• 한국학교보건학회지
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• 제30권3호
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• pp.295-305
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• 2017

Purpose: This study was conducted to evaluate the effect of Mindfulness-based Emotion Management Training for adolescents immersed in self-harm behaviors. Methods: The participants were 61 middle school students located in Seoul. Thirty students were assigned to the Mindfulness-based Emotion Management Training (M-EMT) group and the other 31 students were assigned to the waitlist group. The students in the M-EMT group participated in a total of 12 sessions, twice a week, for 6 weeks. The modules of the program comprised of mindfulness for emotion, mindfulness for behavior/impulse, mindfulness for thought, and coping with self-harming behavior. The Distress Tolerance Scale, Deliberate Self-Harm Inventory, Cognitive Emotion Regulation Questionnaire, and Scale Suicidal Ideation were assessed at baseline and post-intervention. Results: Compared to the waitlist group, the intervention group exhibited a statistically significant improvement in distress tolerance and cognitive emotion regulation and a statistically significant reduction in self-harming behaviors and suicidal ideation. Conclusion: These results support the hypothesis that mindfulness-based emotional management training has a positive effect on reducing self-harming behaviors and enhancing distress tolerance and cognitive emotional regulation.

• 임상간호연구
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• 제28권1호
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• pp.76-87
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• 2022

Purpose: The purpose of this study was to examine the psychological distress related to quality of life (QoL) of patients with colorectal cancer receiving 5-fluorouracil (5-FU) chemotherapy at home with disposable Elastomeric infusion pumps. Methods: In this study, 179 colorectal outpatients were recruited between September 2019 and January 2021. National Cancer Center Psychological Symptom Inventory scores, general self-efficacy, and the EORTC QLQ-C30 scores were measured. Data were analyzed using Independent t-test, One-way ANOVA with Bonferroni post hoc analysis, and hierarchical multiple linear regression with the SPSS/WIN 26.0 programs. Results: The overall prevalence of psychological distress was 52.0% in colorectal patients. In multiple regression, psychological distress (β=-.20, p=.005), appetite loss (β=-.20, p=.001), chemotherapy cycles (β= .19, p=.002), fatigue (β=-.16, p=.035), physical functioning (β=-.16, p=.024), and emotional functioning (β=-.15, p=.025) were significant factors of QoL, and the final model explained 45.0% of the total variance of QoL. Conclusion: Supporting patients toward decreased psychological distress and increased physical and emotional functioning, especially in the first or second cycle of chemotherapy, could be used to improve their QoL. To consider the thresholds for clinical importance, it is necessary to increase the interpretation of psychological distress in clinical practice and further research.

• 한국간호교육학회지
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• 제26권2호
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• pp.176-184
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• 2020

Purpose: We explored emergency nurses' experiences of coping with moral distress. Methods: A qualitative research design was used. We conducted in-depth interviews with 11 nurses working at a regional emergency medical center in South Korea. Data were analyzed using conventional content analysis. Results: The main theme of nurses' coping with moral distress was "a passive emotion-based response." We also extracted three categories of coping strategies: "uncritical adaptation to anguished situation," "self-justification for not acting," and "flight from ethical decision making." Conclusion: Nurses coped with moral distress in a passive and emotional way, possibly because of perceived incompetence and compliance to an organizational hierarchy. The findings imply that effective approaches to addressing moral distress in emergency nurses are needed at the individual and organizational levels.

• 대한안전경영과학회지
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• 제15권2호
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• pp.121-128
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• 2013

The objectives of this study were to investigate the degrees of emotional labor, the effects to organizational effectiveness and the significant factors influencing organizational effectiveness in radiation therapy professional. The subjects of this study were the radiation therapists working at the hospital in Seoul and Gyungi. The self-reported questionnaires were administered to 205 radiation therapists and the data were analyzed with SPSS 19.0 package. The level of emotional labor of single or female subjects were revealed higher than married or male. The professionalism of job has significant correlation with emotional labor. Significant explanatory variables of the degrees of emotional labor included organization culture, distress and self-leadership. These three variables demonstrated the explanatory power of 13.9% of the emotional labor. Based on the findings, emotional labor of radiation therapist was correlated with occupational professionalism. These results suggest that the intervention program intervening emotional labor should be continued to develop in order to improve the effective self-leadership, organization culture and distress factor.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.144-154
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• 2018

우울한 사람들은 슬픔에 빠져 있고 부정적인 측면에 대해 반추하므로 외부를 향한 관심이나 반응성은 저하되는 경향이 있다. 타인에 대한 관심과 반응성을 기반으로 하는 행동이라 볼 수 있는 공감에 있어서 우울한 사람이 어떠한 특성을 보일지에 대한 의문을 가지고, 본 연구에서는 146명의 온라인 대학생들로부터 자료를 얻어 공감과 우울의 관계에 대해 살펴 보았다. 상관분석 결과, 공감의 인지적 측면인 조망수용은 우울과 부적상관을 나타냈고, 공감의 정서적 측면 중 공감적 반응과 공감적 관심 역시 우울과 부적 상관을 나타냈다. 그러나 또 다른 정서 공감의 지표인 개인적 고통의 경우 우울과 정적상관을 나타냈다. 공감 관련 변인들을 예측변인으로 설정한 회귀분석에서는 조망수용이 우울에 부적 영향을, 개인적 고통이 우울에 정적 영향을 미치는 것으로 나타났다. 개인적 고통이 자기비난을 매개로 하여 우울에 영향을 미친다는 가설을 다중회귀분석과 Sobel 검사를 통해 확인해 보았는데, 자기비난은 개인적 고통의 정적 효과를 완전 매개하는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구의 함의와 제한점에 대해 논하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제27권4호
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• pp.629-659
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• 2021

본 연구는 코로나 19 팬데믹 시기동안 한국인이 겪는 정서적 디스트레스에 영향을 미치는 심리·사회적 요인의 영향력을 서로 다른 두 시점에서 비교하였다. 1차 조사시기는 WHO에서 코로나 19 팬데믹을 선언하고, 대구 경북지역이 특별재난지역으로 선정되었던 2020년 4월 13일부터 4월 21일까지이며, 연구참여자 600명의 자료를 수집하였다. 2차 조사시기는 전 세계적으로 코로나 19가 재확산되고, 수도권에서 처음으로 집단감염이 확산되면서 일주일동안 수도권에서만 확진자가 1,000명이 넘었던 시점인 2020년 8월 21일부터 9월 2일까지 진행되었다. 1차 조사의 연구참여자 중 482명이 2차 조사에 응하였으며, 모든 자료는 온라인 설문을 통해 수집되었다. 본 연구는 시점별로 개인특성요인, 코로나 19에 대한 두려움과 사회활동 제약요인, 대인관계갈등 및 수입감소 요인이 코로나 19로 인한 디스트레스(스트레스, 우울, 불안, 분노) 경험에 미치는 영향을 알아보기 위해 위계적 회귀분석을 실시하였다. 그 결과, 두시점 모두에서 정서적 디스트레스에 영향을 미치는 요인으로는 성별, 삶의 질, '코로나 19 관련 정보 수시 확인', '코로나 19 이후 삶을 예측할 수 없어 두려움', '병원 이용의 어려움'이 확인되었다. 시점1에서만 유의한 변인으로 '공적일정에 차질', 시점 2에서만 유의한 변인으로는 연령, 감염취약성, '개인일정에 차질'이 확인되었다. 이를 토대로 논의 및 시사점이 제시되었다.

• 간호행정학회지
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• 제12권1호
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• pp.131-139
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• 2006

Purpose: This study was carried out to understand the degree of moral distress of nurses and to provide scientific data for searching measures to efficiently manage their moral distress. Method: The survey was conducted with 302 nurses at the general hospital in City D by using the self-report type of questionnaire composed of 66 questions of 5-point Likert scale in four dimensions. Result: The mean scores of moral distress of nurses showed higher than average in all four dimensions: $80.54{\pm}14.82$ of 150 in the situational dimension, $52.99{\pm}9.98$ of 90 in the cognitive dimension, $13.30{\pm}2.85$ of 25 in the behavioral dimension, and $48.06{\pm}7.76$ of 65 in the emotional dimension. In addition, moral stress of each factor in the situational area showed $34.20{\pm}7.27$ in negative medical behavior, $10.98{\pm}2.53$ in lack of respect for autonomy of patients, excessive economic burden $10.86{\pm}2.94$, $7.40{\pm}1.89$ in irrational organizational administration and $17.10{\pm}3.50$ in negative nursing behavior. Conclusion: It is necessary to develop the intervention program to help nurses to reduce their moral distress since its degree showed considerably high.

• 기본간호학회지
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• 제15권4호
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• pp.495-503
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• 2008

Purpose: To date most research related to patients with breast cancer has discriminately investigated the status within or after the treatment although the patients demand holistic nursing care from the time of diagnosis. Thus, the purpose of this study was to investigate the trajectory of breast cancer diagnosis and patients' experiences in the pre-treatment period. Method: This qualitative study used qualitative thematic analysis. Nineteen Korean women who were diagnosed with breast cancer within the last 6 month participated in the study. Individualized interviews were conducted with each participant in a cancer center in K city. The interviews were tape-recorded, transcribed, and analyzed using the thematic analysis process. Results: The overriding theme was "the scattered life in an unforeseen swirl", which illustrates the participants' unexpected crisis with confusion and emotional distress. Two subthemes included "falling into an unavoidable journey", and "staggering in a muddle with urgency". The categories were "unexpected probability", "nagging nodularity", "ominous presentiment", "emotional upheaval", "bad thought intrusion", and "a sense of urgency". Conclusion: Patients in the pre-treatment period encountered utter emotional distress and a sense of urgency after being diagnosed breast cancer. Strategies to develop nursing care for patients in this period and nursing implications are discussed.

• 성인간호학회지
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• 제17권1호
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• pp.128-138
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• 2005

Purpose: As population of elderly people continues to grow, successful aging has risen to the top of the nursing science agenda. The successful aging includes maintenance of the cognitive and physical functions, as well as emotional well-beings. This study was carried out to evaluate effects of the environmental enrichments on cognition of institutionalized elderly. Method: The population was selected among the elderly aging over 65 residing at two of institutions. A quasi experimental design was used with non-equivalent control group. Study subjects were thirteen for each group. For the experimental group, physical, social and symbolic environmental enrichment program was provided for six weeks. The data were analyzed by repeated measure ANOVA and repeated measure ANCOVA using SPSS Win 11.0. Result: Compared to control group, the experimental group showed a significant difference on DSF(F=3.29, p=.046), and TMTA(F=4.76, p=.013) of cognitive function, and depression (F=5.56, p=.007) of emotional distress after 1 and 12 weeks of environmental enrichment program. Conclusion: Findings indicate that physical, social, and symbolic environmental enrichment was effective to partially prevent from cognitive decline, and to decrease emotional distress of elderly. As a nursing intervention, environmental enrichment program for elderly should be expanded for nursing practice to promote healthy aging and to offer support to the growing population of elderly. Further research should be conducted to evaluate the effect on the community elderly.

• Yonsei Medical Journal
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• 제59권9호
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• pp.1107-1114
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• 2018

Purpose: This study investigated the effectiveness of meaning-centered psychotherapy (MCP), which is known to be a helpful psychotherapeutic intervention in distressing conditions, for patients with pancreatobiliary cancer. Materials and Methods: We recruited 37 patients with pancreatobiliary cancer from three university general hospitals and assessed their psychological characteristics. Patients who reported clinically significant emotional distress were recommended to undergo MCP. Patients who consented to MCP were provided four sessions of the therapy. Patient psychological characteristics were assessed again 2 months after MCP. For statistical comparison, outcome variables included anxiety, depression, mental adjustment to cancer, and quality of life (QoL), as well as the degree of stress and physical symptoms. Results: Sixteen patients completed the MCP and the final assessment 2 months later. In the initial assessment, the patients receiving MCP showed higher levels of anxiety and depression than those not receiving MCP, and QoL was also lower in terms of role function, emotional function, social function, and global QoL. At the 2-month follow-up, the MCP group showed a significant improvement in anxiety (p=0.007), depression (p=0.010), and anxious preoccupation (p<0.001). In addition, QoL significantly improved in the MCP group, while there was no significant change in the non-MCP group. Conclusion: In this study, MCP showed potential therapeutic benefits against emotional distress in patients with pancreatobiliary cancer, improving their QoL.