• Title/Summary/Keyword: stress and coping method

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FINITE ELEMENT ANALYSIS OF MANDIBULAR STRESSES INDUCED BY OVERDENTURE WITH DIFFERENT DESIGNS OF ABUTMENT COPINGS (지대치 coping형태에 따른 overdenture하에서 하악 응력에 관한 유한요소법적 분석)

  • Park Hae-Kyoon;Chung Chae-Heon;Cho Kyu-Zong
    • The Journal of Korean Academy of Prosthodontics
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    • v.29 no.3
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    • pp.141-170
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    • 1991
  • This study was to analyze the displacement and the magnitude and mode of distribution of the stresses in the lower overdenture, the mucous membrane, the abutment teeth and the mandibular supporting bone when various abutment designs were subjected to different loading schemes. For this study, the two-dimensional finite element method was used. The models of overdenture and mandibe with the canine and the second premolar remaining, were fabricated. In the first design, a 1 mm space was prepared between the denture and the dome abutment with the height of 2 mm(OS). In the second design, a contact between the denture and the occlusal third of the dome abutment with the hight of 2 mm was prepared(OC). In the third design, a 0.5 mm space was prepared between the denture and 8 degree tapered cylindrical abutments with the height of 7 mm(TS). In the fourth design, a contact between the denture and the occlusal two thirds of the conical abutments with the height of 7 mm was prepared(TC). In order to represent the same physiological condition as the fixed areas of the mandible under loading schemes, the eight nodes which lie at the mandibular angle, the coronoid process and the mandibular condyle were assumed to be fixed. Each model was loaded with a magnitude of 10 Kgs on the first molar region (P1) and 7 Kgs on the central incisor region (P2) in a vertical direction. The force of 10 Kgs was then applied distributively from the first premolar to the second molar of each motel in a vertical direction (P3). The results were as follows: 1. The vertical load on the central incisor region(P2) produced the higher displacement and stress concentration than that on the posterior region(P1, P3). 2. The case of space between abutment and denture base produced higher displacement than that of contact, and the case of long abutment produced higher displacement than that of short abutment because of low rigidity of denture base. 3. The magnitude of the torque and vertical force to the abutment teeth and the stress distribution to the denture base was higher in the telescope coping than in the overdenture coping. 4. The vertical load on the central incisor region(P2) produced higher equivalent stress in the mandible than that on the posterior region(P1, P3). 5. The case of space between abutment and denture base produced better stress distribution to the farther abutment from the loading point than that of contact. 6. In case of sound abutment teeth, the type of telescope coping can be used, hilt in case of weak abutment, the type of overdenture coping is considered to be favorable generally.

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Hospitalization Stress in Child : Concept Analysis (아동의 입원 스트레스에 대한 개념분석)

  • Lee, Young-Ok
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.327-335
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    • 2020
  • The purpose of this study was to investigate conception of children's hospitalization stress and to make clear concepts, and to use Walker & Avant's concept analysis method. Children's hospitalization stress attributes were derived from physiological changes, individual-environmental interactions, cognitive and psychosocial developmental stage responses, and intrinsic and outward changes due to coping styles. The prerequisites for hospitalization stress of children were disease severity, biological factors, and support system, and the results were hospitalization adaptation, disease and health recovery, improvement of child development, and acquisition of coping skills. In order to solve the prerequisites for Hospitalization stress of children, it is necessary to be aware of the disease and to establish a support system of parent-family. Afterwards, we suggest more qualitative research on the hospitalization stress of children, the development of tools that reflect the characteristics of the hospitalization stress of children, and the development of programs to solve the Hospitalization stress.

The Effects of Personal and Social Coping Resources of Mothers on the Stress of Caring Adult Children with Developmental Disabilities (어머니의 개인·사회적 대처자원이 성인발달장애인 자녀의 돌봄스트레스에 미치는 영향)

  • Shim, Seok Soon;Nam, Jeong Hwee
    • 재활복지
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    • v.20 no.1
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    • pp.43-64
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    • 2016
  • This study is to reveal the effects affecting mother' coping resources on caring stress of mothers caring for adult children with developmental disabilities. The research data was collected from the service users recruited from two disability organizations and the disabled community welfare centers in South Korea. The survey was limited to mothers caring for adult children with developmental disabilities over the age of 18. The samples of the study consisted of 119 mothers. The data were analysed through SPSS statistical program. It was used for the analysis method of Frequency analysis, T-test, ANOVA and Step wise regression. Analysis results are as follows: the family support and friend support of social coping resources is affecting in caring stress of mothers. Also, the mothers who is working are more caring stress than unemployed mothers and the mothers who is between 50age and 54age are more caring stress than the mothers of under 49 age. Based on these results, I proposed the idea of several programs for social work practice for community welfare centers based on the results.

Types of Violence and Coping Methods Experienced by General Hospital Nurses (종합병원 간호사가 경험한 폭력 유형과 대처방식)

  • Kang, Mi Jung;Park, Ihn Sook
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.1
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    • pp.92-104
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    • 2015
  • Purpose: The purpose of this study was to identify the types of violence and coping methods experienced by general hospital nurses. Methods: Data were collected from March 17 to 24, 2014, using self-report questionnaires. Responses from 449 nurses were analyzed. Results: The majority of the respondents experienced violence from patients, visitors, doctors, and other nurses. Verbal violence was more frequent than physical threats and physical violence. Most violence happened in ERs, followed by surgical units, and ICUs. The most frequent response by nurses after violence was an emotional response, especially 'anger' ($4.01{\pm}1.059$). Based on general characteristics, the responses were significant for professional experience (F=2.935, p=.013) and work areas (F=2.290, p=.021). The most frequent coping method for nurses after violence had occurred was to 'just complete their duties as if nothing happened'. Conclusion: Most nurses are exposed to frequent violence, but they feel defenseless. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. In addition, educational programs should be provided for nurses to improve their attitudes and abilities to cope with violence. Also, hospitals should offer sufficient support, stress reduction programs and counseling programs for nurses.

Reliability of a Newly Developed Tool to Assess and Classify Work-related Stress (TAWS-16) for Indian Workforce

  • Gautham Melur Sukumar;Runalika Roy;Mariamma Philip;Gururaj Gopalkrishna
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.5
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    • pp.407-412
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    • 2023
  • Objectives: Work stress is associated with non-communicable diseases, increased healthcare costs, and decreased work productivity among employees in the information technology sector. There is a need for regular work-stress screening among employees using valid and reliable tools. The Tool to Assess and Classify Work Stress (TAWS-16) was developed to overcome limitations in existing stress assessment tools in India. This study aimed to test the reliability of TAWS-16 in a sample of managerial-supervisory employees. Methods: This observational reliability study included data from 62 employees. Test-retest and inter-method reliability were investigated using a TAWS-16 web application and interview by telephone, respectively. Kappa values and intra-class correlation coefficients were calculated. Internal consistency was assessed through Cronbach's alpha. Results: For both test-retest and inter-method reliability, the agreement for both work-related factors and symptoms suggestive of work stress exceeded 80%, and all kappa values were 0.40 or higher. Cronbach's alpha for test-retest and inter-method reliability was 0.983 and 0.941, respectively. Conclusions: TAWS-16 demonstrated acceptable reliability. It measured stressors, coping abilities, and psychosomatic symptoms associated with work stress. We recommend using TAWS-16 to holistically identify work stress among employees during periodical health check-ups in India.

A Study on Experiences of Health Problems and Coping in Middle-aged and Elderly Women in the Community: Focusing on Focus Group Interview Approach (지역사회 중년 및 고령여성의 건강문제와 대처경험: 포커스 그룹 인터뷰를 중심으로)

  • Jeong, Yeo Won;Kang, Kyung Im;Lee, Byeong Ju
    • Research in Community and Public Health Nursing
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    • v.31 no.2
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    • pp.119-129
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    • 2020
  • Purpose: The aim of this qualitative study is to explore the health problems and coping experiences of middle-aged and elderly women in the community. Methods: A total of five focus group interviews were conducted with three groups of middle-aged and two groups of elderly women. All interviews were recorded and transcribed. Data were analyzed using the content analysis method. Results: Health problems were categorized as confusion caused by problems that are difficult to handle alone in the middle-aged group and suffering originated by confronting changes in roles and environment in the elderly group. The health problems included stress, suffering, anxiety and social withdrawal as subcategories for the middle-aged women, and the stress, sense of loss, fear, and limited social activities caused by their life events for the elderly women. Meanwhile, the contents of categories about coping were revealed as the beginning of care for the body and mind for healthy life in the middle-aged group and active practice with insight into a healthy lifestyle in the elderly group. While the middle-aged women focused on themselves, attempted changes and started to take care of themselves, the elderly women interacted with the outside world, hardened their mind, made efforts for a dignified death, and managed health by their own methods. Conclusion: There were differences in the experiences of middle-aged and elderly women in accepting their health problems and coping. Nursing interventions reflecting these findings can help to manage and promote the health of middle-aged and elderly women based on an integrated perspective.

Development and Effects of Emotional Intelligence Program for Undergraduate Nursing Students: Mixed Methods Research (간호대학생을 위한 감성지능 향상 프로그램 개발 및 효과검증: 혼합연구 설계 적용)

  • Lee, Oi Sun;Gu, Mee Ock
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.682-696
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    • 2014
  • Purpose: This study was conducted to develop and test the effects of an emotional intelligence program for undergraduate nursing students. Methods: The study design was a mixed method research. Participants were 36 nursing students (intervention group: 17, control group: 19). The emotional intelligence program was provided for 4 weeks (8 sessions, 20 hours). Data were collected between August 6 and October 4, 2013. Quantitative data were analyzed using Chi-square, Fisher's exact test, t-test, repeated measure ANOVA, and paired t-test with SPSS/WIN 18.0. Qualitative data were analyzed using content analysis. Results: Quantitative results showed that emotional intelligence, communication skills, resilience, stress coping strategy, and clinical competence were significantly better in the experimental group compared to the control group. According to the qualitative results, the nursing students experienced improvement in emotional intelligence, interpersonal relationships, and empowerment, as well as a reduction in clinical practice stress after participation in the emotional intelligence program. Conclusion: Study findings indicate that the emotional intelligence program for undergraduate nursing students is effective and can be recommended as an intervention for improving the clinical competence of undergraduate students in a nursing curriculum.

Stress, Social Support and Coping of Adults According to Level of Self-Efficacy (성인의 스트레스, 사회적 지원과 대처: 자기효능감 수준별 분석)

  • Young-Shin Park;Ju-Yeon Son;Ok-Ran Song
    • Korean Journal of Culture and Social Issue
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    • v.23 no.2
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    • pp.295-332
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    • 2017
  • The main purpose of this research is to analyze stress, social support and coping behavior of adults based on their level of self-efficacy. A total of 899 adults (399 male; 500 female), each with a child attending either elementary and secondary school, participated in the study. The inter-rater reliability for the open-ended questionnaire utilized in the study was 93.4%, with a Kappa coefficient of .92. The range of Cronbach α for the variables measured through a quantitative method was .87~.92. The results were as follows: First, the representative responses to the question about their most painful stress experiences were, financial difficulties, child rearing and duties of workplace. The Lower Efficacy group, compared to the Upper Efficacy group, responded much more with financial difficulties related responses. There were significant differences in the level of stress symptoms according to level of self-efficacy. The Lower Efficacy group expressed stronger levels of stress symptoms when compared to the Upper Efficacy group. Second, in terms of social support, the participants responded that they received the most help from their family members, followed by none(self), and friends. When comparing the two efficacy groups, the Upper Efficacy group responded most frequently that they received social support from their family members, whereas the Lower Efficacy group indicated none. There were significant differences in the level of relational conflicts according to the level of self-efficacy. The Upper Efficacy group showed much less conflict in parent-child relations, spousal relations and relations with their boss, compared to the Lower Efficacy group. Third, for the type of social support participants received, the most frequent response was emotional support, followed by none, and advice. Relatively, when comparing the two groups with each other, the Lower Efficacy group responded more frequently with none, whereas for the Upper Efficacy group responded more frequently with advice. There were significant differences in the amount of emotional support received according to level of self-efficacy. The Upper Efficacy group received much more emotional support from their spouses and their bosses compared to the Lower Efficacy group. Fourth, the most frequently adopted coping style to stress was self-regulation, followed by direct problem solving, and nothing(none). The most frequent response for the Upper Efficacy group was direct problem solving, whereas for the Lower Efficacy group was nothing(none). There was a significant difference in coping efficiency to stress according to level of self-efficacy. The Upper Efficacy group coped more efficiently with stress than the Lower Efficacy group.

Long-Term Care Hospital Nurse's Experience in Coping with End-of-life Care Nursing (요양병원 간호사의 임종간호 대처 경험)

  • Kim, Dong-Hee;Lee, La-Jin
    • The Journal of the Korea Contents Association
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    • v.21 no.1
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    • pp.710-721
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    • 2021
  • Purpose: The purpose of this study is to identify, describe, and understand the meaning of experiences by clarifying the structure of the coping experience of end-of-life care(EOLC) experienced by long-term care hospitals(LTCHs) nurses'. Methods: Data were gathered from 16 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method. Results: It was structured and identified into 3 categories and 15 theme clusters. The emergent 3 categories were 'Long-term care hospitals nurses' attitudes towards for end-of-life care', 'End-of-life care stress', 'Coping with end-of-life care'. Conclusion: There is a need for practical and systematic education for LTCHs nurses' to positively change end-of-life care attitudes and reduce and prevent end-of-life care stress. In addition, it is suggested to operate programs that can improve coping skills or programs such as expert counseling.

Development of Holistic Therapy Program and Changes in Stress of Happy Healing Group Subjects (Holistic Therapy 프로그램의 개발과 적용한 행복힐링모임 대상자들의 스트레스 변화)

  • Lee, Ha Young;Chun, Jun Hyup
    • Journal of Naturopathy
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    • v.10 no.1
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    • pp.10-18
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    • 2021
  • Purposes: Stress is known as a factor inducing various diseases in the human body. The purpose was to conduct a study on the stress change of 62 subjects who performed the newly developed "Holistic Healing(HH)Program" through the Happy Healing Group Program. Methods: Six sessions of the HH program were performed once a week (90 minutes) at the Happy Healing Meeting, and were surveyed activities of each session in detail. The HH program was developed to be applied to the general public, and it was composed of three detailed introduction-development-finish phases for each session. Results: After performing the Happiness Healing Meeting with the HH program the stress factor significantly decreased to 26.371 points in the post-test average value than the pre-test average value (p<.000). Psychological and social stress was reduced considerably to 9.096 points in post-test than in the pre-test measurement. Stress-coping method was significantly higher in the post-test with 201.661 points compared to the pre-test. Mood state was 69.451 points in the pre-test and 123.983 points in the post-test, showing a significant difference (p<.000). Conclusions: In the subjects who have been applied the holistic therapy program to the happiness healing small group, was significantly decreased general or psychosocial stress, and the stress-coping style and mood state change tended to increase. When evaluating this result, the SERIP Holistic Healing Program has been determined to be one of the very new holistic and beneficial natural healing therapies for the happiness healing small group.