• 한국사회복지학회:학술대회논문집
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• 2002.10a
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• pp.3-19
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• 2002

The problems and needs of families in Hong Kong are becoming more complex. Traditional family structures and functions are rapidly eroding. Moreover, family problems are further exacerbated by a growing number of socio-economic issues including rising divorce rates and extra-marital affairs. continuous family reunion migration from Mainland China, emotional and financial cost of caring for the older people and the changing economy which has pushed more families into hardship. In effect, more and more families are becoming vulnerable to risk. Traditional family services in Hong Kong are varied in mode, operation and provision, often overlapping in service boundaries with other family-oriented programs. In many instances, family service centers are stretched far beyond their capacity. As a consequence, they become too reactive, remedial and casework dominated. The University of Hong Kong Consultant Team recommended that family service programs have to protect vulnerable families and strengthen family capacities to promote maximum independence. The direction of family services is summarized as: strengthening families; child-centered, family-focused and community-based. New integrative family service centers aim at attaining the principles of promoting accessibility to users with minimum physical, psychological and administrative barriers; early identification of needs and intervention before the further deterioration of problems; integration of services cutting across program boundaries, and partnership between service providers to achieve efficient and effective use of scarce resources. Under the new model, multi-skilled teams can respond more proactively to a wide range of social needs, rather than addressing needs in isolation. To demonstrate the effectiveness of the new model, the consultant team has been commissioned by the government to evaluate the performance of these two-year pilot projects. More importantly, a coherent and family-friendly social policy should be formulated to strengthen family capacity against family-related problems.

• The Korean Journal of Rehabilitation Nursing
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• v.5 no.1
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• pp.27-37
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• 2002

During acute stages of hospitalized stroke patients, family caregivers face many challenges. They often experience emotional distress, social isolation, and financial constraints. However, the burden of caregiving of stroke patients in acute stages has never been studied properly. The purpose of this study was to investigate the factors related to the caregivers' burden with acute stroke. The subjects were 123 acute stroke patients and their caregivers who were admitted to neurology and neurosurgery units at Dan Kook University Hospital in Chung-Nam area. An interview was performed with the use of standardized questionnaire which included data pertaining to the patients/caregivers characteristics, caregiver burden (Modified Zarit's Burden Scale), and social support (Personal Resource Questionnaire). Our results showed that the mean burden score was 3.11, indicating high level of burden. Among the sub-domain scores, financial burden was the highest. In univariate analysis, the factors related to caregiver burdens were: inability to communicate between patients and caregiver(p<.001); low cognitive function of the patients(p<.001); low level of ADL(p<.001); the gender of caregiver(p<.001); the current employment status of caregivers(p<.01); the presence of social support for caregiver(p<.001); and the availability of alternative caregivers(p<.001). In multiple regression analysis, social support for family caregivers (87%), low level of patient's cognition (2%), availability of 2nd caregiver (1%), and gender of caregiver (female, 0.4%) were significant explanatory factors of overall burden. The caregivers' burden in acute stages during hospitalization following stroke was high. Recognition of high levels of caregivers' burden and those relating factors affecting caregiver burden may allow us to develop different nursing strategies to unload the level of burden for caregivers in acute stages of stroke.

• Journal of People, Plants, and Environment
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• v.24 no.6
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• pp.563-572
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• 2021

Background and objective: The ongoing COVID-19 pandemic restricted daily life, forcing people to spend time indoors. With the growing interest in mental health issues and residential environments, 'pet plants' have been receiving attention during the unprecedented social distancing measures. This study aims to analyze the change in trends of pet plants before and during the COVID-19 pandemic and provide basic data for studies related to pet plants and directions of future development. Methods: A total of 2,016 news articles using the keyword 'pet plants' were collected on Naver News from January 1, 2018 to August 15, 2019 (609 articles) and January 1, 2020 to August 15, 2021 (1,407 articles). The texts were tokenized into words using KoNLPy package, ultimately coming up with 63,597 words. The analyses included frequency of keywords and topic modeling based on Latent Dirichlet Allocation (LDA) to identify the inherent meanings of related words and each topic. Results: Topic modeling generated three topics in each period (before and during the COVID-19), and the results showed that pet plants in daily life have become the object of 'emotional support' and 'healing' during social distancing. In particular, pet plants, which had been distributed as a solution to prevent solitary deaths and depression among seniors living alone, are now expanded to help resolve the social isolation of the general public suffering from COVID-19. The new term 'plant butler' became a new trend, and there was a change in the trend in which people shared their hobbies and information about pet plants and communicated with others in online. Conclusion: Based on these findings, the trend data of pet plants before and after the outbreak of COVID-19 can provide the basis for activating research on pet plants and setting the direction for development of related industries considering the continuous popularity and trend of indoor gardening and green hobby.

• The Journal of the Korea Contents Association
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• v.8 no.11
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• pp.323-337
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• 2008

This study is focused on the relationship between children's attitude and their behavior and intention of behavior to increase their positive behavior towards elders so that can be solutions to reduce social isolation of elders. This study explains relationships between ways children recognize seniors, their attitudes and their intention of behavior; how they affect one another. Figuring it out would help to learn ways how to resolve psychological problems which elders suffer. Regression analysis were also done to figure out whether chosen factors are appropriate and to verify the hypotheses or assumptions. To learn differences between two groups t-test was applied. This proved that children's perceived value on elders who they experienced directly or indirectly has positive effect on their emotional attitude, and this emotional attitude affects their cognitive behavior positively which affects their behaving attitude in a positive way. Lastly, behaving attitude has positive effect on children's intention of behavior.

• Korean Journal of Schizophrenia Research
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• v.23 no.1
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• pp.29-37
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• 2020

Objectives: This study aimed to investigate the characteristics of early maladaptive schemas and their associations with clinical symptoms in patients with schizophrenia. Methods: Forty-eight patients with schizophrenia, 49 patients with major depressive disorder, and 50 healthy controls completed the Young Schema Questionnaire and symptom measures including the Brief Psychiatric Rating Scale-Expanded (BPRS-E). Results: The schizophrenia group had significantly higher scores than the healthy controls and lower scores than the depression group in most schemas. Compared with healthy controls, the schizophrenia group exhibited higher scores in 10 schemas, i.e., mistrust, social isolation, failure, dependence, vulnerability to harm, enmeshment, insufficient self-control, subjugation, emotional inhibition, and negativity schemas (all p<0.001). Moreover, vulnerability to harm, enmeshment, subjugation, and negativity schemas were correlated with total scores of the BPRS-E (0.37≤r≤0.43, all p<0.05). Regarding the five BPRS domains, emotional deprivation schema showed significant relationships with negative (r=0.50, p=0.005) and disorganization (r=0.39, p=0.033) symptoms, while no schemas showed correlations with positive symptoms. Conclusion: These results suggest that most schemas in patients with schizophrenia pertain to impaired autonomy and performance as well as disconnection and rejection domains and may improve our understanding and the treatment of schizophrenia from a perspective of schema therapy focused on these domains.

• Journal of The Korea Institute of Healthcare Architecture
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• v.19 no.1
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• pp.23-34
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• 2013

Purpose: Many researches have clearly begun to address the relationship between people and their physical environments. These represent that children experience traditional hospital environments as unpleasant and scary. More specifically, children in hospitals face many psychological and emotional challenges: isolation, painful procedures, separation from family members, all in unfamiliar settings. For this reason, some have argued that the children's experiences within hospital environments can lead to poorer health outcomes. This study has been started in order to provide basic informations for the planning of Healing rest space in pediatric ward. Methods: Literature reviewes and field surveys to rest space at pediatric ward in Korea and foreign country have been conducted for the data collection. Results: The result of this study can be summarized into eight environment factor for healing rest space in pediatric ward: family, noise, safe, choice opportunity, light, privacy, social support and distract from disease or death. Implications: In the rest space in pediatric ward, it is necessary to consider healing rest space for promoting healing from disease and normal developing of children.

• Child Health Nursing Research
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• v.11 no.2
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• pp.229-239
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• 2005

Purpose: The objective of this study was to provide an understanding of the difficulties for facing parents of children with terminal cancer. Method: The design of this study was an inductive and descriptive study. Thirty???]one parents of children with terminal cancer participated in???]depth were interviewed s. C in depth and content analysis was used for analyzing the data. Results: The main categories in the findings were 'difficulties in coping', 'physical and psychological suffering of children', 'suffering of family', 'bereavement with children', 'economic problems', 'incurable situation', 'preparation of death', 'social isolation', 'coping after a child dies', 'spiritual problems', receiving active treatment', 'informing children of their condition', 'a sense of meaninglessness', 'emotional iunstability', and 'giving up hope'. Conclusion: The main point identified from this result in this study was that parents who have a child with terminal cancer don't never give up the hope of recovery for their child even when the child is in by the terminal stage of their children, even though and they are unwillingly to prepare for their child's death. This is a unique characteristic in the attitude of the families' attitude in child hospice care and differs from that found in adult hospice care. This result can be used as an important guide for nurses to in assessing the parents' needs in the terminal care setting.

• Asian Oncology Nursing
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• v.11 no.1
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• pp.49-57
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• 2011

Purpose: The purpose of this study was to test the reliability and validity of an instrument to measure suffering of family of patients with terminal cancer. Methods: This research was a methodological study processed as follows: 1) The preliminary 32 items were developed based a conceptual framework of suffering for patients with cancer. 2) The content was validated by an expert panel (n=24) and the family of patients with terminal cancers (n=33). 3) The instrument was validated by survey (n=92). Finally, 29 items were selected in developing final version of the scale. Results: Seven factors were extracted through factor analysis: 'economical distress', 'loss of meaning in life', 'feeling of social isolation', 'emotional distress', 'burnout', 'guilty feeling', and 'physical discomfort'. These factors explained 66.94% of the total variance. Cronbach's alpha and Guttman Split-half coefficient of the 29 items were .93 and .92. respectively. Conclusion: This scale identified as a valid and reliable tool with a high degree of reliability and validity. It can be effectively utilized to assess the degree of suffering of family in palliative care settings.

• The Korean Journal of Elementary Counseling
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• v.6 no.1
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• pp.117-140
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• 2007

This study is to know the effect of drama therapy on the sociality of isolated children. To achieve this goal, the following hypothesis was built. Hypothesis I. Dramatherapy program will improve the sociality of isolated children. I -1. Dramatherapy program will improve in cooperation. I -2. Dramatherapy program will improve in independency. I -3. Dramatherapy program will improve in sociability. I -4. Dramatherapy program will improve in law-abiding. To test this hypothesis, the social and emotional isolation test was conducted in 190 children consisting of fifth-grader from N elementary school located in Busan to select 28 children whose founded to be isolated; among these children, eight who wanted to participate in the program were positioned at the experimental group and other eight who didn't want to do and who demonstrated the range of marks similar to the experimental group were positioned at the control group. The dramatherapy program was based on the theory by Robert Landy (2002), Jennings (2003) and Phil Jones (2005) to improve the sociality of isolated children and was implemented in a total of 15 sessions, two sessions a week after school. To test the effect of the program, A modified test paper by Suh, Poongyeon (1991) with the content of testing sociality into a test paper of human nature for elementary school students to be made by Jeong, Bummo (1971) was used which consists of four sub-factors: cooperation, independency, sociability, law-abiding. As a quantitative analysis, Mann-Whitney Test were analyzed for experimental and control groups. As a qualitative analysis, the interaction patterns among student were analyzed on he basis of video tapes. The tool of observe the interaction patterns among student was Interaction Process Analysis System which was made by Bales (1970). This study obtained the following result First, the drama therapy had meaningful effect on the sociality of the sociality of isolated children. But the quantitative change of the sociality test conclusion was showed meaningfully and positive social behavior was increased in periodical process analysis. Second, in the Interaction Process Analysis(IPA) affirmative interactions increased and negative interactions decreased.

• Asian Oncology Nursing
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• v.12 no.2
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• pp.175-185
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• 2012

Purpose: This micro-ethnographic study aimed to understand coping experiences of Korean-American (K-A) women after diagnosis with breast cancer due to a hereditary gene mutation. Methods: Participatory observation and in-depth interviews were performed at one breast cancer screening center in Southern California, in 2005 with eleven first generation K-A immigrant women. All transcribed interviews and field notes were analyzed using ethnographic methodology. Results: K-A women's experience varied based on acculturation risk factors including: limited English speaking ability; disrupted family relationships, individualistic family values, or intergenerational communication barriers; lack of Korean speaking nurses; and Korean physicians' who lacked knowledge about hereditary breast cancer risk. These risk factors led to isolation, loneliness, lack of emotional and social support. In comparison to Korean homeland women in a similar medical situation, these K-A immigrants felt disconnected from the healthcare system, family support and social resources which increased their struggling and impeded coping during their survivorship journey. These women were not able to access self-support groups, nor the valuable resources of nurse navigator programs. Conclusion: Professional oncology associations for nurses and physicians have a moral obligation to support and promote knowledge of hereditary cancer risk and self-help groups for non-native speaking immigrants.