• Title/Summary/Keyword: Family support

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말기암환자 가족에 대한 호스피스 케어의 정보적 지지 제공 효과

  • Kim, Hyeon-Suk
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.21-40
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    • 2002
  • Cancer is the second leading cause of the death in Korea. Family caregivers of dying patients manifest many psychological and physical symptoms of stress, and they often seek for informational support from health care providers. Unfortunately, however, few systematic studies identify the actual effect of such support on family caregivers. This study, thus, intends to evaluate the effect of informational support for hospice care. One group pretest-posttest design was used, employing the stress-coping model by Cohen and Wills as a conceptual framework. This research was conducted from July 1 to November 15, 1998, initially with 32 subjects sampled from hemato-oncology department of two general hospitals in Seoul, but reduced to 18 at the end due to the untimely death of patients or caregiver's refusal during the course of study. Informational supports were programmed to provide the family caregivers with 8 times of education and counseling as well as 24-hour hot-line for 4 weeks. A booklet that explains the various problems of hospice care was also prepared and distributed to all subjects. Data were collected by using self-report questionnaires and reviewing medical records. The tools used in this study were based on the Weinert's PRQ-II(scale of perceived social support), Spielberger's state anxiety inventory, and CES-D. Also included in the data collection were the general characteristics of family caregivers and patients, and the pain intensity and the performance status of patients. The data were analyzed with descriptive statistics, Wilcoxon sign rank test and paired t-test using SPSSWIN program. The results of the study were as follows: 1.The perceived social support of family caregivers was not significantly increased with informational support for hospice care(t=1.64, one tailed p=.060). 2.The anxiety of family caregivers was significantly reduced following informational support for hospice care(t=3.48, one tailed p=.002). 3.The depression of family caregivers was significantly reduced following informational support for hospice care(t=-2.18, one tailed=.022). 4.The pain intensity of patients with terminal cancer was significantly reduced following informational support for hospice care(t=-2.41, two tailed p=.027). The results suggest that the informational support provided to family caregivers of patients with terminal cancer reduced not only their anxiety and depression but also the pain intensity of patients. Further study is necessary to consolidate the conceptual framework of this study with expanded number of subjects. Nevertheless, it was certain that the informational support program for hospice care was very helpful to both caregivers and patients. Thus, the informational support program is strongly recommended for the hospitals which have no hospice unit yet.

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A Study on Effectiveness of Service Experience of Family Voluntary Service Group -Focused on Health Family Support Center- (가족봉사단의 봉사활동 경험의 효과 연구 -건강가정지원센터를 중심으로-)

  • Park, Kyung-Ae
    • Journal of Family Resource Management and Policy Review
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    • v.15 no.4
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    • pp.79-105
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    • 2011
  • In-depth interview research and qualitative methodology were used to find changes in the experiences of family volunteer activities through the use of the Health Family Support Center. Ultimately, 143 items as sub-concepts, 42 items as sub-categories, and 10 items as subjects were found. I will also suggest alternative basic and primary data. First, using 10 subjects, the following points were evaluated in detail. I looked at what kind of changes in the volunteer activities these subjects experienced after working at the Health Family Support Center, and what the specific underlying reasons were for the changes in their family volunteer experience. These included 'community solidarity', 'family community', 'leisure and culture for the family', 'communication', 'personal relations', 'coping skills', 'growth', 'sympathy', 'positive thinking', 'future plans'. Second, families experienced a feeling of belonging as community members and the family realized the importance of their life, learned communication methods and coping skills. Third, families came to have new opportunities to grow as humans and learned a feeling of sympathy for others. Fourth, families found new paradigms to think positively about their daily life and to establish future plans. We will need more effort to empower family experiences of family volunteer activities that use the Health Family Support Center as well as supporting its staff. The following specific factors were the main mediating factors for using such a facility: family volunteer education, family volunteer service agency consulting, program planning, and managing family volunteers and other services.

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A Study on Perceived Family Support and the Quality of Life in the Elderly (노인의 가족지지와 삶의 질)

  • Shin, Dong-Sun;Hong, Chun-Sil
    • Journal of Home Health Care Nursing
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    • v.4
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    • pp.76-85
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    • 1997
  • In modern society, the human average life span has been prolonged due to medical benefits and changes in society, which results in the rapid and world -wide increase in the population of elderly. Consequently, the field of nursing science, as well as the field of many other discipline, has shown increasing interests in issues on the elderly. In addition, to improve the quality of life for elderiy people a great deal of effort has been made. The purpose of our study is to analyze the correlation between family support and quality of life in order to develop basic data for nursing interventions to maintain life satisfaction of the elderly. The sample consists of 108 subjects residing at home whose ages are over 65 years old. The data has been collected, from November 11, 1996 to November 23, 1996, through interviewing the elderly using a questionnarie. For the family supoort we used two: 1) the 5 - point Likert scale questionnarie developed by Gallo and Warren (Family support I) and 2) the 5-point Likert scale developed by H. S. Kang(Family support II), and for the quality of life we used the 3 - point likert scale questionnarie developed by Choi, Young Hee. For data analysis we used percentages, means, Pearson Correlation Coefficient and ANOVA. The results of our study are as follows: 1. For perceived family support I & II, the minimum score is 12 & 19, the maximum score is 32 & 46, the mean score is 24.49 & 34.90, respectively. 2. For Quality of life, the minimum score is 13, the maximum score is 39, the mean score is 28.61. 3. there is a very strong correlation between the perceived family support of the subjects and Quality of life (for I r=0.35047, p<.001 and for II r= 0.60558, p<.001). 4. The relationship between the general characteristics of the elderly and our two variables. family support and Quality of life, is as follows: 1) According to age(for II F=5.32, p<.01), the amount of monthly pocket money(for II F= 3.52, p<.05), inmate(for I F=2.93, p<.05, for II F=2.84, p<.05), economics(for I F=8.99, p<.01. for II F=7.51. p<.01), supporter(for I F=4.01. p<.01. for II F=3.43, p<.01), there is a statistically significant difference in family support. 2) According to the amount of monthly pocket money(F=6.69, p<.01), inmate(F=2.24, p<.05), economics(F=15.38, p<.01), there is a statistically significant difference in Quality of life. In conclusion, it can be said that the family support is an important variable to the Quality of the elderly life.

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Correlation Between Perceived Family Support and Self-Esteem of Middle Age Women with Degenerative MusculoSkeletal Diseases (퇴행성 근골격계 질환을 가진 중년여성이 지각한 가족지지의 자아존중감의 관계)

  • Kang, Kyung-Ja;Lee, Eun-Jin
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.5-24
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    • 2000
  • Middle age for women is one of the most important stages of the whole normal life span and has unique problems concerning the psychological and physical health, specifically degenerative musculoskeletal diseases. Therefore middle age women should prepare in order to lead a healthy and fruitful life as they enter/begin old age. As the population of middle age women increase, the demands of nurses who care for this age group also continue to glow. Nurses must be interested in this middle age group of women in Korea. This study was designed to identify the extent of family support and self-esteem of the middle age women with degenerative musculoskeletal diseases and the relationship between them and nurse's contribution to middle age women's health promotion that maintain and promote qualify of her life. The population of this study was 112 women aged 40-60, attending the out patient clinic one University Hospital and one Hospital, in Pusan. The data was collected from 1st August to the 30th of September, 1998 by using 36 items questionnaire. The instrument used for measuring family support was of Chai's(1983) FSS which was modified by Kang's(1984) Family Support Scale. And that for self-esteem was Rosenberg's(1965) Self-esteem Scale. The reliability of Chai's FSS and Rosenberg's instruments were tested by Cronbach's alpha and showed that they were 0.93 and 0.89 each respectively. Data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS computer program. The results of the study were summarized as follows : 1. The mean score of the perceived family support was $39.31{\pm}9.42$. 2. The mean score of the perceived self-esteem was $33.16{\pm}6.75$. 3. Statistically significant factors influencing the family support among sociodemographic variables was satisfaction of marriage(F=-3.069, p<0.003). 4. Statistically significant factors influencing the self-esteem among sociodemographic variables were age(F=3.992, p=0.000), education(F=2.260, P=0.026), housing (F=-1.987, P=0.049) and satisfaction of marriage(F=-2.305, P=0.023). 5. There was a significant correlation between family support and self-esteem (r=.621, p<.000). In conclusion, perceived the family support was important for middle age women to increase their self-esteem. Nurses should be aware of the necessity of family support in the supportive nursing of middle age women and should be able to make a plan to educate the family about supporting the wife/mother. The continuing study of the health promotion of middle age women to find out variables influencing middle age women' health must continue.

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The Infuluential Variables on the Stress of Disordered Elderly Family Caregivers and General Elderly Family Supporters. (거동불편노인가족 간병인과 일반노인가족 부양자의 스트레스 영향변인에 관한 연구)

  • Hong, Sang-Ook;Bae, Ok-Hyun
    • Korean Journal of Human Ecology
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    • v.5 no.2
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    • pp.87-98
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    • 1996
  • The purpose of this study was to investigate the infuluential variables between general character, social support and stress of family caregivers for disordered elderly family and family supporters for general elderly. The study was conducted through interviews with 177 family caregivers and questionaires with 218 supporters in Taegu and Kyeongbuk province. The data were analysed with the spss $pc^+$ statistical package using frequency, correlation, multiple regression, and path anaysis. As results of this study were as follows: Disordered elderly family; degree of physical and psychological disorder, caring-time per day, social support are important factors affecting the stress. General elderly family; digree of physical and psychological disorder, monthly family income, social support are important factors affecting the stress.

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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.

Family Strengths and Program Needs of Seoul Local Healthy Family Support Center Participants (서울시 자치구 건강가정지원센터 이용자의 가족건강성 및 프로그램 요구도)

  • Son, Seohee;Kye, Sun Ja
    • Journal of Families and Better Life
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    • v.32 no.6
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    • pp.19-30
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    • 2014
  • The purpose of this study was to identify the relationships between Healthy Family Support Center (HFSC) program participation and family strengths and program needs based on HFSC participants' individual, family, and community characteristics. A total of 695 HFSC participants who were married and had participated in HFSC programs were recruited through 25 local HFSCs in Seoul. A multiple regression method was conducted for data analysis. The major findings are as follows. Family strengths was related to the variables of age, education, monthly household income, and participation in family counseling and sharing family care programs. In terms of program needs, the variables of marital conflict, difficulty in care, financial distress, family strengths, and family-friendly community were associated with HFSC program needs while participants' socio-demographic characteristics were not related to program needs. This study highlights that HFSC programs have different target populations considering that the level of family strengths was different among the various programs' participants. In addition, program needs are different depending upon the HFSC participants' experiences in the family and community. These findings suggest that it is important to consider participants' family and community characteristics as well as participants' socio-demographic characteristics to provide appropriate programs for all HFSC participants.

The evaluation of effectiveness in the family volunteer management system (가족자원봉사 관리체계의 효과성 연구)

  • Kang, Ki-Jung;Chung, Chun-Seok
    • Journal of Family Resource Management and Policy Review
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    • v.10 no.4
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    • pp.145-161
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    • 2006
  • This research paper represents family volunteer management system for the purpose of activating family volunteer activities. This family volunteer management system is based on the family volunteer activity cases by healthy family support center in Cheon-An City. The following data is the evaluation of effectiveness in the family volunteer management system. 9 families (32 people) among family volunteers who are participated in activities worked for twelve to eighteen hours per a month; one to six times per a month; at the more than two different social welfare facilities. They volunteered in the areas of cultural experience programs for the immigrant's families, baby cares, help for the handicaps and hospice. Family volunteers showed high satisfaction levels; average 4.37 out of 5; in the Family volunteer's management system. They checked in the area of volunteer's training, activity period, activity places, teamwork, healthy family support center, and supervisor of volunteer center.

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The Effects of Fatigue, Postpartum Family Support on Postpartum Depression in Postpartum Women (산욕기 산모의 피로, 산후 가족지지가 산후우울에 미치는 영향)

  • Lee, Da-Jin;Park, Jung-Suk
    • Korean Parent-Child Health Journal
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    • v.21 no.1
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    • pp.39-49
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    • 2018
  • Purpose: This study was to investigate the effects of fatigue, postpartum family support on postpartum depression in postpartum women. Methods: Data were collected through structured questionnaires. The participants of this study were 123 postpartum women in B metropolitan city. The data were analyzed with the SPSS/Win 18.0 program, using descriptive statistics, in independent t-test, and stepwise multiple regression. Results: The subjects' degree of fatigue and postpartum depression had strong positive correlation (r=.623, p<.001). The subjects' degree of postpartum family support and postpartum depression had moderate negative correlation (r=-415, p<.001). Factors that affect postpartum depression were fatigue (${\beta}=.492$, p<.001), postpartum family support (${\beta}=-.234$, p=.001), pre-conception job (${\beta}=.222$, p=.001), Pregnancy depression (${\beta}=.177$, p=.007), Parity (${\beta}=.167$, p=.009). The explanation power was 55.0%. Conclusion: The study results indicate that it is necessary to various programs that can reduce postpartum mothers' fatigue and improve postpartum family support, in order to reduce the postpartum depression.

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The Elderly Volunteers' Psychological Well-being - On the Effects of Old People's Generativity and Family Support - (자원 봉사를 하는 노인의 심리적 안녕감 - 참여 노인의 생성감과 가족의 지지를 중심으로 -)

  • Cho, Yoon-Joo
    • Korean Journal of Human Ecology
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    • v.17 no.2
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    • pp.191-205
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    • 2008
  • The study aims at exploring a general trend of psychological well-being (PWB) of elderly volunteers and analyzing the variables which give effects on their PWB. The subjects were two hundred men and women over 60 years old currently participating in voluntary service. The data collected from interviewing were analyzed by descriptive statistics, $x^2$ test, Pearson's correlation and hierarchical multiple regression. The main results are: First, PWB of the elderly is higher than the average score of PWB. Second, the elderly's generativity is positively related to PWB. Family support such as an emotional and instrumental support was also positively related to PWB. Third, the variables effecting on PWB of elderly volunteers were education level, participation frequency, generativity level, and an instrumental support of their family members on it. The lower their educational level was, the more frequently they participated in voluntary activity, the higher their generativity level was, and the more support given from their family, the higher PWB scores they showed.