• Journal of Family Resource Management and Policy Review
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• v.19 no.1
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• pp.111-138
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• 2015

The purpose of this study was to understand the lived experiences of grandmothers and family in transition. Grandmothers in transition means grandmothers who had married children at least one even if there are no grandchildren yet. The data for this study came from 20 grandmothers in transition of 5 focus group(each 4 persons) interview. 9 of them was pre-grandmother without grandchildren yet, 11 was grandmother who had grandchildren. The result of this study revealed that the meaning of grandmotherhood. Dynamics of family in transition around supporting child care represent change of family relations. It didn't means 'empty-nest' model of foreign theory. The Absolute quantity of intergeneral exchange and conflict extended as three generational families.

• Journal of Family Relations
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• v.21 no.2
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• pp.129-147
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• 2016

Objective: This study examined the role of siblings with respect to living arrangements between married children and their parents. Previous studies have rarely considered the possibility that family context such as siblings may be associated with intergenerational residential proximity. Method: Using data from first wave of the Korean Longitudinal Study of Ageing (2006), I investigated if, among married children, their sibling characteristics may be associated with the probability of their coresiding with the parent(s), living nearby (within a 30-minute distance from parent(s) by public transportation), or living further away. Specifically, the total numbers of sisters and brothers, the numbers of siblings coresiding with the parent(s) and living nearby, their relative position in the sibling network (first-born son, later-born son, first-born daughter, later-born daughter), and sibship existence and gender configurations (only child, son with brother(s) only, son with sister(s) only, son with both brother(s) and sister(s), daughter with brother(s) only, daughter with sister(s) only, daughter with both brother(s) and sister(s)) were evaluated in the study. For data analysis, multinomial logit models with robust standard errors were estimated using the Stata mlogit procedure. Results: Results suggest that the probability of a married child living together with the parent(s), relative to living close by, was significantly higher the more sisters he or she has. Being a son, especially first-born son, was associated with a higher probability of intergenerational coresidence compared to near residence, respectively. Also, the numbers of siblings coresiding with the parent(s) and living in close proximity were linked to a higher risk of intergenerational coresidence and near residence. Supplementary analyses revealed that the last finding was held over and above the total number of siblings, their relative position in the sibling network, as well as sibling existence and gender configurations. Conclusion: Overall, the study findings indicate that sibling characteristics have significant impacts on intergenerational living arrangement. The influence of traditional patrilineal norm of intergenerational coresidence and a trend towards modified extended family have emerged when siblings characteristics are taken into consideration as determinants of intergenerational living arrangement.

• Tuberculosis and Respiratory Diseases
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• v.65 no.2
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• pp.79-90
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• 2008

국내에서 아직 잠복결핵 치료 대상 및 치료 방법에 대한 명확한 지침이 부족한 실정이며 이를 위해서는 잠복감염의 재활성화 혹은 새로운 감염이 어느 정도 결핵 발병의 원인이 되는지에 대한 연구가 선행되어야 한다. 그렇지만 발병의 위험이 높은 군을 선정하여 잠복결핵의 치료 대상으로 정하는 것이 타당할 것이며, 현재는 HIV 감염자, 전염성 결핵환자 가족 중 6세 미만의 아동, 중학생 및 고등학생에서의 집단 발병시 감염된 것으로 판정된 학생 및 종양괴사인자(tumor necrosis factor, TNF) 길항제 사용 예정인 잠복결핵 환자가 잠복결핵의 치료 대상으로 제한되어 있다. 향후에는 잠복결핵 치료 대상자의 확대가 필요할 것으로 생각되며, 치료방법 또한 isoniazid (INH) 단독 요법 이외에 rifampicin (RMP)을 포함하는 단기 요법의 사용도 고려하여야 하겠다. 현재 외국에서 잠복결핵의 치료법으로 권고되고 있는 것은 INH 6~9개월, RMP 4~6개월, INH/RMP 3개월 등이다. 과거부터 잠복결핵의 진단에 사용되어 온투베르쿨린 검사 외에 체외 인터페론감마 검사가 새로이 개발되면서 잠복결핵의 진단이 더 정확해진다면 이에 따라 잠복결핵 치료 방침도 수정될 가능성이 있으므로 새로운 검사법을 이용한 꾸준한 연구가 필요할 것이다.

• Journal of agricultural medicine and community health
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• v.42 no.2
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• pp.57-68
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• 2017

Objectives: This study was performed to build the predictive model of suicidal ideation of elderly men living alone. Methods: As for the subject, 251 subjects suitable for the selection criteria were selected among elderly men living alone above 65 years old in one region in Gyeongnam and three regions in Gyeongbuk. The data were collected via questionnaires and analyzed using SPSS version 20.0 and Amos version 18.0. Results: The goodness-of-fit test result of hypothetical model were suitable for recommended level: ${\chi}^2/df=1.47$, RMR=.04, GFI=.92, AGFI=.90, CFI=.95, IFI=.95, RMSEA=.04. Self-esteem, individual coping, family cohesion, social support, social activity, and depression explained 55% of the model of suicidal ideation. The most influential direct factor of suicidal ideation was self-esteem, and social isolation was the most influential indirect influence on suicidal ideation. Conclusion: To sum up the above results, if we promote the researched variables of self-esteem, family cohesion, social activity, individual coping and social support in addition to developing and utilizing an efficient customized suicidal prevention nursing intervention program thereby reducing depression and social isolation, suicidal ideation of elderly men living alone would be prevented.

• Journal of Hospice and Palliative Care
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• v.3 no.1
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• pp.18-27
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• 2000

Purpose : This study aims to find out the quality of life of patients admitted to the hospice unit at Kangnam St. Mary's Hospital, at admission and after weeks hospice service and to assess the effects of hospice service on the quality of life of terminal cancer patients. Methods : This study subjects were 100 patients admitted to the hospice unit at Kangnam St. Mary's Hospital, Catholic University between October 1999 and March 2000, and their primary caregivers. Quality of life data were collected using a questionnaire revised by the authors and were analyzed by means of repeated measures ANOVA. Results : 1) Patient's quality of life as perceived by the primary caregiver was significantly improved and the mean score was 3.31, 3.68, 3.56, 3.73, 3.75 at admission and week 1, 2, 3, 4. With the detailed item analysis, the following items were shown to be significantly improved: "clean bodies"(F=6.50, P=0.0001) "pain control"(F=18.01, P=0.0001) constipate"(F=2.96, P=0.0237) "sleep"(F=3.99, P=0.0048) "nausea/vomiting"(F=4.50, P=0.0022) "medical team's comfortable care" (F=3.95, P=0.0051) "family's care"(F=2.76, P=0.0317) "anxiety" (F=3.14, P=0.0177) "comfort"(F=3.63, P=0.0085) "treat with dignity"(F=3.32, P=0.0136). The item of "death is not the end of life rather the beginning" was significantly decreased(F=2.54, P=0.0450). 2) Patient's quality of life as perceived by the patient showed an improvement but statistically insignificant and the mean score was 3.63 and 3.83 at admission and week 1. With the detailed item analysis, the item of "pain control" was shown to be significantly improved(F=9.19, P=0.0251). 3) The quality of score in the last week of life of patient were 3.48, 3.51, 3.44, 3.46, 3.50, respectively, from 5 week prior to 1 week prior to death and these changes were insignificant. Conclusion : The findings of this study showed a positive effect of hospice service on quality of life of the terminal cancer patients admitted to the hospice unit. To improve the quality of life, we need first of all to develop hospice interventions with a particular emphasis on the spiritual aspect of patient. Secondly, measurement instruments need to be developed to collect the quality of life of the hospice patients who become weakened especially in the last weeks of their life and with this effort more representative data of hospice patients may be collected.