• Title/Summary/Keyword: Psychosocial Adaptation

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The Relationships among Resilience, Family Support, and Diabetes Adaptation in Children with Diabetes Mellitus (당뇨 환아의 극복력, 가족지지와 질병적응의 관련성)

  • Kim, Yongmi;Bang, Kyung-Sook
    • Perspectives in Nursing Science
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    • v.14 no.1
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    • pp.21-31
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    • 2017
  • Purpose: This study was conducted to identify the disease adaptation and related factors for the pediatric patients with diabetes mellitus. Methods: Participants in this study were 75 diabetic children or adolescent whose age were 10 to 18 years old visited the out-patient clinic in one general hospital located in Seoul. Data were collected using self-report questionnaires. Research tools measuring resilience, family support, psychological adaptation, Hemoglobin A1c (HbA1c) protein were used. Results: Resilience showed significant differences according to the age, gender, academic achievement, and hospitalization experience of the children. Family support was significantly different according to the age, religion, academic achievement, fathers' education level, and hospitalization experience of the children. Psychological adaptation to diabetes showed significant differences according to academic achievement. HbA1c was shown to be significant difference according to fathers' education level and hospitalization experience of the children. Positive correlations were identified among resilience, family support, and psychosocial adaptation, while negative correlations were found between HbA1c and all others including resilience, family support, and psychosocial adaptation. Conclusion: This study suggests that the educational programs as nursing intervention needs to be developed to enhance the resilience and family support for the pediatric diabetic patients.

Psychosocial Adjustment of Adolescents with Hematologic : Self-integration from Deviated Life (혈액종양이 있는 청소년의 사회심리적 적응:이탈되어진 삶에서 자아통합 해나가기)

  • Son, Sun-Young
    • Child Health Nursing Research
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    • v.15 no.3
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    • pp.282-290
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    • 2009
  • Purpose: The main purpose of this study was to observe the adaptation experience process of adolescents with hematologic malignancies. Methods: The Grounded Theory Method, developed by Strauss & Corbin (1998), was used in this study. The data were collected through in-depth. interviews with 10 adolescents with cancer. Data collection and analysis occurred concurrently. Theoretical sampling technique was used until the data reached saturation. Results: "A deviated life" was verified as the central phenomenon for adolescents with cancer. The adaptation experience process was divided into 3 steps: "Self-confusion", "Reinterpretation", and "Regeneration of self". Through these 3 steps, the adolescents with hematologic malignancies fitted a new life by self-integration. Conclusion: The results of this study provide a frame for individualized nursing intervention strategies in helping with the psychosocial adaptation of adolescents with hematologic malignancies.

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The Impact of Psychosocial Health and Self-nurturance on Graduate Nurse Experience (신규간호사의 사회심리적 건강과 자기 돌봄이 실무 적응 어려움에 미치는 영향)

  • Lee, Ji Yun;Lee, Mi Ja;Pak, So Young
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.5
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    • pp.459-468
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    • 2015
  • Purpose: The purpose of this study was to identify the effect of Psychosocial health and Self-nurturance on the experience of new graduate nurses. Methods: A cross-sectional survey design was used. The participants in this study were 149 nurses who had less than 12 months of nursing experience and were working at one of 4 general hospitals. The data were collected by a self-administered questionnaire from Nov. 2012 to Oct. 2014. Results: The total mean score for Psychosocial health was $3.07{\pm}0.60$, Self-nurturance, $3.38{\pm}0.44$, and graduate nurse experience, $2.59{\pm}0.27$. The effect of Psychosocial health and Self-nurturance predicted 23% of variance in graduate nurse experience. Conclusion: These results indicate that Psychosocial health and Self-nurturance have a positive relationship to graduate nurse experience. Therefore, further studies including approaches that support Psychosocial health and Self-nurturance are recommended to help in the adaptation of newly graduated nurses to clinical settings.

Structural Equation Model for Psychosocial Adjustment in North Korean Adolescent Refugees

  • Lee, Insook
    • Child Health Nursing Research
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    • v.24 no.3
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    • pp.287-297
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    • 2018
  • Purpose: This study aimed to identify variables influencing the psychosocial adjustment of North Korean adolescent refugees in order to establish a structural equation model and design an intervention strategy to improve psychosocial adjustment. Methods: The subjects included 290 North Korean adolescent refugees aged 16~24 years who were enrolled in alternative schools or regional adaptation centers. They were surveyed using a structured questionnaire. Results: The goodness of fit measures of the model were as follows: $x^2=131.20$ (p<.001), GFI=.93, CFI=.91, TLI=.86, RMSEA=.08, and SRMR=.07. The results estimated from the structural equation model indicated a good fit of data to the hypothesized model, which proposed that stress and emotional intelligence are associated with psychosocial adjustment. The major variables influencing psychosocial adjustment were stress, emotional intelligence, which was a significant direct effect, whereas attitude of parenting showed an indirect effect on psychosocial adjustment through emotional intelligence. These variables account for 50.0% of psychosocial adjustment. Conclusion: It is necessary to develop a program and intervention plan that can enhance emotional intelligence and thereby relieve the stress of North Korean adolescent refugees. The program should also include parenting education so that parents have positive attitude of parenting.

Factors Influencing Psychosocial Well-Being in Family Caregivers of People with Amyotrophic Lateral Sclerosis (근위축성측삭경화증 가족 돌봄제공자의 심리사회적 안녕감에 영향을 미치는 요인)

  • Chu, Hyeon Sik;Tak, Young Ran;Kim, Seung Hyun
    • Journal of Korean Academy of Nursing
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    • v.48 no.4
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    • pp.454-464
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    • 2018
  • Purpose: The purpose of this study was to identify factors influencing psychosocial well-being in family caregivers of patients with amyotrophic lateral sclerosis (ALS). Methods: A descriptive correlational design was used. The transactional model of stress and coping was used to investigate the psychosocial well-being of 137 family caregivers of patients with ALS. Data were collected through self-reported questionnaires from January to November 2016. Data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis with the SPSS WIN 21.0 program. Results: The regression model had an adjusted $R^2$ of .49, which indicated that meaning-focused coping, social support, ALS patient-family caregiver relationship (especially a spousal relationship), and tracheostomy were significant predictors of caregivers' psychosocial well-being. Conclusion: Meaning-focused coping and social support significantly influenced caregivers' psychosocial well-being. Therefore, interventions to improve caregivers' psychosocial well-being must focus on increasing meaning-focused coping and social support resources.

Structural Model Analysis of Individual and Environmental Factors of Korean Language Ability of Multicultural Children

  • Kim, Jae-Nam
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.11
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    • pp.241-249
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    • 2022
  • The purpose of this study is to analyze and verify the effects of multicultural children's psychosocial adaptation, bicultural experience, parental support and parenting attitudes, and school activities on the development of Korean language ability using data from the second stage of the MAPS(Multicultural Adolescents Panel Study) using a structural equation model. The subjects of this study were 396 children from foreign families and mid-immigrant families, multicultural children who were enrolled in the fourth grade of elementary school in 2019. As a result of the study, it was found that psychosocial adaptation, bicultural experience, and school activities directly or indirectly significantly affect the ability of multicultural children to speak and understand Korean. In particular, it was found that school activities have a direct effect on the improvement of the Korean language ability of multicultural children, so it was understood that the support of friends and teachers should be treated as very important parts of educational activities in the educational field. These results mean that the most ideal educational environment that affects the development of Korean language skills must be necessarily reflected in the Korean language education policy for multicultural children.

Association between Psychological Characteristics of Adult-Children of Alcoholics and Psychosocial Problems (알코올중독자 가정 청소년 자녀의 성인아이성향과 심리사회적 문제)

  • Park, Hyun-Sun;Lee, Sang-Gyun
    • Korean Journal of Social Welfare
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    • v.46
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    • pp.118-144
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    • 2001
  • To examine association between psychological characteristics of Adult-Children of Alcoholics and psychosocial Problems was a purpose of this study. The data were collected on a written questionaire completed 765 adolescents who were consisted of children of alcoholic and nonalcoholic parents. Parental alcoholism was established using CAST and psychosocial problems were assessed by Youth Self Report. Psychological characteristics of ACOA were identified by Adult Children of Alcoholics Screening Test. This study showed that children of alcoholics possess distinct psychological characteristics and they have experienced a variety of psychosocial problems. Hierarchical regression analysis was conducted in order to determine the extent to which characteristics of ACOA affected on psychosocial problems. As a results, psychological characteristics of ACOA were significantly associated with them after controlling for the correlates of family structure, level of family functioning, and parental alcoholism. In addition, two group of ACOA were created on the basis of scores of ACAST. High-risk group had significantly higher YSR scores than low-risk group and it revealed that clinical intervention was needed for many adolescents in high-risk group. The results underscored the importance of ACOA syndrome in adaptation of children with alcoholic parents and suggested the need of future research focusing on development process of subtypes of ACOA.

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The Influence of Mentoring Function on Department Adaptation of University Students in a Fashion Related Department -The Moderating Role of Self-efficacy and Mentor Competence- (멘토링 기능이 패션 관련 학과 대학생의 학과적응에 미치는 영향 -자기효능감과 멘토역량의 조절효과-)

  • Park, Hyun Hee;Lee, Seung Min
    • Journal of the Korean Society of Clothing and Textiles
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    • v.36 no.10
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    • pp.1074-1086
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    • 2012
  • This study examines the influence of mentoring function on major adaptation of university students in a fashion related department and identifies the moderating role of self-efficacy and mentor competence on the effectiveness of a fashion mentoring function. Questionnaire data were gathered from 266 university students in a fashion related department with previous experience in a mentoring program. The results showed that the psychosocial function, sensitivity developmental function, and the fashion career developmental function had a positive impact on the department adaptation (adaptation for professor and adaptation for learning). In addition, there were moderating effects of self-efficacy on the influence of the fashion career developmental function on professor adaptation and the moderating effects of mentor competence on the influence of the sensitivity developmental function on professor adaptation. The results of this study provide various guidelines for professors or administrators of fashion related departments who are interested in mentoring systems.

Psychological Adaptation in Pregnancy and Perception of Birth Experience (임부의 사회심리적 적응과 분만경험 지각에 대한 연구)

  • 안숙희;박영숙
    • Journal of Korean Academy of Nursing
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    • v.22 no.2
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    • pp.157-173
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    • 1992
  • The purposes of study were to investigate the prenatal psychological adaptation and the perception of birth experience, and to identify the relationship between them. The subjects consisted of 162 women who visited the obstetrical outpatient clinic for prenatal examinations and who delivered the in babies at SNUH during the period from June 20 to August 10, 1990. The tools used for measurement were Lederman's Prenatal Self Evaluation Questionnaire and Marut & Mercer's scale of the Perception of Birth. The results are summarized as follows : 1. The orders and item means of psychosocial adaptation in pregnancy were the Acceptance of pregnancy(1.58). Identification of motherhood role(1.63). Relationship with husband(1.65) and Relationship with mother(1.67). The preparation for labor, concern for wellbeing of self and baby, and fear of pain, helplessness and loss of control were found to be less adaptive. 2. The level of the perception of the birth experience was mid-range(item mean : 3.22). The score of the perception of birth experience for primiparas was higher than for multiparas. However there was not a significant difference the groups. There were significant differences in the perception of the birth experience between certain general characteristics, namely, sex of the baby(p<0.05), type of delivery(p<0.005), and type of anesthesia(p<0.005). 3. There were significant differences in the perception of the birth experience between the groups below the mean and above the mean of concerti for wellbeing of self and baby, Fear of pain, Helplessness and loss of control, Relationship with husband and Identification of motherhood role (p<0.05). The perception of the birth experience was predicted by Fear of pain, Helplessness and loss of control (11%), Type of Delivery(6%), Concern for wellbeing of self and baby(3%), Preparation for labor(1%), sex of baby(1%), Relationship with mother(1%), Parity(1%) and Identification of motherhood role(1%). The Childbirth education should be revised to improve the psychosocial adaptation in pregnancy.

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Development of an Educational Program for Parents of Children with Epilepsy (간질아동 부모를 위한 교육 프로그램 개발)

  • Kim Myung-Ae;Shin Yeong-Hee;Park Yeong-Sook;Kim Yeon-Ha;Kim Hae-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.335-344
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    • 2003
  • Purpose: The purpose of this study was to develop an educational program for parents of children with epilepsy. Method: The first step was to survey the need for information and social support for these parents. The second step was to design the educational program based on the survey results, literature review, and the theory of chronic sorrow that provided a framework for understanding and working with people suffering a loss of health. Result: The information which these parents were most anxiously seeking was information on the causes of seizures, appropriate steps deal with seizures, and appropriate and supportive parental re]e for their children. The educational program for parents of children with epilepsy included understanding the responses to loss, increasing the parents' knowledge about how to care for their children, managing their stress, enhancing the psychosocial adaptation of children, and encouraging the participation of the family. Conclusion: The educational program developed by the researcher can used with parents of children with epilepsy, and is expected to enhance the psychosocial adaptation of these children.

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