• Journal of Korean Academy of Nursing
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• v.31 no.6
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• pp.1077-1087
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• 2001

The purpose of this study was to analyze the effects of respite care. The analysis was conducted by reviewing published intervention studies on the effects of formal respite care for caregivers of dementia patients, patients with dementia, and the prevented or delayed rate of institutionalization of the patients. Method: Two computerized databases (MEDLINE, CINAHL) were searched to find respite care-related articles published from the year of 1981 to 2000. A total of 49 published articles were identified. Of them, nine studies, which met for the inclusion criteria of this study, were included. Results: Results revealed that there was little evidence of the effect of respite care on, not only caregivers' burden, stress, depression and well-being, but also the rate of institutionalization of the patients. It was noteworthy that dementia patients reported fewer problems in behavior, although cognitive functioning and activity of daily living abilities continued to decline. However, these findings should be carefully interpreted because of methodological problems, such as non-random sampling, non random group assignment, a small sample size, uncontrolled confounding variables, limited period of services, and no specific types of services. Conclusion: It is recommended to conduct intervention studies of respite care being conducted in Korea with the corrections of methodological problems suggested from this study.

• Journal of Families and Better Life
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• v.20 no.4
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• pp.13-26
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• 2002

The purpose of this study was to understand the adult day care as a place for the elders and adults and to develop an initial understanding of the programs and their participants for adult day care for the cognitively-impaired in the U.S.A. The data was collected from 13 Adult Day Care Centers(ADC), and 318 participants from six Adult Day Care Centers from 2001 to 2002 by personal interview and the documents about the participants and their family and caregivers. Participants used ADC program average 8.15 hours In weekdays, 3 days per week. ADC programs provided primarily lunch and snack, transportation, personal care, professional health care, occupational.speech physical therapies, rehabilitation, and respite care. Participants'caregivers were mainly daughters and wives. It is the hope of this study to provide design and care professionals with a first draft of a ″sense-making″template by which they may understand adult day care in a systemic manner and engage in meaningful results as to what this place type could and should be.

• The Journal of Korean Academic Society of Nursing Education
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• v.27 no.3
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• pp.306-320
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• 2021

Purpose: This study was a systematic review to assess the contents and effects of an intervention program for family caregivers of the elderly with dementia in Korea. Methods: A literature search was done using Medline, CINAHL, RISS, KISS, and DBpia to identify studies reported in English or Korean from 2000 to 2021. Results: A total of 1,162 articles were searched; finally, 23 articles were used in the analysis based on the inclusion and exclusion criteria. The most applied intervention contents were knowledge provision and emotional support. Fourteen articles (60.9%) reported on complex interventions, including emotional, social support, relaxation, and various activities. The most frequently measured outcome variable in the reviewed literature was "burden," followed by "depression" and "coping strategy." Conclusion: The review results can provide basic data for establishing evidence and suggesting directions of interventions for family caregivers of the elderly with dementia.

• Journal of Korean Academy of Nursing
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• v.45 no.5
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• pp.627-640
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• 2015

Purpose: The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depression, and stress in family caregivers of people with dementia. Methods: A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improvement Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclusion criteria were reviewed and 38 were found to include relevant outcomes. Results: Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi-square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge's g= - 0.17, 95% CI= - 0.30~ - 0.04), depression (Hedge's g= - 0.30, 95% CI= - 0.40~ - 0.20), and stress (Hedge's g= - 0.39, 95% CI= - 0.52~ - 0.25). Conclusion: The review results indicate that a support programs can assist family caregivers in reducing their psycho-emotional distress.

• Korean Journal of Culture and Social Issue
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• v.18 no.1
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• pp.127-152
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• 2012

The research investigates the attitudes toward children among mothers young children and maternal grandmothers, focusing specifically on the ideal number of children, gender preference, old age security and positive and negative values of children. A total of 442 respondents, consisting of 221 young mothers (average age of 35) and 221 maternal grandmothers (average age of 63) completed a questionnaire developed by Kim, Park and Kwon (2005). The reliability of the scales ranged from Cronbach α of .78 to .91. The results are as follows. First, as for the ideal number of children, young mothers reported that they would prefer two children, while grandmothers reported that they would prefer four children. As for the ideal number of male child, young mothers reported that they would prefer that they would prefer one son, while grandmothers reported two sons. Second, as for the gender of the child, young mothers did not show a gender preference, while grandmothers stated that at least one child should be a son, especially if it is the only child. Third, grandmothers had higher expectation of old age security in their male child than young mothers but two groups did not show any difference for the female child. Fourth, as for positive values of children, young mothers were more likely to emphasize personal aspects (i.e., psychological pleasure and happiness) and family cohesiveness, while grandmothers were more likely to emphasize social aspects (i.e., continuing the family line and old age security. As for negative values of children, young mothers were more likely to emphasize personal aspects (i.e., parental role and responsibility), while grandmothers were more likely to emphasize social aspects (i.e., family conflict and relationship). Fifth, as for factors that influenced the number of children that they decided to have, young mothers were more likely to report negative values of children (i.e., financial constraints), while grandmothers were more likely to emphasize positive values of children (i.e., continuing the family line).

• Korean Journal of Culture and Social Issue
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• v.11 no.1
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• pp.109-142
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• 2005

This paper examines the changes in family values in Korea by examining values of children, socialization values, and social support of elderly parents with young and olders mothers. A total of 314 mothers of infants (young mothers) and 395 mothers of adolescents (older mothers) completed a questionnaire compiled by Schwarz, Chakkarath, Trommsdorff, Schwenk and Nauck(2001) comprising of values of children, cultural values, socialization values, interpersonal relationship, social support, stress, and life-satisfaction. In terms of values of children, the older mothers are more likely to emphasize social values, such as continuing the family line. Young mothers are more likely to emphasize psychological values, such as the pleasure of seeing a child grow. As for reasons for net wanting to have children, young mothers are more likely to point out personal constraints than older mothers, such as restriction of freedom. Second, older mothers are more likely than young mothers to express willingness to provide support for their children and even when their children become adults. Older mothers had a more lenient expectation of their children in terms developmental timetable and to expect support from their children when compared with young mothers. Young mothers are more likely to socialize their children with greater warmth and at the same time have higher child-rearing stress when compared to older mothers. Third, when compared with older mothers, young mothers are more likely to receive practical and emotional support from their parents. On the other hand, older mothers are more likely to provide greater practical and emotional support to their parents than the young mothers. Overall, compared to young mothers, older mothers are more likely to hold traditional and conservative values of children and socialization values. These contrasting values reflect the changes in family structure and social change that have been progressing rapidly in recent years.

• Korean Journal of Social Welfare
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• v.57 no.4
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• pp.291-319
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• 2005

The purpose of the paper is to discuss the restructuring of the family policy from a gender-integrating perspective. Several meaningful conclusions were reached. First, examining family policy from the laborer's perspective, the issue of work and family becomes not a gender-related issue but rather an issue for universal people. Second, in order to include the difference in interest among men and women in the labor market, and to view the issue from a gender-integrating perspective, the framework for family policy should consider the place of labor. Third, if family policy is divided into family and labor arena based on the above mentioned framework, the core content of the policy should gear toward loosening and/or eliminating barriers to fulfill the right to work for pay and the right to care for family. Lastly, family policy should aim at men and women sharing the responsibility of supporting and caring for the family. By doing so, we may be closer to maintaining work and family together, the ultimate goal of family policy.

• Korean Journal of Social Welfare
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• v.64 no.2
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• pp.31-54
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• 2012

Along with increasing mothers' employment, work-family reconciliation has been recognised as a key policy agenda in contemporary welfare states. Although various policy instruments have been introduced and expanded in recent years, the problem of time allocation within couples still remains as a fundamental issue, which has been largely underresearched at a micro perspective. In this context, this study aims to identify dominant types of work-family time allocation within married couple, and to apply these types to the Korean case using the fuzzy-set ideal type analysis. Further, a series of multiple regression analyses will be implemented to find factors affecting each ideal type of work-family time allocation. The 1999 and 2009 Korea Time Use Survey datasets will be adopted for the analyses. Married couples are selected as samples only when men work 40 hours or more per week and they have at least one pre-school child. Empirical analyses cover three parts. First of all, four ideal types on work-family time allocation are classified by intersecting two core variables - the ratio of men's (paid) working and family (caring time plus domestic work) time to total working and family time. In this research, the four types will be labelled the traditional male breadwinner model (TM, high working and low family time), the dual burden model (DB, shared working but low family time), the family-friendly male breadwinner model (FM, high working but shared family time), and the adaptive partnership model (AP, shared working and shared family time). By comparing the composition of the four ideal types in 1999 and 2009, it will examine the trend of work-family time allocation in Korea. In addition, multiple regressions will be useful for investigating which characteristics contribute to the different degree of each fuzzy ideal score in the four models. Finally, policy implications and further research agenda will be discussed.

• Proceedings of the Korea Contents Association Conference
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• 2012.05a
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• pp.373-374
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• 2012

치료레크리에이션은 사회에 있는 많은 사람들이 그 대상이 될 수 있다. 이러한 치료레크리에이션 서비스대상은 특수대상과 일반대상으로 구분된다. 한국치료레크리에이션협회에서 실시하고 있는 대상에서 특수대상으로는 발달장애아동, 물질중독청소년, 가출청소년, 정신장애인, 뇌졸중노인, 치매노인, 장애노인 등이고 일반대상으로는 인터넷 중독성향 청소년, 직장인, 일반인가족, 갱년기 주부, 건강노인, 건강노인부부 등이다. 한편, 우리나라에서는 급속한 고령화로 인하여 가족과 사회의 보호를 필요로 하는 의존적 노인들이 점차 증가하고 있다. 특히 보호의 필요성이 가장 높다고 할 수 있는 치매노인의 절대수가 증가할 것으로 예상된다. 그러나 현대화, 산업화에 의해서 발생하는 핵가족화, 여성의 사회참여 증가 등으로 가족의 노부모 부양기능은 급격히 약화되고 있다. 이에 따라 이들의 의료 및 사회적 보호문제는 노인복지제도의 주요한 과제로 등장하게 되었다. 따라서 본(本) 고(稿)에서는 노인복지제도의 향상의 일환으로 노인을 위한 치료레크리에이션의 실제 활동 프로그램을 제안해보도록 하고자 한다.

• Proceedings of the Korean Society of Health Policy and Administration Conference
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• 2004.05a
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• pp.48-86
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• 2004

. 최근 인구구조의 변화는 급속한 노령화로 요약되고, 이에 따라 제기되는 각종 노인문제는 각 부문별로 정책적 대응을 필요로 하고 있음. . 우리나라는 세계적으로 유래를 찾아볼 수 없을 정도의 속도로 노인인구가 급속하게 증가하는 가운데, 전통적으로 가족을 중심으로 하는 사적 영역에서 담당해오던 노인 부양기능이 약화되고 있으며, 낮은 출산율로 인해 청장년층의 노인부양 부담이 점차 더욱 커질 것으로 전망됨. - 특히 노년기의 보건학적 특성으로 인하여 보건 분야의 주요 현안들을 야기하고 있는데, 노인인구는 보건의료서비스에 대한 수요가 높은 집단으로 1인당 보건의료비용 또한 가장 높은 집단일 뿐만 아니라, 노인의 건강문제는 보건의료서비스 이외에 건강문제로 파생되는 다양한 사회적 서비스와 연계되어 있음. - ­이러한 사실은 한편으로는 우리 사회가 향후 노인의 건강문제로 인해 발생하는 높은 비용과 부담을 지게 될 것이라는 사실을 의미함과 동시에 다른 한편으로는 이에 대한 대책을 시급히 마련해야 한다는 것을 의미함. (중략)