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"Psychological stress"

Original Articles
Factors Affecting Health-Promoting Behaviors among Vietnamese Students in Korea
Tran Thi Quynh Anh, Minkyung Kang, Nahyun Kim
Korean J Adult Nurs 2021;33(4):349-359.   Published online August 31, 2021
DOI: https://doi.org/10.7475/kjan.2021.33.4.349
Purpose
This study aimed to examine health-promoting behaviors among Vietnamese students in Korea and identify the factors affecting these behaviors. Methods: A survey using self-administered questionnaires was employed. Data were collected between October 2020 and May 2021 from 260 Vietnamese students whose stay in Korea has been for longer than six months and who agreed to participate in the study. Variables included health-promoting behaviors (physical activity, nutrition, stress management, and health risk behavior), self-esteem, acculturative stress, and social support. A multiple regression analysis was performed to assess the factors that might influence health-promoting behaviors. Results: Of the total participants, 56.9% were women, and the mean age was 24.60±2.58 years. The mean score of the participants on total health-promoting behaviors was 2.64±0.36, on self-esteem 2.96±0.35, on acculturative stress 2.39±0.15, and on social support 2.53±0.24. Self-esteem, acculturative stress, social support, length of stay in Korea, and education level were found to affect healthpromoting behaviors, and these variables explained 76.2% of the variance. Conclusion: There is a need to develop intervention strategies for promoting self-esteem and social support programs and coping strategies for managing acculturative stress to increase health-promoting behaviors among Vietnamese students.
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Purpose
This study aimed to examine the influence of lifestyle-related factors, such as sleep quality, eating habits, and perceived stress, on the incidence of thyroid cancer in healthy adults. Methods: This study is a cross-sectional case-control study comparing lifestyle-related factors in thyroid cancer and healthy groups. Outpatients with thyroid cancer were recruited from 2012 to 2013, 3~6 months after thyroidectomy at a tertiary hospital in Seoul, Korea (n=468). For the control group, 935 healthy adults were recruited by propensity score matching on demographic characteristics in a 1:2 ratio from hospital health checkup data. The effect of sleep quality, eating habits, and perceived stress on the incidence of thyroid cancer was determined through multiple logistic regression analysis and backward stepwise variable selection. Results: Sleep disturbance and mild/moderate daytime dysfunction were found to have a 1.22 and 1.66/1.77-fold influence, respectively, in patients with thyroid cancer than in healthy controls (p<.05). Coffee consumers who drink 3~6 times/day showed reduced cancer incidence than those who drink very little (odds ratio=0.53, 95% confidence interval=0.32~0.87). Perceived stress was a significant risk factor in univariate (p=.004), but not in multivariate analysis. Conclusion: These findings highlight the need for evaluating sleep quality, especially in high-risk adults and patients with thyroid cancer. Preventive measures should be adopted to lower stress levels and improve sleep quality.

Citations

Citations to this article as recorded by  
  • Development and Effects of a Smartphone Application to Improve Self-Management in Workers Who Underwent Thyroid Cancer Surgery
    Myoyoun Kim, Seon Young Hwang
    Cancer Nursing.2025;[Epub]     CrossRef
  • Multidimensional Prediction Method for Thyroid Cancer Based on Spatiotemporally Imbalanced Distribution Data
    Zhiwei Jia, Yuqi Huang, Yanhui Lin, Min Fu, Chenhao Sun
    IEEE Access.2024; 12: 4674.     CrossRef
  • Determining the spatial non-stationarity underlying social and natural environment in thyroid cancer in China
    Xiyu Zhang, Yongqiang Lai, Xiaodan Bai, Bing Wu, Wenjing Xiang, Chenxi Zhang, Guihong Geng, Wenqing Miao, Qi Xia, Qunhong Wu, Huiying Yang, Yanjie Wang, Wanxin Tian, Yu Cao, Xinwei Liu, Hongyu Li, Yulu Tian, Zhe Song, Ziwen Zhao, Zhipeng Huang, Xiaonan Ch
    Science of The Total Environment.2023; 870: 162009.     CrossRef
  • Sleep quality, stress and thyroid cancer: a case–control study
    S. Afrashteh, M. Fararouei, M. T. Parad, A. Mirahmadizadeh
    Journal of Endocrinological Investigation.2022; 45(6): 1219.     CrossRef
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  • 4 Scopus
Purpose
The purpose of this study was to investigate the roles of the perception of aging symptoms in mediating and moderating the relationship between family function and stress in middle-aged adults.
Methods
This was a cross-sectional correlational study of 244 middle-aged men and women. Self-administered surveys were conducted using the Family APGAR, stress index, and symptom management beliefs questionnaire. The data were analyzed using descriptive statistics, independent t-test, Pearson’s correlation coefficient, hierarchical multiple regression analysis, and PROCESS macro using SPSS 23.0.
Results
A significant interaction between family function and the perception of aging symptoms in predicting stress was found, indicating a moderating effect of the perception of aging symptoms on the relationship between family function and stress. An indirect effect of family function on stress through the perception of aging symptoms was not significant, indicating an insignificant mediating effect of the perception of aging symptoms.
Conclusion
The relationship between family function and stress differed depending on participants’ perceptions of aging symptoms. Individuals with negative perceptions of aging symptoms may be vulnerable to stress caused by poorer family function. It is necessary to develop programs to help modify negative perceptions of aging as well as strengthen family function to decrease the stress of middle-aged adults.
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Effects of Subjective Hearing Handicap and Perceived Stress on Quality of Communication Life of Older Adults
Younghye Go, Myonghwa Park
Korean J Adult Nurs 2017;29(5):496-504.   Published online October 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.5.496
PURPOSE
The aim of the study was to identify factors influencing quality of communication life of older adults in the community.
METHODS
Participants in this study were 128 older adults who registered at the community welfare center. The data were collected from September to October 2015 by using audiometer and three self-administered questionnaires including Korean Evaluation Scale for Hearing Handicap, Korean-Perceived Stress Scale, and Quality of Communication Life Scale. Mean minimal threshold of both ears was defined as 40dB and above for hearing handicap in this study. Data analysis included descriptive statistics, t-test, Pearson correlation coefficients, and hierarchical regression.
RESULTS
According to the screening test result from audiometer measurement, 53.9% of the participants were found to have hearing impairment. The main factors influencing quality of communication life in older adults were subjective hearing handicap of social domain and perceived stress. They explained about 41% of quality of communication life.
CONCLUSION
This study identified that subjective hearing handicap on social domain and self perceived stress in older adults were more important factors for their quality of communication life compared to physical hearing loss. Nurses caring for older people should include strategies to increases communication skills and to decrease communication related stress.

Citations

Citations to this article as recorded by  
  • Knowledge and Attitude Regarding the Care of the Elderly with Hearing Loss among Nurses
    Ye Seul Kang, Jeong Yun Park
    Korean Journal of Health Promotion.2023; 23(3): 147.     CrossRef
  • Association of age-related hearing loss, tinnitus, and chronic low back pain in middle-aged and older Korean adults
    Hye-Mi Noh, Yi Hwa Choi, Jee Hye Wee, Hong Ji Song, Hye-Ji An, Keum Ji Kim, Soo Kyung Lee, Min Soo Jang, Nayoung Yeon, Tadashi Ito
    PLOS ONE.2023; 18(9): e0291396.     CrossRef
  • A Grounded Theory Study on the Symptom Acceptance of Tinnitus Patients
    Woo Joung Joung
    Korean Journal of Adult Nursing.2018; 30(6): 611.     CrossRef
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  • 3 Crossref
  • 3 Scopus
Experiences of Distress among Family Caregivers of Hospitalized Cancer Patients
Juhye Jin, Jin Hee Yoo
Korean J Adult Nurs 2017;29(5):451-462.   Published online October 31, 2017
DOI: https://doi.org/10.7475/kjan.2017.29.5.451
PURPOSE
There is limited available research about the experiences of family caregivers and their care of family members with cancer. The purpose of this study was to explore the experience of distress among family caregivers. Further, this study explored what aspects of caring for family member contributed to the distress.
METHODS
Data were collected through in-depth interviews with thirteen family members primarily responsible for the care of the member with cancer. All interviews were audio-taped, transcribed, and analyzed with qualitative content analysis.
RESULTS
The findings showed that the patients' physical, psychological, socio-relational, and spiritual symptoms influenced their caregivers' distress. The four categories that emerged from the data included “focusing attention only on the patient battling with cancer,”“being trapped in turmoil of complex emotions and feelings,”“having had to endure alone,” and “hanging in there at the crossroads of life and death.” With respect to these categories, fourteen sub-categories were ultimately identified.
CONCLUSION
Based on this study, researchers need to focus more attention on, and explore such co-existing distress to develop an adequate support program for the family caregivers of cancer patients.

Citations

Citations to this article as recorded by  
  • Caregivers of patients with cancer: perceived stress, quality of life and immune function
    Yoonjoo Kim, Misook L Chung, Hyangkyu Lee
    BMJ Supportive & Palliative Care.2025; 15(2): 195.     CrossRef
  • Validity and Reliability of the Korean Version of the Parkinson’s Disease Questionnaire–Carer
    JuHee Lee, Young H. Sohn, Seok Jong Chung, Sung Hae Kim, Yujin Suh, Jungah Park, Yielin Kim
    Journal of Clinical Neurology.2023; 19(6): 547.     CrossRef
  • Influences of Depression and Social Support on Quality of Life in Family Caregivers of Cancer Patients Undergoing Chemotherapy at an Outpatient Department
    Hye Young Kim, Eun Ko
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 430.     CrossRef
  • Factors Related to the Caregiving Burden on Families of Korean Patients With Lung Cancer
    Hyun Jung Lee, Soo Kyung Park
    Clinical Nursing Research.2022; 31(6): 1124.     CrossRef
  • Caregiving experiences of Korean family caregivers of cancer patients: An integrative literature review
    Eunice E. Lee, Shin‐Young Lee
    Psycho-Oncology.2020; 29(10): 1486.     CrossRef
  • Factors influencing caregiver burden in families of hospitalised patients with lung cancer
    Ye Ji Seo, Heeok Park
    Journal of Clinical Nursing.2019; 28(9-10): 1979.     CrossRef
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  • 7 Scopus
The Experience of Self-help Group Activities among Women with Breast Cancer in Korea
Myungsun Yi, Young Mi Ryu, Eunkyung Hwang
Korean J Adult Nurs 2014;26(4):466-478.   Published online August 31, 2014
DOI: https://doi.org/10.7475/kjan.2014.26.4.466
PURPOSE
The purpose of the study was to explore and describe the experience of breast cancer self-help group activities in Korea.
METHODS
The data were collected via individual in-depth interviews with 8 women with breast cancer, who participated in self-help groups during 2012~2013. All interviews were audio-taped and transcribed, and they were analyzed using a phenomenological method.
RESULTS
Six theme clusters were identified. "Breakthrough toward survival" describes how the participants identified self-help groups and got involved in the activities. "Genuine comfort obtained by 'misery loves company' deals with the emotional relief and catharsis. "New life fully recharged" demonstrates the changed belief system and the joy for life and living. "Rebirth in family" deals with how family dynamics has been changed. "Societal change by raising collective consciousness" illustrates many activities to improve their rights and advocate employment issues. "Obstacles to the group harmony" illustrates the major difficulties including interpersonal conflicts the participants encountered during their participation.
CONCLUSION
The results of the study showed that participating in self-help groups was mostly beneficial for women with breast cancer. Therefore, oncology professionals need to encourage them to participate in self-help groups and also need to provide professional support to self-help groups for their harmonious interpersonal relationships.

Citations

Citations to this article as recorded by  
  • Health-related quality of life of premenopausal young breast cancer survivors undergoing endocrine therapy
    Kyungmi Lee, Hye Suk Jun
    European Journal of Oncology Nursing.2024; 68: 102496.     CrossRef
  • Experiences of peer support activities and the need for a metaverse-based program in young women with breast cancer: A qualitative study
    Jeonghee Ahn, Kyoung-eun Lee
    Asia-Pacific Journal of Oncology Nursing.2023; 10(7): 100253.     CrossRef
  • Experiences of Accessing Medical Services after Diagnosis in Breast Cancer Survivors
    Jae Woo Oh, Mi Ran Kim
    The Korean Journal of Rehabilitation Nursing.2022; 25(1): 22.     CrossRef
  • Operation Experiences of Women with Breast Cancer
    Hyeon-Young Kim, Sun Hwa Shin
    Journal of Korean Academy of Fundamentals of Nursing.2020; 27(2): 129.     CrossRef
  • Relationships Among Self-Efficacy, Social Support, and Community Participation in Breast Cancer Survivors
    Hye-Mi Kim, Gyeong-A Park, Jin-Ju Park, Myung-Hwa Oh
    Journal of Korean Society of Occupational Therapy.2019; 27(4): 69.     CrossRef
  • Journey through the Fight against Ovarian Cancer: Finding the Existence Value with being Tied to the Bridle of Death
    Young-Suk Park, Jeong Sook Park
    Korean Journal of Adult Nursing.2018; 30(6): 656.     CrossRef
  • Effect of empowerment on the quality of life of the survivors of breast cancer: The moderating effect of self‐help group participation
    Sunhwa Shin, Hyojung Park
    Japan Journal of Nursing Science.2017; 14(4): 311.     CrossRef
  • Analysis of Nursing Needs of Home-dwelling Breast Cancer Patients Based on Counselling Contents
    Eun Ja Kim, Jin Sook Hyun, Jung Hwa Han, Nahyun Kim
    Journal of Korean Public Health Nursing.2016; 30(3): 420.     CrossRef
  • Exploring Existential Coping Resources: The Perspective of Koreans with Cancer
    Fereshteh Ahmadi, Jisung Park, Kyung Mee Kim, Nader Ahmadi
    Journal of Religion and Health.2016; 55(6): 2053.     CrossRef
  • Experiences of Self-management Support among Breast Cancer Survivors
    Seok-Mo Heo, Narae Heo
    Korean Journal of Adult Nursing.2016; 28(4): 470.     CrossRef
  • Development and Validation of the Empowerment Scale for Woman with Breast Cancer
    Sun Hwa Shin, Hyojung Park
    Journal of Korean Academy of Nursing.2015; 45(4): 613.     CrossRef
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The Effect of Job Stress on Health Promoting Behaviors among Nurses: Mediating Selection, Optimization and Compensation Strategy
Seung Jin Oh, Sun Hwa Shin, Gee Youn Go, Bhandari Pratibha
Korean J Adult Nurs 2014;26(2):149-158.   Published online April 30, 2014
DOI: https://doi.org/10.7475/kjan.2014.26.2.149
PURPOSE
The purpose of this study was to determine whether Selection, Optimization and Compensation (SOC) Strategy mediated the relationship between job stress and health promoting behaviors among nurses.
METHODS
A descriptive causal relationship research design was used. 245 subjects recruited from the five general hospitals, which have over 500 beds in Seoul and Kyunggi-do, participated in the study by completing a survey which included questions about SOC strategy, job stress and health promoting behaviors. t-test, ANOVA, Pearson's correlation coefficient and multiple regression were used to analyze the data. SPSS/WIN 20.0 was used for all analysis.
RESULTS
The mean job stress score was 47.89; mean SOC strategy score was .71. 'Spiritual development' was the highest reported health promoting behavior with a mean of 3.57. Job stress was significantly and negatively related to health promoting behaviors. The result showed that all the mediating paths of SOC strategy were significant. The partial mediating model showed high goodness of fit demonstrating that the model was outstanding.
CONCLUSION
SOC strategy mediated the relationship between job stress and health promoting behaviors. Applying better SOC strategies among nurses will increase flexibility in responding to job stress and will also better perform health promoting behaviors.

Citations

Citations to this article as recorded by  
  • Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis
    Ji-Young Lim, Geun-Myun Kim, Eun-Joo Kim
    International Journal of Environmental Research and Public Health.2022; 19(10): 5792.     CrossRef
  • Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
    Seunghwa Shin, SuHyun Kim
    Journal of Clinical Nursing.2021; 30(21-22): 3182.     CrossRef
  • Comparison Study of e-Health Literacy and Health Promoting Behaviors of Cancer Patients and Nurses
    Hyoen Jeong Kim, Miyoung Kim
    Asian Oncology Nursing.2020; 20(2): 100.     CrossRef
  • Influence of Clinical Nurses’ Job Stress on Mental Health Problems: Mediating Effect of Appreciation Moderated by Health-Promoting Lifestyle
    Sun Hwa Shin, Hwa Jin Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(4): 378.     CrossRef
  • Association of Job Stress with Health-promoting Behaviors and Health Status in Clinical Nurses
    Jung-Suk Kim, Chun-Ja Kim
    Korean Journal of Occupational Health Nursing.2016; 25(4): 311.     CrossRef
  • Research Trends on Mibyeong Symptoms and Related Factors of Korean Nurses
    Jiyoung Kim, Hee-Jeong Jin, Younghwa Baek, Jonghyang Yoo, Siwoo Lee
    Journal of East-West Nursing Research.2016; 22(1): 17.     CrossRef
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  • 4 Scopus
Mental Health and Self-care Activities according to Perceived Stress Level in Type 2 Diabetic Patients with Metabolic Syndrome
Chun Ja Kim
J Korean Acad Adult Nurs 2010;22(1):51-59.   Published online February 28, 2010
PURPOSE
This study was to identify the mental health and self-care activities according to perceived stress level in type 2 diabetic patients with metabolic syndrome.
METHODS
The descriptive survey design was conducted using a convenient sample. One hundred and fifty-two diabetic participants with metabolic syndrome were recruited in a university hospital. The data were analyzed using descriptive statistics, Students' t-test, and ANOVA with SPSS/WIN 12.0.
RESULTS
The high, moderate, and low stress groups according to perceived stress score consisted of 30.9%, 38.2%, and 30.9%, respectively. Differences of mental health and total self-care activities among the three groups were statistically significant. Depression (F=46.73, p<.001), trait anger (F=5.75, p<.01), and anger expression-in (F=4.60, p<.01) of participants in the high stress group were higher than other groups, whereas the total of self-care activities (F=2.85, p<.05) and exercise (F=3.49, p<.05) were lower than other groups.
CONCLUSION
This study concluded that type 2 diabetic patients with metabolic syndrome with a high stress level were low in self-care activities along with elevated depression and anger.
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