• Title/Summary/Keyword: coping measures

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Testing an Explanatory Model for Preventing College Students' Problem Gambling (대학생의 문제도박 예방에 대한 설명모형 구축 및 검증)

  • Park, Hyangjin;Kim, Suk-Sun
    • Research in Community and Public Health Nursing
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    • v.29 no.1
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    • pp.97-107
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    • 2018
  • Purpose: A mediated model of Korean college students' problem gambling based on Blaszczynski and Nower's pathway model is developed and tested to explore mediating roles of self-control and irrational gambling beliefs in the association between emotionally vulnerable variables and problem gambling. Methods: 273 student participants recruited from 4 universities in Seoul and Gyeonggi, Korea responded. Data were collected with a structured self-report questionnaire comprising measures of problem gambling, depression, anxiety, coping styles, irrational gambling belief, and self-control. Results: The modified research model provides a reasonable fit to the data. Depression, anxiety, reflective coping, irrational beliefs, and self-control turned out to have direct effects on problem gambling, while indirect effects were reported in some suppressive and reactive styles. These predictors account for 38% of the college students' problem gambling. Conclusion: The findings suggest that developing intervention programs for reducing depression, anxiety, irrational gambling beliefs, and increasing reflective coping and self-control are needed to prevent Korean college students'problem gambling.

Development and Evaluation of a Program to Promote Self Management in Patients with Chronic Hepatitis B (만성 B형간염 환자를 위한 자가관리 프로그램의 개발 및 평가)

  • Yang, Jin-Hyang
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.258-268
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    • 2012
  • Purpose: The purpose of this study was to identify the effects of the program to promote self management for patients with chronic hepatitis B. Methods: The research was a quasi-experimental design using a non-equivalent control group pre-post test. The participants were 61 patients, 29 in the experimental group and 32 in the control group. A pretest and 2 posttests were conducted to measure main variables. For the experimental group, the self-management program, consisting of counseling- centered activities in small groups, was given for 6 weeks. Data were analyzed using $X^2$, t-test, and repeated measures ANOVA with PASW statistics program. Results: There were statistically significant increases in knowledge, self-efficacy, active ways of coping, and self-management compliance but not in passive ways of coping in the experimental group compared to the control group over two different times. Conclusion: The results of this study indicate that the self-management program is effective in increasing knowledge, self-efficacy, active ways of coping, and self-management compliance among patients with chronic hepatitis B. Therefore, it can be usefully utilized in the field of nursing for patients with chronic disease as a nursing intervention for people with chronic hepatitis B.

Stress and Coping for Patients with Hemiplegia during the Rehabilitation Process (편마비 환자의 재활과정에 따른 스트레스와 대처의 변화양상)

  • 강현숙
    • Journal of Korean Academy of Nursing
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    • v.24 no.1
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    • pp.18-32
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    • 1994
  • It is important to understand that patients with hemiplegia are under stress during the rehabilitation process. This study was designed to determine what changes occur in the stress perceived by these patients during the rehabilitation process. and what changes occur in the ways they coped with stress. A decriptive study with a longitudinal design was conducted. A total of 57 patients with hemiplegia who were admitted to one general hospital made up the sample for this study. A questionnaire, observations and interviews were used for the data collection which was done in three phases(within one week after admission : within one week before discharge ; within one month after discharge ). Data were analyzed using t-test, ANOVA repeated measures of ANOVA, and post hoc paired t -test, Bonferroni correction. The results of this study are : 1. Changes in the perception of stress during the rehabilitation process : There was a statistically significant differencs in the perception of stress among these patients during the rehabilitation process. On the post-hoc test. the perception of stress showed a statistically significant decrease from admission to discharge. The perception of psychological stress was high during the rehabilitation process as compared with the perception of physical and social stress. 2. Changes in the way the patients coped during the rehabilitation process : On admission passive coping was used by most of the subjects(91.2%). Passive coping showed an decrease from admission to discharge, but an increase from discharge to follow-up at one month post discharge. There was, however, no statistically significant changes in the way the patients coped during the rehabilitation process. 3. Changes in perception of stress during the rehabilitation process according to variables. Perception of stress among patients classified as So-Um was higher during the rehabilitation process, when compared with patients classified as So- Yang and Tae-Um. There was, however, no statistically significant difference in perception of stress over time. The patients with right sided paralysis perceived higher stress than those with left sided paralysis. There was, however, no statistically significant difference in perception of stress over time. Hence, stress was not influenced by which side was paralyzed th frequency of the relapse of the disease, or the time in the rehabilitation process. 4. Changes in coping during the rehabilitation process according to variables. There was a statistically significant difference in the way the patients coped at follow- up according to the three different kinds of the constitution groups. In other words, coping was not used by patients classified as Tae-Um but was used by those classified as So-Um. On the repeated measures of ANOVA, there was a statstically significant difference in stress over time, and an interaction between constitution and time. But the way of coping during the rehabilitation process was not influenced by which side was paralyzed nor by the frequency of the relapse of the disease. In conclusion, perception of psychological stress was high during the rehabilitation process, as compared to perception of physical and social stress. There was a statistcally significant difference in the perception of stress over time, Perception of stress showed a gradual decrease from over admission to follow-up period. There was. however, no statistically significant difference in the way of coping over time. Passive coping was used by most of patients. In the study, these findings suggest a need for nursing care related to the psychological support for patients with hemiplegia both in the hospital as well as at home, and the need for education and counseling on independent self-care to help the hemiplegic patients adapt to stress using active coping.

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A Study on Clinical Nurses' Coping to Workplace Bullying: Q Methodological Approach (임상간호사의 직장 내 괴롭힘에 대한 대처 경험: Q 방법론적 접근)

  • Lee, Hye Jin;Sim, Won Hee;Lee, Dain
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.283-295
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    • 2023
  • Purpose: The purpose of this study was to provide basic data to understand the organizational culture of nurses by categorizing nurses' experience of coping with bullying in the workplace through Q methodology and analyzing the characteristics of each type, and to induce correct policy measures and interventions to create an atmosphere created in the nursing clinical field to be more advanced and positive. Methods: To form the Q population, focus group interviews were conducted with nurses working for more than six months at two general hospitals in Seoul and Gyeonggi. Interviews were conducted by 12 nurses introduced to participants who can provide researchers with a wealth of information on workplace bullying experiences without filtration. In addition, the Q population was extracted by reviewing the results. Based on the results derived from this, 38 Q statements in total were extracted. Forty clinical nurses were required to classify Q sample statements, and the data collected through this were analyzed using the pc-QUANAL program. Results: As a result of the analysis, a total of five types of clinical nurses' experiences of coping with bullying in the workplace were identified: 'tense emotion-based tolerance response,' 'positive thinking-based self-effort response', 'individualistic thinking-based passive response', 'support system-based emotional expression response' and 'active response centered on problem-solving'. Conclusion: The derived response types are expected to be guidelines for suggesting strategies to eradicate bullying in the workplace at the organizational level, individual level, prevention level, and organizational culture level.

The Latest Trend of Policy Plan for Mitigating Lightning damage in Advanced Countries (선진국의 뇌해경감 대처 방안의 최근 동향)

  • Eom, Ju-Hong;Cho, Sung-Chul;Yoo, Yang-Woo;Lee, Tae-Hyung
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.1414_1415
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    • 2009
  • This paper shows the latest trend of coping plan for mitigating lightning damage in advanced countries. The mitigation measures were investigated in following fields: the organization of government and warning system, education and publicity, support program and concerned service. In results of investigations, the USA and Japan have been organized with the latest technology of warning system and the effective management of organization. So government-level mitigation measures based on the small-scaled lightning warning system need to be considered for reducing the damage of lightning in our country.

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Measures to Implement Comprehensive Supervision for the Purpose of Bolstering Construction Management (CM) (건설관리(CM)업무 활성화를 위한 종합감리업무 수립방안)

  • Yoon, Jun-Seon;Yoo, Byoung-Eok;Han, Chang-Pyeong
    • Journal of the Korea Institute of Building Construction
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    • v.6 no.4 s.22
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    • pp.99-102
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    • 2006
  • Although constructions are getting diverse, larger in size, and higher-storied, we witness that CM technologies are not coping with such a growing trend. In particular, CM, one of vulnerable areas, shall continue to be given priority hereafter. The research has been conducted with a strong focus on total design and supervision offices already specializing in CM projects, in order to prepare for the future activated CM markets. Authors have sought to find mistakes in the process of being in control of CM works and create measures to boost CM through case-study, documentary research, and interviews with experts. It excludes theoretical research, as many data are already accumulated domestic and abroad.

Safety analysis and design of full balanced hoist vertical shiplifts

  • Liao, Lekang
    • Structural Engineering and Mechanics
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    • v.49 no.3
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    • pp.311-327
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    • 2014
  • The safety relating to leakage of water and pitch instability of ship chambers of the full balanced hoist vertical shiplifts has been the focus of adoption of the type of vertical shiplifts. This paper aims to remove the doubts through theoretical and engineering researches. The leakage and pitch stability of ship chambers of full balanced hoist vertical ship lifts are investigated on the basis of theoretical analysis and exploration of engineering measures. Regarding the issue of leakage of ship chambers, a mathematical model on leaking process is built and corresponding formula and coping measures are obtained which can be applied in control program of ship lifts by linking with monitoring. The concept of safety grade is put forward to seek the best technical and economic index and the corresponding technical measures are for different grades of ship lift is suggested. For the issue of pitch instability, a methodology of combining theoretical deduction and summary of achievements of design and operation of the type of the full balanced hoist shiplifts is adopted, and the formula for design about pitch stability of ship chambers is derived.

Individual Differences, Attitudes toward Risk Behaviors, Parents and Peers Correlates of Adolescent Risk Behaviors (청소년의 위험행동에 영향을 미치는 개인적 특성, 위험행동에 대한 태도, 부모 및 또래 변인)

  • Lee Ji-Min;Bell Nancy
    • Journal of the Korean Home Economics Association
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    • v.42 no.12 s.202
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    • pp.55-67
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    • 2004
  • The purpose of this study was to investigate the associations between adolescent risk behaviors and correlates of risk behaviors. Questionnaires were completed by 955 high school freshmen in the Daegu${\cdot}$Kyungpook area and included measures of risk behaviors, coping, self-esteem, social competence, attitudes toward risk behaviors, parental attachment, autonomy, parental monitoring, and peers' risk behaviors. The major findings were as follows. (1) Parental attachment, autonomy, and appropriate parental monitoring were positively correlated with adolescent coping, self-esteem, social competence, and peers' desirable behaviors, but were negatively associated with peers' risk behaviors and attitudes toward risk behaviors. (2) Of all the variables, peers' risk behaviors and favorable attitudes toward smoking had the greatest influence on adolescent drinking and smoking, following by favorable attitudes toward drinking, social competence, and gender (3) Similar to adolescent drinking and smoking, of all the variables, peers' risk behaviors had the greatest influence on adolescent delinquency, following by favorable attitudes toward smoking and gender.

Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors (대장암 생존자에게 적용한 전문간호사 주도 심리교육 프로그램의 효과)

  • Kim, Hye Kyung;Yoo, Yang-Sook
    • Journal of Korean Academy of Nursing
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    • v.52 no.3
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    • pp.245-260
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    • 2022
  • Purpose: This study aimed to investigate the effects of an advanced practice nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) among colorectal cancer survivors. Methods: This study was designed as a quasi-experimental study with a non-equivalent control group pretest-posttest. The participants were survivors of colorectal cancer who underwent follow-up care. There were 39 survivors: 19 in the experimental group and 20 in the control group. The experimental group performed a psychoeducational program for 120 minutes per session, once a week for a total of six weeks, while the control group received routine education and counseling. Distress, anxiety, depression, CWC, HPB, and QOL were investigated before, immediately after, and 4 weeks after the intervention. The data were analyzed with SPSS/WIN ver. 24.0, using repeated measures ANOVA. Results: There were significant interactions between time and group for distress and anxiety. In addition, CWC interacted with the total of CWC and interpersonal coping, and QOL interacted with the total of QOL and functional status. However, there were no significant differences in the depression or HPB scores. Conclusion: Based on the results of this study, we expect that this program can be used as an effective intervention for colorectal cancer survivors.

Factors Affecting the Suicidal Ideation in Spouse Caregivers of the Elderly with Dementia Living in the Community (재가치매노인 배우자의 자살생각 영향요인)

  • Du, Nam-Hee;Han, Suk-Jung
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.241-250
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    • 2018
  • The purpose of this study was to determine factors affecting the suicidal ideation in spouse caregivers of the elderly with dementia Living in the Community. The data were collected from 160 spouses of elderly people with dementia who use dementia support centers and long-term care service in seoul. Data were collected with structured questionnaires to investigate the general characteristics and suicidal ideation-related factors, and analyzed using t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis with SPSS win version 24.0 program. The significant factors affecting suicidal ideation were entrapment(${\beta}=.452$), SDAP(${\beta}=.273$), coping strategies(${\beta}=-.199$), it were explained 55.7%(F=19.199, p<.001). Therefore, counseling and education should be provided to help reduce the entrapment and enhance coping strategy with the dementia condition of the elderly with dementia. Measures also need to be made to improve the accessibility of a spouse with dementia that are left neglected.