• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.15 no.3
• /
• pp.291-300
• /
• 2008

Purpose: The purpose of this study was to identify the effects of a cognitive behavioral stress management program on perceived stress, coping strategies, and cortisol in people with Diabetes Mellitus Type 2. Method: Patients with type 2 diabetes were recruited from of a public health center in an urban area. Thirty-five participants (experimental group=17, and control group=18) enrolled. The experimental group received small group-based cognitive behavioral stress management training for eighty minutes per session, once a week for eight weeks. Data were collected at baseline and ninth week for perceived stress, affect-oriented coping, problem-oriented coping, and cortisol. The data were analyzed using SPSS 12.0. Results: The experimental group had significantly less perceived stress (t=-9.82, P<.001) and cortisol (t=-2.14, p=.040) than the control group. No significant group differences were found in affect-oriented coping (t=-.43, p=.673) or problem-oriented coping (t=1.40, P<.170). Conclusion: These results suggest that a cognitive behavioral stress management program can have positive effects on perceived stress and cortisol in patients with diabetes mellitus type 2. Further research with a larger sample and for a longer period is needed to expand our understanding of the effects of the program for patients with diabetes mellitus type 2.

• Korean Parent-Child Health Journal
• /
• v.10 no.2
• /
• pp.158-171
• /
• 2007

Purpose: The purpose of this study is to describe the degree of test stress and coping style and their relationship of high school students. Method: A descriptive and correlative study has been conducted to report adolescents' test stress and coping style. Nine hundred fifty four high school students were participated in this study and collected data by visit-survey with an organized questionnaire. Results: The mean score of perceived test stress was 2.98. High school students were more frequently use the affective regulation coping style than problem focused coping style. The relationship between perceived test stress and affective regulation coping was statistically significant. Conclusion: Through this study, investigator found coping styles were important factors influencing test stress of high school students. This study also shows that a number of characteristics of the high school students significantly affect levels of test stress, the most notable of these factors being grade, sex, and academic performance. Therefore, consideration of test stress and coping style should be included in the development of a stress management program for high school students.

• Journal of Korean Academy of Nursing
• /
• v.28 no.2
• /
• pp.358-368
• /
• 1998

This was designed to identify the relationship of perceived stress, ways of coping, and stress response in student nurses. The subjects of this study were 320 student nurses from two universities and three junior colleges located in Seoul. The data were collected from November 28 to December 10, 1997 by a questionnaire survey method. The instruments for this study were the perceived stress scale developed by Levenstein(1993), ways of coping scale developed by lazarus & Folkman (1984), and the stress response scale developed by Choi(1991). The data were analyzed by SAS program, using descriptive statistics, Pearson correlation coefficient, and ANOVA. The results are summarized as follows : 1. The mean score for the level of perceived stress was 2.55. 2. The mean score for the level of problem oriented coping was 1.61 and the mean score for the level of emotional oriented coping was 1.37. 3. The mean score for the level of stress response was 3.74. Stress was classified into nine factors and the order of scoring for the most frequent was ; assignments(3.98), as a nurse(3.97), interpersonal relationship(3.88). 4. The relationship between perceived stress and stress response revealed a positive significant correlation(r=0.23, p=0.0001) 5. The relationship between emotional oriented coping and stress response revealed a positive significant correlation(r=0.22, p=0.0001). 6. The relationship between perceived stress and emotional oriented coping revealed a positive significant correlation(r=0.13, p=0.020). In conclusion, this study revealed that the level of perceived stress and ways of coping were important factors influencing the stress response of student nurses. Therefore, in consideration of perceived stress, ways of coping should be included in the development of a stress management program for student nurses. Further research with an expanded area and subjects is recommended.

• Journal of Korean Academy of Fundamentals of Nursing
• /
• v.19 no.2
• /
• pp.168-178
• /
• 2012

Purpose: The purpose of this study was to compare self-care behavior, diabetes-related stress and stress coping style among 3 blood glucose control groups (good, inadequate, and poor blood glucose control groups). Methods: Participants were 102 type 2 diabetic patients (good group: 41, inadequate group: 31, poor group: 30). Data were collected from Feb 19 to Mar 24, 2010 and were analyzed using Chi-square, Fisher's exact test and ANCOVA with SPSS/WIN 12.0. Results: Using ANCOVA with frequency of admission, and illness duration as covariates, significant differences were found among the 3 groups in self-care behavior (total score) and the exercise subscale. Using ANCOVA significant differences were found among 3 groups in diabetes-related stress (total score), emotional burden subscale and regimen distress subscale. Using ANCOVA no difference in stress coping was found among the 3 groups, but there was a significant difference in the problem-oriented coping subscale. Conclusions: Self-care behavior, diabetes-related stress, and stress coping style are factors influencing blood glucose control. The results of this study suggest that for improving blood glucose control, self care education program focused on diet and exercise in addition to stress management program for promoting problem oriented coping capability are recommended.

• Korean Journal of Adult Nursing
• /
• v.16 no.1
• /
• pp.90-101
• /
• 2004

Purpose: The purpose was to examine the effectiveness of a psychosocial stress management program on stress and coping in student nurses. Method: A nonequivalent control group pre-posttest design was used. A convenience sample of 24 students from the Department of Nursing, Wonju College of Medicine, Yonsei University were assigned to experimental (n=12) and control groups(n=12). Stress was measured using the Visual Analog Scale (10 points) and blood cortisol. Coping was measured using a scale modified by So (1995) based on the Ways of Coping Checklist developed by Folkman and Lazarus (1985). Depression was measured using the CES-D by Radloff (1977) and state anxiety, using the State Anxiety Inventory by Spielberger (1976). The psychosocial stress management program included education, relaxation (Korean Dan Jeon-typed Breathing and music), and social support. Result: Results showed for the two groups, 1) a significant difference in stress scores (U= 19.50, p=0.002), 2) no difference in cortisol levels (8am, 4pm), 3) a significant difference in problem-focused coping (U=25.50, =0.007), 4) no difference in emotion-focused coping, and 5) no difference in state anxiety and depression. Conclusion: By utilizing the program, students were able to learn how to control their stress and improve their coping. Therefore with a partial modification, psychosocial stress management can be useful for continual management of stress in student nurses.

• The Korean Journal of Rehabilitation Nursing
• /
• v.10 no.2
• /
• pp.81-89
• /
• 2007

Purpose: The purpose of this study was to identify the degree of Job stress and Coping of the nurses in ICU and Cancer ward, and to compare the Job stress and Coping between two groups, and finally to get the basic information about the adequate method to promote Coping about Job stress of the nurses in ICU and Cancer ward. Method: The subjects of this study were 131; 62 nurses in ICU and 69 nurses in Cancer ward. Data were collected from 27th August to 14th September in 2007. The instruments for this study were Job stress scale(55 items) developed by Kim(1989), and Coping scale(32 items) developed by Lazarus and Folkman(1984) and revised by Han and Oh(1990). For the data analysis, SPSS PC/win 12.0 program was utilized for descriptive statistics, $X^2$-test, t-test, Pearson correlation. Result: The results of this study were the followings; The mean score of Job stress(range 1-5) was 2.93 in ICU nurse and 2.58 in Cancer ward nurse. There was a significant difference (t=4.453, p<.01)between them. There were significant differences in subscale of Job stress between the two groups, such as Nursing job(t=3.717, p<.01), Job circumstances(t=4.558, p<.01), Personal relations(t=3.425, p<.01), Hospital administration and ward management(t=2.94, p<.01). The mean score of Coping(range 1-4) was 2.55 in ICU nurse, and 2.54 in Cancer ward nurse; there was no significant difference. But one subscale of the Coping(Search of social support) showed significant difference(t=-2.865, p<.01). There was no significant correlation between Job stress and Coping of ICU nurse vs Cancer ward nurse except one subscale in cancer ward(correlation between Nursing Job and Coping). Conclusion: The ICU nurse is higher than the Cancer ward nurse in the Job stress score significantly and lower than the Cancer unit nurse in the Coping. Based on the study results, it is needed the program development using the Coping methods in accordance with ward speciality to relieve Job stress.

• Journal of the Korean Society of School Health
• /
• v.25 no.1
• /
• pp.85-94
• /
• 2012

Purpose: The purpose of this study was to investigate the stress, coping and suicidal ideation among school-aged children and provide evidence for developing a stress management program for them. Methods: Data were collected and analyzed from 308 fifth graders from 6 elementary schools located in Daegu/Gyeongbuk. Results: First, for stress by general characteristics, there were significant differences in economic status, school record, self-rated health and life satisfaction. Also, subcategory stress by gender, there was a significant difference in appearance stress. Second, passive/avoidant coping had a significant difference in gender. Social support seeking coping and passive/avoidant coping were significant differences in economic status. Active coping had a significant difference in school record. Passive/avoidant coping had a significant difference in self-rated health. Aggressive coping, active coping, social support seeking coping and passive/avoidant coping had significant differences in self-rated life satisfaction. Third, stress and coping had significant differences by suicidal ideation. Fourth, stress showed positive correlations with aggressive coping and passive/avoidant coping while revealing negative correlation with active coping. Conclusion: These results from the study suggest difference by gender and need more active and positive coping strategy for suicide prevention.

• Journal of the Korean BIBLIA Society for library and Information Science
• /
• v.17 no.1
• /
• pp.223-248
• /
• 2006

The bibliotherapy program was carried out in the 'S' elementary school in Kyonggi province. Korea for the fourth grader children in order to measure the grade of stresses which they experience and coping styles. and to find what kind of changes in terms of the grade of stress and coping styles over stress through the bibliotherapy program. Especially, it was going to understand elementary school children's stresses and coping styles, and verify effects of the bibliotherapy program as a device of helping amicable adoption for the various stress which they experience, and they come to experience.

• Korean Journal of Occupational Health Nursing
• /
• v.16 no.2
• /
• pp.109-118
• /
• 2007

Purpose: The purpose of this study was to identify stress and coping patterns of manufacturing male workers. Method: Data were collected from 215 manufacturing male workers and analyzed by SPSS WIN 12.0 Results: The total job stress score was 41.41 and the mean of the daily hassles score was 1.60. Related to the coping type, direct-active coping was the highest among four types of coping. Indirect-active coping was the second, followed by direct-passive coping and indirect-passive coping. Job stress score and daily hassles score were highly correlated by passive coping types. Conclusion: Occupational health management program including coping strategy is required to relieve workers' stress.

• Korean Parent-Child Health Journal
• /
• v.10 no.2
• /
• pp.147-157
• /
• 2007

Purpose: Assessment of stress and coping effort of hospitalized children's mother are very important factor to support and recover the children. The purpose of this study was to identify the stress and coping effort in mothers whose children are hospitalized. And analyzes the correlation between mother's stress and coping effort on the hospitalized children. Method: This study surveyed 70 mothers whose children are hospitalized. The data was collected for this study at one university hospital in Daejeon from June 1,2007 to July 10, 2007. The instruments used in this study were the mother's stress scale which was developed by Ok-Nam, You(1998), modified by Ho-Jin, Mun(2001), and the mother's coping effort were measured with the Coping Health Inventory for Parents(CHIP) developed by McCubbin and Patterson(1981). The data was analyzed by using SPSS program and include ANOVA, and Pearson's Correlation. Result: The mother's stress was average 2.42 out of a possible 4 points. Type of coping effort was in order of type III(cope with it by understanding medical circumstances)(M=2.73), type I(Cope with it through positive definition)(M=2.43), type II (cope with it by maintaining psychological stability)(M=2.28). Total coping effort according to general character of mothers whose children are hospitalized showed a significant difference in occupation(P<.05). Correlations between mother's stress and total coping effort was r=-.361(P<.05). Conclusion: This study based on nursing of stress and coping effort of hospitalized children's mothers. Pediatric nurses need to establish a stronger communication board and a relationship between medical staff and children's parents so that have supportive information. And to establish a support program that strengthens the coping effort of hospitalized children's mothers.