• Title/Summary/Keyword: 가족 의사소통

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Job Analysis for Role Identification of General Hospice Palliative Nurse (호스피스 완화 간호사 역할규명을 위한 직무분석)

  • Kim, Boon-Han;Choe, Sang-Ok;Chung, Bok-Yae;Yoo, Yang-Sook;Kim, Hyun-Sook;Kang, Kyung-Ah;Yu, Su-Jeong;Jung, Yun
    • Journal of Hospice and Palliative Care
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    • v.13 no.1
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    • pp.13-23
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    • 2010
  • Purpose: This study was to identify the role of general hospice palliative nurse through job analysis (duties, task, and task elements). Methods: The sample consisted of 136 nurses or professors who were performing duties related to hospice care areas in Korea. A survey method was used, and the questionnaire included frequencies, criticality, and difficulties of task elements in job description by the DACUM method. Descriptive statistics were performed by using SPSS WIN 17.0. Results: The job description of general hospice palliative nurse was identified 8 duties, 36 tasks, and 137 task elements. As for the 8 duties, the average scores of frequency, criticality, and difficulty were 2.94, 3.66, and 2.80, respectively. The role of ‘pain assessment’ was the most important task element among frequency and criticality. The lowest score at the frequency and criticality were ‘manage public finance’ and ‘collect datum through diagnostic test & lab', respectively. Furthermore, the role of 'identify spiritual needs of patients and family' was the most difficult task, whereas the role of 'manage documents and information' was the least. Conclusion: In this study, we could recognize the reality of general hospice palliative nurse's performances. For general hospice palliative nurse, therefore, concrete practice guide lines of psychosocial and spiritual care, communication skills, and bereavement care with qualifying system are critically needed.

A STUDY ON THE PARENTAL MARITAL RELATIONSHIP OF CHILD PSYCHIATRIC PATIENTS (소아정신과 환아 부모의 부부관계에 대한 연구)

  • Lim, Ke-Won;Hong, Kang-E;Rhee, Kun-Hoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.160-175
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    • 1991
  • The purpose of this study is to investigate the parental marital relationships and the parent-child relationships of child psychiatric parents and its control group. This study was carried out two questionnaire instruments ; The marital satisfaction inventory(MSI) and the dyadic adjustment scale(DAS). The subjects are parents of the child psychiatric patients. A matched control group and parents of child psychiatric parents in Seoul area which were collected from July 1987 to September 1987, and classified into five subgroups : 1 Psychiatric disorder 2) Neurotic disorder 3) Tic disorder 4) Autistic disorder 5) Mental retardation. The results are as following ; 1) M.S.I scale scores of parents of patients group are lower than that of control group. 2) D.A.S scale score of parents of patients group is significantly lower than that of the control group(P<0.01). 3) The global distress scale(GDS) of the M.S.I. was most positively correlated with affective communication(AFC) and problem-sloving communication(PSC). 4) Female shoed more modern concept of role identification than male but tend to have heavier role assignment especially in child rearing practices which could be characterized by maternal domination. 5) Affective communication and sexual relationship between married couple and child rearing practices are influenced by their own family history of distress. 6) The marital global distress scale(GDS) score was highest in the parents of psychosis, the next in the parents of neurosis, autism, mental retardation, and tic disorder in descending order of severity. 7) The dyadic maladjustment score was highest in the parents of psychosis, the next in the parents of neurosis, tic, autism and mental retardation in descending order of severity. 8) Conflict in child rearing and parenting problems were particularly prominent in parents of the tic patients, and their marital relationship was not significantly disturbed. The above finding suggested that couple adjustment and marital dissatisfaction were closely related with child rearing problems and the children's disorder. So marital dissatisfaction and marital maladjustment seem to play a significant role in the genesis of psychosis and neurosis not much in autism and mental retardation.

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Retrospective Cohort Study on the Administration of Sedative for Delirium in Terminally Ill Cancer Patients and Survival Time (말기암환자의 섬망으로 인한 진정제 투약과 생존기간에 관한 후향적 코호트 연구)

  • Park, Hyoung Sook;Kim, Dae Sook;Bae, Eun Hee;Kim, Jung Rim;Seo, Jung Hwa;Yun, Jung Mi
    • Journal of Hospice and Palliative Care
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    • v.19 no.2
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    • pp.119-126
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    • 2016
  • Purpose: This study analyzed the difference in survival time of patients with delirium according to sedative medication. Methods: From January 2012 through December 2013, a retrospective cohort study was performed using the electronic medical records (EMR) of Pusan National University Hospital. Among 900 patients who died from cancer, we selected 240 who suffered delirium based on the EMR. The Nu-DESC delirium screening test was used to diagnose delirium. Results: The median length of delirium period was five days. Delirium characteristics were dominated by inappropriate behaviors (35.0%). Sedatives were administered in 72.1% of the cases. The most frequently used sedative was haloperidol which was used in 59.6% of cases. The delirium period significantly differed by patients' age (F=3.96, P=0.021), cancer type (F=3.31, P=0.010), chemotherapy (t=-3.44 P=0.001). The average survival time was 16.85 days for the sedative medication group and 9.37 days for the non-medication group, which, however, was not significant (t=1.766, P=0.079). Conclusion: In this study, the use of sedatives did not affect patients' survival time. Thus, appropriate sedative medication can be positively recommended to comfort terminal cancer patients and their families.

The Knowledge of Menstruation, Attitude for Menstruation, and Knowledge of Contraception for Immigrant Women in International Marriages (결혼 이주여성의 월경 지식, 월경 태도 및 피임 지식)

  • Kim, Hye-Ja;Sim, Mi-Jung;Oh, Hyo-Sook
    • Journal of Digital Convergence
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    • v.10 no.5
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    • pp.307-314
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    • 2012
  • The purpose of this study is to understand immigrant women's knowledge of menstruation, attitude towards menstruation and knowledge of contraception. The study employed a descriptive survey. The participants were 120 married immigrant women in Chonnam area. Data were collected through questionnaire and interview from July to December, 2009. The participants had average score in knowledge and attitude of menstruation and knowledge for contraception. There were statistically significant differences in knowledge of menstruation according to nationality, level of satisfaction with current lifestyle, perceived health status, number of children desired, and sources of contraceptive information. There were statistically significant differences in attitude towards menstruation according to age, nationality, perceived health status, and number of children desired. There were statistically significant differences in knowledge of contraception according to level of education, nationality, and dysmenorrhea. According as the attitude toward menstruation increased, the knowledge for contraception decreased. The results of this study suggest a need for multidimensional strategy to raise knowledge of menstruation and contraception for married immigrant women.

Factors Influencing the Death Anxiety of the Elderly Living Alone (독거노인의 죽음불안 영향요인)

  • Kwon, Young-Eun;Kim, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.262-269
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    • 2016
  • The aim of this study was to identity the death anxiety of elderly people living alone, and the factors that affect their death anxiety. The subjects did not have an impaired cognitive function, and were from one Chungcheongnamdo 2 district in the elderly University. The subjects were 187 elderly people over the age of 65 living alone in the district. The character, communication, and data was collected from February, 2014 to 2 May, 2015 and analyzed using the SPSS 18 program. The death anxiety whole point of elderly people living alone was 2.94 (${\pm}0.32$); it was 3.06 (${\pm}0.32$) points according to the sub-region 'death process anxiety', 2.88 (${\pm}0.51$) points according to 'after-death anxiety', and 2.75 (${\pm}0.43$) points according to 'presence loss anxiety'. The factors affecting the death anxiety were economic status, depression, and spiritual wellbeing. Economic status (${\beta}=-.36$, p= .000) had the largest effect with an overall explanatory power of 20.3%. Therefore, for the death anxiety of elderly people living alone, life needs to be strengthened through social security systems with intervention programs to improve the quality of depression and spiritual wellbeing.

Influence of Social Support and Health Literacy on Treatment Adherence in Hemodialysis Patients (혈액투석환자의 사회적 지지와 건강정보이해능력이 치료순응도에 미치는 영향)

  • Seo, Nam-Sook;Sim, Eun-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.7
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    • pp.656-666
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    • 2020
  • This study was a descriptive research study for hemodialysis patients to survey the effects of social support and health literacy on treatment adherence. The subjects of this study were 140 hemodialysis patients aged over 40 years who had been receiving treatment for more 1 year in artificial kidney rooms at two general hospitals in Y city. The data were collected from November 1, 2019 to December 31, 2019 and were analyzed using descriptive statistics, t-tests, one-way ANOVA, Scheffe test, Pearson's correlation coefficients, and multiple regression with the SPSS/WIN 26.0 statistical program. The results of this study show that social support (family, friends, medical staff) and health literacy (functional, communication, critical) were positively correlated with treatment adherence. The variables affecting treatment adherence in hemodialysis patients were identified by social support and health literacy with 69.6% explanatory power. To improve the treatment adherence of hemodialysis patients, it is necessary to develop education programs to improve health literacy based on social support.

The Effects of the Individual, Family and School Related Variables on the Maturity of Career Attitudes in Middle School Students (개인.가족.학교관련 변인이 중학생의 진로태도성숙에 미치는 영향)

  • Lee, Eun-Jeong;Jang, Yoon-Ok
    • Journal of Families and Better Life
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    • v.26 no.5
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    • pp.355-376
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    • 2008
  • The purpose of this study was to investigate the variables that had an effect on the maturity of career attitude in middle school students. Independent variables were categorized into three groups: individual-related variables, family-related variables, and school-related variables. The individual-related variables were gender difference, academic year, academic achievement, and self-efficacy. The family-related variables were socio-economic status of the family, communication about career with parents, parental support, sibling's support, and value orientation of the family. The school-related variables included communication about career with friends, teacher's support, and friend's support. The subjects of this study were 490 students who were selected at random from first, second, and third grade of middle school in Daegu. A questionnaire was used for the survey. It consisted of a career attitude maturity scale, a self-efficacy scale, a communication scale, a value orientation of the family scale, and a social support scale. The data was analyzed by factor analysis, multiple regression analysis, and hierarchical regression analysis. The major findings of this study are summarized as follow: First, among the individual-related variables that had an effect on the maturity of career attitude in middle school students, self-efficacy affected all sub-factors of how mature they were in matters relating to career. Academic achievement affected decisiveness and preparation-- maturity of career attitude subfactors. And gender difference and academic year affected preparation and goal orientation. Second, the results of the family-related variables that had an effect on the maturity of career attitudes in middle school students were that communication about career with parents affected decisiveness, preparation, and confidence-- maturity of career attitude sub-factors, socio-economic status of the family and sibling's support affected confidence. And value orientation of the family affected goal orientation and independence. Third, the results of the school-related variables that had an effect on the maturity of career attitude in middle school students were that communication about career with friends affected preparation-- a maturity of career attitude sub-factor; teacher's support affected decisiveness, preparation, and confidence; and friend's support affected confidence and independence. Fourth, decisiveness, preparation, and confidence among the maturity of career attitude sub-factors were affected the most by individual variables. And self-efficacy was the most significant. Goal orientation and independence were affected the most by family-related variables.

Clinical Application of Model of Human Occupation on Goals Setting of Elderly person With Dementia: A Case Study (치매노인의 목표수립을 위한 인간작업모델 (Model of Human Occupation)의 적용: 사례연구)

  • Lee, Yu-Na;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.2 no.1
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    • pp.66-76
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    • 2013
  • Objective : Based on the Model of Human Occupation (MOHO), this study was to identifies the goals setting of elderly person with dementia. Methods : For 5 weeks from May to June of 2012, MOHO-based interviews and Occupational Questionnaire(OQ), Interest checklist(IC), Volitional Questionnaire(VQ), The Assessment of Communication and Interaction Skills(ACIS), Occupational Performance History Interview-II(OPHI-II), Occupational Self Assessment(OSA), The Occupational Circumstances Assessment Interview and Rating(OCAIR) assessment were conducted on elderly person with dementia. Further interviews were conducted with case manager and family. Results : After interviews and assessments were conducted, the results of which showed limitations in social and family relationship, financial issues, general well-being. Conclusion : Applying the MOHO forms a basis for judging the subject in a holistic and general way, changes how the subject is viewed, suggests various strategies. For improving the professinoalism and qualities of occupational therapy service, and may help expand the range of other relevant areas.

Middle School Students' Interest and Practice of Housing Education Contents Based on Jeonbuk Province (중학생의 주생활 교육내용에 대한 관심도와 활용도 조사 연구 -전북지역을 중심으로-)

  • Jin Sang Youn;Kwark Kyoung Sook
    • Journal of Korean Home Economics Education Association
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    • v.16 no.4 s.34
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    • pp.81-94
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    • 2004
  • The purpose of this study was to research middle school students' interest and practice about the housing education contents in Technology and Home Economics Subject(classify them into three units, application of living space, indoor environment and equipments. support and repair of housing) in their real life. This was the investigation of which 529 middle school students have lived in Jeonbuk province, SPSS program was utilized to analyze percentage. mean and standard deviation. as well as t-test, One-Way ANOVA and Pearson's correlation coefficients. The results of this research were as follows: Middle school students' interest and practice of the housing education contents appeared to the middle level. Middle school students was consider that the order of interest parts of housing contents were indoor environment and equipments. application of living space, support and repair of housing. And the order of practice parts of housing contents were application of living space. indoor environment and equipments. support and repair of housing. There were significant differences in interest and practice of contents according to demographic variables such as sex, educational level of parents, social status of home. school record. Interest about the housing education contents had significant positive relationships with practices of contents of housing education. Therefore. it would be necessary to develop teaching materials and housing education contents promoting interest of students.

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Effect of Early Intervention Program for Child Development and Parenting Stress from Low Income Families (저소득 가정의 조기개입 프로그램 참여유무에 따른 영유아 발달 및 부모 양육스트레스의 차이)

  • Kim, Jeong Wha;Song, Mi Ryoung
    • Korean Journal of Childcare and Education
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    • v.10 no.6
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    • pp.123-141
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    • 2014
  • The purpose of this study was to examine the effects of early intervention programs for child development and parenting stress from low-income families. The subjects of this study were 0-5 years old children 1,904(Participation 1,501 nonparticipating 403) and 1,904 parents from low-income families. The child and the parents who participated in the intervention program, 1,501 people respectively, did not participate in the intervention program for children and parents of 403 people each. The collected data were analyzed by t-test. The results of the study are as follows. First, There were differences in child development between the early child who participated in the intervention program and those who did not. Especially, the infants who participated in the intervention program had a more higher level in muscle exercise, small muscle exercises, problem solving, communication, and social development than infants who have not participated. Second, parents of low-income families who participated in the intervention program had lower parenting stress than the parents who didn't participate. As a result, early intervention programs should be targeted at children and parents from low-income families.