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Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman's Stress-Coping Model
Sung Hae Kim, JuHee Lee, MiRa Jang
J Korean Acad Nurs 2019;49(4):437-448.   Published online August 29, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.437
AbstractAbstract PDF
Purpose

This study was conducted to test a path model for the factors related to undergraduate nursing students' clinical practicum stress, based on Lazarus and Folkman's stress-coping model.

Methods

This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0.

Results

The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (β=−.22, p=.003) and Nun-chi behavior (β=−.17, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (β=.20, p=.006) and self-efficacy (β=.45, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (β=.20, p<.001) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (β=.09, p=.005) and Nun-chi behavior (β=.09, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively.

Conclusion

In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.

Citations

Citations to this article as recorded by  
  • Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
    Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • The effect of verbal violence, clinical practice stress, and coping with stress on nursing students’ major satisfaction during clinical practice
    Heejung Heo, Yeoungsuk Song
    The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 190.     CrossRef
  • Examining Students’ Experience with the Nursing Management Practicum Based on the Service Design
    Yoomi Jung, Myungja Kim
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 214.     CrossRef
  • Effects of a group poetry therapy program on stress, anxiety, ego-resilience, and psychological well-being of nursing students
    Jung Hyun Park, Ji Young Kim, Hyeon Ok Kim
    Archives of Psychiatric Nursing.2022; 41: 144.     CrossRef
  • The mediating effect of media usage on the relationship between anxiety/fear and physician–patient trust during the COVID-19 pandemic
    Yidi Chen, Jianhui Wu, Jinjin Ma, Huanya Zhu, Wenju Li, Yiqun Gan
    Psychology & Health.2022; 37(7): 847.     CrossRef
  • A Cross-Sectional Study: What Contributes to Nursing Students’ Clinical Reasoning Competence?
    Soomin Hong, JuHee Lee, Yeonsoo Jang, Yoonju Lee
    International Journal of Environmental Research and Public Health.2021; 18(13): 6833.     CrossRef
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  • 4 Web of Science
  • 6 Crossref
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Structural Equation Model for Sleep Quality of Female Shift Work Nurses
Ji Yeong Jeong, Mee Ock Gu
J Korean Acad Nurs 2018;48(5):622-635.   Published online October 31, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.5.622
AbstractAbstract PDF
Purpose

This study aimed to develop and test a structural model for sleep quality in female shift work nurses. The hypothetical model was constructed on the basis of Spielman's 3P model of insomnia and previous research related to the sleep quality of shift nurses.

Methods

This cross-sectional study used structural equation modeling and recruited 285 female shift work nurses from four general and university hospitals with over 300 beds located in C and J cities in Gyeongsangnamdo. Data were collected from September 27 to October 20, 2016, and then analyzed using descriptive statistics, Pearson's correlation, and structural equation modeling. The study used SPSS/Win 18.0 and AMOS 18.0 in processing the data.

Results

The final model showed good fit to the empirical data: χ2/df=2.19, SRMR=.07, RMSEA=.07, AGFI=.85, TLI=.91, GFI=.93, GFI=.89, NFI=.87. The factors that influenced sleep quality were sleep hygiene (β=.32), perceived shift work status (β=−.16), stress response (β=.16), shift work experience (β=.15), perceived health status (β=−.14), and circadian rhythm (β=−.13) explaining 36.0% of the variance.

Conclusion

The model of sleep quality of the shift work nurses constructed in this study is recommended as a model to understand and predict the sleep quality of shift work nurses. The results suggest that strategies for improving the sleep quality of shift work nurses should focus on sleep hygiene, perceived health status, stress response, circadian rhythm, perceived shift work status, and shift work experience.

Citations

Citations to this article as recorded by  
  • The influence of COVID-19-related resilience on depression, job stress, sleep quality, and burnout among intensive care unit nurses
    Sojin Hwang, Jungmin Lee
    Frontiers in Psychology.2023;[Epub]     CrossRef
  • Holistic sleep improvement strategies for frontline nurses served during a public health emergency (COVID‐19) in Wuhan, China: A quasi‐experimental study
    Yanli Zhang, Manli Tang, Yanrong Zhou
    Nursing Open.2023; 10(3): 1471.     CrossRef
  • Associations between the Timing and Nutritional Characteristics of Bedtime Meals and Sleep Quality for Nurses after a Rotating Night Shift: A Cross-Sectional Analysis
    Jung Hoon Park, Hyuntae Park, Seongryu Bae, Jiyeon Kang
    International Journal of Environmental Research and Public Health.2023; 20(2): 1489.     CrossRef
  • Predictors of dropout in university students participating in an 8-week e-mail-based cognitive-behavioral therapy for insomnia intervention
    Hyojin Nam, Jinyoung Chang, Mickey Trockel, Isa Okajima, Chien-Ming Yang, Ngan Yin Chan, Shirley Li, Sooyeon Suh
    Sleep and Breathing.2023; 27(1): 345.     CrossRef
  • Factors Associated with Gastrointestinal Symptoms among Rotating Shift Nurses in South Korea: A Cross-Sectional Study
    Sun-Kyung Hwang, Yun-Ji Lee, Min-Eun Cho, Bo-Kyoung Kim, Yea-In Yoon
    International Journal of Environmental Research and Public Health.2022; 19(16): 9795.     CrossRef
  • Psychosocial factors affecting sleep quality of pre-employed firefighters: a cross-sectional study
    MyeongSeob Lim, Solam Lee, Kwanghyun Seo, Hyun-Jeong Oh, Ji-Su Shin, Sung-Kyung Kim, Hee-Tae Kang, Kyeong-Sook Jeong, Sung-Soo Oh, Sang-Baek Koh, Yeon-Soon Ahn
    Annals of Occupational and Environmental Medicine.2020;[Epub]     CrossRef
  • Secondary Data Analysis on the Quality of Sleep and Related Factors of Novice and Experienced Shift Work Nurses
    Minjeong Yu, Smi Choi-Kwon
    Journal of Korean Academy of Nursing.2020; 50(5): 646.     CrossRef
  • Sleep quality among shift-work nurses: A systematic review and meta-analysis
    Jiwon Kang, Wonjung Noh, Youngjin Lee
    Applied Nursing Research.2020; 52: 151227.     CrossRef
  • Work-related Characteristics and Sleep Quality of Nurses in Comprehensive Nursing Care Units of Small-medium Sized Hospitals
    Sujin Shin, Inyoung Lee, Jeonghyun Kim, Sung-Heui Bae
    Journal of Korean Academy of Fundamentals of Nursing.2019; 26(4): 260.     CrossRef
  • 433 View
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  • 9 Web of Science
  • 9 Crossref
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Psychoeducational Approach to Distress Management of Newly Diagnosed Patients with Breast Cancer
Jin-Hee Park, Mison Chun, Yong Sik Jung, Sun Hyoung Bae, Young-Mi Jung
J Korean Acad Nurs 2018;48(6):669-678.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.669
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of integrated psychoeducational program for distress management of newly diagnosed patients with breast cancer.

Methods

A quasi-experimental trial was conducted. The participants consisted of 47 female patients with breast cancer assigned to an intervention group (n=25) and control group (n=22). The intervention group participated in integrated psychoeducational program, consisting of individual face-to-face education and telephone-delivered health-coaching sessions. Data were collected at three time points: pre-intervention (T1), post-intervention (T2), and 6-month follow-up (T3). Study instruments were Distress thermometer, Supportive Care Needs Survey Short Form 34 and Functional Assessment of Cancer Therapy-Breast.

Results

Compared with the control group, breast cancer patients in the intervention group reported lower distress and supportive care needs than the control group. The intervention group reported higher quality of life (QOL) overall and higher emotional well-being than the control group.

Conclusion

These findings indicate that the integrated psychoeducational program is an effective intervention for reducing distress and supportive care needs and increasing QOL of newly diagnosed patients with breast cancer. Oncology nurses need to provide psychoeducational intervention to support patients with breast cancer in managing their distress and helping them adjust to their life.

Citations

Citations to this article as recorded by  
  • Psychological Distress and Influencing Factors in Newly Diagnosed Patients with Breast Cancer: A Cross-Sectional Study
    Jin-Hee Park, Yong Sik Jung, Min Hee Hur, Yu Jin Jeong
    Korean Journal of Adult Nursing.2024; 36(4): 311.     CrossRef
  • Effects of Psychosocial Interventions for Patients with Breast Cancer: A Meta-analysis
    Kyu-Sic Hwang, Kuy-Haeng Lee, Chan-Mo Yang, Hye-Jin Lee, Sang-Yeol Lee
    Clinical Psychopharmacology and Neuroscience.2023; 21(1): 118.     CrossRef
  • The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
    Su-Jin Seo, Ju-Hee Nho, Youngsam Park
    Korean Journal of Women Health Nursing.2021; 27(3): 243.     CrossRef
  • Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home
    Hee Sang Yoon, Eun A Hwang
    Journal of Korean Academy of Community Health Nursing.2021; 32(1): 51.     CrossRef
  • Adjustment to life with metastatic cancer through psychodrama group therapy: A qualitative study in Turkey
    Songül Kamışlı, Bahar Gökler
    Perspectives in Psychiatric Care.2021; 57(2): 488.     CrossRef
  • Integration of longitudinal psychoeducation programmes during the phases of diagnosis, management and survivorship of breast cancer patients: A narrative review
    Athena Michaelides, Constantina Constantinou
    Journal of Cancer Policy.2020; 23: 100214.     CrossRef
  • Quality of Life in Patients Undergoing Mastectomy for Breast Cancer
    Kavitha Konnakkaparambil Ramakrishnan, Sreekumar Damodaran
    Journal of Evidence Based Medicine and Healthcare.2020; 7(28): 1368.     CrossRef
  • Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
    Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
    International Journal of Environmental Research and Public Health.2020; 17(20): 7532.     CrossRef
  • Uncertainty and unmet care needs before and after surgery in patients with gastric cancer: A survey study
    Ji Yea Lee, Yeonsoo Jang, Sanghee Kim, Woo Jin Hyung
    Nursing & Health Sciences.2020; 22(2): 427.     CrossRef
  • Effects of Different Exercise Interventions on Quality of Life in Breast Cancer Patients: A Randomized Controlled Trial
    Tetiana Odynets, Yuriy Briskin, Valentina Todorova
    Integrative Cancer Therapies.2019;[Epub]     CrossRef
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The Effects of Laughter Therapy Program on Perceived Stress, and Psycho-Neuro-Endocrino-Immuno Responses in Obese Women
Do Young Lee, Myung Sun Hyun
J Korean Acad Nurs 2018;48(3):298-310.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.298
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to examine the effects of the laughter therapy program on perceived stress and psycho-neuro-endocrine-immune responses in obese women.

Methods

A nonequivalent control group with a pretest-posttest design was used. The participants (n=60), whose age ranged from 30 to 50 years (pre-menopausal and body mass index of over 25 kg/m2), were assigned to the experimental group (n=24) or control group (n=26). The experimental group was provided with the laughter therapy program (12 sessions) for 6 weeks.

Results

There were significant differences in perceived stress, psychological stress response, fasting blood sugar, interleukin-6, and tumor necrosis factor alpha between the two groups after the program. However, there were no significant differences in normalized low frequency (norm LF), normalized high frequency (norm HF), LF/HF ratio, and cortisol between the two groups after the program.

Conclusion

It was found that the laughter therapy program had positive effects on some variables in terms of perceived stress and psycho-neuro-endocrine-immuno responses. It is suggested that the laughter therapy in this study can provide the direction for developing a program for obese women.

Citations

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  • The Effects of Laughter Yoga on Happiness and Stress in Nursing Students Going into Clinical Practice for the First Time
    Betul Bal, Canan Demirci, Gamze Gulsum Kilicli
    Journal of Holistic Nursing.2024;[Epub]     CrossRef
  • The effects of acupressure, laughter yoga, and a mindfulness-based stress reduction program applied to postmenopausal women for menopause symptoms and quality of life
    Hacer U. Koca, Didem S. Kucukkelepce, Gulcin Nacar, Nurdilan S. Çetin, Sermin T. Taşhan
    Menopause.2024; 31(10): 879.     CrossRef
  • The Effect of Laughter Yoga on Vasomotor Symptoms and Sleep Quality in Menopausal Women
    Ahu Aksoy-Can, Tuba Güner-Emül, Filiz Değirmenci, Aysu Buldum, Aslıhan Aksu, Duygu Vefikuluçay-Yılmaz
    Holistic Nursing Practice.2024;[Epub]     CrossRef
  • Development and Effects of a Laughter Therapy Program for Middle-aged Women Hospitalized in Psychiatric Wards
    Do Young Lee, Ju Hyun Woo
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 273.     CrossRef
  • Effects of Short-term Urban Forest Experiences by Season on Stress and Affective Response of University Students
    Eunjin Kim, Hwayong Lee
    Journal of People, Plants, and Environment.2023; 26(4): 433.     CrossRef
  • Laughter as medicine: A systematic review and meta-analysis of interventional studies evaluating the impact of spontaneous laughter on cortisol levels
    Caroline Kaercher Kramer, Cristiane Bauermann Leitao, Fares Alahdab
    PLOS ONE.2023; 18(5): e0286260.     CrossRef
  • Seasonal Forest Changes of Color and Temperature: Effects on the Mood and Physiological State of University Students
    Eunjin Kim, Hwayong Lee
    International Journal of Environmental Research and Public Health.2023; 20(14): 6338.     CrossRef
  • Effects of a laughter programme with entrainment music on stress, depression, and health-related quality of life among gynaecological cancer patients
    Yong Jin Lee, Myung Ah Kim, Hye-Ja Park
    Complementary Therapies in Clinical Practice.2020; 39: 101118.     CrossRef
  • Effects of aromatherapy on stress, fructosamine, fatigue, and sleep quality in prediabetic middle-aged women: A randomised controlled trial
    Myung-Haeng Hur, Jun Hwa Hong, SeongHee Yeo
    European Journal of Integrative Medicine.2019; 31: 100978.     CrossRef
  • 565 View
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  • 9 Crossref
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Factors Influencing Burnout among Mothers of Children with Cerebral Palsy
Ji-Young Seo, Hae-Jin Lee, Mi-Ae You
J Korean Acad Nurs 2017;47(2):233-241.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.233
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of parental stress, social support, and coping behavior on burnout among mothers caring for children with cerebral palsy.

Methods

Participants in this cross-sectional, descriptive study were 185 mothers who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, correlation and multiple linear regression analyses with IBM SPSS Win 22 program.

Results

Parental stress and coping behavior were strong predictors of burnout among mothers of children with cerebral palsy. These variables explained 50.0% of the variance in burnout. Social support was not a predictor of burnout. A higher level of burnout was associated with higher levels of parental stress and lower levels of social support and coping behavior.

Conclusion

Mothers of children with cerebral palsy are vulnerable to burnout. These results show that effective strategies for reducing parental stress and improving positive coping behavior are needed to reduce burnout in these mothers.

Citations

Citations to this article as recorded by  
  • Relationship between Dyadic Coping and Parental Burnout: The Chain Mediation Effect of Marital Satisfaction and Co-Parenting
    都尼戈·库尔班 库
    Advances in Psychology.2024; 14(04): 661.     CrossRef
  • Characteristics of the parent-child relationship in families of children with cerebral palsy and multiple sclerosis (literature review)
    E. A. Boiko, V. L Malygin, E. I. Glushchenko
    Neurology, Neuropsychiatry, Psychosomatics.2024; 16(6): 83.     CrossRef
  • Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients
    Ju Ok Yang, Hye Kyung Lee
    Journal of Korean Academy of Community Health Nursing.2018; 29(1): 54.     CrossRef
  • 220 View
  • 1 Download
  • 3 Crossref
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A Model for Predicting Career Satisfaction of Nurses Experiencing Rotation
Sook Shin, Mi Yu
J Korean Acad Nurs 2017;47(4):551-561.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.551
AbstractAbstract PDF
Abstract Purpose

This study aimed to present and test a structural model for describing and predicting the factors affecting subjective career satisfaction of nurses experiencing rotation and to develop human resources management strategies for promoting their career satisfaction related to rotation.

Methods

In this cross-sectional study, we recruited 233 nurses by convenience sampling who had over 1 year of career experience and who had experienced rotation at least once at G university hospital. Data were collected from August to September in 2016 using self-reported questionnaires. The exogenous variables consisted of rotation perception and rotation stress. Endogenous variables consisted of career growth opportunity, work engagement, and subjective career satisfaction. A hypothetical model was tested by asymptotically distribution-free estimates, and model goodness of fit was examined using absolute fit, incremental fit measures.

Results

The final model was approved and had suitable fit. We found that subjective career satisfaction was directly affected by rotation stress (b=.20, p=.019) and work engagement (b=.58, p<.001), indirectly affected by rotation perception (b=.43, p<.001) through career growth opportunity and work engagement. However, there was no total effect of rotation stress on subjective career satisfaction (b=-.09, p=.270). Career growth opportunity directly and indirectly affected subjective career satisfaction (b=.29, p<.001; b=.28, p<.001). These variables accounted for 65% of subjective career satisfaction.

Conclusion

The results of this study suggest that it is necessary to establish systematic and planned criteria for rotation so that nurses can grow and develop through sustained work and become satisfied with their career.

Citations

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  • Experiences With a Substitution System for Clinical Nurses' Leave of Absence: A Qualitative Study
    Ae R. Kim, Jeong H. Hong, Seieun Oh, Sangwoon Cho, Hye J. Baek
    Research in Nursing & Health.2025; 48(1): 63.     CrossRef
  • The Influence of Attitude toward Job Rotation, Professional Self-concept and Organizational Commitment on Patient Safety Nursing Activities: A Cross-Sectional Study
    Minji Park, Hyojung Park
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(3): 303.     CrossRef
  • Impact of Job Rotation Stress on Nursing Work Performance among Clinical Nurses: Mediating Effects of Job Embeddedness and Moderated Mediating Effects of Resilience
    Jeong A Jeong, Seok Hee Jeong, Hyun Kyung Kim, Hee Sun Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 503.     CrossRef
  • Effects of Job Crafting and Job Engagement on Career Management Behavior among Public Institution Nurses: Mediating Effect of Job Engagement
    Seohyun Kwon, Taewha Lee
    Journal of Korean Academy of Nursing Administration.2022; 28(3): 261.     CrossRef
  • Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients
    Na-Ri Seo, Hyun-E Yeom
    The Korean Journal of Hospice and Palliative Care.2022; 25(4): 159.     CrossRef
  • Effects of Career Management and Organizational Justice on Job Rotation Attitude among Hospital Nurses
    Eunkyung Kim, Taewha Lee
    Journal of Korean Academy of Nursing Administration.2021; 27(5): 390.     CrossRef
  • A predictive model on the hospital nurses' psychological well‐being
    Jung Min Kim, Jeong‐Won Han
    Japan Journal of Nursing Science.2020;[Epub]     CrossRef
  • 288 View
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  • 7 Crossref
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Influences of Oral Health Behaviors, Depression and Stress on Periodontal Disease in Pregnant Women
Hae-Jin Park, Hae Jung Lee, Soo Hyun Cho
J Korean Acad Nurs 2016;46(5):653-662.   Published online October 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.5.653
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the influences of oral health behaviors, depression, and stress on periodontal disease in pregnant women.

Methods

The participants in this study were 129 pregnant women. Data were collected using questionnaires which included individual characteristics, oral health care behaviors, the Center for Epidemiological Studies-Depression scale (CES-D), a global measure of perceived stress, and pregnancy stress. A dentist measured periodontal probing depth and classified stages of periodontal disease according to the Community Periodontal Index (CPI). Data were analyzed using descriptive statistics, Pearson correlation, and multiple regression.

Results

Periodontal disease had significant correlations with oral health care behaviors (r=-.56, p <.001), perceived stress (r=.44 p <.001), pregnancy stress (r=.37 p <.001), diet (r=-.33, p <.001) and depression (r=.18 p =.046). Factors influencing periodontal disease for these pregnant women were being in the 2nd (β=.27, p <.001) or 3rd trimester (β=.45, p <.001), having a pregnancy induced disease (β=.20, p =.002), performing higher oral health behaviors (β=-.30, p <.001), and having higher perceived stress (β=.17, p =.028). The explanation power of this regression model was 61.6% (F=15.52, p <.001).

Conclusion

The findings of this study indicated that periodic assessment of periodontal disease is essential for pregnant women who are in 2nd or 3rd trimester and have pregnancy induced diseases. Enhancing oral health care behaviors and reducing perceived stress are indicated as effective strategies to reduce periodontal disease in pregnant women.

Citations

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  • Oral Health, Anxiety, Depression, and Stress in Pregnancy: A Rapid Review of Associations and Implications for Perinatal Care
    Abiola A. Adeniyi, Swathi Ramachandran, Cecilia Marie Jevitt
    International Journal of Environmental Research and Public Health.2024; 22(1): 32.     CrossRef
  • Effects of depression and stress on oral self‐care among perinatal women in Appalachia: A longitudinal study
    Jeongwi An, Christa Lilly, John R. Shaffer, Betsy Foxman, Mary L. Marazita, Daniel W. McNeil
    Community Dentistry and Oral Epidemiology.2024; 52(6): 871.     CrossRef
  • Dental caries and depression in pregnant women: The role of oral health self‐perception as mediator
    Mariana G. Cademartori, Flavio F. Demarco, Mariangela Freitas da Silveira, Fernando C. Barros, Marcos B. Corrêa
    Oral Diseases.2022; 28(6): 1733.     CrossRef
  • Comparison of Diagnosed Depression and Self-Reported Depression Symptom as a Risk Factor of Periodontitis: Analysis of 2016–2018 Korean National Health and Nutrition Examination Survey Data
    Seon-Rye Kim, Seoul-Hee Nam
    International Journal of Environmental Research and Public Health.2021; 18(3): 871.     CrossRef
  • Factors Related to Maternal Oral Health Status: Focus on Pregnant and Breastfeeding Women
    Eun Gyeong Kim, Sook Kyoung Park, Ju-Hee Nho
    Healthcare.2021; 9(6): 708.     CrossRef
  • Factors contributing to unmet needs for dental health care in adult population of Serbia
    Milica Veličković, Snežana Radovanović, Vesna Dimitrijević, Danijela Gračić, Sanja Krulj, Jasna Milosavljević, Tanja Milićević, Ana Marinković, Tatjana Kanjevac
    Zdravstvena zastita.2020; 49(1): 1.     CrossRef
  • The Impact of Oral Health on Work Performance of Japanese Workers
    Takashi Zaitsu, Tomoya Saito, Akiko Oshiro, Takeo Fujiwara, Yoko Kawaguchi
    Journal of Occupational & Environmental Medicine.2020; 62(2): e59.     CrossRef
  • Predictive Model of Clinical Attachment Loss and Oral Health-Related Quality of Life through Depressive Symptomatology, Oral Hygiene Habits, and Proinflammatory Biomarkers: A Pilot Study
    Norma Idalia Rodríguez Franco, José Moral de la Rubia, Andrea Guadalupe Alcázar Pizaña
    Dentistry Journal.2020; 8(1): 20.     CrossRef
  • Stress, allostatic load, and periodontal diseases
    Wael Sabbah, Noha Gomaa, Aswathikutty Gireesh
    Periodontology 2000.2018; 78(1): 154.     CrossRef
  • Comparison of Effects of Oral Health Program and Walking Exercise Program on Health Outcomes for Pregnant Women
    Hae-jin Park, Haejung Lee
    Journal of Korean Academy of Nursing.2018; 48(5): 506.     CrossRef
  • Periodontal Disease and Health Related Quality of Life (HRQoL) in Pregnant Women
    Hae-jin Park, Haejung Lee, Soohyun Cho
    Korean Journal of Women Health Nursing.2016; 22(4): 191.     CrossRef
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Factors Influencing Musculoskeletal Symptoms in Military Personnel during Basic Combat Training
Jeong Min Yi, Gwang Suk Kim
J Korean Acad Nurs 2016;46(4):523-533.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.523
AbstractAbstract PDF
Purpose

This study was done to examine physical, psycho-social, and individual factors influencing musculoskeletal symptoms among Korean military trainees.

Methods

Using a correlation study design, military trainees who had completed almost of all the basic combat training (BCT) days were recruited from two military training units selected by convenience sampling. Data from 415 participants were analyzed.

Results

Prevalence of musculoskeletal symptoms was 29.6% defined as a participant having pain or discomfort in one or more body parts during training hours for more than seven consecutive days. Back/pelvic (10.8%), knees (10.1%), shoulders (7.7%), feet/toes (5.6%), ankles (4.8%) were prone to musculoskeletal symptoms. Musculoskeletal symptoms appeared to be related to physical exertion during BCT, stress during BCT, social support from fellow trainees, or previous musculoskeletal injuries. In the logistic regression model, physical exertion during BCT (OR=2.27, 95% CI: 1.42~3.65), stress during BCT (OR=1.79, 95% CI: 1.15~2.78), and previous musculoskeletal injuries (OR=1.58, 95% CI: 1.01~2.47) were the significant factors affecting prevalence of musculoskeletal symptoms.

Conclusion

Findings indicate that physical exertion and psycho-social stress should be managed to prevent musculoskeletal symptoms in military trainees with more attention being given to trainees having a history of musculoskeletal injuries.

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Development and Effects of Assertiveness Training applying Dongsasub Training for Nursing Students in Clinical Practice
Myoungsuk Kim
J Korean Acad Nurs 2016;46(4):490-500.   Published online August 31, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.4.490
AbstractAbstract PDF
Purpose

This study was conducted to develop assertiveness training applying Dongsasub training for junior nursing students, and to verify effectiveness of the training on assertiveness behavior, self-esteem, clinical practice stress, and clinical competence.

Methods

The study design was a non-equivalent control group non-synchronized design. Participants were 63 nursing students in clinical training (31 students in the experimental group and 32 students in the control group). The assertiveness training applying Dongsasub training consisted of four sessions. Outcome variables included assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Data were analyzed using Chi-square, Fisher's exact test and independent samples t-test with SPSS/WIN 21.0.

Results

Scores of assertiveness behavior (t=-2.49, p=.015), self-esteem (t=-4.80, p<.001) and clinical competence (t=-2.33, p=.023) were significantly higher and clinical practice stress (t=4.22, p<.001) was significantly lower in the experimental group compared to the control group.

Conclusion

Results indicate that the assertiveness training applying Dongsasub training can be used as a nursing intervention to lower clinical practice stress and improve the clinical competence of nursing students.

Citations

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Spiritual and Psychosocial Effects of the Spirituality Promotion Program on Clinical Nurses
Imsun Seo, Jinsun Yong, Junyang Park, Juhu Kim
J Korean Acad Nurs 2014;44(6):726-734.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.726
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effects of the Spirituality Promotion Program(SPP) for young nurses working in the stressful university hospital environment.

Methods

The study included 41 nurses in the experimental group, nurses who had worked less than 5 years and completed 8 weeks of SPP between June and July in 2011. The control group, 44 nurses, also received the same program after the study was completed. For the study, a survey was conducted of all participants concerning spirituality, perceived stress, positive and negative affect, empathy, job satisfaction, and leadership practice.

Results

No significant difference was found between the two groups on study variables. Perceived stress decreased significantly in the experimental group (p=.012). Spirituality (p=.019), positive affect (p=.014), empathy (p=.004), job satisfaction (p=.016), and leadership practice (p=.021) increased significantly in the experimental group.

Conclusion

The results show that the Spirituality Promotion Program has positive effects on the spiritual and psychosocial aspect of young nurses. Continuation of this program for nurses is recommended in order to help them develop their selfcare ability and improve nursing competency.

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    Hyun Sook Lee, Ju Hyun Jin, Ju Ri Lee, Hye Jin Kim, Yeon Jae Jung
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A Systematic Review of Psychological Distress as a Risk Factor for Recurrent Cardiac Events in Patients with Coronary Artery Disease
Jin-Hee Park, Sun Hyoung Bae
J Korean Acad Nurs 2011;41(5):704-714.   Published online October 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.5.704
AbstractAbstract PDF
Purpose

The purpose of this study was to determine whether psychological distress is an independent risk factor for recurrent cardiac events in patients with coronary artery disease (CAD).

Methods

A prospective cohort of studies that measured psychological distress and the incidence of recurrent cardiac events in the adult population were included. Three computerized databases were assessed (PubMed, CINAHL, and PSYCINFO). Meta-analysis was conducted using a random-effects model to determine summary estimates of risks of major recurrent cardiac events associated with each psychological distress. Of 506 publications identified, 33 met inclusion criteria, and 24 studies were used to estimate effect size of psychological distress on recurrent cardiac events.

Results

Mean number in the research sample was 736 and mean time of follow-up was 4.0 years. Depression, anxiety, anger, and hostility as psychological factors were studied. According to estimation of effect size using random model effect, depression (OR=1.39, 95% CI: 1.22-1.57), anxiety (OR=1.22, 95% CI: 0.96-1.56), and anger/hostility (OR=1.29, 95% CI: 1.07-1.57) CAD patients in significantly increased risk for recurrent cardiac events.

Conclusion

Finding suggests that psychological distress in forms of depression, anxiety, anger, and hostility impact unfavorably on recurrent cardiac events in CAD patients.

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Relationship of Prenatal Stress and Depression to Maternal-Fetal Attachment and Fetal Growth
Mi-Kyung Kwon, Kyung-Sook Bang
J Korean Acad Nurs 2011;41(2):276-283.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.276
AbstractAbstract PDF
Purpose

Prenatal depression is associated with potential negative consequences for the mother and infant. The purpose of this study was to examine pregnant women's stress, and depression and their impact on maternal-fetal attachment and fetal growth.

Methods

Data were collected by means of a questionnaire and fetal sonogram from a convenience sample of 166 pregnant women.

Results

Women who have a low educational level, poor health and are dissatisfied with their marriage showed low maternal-fetal attachment. Prenatal depression had significant correlations with length of pregnancy and level of stress. Even though correlation between maternal stress and fetal weight (r=-.15, p=.099) and correlation between maternal depression and maternal-fetal attachment (r=-.13, p=.095) were not statistically significant, the impact of the prenatal psychological state of mothers can not be ignored as it relates to fetal health.

Conclusion

Maternal-fetal attachment and fetal growth can be affected by maternal emotional state, including stress or depression. These findings suggest that primary care nurses in hospitals and public health centers should provide prenatal depression screening and nursing intervention programs for management and prevention of prenatal stress and depression.

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The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities
Ju-Eun Song, Bo-Lim Park
J Korean Acad Nurs 2010;40(4):503-514.   Published online August 31, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.4.503
AbstractAbstract PDF
Purpose

The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not.

Methods

The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program.

Results

There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower.

Conclusion

Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

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