This study aims to test which factors influence and aid the psychosocial adjustment of patients with an ostomy and to provide data for the development of programmes for the self‐management of and psychosocial adjustment to intestinal stomas. A total of 150 ostomy patients were recruited between December 1, 2017 and March 26, 2018 in Korea and completed self‐report questionnaires. Data of 25 participants were excluded, resulting in a sample size of 125 participants. Factors, including social support subtypes and self‐efficacy, that influence the psychosocial adjustment were analysed using Cox's regression. Of the factors that influenced the adjustment groups after adjusting for time, the following subtypes of social support were found to influence the patients' adjustment: the patients' psychosocial adjustment increased by 0.4 when the level of medical staff support increased by 1 (Exp[B] = 1.04, P = 0.007), and adjustment decreased by 0.3 when the level of family support increased by 1 (Exp[B] = 0.97, P < 0.001). As medical staff support who have expertise exert more of an influence on the psychosocial adjustment of ostomy patients than self‐efficacy and family support, psychosocial adjustment programmes that reflect this and nurses specialised in care for ostomy patients are required.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0)If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium. Purpose: The present study is a descriptive cross-sectional study of cause-and-effect relationship, which used the 7 th year data of the Panel Study on Korean Children, to investigate the effects of parenting stress, depression, and family interactions of the parents of early school-age children on children's subjective happiness. Methods: The present study included data of 1419 pairs of parents who participated in the mother and father survey of the Panel Study on Korean Children. The effects of parenting stress, depression, and parental family interactions on children's subjective happiness were analyzed as actor and partner effects using path analysis. Results: Parenting stress had an actor effect on depression; maternal parenting stress (b=-.21, p<.001) and depression (b=-.30, p<.001) had an actor effect on maternal family interaction; and paternal parenting stress (b=-.18, p<.001) and depression (b=-.17, p<.001) had a partner effect on maternal family interaction. Paternal parenting stress was found to have an actor effect on paternal family interaction (b=-.30, p<.001), and parental depression was found to have actor effect (b=-.23, p<.001) and maternal depression had a partner effect on paternal family interactions (b=-.22, p<.001). Children's subjective happiness was found to have a statistically significant relationship with maternal family interaction (b=.40, p<.001). Conclusion: The significance of the study is in its provision of basic data for adjusting parents' family interactions that are closely related to the growth and development of children by confirming the effect of parents' parenting stress, depression, and family interaction on children's subjective happiness.

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A good medical guidewires are used to introduce stents, catheters, and other medical devices inside the human body. In this study, diamond-like carbon (DLC) film was proposed to solve the poor adhesion problem of guidewire and to improve the tribological performance of guidewire. DLC films were fabricated on Si substrate by using FVA (Filtered Vacuum Arc) method. In this work, the tribological, structural, and electrical properties of the fabricated DLC films with various arc currents were experimentally investigated. All DLC films showed smooth and uniform surface with increasing applied arc current. The rms surface roughness was increased and the value of contact angle on the film surface was decreased with increasing arc current. The hardness and elastic modulus of DLC films were improved, and the resistivity value of DLC films were decreased with increasing arc current. These results are associated with ion bombardment effects by the applied arc current and bias voltage.

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