• Title/Summary/Keyword: Stress care

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A Study for Management and Effects of Children's Care Program with Traditional Korean Medicine in Public Health Center (보건소 건강증진 사업 중 한방육아교실의 운영과 효과에 관한 연구)

  • Park, Eun-Seong;Moon, Yeun-Hee;Kim, Yang-Hee;Choi, Kyung-Hee;Jang, Dong-Wook
    • The Journal of Korean Medicine
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    • v.33 no.1
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    • pp.52-67
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    • 2012
  • Objectives: The purpose of this study was to evaluate the effects and develop the contents of a children's care program with traditional Korean medicine in a public health center. Methods: Data were collected from 28 parents who participated in a children care program with traditional Korean medicine. The program was started in June of 2011 in Gangjin-Gun public health center and finished in September of the same year. The questionnaires to measure effect and satisfaction with the program were composed of demographic items, family information, Psychological Well-Being Scale (PWBS), Parenting Stress Index (PSI), children health improvement checklist, etc. The questionnaires were executed before and after the program. Results: The PWBS scores increased (4.00, 3.66) and PSI scores decreased (-7.30. -5.95) significantly after the program. The satisfaction with the program was 100%, and 94% in the two groups, and treatment and lecture were mentioned as the best aspects of the program. Eating habits, sleep conditions, and activity also improved after the program. Conclusions: From these results, the children care program with traditional Korean medicine is worthy for improving children's health condition and reducing their parents' stress.

A Path Analysis on Morale among Staff of Long-term Care Insurance in National Health Insurance Corporation (노인장기요양인정조사원의 사기에 관한 경로분석)

  • Kim, Hyun Mi;Choi, Yeon Hee
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.3
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    • pp.247-257
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    • 2012
  • Purpose: This study is designed to identify major factors that affect morale among staff of long-term care insurance in National Health Insurance Corporation. Methods: In order to collect the data, a survey was conducted by using the structured questionnaire based on 161 staff members of long-term care insurance of 50 long-term care operation centers, which were randomly selected by the table of random numbers in the whole centers of National Health Insurance Corporation from September 1 to 30, 2011. As for the data analysis, SPSS 18.0 was used to conduct the descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, mutiple regression, and path analysis. Results: The average point of morale was 3.37, and had a negative correlation with the job stress, while it had a positive correlation with the social support, professional identity, and self-efficacy. Job stress, social support, and professional identity have a significant effect on morale among the independent variables. These variables have significant effects on morale, and also have a positive effect on self-efficacy. The findings show that self-efficacy mediates the process of morale. Conclusion: In this study, the factor which influences the morale was identified. It turned out that the morale could be improved by reinforcing the professional identity, managing the health status as well as rotating the working place. As such, it expects both the improvement of long-term care insurance services outcome and its quality through the morale management.

Influential Factors of Post-Traumatic Stress Disorder in Survivors of Intensive Care Units (중환자실 생존자의 외상 후 스트레스장애 발생정도와 영향요인)

  • Kim, So Hye;Ju, Hyeon Ok
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.97-106
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    • 2020
  • Purpose: This study was conducted to investigate the incidence and associated factors with post-traumatic stress disorders (PTSD) in patients with intensive care units (ICU) admission experience. Methods: This study is a retrospective observational study using self-reporting questionnaire. Patients who were admitted to ICU more than 72 hours and agreed to participate were enrolled in this study. PTSD were assessed by Korean version of post-traumatic diagnosis scale, and PTSD was defined as 20 points or more. Medical records of participants were reviewed to identify influencing factors of PTSD. To analyzed the data, descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test and gamma regression were utilized using SPSS/WIN 23.0 program. Results: A total of 128 patients participated in the study. Mean age of participants was 58.3±11.7 years and 50 patients (39.1%) were female. Mean duration of ICU stay was 8.43±8.09 days and PTSD was diagnosed in 12 patients (9.4%). In the results of a Gamma regression analysis, Psychiatric history (B=1.09, p=.002), APACHEII score (B=.04, p=.005), CPR experience (B=1.65, p=.017) and physical restraint (B=.68, p=.049) were independently associated with PTSD occurrence. Conclusion: The results of this study suggest that a various factors influencing PTSD should be identified to prevent PTSD in patients who requires ICU care. In addition, post-ICU care programs are required to assess and reduce PTSD.

Factors Influencing Patient Safety Nursing Activities of Intensive Care Unit Nurses (중환자실 간호사의 환자안전간호활동 영향요인)

  • Kim, Jae Eun;Song, Ju Eun;Ahn, Jeong Ah;Boo, Sunjoo
    • Journal of Korean Critical Care Nursing
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    • v.14 no.2
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    • pp.12-23
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    • 2021
  • Purpose : The purposes of this study were to examine the levels of job stress, perceptions of the patient safety culture, and patient safety nursing activities, and to identify factors influencing patient safety nursing activities among intensive care unit (ICU) nurses. Methods : For this cross-sectional study, data were collected from 161 ICU nurses working in two university-affiliated hospitals in Gyeonggi-do between June 30 and July 30, 2020. The data were analyzed with descriptive statistics, an independent t-test, a one-way ANOVA, the Pearson correlation method, and multiple regression using the SPSS program. Results : The average levels of job stress, perception of patient safety culture, and patient safety nursing activities were 3.48, 3.44, and 4.45 out of 5, respectively. Multiple regression showed that perception of patient safety culture and career in current workplace were found to be statistically significant correlates of patient safety nursing activities. Conclusion : In order to promote patient safety nursing activities, patient safety culture needs to be incorporated into the education of ICU nurses. Perception of patient safety should be enhanced to improve patients safety nursing activity.

A Study on the Perceived Stress Level of Mothers in the Neonatal Intensive Care Unit Patients (신생아 중환자실에 입원한 환아 어머니의 스트레스)

  • Kim Tae Im
    • Child Health Nursing Research
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    • v.6 no.2
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    • pp.224-239
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    • 2000
  • This descriptive study was conducted to understand the contents and degree of parental stress level in the NICU patients, and to give a baseline data in developing nursing intervention program. Subjects were the 62 mother of hospitalized newborn in NICU of 1 University Hospital in Taejon City from May 1st, 1999 to November 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales : NICU(PSS:NICU) developed by Miles et al. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior(19 items), parental role alteration and relationship with their baby(10 items), communication with health team(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from (1) to (5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's α coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers was slightly high(3.6±.7). The highest scored dimension was 'appearance and behavior of the baby'(3.9±1.5), and next were 'relationship with their baby and parental role change'(3.5±1.4), 'communication with health team'(3.4±.9), 'sight and sounds of NICU'(3.2±.8). 2. Two variables were statistically significant with PSS:NICU total scale ; mother's perceived severity of the baby's condition (r=.482, P=.002) and mother's religious attendance(t=2.83, P=.01). The more the mother perceive their baby's condition severe, the higher the total stress score. There were high stress score noted in the mother of no religious attendance. 3. Four variables were statistically significant with NICU environment subscale ; mother's educational background(F=3.45, P=.04), religious attendance(t=2.28, P=.04), sex of the baby(t=2.83, P=.01) and NICU patients' hospital day(r=.359, P=.004). That is mother with high educational background and girl baby were high NICU environment subscale score. 4. Four variables were statistically significant with appearance and behavior of the baby subscale ; when first saw baby(F=3.52, P=.04), incubator care(t=2.83, P=.01), mother's perceived severity of the baby's condition(r=.303, P=.017), number of NICU visit(r=.441, P=.002). That is, seeing the baby first in the NICU and recieved incubator care was very stressful. Also, the more the mother perceive their baby's condition severe and more NICU visit, the higher the appearance and behavior of the baby subscale stress score. 5. Four variables were statistically significant with relationship with their baby and parental role change subscale ; when first saw baby(F=3.37, P=.04), sex of the baby(t=2.36, P=.03), incubator care(t=5.60, P=.00), mother's perceived severity of the baby's condition(r=.401, P=.001). That is, seeing the baby first in the NICU and girl baby was very stressful. Also, the more the mother perceive their baby's condition severe, the higher the relationship with their baby and parental role change subscale stress score. 6. Three variables were statistically significant with communication with health team subscale ; mother's educational background (F=3.63, P=.04), incubator care(t=4.24, P=.00), gestational age(r=-.394, P=.047), and birth weight(r=-.460, P=.004). That is, mother with high educational background and receiving incubator care were high communication with health team subscale score. Also, the shorter the gestational age and smaller the baby's birth weight, the higher the communication with health team subscale score. In conclusion, information about physical environment of NICU, the mother's perceived severity of baby's illness state, maternal role change related variables and the knowledge of characteristics of NICU patients must be included in nursing intervention program of mother's of NICU patients in reducing the maternal stress and anxiety level.

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The Design of Smart Care-platform for Supporting Care of Elderly Patients with Dementia (치매노인환자 간병지원을 위한 스마트 돌봄 플랫폼 설계)

  • Kim, Miyun
    • Journal of Korea Multimedia Society
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    • v.23 no.1
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    • pp.111-125
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    • 2020
  • In modern society, dementia patients are increasing due to busy daily life. Due to the nature of dementia, family members are having a hard time with their caring activities. Dementia diseases reduce the quality of life not only of the patient, but also of the family, and nursing activities lead to social problems such as unemployment or frequent turnover. This study aims to reduce the difficulty and stress of the nursing process by supporting daily life of dementia patients and nursing activities through smart care platform. Ultimately, we will reduce the cost of treatment for people with dementia and delay the worsening of symptoms through a systematic care program for people with dementia. The smart dementia care platform features smart technology to help the dementia patients' daily lives and support their caregivers.

A Qualitative Study on the Career-interrupted Lives of Career-Interrupted Women in their thirties (직업 경력단절 기혼 여성에 대한 질적 연구: 30대 여성의 경력단절 이후의 삶을 중심으로)

  • Kim, Su Ri;Lee, Sulim;Ryu, Jeong Yi
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.2
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    • pp.75-99
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    • 2015
  • The purpose of this study was to examine the career-interrupted lives of highly educated career-interrupted women. The participants were 11 women in their thirties who had graduated from university graduated and had a child. We collected the qualitative data using a focused group interview. The results of this study can be summarized as follows. First, in personal histories of the career-interrupted women, there were marriages and births, difficulties with child care, priority placed on the family, pressure to retire, and an absence of a layoff system related to births and child care. Second, with regard to their interrupted lives, while there was comfort and an absence of work-stress, there was child care stress, financial stress, anxiety due to career uncertainty, a loss of the social self, depression, emptiness, low self-esteem, dependence on husbands, regret, conflict in career choices, and envy of childcare support. Third, their reasons for seeking reemployment included the financial benefits, increased independence, self-realization in their job, hope for a stable job, self-management, and hope for a social network.

A comparative study on parental satisfaction between mothers who have young children with and without disabilities (장애유아 어머니와 비장애유아 어머니의 부모역할만족도 비교연구)

  • Yang, Yeon-Suk
    • Journal of the Korean Home Economics Association
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    • v.44 no.12
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    • pp.179-188
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    • 2006
  • This study compared parental satisfaction between mothers who have young children with and without disabilities. The study subjects were 100 mothers who take care of disabled children and 123 mothers who take care of non-disabled children. The children's ages were from 3 to 6 years. The results of this study were as follows First, the mothers who take care of disabled children had lower mother's parental satisfaction than those who have ordinary mothers. Second, the children's age and the degree of disability had an affirmative influence on the parental satisfaction of the mothers who have disabled children. There were significant differences in the parental satisfaction of the mothers who have ordinary children according to mothers' age and their educational background. The parental satisfaction in both mother groups increased with increasing parenting efficacy, marital satisfaction and family support, and with decreasing parenting stress. Finally, parenting efficacy, children's age, parenting stress, and family support significantly predicted the parental satisfaction of the mothers who have disabled children while parenting efficacy, parenting stress, and educational background significantly predicted the parental satisfaction of the mothers who have ordinary children.

Anxiety and fatigue related to dental practices of dental hygiene students (치위생과 학생들의 임상실습관련 불안과 피로 조사)

  • Lee, Hyang-Nim;Kim, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.2
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    • pp.131-137
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    • 2014
  • Objectives : The aim of the study is to investigate anxiety, fatigue and stress of dental hygiene students in clinical practice and to improve the psychological support program. Methods : A self-reported questionnaire was filled out by 428 dental hygiene students in 4 universities in Gwagju and Jeonnam. Data were analyzed for anxiety, stress and fatigue, general characteristics using SPSS 18.0 program for descriptive statistics, ANOVA, and correlation. Results : Saliva suction showed the most high score in treatment($mean{\pm}SD=2.92{\pm}1.13$) and was followed by children dental care($2.79{\pm}1.21$), preventive dental care($2.38{\pm}1.04$), maxillofacial radiology($2.35{\pm}1.15$). During the clinical practice, students felt uneasy when they stayed in relative home(p<0.05). Poor interpersonal relation(p<0.001), poor health condition(p<0.01), low satisfaction with major(p<0.01), the other cause of major choice(p<0.01) influenced on their stress. Satisfaction with major was closely related to clinical practice performance, anxiety, physical fatigue and mental fatigue. Conclusions : In order to reduce physical, mental, neuro sensory fatigue of students in clinical practice, it is recommended to reinforce the patient care etiquettes in curricula.

The Influence of Job Stress, Stress Coping Strategies, Empathy ability on Burnout of Social Workers in Long-term Care Facilities (노인요양시설 사회복지사의 직무스트레스, 스트레스 대처전략, 공감능력이 소진에 미치는 영향)

  • Kim, Bo-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.218-226
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    • 2020
  • This study was conducted to investigate the relationships between job stress, stress coping strategies, empathy ability, and burnout in social workers at long-term care facilities. Data was collected from 201 social workers in three cities from March to May 2020 using structured questionnaires. Data was analyzed by descriptive statistics, t-test, ANOVA, Pearson correlations, and hierarchical multiple regression. Results showed that burnout significantly differed according to age, marital status, and career among the general characteristics. In the relationships between major variables, burnout showed a significant positive correlation with job stress and showed significant negative correlations with stress coping strategies and empathy ability. The major factors affecting burnout were job stress and empathy ability, which explained 72.3% of the variance. The results of this study suggest that job stress and empathy ability are important factors for burnout. Findings indicate a need to decrease job stress and increase empathy ability to prevent the burnout of social workers. Further studies are needed to examine burnout prevention strategies for social workers.