• Title/Summary/Keyword: Stress perceived

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A Path Analysis on the Effect of Depression on Quality of Life of Natural Disaster Victims in Korea (자연재난 피해자의 우울이 삶의 질에 미치는 영향에 대한 경로분석)

  • Cho, Myong Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.22 no.1
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    • pp.11-24
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    • 2021
  • Objectives: The purpose of this study was to examine the Path modeling effect among depression, Post-Traumatic Stress Disorders (PTSD), resilience, and social support on the quality of life (QoL) of natural disaster victims. Methods: This is a cross-sectional study with 1,979 disaster victims' cases by using the 4th Disaster victims panel survey in Korea. Data were collected from october 2018 to december 2018 and analyzed using regression analysis and path way analysis. Results: Perceived health, depression, social support, PTSD, resilience, and QoL showed significant correlations. PTSD was directly affected by depression and QoL was affected by PTSD. Social support was directly affected by depression and resilience was also directly affected by depression. QoL was affected by social support and resilience. Conclusion: This analysis highlighted that the relation between lower depression and QoL was mediated by greater social support and resilience and lower degree of PTSD. These results suggest that community health interventions and education that incorporate social support and resilience may improve the quality of life of natural disaster victims.

A Report on the Results of Korean Medicine Health Promotion Project 'Vitality UP Health UP Class for Climacteric Women' in Boeun-gun in 2022 (2022년도 보은군 한의약 건강증진사업 '갱년기 여성 활력UP 건강UP 교실'에 대한 결과 보고)

  • Beom-Chan Park;Jung-Woo Park
    • The Journal of Korean Obstetrics and Gynecology
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    • v.36 no.2
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    • pp.1-19
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    • 2023
  • Objectives: The purpose of this health promotion project for Korean medicine is to promote the health of climacteric women in Boeun-gun. Methods: During the project, pressure needle acupuncture treatment, herbal medicine treatment, meditation pore therapy, and health education were conducted. To evaluate the results, basic health surveys (body height, body composition test, blood pressure etc.), female hormone tests, Kupperman's index (KI), Menopause-specific quality of life questionnaire (MENQOL), and Perceived stress scales (PSS) were conducted. Results: No significant change was observed in the body composition test and blood pressure after the project. Follicle stimulating hormone (FSH) was significantly increased after the project, but Luteinizing Hormone (LH) and total estrogen levels were not significantly changed. KI and MENQOL scores significantly decreased after the project, and significantly decreased in 4 out of 11 items of KI and 3 out of 4 domains of MEMQOL. No significant change was observed in the PSS score after the project. Conclusions: From the results of this project, it can be seen that the Korean medicine health promotion project can help alleviate symptoms of climacteric syndrome and postmenopausal syndrome.

A Structural Equation Model of Terminal Care Performance for Long-term Care Hospital Nurses (요양병원 간호사의 임종간호수행 구조모형)

  • Lim, Gui Yeon;Choi, So Young
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.275-289
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    • 2023
  • Purpose: This study developed a structural model for explaining and predicting terminal care performance in long-term care hospital nurses. The model was based on the stress integration model of Ivancevich and Matteson(1980) and the results of previous studies. Method: Data was obtained from August to September 2022 from 267 nurses in 13 long-term care hospitals in G-do. Results: Results of model verification for this study, revealed that factors directly affecting the terminal care performance of long-term care hospital nurses were nursing work environment(β=0.43, p<0.001), death anxiety(β=-0.29, p<0.001), and terminal care stress(β=0.22, p=0.003). However, the attitude toward nursing care of dying(β=0.07, p=0.287) had no effect on the terminal care performance. Conclusion: The results of this study, confirmed the necessity of improving an individual's perceived nursing work environment, continuous education related to terminal care to reduce death anxiety, and an interventional approach for enhancing terminal care performance.

An Analysis of Work Stress of Physical Therapist and Reaction (물리치료사의 업무 스트레스 현황과 대응수준 -부산지역을 중심으로-)

  • Dong, Jong Ick;Ryu, Hwang Gun;Bae, Sung-Kwon
    • The Korean Journal of Health Service Management
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    • v.2 no.1
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    • pp.37-55
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    • 2008
  • This study aims to enhance work efficiency and satisfaction by offering data that make a physical therapist cope with stress coming from the job efficiently by identifying and analyzing the job satisfaction and work stress perceived by a physical therapist, and the level of reaction of a physical therapist. The study distributed survey questionnaires to 300 physical therapists working in medical institutions in Busan via mail and by visit from March 3, 2007 by selecting them simply and randomly from the physical therapist list, and collected the questionnaires by March 20, 2007, 103 respondents were working at 17 general hospitals including a university hospital, 65 respondents at 12 medical centers, and 79 respondents at 39 doctor's offices. The study collected 251 copies, which showed the collection rate of 83.7%, and analyzed 247 copies (82.3%) excluding 4 copies of insincere answers. As a research tool for measuring job satisfaction the study used a tool employed for research into the job satisfaction of physical therapists who work at medical institutions in Gwangju, Jeonnam, and Jeonbuk by Kim Hee-Gwon(1992) and research regarding job satisfaction by Jeong Jeong-Hee(2004) as well as research regarding the factors of job satisfaction by Flippo(1980) & Seberhagen(1970) after adjusting the research tools to the purpose of the study. Also for questions about work stress, the study employed nurses' job stress measurement tool developed by Kim Mae-Ja and em Mi-Ok(1984) by modifying the tool to the purpose of the study, and for a measurement tool for reaction to stress, the study used a tool employed for research into reaction to stress of nurses at general hospitals by Choi Eun-Deok(2005) without modification. For data analysis, the study used the SPSS12.0 as a statistical method, and then used t-test or ANOVA for verifying actual numbers, percentile, average :score, standard deviation, rank, and difference. Also, the study conducted which is a post-test method for variables that show a significant difference at the level of p<.05 level after the analysis. The findings include the following. 1) The respondents' job satisfaction score was 3.21 points on the average (out of 5 full points). The peer relationship ranked the highest, posting 4.02 points on the average, and the job satisfaction with rewards was proven the lowest, posting 2.51 points. For the job satisfaction level by characteristics, there were significant differences (p<.05) in gender, hospital type, weekly working hours, monthly working days, number of patients per day, department in charge of therapy, and number of peers, and there was no significant difference in characteristics other than that. 2) The respondents' work stress score was 2.72 points (out of 5 full points) on the average. The respondents were shown to be under the highest stress when they suffered from excessive workload, posting 3.49 points on the average, and they were shown to be under the least stress when they had a conflict with peers at another department, recording 1.90 points on the average. for the job stress level by the characteristics of job, there was a significant difference in the reflection of job assessment(p<.05). 3) 1n respondents' reaction to stress, most of them were shown to make efforts in coping with stress, posting 2.80 points (out of 5 full points). For their experience of being wider stress, they answered that 'they felt depressed (2.85 points)" for their experience of coping with stress, they answered that 'they were indifferent to it or thought about something else' (2.62 points). Also, for their efforts in coping with stress, they answered that 'they were motivated to remove their strain by taking leave, playing, or using their preferences' (3.52 points), which ranked higher. For the level of reaction to stress by characteristics, there were significant differences by age, gender, marital status, total service years as a physical therapist, monthly working days, and department in charge of therapy(p<.05). It is necessary to offer correct information by conducting an in-depth analysis of the stressful situations of physical therapists who exert efforts in rehabilitating patients at hospitals by factor, and seeking management plans based on the research results. Also, it is necessary to develop a program for coping with stress efficiently for removing stress and to conduct research into the understanding and cooperation of administrators and persons in charge of physical therapists for reducing physical therapists' stress at hospitals.

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Neural Circuits Mediating Stress (스트레스의 신경생물학적 이해)

  • Yu, Bum-Hee;Woo, Jong-Min
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.81-92
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    • 2001
  • Stress has been linked to the pathophysiology and pathogenesis of various psychiatric illnesses. Over the past few years, our understanding of the brain and neuroendocrine systems that are linked to stress responses has increased enormously. This article reviews a series of animal and human studies to understand what are the central pathways by which stress is perceived, processed, and transduced into a neuroendocrine response. We focus on the limbic-hypothalamic-pituitary-adrenal(LHPA) axis and several neurotransmitter systems such as norepinephrine, CRF, serotonin, acetylcholine, and dopamine. LHPA stress circuit is a complex system with multiple control mechanisms which are altered in pathological states. CRF and related peptides in the central nervous system appear to enhance behavioral responses to stressors. Norepinephrine systems are also activated by stressors and cause the release of catecholamines from the autonomic nervous system. CRF-norepinephrine interaction makes a feed-forward system which may be important for an organism to mobilize not only the pituitary system but also the central nervous system, in response to environmental challenges. The interactions among several neurotransmitters and endocrine systems appear to play key roles in mediating various behavioral and psychological stress responses involving abnormal responses to stressors such as anxiety and affective disorders.

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Validity and Reliability Evaluation of Pregnancy Related Stress Scale (임부 스트레스 측정도구의 신뢰도 및 타당도 평가)

  • Lee, Hyejung;Seo, Minjeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.503-512
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    • 2017
  • The perceived stress of pregnant women is a potential contributor to adverse birth outcomes. Although the importance of the psychosocial well-being of pregnant women has been emphasized, there are fewreliable and valid instruments to measure the stress level of pregnant women in Korea. This study evaluated the psychometric properties of Ahn's pregnancy related stress scale (PSS) that was originally developed in 1984. Two hundred pregnant women completed the survey questionnaire, which was comprised of the PSS, depression scale, and demographic information. Principal component analysis and confirmatory factor analysis was used to test the construct validity. The concurrent validity was evaluated using the correlation with depression scores. Based on exploratory factor analysis and a consideration of conceptual meaning, a five-factor structure was extracted, explaining 57.25% of the variance: physical discomfort, fetus, parenting, spouse relationship, and housework. The goodness-of-fit indices showed an acceptable fit overall with the full model and acceptable internal consistency (Cronbach's alpha =.89). The concurrent validity was confirmed by a comparing with the depression score (r=.48, p <.001). The shortened PSS, as a valid and reliable scale, is recommended to be used to assess pregnancy-related stress and to develop stress managing interventions for pregnant women in clinical settings.

The Stress Perception, Depressive Symptoms and Medical Comorbidity in Healthcare Center (대학병원 건강검진센터 내원자의 스트레스 지각 정도, 우울 증상 및 신체질환 이환율)

  • Shim, In-Bo;Joe, Sook-Haeng;Ham, Byung-Joo;Han, Changsu;Jeong, Hyun-Ghang;Ko, Young-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.1
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    • pp.27-43
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    • 2013
  • Objectives : We surveyed this study for knowing the relation within stress, depression and medical comorbidities, and finding the risk factors of major depression. Methods : 1764 subjects were enrolled from Jan. 2009 to Dec. 2009 who visit Korea University Guro hospital healthcare center. The subjects answered the questionnaire of PSS(Perceived Stress Scale), PHQ-9(Patient Health Questionnaire-9) and the demographic data. We categorized them as the stress group, depressive group, medical comorbidity group and analyzed the correlation analyses and logistic regression analyses. Results : 198 of 1764 subjects(11.8%) were applied to major depression, and the depressive group showed the higher mean stress score(23.19) and mean depression score(12.95) than the normal group. The total PHQ-9 score was increased by perceiving more stress, having more medical comorbidities. The subjects with female, visiting due to recent health problems, irregular exercise, current smoking, history of angina and cerebrovascular disease showed the increased risk of major depression. Conclusions : In this study, we find the PSS, PHQ-9 were valuable for mental health screening in healthcare center. As perceiving more stress and having more medical comorbidity, risk of major depression were increased. Accordingly the individuals with medical diseases or unhealthy lifestyle would need the mental health screen.

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Relationship between Turnover and Job Stress of Dental Hygienists (치과위생사의 이직과 직무스트레스와의 관련성)

  • Kim, Ji-Hee;Kim, Hye-Jin
    • Journal of dental hygiene science
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    • v.11 no.1
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    • pp.47-53
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    • 2011
  • The purpose of this study was identified about the self-perceived job stress and the relationship between turnover and job stress of dental hygienists'. This results were based for improved of job satisfaction of dental hygienists'. 214 dental hygienist in Ulsan and Kyung Nam areas were participated and this study was done from March to May in 2009. Results: In the job-related environmental characteristic, 57.5% of participant worked in dental clinic and 42.5% of participant worked in dental hospital. The majority of career year was 1~3 years, 42.5%. 38.3% of participant had turnover, and the majority of number of turnover was once, 45.1%. 33.6% of participant had 1,300,000~1,490,000 won/month, 49.5% of participant worked for 8~9hours/day and the major working service was assistant for general dental treatment, 70.1%. Younger dental hygienist had more stress about inappropriate compensation. Higher education and married dental hygienist had more stress about job demand. The number of turnover, workplace culture and experience of turnover were significantly related. In the job-related environmental characteristic, job demand, interpersonal conflict and a case of dental clinic were significantly related. Other effecting factors were interpersonal conflict in salary, organization system in working time, and working demand in conditions of 5day's working. Experience of turnover was influenced with interpersonal conflicts and the number of dental hygienist in the working place was related with job stress significantly.

The Relationship of Life Stress, Anger, and Optimism among Nursing Students (간호대학생의 생활스트레스, 분노와 낙관성과의 관계)

  • Byun, Sang Hee;Park, Hyun Joo
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.150-160
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    • 2018
  • Purpose: This study was conducted to understand what various factors influence school life adaption of nursing students by measuring life stress, anger and optimism. Methods: The subjects were 186 students in B city and the data were collected for the period of 17-28 April 2017. The collected data were analyzed with an independent t-test, ANOVA, Scheffe's method, Cronbach's alpha and Pearson's correlation coefficients. The results are as follows respectively: life stress 1.34/4, state anger 1.24/4, trait anger 1.57/4 at average, and among optimism was 3.45/5 at average. Multiple regression analysis showed perceived physical health status(${\beta}=.20$ t=2.72, p=.007), satisfaction on college(${\beta}=.19$, t=2.53 p=.012) and life stress (${\beta}=-.14$ t=-2.28, p=.027) were related to factors. They accounted 18.2% of the optimism of the subjects. However, there was no significant correlation between optimism and anger of nursing students. Conclusion: It is necessary to develop a program to improve the optimism of nursing college students and to develop a program that can enhance the coping ability of stress to cope with life stress experienced by nursing students.

Prediction of Sleep Disturbances in Korean Rural Elderly through Longitudinal Follow Up (추적 관찰을 통한 한국 농촌 노인의 수면 장애 예측)

  • Park, Kyung Mee;Kim, Woo Jung;Choi, Eun Chae;An, Suk Kyoon;Namkoong, Kee;Youm, Yoosik;Kim, Hyeon Chang;Lee, Eun
    • Sleep Medicine and Psychophysiology
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    • v.24 no.1
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    • pp.38-45
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    • 2017
  • Objectives: Sleep disturbance is a very rapidly growing disease with aging. The purpose of this study was to investigate the prevalence of sleep disturbances and its predictive factors in a three-year cohort study of people aged 60 years and over in Korea. Methods: In 2012 and 2014, we obtained data from a survey of the Korean Social Life, Health, and Aging Project. We asked participants if they had been diagnosed with stroke, myocardial infarction, angina pectoris, arthritis, pulmonary tuberculosis, asthma, cataract, glaucoma, hepatitis B, urinary incontinence, prostate hypertrophy, cancer, osteoporosis, hypertension, diabetes, hyperlipidemia, or metabolic syndrome. Cognitive function was assessed using the Mini-Mental State Examination for dementia screening in 2012, and depression was assessed using the Center for Epidemiologic Studies Depression Scale in 2012 and 2014. In 2015, a structured clinical interview for Axis I psychiatric disorders was administered to 235 people, and sleep disturbance was assessed using the Pittsburgh Sleep Quality Index. The perceived stress scale and the State-trait Anger Expression Inventory were also administered. Logistic regression analysis was used to predict sleep disturbance by gender, age, education, depression score, number of coexisting diseases in 2012 and 2014, current anger score, and perceived stress score. Results: Twenty-seven percent of the participants had sleep disturbances. Logistic regression analysis showed that the number of medical diseases three years ago, the depression score one year ago, and the current perceived stress significantly predicted sleep disturbances. Conclusion: Comorbid medical disease three years previous and depressive symptoms evaluated one year previous were predictive of current sleep disturbances. Further studies are needed to determine whether treatment of medical disease and depressive symptoms can improve sleep disturbances.