• Title/Summary/Keyword: social fatigue

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Health Problems and Psychosocial Adaptation of Children with Cancer (소아암 환아의 건강문제와 사회심리적 적응)

  • 오가실;심미경;손선영
    • Journal of Korean Academy of Nursing
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    • v.33 no.2
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    • pp.293-300
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    • 2003
  • Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.

The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients (뇌졸중환자의 신체적, 정신적, 사회적 요인이 건강증진행위에 미치는 효과)

  • Kim, Eun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8525-8534
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    • 2015
  • The purpose of this study was to investigate relations among the Health Promotion Behavior, Physically, Psychological, and Social factors of the stroke patients. The subjects include the patients that were Stroke was diagnosed and being admitted to hospital. The data of total 223 stroke patients were used in analysis. Collected data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and Structural Equation Analysis. As a result, The higher medical support health promotion behavior scores were higher. Health Promotion Behavior had correlations with the subjective health state(r=.56, p=.000), family support (r=.68, p=.000), medical support(r=.65, p=.000), Fatigue(r=.27, p=.004), and behavioral intentions(r=.75, p=.000). Factors Affecting Health Promotion Behaviors of the Stroke patients Physically factors of(${\beta}$=-.156, p=.014), Psychological factors of subjective health(${\beta}$ =.283, p=.001), behavioral intentions((${\beta}$=.362, p=.000), Social factors such as family support(${\beta}$=.219, p=.010), the medical support(${\beta}$=.246, p=.004) was found to be significant influence factors. In conclusion, health promotion behavior in stroke patients is subjective health, behavioral intentions, a family support. The higher medical support health promoting behavior appears score was found to be highly Psychological factors and social factors are important factors in promoting healthy behavior. Therefore, psychosocial personalized approach to maintaining the stroke health promotion, health promotion action program itdaneunde be used as basis for relapse prevention is significant.

Relationships between Family Support, Perceived Health Status, and Self-esteem in Korean Women with Breast Cancer (한국 유방암 환자의 가족지지, 지각한 건강상태, 자아존중감의 관계)

  • Tae, Young-Sook;Kim, Mi-Yea
    • Asian Oncology Nursing
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    • v.11 no.1
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    • pp.41-48
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    • 2011
  • Purpose: The study was to identify relationships between the family support, perceived health status and self esteem in Korean women with breast cancer. Methods: Data were collected by questionnaires from 214 women with breast cancer in inpatient and outpatient settings at three different university hospitals and one cancer hospital in B city, Korea. The instruments included Family Support Scale, Perceived Health Status Scale, and Self Esteem Scale. The collected data were analyzed using frequency, percentage, t-test, ANOVA, Scheffe's test, and Pearson's correlation coefficients by SPSS WIN 15.0 program. Results: There were significant differences in the family support by age, education, and cost burden. There were significant differences in the perceived health status by education, occupation, economic status, pain, fatigue, and cancer insurance. There were significant differences in the self esteem by age, occupation, economic status, type of religion, pain, fatigue, and cancer insurance. Self-esteem was significantly correlated with family support and perceived health status. Conclusion: These results suggested that promoting perceived health status and enhancing family support would increase self-esteem effectively among Korean women with breast cancer.

Musculoskeletal Workload and Job Stress in Early Childcare Teachers (유아교사의 근골격계 작업부담과 직무 스트레스)

  • Kim, Chae-Bong;Cho, Hye-Kyung;Park, Mi-Seon;Yang, Kyung-Soo
    • The Korean Journal of Health Service Management
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    • v.10 no.2
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    • pp.205-216
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    • 2016
  • Objectives : The purpose of this study was to determine the association between musculoskeletal workload and job stress in early childcare teachers. Methods : This study was based on The Korean Working Condition Survey conducted on wage workers. The total number of individuals included in the analysis was 395 (286 childcare teachers and 109 kindergarten teachers) early childcare teachers in 2011. The collected data were analyzed by frequency statistic, cross-tabulation analysis and logistic regression. Results : The adjusted odds ratio showed a statistically effective association for job stress exposure. The results were as follows: education level, service environment, emotional labor, fatigue or posture led to pain for a high level of job stress. Additionally, for childcare teachers, the results showed that fatigue or posture led to pain when moving a heavy object frequently. Conclusions : When childcare teachers are assigned a task to lift heavy or awkward or objects, care should be taken on who is assigned the task, and it should be done safely. An intervention program should be developed to train childcare teachers to safely and efficiency do heavy labor in early childcare education classes.

Postpartum Health: A comparison of Mothers with Preterm Infants and Mothers with Fullterm Infants (산후 건강회복에 대한 비교 연구 : 미숙아 출산모와 만삭아 출산모)

  • Ahn, Suk-Hee
    • Women's Health Nursing
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    • v.8 no.1
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    • pp.7-19
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    • 2002
  • This study was to compare mother's postpartum physical health, mental health, and role performance between mothers with fullterm infants and preterm infants over 3 months postpartum period. The study used a correlational and longitudinal design and was secondary data analysis from a large study. A convenience sample of 132 mothers who had fullterm and preterm infants was followed up for 3 times (postpartum 1-2 days, 6 weeks, and 3 months) during the first 3 months postpartum period. Postpartum physical health was assessed by level of fatigue in the morning and in the afternoon, and number of physical symptoms. Postpartum mental health was assessed by positive affect, anxiety, and depression; and postpartum role performance was measured by role functional status. Mothers with preterm infants experienced higher levels of fatigue in the morning, lower positive affect, higher anxiety and higher depression over 3 data collection time points, compared to mothers with fullterm infants. Mothers with preterm infants also resumed lesser self-care activity and social and community activity than the counterparts. It implies that some aspects of preterm birth and caring for preterm infants continue to negatively affect the mother's health outcomes during the postpartum period.

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Influencing Factors on Health Related Quality of Life in Middle Age (중년의 건강관련 삶의 질에 영향을 미치는 요인)

  • Chang, Hae-Kyung
    • Korean Journal of Adult Nursing
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    • v.24 no.4
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    • pp.339-347
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    • 2012
  • Purpose: The purpose of this study was to identify the influencing factors on health related quality of life in middle age. Methods: Data were as collected by self-reported questionnaires from 303 middle age adults. Data analysis was done using SPSS/WIN 17.0 program for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Results: The average score of health related quality of life was $79.50{\pm}0.40$. Health related quality of life was statistically significant differences according to gender, education, economic status and disease. The health related quality of life was significantly correlated with fatigue, depression, stress, social support, somatic attribution, psychological attribution, normalizing attribution and type D personality. The major factors that affect health related quality of life in middle age were stress, fatigue, type D personality and normalizing attribution, which explained 51.3% of health related quality of life. Conclusion: The findings can provide the basis for the development of nursing interventions to improve health related quality of life. Furthermore, more studies are needed to explore variables that influence on the health related quality of life in middle age.

The Prevalence of Depression and Related Factors among Adults (제주지역 성인의 우울 유병률과 관련 요인)

  • Park, Eun-Ok;Kim, Moon-Doo;Son, Young-Ju;Song, Hyo-Jeong;Hong, Seong-Chul
    • Research in Community and Public Health Nursing
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    • v.20 no.3
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    • pp.277-284
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    • 2009
  • Purpose: This study was to investigate depression prevalence and related factors of depression in Jeju Province. Methods: The study sample selected using randomized cluster sampling method, and the unit of cluster was 25 households. Data were collected from 1275 adults in 723 households through home visit interview. The response rate was 89.4%. The instrument used for measuring depression was CES-D, the cut-off score was 21. Data were analyzed using Chi-square test and logistic regression. Results: The prevalence of depression in Jeju was 18.1%. The significant differences were found with depression prevalence rate by the group of gender, age, inhabited area, marital status, educational status, monthly household income, life satisfaction, socioeconomic status, perceived health status, morbidity during last 2 weeks, perceived stress, perceived fatigue, participation in social activities, and family life satisfaction. The most predictive factors among those variables were perceived fatigue with 17.93 of odds ratio, family life satisfaction with 9.86 odds ratio, and perceived stress with 9.66 of odds ratio. Conclusion: The prevention and management of depression program development was suggested and mental health promotion program for the prevention of depression was suggested.

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Factors Related to Psychosocial Distress and Fatigue Symptoms among Clerical Public Officers (일부 사무직 공무원의 사회심리적 스트레스와 피로수준에 관련된 요인)

  • Cho, Kwang-Hee;Bae, Nam-Kyou;Park, Jung-Ah;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.33 no.1
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    • pp.11-26
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    • 2008
  • Objectives: We evaluated the level of psychosocial stresses and fatigue symptoms among clerical public officers and its related factors.Methods: The self-administered questionaires were performed, during the period between Dec. 5th, 2005 Metropolitan City. The survey items included subjects' socio-demographic and job-related characteristics, health-related behavior, degree of job demand, job autonomy, social support in work, type A behavior pattern, locus of control, sense of self-esteem, psychosocial distress and degree of fatigue.

A Study of the Relationship between Compassion Fatigue, Somatization and Silencing Response among Hospital Nurses: Focusing on the Mediating Effects of Silencing Response (임상간호사의 공감피로, 신체화 증상 및 침묵반응의 관계: 침묵반응에 대한 매개효과를 중심으로)

  • Kim, Sun Hwa;Lee, Tae Wha
    • Korean Journal of Adult Nursing
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    • v.26 no.3
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    • pp.362-371
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    • 2014
  • Purpose: The purpose of this study was to identify Compassion Fatigue (CF), Somatization, and Silencing Response (SR) among nurses and understand intermediate effects between the variables. Methods: The sample of 240 nurses who were working three shifts in medical and surgical wards, and emergency room were recruited in three hospitals with over 700 beds. A structured questionnaire was used which included CF, Somatization and SR scales. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Results: There were statistically significant differences in CF, Somatization and SR depending on perceived personal health condition, experience of turnover, co-worker support. There were significant correlations between those study variables. The result also indicated that burnout (${\beta}$=.81, p<.001) which is a part of Secondary Traumatic Stress and Somatization (${\beta}$=.79, p<.001) have the role of partial mediator in the relationship between Secondary Traumatic Stress and Silencing response. Conclusion: The results of study show that an intermediary role by Burnout and Somatization in Silencing response of nurses is important for effective human resource management in hospital nursing staffs. Effective human resource management which includes mentoring and social support system can enhance the professional quality of life of nurses, which will eventually contribute to the quality of care by those care providers and counselors.

Quality of Life in Malaysian Colorectal Cancer Patients : A Preliminary Result

  • Natrah, M.S.;Ezat, Sharifa W.P.;Syed, M.A.;Rizal, A.M. Mohd;Saperi, S.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.3
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    • pp.957-962
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    • 2012
  • Objective: Rapidly increasing colorectal cancer (CRC) incidence in Malaysia and the introduction of cutting edge new treatments, which prolong survival, mean that treatment outcome measures meed to be evaluated, including consideration of patient's quality of life (QoL) assessment. There are limited data on QoL in CRC patients, especially in Malaysia. Therefore, this study was performed focusing on cancer stages and age groups. Methods: The cross sectional study was conducted from June to September 2011 at three public tertiary hospitals with the EORTC QLQ C-30 questionnaire in addition to face to face interview and review of medical records of 100 respondents. Results: The mean age was 57.3 (SD 11.9) years with 56.0% are males and 44.0% females, 62% of Malay ethnicity, 30% Chinese, 7% Indian and 1% Sikh. Majority were educated up to secondary level (42%) and 90% respondents had CRC stages III and IV. Mean global health status (GHS) score was 79.1 (SD 21.4). Mean scores for functional status (physical, emotional, role, cognitive, social) rangeds between 79.5 (SD 26.6) to 92.2 (SD 13.7). Mean symptom scores (fatigue, pain, nausea/vomiting, constipation, diarrhea, insomnia, dyspnoea, loss of appetite) ranged between 4.00 (SD 8.58) to 20.7 (SD 30.6). Respondents role function significantly deteriorates with increasing stage of the disease (p=0.044). Females had worse symptoms of pain (p=0.022), fatigue (p=0.031) and dyspnoea (p=0.031). Mean insomnia (p=0.006) and diarrhea (p=0.024) demonstrated significant differences between age groups. Conclusion: QOL in CRC patients in this study was comparable to that in other studies done in developed countries. Pain, fatigue and dyspnoea are worse among female CRC patients. Given that functions deteriorates with advanced stage of the disease at diagnosis, a systematic screening programme to detect cases as early as possible is essential nationwide.