• Title/Summary/Keyword: Perceived stigma

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Structural Equation Modeling on Health-Related Quality of Life in Adults with Epilepsy (성인 뇌전증 환자의 건강관련 삶의 질 구조모형)

  • Ko, Jeong Ok;Lee, Myung Ha
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.624-637
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    • 2017
  • Purpose: This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients' HRQoL. Methods: The selected subjects were 212 patients with epilepsy aged between 18 and 70 years who were currently receiving treatment from hospital, general hospital, and clinic. They were surveyed using a structured questionnaire. Results: The goodness of fit measures of the final hypothetical model were as follows: ${\chi}^2/df=2.51$, GFI=.91, AGFI=.90, CFI=.96, SRMR=.04, NFI=.93, and RMSEA=.08. The major variables influencing the HRQoL of adults with epilepsy were epilepsy self-efficacy, depression, social support, and side effects of anti-epileptic drugs (AEDs), which were significant in the mentioned order, whereas the duration of AEDs use and perceived stigma did not show any effects. Six variables accounted for 75.6% of HRQoL. Variables having a direct and total effect on the HRQoL of adults with epilepsy were the side effects of AEDs, social support, epilepsy self-efficacy, and depression, and those with an indirect effect were the side effects of AEDs and social support. Conclusion: It is necessary to accurately identify the side effects of AEDs in adults with epilepsy and accurately observe the physical changes caused by depression. In addition, it is imperative to establish an active and effective nursing intervention program to strengthen the self-efficacy of the patients and to improve their quality of life through social support provided by family members and medical professionals.

Entrepreneurial Costs as Determinants of the Decision on Getting Back From Self-Employment to Salary-Employment: A Social Psychological Approach (창업비용이 창업 후 재취업 (의사)결정에 미치는 영향: 사회심리학적 접근)

  • Lee, Juil;Kim, Sang-Joon
    • Korean small business review
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    • v.40 no.4
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    • pp.75-94
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    • 2018
  • This study captures the possibility that entrepreneurs can become an employee in a traditional organization (a company). Acknowledging that the career change from self-employment to salary-employment is not a trivial decision, we investigate how this career path can be made. As an exploratory approach, we take a social psychological perspective; in particular, we posit that entrepreneurial costs can affect the "getting-back" career decision. Given that career changes can be considered as a boundedly-rational choice, we claim that when the entrepreneurs are perceived as being stigmatized, these transaction-related costs will further engage in the "getting-back" career decision. To test these ideas, we sample 254 respondents from the database of Korea Education & Employment Panel (KEEP) and estimate the hazard ratio that an entrepreneur, who used to be an employee, becomes an employee with respect to entrepreneurial costs. With the results, we discuss how career changes (especially getting back to salary-employment) can be made through social evaluations of the entrepreneurs.