• Korean Journal of Biological Psychiatry
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• v.7 no.1
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• pp.46-54
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• 2000

Traumatic brain injury(TBI) is generally considered to be a risk factor for psychiatric disorders, especially depression and anxiety disorder. Despite the anxiety disorders are frequent sequelae after traumatic brain injury, the patients have not been payed medical attention and treated by doctors properly. The factors of precipitating and sustaining the anxiety disorders after TBI are brain injury itself, and the patient's or caregiver's response to the disability after TBI. To diagnose and treat them effectively, the knowledge about the mechanisms of and symptoms after TBI have to be needed. Psychiatrist should be a supportive and good listener to the patients who are complaining anxiety symptoms and differentiate whether the psychiatric symptoms are due to TBI or not. Because the TBI patients are very sensitive to drug side effects, doctors have to be familiar with the side effects as well as the mechanisms of action of the common psychotropics.

• Journal of Digital Convergence
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• v.17 no.5
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• pp.267-277
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• 2019

The purpose of this study was to investigate the level of parenting traumatic experiences, parenting stress and posttraumatic growth related characteristics in middle aged women and identify relationships among the variables. The subjects were 197 middle aged women who experienced adolescent parenting stress. The data was collected from September 20, 2018 to September 30, 2018. Collected data were analyzed using descriptive statistics, independent samples t-test, One-way ANOVA, Pearson correlation coefficient with SPSS/WIN 28.0. Parenting stress of adolescent was relatively high, but posttraumatic stress was low. There were significant negative correlations for posttraumatic growth with parenting traumatic. These results are expected to be important data for the development and application of the intervention program to reduce the stress of parenting and posttraumatic growth in the middle aged women.

• Korean Journal of Occupational Health Nursing
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• v.2
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• pp.5-12
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• 1992

본 연구는 1990년 7월 산업안전보건법이 개정된 이후 새로이 명시된 산업간호사의 일차의료 직무의 범위를 규명하기 위하여 시도되었다. 산업간호사의 직무를 개발하기 위한 노력은 노동부가 1991년 5월 직업병예방을 위한 종합대책 중 하나로 산업간호사의 직무 개발 계획을 포함시킨 이후 한국산업안전공단과 대한산업보건협회을 중심으로 활발히 이루어져 왔다 특히 한국산업간호학회에서는 1992년 8월에 그간의 많은 논의와 연구를 기초로 하여 산업간호사의 일차의료행위에 대한 세부직무를 전문가의 의견 일치 방법을 통하여 개발하고자 연찬회를 개최하였다. 본 연구에서 연찬회에서 논의된 결과와 기존 자료 등을 토대로 분석된 산업간호사의 일차의료직무 범위를 (1)산업 간호사의 건강사정 직무범위 (2)통상 증상 처치 직무 범위 (3)외상 및 응급 처치 직무 범위 (4)상병 악화 방지 직무 범위 (5)직업병의 추후관리 직무범위 (6)약품 투약 범위 등으로 구분하여 구체적으로 제시하였다. 이들 범위를 근거로 각 범위 별 깊이를 구체적으로 개발하여야 산업간호사들의 직무범위와 깊이가 결정된다. 앞으로 본 연구가 제시한 직무 범위를 기초로 하여 구체적 직무 범위에 따론 깊이가 개발되어야할 것이다.

• Journal of Korean Biological Nursing Science
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• v.25 no.4
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• pp.276-284
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• 2023

Purpose: The purpose of this study was to investigate the levels of fatigue, social support, and burnout among nurses caring for coronavirus disease 2019 (COVID-19) patients, and to identify factors that affect burnout. Methods: Data were collected from 115 nurses who were caring for COVID-19 patients in Gyeonggi Province and Seoul from December 2021 to February 2022. Results: The mean scores for fatigue, social support, and burnout were 63.31 ± 11.48 (of 95), 48.34 ± 6.97 (of 60), and 81.90 ± 15.50 (of 132) points, respectively. The level of burnout of nurses caring for patients with COVID-19 was high. Fatigue (β = .49, p < .001) and social support (β = -.21, p = .012) were significantly associated with burnout. Conclusion: Higher levels of fatigue and lower levels of social support were associated with higher levels of burnout. Reducing fatigue among nurses and strengthening their social support can be a strategy to reduce nurse burnout.

• Journal of the Korea Convergence Society
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• v.11 no.6
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• pp.411-422
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• 2020

Purpose: The purpose of this study is to compare the prognosis of traumatic acute subdural hematoma between adults and the elderly to provide appropriate nursing according to age. Methods: A retrospective medical records research study was conducted on 239 patients(adults 104, elderly 135) at Gwangju C university hospital. For data analysis, χ² test, independent sample t-test, one-way ANOVA were used. Results: There was no difference between GCS at discharge(t=-0.03, p=.978) and GOS at discharge(t=0.17, p=.863). But there were differences in gender(χ²=4.19, p=.041), history(χ²=20.78, p<.001), GCS at admission(t=-2.22, p=.028), pupil reflection at admission(t=8.04, p=.005), pH(t=-3.30, p=.001), serum blood glucose(t=-0.85, p=.040), complications(χ²=6.450, p=.011) between adults and elderly. Conculsion: When nursing patients with traumatic acute subdural hematoma, it is thought that patients assessment and nursing care considering the clinical characteristics according to age can be provided. Future research needs to develop educational materials for medical staff.

• Journal of the Korea Convergence Society
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• v.12 no.12
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• pp.551-562
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• 2021

This study aimed to identify the effect of resilience and positive psychological capital on hospital nurses' professional quality of life. A cross-sectional survey design was utilized to investigate 221 general hospital nurses from June 1 to 30, 2021. Professional quality of life (ProQOL), which is conceptualized with three sub-dimensions (compassion satisfaction, burnout, and secondary traumatic stress), resilience, and positive psychological capital variables were measured. There was a positive relationship between compassion satisfaction and resilience, positive psychological capital, and a negative relationship among burnout, secondary traumatic stress, and the other variables in this study. The main factors influencing compassion satisfaction were resilience, and positive psychological capital, which explained about 47% of compassion satisfaction. Burnout was influenced by resilience, positive psychological capital, and work pattern, and these variables explained about 37% of burnout. Notably, it was found that resilience was the most crucial factor in nurses' compassion satisfaction, and positive psychological capital was the most crucial factor in nurses' burnout. Thus, it is suggested to develop and verify the effectiveness of a resilience improvement program and positive psychological intervention program to strengthen the internal resources of hospital nurses.

• Journal of Korean Clinical Nursing Research
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• v.27 no.1
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• pp.98-108
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• 2021

Purpose: This study was conducted to identify the factors influencing the posttraumatic growth (PTG) in patients with lung cancer and to provide basic data for nursing intervention development to improve PTG and adaptation. Methods: The study included 126 non-small cell lung cancer patients initially diagnosed at the Lung Cancer Center, C University Hospital in S city, Gyeonggi-do. Patients were asked to complete a questionnaire consisting of demographic characteristics, disease characteristics, posttraumatic growth, cancer coping, social support, and resilience. Data were analyzed using t-tests, ANOVA, and Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 56.39, cancer coping was 61.31, social support was 61.09, and resilience was 92.77. Significant positive correlations were found for PTG and cancer coping (r=.75, p<.001), social support (r=.52, p<.001) and resilience (r=.63, p<.001). Factors contributing to PTG of lung cancer patients were cancer coping (β=.53 p<.001), perceived health status(β=.20, p=.002), resilience (β=.21, p=.010) and importance of religion (β=.15, p=.013). This model explained about 64.0% of variances of PTG (F=29.58, p<.001). Conclusion: It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance coping and resilience to recovery. Longitudinal studies examining temporal changes in PTG among patients with lung cancer are suggested for future studies in this regard.

• Journal of Korean Clinical Nursing Research
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• v.27 no.2
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• pp.121-129
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• 2021

Purpose: The purpose of this study was to investigate post-traumatic stress, job stress, fatigue, and social support of nurses in direct care for COVID-19 patients and to identify the factors affecting post-traumatic stress among the nurses. Methods: The participants were 150 nurses from three hospitals. Data were collected from September 11, 2020 to September 21, 2020. The data were analyzed with SPSS/WIN/25.0 program. Results: The mean score of post-traumatic stress was 22.27±15.49 (range 0~88). The percentage of high risk group of post-traumatic stress was 35.3%, risk group was 20.0%, normal group was 44.7%. Post-traumatic stress showed statistically significant differences according to quarantined experience (t=2.15, p=.033), and provision of COVID-19 manual (t=-2.40, p=.026). Post-traumatic stress was positively correlated with job stress (r=.48, p<.001), and fatigue (r=.58, p<.001), and it was negatively correlated with social support (r=-.22, p=.005). Job stress was positively correlated with fatigue (r=.74, p<.001), and it was negatively correlated with social support (r=-.17, p=.030). Fatigue and social support (r=-.17, p=.029) had a negative correlation. The results of regression analysis showed that the factors affecting post-traumatic stress included fatigue (β=.56, p<.001), provision of COVID-19 manual (β=-.24, p<.001), and quarantined experience (β=.18, p=.006) and that the total explanatory power was 42.0%. Conclusion: In this study, fatigue, provision of COVID-19 manual, and quarantined experience were found as influential factors of post-traumatic stress among nurses in direct care for COVID-19 patients. Therefore, development of the intervention for reducing the fatigue should consider to prevent post-traumatic stress in nurses. Also, provision of COVID-19 manual for nurses and psychological intervention program for nurses experienced quarantine are necessary.

• Journal of Korean Biological Nursing Science
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• v.23 no.3
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• pp.159-169
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• 2021

Purpose: The purpose of this study was to analyze research trends and find whether Post-Traumatic Stress Disorder (PTSD) of refugees could affect structural or functional changes of brains of those under MRI, focusing on volumes, functional connectivities, and metabolites. Methods: A literature search was done using PubMed, Embase, RISS, and KMBase to identify studies that matched our research purpose. A total of eight studies were identified using Prisma flow diagram by two reviewers independently. Results: Eight studies were identified. Three studies were on North Korean defectors as subjects. The number of studies that observed structural changes, functional changes, and metabolite changes in brains was 2, 5, and 2, respectively. Although each study observed various parts of the brain, anterior cingulate cortex (ACC) was observed commonly in three studies. The PTSD group showed reduction of ACC volume and N-acetyl-aspartate (NAA) metabolite in ACC compared to the non- PTSD group. When exposed to negative stimuli, the PTSD group showed higher neural activity than the non-PTSD group, but not vice versa. Conclusion: ACC showed significant difference in volume, neural activity, and NAA metabolite between the PTSD and the non-PTSD group, resulting in significant differences in structural changes, functional changes, metabolite changes, respectively. This study showed the need for conducting more research using various biomarkers to clarify the relationship between PTSD of refugees and their brain changes.

• The Journal of Korean Academic Society of Nursing Education
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• v.28 no.2
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• pp.193-203
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• 2022

Purpose: This study explored the mediating role of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic. Methods: The data were collected from 193 nurses working at a hospital in Daegu from October 16 to 30, 2020, in the middle of the COVID-19 pandemic. Participants conducted self-reported surveys of post-traumatic stress (Impact of Event Scale-Revised Korean version), emotional exhaustion (Maslach Burnout Inventory), and resilience (Korean Resilience Quotient Test). The data were analyzed using descriptive statistics, frequency, t-tests, Mann-Whitney U tests, Kruskal-Wallis tests, Pearson correlation coefficients, and multiple regression. Mediation analysis was performed using the Baron and Kenny method and Sobel test. Results: The mean scores for post-traumatic stress, resilience, and emotional exhaustion were 16.18±16.18, 183.41±18.29, and 32.64±9.66, respectively. A higher level of post-traumatic stress was associated with lower resilience (r=-.20, p=.004) and with higher emotional exhaustion (r=.33, p<.001). A higher level of resilience was associated with lower emotional exhaustion (r=-.35, p<.001). The resilience was confirmed to have a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion, verified by the Sobel test (Z=2.31, p=.02). Conclusion: Resilience had a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion. Thus, nurses should develop individual strengths to reduce emotional exhaustion, and managers should also make efforts to increase the nurses' resilience. It is also necessary to develop and apply a program to strengthen nurses' resilience.