• The Journal of Korean Society for School & Community Health Education
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• v.16 no.1
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• pp.51-63
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• 2015

목적: 사하라 이남 아프리카 지역 중저소득국가 모성보건지표의 더딘 개선율은 MDG 5(모자보건향상) 미달성의 주요 원인 중 하나로 꼽힌다. 따라서 본 연구는 우간다 동부 카프초르와 구의 모성사망과 밀접한 산후건강관리(PNC, Postnatal care)서비스 이용결정요인을 파악하는데 있다. 이를 통해 지역건강관리자들에게 PNC 서비스 이용 개선을 위한 정책 수립 및 방안 마련에 기초자료를 제공하고, 궁극적으로는 MDG 5 지표 개선에 일조하고자 한다. 방법: 표본 집단은 카프초르와 구의 15세~49세 여성들 중 최근 1년 내에 출산을 경험한 자들을 대상으로 편의추출 되었다. 조사기간은 2014년 7월부터 10월까지였으며, 구조화된 설문에 총 171명이 응답하였고, 19명의 주요 정보제공자와의 심층면담도 실시하였다. 응답자의 사회인구학적 특성 및 PNC 이용행태를 알아보기 위해 빈도분석을 실시하였으며, 각 독립변수가 PNC 이용에 어떤 영향을 미치는지 파악하기 위해 로지스틱 회귀분석을 실시하였다. 결과: 응답자의 55%만이 의료시설의 PNC 서비스를 받은 것으로 나타났다. 로지스틱 회귀분석을 통해서는 응답자의 연령과 사회적 네트워크, 인지된 건강상태, 산전관리서비스 이용이 PNC 서비스 이용에 긍정적인 영향을 미치는 것으로 나타났으며 의료시설과의 거리, 가족의 규모는 부정적인 영향을 미치는 것으로 나타났다. 결론: PNC 서비스 이용개선을 위해서는 먼저 여성의 사회적 자본 확충 및 개선을 위한 모성보건교육인 소프트 인프라 지원이 지자체 차원에서 실시되어야 할 것이며, 서비스 이용을 가능케 하고 접근성을 높이는 응급후송체계 구축과 같은 물리적 인프라 지원도 도입되어야할 것이다. 또한 가족계획 서비스를 제공하는 등 모성보건관리에 대한 지자체의 민감성을 높이는 것도 필요하겠다.

• Journal of Family Resource Management and Policy Review
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• v.25 no.1
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• pp.113-132
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• 2021

Despite the diverse system development and improvement initiatives that have been created to improve the environments of child birth and nurturing, the birth rate in Korean society remains low. Some minor teenage single parents give birth and raise children. Teenage single parents are supported by the Single-Parent Family Support Act, but some of their needs are still not being addressed. As each single parent has different backgrounds and socioeconomic characteristics, an investigation is required for developing differentiated support in which they will be considered both parents and children. Therefore, this study identifies the unique problems encountered by teenage parents, focuses on single mothers giving birth, and explores measures that teenage parents can use to be independent members of civil society. Three suggestions are presented for the period from pregnancy and childbearing to parenting. First, there should be an education support plan that will enable them to finish tertiary education, and parent education. Second, measures should be created to initiate a change in direction in indifferent biological(real) fathers: these should enlighten and help them participate in rearing their children. Third, in addition to improvements of the current systems only targeting single parent-family support, which will help differentiate teenage parent support from adolescent single parent-family support, assistance should be given for teenage single parents to grow as a Subject of Rights through tailored independent support programs.

• Journal of Digital Convergence
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• v.16 no.6
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• pp.343-352
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• 2018

The purpose of this study is to examine the health related quality of life of the elderly of more than 65 years old in a small and medium-sized city in rural area in order to prepare the measure to promote the quality of life of the elderly in rural areas. The data were collected from Sep. 21 to Oct 30, 2015 and analyzed using spss/win 23.0. The factors influencing on health related quality of life of the sample are as follows: 1. social participation; 2. gender; 3. subjective state of health; 4. family support; 5. level of one's own medical expense. The sample's ability of explanation of those factors were 26.3%. Therefore, it is necessary to develop inclusive and persistent programs of health promotion that consider social participation, gender, subjective state of health, family support, and level of one's own medical expense for the elderly of more than 65 years old in a small and medium-sized city in rural area.

• Child Health Nursing Research
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• v.21 no.1
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• pp.20-27
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• 2015

Purpose: The purpose of this study was to investigate factors affecting childhood asthma and atopic dermatitis. Methods: For this study, data for 1,170 children (1-11 years) from the Fifth Korean National Health and Nutrition Examination Survey (KNHANES V-2, 2011) were analyzed. First correlation matrices were computed to test the normality of every data set and then to be in accordance with the real demographic composition, data were added weight before being analyzed. Results: The child with asthma of a three generation family (OR=3.91, 95% CI [1.33, 11.45], p=.013) compared with a two generation family showed higher asthma development, and maternal asthma (OR=9.71, 95% CI [2.66, 35.40], p=.001) showed higher asthma development in child. The only factor affecting atopic dermatitis was parental perceptions of child health: poor (OR=3.40, 95% CI [1.29, 8.98], p=.014). Conclusion: These results suggest that childhood asthma and atopic dermatitis are both affected by parental perceptions of child health. Accordingly, management and support programs for children who have asthma and/or atopic dermatitis and their families should be comprehensive and also give attention to any other health problems because health perception represents quality of life.

• Korean Journal of Psychosomatic Medicine
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• v.28 no.2
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• pp.126-134
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• 2020

Objectives : The purpose of this study was to investigate the needs for return-to-work support of cancer survivors and related factors in patients with cancer and their caregivers. Methods : 182 patients and 114 caregivers were recruited. Distress Thermometer and Problem List and scale ranging 0~10 measuring the degree of needs for return-to-work support were utilized. The needs for return-to-work support between the patient group and caregiver group (patient's needs evaluated by the caregiver) were compared, and related factors were investigated using logistic regression analysis. Results : 34.6% and 28.1% of patients and caregivers reported return-to-work support of cancer survivors is "very necessary". The degree of needs was 6.60±3.365 points in the patient group and 6.17±3.454 points in the caregiver group, with no significant difference (p=0.282). The needs for return-to-work support evaluated by patients was high when they underwent surgery (OR=2.592, p=0.007), has fertility problems (OR=6.137, p=0.025), has appearance problems (OR=2.081, p=0.041), or has fatigue (OR=2.330, p=0.020). The needs for return-to-work support of patients evaluated by caregivers was high when patients treated with breast cancer (vs respiratory cancer, OR=13.038, p=0.022 ; vs leukemia/lymphoma, OR=4.517, p=0.025 ; vs other cancer, OR=13.102, p=0.019), has work/school problems (OR=4.578, p=0.005), or has depression (OR=3.213, p=0.022). Conclusions : The degree of needs for return-to-work support of cancer survivors was high, and factors related to the needs were different between the two groups. This suggests that return-to-work support of cancer survivors is required, and clinical characteristics, the distress of patients, and differences between patients and their caregivers should be considered in establishing a support plan.

• Research in Community and Public Health Nursing
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• v.7 no.2
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• pp.265-280
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• 1996

A cross-sectional, descriptive-correlational design was employed in this study. The main purpose of this study was to identify the relationship between female adolescents' mental health and their perception of family characteristics, such as family adaptability, family cohesion, family type, and family satisfaction, The theoretical rationale for this study is the 3-Dimensionl Circumplex Model that was formulated by Olson, et al. With respect to method, a structured questionnaire was employed to obtain the data. A total of 199 female students(high school second year) were recruited by convenience sampling. Data for this study were collected in October 1994 after a pilot study and pretest of the tools. The research tool used the following four self-report research types : Youth Self-Report (YSR) developed by Achenbach and Edelbrock, Family Adaptability & Cohesion Evaluation Scales (FACES) III, Family Satisfaction(FS) developed by Olson, et al. and a Demographic Data Sheet. The resulting data were processed using an SPSS PC for a Pearson prod uct-moment correlation coefficient, ANOVA. A linear relationship were found between female students' mental health and their perceived family cohesion(r=-.2237, p<.001), and family satisfaction(r=-.3951, p<.001), but no significant correlations was found between female students' mental health and their perceived adaptability. These findings demonstrated that family cohesion, family type, and family satisfaction were more powerful predictors than family adaptability. This study contributes to nursing practice by demonstrating the usefulness of YSR to differentiate deviant behavior in youth and also by providing nursing interventions designed to promote female mental health.

• 한국노년학
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• v.29 no.1
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• pp.291-307
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• 2009

This study investigated the family network of elderly and its effects on the subjective life satisfaction in Rural Area. In order to classify the family network, the authors used the analysis technique of social network including to a spouse, children and grandchildren. In addition, the authors described basic characteristics of family network on the family type, interaction frequency, and interaction content. And then family network typified four types by K-means cluster analysis method according to characteristics of family network and examined difference on life satisfaction of the elderly persons according to the type of family network. The major results were as following. First, the elderly did contact his/her children often, emotional support revealed that highest support expectation of elderly. Second, The family network of elderly could be typified four types ; 'relation estranged type', 'children-grandchildren centered type', 'family dependent type', 'couples centered type' and statistically significant difference showed in life satisfaction according to each type. The result, in the 'couples centered type', the life satisfaction was highest; on the contrary, 'relation estranged type', it was lowest. Third, Influencing factors on life satisfaction of the old person were economic conditions, physical conditions, education level, sex, more frequent contacts with grandchild, emotional support expectation of spouses. The results of this study suggest that social welfare political and institutional efforts are needed to improve the relationship between older persons and their children, grandchildren and spouses and life satisfaction of the elderly.

• The Journal of Korean Society for School & Community Health Education
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• v.25 no.1
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• pp.17-28
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• 2024

Background & Objectives: This study aimed to examine the relationship between subjective health perception and health behaviors among adolescents, utilizing raw data from the 8th Korea National Health and Nutrition Examination Survey (2019-2021) while distinguishing between genders. Methods: The study employed data from the 8th Korea National Health and Nutrition Examination Survey (2019-2020), recruiting students from 1st to 3rd grades in middle and high schools nationwide. Through population stratification, sample distribution, and sampling stages, a final sample of 1,065 adolescents aged 12 to 18 years was selected. The collected data were analyzed using SPSS 28.0 (IBM Corp., Armonk, NY, USA) at a significance level of .05. Results: Regarding the general characteristics of the subjects, no statistically significant differences were observed among male students based on school, family structure, and income. However, among female students, a significant difference in subjective health perception was noted, with higher perception among high school students compared to middle school students (p=.001). Significant differences in health behaviors were identified based on family structure for male adolescents, where those living with both parents exhibited more health-promoting behaviors than single-parent adolescents (p=.011). However, no significant difference was observed among female adolescents. In terms of health behaviors related to gender, regular exercise was found to significantly impact subjective health perception in male adolescents (p=.013), while breakfast habits were identified as significant influencers for female adolescents (p<.001). Conclusions: This study revealed gender differences in subjective health perception and health behaviors among adolescents. Based on these findings, there is a perceived need for the development of health promotion programs tailored to the unique needs of male and female adolescents.

• Journal of Hospice and Palliative Care
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• v.9 no.1
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• pp.1-10
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• 2006

Purpose: Terminal cancer influences on patients as well as their family members. This research was performed to evaluate the quality of lift of primary family caregivers and to investigate the influencing factors. Methods: The results of survey were collected from 81 family caregivers who were taking care of hospitalized terminal cancer patients at an oncology department of university hospital in Daejeon from March 2005 to January 2006 with questionnaires. The questionnaires were consisted of the general characteristics of the subjects, and 36-items short-form Health Survey (SE-36) Korean version to evaluate the quality of life of family caregivers, the characteristics of patients and family caregivers' caring trait. Results: Family caregivers' mean (${\pm}SD$) SF-36 score was 47.9 (${\pm}20.7$). Influential factors on family caregivers' life quality were daily raring hours, economic burden, type of treatment; only supportive care, caring duration, sex, the numbers of ADLs (activity of daily livings) items that patients needed help in order by stepwised multiple logistic regression analysis (overall $R^2=0.639$, P=0.044). Conclusion: Daily raring hours and economic burden were two influential modifiable factors on family caregivers' quality of life. Therefore, social supportive systems are required to reduce family caregivers' daily caring hour and economic burden.

• Women's Health Nursing
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• v.8 no.3
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• pp.446-458
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• 2002

목적: 현 연구는 6-12주된 첫 아기를 둔 여성 152명을 대상으로 첫 임신기간 동안 참여했던 정규와 비정규 학습활동의 정도와 범위를 알아보기 위해 시행된 것이다. 설계와 방법: 연구를 위한 정보수집을 위해 다측면의 자가선택 연구도구를 사용하였고 4가지 구성개념을 측정하였다: 독립변수로 학습에 대한 성향, 학습을 위한 사회적 지지, 임신에 대한 기대, 그리고 종속변수로서 첫 임신 동안 정규와 비정규 학습활동의 참여정도. 또한 일반적 특성으로는 6가지 변수(연령, 인종, 결혼상태, 교육정도, 직업유무, 가족의 수입)를 측정하였다. 3개의 독립변수와 1개의 종속변수사이의 이변량관계를 측정하기 위해 단순회귀분석을 시행하였다. 일반적 특성과 종속변수와의 관계는 t-Test, Point Biserial, Spearman Correlation Coefficients를 이용해 조사하였고 임신 중 학습을 위한 설명적 모델을 유도하기 위해 다중회귀분석을 사용하였다. 결과: 연구결과 3가지 이변량관계가 모두 통계적으로 유의한 것으로 나타났다: 학습에 대한 성향($r^2$=.17, p=.001), 사회적 지지($r^2$=.27, p=.0001), 그리고 기대($r^2$=.17, p=.0001). 교육정도와 결혼상태는 강한 설명력을 가졌고 연령, 인종, 직업유무와 가족의 수입은 통계적으로 유의하였으나 설명력이 약한 변수들이었다. 임상과의 관계: 이러한 결과는 임신 동안 여성의 학습욕구를 만족시키기를 바라는 성인대상의 교육자들 만큼이나 건강관리제공자들을 위한 실제적인 관련성을 보여주고 있으며 또한 중요한 생활사인 임신 동안 자발적인 학습을 하려는 성인을 이해하기 위한 이론적으로 유용한 모델을 제공한다.