PURPOSE The purpose of this study was to investigate the influencing factors on Posttraumatic Growth(PTG) in patients with colorectal cancer. METHODS Eighty patients who were diagnosed with colorectal cancer at least twelve months ago were recruited from the oncology outpatient clinic of university hospital in Y city. Participants completed four survey questionnaires: Korean versions of PTG Index, Korean versions of Cancer Coping Questionnaire, Multidimensional Scale of Perceived Social Support, and a Resilience Scale. The data were analyzed by ANOVA, Pearson-correlation coefficient, and multiple regression analysis. RESULTS The mean score of PTG in these patients was 51.16 indicating relatively high growth. Posttraumatic Growth had significant correlations with coping, social support, and resiliency. In addition to the variables of age and education that are found to be associated with the PTG, the PTG was significantly influenced by resilience, coping, and importance of religion. Forty-nine percent of the variations in the PTG were explained by these three variables. CONCLUSION The identified factors influencing colorectal cancer related to PTG could be considered in developing nursing interventions to promote positive psychological changes in response to adversity which colorectal cancer survivors might experience.
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PURPOSE This study examined relationships among stress, stress coping strategies, and somatization in mothers-in-law from multi-cultural families in a rural area. METHODS Elderly mothers-in-law (n=227) living with foreign daughters-in-law completed a self-reporting questionnaire. Data were collected from April to August 2009. Questions related to stress (Visual Analog Scale, VAS), coping strategies (Coping Strategy Scale) for stress, and somatization (Symptom Check List 90, Revised). SPSS/WIN 12.0 program was used for descriptive analysis, t-test, one-way ANOVA, Pearson correlation, and multiple regression analyses. RESULTS Subjects had a moderate level of stress (5.03). There were significant differences in stress level according to age, educational level, religion, chronic disease, health status, number of children, agreement of an international marriage of her sons, satisfaction in living with a foreign daughter-in-law, and family conflict. Stress showed a significant positive correlation with offensive coping strategy, passive strategy, and somatization. Stress, offensive coping strategy, and passive coping strategy affected the level of somatization. CONCLUSION In a family situation involving co-habitation of mother- and foreign daughter-in-law, increased stress experienced by the mother-in-law can lead to increased offensive and passive coping strategies, and increased somatization. More effective means of stress reduction are needed for mothers-in-law from multi-cultural families.
PURPOSE This study was conducted to identify the personality type, problematic drinking pattern, and stress coping style of the nasal bone fracture patients by comparing those with general fracture patients. METHODS: 50 nasal bone fracture patients due to violence and 50 general fracture patients due to simple trauma, such as fall and traffic accident were conveniently selected. RESULTS: The study results showed that nasal bone fracture patients due to violence significantly presented higher level of A type personality and more problematic drinking pattern than general fracture patients due to simple trauma. Stress coping style, however, did not show significant difference between two groups. CONCLUSION: In order to prepare prevention strategies for basal bone fracture in the future, health education alter problematic drinking habit to sound drinking pattern may be offered and provided nursing interventions tailored to A type personality.
PURPOSE The purposes of this study were to identify the level of total symptom distress, uncertainty, depression and ways of coping in women with endometriosis based on Mishel's model of Uncertainty in Chronic illness, and to exam the relationships among symptom distress, depression and ways of coping and the mediating effect of ways of coping between uncertainty and depression. METHOD: The research was used for correlational research design and data were collected with 123 women with endometriosis who live in a local area by convenience sampling. RESULTS: The finding showed that the levels of symptom distress and uncertainty were moderate and the depression was above the middle level. There were positive relationships among symptom distress, uncertainty and depression but a negative relationship between problem focused coping and depression. The significant predictors for depression were symptom distress, uncertainty, and problem focused coping with 40% of explained variance. Problem focused coping showed mediating effect between uncertainty and depression. CONCLUSION: Therefore, nursing intervention for the strategy of increasing problem focused coping as well as lowering uncertainty and depression is recommended. Further study is needed to conduct a repetitive study with randomized nationwide population and to evaluate the theory with different outcomes for adaptation versus maladaptation.
PURPOSE The purpose of this study was to investigate factors determining health behavior for middle-aged adults in relation to stress coping behaviors, cognitive factors, social support, and sociodemographic variables. METHOD: The questionnaire survey was carried out on a convenience sample of 203 middle aged in a community settings. The data analysis procedure included frequency, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regressions using health behavior as dependent variable. RESULT: Among the sociodemographic variables, factors such as sex, educational and eonomic levels were associated with the health behaviors. There were significant correlations between health behaviors and saliency of health, social support, and positive-stress coping behaviors. Stepwise multiple regression revealed that the factors such as positive-stress coping behaviors, saliency of health, sex, and education turned out to be significant affecting factors. Twenty eight percent of varience in health behavior was explained by these factors. CONCLUSION: Positive-stress coping methods were turned out to be the most important effective factors in practicing of health behaviors of middle aged. The necessity of an intervention considering the situation related to their stress and coping methods in middle aged so as to promote positive health behaviors was suggested.
PURPOSE The purpose of this study is to identify factors that affect coping with fatigue in middle-aged men according to Q-methodology and to provide basic strategies for health promotion. METHOD 25 subjects in Seoul, Incheon, Chung-buk classified 24 selected Q-statements in to 9 points standard. The collected data were analyzed by using a QUNAL pc program. RESULT Principal component analysis identified 3 types of coping with fatigue among middle-aged Korean men. 1st Type: Coping with fatigue through various kinds of game, using alcohol, smoking cigarette other than rest and sleep. 2nd Type : Coping with fatigue through rest and sleep, taking medicine or food which helps relieving fatigue. 3rd Type : Coping with fatigue through acitivities such as sports or trip other than sleep. CONCLUSION We have found how Korean middle-aged men cope against fatigue through this research. To setup and apply different nursing intervention on each type based on this result is needed.
PURPOSE The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. METHOD The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. RESULTS Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. CONCLUSION These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.
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