• Title/Summary/Keyword: coping adaptation

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A Grounded-theory Approach to the Process of Life Adaptation in Women with Cervical Cancer (자궁경부암 여성의 삶의 적응에 관한 근거이론적 접근)

  • Lee, Sook-Hee;Kim, Jeung-Im;Lee, Hae-Kyung;Kang, Nam-Mi;Kim, Hae-Won;Lee, Eun-Hee;Hur, Myung-Haeng;Park, Young-Sook
    • Women's Health Nursing
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    • v.10 no.1
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    • pp.32-41
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    • 2004
  • Purpose: The purpose of this study was to explore and describe the process of life adaptation in women with cervical cancer. Method: A grounded theory method with guided data collection and analysis was used. Fifteen women with cervical cancer who had some kind of treatment at the hospital were asked open-ended and descriptive questions with a guideline. All interviews were tape-recorded and transcribed verbatim. Result: The core category that emerged from the comparative analysis was "overcoming cancer" named as a process of life adaptation in the participants. The process of overcoming cancer evolved three stages - "admitting reality", "attempting health-care" and "continuing health-care". Depending on the paradigm model, the central phenomena of the experiences was "powerlessness". The internal factors motivating women to overcome cancer were "denial of cancer" and "desire for life". Strategies of overcoming cancer included "living as a cancer patient," "selective food eating," "steady exercising," "getting rid of stress," and "preparing for death". The intervening conditions, "supportive system," "forms of life," and "burden on family," influenced overcoming cancer. Conclusion: The results of this study could help clinical nurses to understand life adaptation in cervical cancer patients and establish efficient coping strategies in dealing with the problems they face.

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The Effect of Social anxiety on Psychological Adaptation (사회적 불안이 개인의 심리적 적응에 미치는 영향)

  • Su Ae Park;Kwan-Jae Song
    • Korean Journal of Culture and Social Issue
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    • v.11 no.2
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    • pp.1-29
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    • 2005
  • This research examined the effect of social anxiety on psychological adaptation. Higher the social anxiety, higher in neurotism & worry but lower in Psychological Well-Being and Satisfaction with Life. Among the sub-factors of social anxiety, negative adaptation was significantly predicted by personal anxiety. However positive adaption were predicted by personal anxiety, fairness anxiety and future anxiety. Among the sub-dimensions of social anxiety, negative and positive adaptation were significantly predicted only by anticipatory anxiety. And there were significant positive correlations between social anxiety and aggressive/give-up response. Particularly, personal anxiety was the predictor of aggressive response, but safe anxiety and political anxiety were the predictors of give-up response. The dimension predicted the aggressive/give-up response was anticipatory anxiety dimension. Finally, respondents used problem solving stress coping strategy most. But the respondents whose social anxiety level especially safe anxiety and political anxiety were high used wishful thinking strategy. Moreover higher the reactive anxiety level, more frequently used the avoidance coping strategy.

North Korea-South Korea cultural heterogeneity in psychological perspective: Focusing on the North Korean defectors' adaptation (심리학적 관점에서의 남북한 문화이질성: 북한이탈주민의 심리적 적응을 중심으로)

  • Jung-Min Chae;Jong-Han Yhi
    • Korean Journal of Culture and Social Issue
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    • v.10 no.2
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    • pp.79-101
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    • 2004
  • This study is performed to understand and resolve psychologically the issue of North Korea-South Korea's cultural heterogeneity which is treated importantly in unification debates. We collected data from 181 North Korea Defectors through survey, and found out that the North Korea Defectors perceived cultural heterogeneity so much especially at the early settlement stage. However, this fact itself didn't give a serious suggestion, What is significant was how much South Korean cultural orientation they had as a coping strategy. When they coped with South Korean cultural orientation, they showed high level of self-efficacy, and furthermore they demonstrated high level of psychological adaptation. By the way, this psychological adaptation level was not significantly correlated with positive index such as life satisfaction, but correlated with negative index such as depression. That is, low self-efficacy group showed high level of depression and 43% of them could be classified as a depression-symptom group. Thus, we can conclude that it is rather helpful for the North Korean Defectors to have South Korean cultural orientation for overcoming North Korea-South Korea's cultural heterogeneity, and coping strategy is more important than cultural heterogeneity itself.

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Process of Coping with Domestic Violence of Marriage Immigrant Women (결혼 이주 여성의 가정폭력 대처과정에 관한 근거이론 접근)

  • Ko, Ki-Sook;Jeong, Mee-Kyung
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.254-279
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    • 2012
  • This research aims to suggest a practical solution in order to make marriage immigrant women free from violence and stand on their own. The suggestion could be made by developing Substantive theory in terms of marriage immigrant women's coping with domestic violence. The research question is; How marriage immigrant women cope with domestic violence. The research used a route theory approach, and 11 of marriage immigrant women who have ever suffered from domestic violence participated in it. The research question used semi-structured open questions. As a result of paradigm model analysis, "mental and physical devastation" is defined as a core phenomenon, and causative conditions are "wheel of pain" and "helpless victims of violence". Besides, context conditions are "period growth with solitariness", "irrational marriage" and "indifferent reality". "Mental and physical devastation", the core phenomenon act and interact with effect of mediatory conditions; which are "social help", "cultural difference" and "helplessness". Here the action and reaction appear as "adaptation", "resistance", "self-protection" and "self-reinforcement", and the outcomes show up as "maintaining reality", "decision making" and "beginning a new life". "Coping with mental and physical devastation and standing on one's own feet" could be introduced as a core category. Process of coping with domestic violence presents its levels as; shocks ${\rightarrow}$ endurance ${\rightarrow}$ regret ${\rightarrow}$ overcoming. There are three patterns of coping, which are; "preserving realities", "returning", and "groping for the future".

Caring Experience of Mothers with IDDM Children (인슐린의존형 당뇨병 환아 어머니의 돌봄 경험)

  • 최미혜
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.81-92
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    • 1998
  • This study is to define the caring experience of mothers with insulin-dependent diabetes mellitus children, by finding core category, contextual factors, ntervening factors, and the patterns of caring, and to velop a practice theory on it. Research method followed grounded theory methodology by Strauss & Corbin. Subjects were six mothers. whose children have had insulin-dependent diabetes mellitus for 4 months to 14 years by the interview time. They were selected by theoretical sampling. Data were collected from September, 1995 to January, 1996. Interview were done by long interview technique and observation. Each interview took 50 minutes to 2 hours. Content of interview was recorded and transcribed later. Based on the results of previous interview, content of next interview was planned until data reached to the saturation point. Results were as follows : One hundred and forty concepts were found. These concepts were grouped into thirty-three categories, and then to ten categories. Mothers with diabetic child were revealed to face “being overwhelmed by burden”. Overwhelming by burden is found to be progressed through the cycle production-coping-decrease or in crease process. Mothers showed four patterns of adaptation in caring the diabetic children. 1) If mothers felt large amount of overwhelming by burden because of difficulty of caring and unsympathizing but they had sufficient support, no condition of the child, and their coping mechanism was positive, most of them overcome with strong will, but some fell into burnout. 2) If mothers felt large amount of overwhelming by burden because of difficulty of caring, unsympathizing, insufficient support. serious condition of the child, and their coping mechanism was negative, they fell into burnout by coping with feeling. 3) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and sympathizing, sufficient support. no serious condition of the child, but their coping was negative, most of them fell into burnout by coping with feeling, but some overcome. 4) If mothers felt small amount of overwhelming by burden because of little difficulty of caring and unsympathizing, sufficient support, no serious condition of the child, and their coping was positive, they overcome with strong will. On the basis of the above result, in order to help mothers take good care of their children, nursing assesment and intervention on life readjustment, and getting support should be required. Especially, through understanding mothers' personalities, individual support consistent with each of them should be required. Therefore education. counseling, mutual support and exchange of information will have to be accomplished.

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Cultural and psychological adjustment and stress coping strategies: North Korean refugees in South Korean cultures (이(異)문화권내 적응과 스트레스 대처양식: 북한이탈주민 남한문화 적응의 관점에서)

  • Hangwoo Shin ;Jonghan Yi ;Seongyeul Han;Taekyun Hur ;Jungmin Chae
    • Korean Journal of Culture and Social Issue
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    • v.10 no.1
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    • pp.147-163
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    • 2004
  • The present research investigated and compared stress coping strategies of North Korean refugees with those of South Koreans in the purpose to predict and prepare psychological conflicts expected to occur during the Korean reunification. Adapted from Han, Hur, Chae, and Kim(2001), North Korean refugees recorded their coping strategies that they would employ in stressful situations varying in term of three aspects of stress causes - 2(locus: internal/external) × 2(stability: temporal/enduring) × 2(context: individual/interpersonal) - and the responses were classified in terms of three dimensions(active/passive, approach/avoidance, cognitive/affective/behavioral). In the temporal stress situations, adaptive North Korean refugees preferred active over passive, approaching over avoiding, and behavioral over cognitive/affective stress coping strategies more than maladaptive North Korean refugees did. Also, in the stressful situations caused by external causes, they were more likely to take active rather than passive, approaching rather than avoiding copying. Although active copying strategies were preferred to passive ones by adaptive North Korean refugees in individual stressful situations, approaching copying strategies were preferred to avoiding ones by them in interpersonal stressful situations. These findings were found to be different from the pattern of South Korean's stress coping strategies in the same situations. In conclusion, the differences were discussed in the view of psychological integration during Korean reunification.

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Comparative study in marginal fit of a pressed ceramic and feldspathic porcelain fused to metal restoration (열-가압을 이용한 금속 도재관과 전통적인 금속 도재관의 변연 적합도 비교 연구)

  • Kim, Yoon-Young;Park, Won-Hee;Yoo, Dong-Yeob;Lee, Young-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.4
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    • pp.273-279
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    • 2010
  • Purpose: The purpose of this in vitro study was to compare the marginal adaptation of a ceramic-pressed-to-metal restoration with traditional metal-ceramic restoration. Materials and methods: Duplicating the prepared resin tooth, 20 metal dies were fabricated. Twenty metal copings of 2 groups which were metal ceramic restoration and pressed to metal restoration were fabricated. The marginal opening of each coping was measured with Microscope (BX 60M-36E $41D^{(R)}$: Olympus, Japan). After porcelain build-up, the marginal opening of metal ceramic restoration and pressed to metal restoration ($PoM^{(R)}$: Ivoclar vivadent., Liechtenstein) were also evaluated in the same method. The measurements were analyzed using Wilcoxon Signed Ranks test and Mann-Whitney U test. Results: Within the limits of this study, the results were as follows. 1. Metal-ceramic restorations in coping state ($64.93{\pm}12.48\;{\mu}m$) in compared with Metal ceramic restorations after porcelain build-up ($63.43{\pm}12.86\;{\mu}m$) had no significant difference in marginal adaptation. 2. Pressed-metal-ceramic restorations in coping state ($50.00{\pm}12.28\;{\mu}m$) in compared with Pressed metal ceramic restorations after porcelain build-up ($56.72{\pm}13.80\;{\mu}m$) had no significant difference in marginal adaptation. 3. Metal-ceramic restorations in compared Pressed-metal-ceramic restorations had no significant difference in marginal adaptation. Conclusion: Pressed-metal-ceramic restorations have the advantage of being technically less change through using of the lost-wax technique and this allows for the convenience of a full-contour ceramic wax-up as opposed to the more technique-sensitive layering method. Pressed-metal-ceramic restorations may be considered in clinic on the basis of the result of this study and the advantage of this system.

Adaptation Experiences of Male Students in the Department of Nursing (간호학과 남학생들의 학과 적응 경험)

  • Kim, Seong-Hyuk;Kim, Soon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.8
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    • pp.113-126
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    • 2016
  • The main purpose of this study is to provide the necessary information for educational intervention by discovering the components and factors related to the adaptation experience of male students in the department of nursing. The participants were seven male nursing students. Data were collected from in-depth interviews, and the results were analyzed by the Giorgi's phenomenological analysis method. The main components of adaptation experience of participants were summarized into four categories: 'hopes and expectations for the future careers,' 'conflicts and wandering under realistic issues,' 'compromise and emotion management,' and 'efforts for self-growth.' Causative, accelerative, and recursive characteristics were shown among these components. The adaptation process was structured in the temporal context. The results suggest that for amicable adaptation, internal controls, such as 'improving willpower,' 'inspiring solid career awareness,' and 'selecting adaptation strategy' were all critical. Moreover, the support of families, relatives, college seniors, and department professors were revealed as the factors that help in the adaptation experiences. Based on the results, further studies are required to identify the dropout rates by maladaptation of male nursing students, and analyze possible factors that contribute to dropout and maladaptation. In addition, it is necessary to construct various coping methods and practical support systems, as well as to develop appropriate educational programs.

A Study on Family Stress and Coping of the Parents of Child who has a Cleft Lip or / and Cleft Palate (구순 및 구개열 환아 부모의 가족 스트레스와 대처에 관한 연구)

  • Roh Nan Lee;Tak Young, Ran
    • Child Health Nursing Research
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    • v.2 no.2
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    • pp.45-57
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    • 1996
  • A serious disease in a family influences the entire family member given the fact that the members closely interact with each other. Especially in terms of pediatric nursing, study on family gains importance as the need to care of families whose children with developmental disabilities and chronic disease This study was done based on The Resiliency Model of Family Adjustment and Adaptation(McCubbin, 1991) is intended to examine the stress of parents whose children suffer from cleft lip or /and cleft palate. It also helps them to cope with the stress and analyze the relationship between the stress and coping This study used Family Inventory of Life Events and Changes (FILE) and Coping Health Inventory for Parents(CHIP) for measuring family stress and coping. The two instruments are revised to fit the social and cultural environment of Korean culture. Data collection was done from April 18, 1996 to May 18, 1996 at 8 University medical centers located in Seoul. Those who answered questionnaires were 84 parents whose children have cleft lip or /and cleft palate. SPSS PC+ was used to analyze the data collotted. Programs used for data analysis were t-test, ANOVA, Pearson correlation coefficient. The study is summarized as follows .1. The average score of family stress is 10.46(percentage of the full score 24.90) and 'finance and business strains'(3.25), and 'intrafamily strains'(2.65) ranked the highest. The average score of family's coping is 1.93, which is close to the answer of' moderately helpful' and they are measured to put their utmost efforts to' intergration and cooperation of family and optimistic definition on the situation'. 2. There is no significant statistical correlation between the family stress and coping. 3. Mothers show more stress than fathers in the parts of 'illness and family care strains' and 'losses'(t〓-2.34, t〓-2.32, p<.05). 4. Fathers show more willingness to cope with the stress than mothers do in the parts of' seeking social support','self-esteem','emotional comfort' 5. Mothers are more stress than fathers in the parts of family stress and its coping with it by usual traits(t〓-2.78, p<.05). Parents with religion are measured to cope more willingly than those who are not 6. Income of a family shows positive correlationship with family coping (r〓.28, p<.05). The study shows that gender difference is significant variable in studying on family stress and coping. Mothers get more stress than fathers, which has much to do with the fact that they are in charge of raising children and keeping houseworks. Accordingly, managing family crisis and its survival can be induced by giving support for the mothers, studying fathers including the rest of the family members and giving nursing care and arbitration ; religious background is also considered to be one of the important factors in family stress , judging from the relationship between family income and family's coping, caring given to suffering children is needed on societal levels. The above considerations bring up the need to have a longitudinal study of children with congenital anomaly including cleft lip or /and cleft palate and their families about family stress and coping. Resiliency programs on family system and their effectiveness and the relationship between the enlarged families with social and cultural values reflecting Korean tradition are also needed to be studied.

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A study on stress factors of testees for the national dental hygiene certification examination (치과위생사 국가시험을 앞둔 수험생의 스트레스 영향요인에 관한 연구)

  • Lim, Mi-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.4
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    • pp.735-744
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    • 2010
  • Objectives : The purpose of this study was to examine the stressors and stress-adaptation patterns of students preparing for the national dental hygiene certification examination. Methods : The subjects in this study were dental hygiene juniors in four selected colleges located in the metropolitan area. After a survey was conducted, the collected data were analyzed. Results : 1. Concerning motivation of choosing the department of dental hygiene, the largest group that accounted for 72.2 percent chose it due to employment prospects. As to satisfaction level with the department, 40.4 percent were satisfied. In relation to employment prospects, 54.1 percent thought the prospects were bright. 2. They got a mean of 3.23 in stressors. To be specific, they felt the most stress due to test anxiety(3.70), followed by leisure insufficiency (3.21), the uncertainty of the future(3.18) and parental pressure(2.64). 3. They got a mean of 2.02 in stress-adaptation method. They got 2.31 and 1.72 in long-term and short-term adaptation respectively, which showed that long-term stress adaptation method were more prevailing than short-term ones. 4. As for the relationship of the stressors, there was positive correlation among all the test anxiety, future uncertainty, leisure insufficiency and parental pressure, and their correlation was statistically significant(p<0.000). 5. Regarding connections between general characteristics and the stressors, whether they spent two years or more for college admission, satisfaction level with the dental hygiene department, employment prospects and health status made significant differences to the stressors (p<0.05), and there were significant gaps in adaptation patterns according to academic standing, satisfaction level with the department and health state(p<0.05). Conclusions : The dental hygiene students were under great pressure since they had to prepare for the national dental hygiene certification examination to become a certified dental hygienist, one of professional health care workers. Therefore stress counseling programs and stress-coping programs should be developed to relieve the stress of dental hygiene students who are going to take the national dental hygiene certification examination. And they should be assisted to stay away from stress and to handle their stress in a more active manner.