• 가족자원경영과 정책
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• 제10권3호
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• pp.1-21
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• 2006

The purpose of this study was to examine the variables which account for grandchildren caregivers' subjective well-being. The subjects of this research were 100 grandmothers who are currently caring for grandchildren. The instruments used for this study were 'Job Content Questionnaire' by Karasek(1979), 'Family Support Inventory for Worker' by King, Mattimore, King, & Adams(1995), 'Social Support Scale' by Park(1985) and 'Psychological Positive Functioning' by Ryff(1989). Data was analyzed by descriptive statistics, Pearson's correlations and hierarchical multiple regression. The major results of this study are as follows; First, grandchildren caregiving's demand level was negatively related to grandmothers' subjective well-being, but it's control and support level were positively related to them. Second, the variables that explained grandchildren caregivers' sutjective well-being were their marital status, income, material reward, and family support. When they had a husband, the more money they had, and with more rewards for caregiving plus family support given, the more positive subjective well-being they had.

• 정신신체의학
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• 제22권1호
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• pp.13-22
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• 2014

연구목적 2001년 이후로 유방암은 한국에서 가장 흔한 여성 암이 되었다. 진행 유방암으로 진단받을 고위험군을 확인하는 것은 유방암 사망률을 줄이기 위한 효과적인 방법 중 하나라고 할 수 있다. 본 연구의 목적은 유방암을 진단 받은 시점에서 진행 유방암과 연관된 사회인구학적, 건강행위 건강특성, 임상적 그리고 정신사회적 요인을 조사하며, 진행 유방암을 예측할 수 있는 요인을 밝히는 데 있다. 방법 경북대학교 병원에서 처음으로 유방암을 진단받고, 수술을 시행한 후 '유방암 환자들을 위한 스트레스 클리닉'에 자문 의뢰되어 정신의학적 면담이 시행된 219명의 환자를 대상으로 하였다. 기본 사회인구학적 자료를 비롯하여, 자가진단 및 유방촬영술의 규칙적 시행여부, 진단 당시의 병기, 유방암 발견 경위 등을 조사하였다. 정신사회적 요인으로는 경제적 및 가족적 부담, 부부관계기능, 가족관계기능 정도 등을 반구조화된 면담을 통해 파악하였다. 교차분석과 로지스틱 회귀분석으로 조기 유방암 환자군과 진행 유방암 환자군 간에 변수를 비교하고 진행 유방암 환자군을 예측할 수 있는 요인을 확인하였다. 결과 유방암을 진단받은 시점에서 120명(54.8%)이 진행 유방암으로 확인이 되었다. 단변량분석을 통하여 조기 유방암을 진단받은 환자군과 진행 유방암을 진단받은 환자군 사이에 통계적으로 유의한 차이가 난 변수는 다음과 같았다. 건강행위 및 특성 변수로는 자가 검진행위(p<0.000), 매년 유방촬영술 시행여부(p<0.000)이었다. 암 관련 임상적 특징으로는 종양 발견경위(p<0.000), 첫 증상의 양상(p<0.000), 첫 증상 발견부터 치료까지 소요된 기간(p<0.000)이었다. 정신사회적 요인으로는 부부관계기능(p<0.000)과 가족관계기능(p=0.000), 과도한 경제적 가족적 부담(p=0.018)이었다. 로지스틱회귀분석을 통하여 매년 비진행 유방암에 영향을 미치는 독립인자로는 매년 유방암 선별을 위해서 실시하는 유방촬영술을 비정기적으로 시행하거나(OR=7.431 ; 95% CI 2.407-22.944), 전혀 시행하지 않는 경우(OR=25.299 ; 95% CI 7.855-81.482)였으며 정신사회적 요인으로는 기능 부전적 부부관계(OR=4.772 ; 95% CI 2.244-10.145)가 유일했다. 결론 본 연구를 통하여 진행 유방암 진단의 위험인자로 널리 알려진 비정기적 검진을 재확인하였으며, 이외에도 정신사회적 요인으로서 '비기능적 부부관계기능'을 밝혀냈다. 이러한 결과는 유방암을 조기에 진단하는데 전통적으로 인정되어 왔던 사회인구학적, 임상적 요인 이외에도 정신사회적 요인이 중요한 영역임을 시사한다.

• 대한간호
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• 제31권5호
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• pp.72-87
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• 1992

This study was designed to develop and lest a structural model for paternal adaplation and family stress in the families with the handicapped children. A hypothetical model was constructed on the basis of family stress theory developed by McCubbin etc. The model included 6 theoretical concepts and 11 paths. For the purpose of the model testing, empirical data were collected from May to August, 1992. The subject of the study constituted 190 mothers whose children admitted in the five special schools and one privale institutes in Seoul and Choong Nam. In data analysis, SPSS PC+ and PC-LISREL 7.13 computer program were utilized for descriptive and covariance structure analysis. The results of lhe study were as follows. (1) Hypothetical model showed a good fit to the empirical data [Chi-square = 21.19 (df = 7, P = o. 003), Goodness of Fit Index=O.986, Adjusted Goodness of Fit Indes=0.946, Root Mean Square lesidual=0.048), Non Normed Fit Index = 0.80, Normed Fit Index=0.91]. (2) The results of Hypothesis testing indicated: 1) Social support(${\gamma}_11=.238$, T=2.352), Family Functioning(${\gamma}_12=.729$, T=5.957) had direct effects on situational definition. 2) life event stress(${\gamma}_23=.284$, T=5.220) had direct effects on the effect of the handicapped chid on the family. 3) Family functioning(${\gamma}_32=-.239$, T= -3.370) had direct effects on paternal adapation. From the above results, the significance of this study can be delineated as follows : The construction and testing of the comprehensive model seem to be the first trial in Korea. The model was supported by empirical dala. Thus it was suggested that model could be adequately applied to framily nusing care with the handicapped.

• 가정과삶의질연구
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• 제13권4호
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• pp.1-14
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• 1995

Various theoretical models have developed io both a family research area and family therapy field on he basis of several family theories and social theories in order to understand the family life and its function. These theoretical models have give rise to provide not only a framework for family therapy bt also opportunities for the development of family studies. Regardless of the devotion of these theoretical models to a family therapy however some family therapy professions have suggested the disvergence between these models and practice because the models tend to confuse therapists in their actual practices Other family therapists on the other hand have claimed the convergence between these models and practice. One of the reasons for the issues of convergence and disvergence in the family therapy study would be that various theoretical models have different sometimes contradicatable definitions and explanations for same concept. Therefore the purpose of this paper is to investigate the extent of similarities and differences among these theoretical models of practice in a way of examining family models to compare Olson's circumplex model to the Beavers systems model. Both models were based on the general systems theory. This paper consists of the explanation of Olson's circumplex model and Beavers systems model in general respectively. Then it will investigate similarities and differences between these two models in terms of the relationship between family functioning and family adaptability.

• 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.

• 가족자원경영과 정책
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• 제21권4호
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• pp.17-33
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• 2017

The purpose of this study is to find out the features of the Korean family change since 2,000 and to interpret the meaning of the change on the basis of the critical review of both the positive perspective and the negative perspective of the family change in Korea. Through the method of the literature review and the analysis of the various statistics by KOSTAT, it is drawn that explaining the change only by "diversity of family compositions" is not enough to figure out the meaning of the family change in Korea today and that it is needed to go further to approach the change as disintegration of the 'nuclear' composed of the married couple and their children. It is also drawn that the disintegration has led to weakening of the long term functions by the family, i. e., the function of life and of the virtues, which shakes the way of human life and the order of our society. Therefore, the present family change in Korea is to be understood as crisis, not as progress. And it is recommended that the family politics in Korea is to be focused on the ways for the healthy functioning and rebuilding the nuclear of the family.

• 한국사회복지학
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• 제58권2호
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• pp.303-330
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• 2006

우리나라 빈곤 아동의 다수가 부모가 부재하거나 있더라도 장애나 질병으로 실질적인 부모로서의 역할을 담당하지 못하는 경우가 많은 상황이다. 따라서 아동들이 불가피하게 가족 내에서 다른 성인의 역할을 대체하는 경우가 많다. 그러나 지금까지 빈곤 관련 선행연구들에서는 가사나 돌봄 노동과 같은 성인역할을 하고 있는 아동들에 대한 고려는 매우 부족했다. 이에 본 연구에서는 빈곤과 사회정서적 발달간의 관계에서 성인역 부담의 기제를 규명하고자 했다. 즉, 아동이 성인 역할을 수행하는 데에서 오는 부담이 그들의 사회정서적 발달에 어떠한 기제로 영향을 미치는지를 고찰하고자 했다. 이를 위해 서울시 소재 자치구내 초등학교 4학년 학생 및 학부모를 대상으로 매년 1회 조사를 실시하는 서울아동패널연구(Seoul Panel Study of Children; SPSC) 1차년도(2004년도) 자료를 활용하여 구조방정식모형으로 분석하였다. 분석결과 빈곤과 가족의 구조적 결손이 가족기능에 부정적인 영향을 미쳐서 아동의 성인역 부담을 증가시키게 되고, 이는 결과적으로 아동의 사회정서적 문제를 야기하게 됨을 알 수 있었다. 결론에서는 이상의 결과에 기반하여 빈곤 아동의 성인역 부담을 경감시키기 위한 개입 전략과 실천 지침을 논의하였다.

• 지역사회간호학회지
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• 제20권3호
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• pp.371-380
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• 2009

Purpose: This study aimed at describing the characteristics and nursing needs of vulnerable families in a City. Methods: A total of 427 vulnerable families enrolled in the Visiting Health Care Center in K-gu of S city were investigated in this study. Data were collected using questionnaires for one year from Jan to Dec, 2003, and analysed using mean, standard deviation and $x^2$. Results: Most of the vulnerable families investigated here showed many deficits, especially incomplete family structure (62.8%), financial problem (84.0%), lack of support (55.8%) were prevalent. The score of level of economic status in Family Capability for Self management ($1.95{\pm}0.65$) was lowest, and the score of perception of family problem and health of family members ($2.62{\pm}0.78$) was highest. The four family groups divided according to the total score of family management capability showed significant differences in family interaction, support, and coping domain. The total score of family management capability increased as family functioning-related problems decreased in the vulnerable families. Conclusion: In order to find vulnerable families, and improve their family function, it is required to develop the systematic assesment tools, community supportive systems and nursing interventions for family strength.

• 가정과삶의질연구
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• 제32권5호
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• pp.41-61
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• 2014

The purpose of this study was to investigate whether differentiation of self mediates the relationship between parenting styles (i.e., care and overprotection) and the level of career decision-making among young adults. We separately measured the mother's and the father's parenting styles and five dimensions of differentiation of self that S. Je (1989) suggested. The data came from 387 young adults who were juniors and seniors at universities in Seoul and its surrounding cities. Using Baron and Kenny's (1986) steps based on regression, we found that the relationships between both caring and overprotective parenting styles and young adults' level of career decision-making were mediated by four dimensions of differentiation of self (i.e., intellectual functioning vs. emotional functioning, family projection process, emotional cutoff, and family regression) except for integration of self. The results were consistent for both the mother and the father. Bootstrapping tests showed that all of the mediation effects were statistically significant. This study contributes to the literature by showing that young adults' level of career decision-making is not simply determined by inputs such as parenting styles but is also mediated by differentiation of self. The results of this study are meaningful in that both the mother's and the father's parenting styles could make a difference in young adults' level of career decision-making through differentiation of self.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권2호
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• pp.145-153
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• 2021

Purpose: Children treated for Hirschsprung disease (HD) are adversely affected by fecal incontinence and soiling. This can be detrimental to their physical, psychosocial quality of life (QoL) and impacts the normal functioning of their family. QoL studies in HD are predominantly from developed countries. We measured general quality of life, impact on family and functional bowel status using validated questionnaires in HD children in a developing country. Methods: Patients with HD, treated in a tertiary paediatric institution in India between 2010 and 2017, were identified. Patients and/or their proxy completed the Pediatric Quality of Life and Family Impact Module questionnaires. Functional outcomes were assessed using Rintala's score. Results: A 86 children and their parents participated in the study. Majority had rectosigmoid disease (67.4%) and underwent Soave's endoanal pull through (74.4%). A 21% of patients had low Rintala score indicating poor functional bowel outcomes. Only 11% of children had poor QoL scores. Family functioning outcomes were also severely affected in the same subgroup of patients. There was statistically significant correlation between Rintala score and QoL scores (p-value<0.001). Disease severity, type of surgery, and duration of follow-up did not have a statistically significant impact on the QoL. Conclusion: QoL in children with HD was comparable to the general population. Bowel dysfunction affects a notable number of children and was the most significant determinant of poor QoL.