• 인간행동과 음악연구
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• 제20권1호
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• pp.99-115
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• 2023

COVID-19 팬데믹 이후 비대면 음악치료에 대한 논의가 지속되고 있는 시점에 비대면 치료 시 보호자의 참여 및 역할의 중요성을 고려해 본 연구에서는 발달장애 아동·청소년에 제공되고 있는 실시간 비대면 음악치료에서 보호자가 어떠한 경험을 했고, 자신의 역할에 대해 어떻게 인식하는지 알아보고자 하였다. 이를 위해 만 2-18세의 발달장애 아동·청소년(이하 아동) 자녀를 둔 보호자 32명을 대상으로 비대면 음악치료 경험과 이에 대한 인식 등의 68문항으로 구성된 설문조사를 온라인으로 실시하였다. 수집된 자료에 대한 기술통계를 실시하였고, 비대면 음악치료에서 보호자가 수행한 역할에 대한 만족도, 비대면 음악치료에서 경험한 심리적 부담감, 향후 비대면 음악치료 참여 의사 수준 간 상관관계를 Pearson's correlation을 통해 분석하였다. 분석 결과, 발달장애 아동 보호자들은 비대면 음악치료와 관련된 많은 정보를 가지고 있고, 비대면 음악치료의 혜택에 대해 인식하고 있는 것으로 나타났다. 또한 자신이 참여적 보조 및 중재적 보조 역할을 수행한 것에 대한 만족도가 높을수록 비대면 음악치료에서 가진 심리적 부담감이 낮은 것으로 나타났고, 비대면과 대면 음악치료의 이점을 다르게 인식하고 있음을 확인할 수 있었다. 이러한 결과는 포스트 코로나 시대를 대비해 새로운 패러다임으로서의 실시간 비대면 음악치료가 장애아동과 장애아동의 가족에게 의미하는 바에 대한 구체적인 자료를 제시할 수 있었으며, 이는 보호자들에게 보다 구체적이고 효과적으로 지원할 수 있는 방향에 대한 기초자료로 활용될 수 있을 것이다.

• 농촌의학ㆍ지역보건
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• 제33권3호
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• pp.269-278
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• 2008

= ABSTRACT = Objectives: This study was carried out to identify the relationships of family burden and mental health service needs of chronic mental patients in community. Methods: Objects of the study were 153 chronic mental patients in community of P. city in korea. Data were collected from December, 2007 to February, 2008 using structured questionnaire. Research tools of this study were family burden tool developed by Pai & Kapur (1981) and mental health service needs tool developed by Kim (2003). Results: The average grades for family burden was 1.62 points. And the biggest part of family burden was economic burden(1.74), followed by interrupt of daily life(1.67), interrupt of family relationship(1.64), interrupt of family leisure (1.57), effects of mental health(1.50), and effects of physical health(1.43). The average grades for mental health service needs was 2.72 points. And the biggest part of mental health service needs was rehabilitation service(3.09), followed by social service(2.87), and Psychiatric medical service(2.21). Positive correlation showed between all parts of family burden. And, positive correlation showed between psychiatric medical service and interrupt of daily life(r=.281, p<.01), psychiatric medical service and effects of physical health(r=.355,p<.01), social service and effects of mental health(r=.213,p<.01). Conclusion: The family burden for care giver of mental patients was related with all parts of family burden and mental health service needs of family. Thus, these results should be considered to reduce family burden for care giver of mental patients in community.

• 한국융합학회논문지
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• 제7권1호
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• pp.31-36
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• 2016

최근들어 스마트 단말의 급속한 보급과 업무 방식의 변화에 따른 재택근무 등 근무형태의 유연화로 인하여 다양한 정보를 제공받고 있다. 아기를 둔 엄마들은 유아가 먹는 음식, 건강, 성장 등에 관심을 갖게 되었고, 육아라는 새로운 환경은 가족을 위해 완벽히 잘 해야 한다는 부담감과 동시에 훌륭한 엄마가 되어야 한다는 강박장애로 이어져 많은 엄마들이 육아 스트레스로 고통을 호소하고 있다. 또한, 모바일 환경에서의 일과 삶의 조화가 중요하게 대두됨에 따라 초보엄마들을 위한 육아관리에 도움을 줄 수 있는 통합적 육아정보 관리 애플리케이션의 필요성이 증대되었다. 본 연구에서는 육아정보 관련 앱의 선호도를 분석하여 실질적으로 필요한 맞춤형 통합 육아정보를 제공할 수 있는 육아정보관리 프로토타입 앱을 개발하였다.

• 한국보건간호학회지
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• 제15권1호
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• pp.56-72
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• 2001

Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

• 한국보건간호학회지
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• 제13권2호
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• pp.202-214
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• 1999

This study was conducted to provide the data for the improvement of home health nursing services through the investigation of burden and satisfaction felt by family caregivers under home health nursing care. The study subjects consisted of 200 family caregivers who were enrolled m six university hospital home care services. Data were collected by using constructed questionnaires through mail from March to April of 1999. and analyzed by using t-test. ANOVA, Duncan-test. and Pearson Correlation Coefficients. The results were as follows: 1. The mean score of burden was 2.24. Among the SIX burden dimensions. the highest score was marked in time-dependence dimension. Caregivers were found to have greater burden in the low income families living in flats. In relation to the characteristics of patients. higher scores were shown in the male patients with cerebrospinal diseases. who also revealed higher score of dependency in the Activities of Daily Living. As a whole. there was no significant difference between home nursing care and clinical nursing care in terms of family caregivers' burden. The burden of time-dependence dimension in home nursing care was significantly higher than that of clinical nursing care while the burdens of physical. social. and financial dimensions were significantly lower than those of the clinical nursing care. 2. The mean score of satisfaction was 3.14. Among the six items. the highest score was marked in the nursing care and treatment skill. while the lowest score was marked in the cost containment. Family caregivers with higher academic background and higher income showed higher satisfaction score. The mean score of home care nursmg was significantly higher than that of clinical nursing care.

• 한국보건간호학회지
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• 제14권1호
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• pp.131-146
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• 2000

The purpose of this study is to clarify the correlation between the degree of patients daily activities and that of a sense and social support of families. This study covers families of 252 patients under home health nursing care at 6 University Hospitals during the period of March to May. 1999. The data were collected by using three different questionnaires. Data were analysed by utilizing SAS program such as frequency. average. percentage. t-test. ANOVA. Scheffe test and Pearson Correlation Coefficient. The results were as follows: 1. The average score of patients' daily living activity was $2.36\pm0.67$. $97.2\%$ patients turned out to be. in part. dependent on their family's care. $66.5\%$ of the patients were still dependent on their families in walking: $66.3\%$ In bathing: and $61.0\%$ in using toilet. 2. The average score burdened family caregivers had felt was 2.25 in 4 full point which can be interpreted as average. Among the six burden dimensions. time was said to be the No. 1 burden-yielding factor. When it comes to the characteristics of patients. there were tendencies for patients with lower incomes residing in communal housing. with cerebrovasculal diseases and with higher score of daily living activity to show a higher burden scores. 3. The average score of social support was 2.49 in 5 point. which represents a average score. Among other items. the opportunity of social integration was 2.66. topping the list whereas a chance of upbringing was starkly low at 2.42. The higher scores of social support were shown in cases where the caregiver was male spouse. total care giving duration exceeded 25 months and malignant patients daily living activity scores were low. 4. The score of patients daily activity was positively correlated to the degree of the family burden (r=0.1942). Data indicates there was direct correlation between daily living activity and burden of time consuming, self-improving and physical impairment. 5. The score of the patients daily living was negatively correlated to the social support (r=0.3414), As a whole. there was negative correlation between social support and the formation of intimacy and self-confidence.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.200-207
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• 2017

본 연구는 뇌졸중 입원 환자들의 회복체험에 대한 경험을 이해하고 회복에 영향을 미치는 구성요소들을 알아보고자 하였다. Giorgi의 현상학적 연구방법론을 활용하여 재활병원에 입원해 있는 뇌졸중 환자 12명에게 3회의 대화를 진행하였다. 본 연구의 질문은 회복체험이란 무엇인가? 회복하는 과정에서 가장 중요하게 생각되는 것은 무엇인가? 회복에 있어서 재활이 주는 영향은 무엇인가? 이다. 사전 동의를 통해 대화내용을 녹음하였고, 과학적 현상학의 4단계에 따라 자료를 분석하였다. 뇌졸중 입원 환자들의 회복체험에 관한 16개의 요약된 의미단위를 통합하여, 10개의 하위구성요소와 6개의 구성요소를 도출하였다. 회복체험의 구성요소는 도움에 대한 부담감, 독립적 역할수행, 자기극복, 사회복귀, 심리적 지지, 회복에 대한 동기강화로 나타났다. 뇌졸중 환자가 입원 중 경험하는 어려움을 예측하고, 회복을 위한 중재의 방향성을 제시하기 위한 자료로 활용될 수 있을 것이다. 재활전문가들은 자기극복 및 가족과의 올바른 협력관계를 위한 전략을 세우고, 심리적 지지 및 동기 강화를 위한 치료적 관계형성을 토대로 뇌졸중 환자의 회복을 위한 중재를 제공해야 할 것이다.

• 디지털융복합연구
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• 제15권10호
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• pp.537-549
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• 2017

본 연구의 목적은 난임여성의 자아존중감, 신체상 및 우울 정도와 그들 변수 간의 관계를 파악하고, 우울의 영향요인을 규명하여 우울 중재를 위한 프로그램개발에 기초 자료를 제공하는데 있다. 대상자의 자아존중감은 평균 $29.08{\pm}5.17$점으로, 일반적 특성에 따른 자아존중감은 연령, 학력, 직업유무에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 신체상은 평균 $75.66{\pm}12.11$점으로, 일반적 특성에 따른 신체상은 결혼기간, 학력에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 우울은 평균 $10.81{\pm}7.84$점으로, 일반적 특성에 따른 우울은 연령, 학력, 가족형태에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 난임 관련 특성에 따른 자아존중감, 신체상 및 우울은 각각 비용부담감에 따라 유의한 차이가 있는 것으로 나타났다. 자아존중감과 신체상(r=.688, p=.000)은 유의한 양의 상관관계가 있는 것으로 나타났고, 자아존중감과 우울은(r=-.710, p=.000) 유의한 음의 상관관계가 있는 것으로 나타났다. 신체상은 우울(r=-.526, p=.000)과 유의한 음의 상관관계가 있는 것으로 나타났다. 우울에 영향을 주는 요인은 자아존중감(b=-0.66, p=.000), 시부모와 동거하는 경우(b=-7.92, p=.001), 연령이 41세 이상인 경우(b=-1.72, p=.033)이었다.

• 보건행정학회지
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• 제24권1호
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• pp.71-84
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• 2014

Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

• 보건행정학회지
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• 제22권3호
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• pp.383-402
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• 2012

The purpose of this study is to investigate the factors affecting family caregiver financial burden of out-of pocket expenses for the nursing home service under Long-term Care Insurance System. We conducted a national cross-sectional descriptive survey from July to September 2010 to collect data based on the long-term care benefits cost specification. Total 1,016 family caregivers completed questionnaires. 185 subjects of total were excluded from the data analysis due to being answered by user(18 cases), or caregivers not to pay for services expenditures(122 cases), having a missing data on family caregivers characteristics(45 cases). Finally, 831 subjects were included in the study. The average financial burden was 3.18(${\pm}0.71$). We divided subjects into two groups by level of burden, high-burden group and low-burden group. In the result of the multiple logistic regression analysis, family caregiver financial burden was significantly higher in family caregivers with ages 40 to 49 compared to less than 40, lower educational level, unsatisfaction for long-term care service, high percentage(more than 50%) of cost-sharing and high total out-of pocket expenses(more than 300,000 won) for long-term care services. Also, Family caregivers who are spouse felt higher financial burden compared to son. This study is meaningful as the first attempt to measure family caregiver financial burden for long-term care service and to identify factors affecting the financial burden. Family caregivers felt financial burden of out-of pocket expenses for the nursing home service. The policy makers, the insurer, and the providers need to pay attention to ease family caregiver financial burden.