• 제목/요약/키워드: Problem focused coping

검색결과 134건 처리시간 0.022초

유방암 환자의 스트레스 대응 능력 증진을 위한 심리사회적 중재 재발 및 효과: 예비연구 (Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors : A Pilot Study)

  • 김조자;허혜경;강덕희;김보환
    • 대한간호학회지
    • /
    • 제34권6호
    • /
    • pp.1069-1080
    • /
    • 2004
  • Purpose: The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies. Methods: One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks. Results: There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress. Conclusions: Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.

초등학생 어머니의 양육스트레스, 대처방식 및 한방진단시스템과의 연관성 연구 (Associations of PSI, WCC, and DSOM in Mothers of Elementary School Children)

  • 임정화;이인선;정인철;황보민;정민정
    • 동의신경정신과학회지
    • /
    • 제21권4호
    • /
    • pp.99-112
    • /
    • 2010
  • Objectives : This study was to investigate the associations of Parent Stress Index(PS]). Way of Coping Checklist(WCC). and Diagnostic System of Oriental Medicine(DSOM) in mothers of elementary school children. Methods: In the study. K-PSI-SF. WCC. and DSOM were carried out on 202 mothers of O Oelementary school children during June. 2010. Cross tabulation analysis was used to verify the association of PSI. WCC and DSOM. Results: 1. The most common pathogenic factor was Dampness(濕) in total subjects. 2. The score of problem-focused coping methods showed significant difference in PSI grades. 3. The zp and sc10 of Qi deficiency(氣虛), Blood deficiency(血虛), Qi-Stagnation(氣滯), Insufficiency of Yang(陽虛), Heat(熱), Dampness(濕), Dryness(燥), Liver(肝), Heart(心), and Kidney(腎) showed significant difference in PSI grades. 4. The score of total PSI and PSI subscale had negative correlations with problem-focused coping methods 5. The score of total PSI had positive correlations with Qi-Stagnation (氣滯), Dampness(濕), Dryness(燥), Heart(心), and Kidney(腎) in total subjects. Conclusions : This study provides insights on associations of parenting stress coping methods and diagnostic system in Oriental Medicine. Furthermore, the study shows positive correlations among Qi-Stagnation (氣滯), Dampness(濕), Dryness(燥), Heart(心), Kidney(腎) and PSI, and negative correlations between PSI and Problem-focused coping methods, all with statistical significance.

신생아집중치료실 간호사의 임종간호 스트레스, 대처방식 및 심리적 안녕감 (Stress due to End-of-Life Care, Coping Strategies, and Psychological Well-being among Nurses in Neonatal Intensive Care Units)

  • 권은희;주현옥;정은옥;한춘희;임진주;이유리;정민승;박소연
    • Child Health Nursing Research
    • /
    • 제24권4호
    • /
    • pp.475-483
    • /
    • 2018
  • Purpose: This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being. Methods: A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0. Results: The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association. Conclusion: In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

IT 종사자의 테크노스트레스가 직무소진에 미치는 영향: 스트레스 대처의 매개효과를 중심으로 (The Effect of IT Employee's Technostress on Job Burnout: Coping Strategies as a Mediator)

  • 이상원
    • 벤처창업연구
    • /
    • 제17권3호
    • /
    • pp.215-227
    • /
    • 2022
  • 디지털 전환 패러다임 속에 기업 내 IT 인력은 조직에 신기술 도입을 주도하고, 기술 축적, 개발 및 관리 등 IT 자산을 운용하는 핵심적 역할을 담당하고 있다. 하지만, 상대적으로 직무수명이 짧고 높은 이직률로 인해 기업들은 여전히 IT 인력의 부족이나 이직으로 인한 문제를 겪고 있다. 본 연구에서는 IT 종사자를 대상으로 테크노스트레스, 스트레스 대처 및 직무소진과의 관계를 파악하고자 한다. 이를 통해, IT 종사자에게 동기를 부여하고 업무 효율성을 높이기 위한 접근 전략을 제시하고자 하였다. 이를 위해 국내 IT 종사자를 318명을 대상으로 주요 변인 간 관계를 분석하였으며, 주요 분석결과를 제시하면 다음과 같다. 첫째, 테크노스트레스가 스트레스 대처에 미치는 영향 관계에서는 기술불확실성, 기술불안감이 문제 중심적 대처에 통계적으로 유의한 정(+)의 영향을 미치는 것으로 나타났다. 또한 테크노스트레스가 감정 중심적 대처에 미치는 관계에서는 기술복잡성, 기술불확신성, 기술불안감이 감정 중심적 대처에 모두 유의한 정(+)의 영향을 미치는 것으로 나타났다. 둘째, 스트레스 대처와 직무소진과의 관계에서는 문제 중심적 대처는 직무소진에 유의한 영향 관계는 나타나지 않았지만, 감정 중심적 대처는 직무소진에 정(+)의 관계가 나타났다. 마지막으로 테크노스트레스가 직무소진에 미치는 관계에서는 기술불확실성, 기술침해가 직무소진에 통계적으로 유의한 정(+)의 영향관계가 나타났다. 또한 스트레스 대처를 매개하는 간접경로 분석결과에서는 기술과부하와 기술복잡성은 감정 중심적 대처를 통해 직무소진에 간접효과를 미치는 것으로 나타났다. 이러한 연구결과는 디지털 전환 패러다임 속에서 IT자산의 효율적 운용과 경쟁력 강화의 핵심적 역할을 담당하는 IT 종사자에게 동기를 부여하고 업무효율성을 높이기 위한 조직차원의 전략적 접근 방향에 하나의 근거자료를 제시할 수 있을 것으로 기대한다.

성격특성이 스트레스 수준, 발생요인, 대처방식에 미치는 영향 : S고등학교 학생들을 중심으로 (The Effects of Personality Traits on Stress Level, Stressor, and Stress Coping Style : Focused on S High School Students)

  • 조은현;이동형
    • 산업경영시스템학회지
    • /
    • 제40권3호
    • /
    • pp.107-115
    • /
    • 2017
  • The purpose of this study is to find and compare the differences in stress level, stressor, and coping style of high school students according to their personality traits. And to identify the personality traits contributing to stress reduction. The results of the study can be used as basic data for reducing the stress of adolescents to improve their academic achievement and maintain mental and physical stability. The questionnaire survey was conducted for 10 days from June 7 to June 16, 2017 for S high school students in Chungbuk Province. The study employed four measuring instruments as Ego-gram, Ok-gram, stressor scale, and stress coping type scale. Individual personality traits were classified into ego-states and ok-states in TA (Transactional Analysis). Stressors are classified into 5 categories (school life, home life, human relationship, myself, environment) and stress coping styles are classified into 4 categories (problem-focused coping, social-support coping, feeling-focused coping, hope-thinking coping) used in the previous studies. The collected data were analyzed using T-test, ANOVA, and multiple regression analysis. As a result, the stress level of high school students showed significant differences according to sex, year, grade, sleeping time, personality traits, and coping styles. Personality traits that contributed to the stress increase were NP, AC, 'you positive', 'i negative' and personality trait that contributes to stress reduction is 'you negative.' Therefore, we can judge that individual personality traits have significant effects on stress level, stressor, and coping style and need to find the effective stress management method suitable for individual personality traits using counseling, repetition training, self-suggestion etc.

알코올중독자의 자녀를 위한 스트레스관리 프로그램이 정신건강상태와 스트레스 대처에 미치는 효과 (The Effects of a Stress Management Program on Mental Health and the Coping Behavior for the Children of Alcoholics)

  • 양승희;이평숙
    • 대한간호학회지
    • /
    • 제35권1호
    • /
    • pp.77-86
    • /
    • 2005
  • Purpose: The purpose of this study was to examine the effects of a stress management program on mental health and coping behavior for children of alcoholics. Method: Data was collected from January to February, 2003. The subjects were 20 adolescents from 13 to 18 years old. Data was analyzed using descriptive statistics, chi-square test, and t-test with the SAS program. Result: There were statistically significant differences in mental health, active coping, positive cognitive restructuring, and support-seeking for problem solving between the experimental group and the control group. Conclusion: The stress management program helped children of alcoholics by enhancing self-esteem, providing information about alcohol, and improving emotional and problem focused coping abilities. This eventually enhanced mental health.

마음챙김명상 프로그램이 유방암 환자의 스트레스 지각, 대처방식 및 스트레스 반응에 미치는 효과 (Effects of Mindfulness Meditation Program on Perceived Stress, Ways of Coping, and Stress Response in Breast Cancer Patients)

  • 강광순;오상은
    • 대한간호학회지
    • /
    • 제42권2호
    • /
    • pp.161-170
    • /
    • 2012
  • Purpose: Purpose of this study was to examine the effects of the Mindfulness Meditation program on perceived stress, ways of coping, salivary cortisol level, and psychological stress response in patients with breast cancer. Methods: This was a quasiexperimental study with a non-equivalent control group pre-post test design. Participants in this study were 50 patients who had completed breast cancer treatment (experimental group, 25, control group, 25). The experimental group received the Mindfulness Meditation program for 3 hours/session/ week for 8 weeks. Data were analyzed using $X^2$-test and t-test for subject homogeneity verification, and ANCOVA to examine the hypotheses. Results: The experimental group had significantly lower scores for perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response compared to the control group. However, no significant differences were found between two groups for the scores on problem focused stress coping. Conclusion: According to the results, the Mindfulness Meditation program was useful for decreasing perceived stress, emotional focused coping, salivary cortisol level, and psychological stress response. Therefore, this program is an effective nursing intervention to decrease stress in patients with breast cancer.

노인대상자의 비전문 간호제공자가 경험하는 소진예측요인 : Discriminant Analysis를 이용한 분석 (Predictors of Burnout among Informal Caregivers of Older Adults ; Using Discriminant Analysis)

  • 이해정;송라윤
    • 대한간호학회지
    • /
    • 제29권3호
    • /
    • pp.585-595
    • /
    • 1999
  • The purpose of this study was to examine the predictors of burnout among informal caregivers of older adults. One hundred thirty seven caregivers who had provided care to older adults over 60 years of age for more than one month were included in the study. Most of the caregivers were white (91%) and female (78%). Mean ages of the caregivers were 64 years and 78% of them were married. Seventy percent of the older adults suffered from Alzheimer and related disease. In this study, caregivers reported that they experienced burnout once a month. The scores of emotional exhaustion and reduced personal accomplishment of the caregivers were in the moderate burnout range. To examine the predictors of burnout, discriminant analysis was used. Caregivers were divided by two groups based on the sum of scores (cutpoint=6) on three dimensions of burnout after each dimension was categorized into high(3), moderate(2), and low(1). Nine predictors were included in the analysis : Caregiver's age, employment status, Instrumental Activities of Daily Living (IADL) of the older adult, presence of dementia of the older adult, caregiver's empathy toward the older adult (emotional and cognitive), and 3 coping strategies (negative, problem-focused, cognitive reconstructioning). Caregivers who reported high burnout showed higher cognitive empathy toward the older adults than those who showed low burnout. Caregivers who experienced high burnout used negative coping more often, and cognitive reconstructioning coping and problem focused coping less often than their counterparts. Wilks' Lambda was .78 indicating that differences between the two groups were significant. Cognitive empathy and cognitive reconstructioning coping showed high standardized canonical discriminat function coefficients over .40. Discriminant function with 9 predictors correctly classified 71% of the sample. In conclusion, informal caregivers also experienced certain level of burnout. Cognitive empathy and coping strategies predicted burnout experience of the caregivers. Based on this study, nursing intervention to the informal caregivers to improve their cognitive empathy toward the older adults and to modify their coping strategies in a way to reduce burnout experience can be applied. Further research to develop effective nursing interventions for the purpose of reducing burnout experience by modifying predictors was suggested.

  • PDF

고등학생의 시험 스트레스와 대처 유형에 관한 연구 (Test Stress and Coping Style of High School Students)

  • 배정이
    • 부모자녀건강학회지
    • /
    • 제10권2호
    • /
    • pp.158-171
    • /
    • 2007
  • Purpose: The purpose of this study is to describe the degree of test stress and coping style and their relationship of high school students. Method: A descriptive and correlative study has been conducted to report adolescents' test stress and coping style. Nine hundred fifty four high school students were participated in this study and collected data by visit-survey with an organized questionnaire. Results: The mean score of perceived test stress was 2.98. High school students were more frequently use the affective regulation coping style than problem focused coping style. The relationship between perceived test stress and affective regulation coping was statistically significant. Conclusion: Through this study, investigator found coping styles were important factors influencing test stress of high school students. This study also shows that a number of characteristics of the high school students significantly affect levels of test stress, the most notable of these factors being grade, sex, and academic performance. Therefore, consideration of test stress and coping style should be included in the development of a stress management program for high school students.

  • PDF

입원한 조기진통 임부의 불확실성이 불안에 미치는 영향: 불확실성 평가와 대처양상의 매개효과를 중심으로 (Impact of Uncertainty on the Anxiety of Hospitalized Pregnant Women Diagnosed with Preterm Labor: Focusing on Mediating Effect of Uncertainty Appraisal and Coping Style)

  • 김은미;홍세훈
    • 대한간호학회지
    • /
    • 제48권4호
    • /
    • pp.485-496
    • /
    • 2018
  • Purpose: This study aimed to test the mediating effect of uncertainty appraisal and coping style in the relation between uncertainty and anxiety in hospitalized pregnant women diagnosed with preterm labor. Methods: The participants were 105 pregnant women diagnosed with preterm labor in hospitals in Korea. Data were collected from July to October 2017. The measurements included the Uncertainty in Illness Scale, Uncertainty Appraisal Scale, Coping Style Scale, and State Anxiety Inventory. Data were analyzed using descriptive statistics, an independent t-test, correlation, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results: The mean score for anxiety was 2.29 out of 4.00 points and for uncertainty it was 2.46 out of 5.00 points. There were significant correlations among uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, problem-focused coping, emotion-focused coping, and anxiety. Uncertainty danger appraisal (${\beta}=.64$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=4.54, p<.001). Uncertainty opportunity appraisal (${\beta}=-.45$, p<.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=3.28, p<.001). Emotion-focused coping (${\beta}=-.23$, p=.021) had a partial mediating effect in the relation between uncertainty and anxiety (Z=2.02, p=.044). Conclusion: Nursing intervention programs focusing on managing uncertainty appraisal and improving emotion-focused coping are highly recommended to decrease anxiety in hospitalized pregnant women diagnosed with preterm labor.