• Title/Summary/Keyword: Self-Coping

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A Study on the Development of Self-help Program with Care Burden for Families with Demented Elderly Persons (치매노인 가족의 부양부담 경감을 위한 자조집단프로그램 개발)

  • Kim, Joung-Soon;Lee, Su-Ill;Kim, Ki-Tae;Park, Nam-Hee
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.260-269
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    • 2005
  • Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.

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Effect of Adolescents' Abuse Experience on Suicidal Ideation: Focused on Moderated Mediation Effect of Self-esteem on Depression and Anxiety (청소년의 학대경험이 자살생각에 미치는 영향: 자아존중감에 의해 조절된 우울 및 불안의 매개효과 분석)

  • Kim, Ji Young;Lee, Kyunghee
    • Journal of Korean Academy of Nursing
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    • v.45 no.5
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    • pp.752-760
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    • 2015
  • Purpose: The purpose of this study was to examine the moderating mediation effect of self-esteem on the relations among adolescents' abuse experiences, depression and anxiety, and suicidal ideation. Methods: The participants were selected using secondary data from a population in the 2012 Korea Welfare Panel Survey (KOWEPS). Data were analyzed using SPSS 15.0 and SPSS Macro, and bootstrapping and hierarchical regression analysis were performed to analyze multilevel models. Results: First, analysis of the mediating effect of the adolescents' abuse showed that there was significant mediating influence between suicidal ideation and depression and anxiety. Second, hierarchical regression analysis showed that self-esteem had significant mediation effect on depression and anxiety in adolescents' suicidal ideation. Third, SPSS Macro showed that self-esteem also significantly moderated the mediating effect of adolescents' abuse experiences on suicidal ideation through depression and anxiety. Conclusion: The study results suggest that in future research on adolescent's abuse experience, the risk of suicide in depression and anxiety scores should be selected through evaluation of each individual's self-esteem scale. Coping strategies with immediate early intervention should be suggested.

Effects of a Symptom Focused Self-Management Program on Symptom and Functional status, Health Perception, and Quality of Life of Patients with Chronic Heart Failure (인지적 의사결정에 근거한 증상별 자기관리프로그램이 만성 심부전 환자의 신체·기능상태, 건강지식 및 삶의 질에 미치는 영향)

  • Kim, Gi Yon
    • Korean Journal of Adult Nursing
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    • v.19 no.1
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    • pp.132-143
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    • 2007
  • Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

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Factors Affecting Emergency Response Ability of Caregivers (요양보호사의 응급상황대처능력 영향 요인)

  • Kim, Soon Ock
    • Journal of Korean Public Health Nursing
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    • v.36 no.1
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    • pp.59-74
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    • 2022
  • Purpose: This study aimed to identify the factors affecting the emergency response ability to develop an education program to strengthen the emergency response ability of caregivers having the highest probability of discovering emergency situations. Methods: This study is a descriptive research study conducted by 204 caregivers working in elderly care facilities and home care centers located in one area. The collected data were analyzed by independent t-test, one-way analysis of variance (ANOVA), Pearson's correlation, and multiple linear regression using the Statistical Package for the Social Sciences (SPSS) 25.0 statistical program. Results: First aid knowledge was related to work time (F=3.52, p=.008), number of care people (F=2.58, p=.038), workplace (F=6.76, p=.001), and self-efficacy (F=3.70, p=.026), and the ability to cope with emergency situations showed a statistically significant difference in education level (F=3.58, p=.015). There was a positive correlation between self-efficacy and emergency response ability (r=.179, p<.05), and the factors affecting emergency response ability were education level (β=-.164, p=.050), workplace (β=.290, p=.023), and self-efficacy (β=.103, p=.022). Conclusion : Factors influencing the improvement of caregivers' ability to cope with emergency situations, workplace, education level, and self-efficacy were found. Thus, it is suggested to develop and apply an emergency education program to increase self-efficacy and consider the workplace and educational level.

The Influences of Perceived Locus of Control to Patients with Pain (지각된 통제소재 (Locus of Control)가 통증환자의 심리상태에 미치는 영향)

  • Cho, Sun-Mi;Chin, Bum-Su;Song, Ho-Jeong;Kim, Chan;Han, Gyung-Lim
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.101-109
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    • 2002
  • Objectives: Cognitive-behavioral scientists have long been interested in how a pain patient's cognition such as locus of control relates to coping and adjustment. The present study examined the relationship of locus of control orientation to pain coping strategies, psychological distress and perceived pain intensity of patients with pain. Methods : Subjects were 96 patients with pain who visited pain clinic. All patients were administered the Multidimensional Health Locus of Control Scales, the Minnesota Multiphasic Personality Inventory, the Coping Strategies Questionnaire, and rating for perceived pain intensity, distress, and duration. Results : Correlational analysis revealed that patients who viewed outcomes as controlled by internality tended to have better ability to control and decrease pain. Also they tended to be less depressed and anxious. Regression analysis indicated that patients having a internal locus of control were more likely to use coping self-statement and reinterpreting pain sensation. Powerful others and chance locus of control orientation were predicted reliance on catastrophizing. Conclusion : The clinical implication of the present study is that cognitive factors of patients with pain such as locus of control influence emotional distress and coping. this study show that these factors should be applied to cognitive behavioral therapeutic intervention.

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Relationship of Psychological Separation, Depression and Antidepressive Coping Behaviors in University Students (대학생의 심리적 독립, 우울 정도와 우울 대응행동 간의 관계)

  • Jeon, Hae-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2655-2663
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    • 2012
  • The purpose of this study was to investigate psychological separation, depression and antidepressive coping behaviors and to examine the relationship between psychological separation, and depression in Korean university students. The subjects were 131 students who were in 4 university in Chungcheong-do, Korea. The data were collected through self reported structured questionnaire using the psychological separation index, beck depression inventory and antidepressive coping behaviors instrument. The level of depression was classified into; not depressed, 54.2%; mildly depressed, 22.9%; moderately depressed, 16.8%; severely depressed, 6.1%. Among antidepressive coping behaviors, cognitive activity-oriented behaviors was the one with highest percentage(30.8%). Depression was negatively related to functional independence, attitudinal independence, emotional independence from father and conflictual independence from mother. And depression was positively related to conflictual independence from father. These results suggest that it is necessary to develop nursing intervention to strengthen psychological separation form parents and to be able to help desirable antidepressive coping behaviors for the psychological health of university students.

The Effect of Coping Strategies on the Outcome of Stressful Life Events and Mental Health (삶의 사건에 대한 대응양식이 문제해결과 정신건강에 미치는 영향)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.36
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    • pp.285-307
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    • 1998
  • This study explored three issues in regard to the relationship among stressful life events, coping, successful outcomes, life satisfaction and depression. The first issue was about the differences in the level of use among eight coping strategies according to the type of stressful life events. The second issue dealt with the differences between those who achieved successful outcomes and those who did not in the use of coping strategies. The third issue was if the different use of coping strategies was related to the level of life satisfaction and depression. Stressful life events were divided into problems of four areas such as health, finance, family relations including well-being of family members, and work Coping was assessed by eight factors. The survey data collected from 221 community residing adults was used for analyses. Findings suggested that the level of the use of escape-avoidance was very low while the level of the use of planful problem solving, seeking positive meaning, self control, and accepting responsibility was high for all stressful life events. It was also found that in some stressful life events those who achieved successful outcomes used more planful problem solving, more seeking positive meaning and less escape-avoidance than those who did not achieve successful outcomes. Finally, for almost all of the stressful life events, the use of more planful problem solving was related to either higher level of life-satisfaction or lower level of depression while the use of more escape-avoidance was related to lower level of life-satisfaction and higher level of depression. According to the results, implication for social work intervention was discussed.

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The Influence of Sense of Humor and Stress Coping Styles on Adaptation to Clinical Practice among Nursing Students (간호대학생의 유머감각과 스트레스 대처 방식이 임상실습 적응에 미치는 영향)

  • Sook Kang
    • Journal of Industrial Convergence
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    • v.22 no.8
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    • pp.63-72
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    • 2024
  • This study attempted to explore the impact of sense of humor and stress coping styles among nursing students on adaptation to clinical practice. The study included 180 nursing students as participants, and data collection was conducted using self-administered questionnaires from April 15 to 26, 2024. The collected data underwent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis. The research findings revealed that the sense of humor scored 3.52, stress coping styles scored 3.40, and adaptation to clinical practice scored 3.46. Adaptation to clinical practice according to general characteristics showed statistically significant differences based on major satisfaction (F=29.80, p<.001), clinical practice satisfaction (F=40.46, p<.001), relationships with peers in clinical practice (F=5.05, p<.001), and personality (t=-3.41, p<.05). Adaptation to clinical practice showed statistically significant positive correlations with sense of humor (r=.31, p<.001) and stress coping styles (r=.43, p<.001). The factors influencing adaptation to clinical practice were clinical practice satisfaction(β=.34, p<.001), stress coping styles (β=.29, p<.001), and major satisfaction (β=.23, p<.05), explaining 42% of the total variance.

The Effectiveness of Program to Promote Empowerment and Self-Advocacy of the Mentally Disabled Persons' Families (정신장애인가족의 임파워먼트와 자기옹호 증진을 위한 프로그램의 효과)

  • Ha, Jun-Sun;Bae, Kyung-Eui
    • Korean Parent-Child Health Journal
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    • v.11 no.1
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    • pp.73-83
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    • 2008
  • Purpose: This study was to verify the effectiveness of group program for promoting empowerment and self-advocacy of the the mentally disabled persons' families. Methods: This program was set up for the mentally disabled persons' families to share their experiences, do consciousness raising, advocate themselves through group process. A pre-post control group design was used for this study. Results: The results of this study verified that group program was effective to promote empowerment and self advocacy of the mentally disabled persons' families. Also group program helped to express and ventilate family burden actively. Conclusion: This study suggests as follows. In the mental health social work practice we need to develop group programs for family to talk about themselves, to ventilate their emotions, to understand their circumstances and to initiative the change of mental health circumstances as well as education and coping skills about mental illness. For this, there is a need for mental health social worker to have a macroscopic viewpoint and work with family. Also there is a need for mental health social worker to promote family self-help groups and to support their construction and growth.

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Effects of Game-Based Self-Advocacy Script Intervention on Children with Disabilities (인권 침해와 관련한 게임 기반 스크립트 중재가 초등 장애아동의 자기옹호 언어 및 행동에 미치는 영향)

  • Yu, Seohyun;Kwon, Jungmin
    • Journal of Korea Game Society
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    • v.15 no.3
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    • pp.161-176
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    • 2015
  • The purpose of this study was to examine the effects of a script intervention based on multimedia on the verbal and behavioral self-advocacy skill of elementary school students with disabilities. A multiple probe baseline design across subjects had been used with 4 students with intellectual disabilities. The results showed all participants showed significant increase of verbal and behavioral self-advocacy performance in asking for help, expressing one's opinions, and coping with violations, and the effects were maintained. The intervention was more effective for verbal self-advocacy than behavioral. Some suggestions for future study are discussed.