• Title/Summary/Keyword: Family Unit

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Influencing Factors on Family Stress, Family Meaning and Family Adaptation in Families with High Risk Neonates (고위험 신생아 가족의 스트레스, 가족의미 및 적응에 영향을 미치는 요인)

  • Lee, Joung-Ae;Park, In-Sook;Moon, Young-Sook;Lee, Nam-Hyeong
    • Journal of Korean Academy of Nursing
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    • v.37 no.4
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    • pp.431-441
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    • 2007
  • Purpose: The purpose of this study was to identify the relationship among family stress, family meaning and family adaptation of families with high risk neonates. Method: The date was collected on the basis of self- report questionnaires (August 2004 to March 2005); Tow-hundred twelve parents, who had high risk neonates in C hospital's neonatal intensive care unit, participated on request. Results: Family sense of coherence, family meaning, social support, family stress, marital communication and patient condition had a significant, direct effect on family adaptation. Family cohesion, religion, confidence in the health professional, and length of stay had a significant, direct effect on family meaning. Conclusion: The results of this study suggest the consequences associated with high risk neonates may be alleviated by a family support intervention designed to improve parental communication skills as well as to maintain family cohesiveness. Medical care could also encourage more emotional support of parents towards their neonate.

Adaptation in Families of Children with Down Syndrome: A Mixed-methods Design (다운증후군 자녀를 둔 가족의 적응력: 혼합적 연구 방법 적용)

  • Choi, Hyunkyung
    • Journal of Korean Academy of Nursing
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    • v.45 no.4
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    • pp.501-512
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    • 2015
  • Purpose: The purpose of this study, which was guided by the Resiliency Model of Family Stress, Adjustment, and Adaptation, was twofold: (a) to explore family and parental adaptation and factors influencing family adaptation in Korean families of children with Down syndrome (DS) through a quantitative methodology and (b) to understand the life with a Korean child with DS through a qualitative method. Methods: A mixed-methods design was adopted. A total of 147 parents of children with DS completed a package of questionnaires, and 19 parents participated in the in-depth interviews. Quantitative and qualitative data were analyzed using stepwise multiple regression and content analysis respectively. Results: According to the quantitative data, the overall family adaptation scores indicated average family functioning. Financial status was an important variable in understanding both family and parental adaptation. Family adaptation was best explained by family problem solving and coping communication, condition management ability, and family hardiness. Family strains and family hardiness were the family factors with the most influence on parental adaption. Qualitative data analysis showed that family life with a child with DS encompassed both positive and negative aspects and was expressed with 5 themes, 10 categories, and 16 sub-categories. Conclusion: Results of this study expand our limited knowledge and understanding concerning families of children with DS in Korea and can be used to develop effective interventions to improve the adaptation of family as a unit as well as parental adaptation.

The Effects of Education Using a Relocation Information Guidebook on Relocation Stress, Anxiety, and Education Satisfaction in Family Caregivers of Patients in Neurosurgical Intensive Care Units (전실정보 가이드북을 이용한 교육이 신경외과 중환자실 환자가족의 전실스트레스, 불안 및 교육만족도에 미치는 효과)

  • Lee, Hyeon Ju;Lee, Yun Mi
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.43-54
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    • 2015
  • Purpose: This study aimed to identify the effects of education, using a relocation information guidebook, on the family caregivers of patients who were scheduled to be transferred from a neurosurgical intensive care unit to a general ward. Methods: They were divided into two groups: an experimental group (n = 21) and a control group (n = 20). A relocation information guidebook was created based on a literature review and an interview with five family caregivers about how to satisfy their needs. The collected data were analyzed with a ${\chi}^2$ test, Fisher's exact test, paired t-test, and t-test. Results: The effect of education, using the relocation information guidebook, on the family caregivers of patients who were relocated to a general ward from the neurosurgical intensive care unit was not significant for relocation stress (t = 0.94p, = .352) or anxiety (t = 1.25, p = .217), but was significant for education satisfaction (t = -2.50, p = .017). Conclusion: There were no differences in relocation stress and anxiety scores between the control and experimental groups. However, several methodological issues were highlighted that must be considered in future research, including the timing and measurement of transfer anxiety, and the intervention itself.

Experiences of Families in the Intensive Care Unit: Interactions with Health Care Providers (중환자실 환자 가족의 경험: 의료인들과의 상호작용)

  • Lee, Mimi;Yi, Myungsun
    • Korean Journal of Adult Nursing
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    • v.29 no.1
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    • pp.76-86
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    • 2017
  • Purpose: The purpose of the study was to provide deep understanding of the reported experiences of families with their loved one in the intensive care unit (ICU), focusing on interactions with healthcare providers. Methods: The data were collected by individual interviews of eleven participants. The transcribed data were analyzed using qualitative content analysis to identify major themes and sub-themes that represented the experiences of families. Results: Five themes and 13 sub-themes emerged. "Captive of patients' delayed death: Fear and anxiety" describes psychological problems arising when the family member became critically ill enough to warrant being admitted to the ICU. "Families as the weak: Suppression and resistance" describes interpersonal difficulties arising due to lack of information and trust with healthcare providers. "Deprivation of authority and duty as families: Helplessness" illustrate situational barriers in attempting to protect and support family member. "Re-establishment of trust relationship with healthcare providers: Gratitude and appreciation" describes how they satisfied with themselves by regaining trust relationship. Lastly, "Acceptance of reality through direct care participation: Relief and peace" illustrates peace of mind by gaining sense of reality through active direct care participation. Conclusion: This study demonstrates the positive and negative experiences of families with ICU patients. The results will be useful in developing family-centered nursing interventions.

Evaluation of the Selected 12-locus MIRU for Genotyping Beijing Family Mycobacterium Tuberculosis in Korea

  • Kang, Heeyoon;Ryoo, Sungweon;Park, Youngkil;Lew, Woojin
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.6
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    • pp.499-505
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    • 2009
  • Background: Mycobacterial Interspersed Repetitive Units (MIRUs) that are located mainly in intergenic regions dispersed throughout the Mycobacterium tuberculosis genome. The selected MIRU loci, which were composed of a 12-locus set, demonstrated a high power for discrimination of Mycobacterium tuberculosis isolates collected from Kangwon province of Korea. To evaluate its ability to discriminate the M. tuberculosis strains, 45 clinical isolates were genotyped using the methods IS6110 RFLP and MIRU. Methods: All the samples were collected during the period from January 2007 to December 2007 from TB patients, who were residents and registered to a public health center of Kangwon Province in Korea. A total of 45 DNAs were extracted from clinical isolated mycobacterial strains and genotyped using IS6110 RFLP, the MIRU method. Results: We compared the 12-MIRU with IS6110 RFLP in the 45 samples, the 12-locus version offered less discriminatory power (Hunter-Gaston discriminatory index [HGDI]: 0.959 vs 0.998; 57.78% of clustered cases vs 8.89%). Conclusion: This 12-locus MIRU can be useful when additional combinations of other loci for genotyping M. tuberculosis in Korea where the Beijing family strains are dominant.

A Study on the Residents Characteristic and the Inner Space Use of Small-Sized Rental Multi-family Housing (소형 임대주택 가구특성 및 실내공간 이용실태 조사 연구)

  • Baik, Hye-Sun;Yim, Mi-Sook
    • Journal of the Korean housing association
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    • v.15 no.6
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    • pp.1-13
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    • 2004
  • As the provision of National Rental Housing has led the consciousness on rental housing changed, it becomes more necessary to improve the quality of rental housing. The purpose of this study is to analyze the inner space use of a unit and residents' consciousness on the results of surveying the residents in order to construct rental housing which provides comfort residental environment for the residents. Data was collected through questionnaire surveys(459 residents) from 5 estates including 3 estates of National Rental Housing and 2 estates of Public Rental Housing, which is $36m^{2}\;and\;45m^{2}$ of net area of a unit, for the actual use conditions and their requirements on the inner space of a unit. The results are as follows ; 1) The rental housing differentiated according to the needs from the residents' characteristics should be developed. 2) The main demand household for rental housing is established to that of 4 families including a 40s year-old couple and that of 3 or 4 families including a 30s year-old couple, and a double income family. But the type of household becomes more diverse than before. 3) It is necessary to plan the living room for the Multi-functional inner space emphasizing commom space 4) The various and efficient storage space and system for the residents' demands.

The Characteristics of Terminally Ill Cancer Patients in Hospice and Palliative Care according to Family Composition (가족 구성에 따른 호스피스 완화의료 말기암환자의 특성)

  • Park, Sang Mi;Hwang, Sun Wook;Han, Kyung Do
    • Journal of Hospice and Palliative Care
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    • v.21 no.4
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    • pp.137-143
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    • 2018
  • Purpose: The purpose of this study was to investigate the family composition of terminally ill cancer patients admitted to the hospice unit and how it affects their hospice care. Methods: We retrospectively analyzed the medical records of terminal cancer patients who died in one hospice unit between January 2009 and March 2014. The demographic and clinical characteristics of the patients were examined, and any different made by their marital status was evaluated. We calculated the time interval between cancer diagnosis and hospice admission and the survival period from hospice admission to death and analyzed their association with family composition. Results: When divided by the median time of 13 months between diagnosis and admission, Group B (>13 months) had a significantly higher proportion of patients living with their spouses; (P<0.01). The main decision maker was a spouse (52.9%) in Group B; (P=0.04). Conclusion: Among the characteristics of the family composition, the presence of spouse was an important factor associated with admission to a hospice unit. Clinicians need to be aware of the impact of marital status on end-of-life care. This study indicates that it is helpful to understand family composition of terminallyill cancer patients for an effective palliative and hospice care.

Changes in Korean Families and Child Development (한국 가족의 변화와 아동의 삶의 질)

  • Han, Gyoung-Hae;Lee, Jeong-Hwa;Chin, Mee-Jung
    • Korean Journal of Child Studies
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    • v.30 no.6
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    • pp.1-14
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    • 2009
  • Korean families have been undergone tremendous changes during the past three decades with societal changes. Korean families become smaller, diverse, and multi-cultural. These family changes challenge child development research. Family is not just an intimate relationship. Family is also a structural environment, a system linking micro and macro system, an institution, and an ideology. Consequently, researchers need to pay attention to various ways family influence child development and take into account family as a whole unit. Researchers are also challenged to make a stance regarding family changes and diversity. Temporality is another important issue in studying how family development and child development interact. In terms of public policy, social services should be developed to cope with the new social risks from family changes and to mitigate a growing developmental gap among the children of families with different economic classes.

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A Study on Design Representation of Publicity and Privacy in Dutch Multi-family Housing - Focused on an Analysis of Eastern Dockland Projects in Amsterdam - (네덜란드 도시 집합주택의 공공성과 개별성 표현특성에 관한 연구 - 암스테르담 부두재개발 주택단지 사례를 중심으로 -)

  • Moon Eun-Mi
    • Korean Institute of Interior Design Journal
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    • v.14 no.2 s.49
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    • pp.112-119
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    • 2005
  • This study attempts to suggest new directions of urban multi-family housing design in the recent era of information, in which the representation of publicity and privacy of the housing reflects new meanings and relationships of the current digital society. The study examines cases of Dutch multi-family housing and investigates the meanings and relationships of publicity and privacy in the building as well as unit design of the housings. Borneo-Sporenburg housing development is a good example that suggests new interpretation and design solution for low-rise, high-density multi-family housing. Thus, this study analyzes street patterns, facade design, and ways of housing unit combination in Borneo-Sporenburg housing and concludes as follows. First, public space in Borneo-Sporenburg housing, which was designed differently from hierarchical and centripetal organization of modern architecture, is divided into small units and spread into the inside, which provides high potential for personal control of space and personal programming of space by space choices. Second, street pattern and facade design of Borneo-Sporenburg housing provide visual publicity and privacy simultaneously as they maintain unity as a whole as well as articulate individual unit in many different ways and provide clues to neighboring. Streets as a public domain have self-controlled boundaries for residents and introduce voluntary use-programs for residents. Third, facades of the housing have no inter-mediate space or common space, and confront streets directly. Space in-between is composed inside the facade and extends into the streets by residents' own choices. Fourth, privacy and individuality of the housing is strengthened. Units of the housing have individual entrances, unique plan type and complicated combination of space that all together emphasize individuality of units, however they are not often notified from the outside.

Influence of Childhood Abuse Experience on Perpetration of Child Abuse among the Military Personnel's Spouses with the Mediation Effect of Family Conflict (직업군인 배우자의 성장기 학대경험이 자녀학대에 미치는 영향과 부부갈등의 매개효과 검증)

  • Seo, Jeong-Yeol;Choi, Jang-Won
    • The Journal of the Korea Contents Association
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    • v.18 no.5
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    • pp.343-356
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    • 2018
  • The purpose of this study was to explore the domestic violence experience of military's spouses and its impacts on child abuse and child's growth retardation. Then, the social work interventions were identified to curtail domestic violence experience and its impact on family including their spouses and children. The primary data was collected in 2015 by interviewing two hundred thirty eight spouses of military personnels, the military service 3 unit, the navy service 2 unit, the airforce service 2 unit. The result showed that children of the military families experienced emotional abuse (51.4%), physical abuse (28.9%) and neglect (3.8%). And an association between childhood experience of abuse and perpetration of child abuse was found with a perfect mediation effect of family conflict. Based on the results, social welfare intervention program was suggested to reduce domestic violence among military families in South Korea.