• Title/Summary/Keyword: psychological discomfort

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Adaptation Experience and Social Support Network of Adolescent Cancer Survivors (청소년 암 생존자의 적응 경험과 사회적 지지망)

  • Cho, Eunji;Park, Eun Sook
    • Child Health Nursing Research
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    • v.23 no.2
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    • pp.238-248
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    • 2017
  • Purpose: The main purpose of this study was to explore the adaptation experience of adolescent cancer survivors during and after cancer treatment, and their perceived social support networks. Methods: This study was a qualitative descriptive study using the in-depth interview. Eight adolescent cancer survivors who were diagnosed with cancer between 11 to 18 years old participated in the study. Results: The adaptation experiences of adolescent cancer survivors over time were identified within five categories for during their treatment such as "being catapulted from one's life," "standing at the center of discomfort," "falling behind the line," "accepting the change," "being developed", and another five categories for after the treatment including "being shackled," "encountering the forgotten reality," "overcoming and emerging from the reality," "growing into adulthood," "entering into a new orbit." Participants reported the various members of their social support network and their roles during and after the treatment as well. Conclusion: While adolescent cancer survivors adjusted to their changing situations after the cancer diagnosis, their internalized adaptation, as well as perceived social support from their diverse surrounding network, played significant roles. These findings will become a valuable asset for developing age-appropriate nursing interventions to promote psychosocial adjustment of adolescents with cancer.

A Study on Analysis of Space Evaluation Using the Luminance Distribution Images (휘도분포영상을 이용한 공간평가분석에 관한 연구)

  • Han, Sang-Pil;Kim, Jong-Youn;Cho, Nam-Cheol;Yi, Yong-Kyu;Kim, Nam-Jin
    • Journal of the Korean Solar Energy Society
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    • v.33 no.5
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    • pp.76-81
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    • 2013
  • In our former study, we proposed that the AC-Model might be applied to various conditions. And we also introduced the method for daylighting that it was possible to reduce discomfort glare and to improve visual impressions as the supplementary type and blind-control type on the compound lighting. The purpose of this study was to examine the relationship between physical elements and psychological evaluation of lighting space. The study was made using an full-size space, which were equipped with various luminaries. We investigated the relationship between subjective evaluation and characteristics of light distribution and showed the high correlation between the evaluation rating and luminance distribution over whole room.

Symptom Clusters in Women with Gynecologic Cancer (부인암 여성의 증상 클러스터(Symptom Cluster))

  • Chun, Na Mi;Kwon, Jee Yeon;Noh, Gie Ok;Kim, Sang Hee
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.61-70
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    • 2008
  • Purpose: Women with gynecologic cancer often experience various physical and psychological symptoms relating to the cancer and its treatment. The purpose of this study was to identify symptom clusters. Method: A survey was conducted on 184 women with diagnoses of cervical, ovarian or endometrial cancer. Fifty symptoms were assessed for prevalence, severity and interference, and symptom clusters were identified. Cluster analysis was done using SPSS version 12.0. Results: Fatigue was identified as the most prevalent symptom (81.52%), lack of vaginal lubrication (2.26) as the most severe symptom, and lack of vaginal lubrication as the most interfering one (2.15). Identified six clusters were: Anorexia-pain cluster (loss of appetite, taste change, weight loss, appearance change, alopecia, weakness, pain), Fatigue cluster (lack of concentration, lack of memory, fatigue, dry mouth), Urinary-bowel distress cluster (urinary difficulty, constipation), Abdominal discomfort cluster (lower abdominal pain, abdominal pain, bloating), Emotional distress (sadness, anxiety-worry, nervousness, restlessness), and Menopausal cluster (sweating, hot flush, fever). Conclusion: The result of this study provides fundamental data to health care professionals in developing interventions for effective symptom management for women with gynecologic cancer by understanding identified 6 symptom clusters.

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Depression in family caregivers of elderly people with dementia

  • LVAREZ, Yanelys Taset A;TORNES, Alisa Natividad Delgado;LEON, Diurkis Yarenis Madrigal
    • The Korean Journal of Food & Health Convergence
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    • v.6 no.3
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    • pp.31-41
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    • 2020
  • The caregivers of elderly people with dementia suffer an affectation in the psychological and social order due to the low probability of total rehabilitation of the elderly and the progressive course of this pathology. In the municipality of Guisa, Granma Province there is a health problem regarding this problem since family caregivers of the elderly with dementia constantly go to the Psychology and Psychiatry consultations, in search of specialized help because they report feeling depressed. For this reason, this research was carried out with the objective of determining the main manifestations of depression in these caregivers. The results emanating from the triangulation of methods (scientific observation) and techniques (questionnaire, interviews and inventory Beck), employees at three stages of work where it was found that the main manifestations of depression of these caregivers are: poss of interest or the ability to enjoy activities that were previously pleasurable, loss of emotional reactivity to pleasant environmental events and circumstances, sleep disturbances, marked loss of appetite, weight loss, irritability, muscular tension, feelings of sadness unmotivated that produces discomfort and sufferings, ansiety, entities of handicap, blame, loss of self-confidence and feelings of inferiority, gloomy perspective of the future.

Relationship between Menstrual Distress and Sleep Disturbance in Middle-school Girls (여자 중학생의 월경불편감과 수면장애와의 관계)

  • Park, Se Yeong;Park, SoMi
    • Women's Health Nursing
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    • v.24 no.4
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    • pp.392-403
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    • 2018
  • Purpose: To identify factors associated with menstrual distress and characterize the relationship between menstrual distress and sleep disturbance in middle-school girls. Methods: Participants in this correlational study were 117 middle-school girls who were recruited through convenience sampling. Data were collected from March 2018 to April 2018 using self-reported structured questionnaires and analyzed using IBM SPSS Statistics 23.0. Factors associated with menstrual distress included physiological, psychological, and situational factors based on the theory of unpleasant symptoms. Results: Age of menarche (${\beta}=-.28$, p<.001), amount of menstruation (${\beta}=.23$, p=.004), lifestyle-related exposure to endocrine-disrupting chemicals (${\beta}=.21$, p=.027), and academic and peer-relationship stress (${\beta}=.19$, p=.025) influenced menstrual distress, explaining 47.4% of the variance in this regression model. The relationship between menstrual distress and sleep disturbance was statistically significant. Sleep disturbance was increased 1.26 folds when dysmenorrhea score increased by one unit (OR=1.26, 95% CI: 1.01~1.58). However, parental support was not a significant moderating factor of sleep disturbance. Conclusion: This study provides basis to develop an intervention strategy to alleviate menstrual discomfort in adolescents and improve their quality of sleep.

Effects of the Firstborn's Gender and Temperament on the Fertility Intention and Follow-up Childbirth (만 1세 첫째 자녀의 성별과 기질이 한 자녀 부모의 후속출산 계획 및 행동에 미치는 영향)

  • Baek, Jeehee
    • Korean Journal of Childcare and Education
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    • v.16 no.6
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    • pp.19-34
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    • 2020
  • Objective: This study investigated the effects of the firstborn's gender and temperament on the fertility intention and follow-up childbirth of parents. Methods: A total 120 firstborns and their mothers were selected from the sample of the Panel Study on Korean Children. Child temperament traits were measured by Early Childhood Behavior Questionnaire(ECBQ) and mothers stated their fertility intention in 2009 when their first child was under 2 years old. Follow-up childbirth of mothers was assessed from the data of PSKC in 2016. Results: The results indicated that there was a significant difference by gender in follow-up birth. Among aspects of temperament, fertility intention was affected by the firstborn's inhibitory control and follow-up birth was affected by the firstborn's gender and discomfort. For mothers with a boy, the firstborn's soothability affected mothers' follow-up childbirth. Conclusion/Implications: These results imply that gender and temperament of the first child are connected to mothers' fertility intention and follow-up childbirth. Extra studies are required to clarify how those factors affect mothers' parenting or psychological status. Meanwhile, the firstborn's gender and temperament should be considered when developing support programs for families with one child in order to increase follow-up birth rate.

Effect of Social Norm on Consumer Demand: Multiple Constraint Approach

  • Choi, Sungjee;Nam, Inwoo;Kim, Jaehwan
    • Asia Marketing Journal
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    • v.22 no.1
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    • pp.41-60
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    • 2020
  • The goal of the study is to understand the role of social norm in purchase decisions where demand is revealed in the form of multiple-discreteness. Consumers are socially engaged in various activities through the expectation from others in their community. Actions or decisions are likely to reflect this influence. This implicit or explicit social norm is revealed as the rules, regulations, and standards that are understood, shared, endorsed, and expected by group members. When consumers' decisions are in distance from the norm, they come to face discomfort such as shame, guilt, embarrassment, and anxiety. These pressure act as a constraint as opposed to utility in their decision making. In this study, the effect of social norms on consumer demand is captured via multiple constraint model where constraints are not only from budget equation but also from psychological burden induced by the deviation from the norm. The posterior distributions of model parameters were estimated via conjoint study allowing for heterogeneity via hierarchical Bayesian framework. Individual characteristics such as age, gender and work experience are also used as covariates for capturing the observed heterogeneity. The empirical results show the role of social norm as constraint in consumers' utility maximization. The proposed model accounting for social constraint outperforms the standard budget constraint-only model in terms of model fit. It is found that people with longer job experience tend to be more robust and resistant to the deviation from the norm. Incorporating social norm into the utility model allows for another means to disentangle the reason for no-purchase as 'not preferred' and 'not able to buy'.

The Hospital Life of the Patient with Femoral Neck Fracture (대퇴경부 골절 환자의 입원 생활)

  • Kim, Kyung-Ja;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.2 no.1
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    • pp.35-56
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    • 1996
  • Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

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Associated factors of self-reported dry mouth in adults (일부 성인의 주관적 구강건조증에 영향을 미치는 요인)

  • Kim, Sun-Sook;Youn, Hye-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.1
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    • pp.55-62
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    • 2015
  • Objectives: The purpose of this study was to investigate the associated factors of self-reported dry mouth in adults. Methods: A self-reported questionnaire was filled out by 249 adults in Seoul and Gyeonggi-do from June to October, 2014. The questionnaire consisted of general characteristics of the subjects, age, monthly income, smoking, alcohol drinking, and systemic diseases including systemic diseases, medication, oral health status, and stress. The question for dry mouth consisted of dryness in skin, eyes, lips, and nasal mucosa. The subjective dry mouth consisted of 6 questions measured by visual analogue scale(VAS). Cronbach's alpha was 0.881 in the study. Oral health related quality of life (OHIP-14) was adapted from Yoon. The questionnaire for OHIP-14 included functional limitation, physical pain, psychological disability, social disability, and experience in hadicap measured by Likert 5 scale. Cronbach's alpha was 0.885 in the study. Data was analyzed for a t-test, one-way ANOVA and multiple regression analysis by using SPSS(SPSS 18.0, USA) program. Results: There were positive correlations between oral health-related quality of life and self-reported dry mouth (functional limitation r=0.288, physical pain r=0.219, psychological discomfort r=0.193, physical disability r=0.280, psychological disability r=0.205, social disability r=0.224 and handicap r=0.270). In the multiple regression analysis, variation of self-reported dry mouth were positively associated with dry eyes{very often(${\beta}=0.305$)), sometimes(${\beta}=0.186$)}, dryness on lips{very often(${\beta}=0.247$), sometimes(${\beta}=0.177$)}, handicap(${\beta}=0.152$), physical disability(${\beta}=0.128$) and alcohol drinking(1-2 times/week)(${\beta}=0.116$) (p<0.001). Conclusions: Self-reported dry mouth may cause deterioration of the entire body dryness(dryness on eyes and lips), low oral health-related quality of life(handicap and physical disability) and alcohol drinking. Thus, It is necessary to develop oral health education programs to prevent and manage dry mouth in adults.

Association between Oral Health Related Quality of Life(OHQoL) and Oral Health Outcome in Adults over 50 Years Old (50대 이상 장노년층의 구강건강 관련 삶의 질과 구강 건강 결과의 관련성)

  • Cho, Young-Sik;Lim, Soon-Ryun;Hwang, Hye-Rim
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.305-310
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    • 2011
  • The purpose of this study was to investigate association between oral health related quality of life(OHRQoL) and health outcome, such as evaluated oral health state, perceived health state and perceived oral health state. 148 of individuals over 50 years old completed a self-reported questionnaire on Oral Health Impact Profile(OHIP-14) and oral examination was perfomed. 9.5% of respondents reported no problems or discomfort using OHIP-14. The most frequently reported problems were physical pain(69.8%) and psychological discomfort(63.5%). 43.9% of the individuals rated their health and oral health as poor and 54.7% were dissatisfied with their oral health. The study showed association between number of DMFT, missing teeth, perceived health state, perceived oral health state, oral health satisfaction and oral health related quality of life. Perceived heath sate was correlated with oral health related quality of life. But the study showed no association between DMFT, number of missing teeth and oral health related quality of life.