• Title/Summary/Keyword: 가족 부양

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A Study on the Caregiving and Adaptation in the Families who Awarded on Filial Piety (효행자 가족의 부양과 적응에 관한 연구)

  • 김서연
    • Journal of Families and Better Life
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    • v.17 no.2
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    • pp.75-92
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    • 1999
  • The purpose of this study was to investigate the caregiving and adaptation in families who awarded on filial piety. Using the qualitative methods-in depth interview genogram ecomap participation observation- 8 families were analyzed The major findings can be summarized as follows (1) These families showed very high family solidarity with strong collectivity. Their family role was interchangable and their familiarity was passed down from generation to generation. (2) Family members showed similar coping patterns on the basis of their own adaptationl Their coping was inclined toward acceptance especially religioous rather than emotional-focused ad hardly avoidance coping. (4) Although their economic emotional and service cares were family-centered with helps from their extended family household equipment for elder care was not prepared. (5) These families preferred to maintain this condition rather than to be well adapted. It was concluded that to help failed elder's family care iving social support program should be complemented in family life enrichment program for their children medical care program equipment rental program for elder in social network religion program and so on, Social norms forparent-children relation has be changed to more flexible care pattern. Also more social-emotional support has to be given to these families.

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Programs of Activities and Services of the Adult Day Care Center for the Elderly with Alzheimer's Disease and Dementia in the U.S.A (치매나 알츠하이머 환자를 위한 주간보호시설의 프로그램에 관한 미국사례 연구)

  • 곽인숙
    • Journal of the Korean Home Economics Association
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    • v.40 no.10
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    • pp.123-139
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    • 2002
  • The purpose of this study was to understand the adult day care center as a place for the elders and adults and to develop an initial understanding of the services and activity programs for adult day care for the cognitively-impaired in the U.S.A. The data were collected from 12 Adult Day Care Centers(ADC) from 2001 to 2002 by personal interview and the documents about the programs. ADC programs provided primarily social, recreational, and health activities and services in a group setting. Centers offered participants to socialize, enjoy peer support, and receive health and social services in a stimulating and supportive environment that promotes better physical and mental health. For this purpose those centers offered not only professional health care, occupational.speech.physical therapies but also socio-recreation and therapeutic-recreation services.

재가노인복지서비스 발전방안

  • Jeon, Chae-Geun
    • 한국사회복지학회:학술대회논문집
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    • 2002.04a
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    • pp.573-604
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    • 2002
  • 우리나라도 2000년 들어 65세 이상의 노인인구는 7.2%를 넘어서서 본격적으로 고령화사회(aging society)에 들어섰다. "21세기는 고령자의 세기"가 된다고 해도 과언이 아니며, 2019년에는 14%가 넘어 고령사회(aged society)로 진입할 전망이다. 그러나 우리나라는 "고령자의 세기"라고 불릴 만큼 사회구조가 변화하고 있는 시점에서 노인 인구의 0.3%만이 시설에서 보호를 받고 있으며, 나머지 99.7%는 일반가정에서 생활하고 있다. 유교사회의 전통규범에 의해 99.7%의 노인들이 가족에 의해서 그들의 노년을 보내고 있으나, 핵가족화와 산업화에 따라 윤리규범이 깨어지고 있는 탈윤리시대에서, 더 이상 요보호 노인(와상노인, 중풍노인, 치매노인), 장애노인 등의 수발 및 보호는 윤리적 규범이나 가족, 가정에 의해서 충족되기는 점차 어렵게 되어 가고 있으며 극명한 한계를 보이고 있다. 이러한 사회적 상황과 가족부양체계의 변화는, 고령자를 대상으로 하는 각종 복지 시책 개발, 특히 재가노인 복지서비스의 필요성이 제기되고 있으나 우리나라는 아직 미미한 수준에 머물러 있다. 우리나라 재가노인을 위한 정책의 활성화와 서비스의 양적 확대 질적 고도화를 위해서는 첫째, 보편적으로 이용할 수 있도록 대상 범위를 확대해야 한다. 둘째, 의료서비스의 확충과 같은 전문적 서비스의 확대 실시가 요청된다. 셋째, 동일한 서비스내용에 대해서는 전달체계를 일원화할 필요가 있으며, 사업주체별로 역할을 분담하고 담당 인력별로 업무를 분담해서 전문성을 강화해야 한다. 넷째, 재가복지 서비스는 중앙과 지방의 분담에 의한 무료 서비스인 만큼 지원을 획기적으로 개선 나가며, 보편적 이용의 정도가 큰 서비스는 점차 정부지원의 서비스로 확대하되 저소득층에 대하여는 무료서비스를 제공하고 저소득층 이상에 대해서는 소득 수준에 따른 차등적 서비스 요금을 부과하는 것이 바람직하다. 그리고 보다 질 높은 서비스를 원하는 중산층 이상에 대하여는 시장 경제원리에 의한 실버산업이 활성화되어야 하며 일본에서 시행하고 있는 개호보험제의 도입방안도 적극적으로 검토되어야 할 것이다.

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Qualitative Study on Social Workers' Experiences and Roles during End-of-Life Care in Elderly Long-Term Care Facilities (노인 장기요양기관에 종사하는 사회복지사의 임종 케어 경험과 역할에 관한 질적 연구)

  • Kim, Eun-Kyung
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.503-517
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    • 2022
  • This study was to investigate the social workers' psycho·social experiences and roles during the end-of-life care process in elderly long-term care facilities. As a result of data analysis through in-depth interviews, social workers experienced great exhaustion and burnout due to frequent death experiences during the end-of-life care process, and expressed regret for not being able to provide better service for the deceased and longing for loved ones. And in the event of a sudden death, social workers would undergo criticism and complaints. The main roles of social workers during end-of-life care were to contact and communicate with family members when signs of death appeared and support them after the death. The necessity of standardized manuals and education for end-of-life care, a recharging program and support group to prevent burnout of social workers, and a legal safety net for emergency preparedness and emergency measures were suggested. The necessity of death preparation education, hospice care, and advance medical directive was also emphasized for the dignified death of the elderly.

Middle School Home Economics Teachers 'Family Value and Needs on Learning Objectives of Family Life Area according to the Three Systems of Action (중학교 가정과교사의 가족가치관과 세 행동체계별 가족생활 영역 목표 요구도)

  • Oh Yun Hee;Chae Jung Hyun
    • Journal of Korean Home Economics Education Association
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    • v.17 no.2
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    • pp.239-255
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    • 2005
  • The purpose of this study was to understand middle school Home Economics teachers' family value and needs on learning objectives of family life area, and to identify the relationship between the two. Data was collected from the survey mailed to the teachers responsible for family life area in $\lceil$Technology/Home Economics$\rfloor$ in middle schools in Korea. The collected 312 questionnaires were used for final analysis. SPSS/WIN program was used for calculating average, standard deviation, percentage, t-test, ANOVA with post-verification scheffe., and correlation analysis. Followings are the summary of the results of this study. Firstly, the family value of middle school Home Economics teachers was relatively modern. They had very modem sense of value in all of the sub-areas such as sense of value on marriage. on gender role. on children, on filial love, and familism. Secondly, regarding needs on family life area of learning objects of Home Economics teachers, the requirement on emancipatory system of action was the highest. technical system of action was the next, and Communicative System of Action was the lowest. Thirdly, in the relationship between the needs of teaming objects of family life area and the family value, the needs of technical and interpretive behavioral system had few things to do with the family value. However. the needs on teaming object needs of emancipatory system of action was higher as the family value was modern. The trend in the relationship with needs was same in all the sub-areas such as sense of value on marriage, on gender role, on children. on filial love, and familism. However, the family value and the achievement level of family life area goals did not show significant correlation. Fourthly, regarding the family value and the needs on teaming objectives of family life area of middle school Home Economics teachers, those who were female, who had certificates for Home Economics Teaching, who were young and who had less experiences in teaching had more modem family value and required more teaming objectives in emancipatory system of action. Considering the results of the study, it is needed to emphasize the learning objects of emancipatory system of action in family life education by inducing consensus on the proposition that Home Economics subject is a critical and practical subject. To do this. it is needed to provide Home Economics teachers with emancipatory interest and mature family value through educating and refreshing them. It is desirable to separate Technology and Home Economics so that certificated Home Economics teachers could teach family life area. In that case they can teach the subject in the point of practical criticism. If the area is to be taught by other subject teachers there should be enough understanding on the philosophy and nature of Home Economics subject beforehand.

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A Convergent Study of the Physical Related Quality of Life Using SF-8 of Stroke Patient's Caregiver (뇌졸중 환자 보호자의 SF-8을 이용한 신체건강관련 삶의 질 융복합적 연구)

  • Kim, Young-Ran;Kim, Young-il;Kim, Min-jeong
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.119-127
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    • 2017
  • This paper convergent examined caregiver burden, depressive symptoms and health related quality of life of 226 caregivers of stroke patients, who had been hospitalized in 7 general hospitals located in Cheongju and Daejeon Metropolitan city. The quality of life was measured using SF-8, which is a short version of HRQoL. According to Multiple regression Analysis, dependence of a patient were important factors in the physical related quality of life. These results suggest that in order to improve the quality of life related to the physical health of the stroke patient's caregiver, the elderly long-term care insurance system and the caregiver system and the ward of the Ministry of Health and Welfare are expanded ward without a caregiver. There is a need to raise expectations for recovery through education and family support groups.

A Study of the Family Caregiver's Burden for the Senile Dementia in a Rural Area (일부 농촌 지역 치매노인 가족의 부양부담에 관한 연구)

  • Jang, In-Sun
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.60-76
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    • 1995
  • The purpose of this study was to analysis level on family caregiver's burden for the elderly with senile dementia in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales (1982), ADL by Lawton (1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 60 family caregiver of senile dementia in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows : 1. Total burden was evaluated over average, the mean of family burden was 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the severity of dementia(F=30.52, p<0.001), ADL(F=5.43, p<0.01), PADL(F=6.14, p<0.01), caregiver's health status(F=6.05, p<0.01), a view of patient's prognosis(F=4.08, p<0.05), the number of hours per day spent on caregiving(F=19.64, p<0.001), level of intimacy of caregiver and patients(F=7.16, p<0.001), the frequency of caregiving activity(F=5.31, p<0.01). 3. ADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, the severity of dementia, level of intimacy of caregiver and patient, relationship with the patient accounted for 79% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the the severity of dementia, number of priority care group, mild dementia was 10(43.4%), moderate dementia 23 (92.0%), sever dementia 12(100.0%).

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Need Assessment of Online Dementia Family Caregiver Education Program (치매환자 가족의 온라인 교육프로그램 요구도 조사)

  • Park, Myonghwa;Go, Younghye;Lee, Song Ja;Kim, Seon Hwa;Kim, Jinha;Lee, Dong Young
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.301-309
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    • 2017
  • The purpose of this study was to explore family caregiver's need for online education for dementia caregiving. Participants in this study were 220 family caregivers from district dementia centers in Seoul. Family caregiver's usability and needs of online education program were assessed using self-administered questionnaires. Descriptive statistics and t-test comparisons were conducted. About 50% of family caregivers answered they could use and have intention to use online education. The results showed that there were the highest demand for the video lectures which give information about dementia and case video about caregiving skills. There were differences in needs of online program according to the gender and age. The use of online program offers users the opportunity to participate support program at their own time and pace. In order to maximize the effects of online support programs, it is important to establish the strategies of the customized programs considering the characteristics of the caregivers.

Lone Parent Families and Poverty: Policy Changes in Britain. (한부모 가족과 빈곤: 영국에서의 정책변화)

  • Kang, Wook-Mo
    • Korean Journal of Social Welfare
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    • v.56 no.1
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    • pp.127-153
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    • 2004
  • In the absence of a male provider the state must decide how far and under what conditions it will provide for the mother and her children. In the case of lone mothers, there are three main possible sources of income: the labour market, the absent father, and the state. However, the relative proportions of these three sources vary significantly from country to country as well as from individual to individual within the group of lone parents. Until very recently the UK has been alone among countries of the EU in allowing lone parents to draw benefits without making themselves available for work so long as they have dependent children. However, in the 1990s, the UK government introduced major changes to his policies regarding lone parents. The UK government attempted to restrict the role of the state as a source of income for lone parent families. At the beginning of the 1990s, the emphasis in the UK was put on securing more money from 'absent fathers' to maintain. However, the policy was unsuccessful and by the mid-1990s attention to the only other possible source of income for lone parent families, the labour market, was stepped up, notwithstanding the ambivalence of politicians about the desirability of women with young children entering employment. From 1998 the Labour government introduced a series of reforms aimed at reducing both worklessness and poverty by raising welfare payments to families both in and out of work, improving financial incentives to work and introducing a more proactive welfare system. The results presented here suggest that these policies have raised the employment rates of lone parents by around 5 percentage points, or 80,000. These employment gains have come from a welfare reform package that does not require lone parents to search for jobs, or uses time limits in welfare programmes. In addition these gains have been achieved despite generous increases in welfare payments for lone parents who do not work. These earnings gains combined with the more generous welfare are making rapid progress in reducing lone parents' poverty.

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Coping with dementia related behavior problems of the elderly and care providers (치매노인 문제행동과 간호제공자의 대처행동 관계)

  • Lim, Dong Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4805-4815
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    • 2015
  • Dementia is targeted at the elderly and dependent family members, care providers, and the types of problem behaviors of the elderly with dementia by care providers learn how to cope with the relationship was tried for. Dementia in the elderly problem behaviour is the program's descriptive statistics, t-test, ANOVA, and dementia in the elderly problem behaviors for coping with behavior and the relationship between discrete variable using correlation analysis. The findings support the family and nursing experience of senile elderly issues, acting as a provider edge actions appeared the most high, and repeat the same question or request. ', ' Making loud noises or shouting. ' and '. 'Being stubborn, not listening to the words of the caregiver.' etc. In addition, this study, which appeared in dementia in the elderly cope with behavior based on behavioral problems and discuss the ' Verbal discussion ', ' Removal of the cause for incidents ' and ' Restriction of actions ' action causes this correlation. Therefore, caring for the elderly with dementia in a nursing institution and sanction providers related to dementia in the elderly appear to be frequently problem behaviors of the problematic behavior is not much need to be able to cope with the regular education, this study to the development of behavioral problems in dementia patients by an individualized nursing intervention program for caregivers caring for dementia patients, as basic materials will be provided.