job stress and the job satisfaction demonstrated significant difference. Decrease of the job satisfaction was associated with increase of the job stress. In regard to the eight items, the inverse correlation was demonstrated to be significant in organization, inappropriate compensation, and workplace culture. Conclusion: Medical Aid Client Managers have high stress in carrying out their duties. They have experienced very severe instability in their duty regime. Also, they have felt alienated from their organization and experienced unfair rewards. They had low duty satisfaction but got a heavy workload and experienced overtime work. To relieve job overburden of Medical Aid Client Managers. it was necessary to improve business system and also was necessary to relieve a regional disparity of business charge.

• The Korean Journal of Community Living Science
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• v.12 no.2
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• pp.33-45
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• 2001

This study was performed to investigate the degree of different stresses in university students of outer region of Seoul and to search the influence of food habit and nutrient intakes in stress. The data was collected by questionnaire method for self-diagnosed different stresses, dietary habit, and physical status and 24 hours recall for nutrient intakes. The subjects were 282 students attended at the lecture Food and Health. Diet balance was no difference with gender but food intakes were more diverse in female. Nutrient intake of male students was lower in vitamin A and riboflavin, but that of female was low in vitamin A and iron. The university students outer region of Seoul had more stress situation in frustration, deprivation and self-efface than in the stress of the noise and Type-A behavioral stress. Total self-diagnosed dietary habit score was better in the group of no susceptive overload stress than that of the high susceptive group. Same trend of dietary behavior score was in the group of no noise and anxiety-response stress than that in the susceptive groups. The quantity of nutrient intakes was correlated with different kind of stress. Niacin intake was positively related with the stress from life-events, and food induced stress. Thiamin intake was positively related with food induced stress. But the intake of iron, calcium, niacin and riboflavin were negatively related with the stress of noise. Therefore, we could concluded that different kind of stresses were influenced in dietary behavior and vitamin-mineral nutrient intakes. More research would be needed at the aspects of health promotion in the stressful situation of modern society.

• Journal of Korean Public Health Nursing
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• v.3 no.1
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• pp.67-73
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• 1989

The purpose of this study was to identify relationship between anxiety and. coping in open heart surgery patients to provide basic information for nursing intervention in stress-coping paradigm. Data were collected from Aug. 1st to Aug. 31st, 1988 through individual interview for about 30 minutes. Tools for this study were 'Spielberger's state anxiety scale and Billings & Moos' coping scale. The subjects were 29 male and 27 female patients who had open heart surgery at S.N.U.H. The data were analyzed by Mean score, Percentage, Pearson product moment correlation coefficient T-test, ANOVA test, and Cronbach's reliability test. The results were as follows. (1) The reliability of coping scale was 0.751 by Cronbach's reliability test. (2) Average coping score of those patients was 2,53 (maximum score:4) and they used equally problem focused coping and emotion focused coping. (3) There was significant difference according to religion in stress·coping(F=2,495, P<0.05) (4) The high anxieties were, the more coping were, and there was significant negative correlation in stress-coping (r=-0.2807, P<0.05)

• Korean Journal of Adult Nursing
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• v.19 no.1
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• pp.55-65
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• 2007

Purpose: The study was conducted to survey intensive care unit nurse's knowledge, nursing performance, and stress involving delirium. Methods: The subjects of this study were 278 nurses from three hospitals in Seoul, who had worked at the intensive care unit more than six months. Data were collected using questionnaire from December, 2005 to January, 2006. Results: The mean score of knowledge about delirium was 31.60 out of 50 and it was significantly lower among those with clinical experience of 12-35 months and 60-119 months and those who didn't experience conflicts with patients' families. The mean score of nursing performance for delirium was 16.10 out of 23, and it was significantly higher among those who took care of 2 patients. The mean score of stress related to delirium was 63.92 out of 100, and it was significantly higher among those aged over 40, nurses who were university graduates, nurses who experienced conflicts with patients' families, and nurses who took care of 5 patients. Conclusion: We need to develop systematic education programs in charge of patients with delirium.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.7
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• pp.109-119
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• 2020

The purpose of this study was to provide basic data for improving health promotion behavior by identifying the effects of life stress and coping with stress among nursing college students on health promotion behavior. The data was collected from 352 nursing students in 6 colleges in B and K city, and the data was analyzed with SPSS/Win 23.0. Factors influencing health promotion behavior were school life satisfaction (F=9.18, p<.001), happiness score (F=20.64, p<.001), health status (F=12.40, p<.001), eating breakfast (t=-3.31, p=.001), unbalanced diet (t=-4.20, p<.001), time spent sleeping (F=2.64, p=.049), and exercise (t=5.20, p<.001). In the correlations, health promotion behavior was negatively correlated with life stress (r=-.289, p<.001), but it was positively correlated with coping with stress (r=.539, p<.001). The factors influencing health promotion behavior were stress coping (β=.439, p<.001), happiness score (β=.251, p<.001), exercise (β=.172, p<.001), unbalanced diet (β=.125, p=.002), life stress (β=-.121, p=.005), and eating breakfast (β=.083, p=.046). The above variables explained 46.0% for the health promotion behavior. Thus, in order to improve the health promotion behavior of nursing college students, integrated nursing interventions need to be developed through improving coping with stress, creating a sense of happiness, reducing life stress, and maintaining exercise and good eating habits.