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4 "Alcoholics"
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Original Articles
The Recovery Process of Alcohol Dependent Men Living in a Therapeutic Community
Sungye Kang
J Korean Acad Nurs 2017;47(2):267-276.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.267
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the recovering process of men who had abused alcohol and has lived in a therapeutic community.

Methods

Individual in-depth interviews were used to collect data from 10 of these men who has lived in the therapeutic community for more than one year. Qualitative data from field notes and transcribed notes were analyzed using the grounded theory methodology developed by Strauss and Corbin.

Results

The core category about the recovering process of the men who had abused alcohol and are now in the therapeutic community was identified as “reconstructing a broken life”. The recovering process of these men in the therapeutic community consisted of four phases; ‘self-awareness stage’, ‘unfreezing stage’, ‘readjustment stage’, and ‘challenging stage’.

Conclusion

In this study “reconstructing a broken life”, as the core category vividly showed joys and sorrows of men who had abused alcohol and has lived in the recovering process of managing the yoke of life-long disease. In this process of recovery from alcoholic dependence the men gradually adjusted themselves to their given condition. Also they gained coping strategies to care for, and protect themselves. Therefore health care providers can establish supportive programs in the clinical field to empower these men by reflecting their proactive coping strategies.

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Factors Influencing Quality of Life of Alcoholics Anonymous Members in Korea
Jae-Soon Yoo, Jongeun Lee, Woo-Young Park
J Korean Acad Nurs 2016;46(2):305-314.   Published online April 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.2.305
AbstractAbstract PDF
Purpose

The purpose of this study was to determine quality of life (QOL) related factors in Alcoholics Anonymous (AA) members based on PRECEDE Model.

Methods

A cross sectional survey was conducted with participants (N =203) from AA meeting in 11 alcohol counsel centers all over South Korea. Data were collected using a specially designed questionnaire based on the PRECEDE model and including QOL, epidemiological factors (including depression and perceived health status), behavioral factors (continuous abstinence and physical health status and practice), predisposing factors (abstinence self-efficacy and self-esteem), reinforcing factors (social capital and family functioning), and enabling factors. Data were analyzed using t-test, one way ANOVA, Tukey HSD test and hierarchical multiple regression analysis with SPSS (ver. 21.0).

Results

Of the educational diagnostic variables, self-esteem (β=.23), family functioning (β=.12), abstinence self-efficacy (β=.12) and social capital (β=.11) were strong influential factors in AA members' QOL. In addition, epidemiological diagnostic variables such as depression (β= - .44) and perceived health status (β=.35) were the main factors in QOL. Also, physical health status and practice (β=.106), one of behavioral diagnostic variables was a beneficial factor in QOL. Hierarchical multiple regression analysis showed the determinant variables accounted for 44.0% of the variation in QOL (F=25.76, p<.001).

Conclusion

The finding of the study can be used as a framework for planning interventions in order to promote the quality of life of AA members. It is necessary to develop nursing intervention strategies for strengthening educational and epidemiological diagnostic variables in order to improve AA members' QOL.

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Effectiveness of Forgiveness Therapy on Resilience, Self-esteem, and Spirituality of Wives of Alcoholics
Hee Kyung Kim, Mihyoung Lee
J Korean Acad Nurs 2014;44(3):237-247.   Published online June 30, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.3.237
AbstractAbstract PDF
Purpose

In this study the effects of forgiveness therapy on the resilience, self-esteem, and spirituality of wives of men suffering from alcohol abuse was examined.

Methods

The study design was a quasi-experimental design. Forgiveness therapy was conducted once a week for 12 weeks. Data were obtained from March 2012 to December 2013. Participants were chosen from women in two Alcohol Counseling Centers. Of the 29 participants, 16 were assigned to the experimental group and 13 to the control group. Data were analyzed using descriptive statistics, t-test, χ2-test, and repeated measure ANOVA.

Results

There were statistically significantly differences for resilience, self-esteem, and spirituality between the experimental and control groups. Forgiveness therapy improved the resilience, self-esteem, and spirituality in the experimental group compared to the control group (p<.05). In follow-up tests, the experimental group had a statistically significantly increase only in self-esteem.

Conclusion

This study results show that forgiveness therapy is effective in improving resilience, self-esteem, and spirituality in wives of men suffering from alcohol abuse. Therefore, forgiveness therapy can be considered a useful nursing intervention to promote improvements in emotional stability and provide pain relief for these wives.

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Healing Effects of the Forest Experience on Alcoholics
Jingyung Cha, Sungjae Kim
J Korean Acad Nurs 2009;39(3):338-348.   Published online June 29, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.3.338
AbstractAbstract PDF
Purpose

The purpose of this study was to explore and describe healing effects of the forest on alcoholics through a forest experience program.

Methods

The qualitative data was gathered from one focus group discussion with 6 alcoholics and individual interviews with 8 alcoholics. They had all participated in a "healing forest" program. All interviews were recorded and transcribed according to thematic content analysis processes.

Results

The four main themes on the attributes of forest were "a lively living being", "placidity and tranquility", "acceptive atmosphere", and "beautifulness as it is" which revealed the participants' perceived nature of the forest which was attributed to the healing effects. Eight other themes on participants' positive changes included "revived senses", "aspired to live", "relieved and relaxed from being tense", "gaining insight on self", "having an acceptive attitude", "becoming compliant with his/her life", "learning that life is being together" and "recognizing the value of one's existence".

Conclusion

The findings of the study illustrated the participants' self-healing processes through interactions with the nature of the forest. Nursing interventions utilizing healing atmospheres such as "healing forest" programs can be considered helpful in providing a venue to alcoholics to reflect on their lives affirmatively.

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