Estrategias de afrontamiento al síndrome de burnout en médicos-docentes universitarios en postpandemia / Coping strategies to burnout syndrome in post-pandemic university physician-teachers / Estratégias de enfrentamento da síndrome de burnout em professores doutores de universidades pós-pandemia

Los médico-docentes han sufrido las secuelas de la pandemia y que sigue evidenciándose en la postpandemia como estrés laboral; por ello tuvieron que aprender estrategias de afrontamiento para superar este problema de salud mental. Objetivo. Analizar las características del Síndrome de burnout Académico de cuatro docentes-médicos universitarios y las estrategias de afrontamiento que utilizaron en un contexto de postpandemia. Metodología. Investigación cualitativa, fenomenológica, interpretativa, en la que se utilizó la entrevista en profundad a cuatro docentes-médicos (2 varones y 2 mujeres), permitió analizar y reflexionar acerca de las experiencias de los participantes de las secuelas que les dejó el SBA después de la pandemia generada por la COVID-19 y cómo realizaron el afrontamiento. Las categorías fueron SBA y afrontamiento. El trabajo se llevó a cabo en tres fases: (a) descriptiva, en ella se organizó y planificó el proceso metodológico y ético, (b) fase estructural, se elaboraron las guías de entrevista, la matriz para organizar la información, transcripción y codificación de la información y (c) fase de discusión, en la se confrontaron las experiencias discrepantes y semejantes que fueron contrastados con otros estudios. Hallazgos. La COVID-19 generó en los médico-docentes SBA, que se evidenciaron en problemas emocionales, cognitivos, conductuales-psicosomáticos y sociales. El afrontamiento integral con las técnicas cognitivo-conductuales, mindfulness, relajación y la religión permitieron revertir los efectos del SBA. A manera de conclusión. El integral de técnicas terapéuticas de afrontamiento a SBA postraumático mostraron ser eficientes.

Physician-teachers have suffered the after-effects of the pandemic, which continues to be evidenced in the post-pandemic as occupational stress; therefore, they had to learn coping strategies to overcome this mental health problem. Objective. To analyze the characteristics of Academic Burnout Syndrome of four university teacher-physicians and the coping strategies they used in a post-pandemic context. Methodology. Qualitative, phenomenological, interpretative research, using in-depth interviews with four physician-teachers (2 men and 2 women), made it possible to analyze and reflect on the participants' experiences of the after-effects of BMS after the pandemic generated by COVID-19 and how they coped. The categories were BMS and coping. The work was carried out in three phases: (a) descriptive, in which the methodological and ethical process was organized and planned, (b) structural phase, in which the interview guides, the matrix to organize the information, transcription and codification of the information were elaborated, and (c) discussion phase, in which the discrepant and similar experiences were compared and contrasted with other studies. Findings. The COVID-19 generated BMS in the physician-teachers, which were evidenced in emotional, cognitive, behavioral-psychosomatic and social problems. Integrated coping with cognitive-behavioral techniques, mindfulness, relaxation and religion allowed reversing the effects of BMS. By way of conclusion. The integrated therapeutic techniques of coping with posttraumatic BMS proved to be efficient.

Os professores de medicina sofreram os efeitos colaterais da pandemia, que ainda são evidentes no período pós-pandemia como estresse relacionado ao trabalho, e tiveram de aprender estratégias de enfrentamento para superar esse problema de saúde mental. Objetivo. Analisar as características da Síndrome de burnout acadêmico em quatro professores-médicos universitários e as estratégias de enfrentamento que eles usaram em um contexto pós-pandêmico. Metodologia. A pesquisa qualitativa, fenomenológica e interpretativa, por meio de entrevistas em profundidade com quatro professores-doutores (2 homens e 2 mulheres), nos permitiu analisar e refletir sobre as experiências dos participantes em relação às sequelas da SBM após a pandemia gerada pela COVID-19 e como eles lidaram com isso. As categorias foram BMS e enfrentamento. O trabalho foi realizado em três fases: (a) descritiva, na qual o processo metodológico e ético foi organizado e planejado; (b) fase estrutural, na qual foram elaborados os guias de entrevista, a matriz para organizar as informações, a transcrição e a codificação das informações; e (c) fase de discussão, na qual experiências discrepantes e semelhantes foram comparadas e contrastadas com outros estudos. Resultados. A COVID-19 gerou BMS nos médicos-professores, que foram evidenciados em problemas emocionais, cognitivos, comportamentais-psicossomáticos e sociais. O enfrentamento integrado com técnicas cognitivo-comportamentais, atenção plena, relaxamento e religião permitiu reverter os efeitos da SGB. À guisa de conclusão. As técnicas terapêuticas integradas de enfrentamento da SGB pós-traumática mostraram-se eficazes.

The Effect Of Postpartum Coping Skill Classes (PCSC) On Stress Level, Cortisol Levels, Maternal Self- Efficacy, And Baby’s Growth And Development In Semarang, Central Java

@#Postpartum stress incidence rate is quite high (26% - 85%). Several studies reveal that more than 50% of women experience stress and depression after giving birth and almost 80% of new mothers experience terrible sadness feelings after giving birth, often called postpartum stress. This study aims to determine the effect of postpartum coping skill classes (PCSC) on stress level, cortisol level, maternal self-efficacy (MSE), and baby's growth and development. This study employed an experimental design method with a randomized study pre-test post-test control group design. The study was conducted on 18 postpartum women who were given PCSC treatment which was integrated into postpartum classes and 17 women were given postpartum classes (PC) only. The study was conducted in 4 weeks. The data were analyzed statistically using a t-test method. Ethical clearance for the study was obtained. The results disclose that PCSC significantly decrease the PSS score (-2.66 ± 4.74, p = 0,029). Similarly, the cortisol level drops significantly (-38.53 ± 74.60, p = 0.031). In other respect, the MSE score between groups have significant mean difference (p = 0.013), but the weight gain and development of the baby between the two groups have no significant mean difference (p >0.05). The provision of coping skill classes through maternal classes for postpartum women was effective in decreasing stress levels, cortisol levels, and increasing MSE scores although it did not affect the baby's growth and development.

Effect of Resilience, Coping, and Mental Health on Burnout of Student Nurses

PURPOSE: The purpose of this study was to investigate resilience, coping, and mental health in relation to burnout and to identify factors influencing burnout in student nurses. METHODS: A descriptive correlational study was conducted. The participants were 241 student nurses from 2 universities in B city. Data were analyzed using the t-test, analysis of variance, the Pearson correlation coefficient, the Scheffé test, and multiple regression analysis. RESULTS: The mean score for burnout in student nurses was 3.01 out of 5 points. Burnout explained 29.2% of the variance in satisfaction with college life (β=-.367, p < .001), coping (β=.293, p < .001), mental health (β=.228, p=.011), and training hospital (β=-.198, p=.026). CONCLUSION: The results of our research suggest that satisfaction with college life is an important variable affecting burnout student nurses. Therefore, education is needed in order to develop for more effective teaching coping methods and strategies and to reduce burnout with nursing practice.

Structural Equation Modeling on Successful Aging in Elders with Chronic Obstructive Pulmonary Disease Based on Selection-Optimization-Compensation Strategy

PURPOSE: The focus of the study was on the selection-optimization-compensation (SOC) strategy to predict successful aging mediated by dyspnea symptoms in older adults with chronic obstructive pulmonary disease. The model was constructed based on the hypotheses that coping strategy and social support of the elders predict successful aging through the SOC strategies. METHODS: Participants were 218 outpatients with chronic obstructive pulmonary disease recruited for the study. Data collection was done from March 25 to September 11, 2015, and analyzed using SPSSWIN 22.0 and AMOS 21.0. RESULTS: The hypothetical model appeared to be fit to the data. Seven of eight hypotheses selected for hypothetical model were statistically significant. The SOC strategy has only significant indirect effects through dyspnea symptoms on successful aging. Coping strategy, social support, SOC strategies and dyspnea symptoms explained 62% of variance in successful aging. CONCLUSION: The SOC strategies with social support and dyspnea symptoms significantly explained successful aging among patients with chronic obstructive pulmonary disease. Nursing strategies should be focused on social support and coping strategies to optimize SOC strategies so that older adults with chronic obstructive pulmonary disease are able to manage dyspnea symptoms and eventually achieve successful aging.

Fatigue and Its Association with Socio-Demographic and Clinical Variables in a Working Population / 정신신체의학

OBJECTIVES: We aimed to explore the relationship among fatigue and perceived stress, depressive mood in the working population. We also examined associations with demographic and life style factors and investigated the effect of individual coping skills on these associations. METHODS: Fatigue Severity Scale(FSS), Perceived Stress Scale(PSS), Brief Encounter Psychosocial Instrument - Korean version(BEPSI-K), Beck Depression Inventory(BDI), Stress Coping Skill Questionnaire were administered to 621 civil servants. All of above and other demographic factors are self-administered questionnaire survey and this study is cross sectional. RESULTS: Mean FSS score was 3.04 which was lower than 3.22, the severity cut off score. FSS, PSS, BEPSI-K, BDI were all higher in female. Subjects with active coping skills showed relatively low fatigue, perceived stress, depressive mood than those with passive coping skills. Logistic regression analyses indicated that the PSS, BDI, BEPSI-K in working population increase the risk of fatigue and regular exercise lowers the risk. CONCLUSIONS: Adults who were afflicted by stress, experienced depressive mood or were physically inactive were at much higher risk of feeling fatigue. Since no other large data sets are available for fatigue, the results from this study could serve a very useful purpose, to furnish a basis for comparison with future research results based on more complete data.

The Relationship among Teachers' Empathy, Communication Style and Coping Type for Students with Attention Deficit Hyperactivity Disorder / 정신간호학회지

PURPOSE: The purpose of this research was to identify the relationship of empathy, communication style, and coping type with students exhibiting a attention deficit disorder hyperactivity (ADHD). METHODS: Participants were 238 elementary school teachers living in 5 cities in Korea. The teacher's answered questions about their empathy level, communication style and coping type when teaching students with ADHD. Data were analyzed using t-test, one-way ANOVA, and Pearson correlation coefficients with SPSS 21.0. RESULTS: Teachers' cognitive and emotional empathy were at the same level. For communication styles used by the teachers, reception-encouragement was the most widely used and nonreception-commanding style was the least widely used. With regard to how to deal with student with ADHD, passive coping type was most widely used and active and negative coping followed in that order. Teachers with higher levels of empathy, used more active coping. For communication, the correlation between reception-encouragement and passive coping had the highest level. CONCLUSION: These result suggest the necessity of developing and providing empathy boosting programs about students with ADHD as well as special workshops to increase communication efficacy and coping skills with school-aged ADHD students.

Insight, Self-esteem, and Coping Skills among Patients with Alcohol Addiction / 정신간호학회지

PURPOSE: This study was conducted to investigate the related factors of insight, self-esteem, and coping skills and the relationships among them in patients with alcohol addiction. METHODS: The participants enrolled in this study were 106 patients from two alcohol treatment hospitals in Gyeonggi Province. Data were collected from May, 12 to 20, 2010 using self-report questionnaires. The instruments were the Hanil Alcohol Insight Scale, Rosenberg Self-esteem Scale, and the Ways of Coping Checklist. Data were analyzed using the SPSS-Win 12.0 program. RESULTS: Among the participants, 24.5% had poor insight, 45.3% fair insight, and 30.2% good insight. Insights of participants who had experienced withdrawal symptoms (t=-3.79, p<.001) and of those not living with family (t=-2.07, p=.041) were higher than those who had not experienced the symptoms and who were not living with family. Self-esteem of participants living with family (F=3.60, p<.001) and of those with better academic backgrounds (F=3.39, p=.021) were higher than those of the other groups. Also, self-esteem showed a positive relation with active coping (r=.34, p<.001). CONCLUSION: The results of the present study suggest that mental health practitioners need to focus on insight and self-esteem enhancement, coping skill development when treating patients with alcohol addiction.

Factors Influencing Coping Strategies of Elders According to Types of Pain Belief / 기본간호학회지

PURPOSE: This study was done to identify factors (pain stress, perceived stress, pain disability, fatigue, depression) strategies used by elders to cope with pain based on their type of pain belief. METHOD: Data were collected from 314 elders in community settings in Seoul from September to December of 2007. Cluster analysis, t-test, and ANOVA were used to analyze data. Result: The types of pain belief were classified as the following groups: Self-blame, Enduring & Mysterious, and Short-term & Understandable. Perceived stress (t=2.36, p=.02), social support (t=2.24, p=.03), extent of pain relief (t=2.39, p=.02), and duration of pain relief (t=2.09, p=.04) were important factors for active and passive coping in the Self-blame group. Pain stress (t=2.39, p=.01) and depression (t=-3.99, p=.00) were significantly related to the active coping in the Enduring & Mysterious group. Perceived stress (t=2.55, p=.01) was an important factor in the passive coping in the Short-term & Understandable group. CONCLUSION: Considering different types of pain belief in elders and factors that are significantly related to different coping strategies, future nursing interventions should be population specific to encourage active coping strategies and to decrease passive coping strategies.

Factors Influencing Headache in Children / 간호학회지

OBJECTIVES: This descriptive study was conducted to examine the degree of stress, coping styles, communication with the mother and depression between headache-suffering children and headache-free children and to explore predicted factors for headache occurrence in children. METHOD: The subjects of this study consisted of 196 headache-free children and 107 headache-suffering children. They were 4th-6th graders of an elementary school in T city. The instruments in this study were David's stressor of children, Lazarus & Folkman's Stress Coping Style, PACI (Parent-Adolescent Communication Inventory) by Barnes & Olsen and Kovac's CDI (Children's depression inventory). Data were collected from May 2 to July 16, 2004. RESULTS: Total stress(t=-3.76, p=.035), school stress(t=-3.02, p=.001), mass media stress(t=-1.39, p=.029) and depression(t=7.62, p=.001) in headache-suffering children were significantly higher than those of headache-free children. Problem-oriented coping skills (t=1.23, p=.023), and the score of communication with the mother (t=2.32, p=.012) in headache-suffering children were lower than those of headache-free children. Logistic regression analysis (stepwise) showed that the most powerful predictor was stressors in school, followed by depression, stressors in mass media and communication with the mother. CONCLUSIONS: This study revealed that important factors such as the degree of school stress, depression, the degree of mass media stress, communication with the mother and problem-oriented coping skills should be controlled for reducing of headaches in children.

Developing and Testing the Effects of a Psychosocial Intervention on Stress Response and Coping in Korean Breast Cancer Survivors: A Pilot Study / 간호학회지

PURPOSE: The purpose of this study was to develop a socioculturally-appropriate psychosocial intervention program for Korean patients with breast cancer and test its effects on stress, anxiety, depression, and coping strategies. METHODS: One group pretest and posttest design was used to test the effects of the intervention. A post-intervention interview was conducted to refine the nature of the intervention. A convenience sample of 10 breast cancer survivors was recruited from the outpatients clinics. Psychosocial intervention was developed to provide the health education, stress management, coping skill training and support weekly(90min) for 6 weeks. RESULTS: There was a significant decrease in stress scores following the intervention(Z= -2.388, p=0.017). However, no significant changes were noted in the use of problem-focused and emotion-focused coping strategies, nor in the changes of anxiety and depression levels. Content analysis of interview data revealed six clusters; changes in perception, changes in problem solving approaches, changes in anger management, changes in life pattern, social support and reduction of perceived stress. CONCLUSIONS: Based on quantitative and qualitative data, we recommend the refinements of the intervention in the following areas for future studies: 1) duration, activities, and progression of psychosocial intervention; 2) research design and sample size; and 3) measurements.