• 제목/요약/키워드: 외상후 성장

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소방공무원의 대처, 자기노출, 반추, 조직문화가 외상 후 성장에 미치는 영향 (Influence of Coping, Self-Disclosure, Ruminant, and Organizational Culture on Traumatic Growth of Firefighters)

  • 고영심;하영미;김지아;조한아
    • 디지털융복합연구
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    • 제18권4호
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    • pp.357-369
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    • 2020
  • 본 연구는 소방공무원의 대처, 자기노출, 반추, 조직문화와 외상 후 성장(Posttraumatic Growth, PTG)의 정도를 살펴보고, PTG의 영향요인 규명을 위해 시행되었다. 자료수집은 경상도 소재 3개 소방서에 근무하는 소방공무원 103명을 대상으로 실시하였다. 연구결과 중~고 수준 PTG가 46명(44.7%)로 평균 58.07점이었으며 전체 PTG 평균은 44.56점으로 나타났다. PTG에 영향을 미치는 요인은 정서중심대처, 자기노출, 의도적 반추와 혁신지향 조직문화로 나타났으며 네 변수의 PTG에 대한 설명력은 45.9%로 나타났다. 소방공무원의 PTG촉진을 위해 정서중심대처, 자기노출, 의도적 반추 뿐 아니라 혁신지향 문화구축이라는 조직측면의 접근이 필요하며 이러한 결과는 소방공무원의 PTG 향상을 위한 중재방안에 활용될 수 있다.

암환자 특이형 외상후 성장 측정도구 개발 및 타당화 (Development and Validation of the Cancer-Specific Posttraumatic Growth Inventory)

  • 정영미;박진희
    • 대한간호학회지
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    • 제47권3호
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    • pp.319-331
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    • 2017
  • Purpose: The purpose of this study was to develop a scale to evaluate posttraumatic growth in patients with cancer and to examine the validity and reliability of the scale. Methods: A literature review, semi-structured patient interviews and an expert panel consultation produced a 27 preliminary item questionnaire. Participants were 150 cancer patients recruited to test the reliability and validity of the preliminary scale. Data were analyzed using item analysis, exploratory factor analysis, convergent validity and internal consistency. Results: Item reduction and exploratory factor analysis led to 23 items, grouped into five subscales which were labelled new possibilities (6 items), coping skills (5 items), preciousness of life (5 items), relating to others (4 items), and personal strength (3 items). Convergent validity was evaluated by total correlation with the Functional Assessment of Cancer Therapy-General (r=.45, p<.001). The final scale demonstrated satisfactory internal consistency (Cronbach's ${\alpha}$ =.94). Conclusion: Findings from this study indicate that the Cancer-Specific Posttraumatic Growth Inventory has validity and reliability and is considered to be appropriate for assessing posttraumatic growth in patients with cancer.

중년여성의 주관적 건강상태, 외상 후 성장, 사회적 지지가 성공적 노화에 미치는 영향 (The Influence of Subjective Health Status, Post-Traumatic Growth, and Social Support on Successful Aging in Middle-Aged Women)

  • 이승희;장형숙;양영희
    • 대한간호학회지
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    • 제46권5호
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    • pp.744-752
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    • 2016
  • Purpose: This study was done to investigate factors influencing successful aging in middle-aged women. Methods: A convenience sample of 103 middle-aged women was selected from the community. Data were collected using a structured questionnaire and analyzed using descriptive statistics, two-sample t-test, one-way ANOVA, Kruskal Wallis test, Pearson correlations, Spearman correlations and multiple regression analysis with the SPSS/WIN 22.0 program. Results: Results of regression analysis showed that significant factors influencing successful aging were post-traumatic growth and social support. This regression model explained 48% of the variance in successful aging. Conclusion: Findings show that the concept 'post-traumatic growth' is an important factor influencing successful aging in middle-aged women. In addition, social support from friends/co-workers had greater influence on successful aging than social support from family. Thus, we need to consider the positive impact of post-traumatic growth and increase the chances of social participation in a successful aging program for middle-aged women.

부인암 환자의 생존단계별 건강증진행위, 외상 후 성장 및 삶의 질 비교 (The Comparison of Health Promotion Behavior, Post Traumatic Growth and Quality of Life according to Stages of Survivorship in Patients with Female Genital Neoplasm)

  • 이은실;박정숙
    • 성인간호학회지
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    • 제25권3호
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    • pp.312-321
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    • 2013
  • Purpose: The purpose of this study was to compare health promotion behavior, post-traumatic growth and quality of life according to the stages of survivorship in patients with female genital neoplasm. Methods: Data were collected from August 1st, 2011 to September 31st 2011 from 142 gynecologic cancer patients who completed treatment or were treated at an out-patient clinic. The instrument were HPLP developed by Walker, Sechrist & Pender, PTGI developed by Tedeschi & Calhoun, and Korean C-QOL. Results: Health promotion behavior scores were significantly higher in the acute survival stage than the extended survival stage. Post-traumatic growth score was higher in the acute survival stage than the extended survival stage. The quality of life scores were higher in the lasting survival stage than the extended survival stage. Conclusion: Gynecological cancer patients in the extended survival stage reported low scores of health promotion behavior, post-traumatic growth and quality of life. Intervention needed to be developed to improve health promotion behavior, post-traumatic growth and quality of life for patients with female genital neoplasm in the extended survival stage.

위암 환자의 심리적 수용, 사회적 지지가 외상 후 성장에 미치는 영향 (Effects of Psychological Acceptance and Social Support on Posttraumatic Growth in Stomach Cancer Patients)

  • 조현미
    • 임상간호연구
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    • 제25권3호
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    • pp.265-274
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    • 2019
  • Purpose: The purpose of this study was to identify the effects of psychological acceptance and social support on posttraumatic growth in stomach cancer patients. Methods: The questionnaires were administered from January 14 to February 11, 2015 to 123 subjects who had stomach cancer surgery six months prior. SPSS statistics 21.0 software was used to analyze the data for t-test, ANOVA, Pearson's correlations, Scheffé test and multiple regression analysis. Results: The results of this study are as follows: The major factors related to posttraumatic growth included gender (t=-2.72, p=.007), age (r=-.21, p=.016), having a religion (t=-3.40, p<.001), perceived importance of religion (r=.43, p<.001), seriousness of cancer diagnosis (r=.25, p=.005) and impact of cancer diagnosis (r=.32, p<.001). There were significant relationships between psychological acceptance (r=.18, p=.041) and social support (r=.32, p<.001) on posttraumatic growth. Significantly influential factors of posttraumatic growth were age (β=-.19, p=.021), perceived importance of religion (β=.41, p<.001) and family support (β=.29, p<.001), which together accounted for 36.5% of the variance in posttraumatic growth. Conclusion: The result of current study indicated that age, importance of religion, and family support influenced posttraumatic growth. Based on the findings of this study, developing nursing intervention programs focusing on increasing posttraumatic growth in stomach cancer patients is recommended.

항암화학요법을 받는 부인암 환자의 외상 후 성장 영향 요인 (Factors Influencing Posttraumatic Growth of Gynecologic Oncology Patients Undergoing Chemotherapy)

  • 윤선정;김혜영
    • 여성건강간호학회지
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    • 제25권4호
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    • pp.409-422
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    • 2019
  • Purpose: The purpose of this study was to investigate the factors impacting the posttraumatic growth (PTG) factors during chemotherapy in gynecologic oncology patients. Method: The data were collected at six hospitals at a university hospital, general hospital, women's hospital, and 3 oncology hospitals in D metropolitan city. The participants of the study were 135 female patients undergoing chemotherapy for their gynecologic oncology. To identify the factors that influence PTG, we used the questionnaires for the family support, sexual distress, health promoting behavior, and PTG. Results: There was a significant positive correlation between family support and health promoting behavior and PTG. There was significant negative correlation between sexual distress and PTG. Factors impacting the PTG of gynecologic oncology women undergoing chemotherapy were age, recurrence, family support, sexual distress, and health promoting behavior. These factors accounted for 47.0% of PTG. Conclusion: It is necessary to develop and apply programs that include sexual distress management education, and health promotion with families. PTG programs for gynecologic oncology patients undergoing chemotherapy should be approached considering these results.

공군 조종사의 소명의식과 외상 후 성장의 관계 - 인지적 정서조절의 매개효과와 변혁적 리더십의 조절효과 - (The Relationship between Calling and Posttraumatic Growth of the Air Force Pilot - Mediating Effect of Cognitive Emotion Regulation and Moderating Effect of Transformational Leadership -)

  • 이아람;손영우;설정훈
    • 한국항공운항학회지
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    • 제29권3호
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    • pp.1-14
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    • 2021
  • This study examined the mediating role of cognitive emotion regulation in the relationship between calling and posttraumatic growth (PTG) and the moderating role of transformational leadership among Air Force pilots. A total of 215 ROK Air Force pilots participated in this study twice with an interval of 4 weeks. The results of this study were as follows. First, calling, transformational leadership, adaptive emotion regulation, and PTG showed statistically significant correlations. Second, a mediating model showed that the relationship between calling and PTG was mediated by adaptive emotion regulation. Third, the moderation effect of transformational leadership in the relationship calling on adaptive emotion regulation was found. Finally, transformational leadership also moderated the mediating effect of calling on PTG through adaptive emotion regulation was identified. Implications, limitations, and future research suggestions were discussed.

지진 피해자의 외상 후 성장에 영향을 미치는 요인들 간의 구조모형 (A Structural Equation Model of Factors Influencing Posttraumatic Growth of Earthquake Victims)

  • 곽민영
    • 지역사회간호학회지
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    • 제30권3호
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    • pp.345-356
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    • 2019
  • Purpose: The purpose of this study is to construct and test a structural equation model of posttraumatic growth (PTG) of earthquake victims based on Tedeschi and Calhoun's model (2004). Methods: Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination (${\beta}=.58$, p<.001), resilience (${\gamma}=.18$, p=.001), and distress perception (${\gamma}=.20$, p=.002). These predictors explain 51.8% of variance in posttraumatic growth. Conclusion: Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.

관상동맥질환자의 건강 임파워먼트, 배우자지지, 외상 후 성장이 건강증진행위에 미치는 영향 (Influence of Health Empowerment, Spousal Support, and Post-traumatic Growth on Health Behavior in Patients with Coronary Artery Disease)

  • 정은;이경심;양승경;조장현
    • Journal of Korean Biological Nursing Science
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    • 제24권2호
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    • pp.113-121
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    • 2022
  • Purpose: The purpose of this study was to identify influence of health behavior in patients with coronary artery disease. Methods: A cross-sectional descriptive design included 150 patients treated with percutaneous coronary intervention in S hospital in S city. Data were collected by using self-questionnaires July 5-August 26, 2021 and were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression with SPSS 23.0. Results: Factors significantly influencing health behavior in patients with coronary artery disease were health empowerment (β = .48, p< .001), and post-traumatic growth (β = .20, p= .013). The explanatory power of related variables was 39%. Conclusion: Based on the this study, it was found that health empowerment and post-traumatic growth had a significant effect on the health behavior of patients with coronary artery disease. Thus, it is necessary to promote the health behavior of patients with coronary artery disease through the development of intervention programs to improve health empowerment and post-traumatic growth.

중년후기 여성의 외상 후 성장, 노화불안, 영성이 성공적 노화에 미치는 영향 (Impact of Posttraumatic Growth, Aging Anxiety and Spirituality on Successful Aging in Late Middle-aged Women)

  • 이은정;안혜경;성미혜
    • 동서간호학연구지
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    • 제29권1호
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    • pp.6-14
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    • 2023
  • Purpose: The purpose of this study was to determine effects of posttraumatic growth, aging anxiety, and spirituality on successful aging in late middle-aged women. Methods: Participants were 128 late middle-aged women. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression with SPSS WIN 23.0 program. Results: Results showed that significant factors influencing successful aging were spirituality and monthly income. This regression model explained 21.4% of the variance in successful aging. Conclusion: These results provided the basic data for establishing an intervention strategy to increase the level of successful aging of middle-aged women. In addition, the results suggested that development of a nursing intervention program is in need.