• Title/Summary/Keyword: Family health management

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The impact of admission decided by patients or their family on the length of stay and medical expenses of the elderly (노인 환자 및 보호자에 의한 입원서비스 결정 여부가 재원일수와 진료비에 미치는 영향)

  • Son, Yehrhee;Kim, Kyuna;Seo, Youngjoon
    • Korea Journal of Hospital Management
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    • v.27 no.1
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    • pp.31-42
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    • 2022
  • Purposes: This study aims to investigate the changes in the length of stay and medical expenses by the impact of the admission decided by patients or their family. Methodology: The analysis was conducted using data from elder patients aged 65 or older who have used admission services more than once from year 6(2012) to year 12(2017) of the Korean Medical Panel Data(KOWEPS). The statistical analysis was performed through the Chi-square test, mean difference analysis, and generalized estimation equation analysis. Findings: Compared to the patients who used admission services decided by doctors, those who used admission services decided by patients or their family had a longer length of stay and a lower daily medical expense. Practical Implications: Inappropriate admission decided by patients or their family can increase the risk of hospital-acquired infections, impairing the health of elderly patients, and has a negative impact on the efficiency of health resources. Therefore, it is necessary to prevent and properly manage inappropriate admission decided by patients or their family

The Social Networks and Psychological Well-Being of Korean Women Immigrants (한국 여성 이민자의 사회적 지지와 심리적 복지)

  • Seo, Lee-Na
    • Journal of Family Resource Management and Policy Review
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    • v.10 no.4
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    • pp.87-107
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    • 2006
  • A study of 117 Korean immigrant women who had husband and(or) children in Hawaii found the relation between social networks and psychological well-being. Social networks composed supporters, support structure, and support contents. Psychological well-being examined family life satisfaction, family life stability, and women's psychological health. Results showed as followed. First, the choice of immigration place among Korean immigrant women and her family based on other family members and friends lived in there. Second, her supporters were family and relatives, Korean friends, foreign friends, religions, belonged organizations and groups, public agencies in Hawaii, and mass-media. The best supporters of them was family and relatives and they mostly provided mental health to Korean immigrant women. Family, Korean friends, foreign friends, and religions tended to support emotional assistance. Third, the level of psychological well-being was higher. Her level of psychological health was higher than the others. Fourth, the best predictors of psychological well-being were child existence, occupation, and immigration duration. Fifth, psychological well-being significantly distinguished different relations of supporters from support structure of social network. The number and support duration with foreign friends supporter and the support duration and the level of perceived useful support content highly related with psychological well-being.

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Factors Influencing Depression of the Cancer Patient's Family Caregivers (암환자 가족원의 우울에 대한 영향요인)

  • Hong, Min-joo;Kim, Young-suk;Bang, Bu-kyeong;Kim, Ick-Jee
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.163-172
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    • 2019
  • Objectives: With the rapidly increasing incidence of cancer worldwide, it has become important for health care professionals to both provide care for cancer patients and to address the challenges faced by family caregivers of cancer patients. This study aims to identify the factors affecting depression among cancer patients' family caregivers. The results of this study suggest the need to propose programs for family caregivers as well as cancer patients. Methods: Participants were 219 caregivers who were informed of the study purpose and agreed to participate. Data were analyzed using t-tests, one-way ANOVA, Scheffe's test, Pearson correlation coefficients, and multiple stepwise regression with the SPSS/WIN 25.0 program. Results: The mean score for depression among cancer patients' family caregivers was $1.57{\pm}.40$ (range: 0-3). Depression was significantly different based on age, relationship with the patient, education, occupation, cancer recurrence, care days per week, financial burden, site of cancer, and health status. Analysis using multiple regression showed that model 1 showed 16% of the factors predicting depression among cancer patients' family caregivers (F=6.16, p<.001) including occupation, recurrence, and health status of the caregiver. Model 3, which included additional burnout, showed 37% of the factors predicting depression (F=12.36, p<.001). Conclusions: These results suggest that it is necessary to develop programs for prevention and management of depression among cancer patients' family caregivers.

Effects of Job Burnout on Organization Commitment and Organizational Citizen Behavior: A Moderating Effect of Family-Supportive Organization Perception (직무 소진이 조직몰입과 조직시민행동에 미치는 영향: 가족친화 조직인식의 조절 효과를 중심으로)

  • Kim, Jung-Sun;Lee, Geun-Chan
    • The Korean Journal of Health Service Management
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    • v.13 no.4
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    • pp.145-161
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    • 2019
  • Objectives: Work-Family Balance (WFB) is a significant social issue in Korea. We examined the effects of employees' burnout on organizational performances by determining the moderating effect of family-friendly organizational culture in firefighter's organization. Methods: To test the hypothesis, data were collected from firefighters who are working at five fire stations in Deajeon and Chungnam province. Based on quantitative survey from 489 respondents, hierarchical regression analyses were performed. Results: The analysis revealed that job burnout had a negative effect on both organizational commitment (OC) and organizational citizen behavior (OCB). Family-Supportive Organization Perception (FSOP) negatively moderated the relationship between burnout and OCB. On the other hand, there was no significant moderating effect of FSOP on the relationship between burnout and OC. Conclusions: This study raises the importance of creating an organizational culture that gives its members a belief that the organization guarantees and supports the work-family balance system.

Analyses of Experiences of family of Origin among the People Filing Consensual Divorce (협의이혼 청구자의 원가족 경험 분석)

  • Chun, Young-Ju;Lee, Sung-Hee
    • Journal of Families and Better Life
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    • v.24 no.5 s.83
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    • pp.191-203
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    • 2006
  • This study examined the experience of family of origin among those who decided consensual divorce. Questionnaires regarding family relationships, alcohol problem, domestic violence, and health in family or origin were distributed to 500 people who visited Busan Family court for filing divorce and 3% questionnaires were collected by the staff of the Family court in April, 2004. As for analyzing the data, using SPSS/WIN 10.0 program, t-test and ANOVA were conducted. The results of analyses are as follows. First, more respondents tended to report that theirs parents' marital relationship was bad in their childhood than parent-child relationship. Second, 41% of all respondents reported that their parents have had alcohol problems, and 32% reported that there had been domestic violence between their parents. Third, the overall score of health in family of origin was lower than the medium score, which implies the lower health in family of origin among the divorce deciders. Lastly, there were some differences in experiences of family of origin in terms of some demographic variables such as gender, education, and religion. Women tended to perceived their family relationship more positively than men did. Also, highly educated group of divorce deciders reported lower parental alcohol problem and higher health in family of origin than the group of lower education. Respondents which had specific religions reported that their parents have had less alcohol problems, and higher health in family-of-origin.

The Level of Importance of Well-being Foods and the Level of Satisfaction Depending on Married Women's Lifestyle (기혼여성의 라이프스타일 유형에 따른 웰빙지향 식품에 대한 중요도 및 구매만족도)

  • Han, Sung-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.14 no.4
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    • pp.239-262
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    • 2010
  • This study looks at the patterns of married women's lifestyles and verifies whether there are differences in their preferences, the will to continue shopping, and the importance of healthy foods. The paper analyzes the relative influence of each lifestyle pattern on the level of satisfaction with healthy foods. The results of the analysis of this study are as follows. To find patterns in the lifestyles of married women ages 20s to 50s, the factors were analyzed and five lifestyle patterns were extracted: health managing type, fashion pursuing type, self-expressing type, family-oriented type, and eco-friendly type. If we examine the purchasing of healthy foods for each lifestyle, women with a self-expressing lifestyle gain more information from news articles, books, and salespeople than from other information sources. Women of the health managing, family-oriented, and eco-friendly types had high purchasing frequencies and amounts. A cluster analysis was carried out to categorize the different groups being investigated into lifestyle types. They were categorized into the four clusters: active multiple-oriented type; fashion, self-expressing compromising type; passive well-being oriented type; and family and health managing type. It has been verified that there are differences among the clusters in terms of the level of importance of products, contributions to health, as well as distribution and management of healthy foods. To be more specific, the level of importance of the products as well as their distribution and management manifested as being higher among the active multiple-oriented type and the family-oriented and health managing types. The level of importance of contributions to health scored high among all groups, except the passive well-being oriented type. The active multiple-oriented type and the family-oriented and health managing types showed a high level of preference and will to continue purchasing healthy foods, while the fashion and self-expressing compromising types and passive well-being oriented type showed a low level of preference and will. In order to find patterns in the level of satisfaction with healthy foods, three factors were analyzed: credibility of labels, contributions to health, and satisfaction with the store. The factors that had the greatest influence on the total level of satisfaction was the credibility of labels for the family-oriented lifestyle; a product's contribution to health for the health managing lifestyle; and the store for the fashion pursuing lifestyle.

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Health Information Needs of Grandmothers Caring for Their Grandchildren (손자녀를 돌보는 조모의 건강정보요구)

  • Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.9 no.1
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    • pp.43-54
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    • 2006
  • Purpose: This study was done to describe the health information needs of grandmothers caring for their grandchildren. Methods: Participants in this study was 8 grandmothers caring for their grandchildren entering school. The data were collected through in-depth interviews using a semi-structured questionnaire. The interviews done from March 7 to 9 in 2005. The contents of the interview were analyzed using the inductive content analysis method. Results: 3 main categories emerged from 5 theme clusters and 17 themes. The categories were 'health of grandmother', 'health of grandchildren', and 'health of adult'. Conclusion: In conclusion, it was found that the grandmothers have the variable health management needs of family members. From this study it is proposed that there is a need to develop programs for information of health management of family members and health care to improve their quality of life. Ultimately, a good care environment for children will be good for the children's growth and development.

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A Study on Self-Efficacy, Family Support and Health Promoting Behavior of the Aged in a Community (일 지역사회 노인의 자기효능, 가족지지와 건강증진 행위와의 관계연구)

  • Choi, In-Hee
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.657-666
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    • 2003
  • Purpose; This study was conducted to investigate the relationship between self-efficacy, family support and health promotion behavior of the elderly in a community. Method: The sample consisted of 208 elderly and data was collected from November 18 to December 21, 2002. The instrument of this study was a structured questionnaire including health promoting behaviors, self-efficacy, family support, general characteristics. Analysis of the data was done by use of descriptive statistics, t or F, Pearson Correlation Coefficient, Stepwise multiple regression. Results: 1. The general characteristics related to health promoting behavior were gender, family structure, education level and monthly pocket money. 2. The general characteristics related to self efficacy were gender, age, family structure, education level, religion and monthly pocket money. 3. The general characteristics did not affect family support. 4. Health promoting behavior score was the highest in the interpersonal support (2.72) and in order was nutrition(2.65), stress management(2.31), self actualization(2.30), exercise(2.05), health responsibility(1.86). 5. There was a significantly high correlation between health promoting behavior and self efficacy(r= .605, p= .000), and family support(r= .500, p= .000) and between self-efficacy and family support were correlated relatively high(r= .498, p= .000) 6. Stepwise multiple regression analysis revealed that the most powerful predictor of health promotion behavior in elderly was self-efficacy (39.6%). A combination of self-efficacy, family support, monthly pocket money, education level and present illness status explained 48.5% of the variance for health promoting behavior. In conclusion, the results of this study showed that self-efficacy and family support are very important variables in explaining the health promoting behaviors in elderly. Therefore, these variables should be considered in nursing intervention development and education, especially, self-efficacy improving programs that considered exercise and health responsibility are expected to effect the health promoting behavior in elderly.

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Experimental Study on Low-income Single-Parent Family Case Management (저소득 여성 한부모가족 사례관리 실천 경험 연구)

  • Kang, Ki Jung;Park, Su Sun
    • Journal of Family Resource Management and Policy Review
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    • v.17 no.1
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    • pp.39-61
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    • 2013
  • This paper analyzed the experience of case management experts and single mothers in managing the cases, as the useful approach for family enrichment of a low-income single parent family. The analysis included five case managements and interview with three case management experts for single-parent families. Four of the five cases have been in progress at present. According to the analysis, the main appeals for single-parent families were economy and basic life, physical and mental health, family and social relationships, and child care and education. Furthermore, the interview with the case management experts identified the difficulty in managing single-parent family cases, especially those cases with complicated demands and problems, barriers to expert management, and required support for family enrichment. Finally, this paper analyzed the implementation process of case management for single-parent families in a specific area, meaning that the results of this paper do not represent all single-parent families. Moreover, the analyzed reports were specific to the case management implementation process. Thus, the contents, which were not recorded in the reports, were not fully reflected, and the in-depth analysis of multilateral aspects was restricted.

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Determinant of the Health Promoting Lifestyle of the Teachers in Choong-Buk province (충북지역 교사들의 건강증진생활양식)

  • Lee, Kyu-Nan;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.9 no.1
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    • pp.30-39
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    • 1998
  • The purpose of this study was to identify the factors influencing health promoting lifestyle of teachers and to provide the data for efficient health management of teachers. The subjects of this study were eight hundred nine teachers, who were chosen in Choong-Buk province. Survey Questionaires for data analysis were collected through visiting or mailing from September 1 to 30, 1997. The instruments used in this study were HPLP(Health Promoting Lifestyle Profile) by Walker (1987), Internal Health Locus of Control by Walston et al. (1978), Self Esteem by Rogenberg(1965), Importance of Health by Muhlenkamp (1985), Self Efficacy by Sherer & Maddux(1982), and Family Function by Olson & Schellenberg (1985). Data were analyzed by descriptive statistics, unpaired t-test, ANOVA, Pearsons correlation coefficient and stepwise multiple regression using SPSS/PC(v. 4.01) program. The results were as follows; 1. The mean of health promoting lifestyle was total 2.53 on the average, self-actualization 2.97, nutrition 2.90, interpers 52, stress management 2.33, exercise 1.91, and health responsibility 1.82 in order. The index of total health promoting lifestyle was significantly influenced by the factors including sex, age, religion, marital status, duration of work, teaching load, education level and number of family members. 2. The health promoting Lifestyle was significantly positive correlated with Self Efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Self Esteem. 3. Self Efficacy was the most influential determinant predicting health promoting lifestyle of teachers. Self efficacy, Family Function, Importance of Health, Internal Health Locus of Control and Age explained 42% of the health promoting lifestyle. Based on the above findings, it is suggested to develop nursing intervention to improve Self Efficacy, Importance of Health, Family Function of teachers enhance health promoting lifestyle. Further studies are needed to confirm these findings and to determine factors which significantly influence health promoting lifestyle of teachers.

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