• 제목/요약/키워드: Stress care

검색결과 1,510건 처리시간 0.029초

암환자의 일차간호제공가족의 스트레스 인지평가 영향 요인 분석 (Factors Influencing Stress Appraisal of Cancer Patients' Primary Caregivers)

  • 신계영;김매자
    • 성인간호학회지
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    • 제14권1호
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    • pp.125-134
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    • 2002
  • Purpose: The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. Method: The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. Results: Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. Conclusion: These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.

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이완음악이 급성 심근경색증 환자의 스트레스 반응에 미치는 효과 (Effects of Relaxing Music on Stress Response of Patients with Acute Myocardial Infarction)

  • 이혜란
    • 대한간호학회지
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    • 제33권6호
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    • pp.693-704
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    • 2003
  • Purpose: The purpose of this study was to determine whether a relaxing music was effective in reducing stress response of patients admitted to a coronary care unit with the diagnosis of acute myocardial infarction. Method: The research design was the chosen convenience sample of a randomized control group pre-posttest quasi-experimental design. Forty patients, 20 for an experimental group and another 20 for control group. The study was to provide the patients three different kinds of relaxing music. The experimental group listened to relaxing music for a 20-minute one time a day for 3days. The control group was just provided with a 20-minute period of rest. Test for hypothesis was done by repeated measured ANOV A. Result: The experimental group which received relaxing music showed a significantly lower level of electrodermal response, myocardial oxygen consumption and respiration rate, and a higher level of peripheral skin temperature than the control group. The experimental group which received relaxing music showed a significant reduction in state anxiety than the control group. Conclusion: The results showed that relaxing music is an effective nursing intervention for reducing physiologic and psychologic stress response of the patients with acute myocardial infarction in a critical intensive care unit.

고위험 신생아 가족의 스트레스, 가족의미 및 적응에 영향을 미치는 요인 (Influencing Factors on Family Stress, Family Meaning and Family Adaptation in Families with High Risk Neonates)

  • 이정애;박인숙;문영숙;이남형
    • 대한간호학회지
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    • 제37권4호
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    • pp.431-441
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    • 2007
  • Purpose: The purpose of this study was to identify the relationship among family stress, family meaning and family adaptation of families with high risk neonates. Method: The date was collected on the basis of self- report questionnaires (August 2004 to March 2005); Tow-hundred twelve parents, who had high risk neonates in C hospital's neonatal intensive care unit, participated on request. Results: Family sense of coherence, family meaning, social support, family stress, marital communication and patient condition had a significant, direct effect on family adaptation. Family cohesion, religion, confidence in the health professional, and length of stay had a significant, direct effect on family meaning. Conclusion: The results of this study suggest the consequences associated with high risk neonates may be alleviated by a family support intervention designed to improve parental communication skills as well as to maintain family cohesiveness. Medical care could also encourage more emotional support of parents towards their neonate.

유아의 부정적 행동 및 목적 없는 행동에 미치는 교사변인의 영향 (Effects of Variables Related to Teachers on Children's Negative and Aimless Behaviors)

  • 신혜영;최혜영
    • 대한가정학회지
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    • 제46권4호
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    • pp.25-35
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    • 2008
  • The purpose of this study was to investigate the relationship pattern among the children's negative and aimless behaviors, and the variables related to teachers (characteristics, stress, efficacy, and quality of teachers' behaviors). Subjects were 190, 5 year-old children and 48 teachers at 45 child care centers. The children's negative and aimless behaviors were observed with time sampling method. The quality of teachers' interaction behaviors was rated by the Assessment Scales for Day Care Programs during the free play activities. Teachers responded to the Scale for the Teachers' Job Stress and Teachers' Efficacy. The data were analyzed with descriptive statistics, Pearson's correlations, multiple regressions, and partial correlations. The results were as follows. The teachers' experience and the quality of teachers' behaviors significantly explained the children's negative behaviors. The quality of teachers' behaviors significantly explained the children's aimless behaviors. Lastly, the quality of teachers' behaviors mediated the relationship between the teachers' job stress and the children's aimless behaviors.

경피적 관상동맥중재술을 받은 노인의 삶의 만족도 영향 요인 (Factors Influencing Life Satisfaction of Elderly Patients after Percutaneous Coronary Intervention)

  • 한미나;김화순;이영휘
    • 중환자간호학회지
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    • 제9권2호
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    • pp.24-35
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    • 2016
  • Purpose: This study investigated the degree of stress, depression, mindfulness and life satisfaction of elderly patients who had undergone percutaneous coronary intervention (PCI) and identified factors influencing life satisfaction. Methods: Participants were 106 patients over 60 years who had undergone PCI in a university hospital. Results: The mean scores for stress, depression, mindfulness, and life satisfaction were $9.10{\pm}2.53$, $7.77{\pm}3.32$, $88.57{\pm}8.47$, and $17.40{\pm}5.38$ respectively. There were statistically significant differences in life satisfaction by main source of income (F = 4.74, p = .004) and perceived health status as compared with peer (F = 4.80, p = .010). Depression (p < .001) explained 38 % of the total variance of life satisfaction, and the explanatory power increased to 42 % when mindfulness (p = .035) was added. There were significant correlations among stress, depression, mindfulness and life satisfaction of the patients. Conclusions: Depression and mindfulness were significant influencing factors on subjects' satisfaction in life. To enhance the life satisfaction of the elderly patients after PCI, it is necessary to reduce depression and to develop mindfulness-based interventions.

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Effects of Distant Reiki On Pain, Anxiety and Fatigue in Oncology Patients in Turkey: A Pilot Study

  • Demir, Melike;Can, Gulbeyaz;Kelam, Ayhan;Aydiner, Aydin
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권12호
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    • pp.4859-4862
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    • 2015
  • Background: Fatigue, stress and pain are common symptoms among cancer patients, affecting the quality of life. The purpose of the present study was to determine the effect of distant Reiki on pain, anxiety and fatigue in oncology patients. Materials and Methods: Participants in the control group received usual medical and nursing care during their stay. The intervention group received usual care plus five distant Reiki sessions, one each night for 30 min. A face to face interview was performed and patient personal and illness related characteristics were evaluated using the Patient Characteristics form. Pain, stress and fatigue were evaluated according to a numeric rating scale. Results: The experimental group was predominantly composed of women (71.4%), married individuals (40%), and primary school graduates (40%). The control group was predominantly male (72.7%), married (60%), and primary school graduates (60%). The control group demonstrated greater levels of pain (p=0.002), stress (p=0.001) and fatigue (p=0.001). The Reiki group pain score (p <0.0001), stress score (p <0.001) and fatigue score were also significantly lower. Conclusions: The results of this study indicate that Reiki may d ecreasepain, anxiety and fatigue in oncology patients.

중환자실 간호사의 회복탄력성, 직무스트레스 및 조직몰입 (Relationships between Resilience, Job Stress, and Organizational Commitment in ICU Nurses)

  • 김성남;유문숙
    • 가정∙방문간호학회지
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    • 제21권1호
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    • pp.36-43
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    • 2014
  • Purpose: This study explored the relationships among resilience, job stress, and organizational commitment in ICU nurses. Further, the possibility of the application of resilience to the hospital environment was evaluated to provide basic data for program development to improve resilience and to promote nurses' commitment to their organizations. Methods: Data were collected from 174 ICU nurses at A University Hospital. The cross-sectional descriptive survey was conducted using a structured questionnaire. Results: The mean resilience score was $2.41{\pm}0.47$ out of 4. The mean score for job stress was $3.60{\pm}0.36$ out of 5, and that for organizational commitment was $3.25{\pm}0.55$ out of 5. Analysis of the relationships between the participants' resilience and organizational commitment indicated a significantly positive correlation (r=.45, p<.001). According to the general characteristics, organizational commitment levels showed a significant difference according to the ICU type (F=1.38, p<.001). Conclusion: It may beconcluded that the important individual factor of resilience had a positive influence on organizational commitment. Thus, resilience should be actively promoted, and a program should be developed to enhance the resilience of ICU nurses.

간호사의 공감역량과 직무스트레스가 자아탄력성에 미치는 영향 (Influencing Factors of Empathic Competence and Occupational Stress of Nurses on Their Ego-resilience)

  • 이주연;이미향
    • 가정∙방문간호학회지
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    • 제26권1호
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    • pp.19-26
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    • 2019
  • Purpose: This descriptive survey study assesses the extent of empathic competence, occupational stress, and ego-resilience of nurses, and confirms factors that affect ego-resilience in order to provide basic data for the competency development program for nurses. Methods: Data obtained from the questionnaire survey conducted with 193 nurses were analyzed by means of t-test, ANOVA, and Pearson correlation coefficient and Multiple Regression. Results: Empathic competence, in accordance with the general characteristics of nurses, displayed statistically significant differences in terms of final academic background. Further, occupational stress and ego-resilience displayed statistically significant differences related to the nurses' department of employment, age, and total clinical experiences, respectively. Empathic competence and ego-resilience have a significant positive correlation, and age and empathic competence were found to be the factors that impart influence on ego-resilience. Conclusion: The enhancement of empathic competence of nurses has affirmative effects on the satisfaction of patients with their nurses, and it also improves the ego-resilience of nurses. Therefore, it is necessary to develop and apply career training program aimed at enhancing the empathic competence of nurses as an in-service educational program.

정보제공 방법에 따른 중환자 가족의 환경적 스트레스와 간호요구 만족도 (The Effects of the Different Information Delivery Methods on Environmental Stress and the Satisfaction of Nursing Needs in Families of ICU Patients)

  • 윤경진;김경희
    • 임상간호연구
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    • 제15권3호
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    • pp.117-128
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    • 2009
  • Purpose: This study was conducted to evaluate the effects of different methods of information delivery(information provided by nurses vs. information provided by video) on environmental stress and the satisfaction of nursing needs in families of intensive care unit patients. Methods: A nonequivalent pretest-posttest control group design was used in this study. The data were collected from March 24 to May 7, 2009. The subjects, 52 family members of ICU patients (26 for the control group, 26 for the experimental group), were selected from a hospital located in Gyeonggido. Information was given by video to the experimental group whereas the information was directly given by nurses to the control group. Results: Environmental stress and satisfaction of nursing needs were not statistically different between the two groups. Conclusion: The findings of the study suggest that the information given by video may be compatible with that given by nurses. Therefore, nurses need to be flexible in using these different methods to maximize the benefits of direct and indirect information delivery method for families in ICU setting.

영유아교사의 성격유형에 따른 직무만족도와 스트레스 대처 방식의 차이 (A Comparative Study of Job Satisfaction and Stress Coping Strategies of Teachers in Early Childhood Education and Care According to Their Personality Types)

  • 채진영;권혜진
    • 한국보육지원학회지
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    • 제8권3호
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    • pp.5-23
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    • 2012
  • 이 연구는 에니어그램을 이용하여 측정한 영유아교사의 성격유형에 따른 직무만족도와 스트레스 대처 방식의 차이를 알아보기 위해 실시되었다. 영유아교사 189명을 대상으로 조사를 하여 얻은 주요 결과는 다음과 같다. 첫째, 영유아교사의 성격유형은 중재자 유형이 가장 많았고, 개혁가 유형, 조력가 유형의 순으로 나타났다. 둘째, 직무만족도의 4개 하위요인 가운데 직무요인에서만 영유아교사의 성격유형에 따라 통계적으로 유의한 차이를 보여 성취자 유형은 직무요인에 대해 가장 만족하였고, 지도자 유형의 만족 정도가 가장 낮았다. 그러나 이 두 집단의 수가 작아서 사후검증 결과 다른 집단 간 유의미한 차이를 보이지 않았다. 그 대신 충성가 유형이 개혁가, 조력가, 낙천가, 중재자 유형에 비해 직무만족도가 유의하게 낮은 것으로 나타났다. 셋째, 영유아교사의 성격유형에 따른 스트레스 대처 방식은 5개 하위요인 가운데 심리적 대처 방식에서만 통계적으로 유의한 차이를 보여 예술가 유형이 가장 높은 점수를, 조력자 유형이 가장 낮은 점수를 보였다. 사후검증 결과 예술가 유형은 개혁가, 조력가, 충성가, 낙천가, 중재자 유형보다 각각 유의하게 심리적 대처 방식을 더 많이 하는 것을 나타났다.