• Title/Summary/Keyword: 막막감

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Lived Experience of the Family Members of Gastric Cancer Patients (위암환자 가족들의 경험세계에 관한 연구)

  • 이명선
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.275-288
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    • 1997
  • The purpose of the study is to explore and describe the lived experience of family members with gastric cancer patients using the grounded theory methodology. The participants were ten spouses of gastric cancer patients who had some kind of treatment at the hospital. They were asked open-ended and descriptive questions in order for them to talk about their experiences in their own terms. As the interveiw progressed the questions became more specific to discuss themes and working hypotheses that emerged from the analysis of previous interviews. All interviews were tape-recorded and transcribed for the analysis. Constant the core category that was emerged from the comparative analysis is “magmaggam” which can be described as a psychological distress due to a high level of uncertainty regarding the health of the patient and the future of the caregivers. Psychological distress includes several emotional feelings such as frustration. anxiety, fear, guilty, and self depreciation. Subcategories or strategies related to the core category are 1) managing illness, 2) using folk medicine, 3) giving the patient a reason to live, 4) being patient, 5) losing reality, 6) anticipatory experience on the patient's death and parting, and 7) changing interpersonal relationships. The results of this study would help clinical nurses to develop nursing intervention to help spouses of gastric cancer patients establish efficient coping strategies in dealing with the problems they face.

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Study on Experience with Grandmother in Low-income Grandparent-headed Family (저소득 조손가정 조모의 양육경험 연구)

  • Shin, Myeong-ju
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.655-662
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    • 2019
  • Based on phenomenological view a research utilizing qualitative methodology to understand about parenting difficulty and stress through an in-depth interview with grandmother in low-income grandparent-headed family was administrated. The results indicated that experience with parenting stress of grandmother in low-income grandparent-headed family lead to economic hardship, grandchildren who are a barrier of old-age, and desolate parenting. This article implicates that a basis to guide a direction and role of social welfare intervention to alleviate parenting stress of grandmother in grandparent-headed family and to improve a life quality emergent on the results could be provided. Several considerations on this finding shows as follows. First, with currently active support project re-monitored and re-checked, support program could be needed to enlarge. Second, support program development and social support to decrease parenting stress and depression of grandmother in grandparent-headed family could be necessary. With educational and cultural as well as mentoring program helpful for grandmother parenting designed, a support system to complement non-sufficient support network will be established together.

The Perception and Emotional Experiences of Rare and Intractable Diseases in Caregivers and Pediatric Patients with Mitochondrial diseases (미토콘드리아 질환 소아 환자 보호자에서의 질환 인식 및 정서변화)

  • Eom, Soyong;Lee, Joo Young;Hyun, Jiah;Lee, Young-Mock
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.17 no.1
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    • pp.1-10
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    • 2017
  • Purpose: This study aimed to investigate the perception and emotional experiences in rare and intractable diseases for caregivers of pediatric patients with mitochondrial diseases in order to provide therapeutic interventions for patients, caregivers, and families. Methods: A total of 83 caregivers of pediatric patients with mitochondrial diseases were recruited from the pediatric mitochondrial disease clinics of the Gangnam Severance Hospital in South Korea. Participants completed the survey about their perception of mitochondrial disease and emotional experiences after the diagnosis, and these clinical data were analyzed accordingly. Results: Surveys from a total of 83 caregivers of patients were analyzed, and the patients' age ranged from 6 to 12 years (33%), followed by ages 1 to 6 years (30%). Children with mitochondrial diseases were between 0 and 0.5 years of age at the time of first symptom onset (43%), and the duration of illness lasted more than 10 years in most cases (42%). Prior to diagnosis of mitochondrial diseases, the amount of awareness the caregivers had was 'Not at all' for both rare and intractable diseases and mitochondrial diseases in 44 cases and 68 cases, respectively. For the caregivers' emotional experiences, the most common initial responses were 'Discouraged/despair', 'Helpless/lethargic', and 'Disconcerted'. 'Anxious', 'Committed to treatment', and 'Responsibility as family members' were the most common emotional responses from the caregivers, followed by 'Disconcerted' and 'Helpless/lethargic'. Conclusion: It is important to consider the level of perception and emotional experiences of caregivers and patients with rare and intractable mitochondrial diseases for planning treatment programs.

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Personal Growth through Spousal Bereavement in Later Life (노년기 배우자 사별 후 적응과정에서의 개인적 성장)

  • Chang, Sujie
    • Korean Journal of Social Welfare
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    • v.65 no.4
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    • pp.165-193
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    • 2013
  • This study purposes to explore the growing process through spousal bereavement in later life, and to develop the theory. A qualitative research was conducted, and the participants were 17 seniors. The analysis according to Strauss and Corbin's grounded theory(1998), resulted in 143 concepts, 43 subcategories, and 19 categories. Range analysis according to paradigm showed that the causal conditions were 'marital relationships', 'independent/dependent tendencies', and 'emotional readiness for the death of a spouse', and the phenomena were 'depression', 'hopelessness', 'daily stress', 'psychological intimidation', 'regret', and 'sense of being freed'. The contextual conditions that affect these phenomena were 'desire for intimate personal relationships' and 'desire to maintain independence'; the action/interaction strategies to manage the phenomena were 'facing reality' and 'efforts for construction of the new life'; and the mediating conditions that promote or suppress these action/interaction strategies were 'social support' and 'spirituality'. The results were 'reconstruction of the meaning in life', 'increase in self-esteem', 'reinforcement of social network' and 'embrace and acceptance'. Furthermore, when personal growth after bereavement of a spouse was analyzed focusing on changes over time, the growth process consisted of three steps: 'sadness and despair', 'embracing and moving forward', and 'personal growth'. The pattern analyses were performed to typify recurring relations by category, and 5 types were derived. The results of our study show that personal growth after spousal loss is an integrative process in life after crisis, and can be conceptualized as the process of overcoming the despair that immediately follows the death of a spouse, seeking a new life by actively taking control, and discovering a strengthened self.

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A Study on Youth Career Education through Analysis of Social Economic Perception of Young People: Using Photovoice Methodology (청년들의 사회적 경제 인식 분석을 통한 청년 진로교육에 관한 연구: 포토보이스 (Photovoice) 방법론 활용)

  • Park, Jae-Whan;Lee, II-Han
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.13 no.4
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    • pp.83-98
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    • 2018
  • The purpose of this study was to investigate how college students perceive social economics as a young age, This study was conducted three times at intervals of two weeks with five college students who are engaged in SEN club activities in Seoul, Korea. To achieve the purpose of the study, a participatory practice research technique called Photovoice qualitative research method was used. Participants in the main topic of social economy were selected by the participants as 'Social economy is', 'SEN for me' and 'My future career'. Respectively. The results of the study are as follows. First, the research students of the study group have taken pictures of the social economy in terms of 'diversity', 'consideration', 'cooperation', 'cooperation', 'help' and 'conflict of interest'. Second, the students participating in the research semantics mean the pictures taken with 'enjoyment', 'happiness', 'hope', 'community', 'sense of belonging' and 'affection'. Third, the college students who participated in the study have taken the meaning of the pictures taken in the future, such as 'clumsiness', 'what they want to do', 'career towards the public'. Finally, in-depth interviews on the career paths of graduates reveal that it is not easy to advance into a social economic organization. The results of this study provide the practical guidelines where the curriculums needed for the entrepreneurship education at graduate schools by suggesting consistency for the systematic and comprehensive curriculum design. It was reflected the survey result from the graduate students taking the entrepreneurship subjects. Therefore, it will contribute the foundation of the present curriculum of Entrepreneurial Graduate School.