• 성인간호학회지
• /
• 제21권6호
• /
• pp.666-677
• /
• 2009

Purpose: This study was to test a theoretical model examining the relationships among social support, illness demands, marital adjustment, family coping and family functioning in couples more than three years after breast cancer diagnosis. Methods: A causal modeling methodology was used to test the specified relationships in the recursive theoretical model. A total of 60 couples with breast cancer were recruited from January to April 2005. Five standardized questionnaires were used to measure the theoretical concepts: social support (ISSB), illness demands (DOII), marital adjustment (DAS), family coping (F-COPES), and family functioning (FACESII). Results: Path analysis results from the wives and the husbands revealed different patterns. Three hypotheses were supported in the wife model as predicted: social support and family coping, family coping and family functioning, and social support and marital adjustment (trend). Five hypotheses were supported in the husband model as predicted: social support and illness demands, also social support and marital adjustment, illness demands and marital adjustment, marital adjustment and family coping, and family coping and family functioning. Conclusion: This study provides valuable information for developing various interventions with social support for improving family functioning of breast cancer couples in the middle adaption stage (more than three years after diagnosis).

• 간호행정학회지
• /
• 제22권5호
• /
• pp.562-569
• /
• 2016

Purpose: This study was done to construct and verify a model of turnover intention in clinical nurses, considering the effects of compassion fatigue, coping, social support, and job satisfaction. Methods: For this study a cross-sectional correlational design was used. Participants were 283 clinical nurses in four general hospitals. Data were collected using a questionnaire and were analyzed with descriptive statistics, Pearson correlation coefficient and path analysis. Results: The modified model of turnover intention had a good fit in this study. Turnover intention was influenced by job satisfaction, and job satisfaction was affected by workload, problem-focused coping, peer support, family-friend support and compassion fatigue. Compassion fatigue was associated with occupational trauma events, problem-focused coping and emotional-focused coping. Job satisfaction was the most important factors controlling nurse's turnover intention. Conclusion: Findings show that job satisfaction, compassion fatigue, and traumatic events are important factors influencing turnover intention. Nurse managers try to manage job satisfaction, compassion fatigue, support, and coping for nurses, it could be expected making proper nursing circumstance.

• 한국간호교육학회지
• /
• 제22권4호
• /
• pp.430-440
• /
• 2016

Purpose: The purpose of this study was to understand the coping experience of nursing students in clinical practice. Methods: In-depth interview was done with semi-structured questionnaire on 32 nursing students taking clinical practice. Data was analyzed through the grounded theory. Results: Core category of coping experience of nursing students was 'trying to be a meaningful presence' while clinical practice. Students' coping strategies were 'overcoming inexperience', 'receiving the recognition from the clinical instructors', and 'governing mind and body'. Helping components for their coping behaviors were 'support from people', 'personal experience before clinical practice', 'dynamics with partners'. Through the coping experience during clinical practice, nursing students became mature and confirmed their identities as student nurses. Conclusion: Nursing students taking clinical practice tried to be a meaningful presence.

• Journal of the Korean Data and Information Science Society
• /
• 제26권6호
• /
• pp.1439-1452
• /
• 2015

본 연구는 간호대학생의 대학생활적응에 영향을 미치는 변수를 확인하고 구체적인 경로와 그 영향력을 규명하여 간호대학생의 대학생활적응에 대한 모형을 개발하고자 시도되었다. 구조모형에 사용된 변수로는 모애착, 자아개념, 스트레스, 임상실습스트레스, 심리적 안녕감, 대처와 대학생활 적응이었다. 연구결과 수정모형의 적합도는 ${\chi}^2=231.1$ (p <.001), ${\chi}^2/df=2.36$로 적합한 것으로 나타났으며, GFI=.91, AGFI=.86, NFI=.91, PNFI=.73 RMSEA=.07, CFI=.95로 권장수준을 만족하였다. 변수들 중 애착, 자아개념, 스트레스, 대처방식과 심리적 안녕감은 직접으로 대학생활적응에 영향을 주었다. 자아개념은 대처방식과 심리적 안녕감을, 스트레스는 심리적 안녕감을 경유하여 대학생활적응에 영향을 주었다. 또한 이들 변수는 간호대학생의 대학생활적응을 71% 설명하는 것으로 확인되었다. 따라서 간호대학생의 대학생활적응을 증진시키기 위한 방안으로 스트레스감소와 함께, 심리적 안녕감과 대처능력을 증진시킬 수 있도록 자기관리능력 및 자아성장을 추구할 수 있는 학생관리 프로그램 개발 등을 모색하는 것이 중요할 것으로 사료된다.

• 대한간호학회지
• /
• 제29권2호
• /
• pp.238-247
• /
• 1999

The purpose of this study was to describe the relationship between family stress and adaptation in families with a disabled child through literature review using McCubbin's Double ABCX family crisis framework. The literature review focused on (1) family stress and factors affecting family stress, (2) the critical individual, familial and social resources which families acquire and employ over time in managing crisis situation. (3) the changes in definition and meaning families develop in an effort to make sense out of their predicament. (4) the coping strategies families employ. and (5) the range of outcomes of these family efforts The results showed that families reported financial difficulties and the burden of care-giving demands as major family stressors. Siblings of disabled children manifested depressive symptoms and social isolation. but was not consistent study results. The parents' views of the cause of the disabling condition fundamentally affected their behavior toward their disabled child. Especially. the fathers' views of the child's characteristics made the greatest contribution to positive changes in the mothers' perceptions. The term perceived social support refers to the cognitive appraisal by individuals that they are cared for and valued, that significant others are available to them if needed, and that they are satisfied with their interpersonal relationships. The perceived social support was more protective than social support source. network size and network density. Parental adaptation was found to be related to the child's communication competence rather than family coping strategies proposed by Lazarus and Folkman. One study results showed that there was no difference in depressive symptoms and physical health between mothers with a disabled child and those without all though mothers with a disabled child had negative attitudes and perceived themselves as having significantly less social support and lower family functioning. But a longitudinal study revealed decreases in the negative impact of the child and increases in sibling and overall family adaptation.

• 한국간호교육학회지
• /
• 제17권3호
• /
• pp.501-513
• /
• 2011

Purpose: On the basis of the theoretical framework of a combination of Roy's adaptation theory and Lazarus & Folkman's theory of stress - appraise coping, the purpose of this study was to predict effect factors of adaptation to university life of Chinese international students in Korea. After this, a model of adaptation to university life of Chinese international students in Korea was constructed. Methods: A questionnaire was used to survey 369 Chinese international students from one university in Korea, which was analyzed by using PASW Statistics 18.0 and LISREL 8.7. Results: This theoretical model explained adaptation to university life of Chinese international students at 75.0% in Korea. Physical symptoms, loneliness, acculturation stress and self-efficacy directly affected the adaptation to university life. Korean language proficiency indirectly affected adaptation to university life through self-efficacy. Conclusion: Results of this study provided theoretical basis for the future health care of university- centered health centers. For improving adaptation to university life of Chinese international students in Korea, education and nursing measures for reducing physical symptoms, loneliness and acculturation stress, and improving Korean language proficiency and self-efficacy are proposed for further research and development.

• 지역사회간호학회지
• /
• 제14권2호
• /
• pp.351-361
• /
• 2003

Purpose: The purposes of this study were to understand the types of coping strategies that family caregivers experience during the process of caring demented elderly: to grasp the coping strategies used for resolving this problem: and to develop a substantive theory by analyzing the coping types of the family caregivers of demented elderly. Method: The methodology of data collection and analysis used in this study was grounded theory proposed by Strauss and Corbin (1990). The data was collected through in-depth interviews with participants using open-ended and descriptive questions about their coping experiences. All data were were audio-taped and transcribed. The data were collected from February, 2000 to February, 2001. The participants of this study were 17 women. Results: Caregiver's coping types varied according to 'family's support', 'the condition of caregiver's health', 'the relationship with dementia elderly', 'family perception of dementia', 'fixed idea of traditional female role' and 'economic state'. In this study, five types of coping strategies were emerged: active role allotment tyle, meaning grant tyle, devotion tyle, duty defense type, and pessimism type. Among these, those who belong to the types of active role allotment, meaning grant, and devotion, including caregiver's good health were found to adapt themselves to caregiver roles. Conclusion: The results of this study may be helpful for developing effective and individualized nursing strategies suitable for individual caregivers coping types. It is suggested to practice nursing mediation and to analyze the changes in nursing effect and family members' adaptation based on coping types of the well-adapted caregivers as we as on their affirmative coping strategy.

• 아동학회지
• /
• 제29권6호
• /
• pp.105-119
• /
• 2008

Investigating cross-cultural differences of family stress and adaptation in Korea and Australia, 49 families in open adoption were administered the Family Index of Regenerativity and Adaptation-General (McCubbin, 1987), Family Problem Solving Communications (McCubbin et al., 1988), and Social Support Index (McCubbin et al., 1982). Data were analyzed by T-test and correlation analysis. Results indicated that adoption itself was the primary stressor in both countries. Korean adoptive families were under stress by family-oriented factors; Australian adoptive families experienced external family stress. Regarding family hardiness, coping efforts and family communication, Australian adoptive families reported significantly higher family functioning than Korean adoptive families. Findings suggested that a broad range of social support is needed to improve family adaptability in both countries.

• 여성건강간호학회지
• /
• 제24권3호
• /
• pp.243-251
• /
• 2018

Purpose: To determine effects of job-seeking stress on perimenstrual symptoms of female college students with health and non-health related majors and mediating effects of stress coping styles. Methods: Data were collected from 189 female college students who were juniors or seniors. This study was conducted using questionnaires on job-seeking stress, perimenstrual symptoms, and stress coping styles. Data analysis included descriptive statistics, Pearson correlation analysis, and multiple regression analysis using SPSS, version 23.0. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: Job-seeking stress was significantly and positively correlated with perimenstrual symptoms in non-health college students. Passive stress coping styles demonstrated a complete mediating effect on the relationship between job-seeking stress and perimenstrual symptoms of those with non-health related majors (${\beta}=0.31$, p=.002). Such effect was significant (Sobel test; Z=2.06, p=.039). Conclusion: Effects of job-seeking stress on perimenstrual symptoms were mediated by passive stress coping styles of non-health related major students. Based on findings of this study, effective stress cope strategies should be developed considering characteristics of majors to manage perimenstrual symptoms of female college students with high job-seeking stress.

• Journal of Korean Biological Nursing Science
• /
• 제23권1호
• /
• pp.83-90
• /
• 2021

Purpose: To determine associations of illness symptoms, perception of illness, coping with quality of life (QOL) of thyroid cancer patients and identify factors affecting their QOL. Methods: A cross-sectional study was performed using a self-administered questionnaire for 111 thyroid cancer patients after thyroidectomy. They were recruited from the outpatient clinic of one university hospital. Data collection was conducted from August 2018 to November 2018. Results: The QOL was significantly associated with interpersonal coping (β= 0.31, p< .001), monthly household income (β= 0.30, p< .001), illness symptoms (β= -0.22, p= .017), perception of illness (β= -0.20, p= .031), and education (β= 0.18, p= .037) in stepwise multiple regression. These factors explained 33.1% of QOL of thyroid cancer patients. Conclusion: Interpersonal coping is a major contributing factor to QOL. Therefore, thyroid cancer patients need good interpersonal coping for better quality of life.