• 제목/요약/키워드: Stress-coping

검색결과 948건 처리시간 0.029초

Evaluation of a child abuse prevention program for unmarried mothers in South Korea: a single-case experimental design

  • Il Tae Park;Won-Oak Oh
    • Child Health Nursing Research
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    • 제30권3호
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    • pp.187-198
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    • 2024
  • Purpose: This study aimed to implement a child abuse prevention program and evaluate its effectiveness based on the Nursing Model of Resilience and Coping Skills Training Model for unmarried mothers during pregnancy and puerperium. Methods: This study had a prospective single-case, AB design with four repeated self-questionnaire measures and three observational measures. Seven unmarried mothers were provided with 10 sessions child abuse prevention program through individual visits from 32 to 34 weeks of pregnancy to six weeks after childbirth. The questionnaire was composed related to resilience, maternal stress, maternal attitude, parent-child interaction, child abuse potential. The observation was measured by video recording (total 16 times) the interaction of parent-child during feeding and analyzing it by three experts. Data were analyzed by Wilcoxon signed-rank test and Friedman's test. Results: Maternal attitude and parent-child interaction were statistically significantly improved after intervention compared to before intervention. However, maternal stress decreased after intervention compared to before intervention, but it was not statistically significant. Additionally, resilience and child abuse potential were not statistically significant. This program is partially effective in preventing child abuse by promoting parenting attitudes and parent-child interactions. Conclusion: This study focused on individual resilience and applied systematic intervention as coping skills training to prevent child abuse. This study is meaningful in that interventions were conducted through individual visits to unmarried mothers at high risk of child abuse, and the program was applied, including pregnancy and postpartum periods, to prevent child abuse early.

스트레스 대처방식이 학업소진에 미치는 영향: 억제효과를 중심으로 한 단기 종단연구 (The Effects of Coping Strategies on Academic Burnout: A short-term Longitudinal Study Focused on Suppression Effects)

  • 신효정;최현주;이민영;노현경;김근화;장유진;이상민
    • 한국심리학회지:학교
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    • 제9권2호
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    • pp.289-309
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    • 2012
  • 본 연구는 학업소진에 대한 스트레스 대처방식의 영향력에 있어 적극적/소극적 스트레스 대처 유형 간 존재하는 억제효과를 구조방정식 모형으로 분석한 단기 종단연구이다. 연구대상은 서울지역 중학생 357명이었으며, 스트레스 대처방식 척도와 학업소진 척도(MBI-SS)를 사용하였다. 두 시점 자료에 존재하는 개인 내적인 변화를 반영하기 위해 단순선형회귀방정식으로부터 표준화된 잔차를 산출하여 각 변수의 변화량 잠재변수를 구성하였다. 본 연구의 결과는 다음과 같다. 첫째, 적극적 대처의 변화량과 소극적 대처의 변화량은 정적 상관을 갖는 것으로 나타났다. 즉, 학생들이 스트레스 상황에서 하나의 대처방식만을 사용하는 것이 아니라 동시에 여러 유형의 대처방식을 사용할 수 있는 것으로 나타났다. 둘째, 학업소진 변화량에 미치는 영향에 있어서 두 유형의 대처방식 변화량은 각기 다른 양상을 나타냈다. 즉, 적극적 대처의 변화량의 경우 단독으로 투입되었을 때보다 소극적 대처 변화량이 함께 투입되었을 때, 학업소진 변화량에 대한 부적 영향력이 강화되었다. 한편 소극적 대처의 변화량은 단독으로 투입되었을 때에는 나타나지 않았던 학업소진 변화량에 대한 정적 영향력이 적극적 대처방식이 함께 투입되었을 때 발견되었다. 이는 적극적 대처의 변화량과 소극적 대처의 변화량 간 억제효과가 있음을 시사하며, 특히 소극적 대처를 줄이고, 적극적 대처를 강화할 때 학생들의 소진을 영향력 있게 감소시킬 수 있음을 의미한다. 이상의 결과를 바탕으로 본 연구의 의의와 상담에서의 시사점을 논의하였다.

순환교대근무와 주간고정근무 여성 간호사의 회복탄력성에 대한 스트레스, 수면, 우울증의 영향 (Effects of Perceived Stress, Sleep, and Depression on Resilience of Female Nurses in Rotating Shift and Daytime Fixed Work Schedules)

  • 정주리;권혁민;김태형;최말례;은헌정
    • 수면정신생리
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    • 제26권2호
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    • pp.111-124
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    • 2019
  • 목 적 : 건강한 수면은 중요하며 회복탄력성에 긍정적인 영향을 줄 수 있다. 본 연구에서는 교대근무 간호사와 주간 고정 근무 간호사 두 집단에서 회복탄력성의 차이를 비교하고 회복탄력성에 영향을 줄 수 있는 요인들을 조사해보고자 하였다. 방 법 : 두 개의 종합병원에 근무하는 만 20세 이상의 여성 교대근무 간호사와 주간고정근무 간호사 400명을 대상으로 하였으며 2017년 6월 12일부터 2018년 6월 12일까지 설문조사하였다. 한글판 스트레스 자각척도, 스트레스 대처전략 축약형, 사회심리적 건강측정도구, 한국판 역학연구센터 우울척도, 상태불안척도, 피츠버그 수면의 질 지수, 엡워스 주간졸음 척도, 불면증 심각도 척도, 코너 데이비슨 리질리언스 척도 질문지를 적용하였다. 결 과 : 교대근무간호사와 고정근무간호사 두 집단 간의 변수 통계량을 비교한 결과 스트레스 자각, 수면의 질, 주간 졸음증을 제외한 모든 변수에서 통계적으로 의미 있는 차이를 나타내었다. 회복탄력성과 유의한 상관을 보인 요소들은 근무자들의 스트레스 대처전략, 사회 심리적 건강수준, 우울증, 불면증 심각도 이었다(p < 0.05). 다중회귀분석에서는 긍정적 재구성1이 커질수록(β = 0.206, p < 0.001), 우울증이 줄어들수록(β = -3.45, p < 0.001), 사회심리적 건강수준이 높아질수록(β = 0.193, p < 0.001), 수용적 대처2가 증가할수록(β = 0.129, p < 0.05), 주간졸음이 줄어들수록(β = -1.17, p < 0.05), 적극적 대처2가 증가할수록(β = 0.118, p < 0.05), 긍정적 재구성2가 증가할수록(β = 0.110, p < 0.05) 회복탄력성이 커지는 것으로 나타났다. 결 론 : 본 연구에서는 교대근무자에 비해 주간고정 근무자의 회복탄력성이 높음을 밝힐 수 있었다. 또한 특정 스트레스 대처 전략과 사회심리적 건강수준, 수면, 우울증이 회복탄력성과 연관이 있는 것으로 확인되었다. 향후 더 많은 수면과 회복탄력성과의 관계를 밝히는 전향적 연구들이 필요할 것으로 생각된다.

중년남성과 중년여성의 우울과 신체적, 사회·심리적, 인지적 요인 비교 (Comparison of Physical, Psychosocial and Cognitive Factors, and Depression between Middle-aged Women and Middle-aged Men)

  • 김희경
    • 성인간호학회지
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    • 제18권3호
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    • pp.446-456
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    • 2006
  • Purpose: The purpose of this study is to provide basic data for nursing programs in order to reduce depression among middle aged adults by looking at gender differences. Method: A comparative descriptive design was used. Subjects were 315 adults from February. 15 to March. 2, 2005, using a structured questionnaire. The data was analyzed using $\chi^{2}$-test, Pearson correlation analysis and stepwise multiple regression. Results: $\chi^{2}$-test revealed significant gender differences in socio-demographic variables for career, drinking, smoking, and satisfaction with the spouse. The factors that influenced depression for men were stress, fatigue, job satisfaction and self-efficacy. For women, those factors were stress, family support, coping skills, and well-being. Conclusions: The results show that gender differences existed in terms of depressions, in terms of factors influencing depression. As a result, when middle aged adults are provided nursing programs, gender differences should be considered. To decrease the depression of men, nursing interventions are needed to decrease their stress and fatigue, and to improve their job satisfaction and self- efficacy. To decrease the depression of women, it is also needed to decrease their stress, to elevate their family support and coping skills, and to support them so that their well-being is perceived good.

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

  • 동종익;류황건;배성권
    • 보건의료산업학회지
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    • 제2권1호
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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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도시철도 기관사의 직무스트레스 대처방안에 관한 연구 (A Study on Job Stress-Coping Plans for Urban Railroad Drivers)

  • 박태수;이진선;김홍기
    • 한국철도학회논문집
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    • 제16권3호
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    • pp.233-239
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    • 2013
  • 본 논문에서는 개인은 물론 조직에 치명적인 해악을 초래하고 엄청난 경쟁력 상실을 가져오는 도시철도기관사의 스트레스를 알아보고 기관사의 직무 스트레스에 대처하는 방안들을 모색하였다. 도시철도기관사의 직무스트레스로 인하여 발생되는 여러 스트레스에 미치는 악영향의 요인을 최소한 줄이기 위해서는 첫째, 전문성 제고를 위한 교육훈련 확대 및 사고발생시 기관사에 대한 보호조치로 시설개선이 필요하다. 둘째, 정신적 보상이나 조직시스템 등이 직무스트레스를 유발하므로 경영자의 리더십 교육과 같은 전형적인 조직차원의 접근이 근본적인 문제를 해결할 수 있을 것이다. 셋째, 개인적 차원에서의 규칙적인 운동, 금주 등의 바른 생활습관으로 직무스트레스를 낮춘다. 넷째, 과도한 성과 지향과 불공정한 평가를 피하고 기관사의 심리상태를 이해함으로써 근무환경을 개선하고, 근무시간을 조정하는 등의 조직적 차원에서의 복합적인 건강증진 및 관리프로그램 등 제도적 장치를 마련하는 것이 필요하다.

The Stress-Reducing Effects of Forest Healing Activities in Maladjusted Military Force Members

  • Kim, Jihye;Sin, Changseob;Kim, Jihye;Kim, Dohyeong;Kim, Yunsu;Lee, Hyunchae
    • 인간식물환경학회지
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    • 제23권3호
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    • pp.377-385
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    • 2020
  • Background and objective: In the Republic of Korea, military service is mandatory. Some of new recruits have the stress from the special environment, which could cause psychological maladjustment. The military forces have operated education programs such as green camp and healing camp. The study was conducted to investigate changes in psychological and physiological stress by conducting forest healing activities along with plant scent treatment for soldiers participating in a green camp. Methods: A total of 52 soldiers were participated including maladjustment soldiers and those recommended by their military units to protect the unfit soldiers who participated in forest healing activities in the green camp. The programs that were certified by the Korea Forest Service between 2014 and 2019, and were applied for stress reduction and relaxation training were classified into stress-coping programs and forest experience programs. Post-hoc surveys and cortisol measurements were carried out. Results: Green camp soldiers experience and differences in the level of stress responses were found to be very statistically significant between the treatment and control groups. The techniques for coping with stress were not significantly different in the control group, and the treatment group showed statistically significant results. In addition, the results of analyzing changes in the concentration of cortisol and measuring physiological stress were very statistically significant in forest healing activities at 4 p.m. Conclusion: Once green camp soldiers face stressful situations, forest healing programs using forest plant scents for green camp soldiers can have positive responses and forest healing activities can reduce psychological and physiological stress responses, improving maladjustment behaviors caused by stress and positively affecting the reduction of cortisol.

남자 대학생의 대인관계 스트레스 경험 (A Study of Male Student Stress Caused by Interpersonal Relations)

  • 최미혜;김경희;정혜경;염순교;권혜진;정연강
    • 한국학교보건학회지
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    • 제11권1호
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    • pp.63-74
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    • 1998
  • The purposes of this study are to show in interpersonal relations what factors male students are stressed from, how they experience stress, how they cope With it in each situation, and what this results in It attempt to gam basic materials to promote male student health and positive coping methods, The subject of this study was 15 male students of C University located in Seoul and Kyeonggui-Do They were composed of 5 sophomores, 5 Juniors and 5 seniors The period for collecting materials was October 1997 to January 1998, and the interview time ranged from 50 minutes to two hours The interview frequency was one to three times as occasion demanded, The materials were analyzed by the methods and theory suggested by Strauss & Corbin (1990) The results were 130 categories grouped into 33 divisions by similarity Finally, they were united into 9 higher categories In interpersonal relations the core category of male student stress is "affliction", and it follows the course of generation-coping-resolution The types showed in the course of material analysis are as follows, (1) When the subject student is on good terms with the other and the stress is repeated- "affliction" is strong and continuous-and his ability sense is strong, he copes with "affliction" With his own will and solves It affirmatively, (2) When the subject student is on good terms with the other and the stress is repeated-so "affliction" is strong and continuous-and his ability sense is weak, he copes with "affliction" with an emotional bias and solves it negatively (3) When the subject student is on good terms with the other and the stress is temporary-"affliction" is strong and temporary-and his ability sense is strong, he copes with "affliction" with his own will and solves it affirmatively (4) When the subject student becomes estranged from the other and the stress is temporary-"affliction" is weak and temporary-and his ability sense is weak, he copes with "affliction" with an emotional bias and solves it negatively, (5) When the subject student becomes estranged from the other and the stress is repeated-"affliction" is strong-and continuous and his ability sense is strong, he copes with "affliction" with his own will and solves it affirmatively (6) When the subject student becomes estranged from the other and the stress is repeated-"affliction" is strong and continuous-and his ability sense is weak, he copes with "affliction" with an emotional bias and solves it negatively. According to the above results, the conditions of cause and effect for male students to generate "affliction" should be understood in order to help cope with stress caused by interpersonal relations A program for education and counseling should be developed for male students to strengthen their 'ability sense' in choosing coping strategies In addition, the individual estimation for ability sense should be performed when education and counseling them.

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Holistic Therapy 프로그램의 개발과 적용한 행복힐링모임 대상자들의 스트레스 변화 (Development of Holistic Therapy Program and Changes in Stress of Happy Healing Group Subjects)

  • 이하영;천준협
    • 한국자연치유학회지
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    • 제10권1호
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    • pp.10-18
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    • 2021
  • 목적: 본 연구의 목적은 새로 개발한 '전인 치유 프로그램'을 행복힐링모임을 통해 수행한 대상자 62명의 스트레스 변화'에 대한 연구를 하는 것이었다. 방법: 전인치유 프로그램을 행복힐링모임에 주당 1회(90분)씩 6회기를 수행하였고, 회기 및단 계별내용을 기록하였다. 결과: 일반인에게 적용할 수 있도록 개발한 전인치유프로그램은 회기별로 '도입-전개-마무리'의 세부적 3단계로 구성되었다. 전인치유요법으로 행복힐링모임 수행 후에 스트레스에 미치는 요인은 사전 평균치에 비해 사후의 평균치는 26.371점으로 유의성이 있게 감소하였다(p < .000). 사회심리적 스트레스의 변화는 사전에서는 34.306점, 사후에는 9.096점으로유의하게감소하였다. 스트레스 대처방식의 변화는 사전에 비해서사후에는 201.661점으로 유의하게 높게 나타났다. 기분 상태 변화는 사전에는 69.451점이었고사후에는 123.983점으로 높게 증가하여 유의한 차이를 보이었다(p < .000). 결론: 전인치유 프로그램을 행복힐링모임에 적용한 대상자에게서는 일반 또는 사회적심리적 스트레스에는 유의하게 감소하였고, 스트레스 대처방식과 기분상태의 변화는 높게 증가하는 경향을 보이었다. 이 결과로 평가할 때에 새 전인 치유요법이 행복힐링모임에 매우 유용한 자연치유적 요법 중의 하나라고 판단되었다.

확장된 노래나누기를 중심으로 한 음악치료 활동이 알코올중독자의 스트레스 변화에 미치는 효과 (Effects of Music Therapy Activity on the Stress Change of Alcoholics with Extended Song Sharing)

  • 최경윤;김선식
    • 융합정보논문지
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    • 제9권9호
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    • pp.229-236
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    • 2019
  • 본 연구는 알코올 중독자의 스트레스 대처를 개선하기 위한 확장된 노래나누기(Extended Song Sharing: ESS) 중재 효과를 평가한 융합연구이다. 본 연구는 전라북도 소재 2개 병원에서 입원 중인 64명의 알코올 중독자를 편의표출하여 실험집단 (33명) 및 통제집단 (31명)으로 구분하였다. 실험군은 주 2회(45분) 6주 동안 ESS 활동을 진행하여 중재 전후, 스트레스 대처 방식 척도The Ways of Coping Checklist: WCC)를 측정하였다. 연구결과: 중재 후 실험집단의 WCC 점수는 7.3% 증가 했으나(p=0.000), 통제집단은 거의 변화(1.5% 증가, p=0.019)가 없었다. WCC 유형별 효과는 실험집단에서 소망적사고 대처 13.67%(p=0.00)가 가장 높게 나타났다. 연구결과 알코올 중독자의 자기인식을 통한 내면의 강점을 구축하고 활동과 연결하여 문제에 대처하는 것으로 나타났다. 이러한 결과는 스트레스에 민감한 알코올 중독자 중재에 유용하게 활용될 수 있음을 시사한다.