• Asian Pacific Journal of Cancer Prevention
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• 제17권9호
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• pp.4275-4279
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• 2016

Background: Cancer is a major health problem due to the aging population with increasing deaths. Family functioning is affected by cancer diagnosis and treatment. The aim of this study was to comparative analysis of the perception of family functioning by heads of families with and without cancer members during illness, focusing on changes or probable changes. Materials and Methods: This comparative study was conducted on two groups (families with a member of the cancer and controls without a family member with cancer). The families were of patients referred to the clinics and hospitals of Imam Khomeini, Taleghani and Omid of Urmia city, the number of samples being 148 for cases and 176for the control group. To collect the data, valid and reliable family functioning (FAD) was applied, a 60-item questionnaire with seven dimensions, with heads of families. To analyze the data SPSS- 23 Software was used for descriptive and analytical statistics. Significance level was defined p <0.05. Results: Among the seven items : problem solving, communication, roles, emotional response, emotional involvement, behavior control and overall functioning, only differences for average scores of problem-solving were statistically significant. Discussion: Contrary to common perception of severe damage for family functioning in families with cancer members, results of this study indicate that functioning in terms of family caregivers is more or less similar to that of the families with other diseases. Only in problem-solving item do these families experience more difficulty. Conclusion: According to the research findings, in nursing from families with cancer patient, it is recommended to focus more on the problem-solving item of the families.

• 보건행정학회지
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• 제22권1호
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• pp.145-162
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• 2012

The purpose of this study is to understand magnitude and its related factors of user's cost-sharing for non-covered services in long-term care facilities. We corrected data for 1,016 subjects, based on the long-term care benefits cost specification. Eighteen subjects were excluded from the data analysis due to missing data on family care-givers characteristics. Finally, 998 subjects were included in the study. The average cost of non-covered services per month was 209,093 won and distributed from 0 to 1,011,490 won. There was a significant difference by the characteristics of family care-givers and long-term care facilities. The monthly average cost for meal materials per person was 199,181 won(0~558,000), average cost of additional charge caused by using private bed was 232,992 won (50,000~600,000), and costs for haircut and cosmetics were 8,599 won. For the rest, there were various programs costs(93,328 won), diaper and its disposal cost(109,628 won), purchase cost for daily necessaries(24,435 won) and etc. The related factors for the magnitude of non-covered services expenditures were education level of family care-givers, occupancy rate and location of LTC facilities, and the costs of using private bed, haircut and cosmetics, and various programs among non-covered services. These findings suggest that present level range of LTC facilities users' cost-sharing is wide and it is urgent to prepare the standard guideline for cost and level in non-covered services.

• 가족자원경영과 정책
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• 제14권1호
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• pp.37-55
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• 2010

The purpose of this study was to determine the factors affecting family strength and therewith, suggest some strategies to improve family strength and welfare. For this purpose, the researcher sampled 208 college students and surveyed them for their perceptions of the concept of family and family strengths. The results of this study can be summarized as follows. First, as a result of surveying the subjects on their perception of the concept of family, it was found that almost all of them (99%) perceived that 'a family consists of a couple and their children' (item 1). The other items regarding the concept of family chosen by the majority of subjects were 'a couple and adopted child' (item 3 & item 17), 'a remarried couple and their children' (item 9), 'a single parent and children' (item 2), 'a three-generation family; couple, widowed daughter and granddaughter' (item 4), 'three sisters' (item 7), 'an unmarried woman living with a son born from a sperm bank' (item 19), 'a separated couple with no child' (item 13), 'cousins living together' (item 11), 'a divorced man and his girlfriend with child' (item 15) and 'homosexual family' (item 8). Second, as a result of assessing subjects' needs for family functions and their efforts for family strengths, it was found that the family functions for family members scored higher than those for the society, and that subjects' efforts for the family functions conducive to both their family members and society scored lower than their needs for the family functions. Third, subjects' needs and efforts for family functions were positively correlated with family strengths. Namely, family functions were closely related with family strengths.

• 보건행정학회지
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• 제30권4호
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• pp.460-466
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• 2020

Background: The purpose of this study is to analyze whether there is a change in patterns of medical use among those likely to be converted their health insurance qualifications when the family support rule is alleviated. There is no empirical analysis that converting health insurance qualification will affect the increase in medical use. Methods: For analysis, data were extracted from the national health insurance eligibility and medical care database. To identify analysis targets similar to that of medical aids' characteristics among health insurance coverage, we compared income, property level, and medical use patterns through basic statistical analysis and used a difference-in-difference (DID) analysis to estimate the net effect of changes in medical use following the change of qualifications. Results: The main results are as follows. The results show that those who are under the 5% income group (1st income group) of health insurance coverage are the most similar to the medical aids group. DID analysis shows that changes in the medical use of people who maintain their national insurance qualification and who are not. As a results, the number of hospitalized days of converting group was reduced by 3.5 days while outpatient days were increased by 1.8 days. Conclusion: As a result, there was not much difference in the patterns of medical use for the under 5% income group who are likely to be eligible for expanded medical aids when the family support rule is alleviated. In addition, more than 30% of them are in arrears with their health insurance premiums, causing inconvenience in using medical services. These findings suggest the need of abolishing the criteria obligated to support family, and great efforts should be made to contribute to non-paid poor and remove their medical blind spot.

• 간호행정학회지
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• 제17권2호
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• pp.147-157
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• 2011

Purpose: This study was done to investigate factors affecting perceived financial burden of medical expenditures. Method: The participants were 2,024 inpatients who were enrolled in a survey on the benefit coverage rate of the National Health Insurance in 2006. The collected data were analyzed using t-test, ANOVA-test, Mann-Whitney-test, Kruskal-Wallis-test, Chi-square test and logistic regression. Results: The crucial factors for perceived financial burden were age, job, equivalence scale, ratio of annual family income vs medical expenditure, and private health insurance. Perceived financial burden was higher for people who were older, who were unemployed, whose medical expenditures were high compared to annual family income, whose index of family equalization was low and for those who had no private health insurance. Conclusion: The results of the study indicate a demand for system reform that will enable management of no-pay hospital bills in the National Health Insurance to decrease the medical expense of people in the low-income bracket.

• 여성건강간호학회지
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• 제25권4호
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• pp.409-422
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• 2019

Purpose: The purpose of this study was to investigate the factors impacting the posttraumatic growth (PTG) factors during chemotherapy in gynecologic oncology patients. Method: The data were collected at six hospitals at a university hospital, general hospital, women's hospital, and 3 oncology hospitals in D metropolitan city. The participants of the study were 135 female patients undergoing chemotherapy for their gynecologic oncology. To identify the factors that influence PTG, we used the questionnaires for the family support, sexual distress, health promoting behavior, and PTG. Results: There was a significant positive correlation between family support and health promoting behavior and PTG. There was significant negative correlation between sexual distress and PTG. Factors impacting the PTG of gynecologic oncology women undergoing chemotherapy were age, recurrence, family support, sexual distress, and health promoting behavior. These factors accounted for 47.0% of PTG. Conclusion: It is necessary to develop and apply programs that include sexual distress management education, and health promotion with families. PTG programs for gynecologic oncology patients undergoing chemotherapy should be approached considering these results.

• 지역사회간호학회지
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• 제13권3호
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• pp.423-432
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• 2002

This study was conducted to test the validity of characteristics of family nursing phenomena in Korea identified in a previous study by Yoon, S. Y, et al. (1999). Data for this study were collected from 355 (first measurement 186, second measurement 169) nurses whose family nursing careers were more than one year using a cross sectional survey method. The distribution per one characteristic ranged between 0 to 5. The phenomena that had two or more characteristics and had a score of 3.0 points or more included disturbance in marital role', 'disturbance in family communication', 'inappropriate family coping', 'lack of family intimacy', 'unhealthy life style', 'deficit of financial management skill and support', 'inadequate care management sick member', and' inadequate home-making'. The essential characteristics of the 8 phenomena presented above included 27 items. Further studies on family nursing phenomena in Korea are needed to support the evidence through surveys of families in the field. A reconfirmation study, as well as qualitative research on the low validity of the characteristics, needs to be more performed in the future.

• 가족자원경영과 정책
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• 제3권2호
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• pp.61-76
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• 1999

The purpose of this study is to investigate the degree of influence on the elderly’s life adjustment and decision making in the family. For these research tasks the data were collected through interview. the respondents were 296 of man and woman elderly who lived in JeonJu. It was analyzed by various statistical methods such as Frequency, Percentile, ANOVA, correlate, t-test, Multiple Regression Analysis. The finding of this study are as follows; 1) Decision-making of the elderly in family had significant differences I the area of sex, the sum of monthly personal expenses, satisfaction level of personal expenses, subjective economic level and self-esteem in the order named. 2) Elderly life-adjustment had significant differences in the area of the residential district, the present job, the situation of a apouse, religion, education, the sum of the monthly personal expenses, health, satisfaction level of personal expenses, subjective economics level and self-esteem. 3) When we observe relationship with the elderly decision-making in family and life-adjustment, relation decision-making in family and life-adjustment appeared positively. 4) Decision-making of the elderly in family had the significant differences according to the variables such as sex, the sum of monthly personal expenses, and self-esteem in the order named, and the most influential factor among them was sex. 5) Elderly life-adjustment had the significant differences according to the variables such as self-esteem, decision-making, religion, health, the sum of the monthly personal expenses, the residential district in the order named. The most influential factor was self-esteem and the explanary of those variables for the elderly life-adjustment was 55.1%.

• 가정과삶의질연구
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• 제14권2호
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• pp.19-34
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• 1996

This study was designed to investigate the quality of life among middle-aged men and women in Seoul. The primary purposes were to describe perceived life quality of the middle-aged and to examine the relationship among the selected variables. The data for this study were collected utilizing multistage area random sampling method 524 respondents were analyzed using SPSS PC+ statistical package. The major findings are as follows: 1. The level of life quality perceived by middle-aged was 4.7 out of 7 and relatively normally distributed. 2. The quality of life of middle-aged were differed by occupation family income amount of saving home ownership religion and residence. 3. The correlates of life quality were family life satisfaction job satisfaction financial satisfaction health satisfaction leisure satisfaction and stress. 4. Among the variables family life satisfaction was the strongest predictor variable. Thirty six percent of the total variances were explained by family life atisfaction job satisfaction stress health satisfaction and financial satisfaction.

• 대한간호학회지
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• 제25권2호
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• pp.351-361
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• 1995

The main purpose of the study is to identify critical risk factors for development of a family assessment tool to screen high risk family. This study used a conceptual framework of family diagnosis developed by Eui-sook Kim's (1993) and analyzed risk factors to identify the high risk family. As employing a explorative and methodological study design, this study has four stages. 1. In the first stage, 34 family risk factors were identified by doing intensive literature review on conceptual framework of family diagnoses. 2. In the second stage, above risk factors were tested for content validity by consultation with 29 persons in community health nursing, nursing education, family theory, and social work. 3. In the third stage, existing survey data was used for actual application of the identified risk factors. The survey data used for this purpose was previously collected for the community diagnosis in a region of Seoul. At the final stage, through the comparison between high risk and low risk families, initially identified 34 risk factors decreased to 25 risk factors. Among 34 risk factors, six factors did not agree with content of questionnaries sand two factors were not significant in differentiating the high risk family Also, two risk factors showed high correlation between themselves, so only one of those two factors was chosen. As a result, twenty-five risk factors chosen to identify the high risk family are following ; 1. A single parent family due to divorce or death of a partner, or unweded single mother 2. A family with an unrelated household members 3. A family with a working mother with a young child 4. A family with no regular income 5. A family with no rule in family or too strict rules 6. A family with little or no support from other lam-ily members 7. A family with little or no support from friends or relatives 8. A family with little or no time to share with each other 9. A family with family history of hypertension, diabetus, cancer 10. A family with a sick person 11. A family with a mentally ill person 12. A family with a disabled person 13. A family with an alcoholic person 14. A family with a excessive smoker who smokes more than 1 pack / day 15. A family with too much salt intake in their diet. 16. A family with inappropriate management skills for family health 17. A family with high utilization of drug store than hospital to solve the health problems of the family 18. A family with disharmony between husband and wife 19. A family with conflicts among the family members 20. A family with unequal division of labor among family members 21. An authoritative family structure 22. A socially isolated family 23. The location of house is not residential area 24. A family with high risk of accidents 25. The drinking water and sewage systems are not hygienic. The main implication of the results of this study is clinical use. The high risk factors can be used to identify the high risk family effectively and efficiently. The use of high risk factors woule contribute to develop a conceptual framework of family diagnosis in Korea and the list of risk factors need to be revised continuously. Further researches are needed to develop an index of weight of each risk factor and to validate the risk factors.