• 제목/요약/키워드: Family Needs

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말기암환자 가족간병인의 미충족 의료 분석 (Unmet Medical Service Needs in Family Caregivers of Terminal Cancer Patients)

  • 신웅재;황선욱;황인철;최윤선;이용주;김영성;신지성;최영호;임다원;김한숙
    • Journal of Hospice and Palliative Care
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    • 제19권2호
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    • pp.163-169
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    • 2016
  • 목적: 말기암환자들에게 간병인의 미충족 의료는 매우 중요하지만 간병인들이 필요로 하는 통증 조절, 삶의 질 보조, 가족간의 문제, 심리 사회적 문제, 자택 요양, 세심한 돌봄, 보완 대체 의학 같은 건강의 질을 유지할 수 있게 하는 관리 정보를 간병인에게 전부 제공하기에는 한계가 있고, 이와 관련된 연구는 아직 부족한 상태이다. 이번 연구를 통해 간병인의 특성과 미충족 의료를 밝히고, 특성에 따른 미충족 의료가 어떻게 다른지 알아보고자 하였다. 방법: 설문조사는 4개 호스피스 완화의료 병동에 입원한 말기암환자의 가족간병인 109명을 대상으로 시행되었다. 자료는 2014년 3월 1일부터 2014년 12월 31일까지 구조화된 설문지를 이용하여 수집되었다. 기존의 설문지를 수정하여 삶의 질 향상에 필요할 것으로 생각되는 14개 항목에 관해 필요성과 충족도를 알아보았다. 또, 통계는 단변량 분석으로 카이제곱 검정을, 다변량 분석으로 이중 회귀 분석을 사용하였다. 결과: 보완대체요법 및 건강기능식품 상담, 성기능 상담, 암 검진, 가족 및 대인관계 상담, 보험 상담, 직업 상담, 경제적 지원 등 7개의 항목에서 의미 있는 결과가 나타났다. 말기암환자의 가족간병인의 삶의 질 향상과 관련된 요구 중 충족도가 미충족도보다 더 높은 요구는 14개 중 피로 관리, 건강 체중 관리 2개였다. 결론: 본 연구 결과를 통하여, 말기암환자의 가족간병인의 미충족 의료를 이해하고 미충족 원인과 효과적인 중재방안에 대한 연구를 통해 요구를 충족시킬 수 있는 방안을 마련할 것을 제안한다.

The Influence of Successful Ageing Indicators on Life Satisfaction among Elders in Korea

  • Chang, Jin-Kyung;Han, Eun-Joo;Won, So-Yean
    • International Journal of Human Ecology
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    • 제10권2호
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    • pp.25-37
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    • 2009
  • This study investigated differences in related factors affecting life satisfaction with the elderly in or above middle class experiencing successful ageing. In the study, the respondents were 206 elderly people whose occupation (professional career) placed them in the middle and upper class range residing in metropolitan Seoul. Major results are summarized as follows: (1) In order to test gender differences, results of t-test show that there are 13 variables with seven of those being statistically significant and the rest being insignificant. (2) Needs fulfillment and physical functioning are significant factors for Korean male elders to be satisfied with their later lives. Needs fulfillment, physical functioning, group activity, and learning activity are significant factors for Korean female elders to be satisfied with their later lives.

일-가정 균형을 위한 보육 및 학교 영역에서의 요구도와 정책: 맞벌이 가정을 중심으로 (The Study on the Need and Related Policy for Work-Family Balance in the Area of Educare and School: Focused on the Dual Worker Families)

  • 조영희;송혜림
    • 가족자원경영과 정책
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    • 제13권2호
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    • pp.65-83
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    • 2009
  • The purposes of this study were to analyze the needs for the balance of work-family and to provide the related policies for dual worker family. We focused on the life area of educare and school. Data were collected from 197 working mothers who have 1 or more children under age 10. The findings were: 1) after-school programs, holidays on every alternate Saturday, arbitrary no school days were not appropriate to the working parents' everyday life patterns, so the paradigm and practical conditions should be adapted to the needs of working parents. 2) the most working parents depended on the kindergarden, but the parents' satisfaction with the quality of service, time duration, the human resource of educare teacher was not sufficient, so these issues should be discussed more profoundly.

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Needs for Home Care Nursing in the Vulnerable Elderly

  • Lee, Ji-Hyun;Jeong, Youn-Hee;Park, Geum-Ja;Kwon, Sook-Hee
    • 대한간호학회지
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    • 제37권2호
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    • pp.201-207
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    • 2007
  • Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.

치매노인 가족수발자를 위한 지역사회기반 휴식프로그램 개발 및 적용효과 (Development and Evaluation of Community-based Respite Program for Family Caregivers of Elders with Dementia)

  • 천숙희;장성옥;공계순;송미령
    • 기본간호학회지
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    • 제18권3호
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    • pp.337-347
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    • 2011
  • Purpose: Purposes of this study were to develop a community-based respite program for family caregivers and to test the effects of the program. Methods: Focus group interviews were performed to extract meaning of respite care for family caregivers (13 participants) and a survey was done to identify respite needs of family caregivers (157 participants). The community-based respite program for family caregivers was developed based on results of the focus group interview and survey. The program was used with 41 participants (19 experimental and 22 control). Independent t-test and Mann-Whitney U-test were used to test differences between control and experimental groups for respite needs, burden of caregivers, subjective wellbeing, social support, fatigue and functional status of elders with dementia. Results: There were statistical differences in caregiver burden, subjective wellbeing, and social support after the program, but, none for respite needs, fatigue and functional status of elders with dementia. Conclusion: The results indicate that a respite program can be useful to decrease burden of caregivers and increase subjective wellbeing and perceived social support of family caregivers in community settings. Further intervention research is needed to increase the functional status of elders with dementia and decrease fatigue in caregivers.

일생에 걸친 경력관리를 통한 일-생활 균형에 관한 기초연구 (A Preliminary Study on Work-life Balance Through Career Management Over the Lifespan)

  • 정영금
    • 가정과삶의질연구
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    • 제29권1호
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    • pp.41-53
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    • 2011
  • Recently, workers are interested in work-life balance. However, most dual- income couples do not make the effort to achieve work-life balance in their everyday life compared with many workplaces that make various family-friendly policies available to them. Therefore, this study aims to suggest the necessity and process of work-life balance through career management over one's lifespan. The needs and resources of families are not the same during every stage of the family life cycle. Thus, dual-income couples should aim to invest in career management which includes balancing their work and their family when considering their future career and life. Additionally, they should try to match the needs and resources of both their work and their family by using family resources, workplace policies, and community networks.

다문화가정 청소년의 복지 서비스에 관한 연구 (The Study on welfare service of multicultural families youth)

  • 유창준;김건태;임상호
    • 디지털융복합연구
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    • 제10권5호
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    • pp.19-26
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    • 2012
  • 본 연구는 다문화가정 청소년 복지 서비스의 실효성을 높이기 위한 복지욕구 설문조사를 기초로 복지 서비스 개선방안을 모색하고자 하였다. 연구 결과는 다문화가정 청소년은 학업과 가정 문제에 대해 어려움을 갖고 있으며, 일상생활 욕구위계 조사결과 일반가정 청소년은 다문화가정 청소년보다 소속과 사랑의 욕구(t=-2.006, p<.05)가 높고, 다문화가정 청소년은 일반가정 청소년보다 자아실현의 욕구(t=-4.636, p<.05)가 높았다. 복지 욕구위계 조사결과에서는 다문화가정 청소년이 안전의 욕구(t=7.607, p<.05), 소속과 사랑의 욕구(t=8.346, p<.05), 자기존중의 욕구(t=4.683, p<.05), 자아실현의 욕구(t=2.199, p<.05)가 높게 나타났다. 따라서 다문화가정 청소년의 복지 서비스 차원의 통합체계 구축을 바탕으로 지자체의 전문인력 육성과 체계적이고 실질적인 지원 정책의 함의 및 제언을 하였다는데 그 의의가 있다.

한.일 여자고등학생의 가정과에 대한 관심과 학습요구의 실태조사 -가족과 보육을 중심으로- (Senior High School Students'Concerns about Home Economics and their Educational Needs in Korea and Japan -In the areas of the Family and Child Care-)

  • 이수희
    • 한국가정과교육학회지
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    • 제8권1호
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    • pp.23-32
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    • 1996
  • The purposes of this study was to investigate high school girl students’concerns about the family life education in Home Economics and their needs for learning in home economics classes in order to develop an advisable co-education curriculum. The questionnaires were completed by 196 first grade students in Seoul in 1993 and 765 first grade students in Tokyo and Kanagawa Prefectures in 1991. The contents of the questionnaire were as follows:1) students’interests in the areas of Home Economics education, 2) students'concerns in their daily life 3) students’interests in a new curriculum for family life education:16 contents from human birth to death. 4) students’experience with their family, and 5) students’educational needs in Home Economics’teaching method. The result of our research showed that:1) Most of senior high school students in Korea and Japan had strong interests in their life and life span. 2) Although there are some differences in the degree of concerns between Korea and Japan, senior high school students in Korea and Japan had strong concerns with their “characteristics and personality”, their “future job”, their “looks and figure”and their “hobby and amusement”, these had not been the contents of home economics in Korea and Japan, but had been in U.S. 3) Very few senior high school students in Japan and especially in Korea had contacts with their grandparents. 4) Senior high school students in Korea and Japan showed strong interests in their near future stage, but they showed less interest in the stage of early childhood. 5) Senior high school students in Korea and Japan showed their diverse needs for learning in home economics classes. The results indicated that co-education curriculum for family life education should meet adolescent needs and concerns, and our new curriculum, “from one’s birth to death/one’s life span”, would be more advisable.

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간호사의 가족간호 자신감과 가족간호 교육요구도: 임종기 환자 가족을 중심으로 (Nurses' Confidence in Family Nursing and Their Needs for Family Nursing Education: Focusing on the Family of Dying Patients)

  • 권소희;김영주
    • 한국보건간호학회지
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    • 제35권3호
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    • pp.356-367
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    • 2021
  • Purpose: This study aimed to identify the confidence and educational needs of clinical nurses in care for the family of dying patients. Methods: The subjects of this study were 218 clinical nurses working at two tertiary general hospitals located in D city, Korea, and the data were collected through online questionnaires. The collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Scheffe test and 𝝌2 test using the SPSS WIN 20.0 program. Results: 97.6% of clinical nurses recognized the need for family care for dying patients, but 76.7% had never received any education on family care for dying patients. The average score of dying patients' confidence in family care was 3.09. About 90% of clinical nurses were willing to participate in family nursing education for dying patients. The group with more than 5 years of clinical experience was significantly higher than the group with less than 5 years of clinical experience. Conclusion: This study recognized the necessity of family nursing for dying patients highly. It is necessary to develop and apply an educational program based on the education topic that recognizes the need highly.

뇌졸중환자 가족의 간호요구 (A Study on the Care Needs of Family-Caregivers to the Patients with Stroke)

  • 김미희
    • 기본간호학회지
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    • 제4권2호
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    • pp.175-192
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    • 1997
  • The purpose of this study was to identify the care needs of family-caregivers to the patients with stroke. Subjects were 115 family-caregivers caring for the patients while they were in-patients or out-patients with stroke in two general hospitals and one oriental medicine hospital located in Seoul and Kwang-Ju. The instrument used for this study was made by the researcher on the basis of results of literature review and interviews with family-caregivers, composed of 35 items. Internal validity by calculation of cronbach's alpha with data of respondents was 0.91, which was regarded as high. The Data were analyzed by SAS program, with percentage, mean, t-test, and ANOVA. Factor structures of care needs of family-caregivers were elicited by factor analysis(PCA, Varimax rotation). Datum collection had been from July 1 to August 14, 1997. The results of this study were as follows : 1. The mean score of the sum of the care needs of family-caregivers was 3.96 and the highest-mean item was 'need for immediate care(M=4.77)', and the lowest-mean item was 'need for chaplian's visit (M=2.82)'. 2. Care needs of the family-caregivers were : Need to be informed of the disease, treatment and care ; need of education and assistance related to physical functional level ; need of social support and consultation ; need of management of nursing problem related to immobility ; need of appreciation ; need of the way to communicate with patients ; need of immediate care and help. The highest mean factor was the 'need for immediate care and help(M=4.74)', and the lowest mean factor was the 'need of appreciation(M=3.58)'. 3. The variables influencing the degree of care needs perceived by family-caregivers to the patients with stroke were as follows : There were significant differences between need to be informed of the disease, treatment and care and general characteristic factors, which were family caregiver's sex (p=.0178), caring period(p=.0223) and patient's suffering period(p=.0244). There were significant differences between need of education and assistance related to physical functional level and general characteristic factors, which were patient's paralysis(p=.0177), patient's ADL dependency(p=.0032). There were significant differences between need of social support and consultation and general characteristic factors, which were family caregiver's sex(p=.0055), occupation(p=.0159), religion(p=.0093) and patient's sex(p=.0134). There was significant difference in the degree of need of management of nursing problem related to immobility, according to the patient's ADL dependency(p=.0493). There were significant differences between need of appreciation and general characteristic factors, which were family caregiver's age(p=.0107), sex(p=.0133), and patient's age(p=.0338). There were significant differences between need of the way to communicate with patient and general characteristic factors, which were patient's paralysis(p=.0002) and aphasia(p=.0001). There were significant differences between need of immediate care and help and general characteristic factors, which were family caregiver's caring period(p=.0162) and patient's suffering period(p=.0116). 4. The mean score of patient's ADL dependency was 3. 38 and the highest-mean item was 'ascending and descending stairs(M=4.12)', and the lowest-mean item was 'drinking(M=2.60)'. There was no significant difference in the degrees of care needs related to the patient's ADL dependency. 5. The highest information source of family-caregivers was from the doctors about the disease, treatment and care(26.1%). The second highest one was from mass media(20.8%), and the third one was from the nurses. The above findings may be used as the basic data to seek more efficient way of elevating nursing practice and quality for family-caregivers to the patients with stroke.

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