This study was done to analyze the trends of research on coping in Korea, to suggest future direction, for research on coping, and ultimately to contribute to an increase in explanation of adaptation. This article reviewed 79 nursing research papers on coping done since 1978 by examining them according to the period of publication or presentation, research design, type of subjects, measurement instruments, research for a degree or not, range of reliability, and association of coping and related variables. The results are as follows : The number of studies on coping increased rapidly from the mid-1980's and decreased slowly from the mid-1990's. The maority of the studies were surveys, comparative studies, or correlational studies. The subects of the 46 studies were healthy people, while those in the remaining studies were patients with a variety of illnesses. Thirth-eight studies on coping were done for master's thesis, three for dissertion, and 38 were not degrees. The Bell and Jalowiec coping scales have not been used since the early 1990's. In contrast, Lazarus and Folkman's W.C.C.L. has been used increasingly since that time. The reliabilities of the coping scale were reported in 37 cases and the Cronbach's alpha coefficients were .71 to .86. All subjects reported using more problem-oriented coping than emotion-oriented coping in short-term or emotion-oriented coping and healthy groups did more long-term coping. It was difficult to describe consistently the relationship between stress and coping according to the type of coping scale or research subjects, but generally moderate relationships were found. This was due to instrumental problems and no consideration of situational context. The subject group who used more short-term coping and less long-term coping reported poorer mental status, and higher scores in burnout and state anxiey than others. That is, the relationship between stress and adaptation increased the power of explanation with intervening the mediating effect of coping. The association of locus of control, mastery, social support, and self-concept with coping showed positive relationships : those of uncertainty and severity in illness with coping showed negativerelationships ; those of state anxiety and depression with short-term coping were positive, and those of self-esteem with long-term coping or problem-oriented coping were negative. There were significant differences in the scores of types of coping according to religion, level of education, and socio-economic status. That is, Presbyterians and Catholics, those with higher education levels and higher socio-economic status used more long-term or problem-oriented coping. On the basis of the above findings the following recommendations are made : 1. There is a need to test the mediating effect of coping variable in order to clarify the concept. 2. Longitudinal studies are needed to determine the patterns of change in coping strategies when stressful events are encountered. 3. It's necessary to develop a reliable and variable measurement tool for coping. 4. There is a need to identify subscales of coping to increase explanation of variance 5. It's necessary to consider personal, situational, and antecedent variables : the characteristics of subject populations, the natures of illness and treatment situations. 6. The power of explanation of studies designed to identify the stress-adaptation process should be increased using the combination model of process-oriented coping and cognitive-structural model.
The purpose of this study was to investigate the related variables of university students' coping behavior concerning job-searching problems. The subjects were 436 senior students (212 men and 224 women) enrolled in a university in Gyeongbuk Province. Survey questionnaires were used to measure undergraduate students' coping behavior concerning job-searching problems, work commitment, their will to accept downward employment, sex role identity, grade, sex, perceived SES, and major. Data were analyzed by means, standard deviations, t-test, one-way ANOVA, Scheffe' test, and regression. Results are summarized as follows: (1) Male students' level of active and supportive coping behavior was higher than female students'. Male students' level of evasive coping behavior was lower than female students'. Students who perceive their economic condition as negative were higher in active and supportive coping behavior and lower in evasive coping behavior than the students who perceive their economic condition as positive. (2) The students who were strong in work commitment were higher in active coping behavior, and lower in evasive coping behavior than those who were not. (3) The students who were willing to accept downward employment were higher in active coping behavior than those who were not.(4) The students' coping behavior concerning job-searching problems differed according to their sex role identity. (5) Work commitment and sex role identity were influential variables on university students' job-coping behavior.
For the purpose of examining the relationship between smoking, perceived stress and vulnerability factors, and furthermore suggesting interventions to reduce excessive smoking and prevent nicotine dependency effectively, the questionnaires of perceived stress(stressful experiences), ways of stress coping(passive and active copings), smoking motives, social influence, age, amounts of smoking, and nicotine dependency were administered to smokers among medical students in Chosun university(n=186). 1) As a result of classifying smokers by the types of smoking, the most was a type of smokers to reduce negative emotions and the next in order were addictive smokers, smoker for stimulation, smoker for pleasure, etc. 2) The effects of motive, age, and active coping style were significant, but the effects of perceived stress, passive coping style, and social influence were not significant in average amount of daily smoking. 3) The effects of motive, social influence, and age were significant, but the effects of perceived stress, passive and active coping styles were not significant in the degree of nicotine dependency. To summarize, it is concluded that there were a lot of people who smoke to solve negative emotions, but the direct effects of perceived stress and passive coping style on both average amounts of daily smoking and the degree of nicotine dependency were not significant. On the other hand, motive, age, active coping style, and social influence were proved to be more important variables than the others in explaining college students' smoking.
Purpose: This study were to examine the relationship among chronic pain, pain beliefs, pain coping, and fatigue and to define the main factors influencing chronic pain in the elderly. Method: Data were collected by self-reported questionnaires from 276 Korean elderly. Data analysis was done with SPSS 10.1 for descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, and Stepwise multiple regression. Results: Chronic pain score was 5.45, which was slightly higher than the average. There were significant differences in chronic pain according to age, marital state, economic state, and duration of pain. There was a significant positive correlation between chronic pain and pain beliefs, passive pain coping, physical fatigue and mental fatigue. In addition, there was a significant negative correlation between chronic pain and active pain coping. Stepwise multiple regression analysis showed that 44% of the variance in chronic pain was significantly accounted for by passive pain coping(31%), pain beliefs(8%), physical fatigue(4%), and active pain coping(1%). Conclusion: These results suggested that pain beliefs, pain coping, and fatigue can be influencing factors on chronic pain for the elderly. Also, the findings can provide a basis for nursing intervention development to effectively manage chronic pain for the elderly.
Purpose: The purpose of this study was to describe stress levels, stress coping methods, and college adjustment according to behavior styles in freshman nursing students. Methods: Data were collected through a structured questionnaire targeting general characteristics, behavior styles, stress levels, stress coping methods, and college adjustment, and were analyzed with descriptive statistics, ANOVA, t-tests, and Pearson correlation using the SPSS program. Results: Stress was related to perceived physical health status, satisfaction with school life, and behavior style. Problem-focused coping was related to exercise, satisfaction with school life, and behavior style. College adjustment was related to place of residence, personality, perceived physical health status, motivation for entrance, and satisfaction with school life. College adjustment had significant positive correlations with stress and problem-focused coping. The relationship between college adjustment and hopeful-thought coping had a significantly negative correlation. Conclusion: These results suggest that identifying the effects of self-understanding programs on stress management and college adjustment is required.
Purpose: The purpose of this study was to understand the degree of pain belief in musculoskeletal patients, and to identify the correlation with chronic pain, pain coping and pain disability. Methods: A total of 203 inpatients or outpatients with chronic pain in orthopedics agreed voluntarily to participate in this study and answer a questionnaire. Data were analyzed using SPSS/WIN 17.0 program with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and simple linear regression. Results: The degree of pain belief in this study showed statistically significant differences depending on their age, education, job, health status, and pain duration. Among the variables correlating with pain belief in this study, there were positive correlations between pain and pain disability, pain and passive coping, pain belief and passive coping, pain belief and pain, pain belief and pain disability. The strongest correlation was passive coping and pain disability. Conclusion: From the results of this study, we concluded that it is necessary to develop the nursing intervention which can help reducing negative pain belief in patients with chronic musculoskeletal pain. Also we need to enhance the ways of coping to active or chronic pains for controlling them effectively.
Objectives: The purposes of this study were to investigate the influence of stress cognition of adolescents in a single-parent family on their problem-focused coping behaviors, and to verify the mediating effect of family cohesion between stress cognition and their problem-focused coping behaviors. Method: A survey was conducted on middle school students in Gwangju, and the responses of 404 participants were used in the analysis. The data were analyzed using the SPSS 21.0 program. Results: The results of this study were as follows: First, stress cognition had a negative influence on the problem-focused coping behaviors of the adolescents of single-parent family. Second, family cohesion completely mediated the effects of stress cognition on this problem-focused coping behaviors. Conclusions: This study suggests that it is necessary to improve the function of family cohesion in order to improve the problem-focused coping behaviors of adolescents in single-parent families.
Purpose: The study was to identify the relationship among perceived stress, coping strategies and satisfaction f clinical experience in nursing students and to examine difference of grade. Methods: A total 238 nursing students (second grade: 141 students, third grade: 97 students) from K. Womens' College were provided with self reported questionnaires from July 26, 2006 to July. 30, 2006. Perceived stress was measured using Perceived Stress Scale. Coping was measured using Coping Responses Inventory-Adult form. Satisfaction of clinical experience was measured using Satisfaction Inventory. The data were analyzed by descriptive statistics, t-test, ANOVA and Pearson's Correlation Coefficient with SPSS 12.0 program. Result: Participants showed that a high level of perceived stress score $2.71{\pm}.47$ of total 4 (2nd grad) and $2.67{\pm}.35$ of total 4 (3rd grade). Approach Coping Scales score of coping strategies was $68.19{\pm}6.06$ (2nd grade), $63.38{\pm}6.69$ (3rd grade) of total 96, then coping mechanism's mean among 2nd grade nursing students was higher than 3rd grade nursing students. Satisfaction score of clinical experience in 2nd grade nursing students was $3.01{\pm}.32$ and higher than 3rd grade ($2.99{\pm}.38$). There was a negative correlation r=-.264 (p=.000) between perceived stress during clinical practice and satisfaction. It was statistically significant. There was a positive correlation r=.154 (p<.05) between satisfaction score of clinical experience in nursing students and approach coping scales score. Conclusion: With these findings, we found that the more approach coping level, the more satisfaction of clinical practice. It is needed to developing effective teaching method and coping strategies for nursing students to improve their coping ability and prepare qualified nursing profession.
Purpose: The purpose of this study is to investigate the impact of paramedic students' five-factor personality characteristics and stress coping behavior on the stress of emergency room practice. Methods: This study conducted a survey targeting 2 grade - 4 grade paramedic students who had experience practice at emergency room at N University and B University located in Cheonan, South Chungcheong Province. Results: 'Agreeableness' was the highest at 33.88±6.31 and 'Neuroticism' was the lowest at 27.82±7.43. Among stress coping methods, 'active coping' was higher at 3.39 than 'passive coping' at 3.21, and the subarea with the highest score was 'wishful coping'. When looking at clinical practice stress by sub-domain, 'practical training environment' was the highest at 2.96, and 'interpersonal conflict' was the lowest at 2.14. There was a negative correlation between clinical practice stress and friendliness (r=-.220, p=.014) and a positive correlation with active coping (r=.210, p=.019). The influential factors were friendliness (β=-.267) and active coping (β=.258). Conclusion: The paramedic students who participated in this study showed a high level of agreeableness among the five personality traits and used a active coping style to cope with stress. Agreeableness has been shown to lower clinical practice stress, and active coping is classified as the most appropriate coping style, so research is needed to guide people to utilize friendliness and active coping well.
The purpose of this study is to investigate the relationship between the level of stress recognition of urban housewife and the method of coping, and to explore bow these factors are influenced by socio-demographic variables such as the age of housewife, level of education, status of employment, number of children, durations of marriage, types of family, religion and socio-economic status. The research was conducted on 431 housewives in Seoul in August, 1985. As for the measurement of the instrument, 48 item questionnaire made by investigator was used. The questionnaire was based upon modified and upplemented Holme & Rahe's SRRS and Bell's 18-item Questionnaire to be appropriate to Korean culture. Data were analyzed by percentage, frequency and mean, and verified significant difference by ANOVA and performed Spearman's correlation coefficient. The results of this study are as follows; 1) There is some similarity in distribution of the level of stress recognition of urban housewife. 2) the level of education and the durations of marriage have influence upon the level of stress recognition of urban housewife. In each area, there are differences among groups : age, level of education, durations of marriage, number of children and types of family in the area of education ; age, status of employment, and durations of marriage in the area of health; level of education, durations of marriage, number of children and socio-economic status in the area of finance; status of employment in the area of household work. 3) There are several methods in the method of coping to stress of housewife and the score of long-term coping method appears higher than that of short-term. 4) The level of education, number of children, religion and socio-economic status were variables to have influence on the method level of education, religion and socio- economic status were variables to have influence and in the long-term coping method level of education, number of children, religion, and socio-economic status were to have influence. 5) There is very low positive correlation between the level of stress recognition of urban housewife and the method of coping to stress( ρ=.10, P<.05). 6)In the relation between several variables in socio-demographic variables and the method to coping to stress, the lower the level of stress recognition there are negative correlation (ρ=-.28, P<.01) between religion and the method of coping and also negative correlation (ρ=-.16, P<.05) between number of children and the method of coping. There are positive correlation between socio-economic status and the method of coping.
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