• 대한간호학회지
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• 제37권4호
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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.

• 대한간호학회지
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• 제45권4호
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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.

• 중환자간호학회지
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• 제8권2호
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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.

• 성인간호학회지
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• 제29권1호
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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.

• Tuberculosis and Respiratory Diseases
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• 제67권6호
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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.

• 한국주거학회논문집
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• 제15권6호
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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.

• Journal of Hospice and Palliative Care
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• 제21권4호
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• pp.137-143
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• 2018

목적: 가족구성의 특성이 건강에 미치는 영향에 관한 다양한 실증 연구들이 꾸준히 보고되어 왔다. 우리나라에 말기암환자의 가족구성의 특성에 대한 연구가 부족하여 이에 본 연구에서는 호스피스 병동에 입원하고, 사망한 말기암환자의 가족구성의 특징을 파악하고 호스피스 완화의료 이용과의 연관성에 대해 알아보고자 하였다. 방법: 2009년 1월부터 2014년 3월까지 일개 호스피스 병동에 입원 후 48시간 후 사망한 말기암환자의 134명의 의무기록을 후향적으로 분석하였다. 환자들의 인구사회학적 및 임상적인 특성을 확인하여 동거배우자 유무에 따른 차이를 살펴보았으며, 암 진단 후 호스피스 입원까지 기간(개월) 및 입원 후 사망까지의 생존기간(일)을 산출하여 가족구성과의 연관성을 알아보았다. 결과: 암 진단 후 호스피스 입원까지 기간의 중앙값 13개월을 기준으로 나눈 Group B(13개월 이후)에서 배우자 동거군의 비율이 통계적으로 유의하게 높았다(P<0.01). 주의사결정권자는 Group A에서는 자녀인 경우가 59.0%, B에서는 배우자가 52.9%로 많았다(P=0.04). 호스피스 입원 후 사망까지 기간의 중앙값 20일을 기준으로 Group 1(20일 미만)과 Group 2(20일 이상)로 나누어 살펴보았을 때 두 군 간의 가족구성의 특징은 통계적으로 유의한 차이가 없었다. 결론: 가족구성의 특성 중 배우자의 유무가 말기암환자의 호스피스 완화의료 이용 시기에 영향을 미치는 요인으로 나타났으며, 말기암 환자와 가족의 보다 더 효율적이고 적절한 호스피스 완화의료 이용을 위해 가족 구성의 특성을 파악하는 것이 도움이 될 수 있다.

• 아동학회지
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• 제30권6호
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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.

• 한국실내디자인학회논문집
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• 제14권2호
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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.

• 한국콘텐츠학회논문지
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• 제18권5호
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• pp.343-356
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• 2018

본 연구의 목적은 직업군인 배우자의 성장기 학대피해경험이 자녀학대에 미치는 영향을 파악하고, 성장기 부모로부터의 학대경험이 결혼 후 자녀학대로 이어지는 경로에 있어서 가정폭력피해 경험의 매개경로를 파악하여 자녀학대 가해에 대한 사회복지적 개입 방안을 모색하는데 있다. 이를 위해 2015년 후반기 육군 3개 부대, 해군 2개부대, 공군 2개부대를 선정하여 자발적으로 설문에 응답한 직업군인 배우자를 대상으로 실태 조사한 설문자료를 사용하였으며, 최종분석에는 18세 미만의 자녀를 둔 기혼 직업군인 배우자 238명의 자료를 사용하였다. 분석결과 직업군인 배우자의 자녀학대 가해률의 경우, 정서학대가 51.4%, 신체학대가 28.9%, 방임이 3.8%로 나타났다. 또한 연구모형을 검증한 결과, 직업군인 배우자의 성장기 학대경험과 자녀학대 간에 직접적인 영향관계가 있는 것으로 나타났으며, 성장기 학대경험이 부부갈등을 매개로 자녀학대로 이어지는 경로가 유의미한 것으로 확인되었다. 이러한 연구 결과를 바탕으로 우리나라 직업군인 배우자의 가정 내 불화와 자녀학대를 예방하기 위한 군사회복지적 개입 방안을 제언하고자 한다.