• Human Ecology Research
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• 제54권3호
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• pp.263-278
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• 2016

Recently in South Korea, family-friendly living environment in resident communities have emerged as an important issue in addressing problems created by personalized and fragmented family in urban areas. Since their foundation in 2005, Healthy Family Support Centers provided a variety of community activities for both parents and children through the Co-Child Care Sharing Programs. That being said, it is certain that the Healthy Family Support Centers play a central role in making a family-friendly environment. This study surveyed the physical environment of the co-child care sharing space and suggested further improvement. The content of this survey represents the characteristics of co-child care sharing space in Incheon such as operation status, physical space, prepared facilities, and preference for facilities. This study also explored the field of two co-child sharing spaces (Bupyung-gu and Seo-gu) as an example case. The subject of this study was 14 co-child sharing spaces of nine Healthy Family Support Centers in Incheon investigated from July 2014 to October 2014. This study indicated three results: first, the size of the co-child care spaces, their composition and facilities are very different from each center and require standards and guidelines for the co-child sharing space in regards to physical space, composition, and facilities. Second, co-child sharing space should be provided with individual special programs and diversified activities in addition to playing activities. Third, many healthy family support centers operate over two co-child sharing spaces along with an out-located co-child sharing space that require mutual organizing and operational networking between each co-child sharing space to effectively share programs.

• 대한간호학회지
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• 제37권1호
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• pp.135-144
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• 2007

Propose: The purpose of this study was to help families decrease and alleviate the burden on family care-givers taking care of elderly patients. Method: Data was collected by a questionnaire from 100 family members who were registered in the department of home health care nursing at 4 hospitals of H University Medical Center from September 20 to October 25, 2005. The collected data was analyzed using Mean and Standard Deviation, Pearson Correlation Coefficient, t-test and One-Way ANOVA with the Duncan's test, and Stepwise multiple regression. Result: The average burden on family care-givers of elderly patients with chronic diseases was 3.31. The social burden was the highest(M=3.68), the lowest was the emotional burden(M=2.95). In ADL of elderly patients with chronic diseases, all 10 questions showed an average point above 2.50. The dependency level of going up and down the stairs was the highest(M=2.88). Conclusion: This research is necessary for the application of a plan in the social support system in order to reduce the burden on family care-givers who are taking care of elderly patients with a chronic disease.

• 가정∙방문간호학회지
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• 제28권3호
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• pp.307-316
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• 2021

Purpose: This study aimed to examine the influence of family support and death preparation on the quality of life in home care hospice patients. Methods: The study recruited 117 patients in home care hospice in four general tertiary hospitals and three general hospitals in three cities. Data were collected using self-reported questionnaires from September 1, 2019 to March 31, 2020 and analyzed using the statistical package IBM SPSS software version 22.0. Results: The quality of life according to the participants' general characteristics of the subjects shows a statistically significant difference between patients who live with supporters and those who do not(Z=2.96, p=.003). A statistically significant correlation was found between predictors such as family support, death preparation, and quality of life. Family support and death preparation affect the quality of life in home care hospice patients and these variables could explain 33.7% of it. Conclusion: To improve the quality of life in home care hospice patients, we should develop an intervention to enhance family support and death preparation.

• 보건행정학회지
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• 제24권1호
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• pp.100-106
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• 2014

Background: There is no consensus on the definition of primary care in South Korea. This study's objective was to define the concept of primary care using a Delphi method. Methods: Three expert panels were formed, consisting of 16 primary care policy researchers, 45 stakeholders, and 16 primary care physicians. Three rounds of voting, using 9-point appropriateness scales, were conducted. The first round involved rating the appropriateness of 20 previously established attributes of primary care. In the second round, panelists received a summary of the first-round results and were asked to once again vote on the 10 undetermined attributes and the provisional definition. The final round involved voting on the appropriateness of the revised definition. The Korean Language Society reviewed the revised definition. Results: Four core (first-contact care, comprehensiveness, coordination, and longitudinality) and three ancillary (personalized care, family and community context, and community base) attributes were selected. The Korean definition of primary care was accomplished with all three panel groups arriving at a 'very good' level of consensus. Conclusion: The Korean definition of primary care will provide a framework for evaluating performance of primary care in South Korea. It will also contribute to resolving confusion about the concept of primary care.

• 보건행정학회지
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• 제21권1호
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• pp.93-114
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• 2011

This study was conducted to identify college students' supportive attitude toward the elderly and their awareness of the socialization of care for the elderly, since they will have the responsibility for and the support of the aged society in the near future. This study was also conducted to analyze the factors which affect the socialization of elderly care, and to contribute to building a care system which promotes ahealthy and happy lifestyle for the elderly. After conducting a survey of 1,100 students from13 universities around the entire country, I have analyzed 1,089 data forms, and omitted 11 data entries which had errors or were not answered. 1. Those surveyed are 1,089 students from 13 universities around the entire country. Regional distributions are as follows : 263 students from 4 universities in Daegu and Kyongsangbuk Do(24.2%), 291 students from 3 universities in Busan and Kyongsangnam Do(26.7%), 272 students from 2 universities in Jeolla Do(25.0%), 263 students from 4 universities in Seoul and Gyeonggi Do. Males are 51.7% and females are 48.3% of these students. 2. Instrumental supportive sense level is high in men and emotional supportive sense level is higher in women. Also emotional supportive sense is higher in groups of those having more family members and coming from agricultural regions. 3. The sense of living with aged parents is higher in those living with grandparents than those living separate. The sense of living with sons and daughters after aging is stronger in the students from the Science and Engineering Departments than in the Social and Human Sciences Departments; also higher for men than women. 4. Recognition of elderly care socialization is higher in those from Social and Human Sciences Departments than from Science and Engineering Departments; higher in the case of upper classmenand aged groups, groups having fewer family members than more family members, and in the case of living separated from grandparents. 5. The factors affecting the sense of living with grandparents were family cohesion and instrumental supportive sense. The factors affecting the sense of elderly care socialization were family cohesion, instrumental supportive sense, and emotional supportive sense. From the results it is concluded that to insure a healthy and happy lifestyle for aged people, elderly care socialization offered by society and the country must provide desirable, appropriate care services based on the centralized support system of the family. In order to do this, we propose that elderly care needs inter-family and inter-generational fusion programs to improve family cohesion and care recognition. Also, elderly care is in urgent need to build a strong Family and Health Welfare System for care socialization.

• 지역사회간호학회지
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• 제20권4호
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• pp.443-452
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• 2009

Purpose: The purpose of this study were to examine the need of community care services and the influencing factors of the need in the family care givers of hospital-based home care patients. Methods: Data were collected from 256 family caregivers, who were recruited from 10 hospitals in a metropolitan city. A structured questionnaire on the characteristics of caregivers, resources, and patients was administered. Also, questions on the need of community care services were added. Logistic regression analysis was used to identify the influencing factors of the need for community care services. Results: The participant needed more transportation service, lease of health care devices, visiting bath, caring, visiting hair dressing than that of housekeeping, short-term care, and day care service. Various variables from the three factors were found to be influenced on the need of community care services. Conclusion: The accessibility of the higher need of community care services should be increased for hospital-based home care users. Also, the factors of Family care giver, Resource, and Patient might be considered to provide community care services of hospital-based home care users.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10367-10374
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• 2015

Background: Cancer and non-communicable diseases are a major issue not only for the developed but also developing countries. Public health and primary care nursing offer great potential for primary and secondary prevention of these diseases through community and family-based approaches. Within Thailand there are related established educational curricula but less is known about how graduate practitioners enact ideas in practice and how these can influence policy at local levels. Aim: The aim of this inquiry was to develop family nursing practice in primary care settings in the Isaan region or Northeastern Thailand and to distill what worked well into a nursing model to guide practice. Materials and Methods: An appreciative inquiry approach involving analysis of written reports, focus group discussions and individual interviews was used to synthesize what worked well for fourteen family nurses involved in primary care delivery and to build the related model. Results: Three main strategies were seen to offer a basis for optimal care delivery, namely: enacting a participatory action approach mobilizing families' social capital; using family nursing process; and implementing action strategies within communities. These were distilled into a new conceptual model. Conclusions: The model has some features in common with related community partnership models and the World Health Organization Europe Family Health Nurse model, but highlights practical strategies for family nursing enactment. The model offers a basis not only for planning and implementing family care to help prevent cancer and other diseases but also for education of nurses and health care providers working in communities. This articulation of what works in this culture also offers possible transference to different contexts internationally, with related potential to inform health and social care policies, and international development of care models.

• 대한가정학회지
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• 제46권2호
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• pp.85-96
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• 2008

Given the evolving nature of the family unit, a large number of children are being left unsupervised after school. The purpose of this study is to understand the adaptation ability and emotional capacity of these children. To achieve this objective, we investigated the different characteristics of 708 middle-school students in Seoul, dividing them into two categories adult-care children, for whom adults provide care after school, and self-care children for whom no adult supervision was present. In particular, we examined children's adaptation to the school environment and possible self-consciousness difference between self-care and adult-care children, in consideration of their family characteristic; divorced, separated, widowed parent, remarried parents, ordinary families. The results showed that self-care children tend to have a higher rate of shame-proneness and guilt-proneness compared to adult-care children. Furthermore, self-care children exhibited lower school adaptation rate than adult-care children. There was no significant difference in schoolmate relationships between the two groups. In relation to specific family structures, children from reorganized families showed no significant differences in school adaptation and self-conscious, while self-care children from ordinary families revealed low school adaptation and high self-conscious characteristics. The results of this study are critical in the effective analysis and understanding of children's adaptive and emotional behaviors arising from changes in their family structure.

• Journal of Hospice and Palliative Care
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• 제2권1호
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• pp.46-53
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• 1999

The purpose of this case study is to explore the difference of hospice care and the efficiency of hospice education, by comparing the care of the nurse, the volunteer and the minister who have been trained by the Hospice Education Program. The index of common hospice care delivered by cases is that 1) the physical problems (pain, physical discomfort, incontinece, nausea, vomiting etc.) 2) the family problems(family support, change of family function, inefficiency, preparing the death of family) 3) the psychiatric problems(grief and sadness of death, anxiety, fear, helplessness). The case of volunteer and minister is different with the hospice care by nurse, because it is some what related to Christian's base. The index of care by the volunteer and minister is pertaining to social support and spiritual support for family and dying patient. In conclusion, for the wholistic hospice care, we need the hospice caregiver who have diverse background and expert in knowledge of various dimension. For that, it is necessary to build and develop hospice education program as a team apprach, which indudes a systematic expertizing items for care in consideration of caregiver's background.

• 기본간호학회지
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• 제22권1호
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• pp.69-78
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• 2015

Purpose: The purpose of this study was to examine the relationship among family support, self-care and quality of life(QOL) in Patients with hepatocellular carcinoma receiving transarterial chemoembolization, including the effects of these variables on QOL. Methods: The research was a cross-sectional, descriptive design. Participants were 103 patients with hepatocellular carcinoma who were receiving transarterial chemoembolization. Data were analyzed using descriptive statistics, t-test, one way ANOVA, and hierachial multiple regression analysis with SPSS 18.0 program. Results: QOL had a significant correlation with family support(r=.60, p<.001) and self-care(r=.38, p<.001). Family support had a significant correlation with self-care(r=.41, p<.001). Hierarchial multiple regression analysis for QOL revealed that the most powerful predictor was family support followed by self-care. Family support, self-care, gender, and occupation explained 50% of the variance in quality of life. Conclusion: These results indicate that various factors are related to the quality of life of these patients. Further, nursing strategies to improve the family support and self-care of patients with hepatocellular carcinoma are needed.