• Title/Summary/Keyword: 가족관계의 질

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The Last Phase of Life.Life Completion.Palliative Care Model (생의 마지막 단계.삶의 완결.완화간호 모델)

  • Kim, Dal-Sook
    • Journal of Hospice and Palliative Care
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    • v.12 no.3
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    • pp.115-121
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    • 2009
  • Despite a recent increased nation's attention given to improving end-life care, we professionals need to be more critical and reflective on our realities surrounding hospice palliative care. The aim of this paper is to suggest that palliative care models can be used for patients/families in the last phase of life and examine whether they are appropriate for caring them in congruence with philosophy of hospice. The hospice experience model (HEM) of Eagan & Labyak and the developmental model of Byock are introduced and examined for their congruence with philosophy of hospice in applying to clinical practice. The HEM as a patient/family value-directed end of life care model emphasizes three principles; unique experience of patient/family, interactions/relationships among multiple dimensions of personhood and between family, and personal growth and development in the face of suffering through a life-completion. The developmental model stipulates dying as the last stage of living, a stage of life cycle in which patients/family may have growth through life-completion in multidimensional relationships of personhood. The model includes the developmental landmarks and tasks for life-completion as the framework to guide a means of professionals' to recognize their opportunity to grow. The landmarks and tasks include worldly and social affair, individual relationships, intrapersonal, and transcendent dimension. The models could work as appropriate palliative care models for patients/families in the last stage of living. The professionals need to be encouraged to apply the models to end of life care setting.

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Impact of Income on Subjective Quality of Life (소득이 주관적 삶의 질에 미치는 영향)

  • 이현송
    • Korea journal of population studies
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    • v.23 no.1
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    • pp.91-117
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    • 2000
  • 본 논문에서는 한국노동연구원에서 1998년에 수집한 "한국노동패널조사" 자료를 이용하여 소득과 만족도로 측정된 주관적 삶의 질간의 관계를 집중적으로 검토해 보았다. 가구 소득, 가족 관계, 여가활동, 주거활동, 근로활동의 5개 삶의 개별영역들에 대한 만족도가 전반적인 삶의 만족도의 50% 이상을 설명되며, 수입에 대한 만족과 전반적 만족간에는 체감의 관계가 있는 것을 발견하였다. 우리 나라 사람들은 자신의 생활에 보통 이하의 만족을 느끼고 있다고 보고하고 있다. 실제 소득과 소득만족도 와 의 연관 은 그렇게 크지 않으며, 이는 가구 소득의 경우에나 개인 소득의 경우에나 유사하게 실제 소득이 소득만족도의 10%정도의 변이만을 설명하고 있다. 서구의 연구 결과와 유사하게 모두 외적인 조건들을 생활만족도의 설명변수로 한 희귀 분석 결과는 변량의 10%정도만을 설명할 뿐인 것으로 나타난다. 것으로 나타난다.

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A Study on the Stress of Parent-in-law Caregiving - Focusing on the Relation of Caregiving Resources and Caregiving Stress Perception - (시부모 부양스트레스에 관한 연구 - 부양자원과 부양스트레스 인지간의 관계를 중심으로 -)

  • 송현애;이정덕
    • Journal of Families and Better Life
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    • v.13 no.3
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    • pp.115-123
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    • 1995
  • 본 연구에서는 일차적인 부양자로서의 역할을 담당하고 있는 며느리들을 중심으로 시부모를 부양하면서 느끼는 스트레스를 완하시킬수 있는 자원에는 어떤 것들이 이는지를 살펴봄으로써 효과적인 시부모 부양방안을 규명하는데 그 목적이 있다. 767명의 며느리들을 대상으로 자료를 수집하여 회귀분석해 본 결과 자기통제력.부모부양태도와 같은 개인적요인, 부양의 호혜성.관계의 질과 같은 관계적 요인 및 비공식적 지원망의 성원들로부터의 지원과 같은 가족사회적 요인등이 부양스트레스 인지를 낮추는 것으로 나타나 이들요인들이 시부모를 부양하면서 부담 내지 스트레스를 느끼는 며느리들에게 주요한 부양자원이 된다고 할 수 있다. 이를 감안해 볼 때, 며느리의 부양 부담 및 스트레스를 낮출수 있는 다양한 자원에 초점을 둔 지역사회 단위의 교육 및 상담사업의 필요가 절실하다고 하겠다.

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Factors Influencing Family Functioning in Family Caregivers of Patients with Cancer (암환자 가족간호자의 가족기능 영향요인)

  • Kim, Hyun-Sook;Yu, Su-Jeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.3
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    • pp.301-311
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    • 2008
  • Purpose: The purpose of this study was to identify the factors related to the functioning of family caregivers of patients with cancer. Method: Data were collected by questionnaires from 124 patient-family caregiver dyads at a hospital in Seoul. Data collection was done between August, 2004 and January, 2005. Data were analyzed using Pearson correlation coefficients and stepwise multiple regression. Results: The mean score for family functioning was 68.73. Family functioning showed a significant negative correlation with burden of family caregiver and performance status of patients with cancer, and a significant positive correlation with previous relationship between the patient with cancer and caregiver. The most powerful predictor of family functioning was the relationship between the patient and caregiver. The relationship between the patient with cancer and caregiver, and performance status of the patient accounted for 25.4% of the variance of family functioning. Conclusion: The results showed that the relationship between patients with cancer and caregivers and performance status of patients with cancer were significant factors influencing family functioning in family caregiver of patients with cancer.

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The Relationship between Family Policy and Children's Quality of Life among OECD Countries: Fuzzy-Set Qualitative Comparative Analysis (OECD 국가의 가족정책과 아동 삶의 질의 관계: 퍼지셋 질적비교분석)

  • Jeongmin, Park;Meejung, Chin
    • Human Ecology Research
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    • v.60 no.4
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    • pp.595-607
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    • 2022
  • This study aims to clarify the relationship between family policy and children's quality of life through an international comparison and to determine which family policy factors contribute to children's quality of life. The research question is "How can family policies be combined to improve children's quality of life in terms of health and economy?" It includes nine categories of family policies related to money, service, and leave. Measures of children's quality of life include low birth weight, infant mortality, and child poverty. Using the OECD Family Database, and the OECD Child Well-being Data, fuzzy-set Qualitative Comparison Analysis (fsQCA) was used among 20 OECD countries. Combinations of family policies significant to the children's quality of life were derived from the results. This study contributes to the literature by revealing the effectiveness of states' investment in family policy. In addition, the study indicates that since family policies interact with each other, those policies combine to improve children's quality of life.

A Qualitative Study on Marathon Club Activity Experience of Woman with Intellectual Disabilities (여성 지적장애인 마라톤 동호회 활동경험 연구)

  • Kim, Sung-Eun;Jeong, Yeon-soo
    • 재활복지
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    • v.21 no.4
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    • pp.149-176
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    • 2017
  • This study aimed to research marathon club activities experience of women intellectual disabilities through qualitative research. This study selected five women intellectual disabilities and five information providers as the participants. The data collection consisted of field observation records and interview data. The collected data analyzed through coding method. The result were as follows as. First, personal dimension appeared as exciting of running, inner freedom, assimilation with nature. Second, relationship dimension appeared as communication and participation of the family, relationship with peers, comprehension and coexistence. Third, lifelong education dimension appeared as expansion into life, growth without a stop, the process of becoming a social worker. In conclusion marathon club activity appeared to contribute to personal growth, relationship with surroundings and social inclusion.

Health Promoting Behaviors, Family support, and Quality of Marital Relationship of the Mature Gravida after 35 (고령 임부의 가족지지, 부부관계의 질 및 건강증진행위)

  • Park, Young-Joo;Viau, Paula A.;Jung, Chun-Hee;Yoon, Ji-Won
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.8 no.1
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    • pp.85-95
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    • 2001
  • This study was performed to explore the family support. the quality of marital relationship, and health promoting behaviors of the mature gravidas. and to validate the relationship between them. From November, 1999 to June. 2000. mature gravidas older than 35(N=82) were recruited from K University Hospital located in Seoul and Kyungki Province. Korea. Data was collected using a self-rating method and semi-structured interview. The questionnaires were: Perceived Social Support from Family developed by Procidano & Heller (1983). Quality of Marital Index by Norton (1983). and Health Promoting Life-style Profile by Walker, Sechrist, & Pender (1987), Interviews were conducted using the interview guide with open-ended questions related to health concerns and health promoting behaviors. Data was analyzed using a pc-SAS program for quantitative data. The levels of the perceived family support and the quality of marital relationship were relatively high. The relationship between perceived family support and quality of marital relationship, and health promoting life-style behaviors was statistically significant. Six themes emerged as primary concerns for the mature gravidas during childbearing: 'Concerns related to the fetal wellbeing', 'Concerns related to fetal education', 'Concerns related to the maternal physical health', 'Concerns related to the maternal emotional health', 'Concerns related to safe delivery' and 'Concerns related to child-rearing'. Nursing implications for practice include expanding prenatal assessment inventories to address the concerns and support system of mature gravidas.

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Does the Daily Contact with Older People Alleviate the Implicit and Explicit Ageist Attitude of Children? (노인과의 일상적 접촉이 노인에 대한 어린이의 명시적·암묵적 태도에 미치는 영향)

  • Seok, Minae;Han, Gyoung-hae
    • 한국노년학
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    • v.38 no.3
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    • pp.409-433
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    • 2018
  • The purpose of this study is to examine the effect of contact with the elderly in a daily life on children's ageist attitude. Acknowledging the people's tendency to report in socially appropriate ways to the explicit attitude measurement, implicit measurement is introduced, and relation with the daily contact with elderly(DCE) is analyzed. The research question are as follows: 1) Are these two attitudes explained by different factors? 2) Can DCE alleviate both children's implicit and explicit ageist attitude? 3) How do the contact with grandparent and neighboring elderly affect the children's explicit and implicit ageist attitude? Data was collected from 503 fourth to sixth grade elementary school children. Child-Age Implict Association Test is used to measure implicit ageist attitude. Multinominal logistic analysis and ordered logistic analysis was applied. Followings are the main results: First, explicit and implicit ageist attitudes are found to be related with different predictors. Second, Elderly contact seems to lighten children's ageist attitude overall. Third, the effects of grandparental contact and the neighboring elderly contact on two different ageism were different. While the effect of elderly neighbor contact is limited to the expression of ageism, grandparental contact has a influence not only on the explicit but also on the implicit ageism, even though the effect on implicit attitude is limited in extent. Forth, not the quality of contact but the quantity of it was related to implicit ageist attitude. This result contradicts conventional idea of Intergroup Contact Theory. In the further research, the predictor of implicit ageist attitude need to be throughly examined.

Factors Associated with Personal and Social Performance Status in Patients with Bipolar Disorder (양극성 장애 환자의 개인적·사회적 기능 상태에 대한 관련 요인)

  • Kim, Min-Jung;Lee, Jeon-Ho;Youn, HyunChul;Jeong, Hyun-Ghang;Kim, Seung-Hyun
    • Sleep Medicine and Psychophysiology
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    • v.26 no.1
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    • pp.33-43
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    • 2019
  • Objectives: Bipolar disorder is characterized by repetitive relapses that result in psychosocial dysfunctions. The functioning of bipolar disorder patients is related to the severity of symptoms, quality of sleep, drug compliance, and social support. The purpose of this study was to investigate the association between sociodemographic and clinical factors and functional status in bipolar disorder patients. Methods: A total of 52 bipolar disorder patients participated in the study. The following scales were utilized: Korean version of personal and social performance scale (K-PSP), Korean version of Hamilton rating scale for depression (K-HDRS), Korean version of young mania rating scale (K-YMRS), Korean version of pittsburgh sleep quality index (PSQI-K), Korean version of drug attitude inventory (K-DAI), mood disorders insight scale (MDIS), and multidimensional scale of perceived social support (MSPSS). Results: The K-PSP score showed a negative relationship with K-HDRS score (r = -0.387, p = 0.005), but not with K-YMRS score (r = -0.205, p = 0.145). The K-PSP score showed a negative relationship with global PSQI-K score (r = -0.378, p = 0.005) and overall sleep quality (r = -0.353, p = 0.010). The K-PSP scores were positively associated with the KDAI score (r = 0.409, p = 0.003) and MSPSS score (r = 0.334, p = 0.015). The predictive factors for K-PSP were overall sleep quality and social support from family. Conclusion: Our study showed that depressive symptoms were related to overall function in bipolar disorder. Also, our study suggested that improving sleep quality is important in maintaining functional status. Appropriate social support and positive perception toward the drug may lead to the higher level of functioning. This study is meaningful in that the functional status of bipolar disorder patients is analyzed in a multivariate manner in relation to various variables in psychosocial aspects.

The relation between comprehensive health needs of cancer patient and the quality of life (암환자의 포괄적 건강 요구도와 삶의 질과의 관계)

  • Baik, Hyung-Won;Kim, Myung
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.477-484
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    • 2014
  • This study was examined relation to comprehensive needs and the quality of life in cancer patient. The Study period was 15 to 24 October 2012. The participants were 100 cancer patients more than 20 years old with cancer. Information and educational requirements are the highest need, and social support is the lowest one in patients with cancer. The longer survival time after diagnosis of cancer was, the higher social support requirements were needed. The Information and education requirement about healthy life showed higher in a family history of cancer. The cancer patients with stage IV ask higher service requirement significantly. and showed that physical and psychological requirements were getting higher, the quality of life became lower. As a result of this study, Physical and Psychological requirements were the most significant factors that affect the quality of life in cancer patients. Therefore, it is necessary to develop the physical and psychological supporting system and to provide appropriate Intervention for them.