1.Exploring Traumatic Experiences and Posttraumatic Growth among Korean Veterans:A Photovoice Study
Riah KIM ; Heeseung CHOI ; Minsung KIM
Journal of Korean Academy of Nursing 2024;54(4):519-533
		                        		
		                        			 Purpose:
		                        			This study aimed to explore traumatic experiences and posttraumatic growth among Korean veterans.  
		                        		
		                        			Methods:
		                        			A qualitative study was conducted using photovoice. Purposive sampling strategies yielded five veterans who had experienced traumatic events. Participants engaged in three discussion sessions between August 5, 2023, and October 28, 2023. The collected data were analyzed using photovoice document analysis and thematic analysis.  
		                        		
		                        			Results:
		                        			Study results identified the following themes: ‘The collapse of my life as a result massive trauma,’ ‘Sinking into endless isolation and disconnection,’ ‘The process of finding myself through reflection,’ and ‘My life journey moving forward together.’ Despite the irreversible damage caused by traumatic experiences during military service, the participants continuously reflected on the meaning of their trauma and posttraumatic growth, thereby recovering their authentic selves.  
		                        		
		                        			Conclusion
		                        			Veterans who have experienced traumatic events face severe difficulties, however through their efforts at recovery, they recognize the individuals they are now. This study suggests the need for social support and highlights the necessity of providing various opportunities and policy assistance to traumatized veterans. 
		                        		
		                        		
		                        		
		                        	
2.A Qualitative Study on the Caregiving Experiences of Parents of Young Adults with Mental Disorders
Sukkyung LEE ; Sehee SEO ; Heeseung CHOI ; Dug Ja CHOI
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):404-412
		                        		
		                        			 Purpose:
		                        			The incidence of mental disorders in young adults has been increasing since the COVID-19 pandemic. The specific characteristics of young adults with mental disorders can lead to significant caregiving challenges. Understanding these challenges can help healthcare professionals provide timely interventions and support. Thus, this study aimed to understand the caregiving experiences of parents of young adult children with mental disorders and to grasp their essential meaning. 
		                        		
		                        			Methods:
		                        			A qualitative phenomenological design was adopted. Semi-structured individual interviews were conducted with nine parents and the data were analyzed using the phenomenological method. Data collection was conducted by nine parents of young adult children with mental disorders from July to October 2023 at S General Hospital. 
		                        		
		                        			Results:
		                        			The analysis revealed the overarching theme of “A journey of finding hope in a dark tunnel,” supported by three main themes: 1) life feels like walking on eggshells with the child; 2) being aware of the changing family lifestyle and seeking balance; and 3) lifelong tasks for parents and society. 
		                        		
		                        			Conclusion
		                        			Parents experienced various difficulties intertwined with their own and their child’s developmental tasks. However, both the parents and children grew, discovering positive elements such as happiness and hope. 
		                        		
		                        		
		                        		
		                        	
3.Exploring Traumatic Experiences and Posttraumatic Growth among Korean Veterans:A Photovoice Study
Riah KIM ; Heeseung CHOI ; Minsung KIM
Journal of Korean Academy of Nursing 2024;54(4):519-533
		                        		
		                        			 Purpose:
		                        			This study aimed to explore traumatic experiences and posttraumatic growth among Korean veterans.  
		                        		
		                        			Methods:
		                        			A qualitative study was conducted using photovoice. Purposive sampling strategies yielded five veterans who had experienced traumatic events. Participants engaged in three discussion sessions between August 5, 2023, and October 28, 2023. The collected data were analyzed using photovoice document analysis and thematic analysis.  
		                        		
		                        			Results:
		                        			Study results identified the following themes: ‘The collapse of my life as a result massive trauma,’ ‘Sinking into endless isolation and disconnection,’ ‘The process of finding myself through reflection,’ and ‘My life journey moving forward together.’ Despite the irreversible damage caused by traumatic experiences during military service, the participants continuously reflected on the meaning of their trauma and posttraumatic growth, thereby recovering their authentic selves.  
		                        		
		                        			Conclusion
		                        			Veterans who have experienced traumatic events face severe difficulties, however through their efforts at recovery, they recognize the individuals they are now. This study suggests the need for social support and highlights the necessity of providing various opportunities and policy assistance to traumatized veterans. 
		                        		
		                        		
		                        		
		                        	
4.A Qualitative Study on the Caregiving Experiences of Parents of Young Adults with Mental Disorders
Sukkyung LEE ; Sehee SEO ; Heeseung CHOI ; Dug Ja CHOI
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):404-412
		                        		
		                        			 Purpose:
		                        			The incidence of mental disorders in young adults has been increasing since the COVID-19 pandemic. The specific characteristics of young adults with mental disorders can lead to significant caregiving challenges. Understanding these challenges can help healthcare professionals provide timely interventions and support. Thus, this study aimed to understand the caregiving experiences of parents of young adult children with mental disorders and to grasp their essential meaning. 
		                        		
		                        			Methods:
		                        			A qualitative phenomenological design was adopted. Semi-structured individual interviews were conducted with nine parents and the data were analyzed using the phenomenological method. Data collection was conducted by nine parents of young adult children with mental disorders from July to October 2023 at S General Hospital. 
		                        		
		                        			Results:
		                        			The analysis revealed the overarching theme of “A journey of finding hope in a dark tunnel,” supported by three main themes: 1) life feels like walking on eggshells with the child; 2) being aware of the changing family lifestyle and seeking balance; and 3) lifelong tasks for parents and society. 
		                        		
		                        			Conclusion
		                        			Parents experienced various difficulties intertwined with their own and their child’s developmental tasks. However, both the parents and children grew, discovering positive elements such as happiness and hope. 
		                        		
		                        		
		                        		
		                        	
5.Exploring Traumatic Experiences and Posttraumatic Growth among Korean Veterans:A Photovoice Study
Riah KIM ; Heeseung CHOI ; Minsung KIM
Journal of Korean Academy of Nursing 2024;54(4):519-533
		                        		
		                        			 Purpose:
		                        			This study aimed to explore traumatic experiences and posttraumatic growth among Korean veterans.  
		                        		
		                        			Methods:
		                        			A qualitative study was conducted using photovoice. Purposive sampling strategies yielded five veterans who had experienced traumatic events. Participants engaged in three discussion sessions between August 5, 2023, and October 28, 2023. The collected data were analyzed using photovoice document analysis and thematic analysis.  
		                        		
		                        			Results:
		                        			Study results identified the following themes: ‘The collapse of my life as a result massive trauma,’ ‘Sinking into endless isolation and disconnection,’ ‘The process of finding myself through reflection,’ and ‘My life journey moving forward together.’ Despite the irreversible damage caused by traumatic experiences during military service, the participants continuously reflected on the meaning of their trauma and posttraumatic growth, thereby recovering their authentic selves.  
		                        		
		                        			Conclusion
		                        			Veterans who have experienced traumatic events face severe difficulties, however through their efforts at recovery, they recognize the individuals they are now. This study suggests the need for social support and highlights the necessity of providing various opportunities and policy assistance to traumatized veterans. 
		                        		
		                        		
		                        		
		                        	
6.A Qualitative Study on the Caregiving Experiences of Parents of Young Adults with Mental Disorders
Sukkyung LEE ; Sehee SEO ; Heeseung CHOI ; Dug Ja CHOI
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):404-412
		                        		
		                        			 Purpose:
		                        			The incidence of mental disorders in young adults has been increasing since the COVID-19 pandemic. The specific characteristics of young adults with mental disorders can lead to significant caregiving challenges. Understanding these challenges can help healthcare professionals provide timely interventions and support. Thus, this study aimed to understand the caregiving experiences of parents of young adult children with mental disorders and to grasp their essential meaning. 
		                        		
		                        			Methods:
		                        			A qualitative phenomenological design was adopted. Semi-structured individual interviews were conducted with nine parents and the data were analyzed using the phenomenological method. Data collection was conducted by nine parents of young adult children with mental disorders from July to October 2023 at S General Hospital. 
		                        		
		                        			Results:
		                        			The analysis revealed the overarching theme of “A journey of finding hope in a dark tunnel,” supported by three main themes: 1) life feels like walking on eggshells with the child; 2) being aware of the changing family lifestyle and seeking balance; and 3) lifelong tasks for parents and society. 
		                        		
		                        			Conclusion
		                        			Parents experienced various difficulties intertwined with their own and their child’s developmental tasks. However, both the parents and children grew, discovering positive elements such as happiness and hope. 
		                        		
		                        		
		                        		
		                        	
7.Exploring Traumatic Experiences and Posttraumatic Growth among Korean Veterans:A Photovoice Study
Riah KIM ; Heeseung CHOI ; Minsung KIM
Journal of Korean Academy of Nursing 2024;54(4):519-533
		                        		
		                        			 Purpose:
		                        			This study aimed to explore traumatic experiences and posttraumatic growth among Korean veterans.  
		                        		
		                        			Methods:
		                        			A qualitative study was conducted using photovoice. Purposive sampling strategies yielded five veterans who had experienced traumatic events. Participants engaged in three discussion sessions between August 5, 2023, and October 28, 2023. The collected data were analyzed using photovoice document analysis and thematic analysis.  
		                        		
		                        			Results:
		                        			Study results identified the following themes: ‘The collapse of my life as a result massive trauma,’ ‘Sinking into endless isolation and disconnection,’ ‘The process of finding myself through reflection,’ and ‘My life journey moving forward together.’ Despite the irreversible damage caused by traumatic experiences during military service, the participants continuously reflected on the meaning of their trauma and posttraumatic growth, thereby recovering their authentic selves.  
		                        		
		                        			Conclusion
		                        			Veterans who have experienced traumatic events face severe difficulties, however through their efforts at recovery, they recognize the individuals they are now. This study suggests the need for social support and highlights the necessity of providing various opportunities and policy assistance to traumatized veterans. 
		                        		
		                        		
		                        		
		                        	
8.A Qualitative Study on the Caregiving Experiences of Parents of Young Adults with Mental Disorders
Sukkyung LEE ; Sehee SEO ; Heeseung CHOI ; Dug Ja CHOI
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2024;33(4):404-412
		                        		
		                        			 Purpose:
		                        			The incidence of mental disorders in young adults has been increasing since the COVID-19 pandemic. The specific characteristics of young adults with mental disorders can lead to significant caregiving challenges. Understanding these challenges can help healthcare professionals provide timely interventions and support. Thus, this study aimed to understand the caregiving experiences of parents of young adult children with mental disorders and to grasp their essential meaning. 
		                        		
		                        			Methods:
		                        			A qualitative phenomenological design was adopted. Semi-structured individual interviews were conducted with nine parents and the data were analyzed using the phenomenological method. Data collection was conducted by nine parents of young adult children with mental disorders from July to October 2023 at S General Hospital. 
		                        		
		                        			Results:
		                        			The analysis revealed the overarching theme of “A journey of finding hope in a dark tunnel,” supported by three main themes: 1) life feels like walking on eggshells with the child; 2) being aware of the changing family lifestyle and seeking balance; and 3) lifelong tasks for parents and society. 
		                        		
		                        			Conclusion
		                        			Parents experienced various difficulties intertwined with their own and their child’s developmental tasks. However, both the parents and children grew, discovering positive elements such as happiness and hope. 
		                        		
		                        		
		                        		
		                        	
9.Determinants of Problem Drinking by Regional Variation among Adult Males in Single-Person Households: Geographically Weighted Regression Model Analysis
Junggeun AHN ; Heeseung CHOI ; Jiu KIM
Journal of Korean Academy of Nursing 2023;53(1):101-114
		                        		
		                        			 Purpose:
		                        			This study aimed to identify regional differences in problem drinking among adult males in single-person households and predict the determinants.  
		                        		
		                        			Methods:
		                        			This study used data from the 2019 Community Health Survey. Geographically weighted regression analysis was performed on 8,625 adult males in single-person households who had been consuming alcohol for the past year. The Si-Gun-Gu was selected as the spatial unit.  
		                        		
		                        			Results:
		                        			The top 10 regions for problem drinking among adult males in single-person households were located in the Jeju-do and Jeollanam-do areas near the southern coast, whereas the bottom 10 regions were located in the Incheon and northern Gyeonggi-do areas. Smoking, economic activity, and educational level were common factors affecting problem drinking among this population. Among the determinants of regional disparities in problem drinking among adult males in single-person households, personal factors included age, smoking, depression level, economic activity, educational level, and leisure activity, while regional factors included population and karaoke venue ratio.  
		                        		
		                        			Conclusion
		                        			Problem drinking among adult males in single-person households varies by region, and the variables affecting each particular area differ. Therefore, it is necessary to develop interventions tailored to individuals and regions that reflect the characteristics of each region by prioritizing smoking, economic activity, and educational level as the common factors. 
		                        		
		                        		
		                        		
		                        	
10.Efficacy of Serum Antithrombin III Test in Patients With Severe Traumatic Brain Injury
HeeSeung NOH ; Sun Geon YOON ; Kyunghak CHOI ; Kyu-Hyouck KYUNG ; Min Soo KIM
Korean Journal of Neurotrauma 2023;19(2):234-241
		                        		
		                        			 Objective:
		                        			Immune reactions following traumatic brain injury (TBI) cause many complications, including intravascular dissemination. Antithrombin III (AT-III) plays an important role in suppressing abnormal clot formation and ensuring hemostasis. Therefore, we investigated the efficacy of serum AT-III in patients with severe TBI. 
		                        		
		                        			Methods:
		                        			This retrospective study included 224 patients with severe TBI who visited a single regional trauma center between 2018 and 2020. AT-III levels were measured immediately after the TBI diagnosis. AT-III deficiency was defined as an AT-III serum level <70%. Patient characteristics, injury severity, and procedures were also investigated. Patient outcomes included Glasgow Outcome Scale scores at discharge and mortality. 
		                        		
		                        			Results:
		                        			AT-III levels were significantly lower in the AT-III deficient group (n=89; 48.27% ± 1.91%) than in the AT-III sufficient group (n = 135, 78.90% ± 1.52%) (p < 0.001). Mortality occurred in 72 of the 224 patients (33.04%), indicating that there were significantly more patients in the AT-III-deficient group (45/89, 50.6%) than in the AT-III-sufficient group (27/135, 20%). Significant risk factors for mortality included the Glasgow Coma Scale score (P = 0.003), pupil dilatation (P = 0.031), disseminated intravascular coagulopathy (P = 0.012), serum AT-III level (P = 0.033), and procedures including barbiturate coma therapy (P = 0.010). Serum AT-III levels were significantly correlated with Glasgow Outcome Scale scores at discharge (correlation coefficient = 0.455, p < 0.001). 
		                        		
		                        			Conclusion
		                        			Patients with AT-III deficiency after severe TBI may require more intensive care during treatment, because AT-III levels reflect injury severity and correlate with mortality. 
		                        		
		                        		
		                        		
		                        	
            
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