• Title/Summary/Keyword: 가족중심간호

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A Study on the interracially Married Female Immigrant's Adaptation of Multi-cultural Families : Qualitative Methods (여성결혼이민자가 경험하는 다문화가족 적응에 관한 연구 -T시를 중심으로-)

  • Han, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5066-5075
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    • 2012
  • The purpose of this study was to offer a foundation of developing the more qualitative and individual nursing-intervention strategy for allowing married female immigrants and their children of multi-cultural families to possibly grow and develop as a Korean without discrimination and prejudice in Korean society. Period of data collection in this study was from April 2010 to May 2011. Subjects of this study are totally 13 married female immigrants of multi-cultural families who have preschool children of dwelling in T city. Data analysis is qualitative research that applied Spradley(1990)'s culture-descriptive method. The results were as follows : The common elements, which are shown in married female immigrants, children, and family members of multi-cultural families, were indicated to "social prejudice", "exclusive family atmosphere", "economic difficulty", "coexistent different culture".

Spiritual Care in Hospice and Palliative Care

  • Ferrell, Betty R.
    • Journal of Hospice and Palliative Care
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    • v.20 no.4
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    • pp.215-220
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    • 2017
  • Spiritual care is at the center of hospice and palliative care. Patients facing serious and life-threatening illness have important needs in regard to faith, hope, and existential concerns. The purpose of this article is to review the key aspects of this care, including the definitions of spirituality, spiritual assessment, and spiritual care interventions. A review of the current literature was conducted to identify content related to spiritual care in hospice and palliative care. A growing body of evidence supports the importance of spiritual care as a key domain of quality palliative care. The literature supports the importance of spiritual assessment as a key aspect of comprehensive patient and family assessment. Spirituality encompasses religious concerns as well as other existential issues. Future research and clinical practice should test models of best support to provide spiritual care.

Verification Effect of Family Resilience Model of married immigrant women (결혼이주여성의 가족 회복력 모형검증)

  • Oh, Jaewoo;Park, Insook
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.355-370
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    • 2013
  • This study was aimed at the married immigrant women and was attempted to provide the basic data of the nursing practice useful in identifying the relationship aspects and the influence of resilience factor and promoting the family adaptation. This study was conducted for the married immigrant women who were located in urban-rural complex area around Daejeon city and in Chungnam region, and the multi-cultural families supporting program of community welfare halls among those who had resided over 1 year in Korea. The data was collected from Feb, 2012 to July, 2012 and in the end, 216 questionnaires were made the subjects of data analysis. For the collected data, frequency analysis, percentage, ANOVA, t-test and correlation analysis were conducted using SPSS, LISREL. The overall index of hypothesis model showed a good congruence like ${\chi}^2$ = .06 (p= .812), df=1, ${\chi}^2$(df)=.06, GFI=1.0, AGFI= 1.0, SRMR=.002, NFI= 1.0, NNFI=1.0, RMSEA=0.000, CN=266. Looking at the results of hypothesis testing suggested by the model, the variables which affected the family adaptation were family stress and parenting stress, while social support, family hardness, problem solving communication, and problem solving coping didn't affect the family adaptation. It is considered that based on the results of this study, nursing intervention which helps the family adaptation of the married immigrant women who are in a crisis situation must be done with a program which can help them have a positive view on the stress situation and reduce the stress happening in the family relationship and parenting.

Successful Aging and the Influencing Factors in the Korean Elderly: Focused on Family Support (한국노인의 성공적 노화와 영향을 미치는 요인: 가족지지를 중심으로)

  • Han, SongYi;Yun, Soon-Nyung
    • Research in Community and Public Health Nursing
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    • v.26 no.4
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    • pp.372-379
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    • 2015
  • Purpose: This research was conducted to examine the successful aging and identify factors influencing successful aging in the Korean elderly. Methods: The subjects were 4,507 elders and data were collected from the 4th Korean Longitudinal Study of Ageing in 2012. The data were analyzed using frequencies, weighted percentage, ${\chi}^2$ test, and logistic regression. Results: The results of this study showed that 19.6% of the participants were categorized to successful aging. The domains of the absence of disease and disability and maintaining physical and mental functioning showed a high rate of achievement, while the domain of active engagement with life showed a low rate of achievement compared to others. Successful aging was influenced by gender, age, subjective economic status, subjective health status, and family support, particularly spouse's support. Conclusion: Intervention programs to increase the prevalence of successful aging are required. Especially programs for strengthening spouse's support and enhancing subjective health status are required.

A Study of Family Adaptation with Chronically III Patients (I) - Stroke Patients at an Oriental Medical Hospital - (만성질환자 가족의 질병 적응과정 연구(I) - 한방병원에 입원한 뇌졸중 환자를 중심으로 -)

  • Lee, Young-Ae
    • Journal of East-West Nursing Research
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    • v.3 no.1
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    • pp.96-103
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    • 1998
  • This study was conducted to identify the adaptation process of the families with chronically ill patients. A descriptive comparative research design was used to the subjects of forty families that have stroke patients at an oriental medical hospital. Research tools were Demands of Illness Inventory(Woods, Haberman & Packard, 1987), Relative and Friend Support Index(McCubbin, Patterson & Glynn, 1982), Family Coping-Coherence Index (McCubbin, Larsen & Olson, 1982), Family Hardiness Index(McCubbin, McCubbin & Thompson, 1986), and Family Member Wellbeing Scale(McCubbin, McCubbin & Thompson, 1986). Data were collected from October 7, 1998 to November 7, 1998 at an oriental medical hospital located in IkSan city. The number of cases was forty and the data were analyzed by SPSS $PC^+$. Descriptive statistics of frequency, number, mean and standard deviation were used to report the results. The results were as follows ; 1. There was no significant differences between the two groups on the family stress. 2. There was significant differences between the two groups on the family strength (t value = - 3.09, p value=$.004^{**}$). 3. There was significant differences between the two groups on the family adaptation(t value= -2.08, pvalue=$.05^*$).

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Activities of Daily Living, Depression, and Self-rated Health and Related Factors in Korean Elderly: Focused on Socioeconomic Status and Family Support (노인의 일상생활수행능력, 우울 및 주관적 건강상태와 영향요인: 사회경제적 상태와 가족지지를 중심으로)

  • Oh, Seieun;Ko, Young
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.140-149
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    • 2015
  • Purpose: This study was conducted to identify activities of daily living, depression and self-rated health and related factors for Korean Elderly. Methods: Data from the survey for the Korean Longitudinal Study of Aging in 2010 were used. The data were analyzed using frequencies, weighted proportions, and hierarchical multiple logistic regression. Results: Significant difference was observed in health status induced by socioeconomic status between men and women, but not among age groups. Socioeconomic status was strongly associated with self-rated health among male and female elders. Being unschooled and low net family asset were significantly related with dependency in activities of daily living and depressive symptoms among men. Only low net family asset was significantly related with depressive symptoms among women. Family support provides a slight decrease to the negative relationship between socioeconomic status and health status, especially depressive symptoms. Conclusion: This study suggests that interventions to reduce health inequalities should target elderly with lower socioeconomic status and with poor family support, using a gender-specific approach.

Effects of the Mother-Medical Staff Partnership on Mothers' Condition Management Ability for Children with Chronic Allergic Diseases (만성 알레르기 질환 아동의 어머니-의료진 간 파트너십이 어머니의 아동 상태 관리능력에 미치는 영향)

  • Son, Hae Kyoung;Song, Hyo Bin;Kim, Dong Hee
    • Child Health Nursing Research
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    • v.24 no.1
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    • pp.101-108
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    • 2018
  • Purpose: This study aimed to identify the effects of the mother-medical staff partnership on mothers' condition management ability for children with chronic allergic diseases. Methods: A total of 109 Korean mothers caring for a child with a chronic allergic diseases, identified according to the allergic march, such as food allergy, atopic dermatitis, allergic rhinitis, and allergic asthma, were recruited from the pediatric department of a general hospital in Seoul through convenience sampling. Data were collected using structured self-reported questionnaires from August 1, 2017 to October 31, 2017. and analyzed by descriptive statistics and multiple regression using SPSS version 22.0. Results: The Mother-medical staff partnership had a statistically significant effect on mothers' condition management ability for children with chronic allergic diseases (p<.05). Among the general characteristics, satisfaction with nursing services had a statistically significant effect on mothers' condition management ability (p<.05). Conclusion: In conclusion, strategies to support children with chronic allergic diseases, as well as their caregivers, should consider the mother-medical staff partnership as part of a family-centered approach.

The Effects of 'Cancer Overcome Program' Using Strategy for Promoting Self-Efficacy among Family Caregivers with Lung Cancer in Korea (자기효능증진 전략을 이용한 암극복 프로그램의 효과 II -폐암가족을 중심으로-)

  • Yang, Young Hee;Lee, Jong Kyung
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.395-404
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    • 2006
  • Purpose: This study investigated the effect of a structured group intervention on knowledge about lung cancer, self efficacy and quality of life for family caregivers of patients with lung cancer using a nonequivalent control groupquasi-experimental design. Methods: Subjects were 11 family caregivers for both the control and the experimental group. The experimental group participated in once a week for 2-hour session for 4 weeks. Four topics of educational program were lung cancer and treatment, side effects of treatments, symptoms management, and health management. Every session consisted of lecture, sharing experiences, and meditating time. Quality of life was measured using Jang(1996)'s tool. The tools for knowledge and self-efficacy were developed by the authors. Results: After the intervention, the experimental group showed higher self-efficacy in caring for the patients than did the controls. However, there were no significant differences in knowledge about lung cancer and quality of life between the two groups. Conclusion: Findings indicate that the group intervention would be effective for family caregivers of lung cancer patients.

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A Study on Family Satisfaction with Community Mental Health Center Services in Gyeonggi Province by Families of People with Mental Illness (경기도 정신보건센터 서비스에 대한 가족 만족도 조사 - 경기도 31개 정신보건센터를 중심으로 -)

  • Kim, Hee-Jung
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.124-135
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    • 2009
  • Purpose: The purpose of this study was to evaluate the service satisfaction for families who have someone with mental illness, and are using community mental health centers in Gyeonggi Province. Methods: The participants in this study were 796 family members. Data were collected using Family satisfaction survey questionnaire developed by the author (23 items on family service and 15 items on client service). Results: The total satisfaction level for the service with family and client resulted in above average scores. Of the 23 service items, data showed the highest level of satisfaction was with professional skills and attitude, and day rehabilitation programs, and the lowest for professional activities for advocacy and social welfare benefits, emergency & crisis intervention, medical expense subsidies. Of the 15 service items, job and housing related service had the lowest level of satisfaction. Conclusion: It is recommended that psychiatric emergency & crisis intervention programs and system development be accelerated. Also, there is a need to develop medical expense subsidy programs for older family caregivers, job and housing focused rehabilitation programs and community facilities for the client, as well as more active and powerful professional advocate activities for persons who have mental disabilities and their families.

Development of a Database System for Efficient Community Health Management - Focus on the Home Visiting Care of Family as a Unit by the Health Centers- (효율적인 지역사회 건강관리를 위한 데이터베이스 시스템 구현- 보건소의 가족단위 방문간호사업을 중심으로-)

  • Choi, In-Hee
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.67-79
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    • 2000
  • In recent years, the recipients of the services of the health centers in Korea have been shifted from individual sick persons to families as a unit. As a result, the home visiting care records which are all filled out manually, will be increased. Since there is virtually no increase in the number of community health nurses, the CHNs are required to work more efficiently. One of the ways to make the CHNs' work more efficient is to reduce recording time by using a computer. However, a computer system that can manage the families as a unit has not yet been developed. In response to this need, we developed a database system that can be utilized in home visiting care service. The family assessment data is collected. diagnosed. and evaluated according to the family diagnosis classification. The system for family diagnosis consists of seven areas. Those areas are family structure. maintenance of the family system, interaction and interchange. support. coping and adaptation, health management. and housing environment. The areas of the family diagnosis consists of 99 items in all. We expect the following from this system. First. the CHNs will be able to identify family problems more easily. Second. the community's health level can be confirmed by the statistics the system produces. Thirdly, the CHNs' nursing services will be cost effective via reduced recording time. Finally, the family problems of the sick individuals which have been neglected under the health system oriented on individual persons can be effectively managed.

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