• Korean Journal of Health Education and Promotion
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• 제2권1호
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• pp.21-30
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• 2000

The growing population of the elderly who have diverse health needs is receiving more attention from the health promotion field. This paper describes some of the findings of quantitative study into the health function of Korean immigrant elderly living in Washington State of Northwest America. One hundred-two community-dwelling Korean immigrant elderly, aged from 65 to 93 with a mean 77.97 years, were interviewed with a structured questionnaire to report their health function defined in three domains; perceived health status, physical functioning, and psychosocial functioning. The main results of the study were identified: (a) Overall, Korean immigrant elderly's perceived health status and physical functioning were good, but psychosocial functioning was poor; (b) Elderly with higher health functioning scores perceived better health status. Data indicates that health functioning measures are good indicators of the degree of perceived need for immigrant elderly. The paper argues that the understanding of physical and psychosocial functioning of elderly is vitally important in the provision of health care.

• 대한간호학회지
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• 제29권5호
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• pp.1058-1071
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• 1999

Although healthy lifestyles have been proved as an effective way of improving higher well-beings for individuals. researches on health-promoting behaviors of minority elderly with a specific ethnic heritage have been sparsely tried. This study was designed to explore health-promoting lifestyle patterns of Korean immigrant elderly living in Seattle, USA and its relationships with two associated perceptual variables, self-esteem and perceived health status. One hundred ten Korean immigrant elderly were recruited from two senior centers and interviewed with a structured questionnaire. Data were collected from October 1998 to January 1999, and analyzed using SPSS program through which t-test, ANOVA, and Pearson Correlation Coefficients were tested. As the results, the mean HPLP score of the Korean immigrant elderly was 2.54 (SD ＝ .36), showing significant differences by education (F ＝ 3.61, P ＝ .016), economic status (F ＝ 3.01, P ＝ .034), and current health status (F ＝ 3.69, p ＝ .008). In self-esteem, two socioeconomic variables showed statistical association with self-esteem : marital status (t ＝ 2.47, P ＝ .015) and living situation (F ＝ 4.03, p ＝ .021). The HPLP subscales that showed higher mean scores were nutrition (M ＝ 3.01, SD ＝ .52) and interpersonal support (M ＝ 2.65, SD ＝ .47) while lower mean scores were detected in the domain of exercise (M ＝ 1.92, SD ＝ .74) and stress management (M ＝ 2.26, SD ＝ .47). Perceived health status revealed significant positive correlation with health-promoting lifestyle patterns (r ＝ .19, P ＝ .043) and self-esteem (r ＝ .32, P ＝ .001) in the present study. It is concluded that engagement in health-promoting lifestyle patterns should be actively encouraged to enhance personal health of Korean immigrant elderly. Developing health promotion programs focused on exercise and stress management is also imperatively suggested not only for better health practices of Korean immigrant elderly population but also for enhancing their level of well-beings and life satisfaction.

• 가족자원경영과 정책
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• 제22권4호
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• pp.61-74
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• 2018

The purpose of this study is to verify the mediating effect of self-efficacy in relation to marriage satisfaction and the social support of immigrant women. The research data for the analysis were collected from those who using multi-cultural family support centers in Siheung of Gyeonggi-do and Ansan from September 30 to October 21, 2017, and a total of 223 people were used in the final analysis. The analysis methods examined the characteristics of the subjects through frequency analysis and technical statistics, and a hierarchical regression analysis was performed to verify the effectiveness of mediator effects. The statistical program used SPSS 22.0. The analysis showed that social support and self-efficacy of married immigrant women had a significant impact on marital satisfaction. In addition, self - efficacy had a partial mediating effect on the relationship between the social support of married immigrant women and marital satisfaction. Based on these results, we discussed practical implications for social support and self-efficacy to improve marriage satisfaction of married immigrant women.

• 근관절건강학회지
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• 제6권2호
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• pp.278-294
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• 1999

The PACE (People nth Arthritis Can Exercise) is an exercise program developed by the Arthritis Foundation to improve muscle strength and joint flexibility for patients with arthritis. The purpose of this study was to explore the effects of PACE program on self-efficacy, pain, and joint function in the Korean immigrant elderly. The PACE program was held twice a week for 6 weeks for Korean immigrant elderly who had osteoarthritis. Twenty four subjects completed the program, who were recruited in two places : 10 elderly in a senior residential apartment, and 14 elderly in a senior center supported by Congregated Meal Program for Korean Elderly. Self-efficacy(Sherer et al., 1982), pain severity(by using Visual Analogue Scale), and number of painful joints were measured before and after the PACE program. To examine the joint flexibility and strengthening, the followings were measured : the extent of the upward arm reach in both sides(flexibility of shoulder), the ability to touch fingertips of the both hands in back pat and rub(flexibility of arm), the degree of range of motion(ROM) of both ankles in their dorsiflexion(flexibility of ankle) and plantarflexion with standing with toe(strengthening of ankle), and the degree of knee extension. Wilcoxon signed rank test was used for data analysis and the significance of the differences in the variables was examined to compare the data obtained before and after the PACE program. After the PACE, followings were found : 1. Self-efficacy was significantly increased. 2. Pain severity and number of painful Joints was significantly decreased. 3. The flexibility of both shoulders and arms were significantly improved, but the flexibility of knee was not changed. 4. The flexibility and strengthening of both ankle was significantly improved. In conclusion, PACE was clearly proved to be an effective exercise program to promote self-efficacy, to reduce pain, and to enhance joint function in the elderly with osteoarthritis. It is suggested that the PACE program should be recommended as one of the useful and appropriate nursing interventions for elderly with osteoarthritis.

• 한국보육지원학회지
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• 제6권1호
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• pp.1-21
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• 2010

본 연구는 재미한인노인의 생성감 수준에 따라 그들의 손자녀 양육경험이 어떠한 특정을 보이는가를 살펴보았다. 심층면접과 참여관찰법이 연구방법으로 이용되었다. 먼저 재미한인노인의 생성감 수준을 측정하였다. 생성감 수준이 낮은 노인과 높은 노인으로 각각 4명이 연구에 참여하였다. 생성감 수준이 낮은 조부모들은 비자발적 양육책임, 심한 양육스트레스, 가족에 대한 죄책감과 수치심, 불안한 미래, 자기 돌봄의 부재, 사회적 지지의 부재를 나타내었다. 생성감 수준이 높은 조부모들은 자발적 양육책임, 역전된 부모역할에 대한 긍정적 반응, 양육에 대한 보람, 미래에 대한 희망, 자기 돌봄의 존재, 사회적 지지의 존재를 특징으로 보여주었다. 마지막으로 연구결과에 대한 논의와 제안을 하였다.

• 한국산학기술학회논문지
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• 제15권11호
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• pp.6685-6693
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• 2014

본 연구는 미국 이민 한인 노인들을 대상으로 무력감, 자아존중감 및 우울과의 관계를 파악하여 그들의 정신심리적 건강유지를 위하여 간호중재개발의 기초자료를 마련하고자 시도되었다. 연구결과 대상자의 우울은 자아존중감 및 무력감과, 자아존중감은 무력감과 상관관계가 있음이 나타났다. 무력감은 학력, 건강상태에 따라, 자아존중감은 가족방문 횟수에 따라, 우울은 연령에 따라 통계적으로 유의한 차이가 있었다. 우울의 유의한 영향요인은 무력감, 자아존중감이었으며 설명력은 50.0%이었다. 즉, 무력감이 높을수록 자아존중감이 낮을수록, 우울은 높은 것으로 나타났다. 따라서 미국 이민 한인 노인들의 정신심리적인 측면의 건강을 증진시키기 위해서는 대상자의 연령, 학력, 건강상태를 고려하여 자아존중감을 높이고 무력감을 낮추기 위한 지속적인 중재를 하는 것이 중요하다.

• 디지털융복합연구
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• 제12권9호
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• pp.47-62
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• 2014

본 연구는 한국의 인구 고령화현상과 다문화가족 증가추세에 주목하여 남편이 노년기에 진입한 '노년기 다문화가족' 결혼이주여성의 결혼만족 정도를 파악하고, 인적 지지와 사회 서비스의 결혼만족도 영향력 검증을 위해 시행되었다. 분석에는 2009년 실시된 '전국 다문화 가족 실태조사' 자료에서 2009년 현재 남편의 나이가 만 65세 이상인 여성결혼이민자 236케이스를 사용하여 기초통계, 위계적 회귀분석을 실시하였다. 연구의 결과, 노년기 남편을 둔 결혼이주여성의 결혼만족도는 5점 만점에 3.9점이며, 어려울 때 의논상대는 모국인형이 36.6%로 가장 많으며, 모국가족과는 '주 1~2회 이상' 연락하는 경우가 44%로 가장 많았으며, 한국어교육을 가장 많이 받은 것으로 나타났다. 결혼만족도 영향변인으로는 차별경험이 없을 때, 건강상태가 좋을 때, 어려울 때 의논상대가 한국인 일 경우, 모국가족과 '년 1~3회' 연락할 경우, 사회적응교육을 받았을 때 결혼만족도가 향상되는 것으로 밝혀졌다.

• Advances in Traditional Medicine
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• 제4권3호
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• pp.137-156
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• 2004

Altruistic virtuous caring, possibly originated from religion and/or spirituality, is indispensable for holistic health through channeling vital energy with diet, exercise and meditation. This is a participant-observed medical anthropological research of a first generation Korean elderly immigrant health professional woman living in a four generational family. She had hypertension and was concerned about possible attack of stroke. Multi-religious, spiritual, and cosmological vital energy based on holistic Nature-oriented health beliefs and practices influenced by psychosocial, cultural and economic background, education, self- discipline and self-cultivation of individual, and group or family may create health. Self-care beliefs based on confidence in self-control of one's life style for oneself and others influence individual and group health practice. The holistic alternative health beliefs and practices were proved to be efficacious and beneficial by her self-evaluation, evaluation of significant others, biomedical professionals, and laboratory tests. That may have potential application for global health.

• 성인간호학회지
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• 제23권1호
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• pp.72-86
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• 2011

Purpose: The purpose of this study was to explore and understand the suicide ideation and survival experience of Korean elders in America. Methods: A phenomenological research method guided data collection and analysis. A total of five elders reported having had suicide ideation participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. Results: The following three constituents have been identified: retrospective focus based on the suicide ideation through the immigrant life, facing reality through comparison between the life in America and in Korea, survival skills and constructing view of life. Conclusion: The result of this study may contribute for health professionals working at various crisis settings to understand Korean immigrant elders with suicide ideation.

• 가정과삶의질연구
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• 제34권3호
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• pp.129-145
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• 2016

This study focuses on the differences in family values, which is a cause of family dissolution and conflicts of marriage immigrant women. This study was conducted on 441 women in Vietnam. It was done to explore their family values. Specifically, the following were examined: the overall family values and martial status of Vietnamese women; differences in their family values by region (northern, central, southern). The survey questionnaire consists of the following content: 'family perception'; 'gender-role values'; 'elderly parent support value'. The characteristics of family values of Vietnamese women are as follows. First, the scope of family perceived by them was relatively narrow. In particular, most of them didn't perceive the parents of a spouse as a familymember. Second, in terms of gender-roles, they perceived men and women as equal and didn't have strong perception of traditional gender roles. Third, they felt strongly about supporting elderly parents. The perception of supporting elderly parents is based on equal gender roles, instead of the paternalistic approach. They preferred financial support to living with parents. There were also differences in family values by region. Also, their values seemed to be the opposite of the ones well-known by region. In addition, their values were changing amid economic growth and modernization. Residents in Can Tho in the south - known to have open-minded Southeast Asian values - had the most patrilineal, traditional values with strong perception towards supporting elderly parents. Residents in Hanoi in the north - known to have heavy influence of Confucian culture - had non-traditional values with positive attitude towards liberal sex culture, divorce, and remarriage. Residents in Da Nang, a central region, had a mixture of northern and southern characteristics in terms of family values.