• Asian Oncology Nursing
• /
• v.2 no.1
• /
• pp.5-16
• /
• 2002

Purpose: This study was to develop a stress-adaptation model for family caregivers of cancer patients that could provide the basis of planning nursing intervention. Method: A hypothetical model was developed using the family adaptation model proposed by Haley et al. (1987). In the literature, the stressor was identified as patient's characteristics, caregiver's characteristics, duration of illness, and family life events. It affected stress appraisal, family resources, family coping and finally caregiver's adaptation. In this model, 18 paths were constructed. Data were collected from 241 caregivers, whose family members were in treatment between June and August 2000, at 3 university hospitals and were analyzed by SPSS and LISREL programs. Results: 1) The overall fitness indices of the hypothetical model were x 2=267.78 (P= .0), GFI= .92, AGFI= .87, NFI= .93, NNFI= .93, PNFI= .64, PGFI= .55, and RMR= .43. Ten of the eighteen paths proved to be significant. 2) To improve the model fitness, the hypothetical model was modified considering modification indices and the paths proved not significant. Final model excluded 3 paths demonstrated to be improved by x2=161.96 (P= .00), GFI= .95, AGFI= .91, NFI= .96, NNFI= .96, and RMR= .23. Twelve of fifteen paths proved to be significant. 3) Stress appraisal was influenced by disease related characteristics and duration of illness and was explained 22% of the variance. Family resources were influenced by stress appraisal and was explained 57% of variance. Family coping was influenced by disease related characteristics, caregiver's characteristics, duration of illness, family life event, and stress appraisal and was explained 57% of variance. Family caregiver adaptation was influenced by disease related characteristics, caregiver's characteristics, stress appraisal, and family coping and was explained 31% of variance. Twelve of fifteen paths were significant. Conclusion: Based on this study, to help family caregivers to adapt, individual intervention is necessary with consideration of disease related and caregiver's characteristics and duration of illness. The intervention should include efforts to raise the family resources and to identify positively the stress they encounter, and there is a need to establish an adaptation model that considers emotional aspects of family caregivers. Since there is a difference in emotional status depending on the disease stage, a study needs to be done to analyze the differences among the disease stages (diagnosis, treatment, recurrence, and terminal stages).

• Proceedings of the Korean Society of Precision Engineering Conference
• /
• 1995.10a
• /
• pp.740-743
• /
• 1995

The analysis model is the power law creep material containing an elliptical rigid inclusion subjected to the arbitrarily directional stress on infinite boundary. The stress analysis is performed using the conformal mapping function and complex pseudo-stress function. The stress distributions near an elliptical rigid inclusion are obtained with various ellipse shapes, strain hardening exponents and directions of applied stress.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.21 no.2
• /
• pp.169-182
• /
• 2005

The purpose of this study was to compare the stress distribution around the surrounding bone according to the splinted and non-splinted conditions on the finite element models of the two implant crowns with the different vertical bone level. The finite element model was designed with the parallel placement of the two fixtures ($4.0mm{\times}11.5mm$) with reverse buttress thread on the mandibular 1st and 2nd molars. As the bone quality, the inner cancellous bone and the outer 2 mm cortical bone were designed, and the cortical and cancellous bone were assumed to be perfectly bonded to the implant fixture. The splinted model(Model 1) had 2 mm contact surface and the non-splinted model(Model 2) had $8{\mu}m$ gap between two implant crowns. Two group (Splinted and non-splinted) was loaded with 200 N magnitude in the vertical and oblique directions on the loading point position on the central position of the crown, the 2 mm and 4 mm buccal offset point from the central position. Von Mises stress value was recorded and compared in the fixture-bone interface in the bucco-lingual and mesio-distal sections. The results were as follows; 1. In the vertical loading condition of central position, the stress was distributed on the cortical bone and the cancellous bone around the thread of the fixture in the splinted and non-splinted models. In the oblique loading condition, the stress was concentrated toward the cortical bone of the fixture neck, and the neck portion of 2nd molar in the non-splinted model was concentrated higher than that of 1st molar compared to the splinted model. 2. In the 2 mm buccal offset position of the vertical loading compared to the central vertical loading, stress pattern was shifted from apical third portion of the fixture to upper third portion of that. In the oblique loading condition, the stress was distributed over the fixture-bone interface. 3. In the 4 mm buccal offset position of the vertical loading, stress pattern was concentrated on the cortical bone around the buccal side of the fixture thread and shifted from apical third portion of the fixture to upper third portion of that in the splinted and non-splinted models. In the oblique loading, stresses pattern was distributed to the outer position of the neck portion of the fixture thread on the mesio-distal section in the splinted and non-splinted models. Above the results, it was concluded that the direction of loading condition was a key factor to effect the pattern and magnitude of stress over the surrounding bone of the fixture under the vertical and oblique loading conditions, although the type with or without proximal contact did not effect to the stress distribution.

• Journal of Korean Academy of Nursing
• /
• v.43 no.6
• /
• pp.812-820
• /
• 2013

Purpose: The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958). Methods: Data were collected from July 10 to September 30, 2012 through direct interviews and a self -report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout). Results: Goodness of fit in the hypothetical model was ${\chi}^2=174.07$, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout. Conclusion: The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

• Journal of Family Resource Management and Policy Review
• /
• v.17 no.1
• /
• pp.179-198
• /
• 2013

The purpose of this study was to analyze the impact of parental resources and parenting stress on parenting efficacy in low-income families Furthermore, in order to verify whether parental resources function as a resilience factor, a structural model was established to assess the suitability and influence of the variables. A total of 603 parents of children and adolescents between the ages of 9-18 were selected from the data from Children and Adolescents Comprehensive Status Research (2009) by the Ministry for Health, Welfare and Family Affairs. For the analyses, SPSS WIN 18.0 and AMOS 18.0 were utilized. The major results were as follows: First, the suitability of the model was confirmed with variables presenting a satisfying fit. Second, parental resources had a negative effect on parenting stress and a positive effect on parenting efficacy. Third, parenting stress had a negative effect on parenting efficacy. Finally, a test of the structural equation model supports the hypothesis that parental resources have a significant direct effect as well as an indirect effect through parenting stress on parenting efficacy. The implications for further studies and practice were discussed.

• Korean Journal of Child Studies
• /
• v.13 no.2
• /
• pp.175-188
• /
• 1992

This study investigated the relation between stressful life events and adjustment in elementary school children, with particular emphasis on the potential main and stress-buffering effects of social support and social problem solving skills. 4-6 graders (N=170) completed the Social Support Appraisals Scale(SSAS) and social problem solving skills task. The SSAS is a 31-item measure that taps the child's perceptions or appraisals of family, peer, and teacher support. Their parents provided ratings of stress in the child's environment and ratings of the child's behavioral adjustment. Teachers provided ratings of the child's behavioral and academic adjustment. Hierarchical multiple regression analyses and graphic display were used to analyze the data. The major findings were that (1) The results for parent-rated problems supported a stress-buffering model for family support and problem solving. (2) The results for teacher-rated problems were consistent with the stress-buffering model of social support. (3) The results for grade-point average supported a main effect model for problem solving. peer support, and family support. In addition, teacher support had the strongest stress-buffering effect on grade-point average.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.28 no.1
• /
• pp.70-79
• /
• 2022

Purpose: The purposes of this study were to develop and test a model for the effects of grit, gratitude disposition, and stress on the psychological well-being of nursing students during the Coronavirus-2019 pandemic. Methods: The data were collected from June 9 to June 27, 2021. A total of 286 nursing students responded to an online questionnaire. In the hypothesis's model, the exogenous variables were grit and gratitude disposition, and the endogenous variables were nursing students' stress and psychological well-being. Data were analyzed using the SPSS/WIN and AMOS programs. Results: The final model showed the following indices of goodness of fit: χ²=78.30, χ²/df=3.01, GFI=.95, CFI=.96, TLI=.94, SRMR=.05, and RMSEA=.08. Nursing students' psychological well-being was explained by their grit, gratitude disposition, and stress directly and indirectly, with these three variables explaining 56% of psychological well-being. Conclusion: This study identified factors affecting the psychological well-being of nursing students in a state of increased stress due to the COVID-19 pandemic. The results of this study can be a basis for developing and applying a program to enhance nursing students' psychological well-being.

• The Journal of Engineering Geology
• /
• v.29 no.4
• /
• pp.367-381
• /
• 2019

We investigate pore pressure conditions and reservoir compaction associated with oil and gas production using 3 different permeability models, which are all based on one-dimensional radial flow diffusion model, but differ in considering permeability evolution during production. Model 1 assumes the most simplistic constant and invariable permeability regardless of production; Model 2 considers permeability reduction associated with reservoir compaction only due to pore pressure drawdown during production; Model 3 also considers permeability reduction but due to the effects of both pore pressure drawdown and coupled pore pressure-stress process. We first derive a unified stress-permeability relation that can be used for various sandstones. We then apply this equation to calculate pore pressure and permeability changes in the reservoir due to fluid extraction using the three permeability models. All the three models yield pore pressure profiles in the form of pressure funnel with different amounts of drawdown. Model 1, assuming constant permeability, obviously predicts the least amount of drawdown with pore pressure condition highest among the three models investigated. Model 2 estimates the largest amount of drawdown and lowest pore pressure condition. Model 3 shows slightly higher pore pressure condition than Model 2 because stress-pore pressure coupling process reduces the effective stress increase due to pore pressure depletion. We compare field data of production rate with the results of the three models. While models 1 and 2 respectively overestimates and underestimates the production rate, Model 3 estimates the field data fairly well. Our result affirms that coupling process between stress and pore pressure occurs during production, and that it is important to incorporate the coupling process in the permeability modeling, especially for tight reservoir having low permeability.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.34 no.3
• /
• pp.813-820
• /
• 2014

This study presents a numerical modeling of mean flow and turbulence structures of partly-vegetated open-channel flows. For this, Reynolds-averaged Navier-Stokes equations with vegetation drag terms are solved numerically using the non-linear k-${\varepsilon}$ model. The numerical model is applied to laboratory experiments of Nezu and Onitsuka (2001), and simulated results are compared with data from measurement and computations by Kang and Choi's (2006) Reynolds stress model. The simulation results indicate that the proposed numerical model simulates the mean flow well. Twin vortices are found to be generated at the interface between vegetated and non-vegetated zones, where turbulence intensity and Reynolds stress show their maximums. The model simulates the pattern of the Reynolds stress well but under-predicts the intensity of Reynolds stress slightly.

• 한국전산유체공학회:학술대회논문집
• /
• 2000.10a
• /
• pp.135-140
• /
• 2000

Numerical calculations are carried out in order to evaluate the performance of low-Re Reynolds stress model based on SSG model for a swirling turbulent flow in a pipe. The results are compared with those of $\kappa-\epsilon$ model and GL model, and the experimental data. The finite volume method is used for the discretization, and the power-law scheme is employed as a numerical scheme. The SIMPLE algorithm is used for velocity-Pressure correction in the governing equations.