Research in Community and Public Health Nursing

Original Articles

[English] Influence of Health Literacy and Psychological Well-being on Health Promotion Behavior in Military Personnel: Dong Jun Lee, Eun Sun So; Res Community Public Health Nurs. 2026;37(1):90-100. Published online March 31, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01389

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Abstract PDF: Purpose
The purpose of this study is to understand the influence of health literacy and psychological well-being on health promotion behavior in military personnel. Methods: This was a descriptive survey study conducted with 142 military personnel serving in front-line and rear-area divisions located in G-do and G-si. Data were collected from May 13 to May 23, 2025, and analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis. Results: Total military service period of 20 years or more (β=0.39, p=.019), perceived health status (β=0.32, p<.001), psychological well-being (β=0.26, p=.003), gender (β=0.23, p=.014), and university (β=0.21, p=.024) were found to have significant influence on health-promoting behaviors. These variables explained 31% of the variance in health-promoting behaviors (F=5.32, p<.001). Conclusion: It is necessary to develop personalized individual strategies that can promote health-enhancing behaviors among military personnel, while also providing foundational data for establishing military health policies and developing health management programs.

[English] The Influence of Depression, Diabetes-Related Stress, and Stress Coping Strategies on the Quality of Life in Parents of Children with Type 1 Diabetes: Seok Min Song, Hye Kyung Lee; Res Community Public Health Nurs. 2026;37(1):14-26. Published online March 31, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01319

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Abstract PDF: Purpose
This descriptive correlational study investigated the influence of depression, diabetes-related stress, and stress coping strategies on the quality of life of parents of children with Type 1 Diabetes Mellitus.
Methods
Data were collected from 153 parents using structured questionnaires and analyzed with IBM SPSS/WIN 27.0 using descriptive and inferential statistics.
Results
Depression (β=-.42, p<.001) and diabetes-related stress (β=-.23, p<.001) were significant negative predictors of quality of life. Positive coping strategies were positively associated with higher quality of life.
Conclusion
Early interventions targeting depression and diabetes-related stress are essential. Interventions that strengthen positive coping strategies are recommended to enhance the well-being of parents of children with type 1 Diabetes.

[English] Influence of Smartphone Dependence, Mental Health, and Resilience on Military Life Adjustment Among Soldiers: A Cross-Sectional Study: Soonnam Shin, Kyungja Kang; Res Community Public Health Nurs. 2026;37(1):1-13. Published online March 31, 2026; DOI: https://doi.org/10.12799/rcphn.2025.01291

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Abstract PDF: Purpose
This study aimed to examine the influence of smartphone dependence, mental health, and resilience on military life adjustment among soldiers.
Method
Data from a total of 173 subjects were collected from February 11, 2025 to March 8, 2025, using a self-report questionnaire. The data were analyzed using independent t-tests, one-way ANOVAs, the Scheffé test, Pearson’s correlation coefficient, and multiple linear regression analysis.
Results
Resilience (β=.65, p<.001), high-risk smartphone dependence (β=-.17, p=.001), mental health (β=-.14, p=.027), and the experience of difficulties in military life (β=-.12, p=.001) were identified as factors influencing military life adjustment. These variables accounted for 83.0% (F=67.92, p<.001) of the variance in military life adjustment.
Conclusion
The findings of this study demonstrate the necessity of developing integrated intervention programs to enhance military life adjustment among soldiers. In particular, as resilience was identified as the most influential factor, interventions aimed at strengthening resilience, along with strategies for regulating smartphone use, promoting mental health, and alleviating service-related stress, are warranted.

[English] Moderating Effect of Marital Satisfaction on Acculturative Stress and Psychological Distress among Marriage Migrant Women in South Korea: Oan Na Lee, Seong-Eun Jeon, Bongky Sun, Young-Shin Kang; Res Community Public Health Nurs. 2025;36(3):304-314. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.00990

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Abstract PDF: Purpose
This study investigated the moderating role of marital satisfaction in the relationship between acculturative stress and psychological distress among marriage migrant women in South Korea. Methods: We recruited 142 marriage migrant women from a metropolitan city in the southwestern region of the Korean Peninsula and used survey questionnaires to collect information on demographics as well as inventories assessing acculturative stress, psychological distress, and marital satisfaction. Results: We found that acculturative stress significantly affected psychological distress. Marriage migrant women experiencing higher levels of acculturative stress reported greater psychological distress. We further found that marital satisfaction moderated the relationship between acculturative stress and psychological distress. Specifically, low levels of marital satisfaction strengthened the association between acculturative stress and psychological distress. In contrast, among women with high levels of marital satisfaction, the relationship between acculturative stress and psychological distress was still present but relatively weaker. Conclusions: These findings suggest that marital satisfaction is a critical variable that prevents the adverse effects of acculturative stress on psychological distress among marriage migrant women in South Korea.

[English] Smartphone dependency latent profile classification and association with emotional and behavioral difficulties among high school students in Korea: Eunjoo Kim, Min Kyung Song; Res Community Public Health Nurs. 2024;35(1):84-98. Published online March 29, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00465

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Abstract PDF

Purpose
The pervasive integration of smartphones into adolescents’ daily lives has resulted in a concerning upsurge in smartphone dependency among high school students. Due to the diverse types and severity levels of smartphone dependency, there is a critical need for research to explore its heterogeneity. This study aimed to identify latent profile of smartphone dependency in high school students based on the four subdomains of smartphone dependency: disturbance of adaptive functions, virtual life orientation, withdrawal, and tolerance. In addition, we explored how emotional and behavioral difficulties differ according to the profiles.
Methods
We used data from 2,195 Korean high school students from the Korean Children and Youth Panel Survey 2018. Latent profile analysis (LPA) was performed to identify smartphone dependency latent profile. Statistical analysis including chi-square test, Analysis of Variance (ANOVA), and ranked Analysis of Covariance (ANCOVA) confirmed differences in smartphone use characteristics and emotional-behavioral difficulties according to the classified latent profile.
Results
LPA identified four distinct latent profiles of smartphone dependency among high school students; 1) Underdependent type, 2) Moderate type, 3) Habitual user type, and 4) Virtual space dependent type. The results of ranked ANCOVA, controlling for gender, geographical location, economic status, parental smartphone dependency, and relational variables, revealed that habitual user type exhibited significantly higher rates of attention deficit hyperactivity disorder, social withdrawal, and depressive symptoms compared to other types.
Conclusion
The identification of these profiles provides a foundation for developing tailored intervention programs for adolescents with different levels and patterns of smartphone dependency.

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Adolescent Smartphone Overdependence in South Korea: A Place-Stratified Evaluation of Conceptually Informed AI/ML Modeling
Andrew H. Kim, Uibin Lee, Yohan Cho, Sangmi Kim, Vatsal Shah
International Journal of Environmental Research and Public Health.2025; 22(10): 1515. CrossRef

[English] Factors affecting cultural adaptation stress by gender among multicultural adolescents in Korea: Seungwoo Han; Res Community Public Health Nurs. 2023;34(4):320-331. Published online December 29, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00276

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Abstract PDF

Purpose
This paper is a descriptive survey research to identify factors that affect acculturation stress in multicultural adolescents, and provide basic information that can be used to develop ways to improve their mental health.
Methods
This study used the data of the 2nd multicultural adolescents panel study provided on December 30, 2022 by the National Youth Policy Institute. The subjects of this study were 1,520 multicultural adolescents in the fourth grade of elementary school and the survey period was from July to November 2020. The dependent variable was acculturation stress, and the explanatory variables were as follows: mother’s and father’s country of origin, region size, home economic conditions, academic achievement, experience of discrimination, mother’s level of education, father’s level of education, and number of close friends. Data analysis involved calculation of descriptive statistics, analysis of differences in the level of acculturative stress and general characteristics between male and female adolescents, and multiple regression analysis.
Results
This study found that there are gender differences in significant influencing factors for acculturation stress among multicultural adolescents. For males, factors influencing acculturation stress were identified as regional size, mother's education level, parental support, and teacher support. For females, they were regional size, experience of discrimination, number of close friends, parental support, and self-esteem.
Conclusion
The results of this study suggest that psychiatric nurses should provide psychiatric nursing and counseling to multicultural adolescents in addition to clinical psychiatric nursing. Various mental health programs should be developed for multicultural adolescents, with a focus on counseling, education, and family therapy.

Citations

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National Identity and Self-Rated Health Trajectories Among Multicultural Adolescents in Korea: A Piecewise Latent Growth Model
You-Jung Choi
Research in Community and Public Health Nursing.2026; 37: 27. CrossRef
The Impact of Teacher Support on School Adjustment among Multicultural Adolescents: Mediating Roles of Career Attitude Decisiveness and Academic Achievement
Bulgan ByambaOtgon, Boram Lee
Journal of Families and Better Life.2025; 43(3): 121. CrossRef

[Korean] The Effects of Emotional Labor and Workplace Violence on the Somatic Symptoms of Customer Service Employees in Department Stores: Bongsoon Ryu, Bo Hyun Park; Res Community Public Health Nurs. 2023;34(1):61-71. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00339

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Abstract PDF: Purpose
This study was aimed to explore the effects of emotional labor and workplace violence on the somatic symptoms of customer service employees in department stores. Methods: Data from a total of 218 subjects were collected from July 21, 2021 to August 10, 2021, using a self-report questionnaire. The data were analyzed using descriptive statistics, X2-test, and logistic regression. Results: Among 4 sub-scales of workplace violence, a factor affecting the possibility of the moderate or high severity of somatic symptoms was found to be a risk group in "Experience of psychological and sexual violence from customer” (OR: 2.94). On the other hand, emotional labor did not show a statistically significant effect. In addition, education level, monthly income, subjective health status, and working hours per week were also factors affecting somatic symptoms.
Conclusion
In order to reduce the somatic symptoms of customer service employees in department stores, it is necessary to raise the awareness of employers and customers first, and follow-up research is necessary on the development of strategy and systems for the establishment of active and diverse protective devices to protect workers at the organizational level.

[English] Factors Influencing the Wellness of Call Center Employees: Yeon Ju Kim, Gwang Suk Kim, You Lim Kim; J Korean Acad Community Health Nurs. 2022;33(1):128-138. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.128

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1 Citations

Abstract PDF

Purpose
This study aimed to identify the factors influencing the wellness of call center employees.
Methods
From December 2018 to October 2019, a cross-sectional study was conducted with 155 workers recruited from the call centers in Seoul, South Korea. Data were collected using self-administered questionnaires. The questionnaires were used to measure the following scales: Korean occupational stress scale, emotional labor scale, work-life balance scale and wellness scale. Using the SPSS 26.0 program, the descriptive statistics, independent t-test, ANOVA, correlation analysis, and multiple regression analysis were conducted.
Results
The mean score of the wellness level of call center employees was 3.05 out of a maximum of 5.00. More wellness level of call center employees was associated with gender, psychiatric diagnosis, and call characteristics. A multiple regression analysis indicated that the total scores on the wellness scale were predicted by call characteristics, occupational stress and work-life balance, with an explanatory power of 42.2%.
Conclusion
Study findings show that it is necessary to promote wellness in call center workers with differentiated strategies according to call characteristics, occupational stress and work-life balance. This implies that it is necessary to understand the call characteristics and patterns of workers and to provide an innovative wellness program tailored to individual characteristics for an effective management of the emotional labor and occupational stress.

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The Mediating Effect of Self-Transcendence on the Relationship between Job Stress and Wellness among Nurses
Sung Mi Kim, Da Eun Kim
Journal of Korean Academy of Nursing Administration.2025; 31(4): 394. CrossRef

[English] The Association between Social Support and Health Behaviors for Metabolic Syndrome Prevention among University Students: The Mediating Effect of Perceived Stress: Soo Yeon Park, Su Ah Cho, Eugene Lee, Sung Chul Choi, Jin A Choo; J Korean Acad Community Health Nurs. 2021;32(3):404-414. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.404

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5 Citations

Abstract PDF

Purpose
Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students.
Methods
This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses.
Results
Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06.
Conclusions
The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

Citations

Citations to this article as recorded by

Illness attitudes and the flourishing of university students of South Korea in a pandemic: a cross-sectional descriptive study
Insil Jang, Yoonjung Kim, Hyeji Shin
Psychology, Health & Medicine.2025; 30(8): 1607. CrossRef
Factors affecting emerging infectious disease prevention behaviors among young workers based on ecological modeling
Hyo Eun Park, Hye Young Song
Scientific Reports.2025;[Epub] CrossRef
Psychometric Properties of the Short-Form Revised Lifestyle Evaluation Scale for Metabolic Syndrome–Korean
Shinae Seo, Chun-Ja Kim, Se-Won Kang, Dae Jung Kim, Elizabeth A. Schlenk
The Science of Diabetes Self-Management and Care.2025; 51(6): 578. CrossRef
Factors Associated with Prevention of Metabolic Syndrome Among Middle-Aged Postmenopausal Korean Women: A Study Based on the Information, Motivation, Behavioral Skills (IMB) Model
Yoonjung Kim, Sooyeon Park
Patient Preference and Adherence.2023; Volume 17: 2279. CrossRef
Causal model of health literacy in dietary supplement use and sufficient health behavior among working-age adults
Ungsinun Intarakamhang, Pitchada Prasittichok
Heliyon.2022; 8(11): e11535. CrossRef

[English] Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home: Hee Sang Yoon, Eun A Hwang; J Korean Acad Community Health Nurs. 2021;32(1):51-63. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.51

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4 Citations

Abstract PDF

Purpose
This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a x ² test, Fisher’s exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors’ comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

Citations

Citations to this article as recorded by

Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study
Su Jin Seo, Ju-Hee Nho
European Journal of Oncology Nursing.2024; 73: 102714. CrossRef
Distress among Korean Cancer Survivors: A Latent Profile Analysis
Kwang-Hi Park, Min Kyung Song
International Journal of Environmental Research and Public Health.2022; 19(3): 1613. CrossRef
Introduction to methodology for the development of an integrative medical service model
Moon Joo Cheong, Myeung Su Lee, Min Cheol Joo, Sang-Yeol Lee, Jung-Han Lee, Jong-Min Yun, Yeonseok Kang, Myeong Soo Lee, Hyung Won Kang
Integrative Medicine Research.2022; 11(2): 100840. CrossRef
Community-Based Oncology Nursing: Status and Prospects
Jeong Sook Park
Asian Oncology Nursing.2022; 22(4): 203. CrossRef

[English] The Structural Equation Model for Posttraumatic Growth of Firefighter: Based on the Calhoun and Tedeschi's model of posttraumatic growth: Yeo Ju Jeong, Mi Yang Jeon; J Korean Acad Community Health Nurs. 2020;31(4):459-471. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.4.459

2,511 View
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4 Citations

Abstract PDF

Purpose
The purpose of this study is to construct and validate a posttraumatic growth structural model for firefighters based on Calhoun and Tedeschi’s model (2006).
Methods
The research data was collected from 200 firefighters working in Gyeongsang-do, Jeolla-do, and Gyeonggi-do. The participants completed an anonymous survey asking about ego-resilience, active coping, family support, organizational support, self-exposure, deliberate rumination, posstraumatic stress and posttraumatic growth.
Results
The model selected as a final model was the one that supports 10 hypotheses out of 13 hypotheses. In the final model, deliberate rumination (β=.59, p<.001) had a significant effect in the posttraumatic growth of firefighters. Active coping, organizational support, self-exposure, ego-resilience and posttraumatic stress had a significant indirect effect. The explanatory power of these variables was 36.0%.
Conclusion
The results of the survey show that it is important to develop a strategy to strengthen deliberate rumination. In addition, encouraging deliberate rumination through organizational support and self-exposure can promote posttraumatic growth of firefighters.

Citations

Citations to this article as recorded by

Factors Affecting Fire Officers' Posttraumatic Growth
Young Mi Ju, Hyun Jung Yun
Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 70. CrossRef
A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
Soo Young An, Heejung Choi
Journal of Korean Academy of Nursing.2023; 53(3): 309. CrossRef
Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
Sae Mi Min, Hee Jun Kim, Chun-Ja Kim, Jeong-Ah Ahn
Journal of Korean Critical Care Nursing.2022; 15(2): 50. CrossRef
Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth
Hee Yeon Park, Ja Yun Choi
Asian Oncology Nursing.2022; 22(2): 65. CrossRef

[English] The Mediating Effect of Sleep Quality in the Relationship between Academic Stress and Social Network Service Addiction Tendency among Adolescents: Eun Sook Bae, Hye Seung Kang, Ha Na Lee; J Korean Acad Community Health Nurs. 2020;31(3):290-299. Published online September 30, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.3.290

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4 Citations

Abstract PDF

Purpose
The purpose of this study is to examine the mediating effect of sleep quality in the relationship between academic stress and social network service (SNS) addiction tendency among adolescents.
Methods
The participants were composed of 204 high school students who were enrolled at private schools in Incheon metropolitan city. Data were collected from August 16 to September 10, 2019. The collected data were analyzed using a regression analysis, and SPSS Process Macro was used to test the mediating effect. Results: The direct effect of academic stress on SNS addiction tendency and the indirect effect of academic stress mediated with sleep quality about SNS addiction tendency were statistically significant.
Conclusion
These findings suggest that positive intervention for academic stress and effective intervention program enhancing sleep quality should be provided for adolescents in order to prevent SNS addiction.

Citations

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Electronic Media Use and Sleep Quality: Updated Systematic Review and Meta-Analysis
Xiaoning Han, Enze Zhou, Dong Liu
Journal of Medical Internet Research.2024; 26: e48356. CrossRef
A one-year longitudinal study on the mediating role of problematic TikTok use and gender differences in the association between academic stress and academic procrastination
Qingqi Liu, Jingjing Li
Humanities and Social Sciences Communications.2024;[Epub] CrossRef
Changes in Sleep Satisfaction of Korean Adolescents in the Pre- and Post-COVID-19 Eras and Its Effects on Health Behaviors
Dahyeon Lee, Kang-Sook Lee, Sejin Kim, Woohyun Chung, Jeung Jegal, Hyeonjung Han
International Journal of Environmental Research and Public Health.2023; 20(3): 1702. CrossRef
The COVID-19 related stress and social network addiction among Chinese college students: A moderated mediation model
Ziao Hu, Yangli Zhu, Jun Li, Jiafu Liu, Maozheng Fu, Alejandro Vega-Muñoz
PLOS ONE.2023; 18(8): e0290577. CrossRef

[English] A Structural Equation Model of Factors Influencing Posttraumatic Growth of Earthquake Victims: Min Yeong Kwak; J Korean Acad Community Health Nurs. 2019;30(3):345-356. Published online September 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.3.345

2,584 View
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3 Citations

Abstract PDF

PURPOSE
The purpose of this study is to construct and test a structural equation model of posttraumatic growth (PTG) of earthquake victims based on Tedeschi and Calhoun's model (2004).
METHODS
Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed.
RESULTS
The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination (Î²=.58, p<.001), resilience (Î³=.18, p=.001), and distress perception (Î³=.20, p=.002). These predictors explain 51.8% of variance in posttraumatic growth.
CONCLUSION
Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.

Citations

Citations to this article as recorded by

Factors Affecting Posttraumatic Growth of Nurses Caring for Patients with COVID-19 in Regional Medical Centers
Jaehwa Bae, Eun Suk Choi
Research in Community and Public Health Nursing.2025; 36: 9. CrossRef
A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
Soo Young An, Heejung Choi
Journal of Korean Academy of Nursing.2023; 53(3): 309. CrossRef
Predictors of posttraumatic growth of intensive care unit nurses in Korea
Ae Kyung Chang, Hyejin Yoon, Ji Hyun Jang
Japan Journal of Nursing Science.2021;[Epub] CrossRef

[English] Effects of Medicaid Case Manager's Communication Competence and Stress on Their Job Satisfaction: Seung Joo Lim; J Korean Acad Community Health Nurs. 2019;30(2):195-205. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.195

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Abstract PDF: PURPOSE
This study was conducted to identify effects of Medicaid Case Manager's communication competence and stress on their job satisfaction.
METHODS
The current work is descriptive research, and the participants were 154 medicaid case managers. Data were collected between May and July, 2017 through Embrain, a specialized research organization. The data were analyzed using independent t-test, ANOVA, and multiple regression.
RESULTS
The mean communication competence of the medicaid case managers was 3.61, stress 1.76, and their job satisfaction 2.74. Age and average monthly compensation brought significant differences in their job satisfaction. Their communication competence was correlated with stress (r=âˆ’.35, p<.001), but not with their job satisfaction. The stress was the most influential factor in job satisfaction (Î²=âˆ’.45).
CONCLUSION
The results of this work show that the medicaid case managers' communication competence was not an influence factor of their job satisfaction, which is different from implications from the previous studies and needs confirmation through future research. In addition the results of this study also suggest that stress management can be a useful approach to the improvement of medicaid case managers' job satisfaction.

[English] Influence of Trauma Experiences and Social Adjustment on Health-related Quality of Life in North Korean Defectors: Eun Joo Jo, Hyun Mee Cho, Eun Joung Choi; J Korean Acad Community Health Nurs. 2018;29(4):488-498. Published online December 31, 2018; DOI: https://doi.org/10.12799/jkachn.2018.29.4.488

2,515 View
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3 Citations

Abstract PDF

PURPOSE
This study was conducted to identify the influence of trauma experiences and social adjustment on health-related quality of life in North Korean defectors.
METHODS
The subjects were 117 North Korean defectors living in B and Y city. The data were collected from September 1 to September 20, 2014, and analyzed by the SPSS/WIN 18.0 program.
RESULTS
Significant differences were found in the health-related quality of life with respect to the subjects' education, marriage status, types of dwelling, family types, duration of residence in South Korea, jobs in South Korea and in North Korea, families left in North Korea or other surrounding countries, and subjective health status. Health-related quality of life is negatively related to trauma experiences during escape from North Korea and during their life in South Korea. Health-related quality of life positively is related to social adjustment. The meaningful variables which influenced the subjects'health-related quality include social adjustment, job in South Korea, job in North Korea, current family structure, and trauma experiences in South Korea. Total explanatory power of these factors for health-related quality in North Korean Defectors is 43.0% and social adjustment is the most influential factor.
CONCLUSION
Therefore, in order to enhance health-related quality of life in North Korean defectors, it is necessary for them to increase social adjustment and decrease trauma experiences. In addition, methods are needed to provide job opportunities, better education and family services for North Korean defectors.

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The rocky road to freedom: number of countries transited during defection and risk of metabolic syndrome among North Korean Refugees in South Korea
D.W. Lee, H.S. Lee, S.G. Kim, K.J. Kim, S.J. Jung
Public Health.2023; 221: 208. CrossRef
Factors associated with posttraumatic growth among North Korean defectors in South Korea
Mi Kyung Lee, Ocksim Kim, Kyoung-A. Kim, Sang Hui Chu
Scientific Reports.2022;[Epub] CrossRef
Nursing College Life Experiences of North Korean Defectors
Jung Suk Park, Eun Joo Jo, Eun Joung Choi, Hyun Mee Cho, Ji Hyun Bae
Journal of Korean Academy of Community Health Nursing.2019; 30(3): 324. CrossRef

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