• Title/Summary/Keyword: Fighting spirit

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The Development and Evaluation of Web-based Flash Content for Fighting Spirit Promotion in Patients with Cancer (암 환자 투병의지 증진을 위한 플래시 콘텐츠 개발 및 평가)

  • Oh, Pok-Ja
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.395-405
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    • 2008
  • Purpose: The purpose of this study was to develop a Web-based flash content for fighting spirit promotion and to test its effect on cancer patients' fighting spirit. Methods: The 15-minute long Web-based flash content was developed using the following 5 process: analysis, planning, development, program operation and evaluation stages and utilized the multiple edition and revision processes from December 2005 to August 2006. The evaluation was done by one group pretest-posttest design. Study subjects were 17 cancer patients undergoing chemotherapy. The group were received a 2-week intervention, a day weekly, and measured the variables at baseline, 4 weeks later. The study was performed from August 2006 to February 2007 at a cancer center in Korea. Fighting spirit was measured by Mini-MAC(Mental Adjustment to Cancer). Data was analysed by descriptive statistics and paired t-test using SAS 9.13 program. Results: On the Web-based flash content, there are 4 menu bars that consisted of cancer diagnosis, symptom management, stress management, and cancer survivorship. The study group revealed significantly more fighting spirit than pre-test(t=-3.04, p=.008). Conclusion: This Web-based flash content can be utilized in psychosocial interventions for promoting fighting spirit in patients with cancer.

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Predictors of Fighting Spirit or Helplessness/Hopelessness in People with Cancer (암환자의 투병의지와 무력감 예측요인)

  • Oh, Pok-Ja;Lee, Yeon-Joo
    • Journal of Korean Academy of Nursing
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    • v.38 no.2
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    • pp.270-277
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    • 2008
  • Purpose: This study was done to identify predictors of the fighting spirit or helplessness/hopelessness in the patients' mental adjustment to cancer. Cancer patients' characteristics like performance status, metastasis and duration of diagnosis with demographic factors, spiritual support and social support were used as predictors of a fighting spirit or helplessness/hopelessness. Methods: A total of 124 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale and responded in a structured instrument about their characteristics, spiritual and social support. Results: The results of multiple regression analysis revealed that confidence in the supporter ($R^2=.114$, p=.000), duration of cancer diagnosis ($R^2=.041$, p=.000) and faith ($R^2=.030$, p=.000) were predictive of a fighting spirit ($R^2=.185$, p=.000); whereas, education ($R^2= .074$, p=.001), performance status ($R^2=.055$, p=.000), satisfaction with social support ($R^2=.046$, p=.000), and metastasis ($R^2=.037$, p=.000) were predictive of helplessness/hopelessness ($R^2=.202$, p=.000). Conclusion: Social support, spiritual support and disease related factors like metastasis, performance status, and duration of cancer diagnosis need to be considered in a psychosocial nursing intervention for a fighting spirit or helplessness/hopelessness.

The Relationship between Spirituality and Fighting Spirit among Cancer Patients in Korea (암환자의 영성과 투병정신과의 관계)

  • Kim, Joohyung;Lee, Suk Jeong;Lee, Won Hee
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.583-591
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    • 2005
  • Purpose: The purpose of this study was to examine the relationship between spirituality and a fighting spirit among the patients with cancer. Methods: The participants were 223 patients diagnosed stomach, colorectal or breast cancer, and who were in chemotherapy or follow up care. The study design was cross-sectional at the time of the data collection. The degree of spirituality was measured by the Korean version of WHOQOL Spirituality, Religiousness and Personal Beliefs (SRPB) Pilot Test Module, and fighting spirit was measured by the scores of Mental Adjustment to Cancer(MAC) scale. Results: The score of love appeared to be higher in the patients with follow up care than the patients with treatment(p<0.05) and the score of believing was much higher in patients with recurrence than the patients without (p<0.05). There was a statistically significant correlation among hope, believing, love, forgiveness and acceptance, and fighting spirit. In the multiple regression analysis, hope and believing explained much variance of the fighting spirit. Conclusion: These finding showed that the more hopeful and believing patients with cancer had higher scores of fighting spirit, which was known to be one of the most active coping style in adjusting to cancer.

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The Effects of Spirituality/Hope Promoting Programs on Fighting Spirit, Helplessness, Anxiety, and Self-care in People with Cancer (영성·희망증진 프로그램이 암 환자의 투병의지, 무력감, 불안 및 자가 간호행위에 미치는 효과)

  • Oh, Pok-Ja
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.65-76
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    • 2008
  • Purpose: The purpose of this study was to investigate the effect of a spirituality/hope promoting program on fighting spirit, helplessness, anxiety, and self-care behaviors. Methods: A nonequivalent control group pretest- posttest design was used. Study subjects were 22 cancer patients undergoing chemotherapy for the experimental group and 31 for the control group. The experimental group received a 4-week intervention, 30-50 minutes a day weekly. Variables were measured at baseline, 4 and 8 weeks later. Fighting spirit and helplessness were measured by MAC(Mental Adjustment to Cancer) and anxiety was measured by Hospital Anxiety and Depression scale. Self-care behaviors scale developed by Oh et al.,(1997) was used. Results: The experimental group revealed significantly more fighting spirit(t=-4.10, p=.000). more self-care behaviors(t=-5.91, p=.000). and less helplessness(t=3.94, p=.000). No difference, however, was found in anxiety between the two groups(t=.24, p=.861). Conclusion: These results suggested positive effects of a spirituality/hope intervention program. Helplessness decreased mainly through an increase in fighting spirit. Self-care behaviors increased mainly through an decrease in helplessness and increase in fighting spirit.

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Comparison of the Self-Care Behaviors according to Mental Adjustment to Cancer (암환자의 대응양식에 따른 자가간호행위 비교연구)

  • Oh, Pok-Ja
    • Asian Oncology Nursing
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    • v.9 no.2
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    • pp.136-144
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    • 2009
  • Purpose: This study was to compare the differences in self-care behaviors between the group with fighting spirit and the group with helplessness. Methods: This study utilized a cross-sectional descriptive design. A total of 97 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale by Watson et al. (1988) and Self Care Behaviors Scale by Oh et al. (1997). The data was analysed using frequency, percentage, t-test, ANOVA, Pearson's correlation and stepwise multiple regression. Results: Fighting spirit group were found to conduct self-care behaviors more compared to the helplessness group (t=3.346, p<.0001). The score of the self-care behaviors in fighting spirit group was 4.42 out of a total score of 7 and that of helplessness group was 3.85. There was a significant difference (p<.0001) in self-care behaviors according to the level of faith and performance status. Fighting spirit ($R^2$=0.120, p<.0001), performance status ($R^2$=0.078, p=.001) were predictive of self-care behaviors. Conclusion: Cancer patients' mental adjustment is correlated with the degree of self-care behaviors. Having fighting spirit is one of the most adaptive techniques that cancer patients could use in adjustment to the life with cancer.

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Effects of Spirituality Promoting Intervention on Spirituality, Social Support and Fighting Spirit among the Cancer Patients (영성 증진 중재가 암환자의 영성, 사회적 지지 및 투병정신에 미치는 효과)

  • Kim, Joo Hyong;Lee, Suk Jeong;Roh, Jae Kyung;Yoon, Jeong Soon;Lee, Won Hee
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.240-250
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    • 2006
  • Purpose: This study examined the effects of spirituality promoting intervention for the stomach and colon cancer patients. Method: A quasi- experimental design was used. Data collection was carried out from April 2004 to June, 2004 at a cancer center in Korea. The intervention included pray, meditation, group education and discussion for coping with cancer. The experimental group were received a 1-hour intervention per week for 6 weeks, while the control group received usual care. Data collection was done at pre and post intervention. The degree of spirituality was measured by the Korean version of WHOQOL-SRPB pilot test(WHO Quality of Life-Spirituality, Religiousness and Personal Beliefs pilot test) Module, and social support was measured using scores on a PRQ 85(Personal Resources Questionnaire). Fighting spirit was measured by the scores of MAC(Mental Adjustment to Cancer) scale. Results: The experimental group showed significant increase in the scores of social support and fighting spirit compared to those in the control group after the intervention. There were no significant changes in terms of the spirituality score compared to the baseline score in the experimental group and the control group. Conclusion: This intervention appeared to be effective in increasing social support and fighting spirit, which considered to be very helpful in cancer adjustment.

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Correlation between Mental Adjustment to Cancer and Anxiety (암환자의 대응양식과 불안과의 관계)

  • Oh, Pok-Ja
    • Asian Oncology Nursing
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    • v.9 no.1
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    • pp.23-30
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    • 2009
  • Purpose: This study was to identify the relationship between mental adjustment to cancer and anxiety. Method: This study used a cross-sectional descriptive design. A total of 124 ambulatory cancer patients completed the Mental Adjustment to Cancer (MAC) scale and Hospital Anxiety and Depression Scale (HADS). Data were analyzed using descriptive statistics, t-test, ANOVA and Pearson correlation. Results: There was a significantly negative correlation between anxiety and fighting spirit which was adaptive adjustment to cancer (r=-0.29, p<0.001). However, anxiety had significantly positive correlation with helplessness/hopelessness (r=0.38, p<0.001), anxious preoccupation (r=0.55, p< 0.001), and fatalism (r=0.22, p<0.05) to cancer. Conclusion: Cancer patients' mental adjustment is correlated with the degree of the psychosocial distress. Anxious preoccupation and helplessness/hopelessness are the most maladaptive adjustments whereas fighting spirit is one of the most adaptive adjustment to cancer.

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The Existential Conscience and Steadfast Spirit of Characters in Nada and Writing on Blank Paper (6·25 동란 후의 소설 『백지의 기록』과 스페인 내전 후 소설 『무』의 등장인물들의 실존의식과 현실극복의지)

  • Song, Sun-ki
    • Cross-Cultural Studies
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    • v.33
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    • pp.121-141
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    • 2013
  • The purpose of this paper is to establish a methodology useful for identifying links between the postwar novels of Spain and Korea. We analyze the lives and actions of the characters from Nada by Carmen Laforet, and Writing on blank paper by Oh Sang Won. The characters in these novels demonstrate the challenge of adapting to the harsh reality of life because of the psychological or physical scars of war: characters such as Jungsub and Jungseo in Writing on blank paper and Juan and Andrea in Nada finally overcome their difficulties thanks to a shared sense of existential conscience and a steadfast fighting spirit; others, like Jungyun and Roman, surrender to the struggle and commit suicide, tragically succumbing to the bitter harshness of reality. Through the analysis of these novels' characters, we can empathize with the common tragedy of war-time life and death; we gain perspective on the destruction of both society and people caused by war.

A Plan Memoral Hall of loyal troops Resistance to Japan (항일의병기념관 계획)

  • Cha, Sang-Gi
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2007.11a
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    • pp.198-201
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    • 2007
  • Currently, both Korea and Japan have cooperated to get a foothold in economic major countries in the Asia through the various economic cooperation and the overcoming of cultural difference in cultural interchanges between two countries. However, in the present age, two countries are on the other road in historical view and conception; the final report over 3 year studies by the two countries' history study partnership commission shows the above views; while Korea has been in base of Japan colonialization's unjustification, Japan has been in base of its facts. The aboves have proved that Japan has not taken an honest self examination and conscience over the history. Accordingly, Japan resistance volunteer memorial is proposed as the educational place to carry down the martyr's holy patriotism in later ages and practice its spirit by learning the resistance volunteer resistance volunteer movement, which focused on resisting the Japan invasion and fighting the independence.

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Study on the Comparative Consideration of the Operative System of the Overseas Volunteer Fire Department (해외 의용소방대 활동의 운영체계 비교 고찰에 관한 연구)

  • Kim, Hyeong-Do;Lee, Si-Young
    • Fire Science and Engineering
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    • v.31 no.6
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    • pp.99-106
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    • 2017
  • This research investigated the improvement plan for Korean Volunteer Fire Department through comparative consideration of overall operation system of Japanese and U.S. Volunteer Fire Department. For this, the researcher utilized descriptive approach according to documentary survey method including relevant academic essay, advanced research report, national institution publication, fire fighting-related books, textbook for new comers of Japanese fire department, and overseas training report, etc., and suggested an improvement plan for efficient operation of Korean Volunteer Fire Department. Research results are, first, enhance the community spirit of local community and establish of the status of Volunteer Fire Department. second, enlarge the scope of the work of Volunteer Fire Department to rescue, emergency medical services. third, organize task force team which is in charge of professional field education and training for Volunteer Fire Department. fourth, improve individual reward system and establishment of Volunteer Fire Department's identity and reinforce financial support. The researcher expects the research results can be utilized as the basic materials for the development of Korean Volunteer Fire Department, henceforth.