• 대한간호학회지
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• 제29권1호
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• pp.161-173
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• 1999

The purpose of this study was to develope and test the structural model for quality of life in women having hysterectomies. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around eight constructs. Exogenous variables included in this model were marital intimacy, importance of uterus, professional support, positive coping behavior and pre-operative symptoms. Endogenous variables were spouse's support, sense of loss and quality of life. Empirical data for testing the hypothetical model was collected using a self-report questionnare from 203 women having hysterectomies at the outpatient clinics of four general hospitals and a mail survey in Pusan City. The Data was collected from December, 1997 to January, 1998. Reliability of the eight instruments was tested with Cronbach's alpha which ranged from 0.639-0.915. For the data analysis, SPSS 7.5 WIN Program and LISREL 8.12 WIN Program were used for descriptive statistics and covariance structural analysis. The results of covariance structure analysis were as follows : 1. Hypothetical model showed a good fit with the empirical data. ［$\chi$$^2$＝6.93(df＝5, P＝.23), GFI＝.99, AGFI＝.94, RMSR＝.019, NNFI＝.97, NFI＝.98, CN＝440, standardized residuals(-2.14-2.10)］ 2. For the parsimony of model, a modified model was constructed by deleting 3 paths and adding 1 path according to the criteria of statistical significance and meaning. 3. The modified model also showed a good fit with the data. ［$\chi$$^2$＝5.26(df＝7, P＝.63), GFI＝.99, AGFI＝.97, RMSR＝.014, NNFI＝1.02, NFI＝.99, CN＝710, standardized residuals(-1.46-1.70)］ Results of the testing of the hypothesis were as follows : 1. Marital intimacy(${\gamma}$11＝.78, t＝14.37) and professional support(${\gamma}$13＝.12, t＝2.12) had a significant direct effect on the spouse's support. 2. Pre-operative symptoms(${\gamma}$25＝.32, t＝3.12), importance of uterus(${\gamma}$22＝.20, t＝2.61) and spouse's support($\beta$2l＝-.19, t＝-2.43) had a significant direct effect on the sense of loss. 3. Sense of loss($\beta$32＝-.66, t＝-9.83) had a direct effect on the quality of life. Marital intimacy had a direct(${\gamma}$31＝.19, t＝3.33), indirect(${\gamma}$31＝.14, t＝2.52) and total effect(${\gamma}$31＝.25, t＝4.41) on the quality of life. Professional support had a direct effect(${\gamma}$33＝.11, t＝2.07) and total effect(${\gamma}$33＝.13, t＝2.31) on the quality of life. The direct effect of pre-operative symptoms(${\gamma}$35＝-.36, t＝4.02) and positive coping behavior(${\gamma}$34＝.15, t＝2.06) had the insignificant effect on the quality of life while, due to the idirect effect these variables had overall significant effect on the quality of life. The results of this study showed that the sense of loss had the most significant direct effect on the quality of life. Marital intimacy, pre -operative symptoms and spouse's support had a significant direct effect on this sense of loss. These four variables, the sense of loss, marital intimacy, pre-operative symptoms and spouse's support, were identified as relatively important variables. The results of this study suggested that there is needed to determine if nursing intervention would alleviate this sense of loss and promote a greater quality of life in women who have had hysterectomies.

• 한국콘텐츠학회논문지
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• 제18권8호
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• pp.379-391
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• 2018

본 연구의 목적은 배우자를 사별한 결혼이주여성들의 경험을 심층적으로 이해하는데 있으며, 또한 결혼이주여성의 배우자 사별에 대해 처음으로 그들의 관점에서 경험적 인식을 살펴보았다는 점에서 의의가 있다할 것이다. 이를 위해 배우자 사별 경험을 한 결혼이주여성 7명을 심층면담하고 Colaizzi의 현상학적 방법으로 분석한 결과, 결혼이주여성의 배우자 사별 경험은 20개의 주제묶음과 5개의 범주로 도출되었으며 5개의 범주는 '행복했던 결혼생활', '참고 살았던 결혼생활', '남편의 사별', '혼자 살아내야 하는 삶', '희망이 있어 견딜 수 있는 삶'으로 나타났다. 결혼이주여성들의 배우자 사별 경험은 모든 것을 남편에게 의존하던 삶에서 사별 후 스스로 삶의 변화에 적응해 가며 주체적인 삶을 살아내기 위해 노력하는 경험인 것으로 나타났다. 이를 토대로 배우자 사별 결혼이주여성이 사별 후 한국사회에서 더 나은 삶을 살아갈 수 있는 실질적 방안 마련과 사회복지 지원의 기초자료가 될 것이다.

• 한국산학기술학회논문지
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• 제17권4호
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• pp.312-318
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• 2016

본 연구는 마음챙김기반 자비명상프로그램이 배우자를 상실한 여성노인의 뇌 활성과 스트레스에 미치는 영향을 분석하기 위하여 2 channel EEG(Electroencephalogram)를 통해 검증하였다. 실험대상은 Y군 소재 65세~75세의 여성노인 60명으로, 30명은 실험집단으로, 30명은 통제집단으로 선정하였다. 연구기간은 2015년 8월에서 2015년 11월까지 매주 1회기씩, 회기 당 60분씩, 총 16회기로 프로그램을 실시하였다. 프로그램은 몸과 마음을 연결해서 통합적으로 치유할 수 있도록 하는 마음챙김과 자기 자신을 향한 사랑, 연민과 자비심 계발을 위한 자비명상을 접목하여 마음챙김기반 자비명상프로그램을 개발한 것이다. 실험결과, 실험집단에서 활성지수 우뇌 사전/사후(82.51/85.83, p<.013)의 변화를 보였으며(유의수준 p=.05). 항스트레스지수는 좌뇌(74.71/71.17, p<.050)로 나타났다. 활성지수는 뇌의 정신적 활동과 행동성향을 판단할 수 있는 지표이고, 항 스트레스지수는 육체적, 정신적 스트레스를 나타내는 지수이다. 본 연구는 마음챙김기반 자비명상프로그램이 배우자 상실을 경험한 여성 노인의 뇌 활성과 스트레스를 향상시킬 수 있는 방법으로서 효용과 가치가 있다는 것을 뇌과학적으로 분석한 것에 의의가 있다.

• 대한간호학회지
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• 제22권4호
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• pp.491-505
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• 1992

The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

• 한국노년학
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• 제32권3호
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• pp.675-687
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• 2012

본 연구는 노년층의 인구통계학적 특성을 바탕으로 형성된 군집별 여가 시간량의 차이를 조사함으로써 세대 내 존재하는 다양한 속성에 따른 여가프로파일을 작성하는 것을 목적으로 한다. 이를 위해 2009생활시간조사자료 중 만 65세 이상 응답자가 이틀 동안 작성한 시간일지 5392부를 최종분석에 사용하였다. 자료 분석을 위해 기술분석, 상관분석, K-평균 군집분석, 분산분석, 사후분석(Scheffe)을 실시하였다. 연령, 성별, 교육수준, 월소득, 배우자유무, 경제활동여부, 거주지역에 따라 7개의 군집(군집명: 아직은 일을, 벗들과 취미생활을, 도시에서 다양한 여가를, 신앙 속에 우정과 취미생활을, 일하며 짬짬이 여가를, 변두리에서 여가를)이 형성되었으며, 군집별 여가 시간량의 차이를 살펴본 결과, 관람문화활동이나 물품구입활동을 제외하고는 대부분의 여가행동별 시간량은 군집 간에 유의한 차이를 보였다. 특히 노년층에게 일이나 배우자의 유무와 같은 사회적 역할의 상실이나 관계의 상실은 여가 시간량의 증감이나 행동유형에 차이를 만들어 내었다. 이러한 결과는 추후 노년층을 위한 여가서비스 및 정책을 기획하고 준비하는데 참고할만하다.

• 한국생활과학회지
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• 제7권2호
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• pp.11-22
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• 1998

Social support may be a crucial aspect in single mothers' adjustment from the loss of spouse. Using a survey data collected from 285 widowed or divorced mothers, this study investigated whether social support buffers the deleterious effects of stress on psychological adjustment among poor single mothers. Results revealed that social support is not provided for at a desirable level. After controlling the single mothers' characteristics, stress in daily life, emotional support, job status and child relationship were associated with depression of them. It was also founded that emotional support buffer the negative effect of stress on depression of single mothers. Therefore, the support programs focused on emotional support are necessary for single mothers to enhance their mental health.

• 한국사회복지학
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• 제65권4호
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• pp.165-193
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• 2013

본 연구의 목적은 노년기 배우자 사별 후의 성장과정을 살펴보고, 그에 대한 이론을 개발하는 것이다. 이를 위해 배우자와 사별한 노인 17명을 대상으로 질적 연구를 실시하였다. 심층면접 후 Strauss와 Corbin(1998)의 근거이론 방법을 적용하여 분석한 결과, 143개의 개념과 43개의 하위범주, 19개의 범주가 도출되었다. 배우자 사별 후 참여자들에게 나타난 중심현상은 '우울', '막막함', '생활상의 스트레스', '심리적 위축감', '회한', '홀가분함' 등의 심리적 반응이었다. 이러한 사별 직후의 심리적 손상 정도는 인과적 조건으로서 사별 전의 '부부관계', '개인의 독립적/의존적 성향', '사별에 대한 마음의 준비'에 따라 차이가 있었으며, 맥락적 조건에는 '친밀한 인간관계 구축에 대한 욕구', '독립성 유지에 대한 욕구'가 존재하였다. 현상을 극복하기 위한 작용/상호작용 전략은 '현실에 대한 직시'와 '새로운 삶을 위한 노력'이었으며, 이를 촉진, 제어하는 중재적 조건은 '사회적지지'와 '신앙생활'이었다. 나타난 결과, 즉 성장의 내용은 '삶의 의미 찾기', '자존감의 향상', '인간관계의 강화', '포용과 수용'이었다. 노년기 배우자 사별 후 성장의 과정은 시간 순에 따라 '슬픔과 절망단계', '끌어안고 나아가기 단계', '성장단계'로 이어졌다. 마지막으로 유형분석의 결과, 배우자 사별 후 성장과정은 '적극적 변화형', '발전적 적응형', '포용형', '답보형', '원망형'의 5가지로 분류되었다. 본 연구의 결과, 노년기 배우자 사별 후 성장은 노년기에 보편적으로 경험하게 되는 "발달적 위기 이후의 삶의 통합과정으로서, 배우자 사별 직후의 절망을 딛고 일어서 삶의 주체자로서 새로운 삶을 모색하고 더욱 강해진 자아를 발견해 나가며, 배우자를 포용해 나가는 과정"으로 개념화할 수 있다.

• 동의신경정신과학회지
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• 제8권1호
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• pp.141-150
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• 1997

A clinic study was carried out on 83 neuropsychiatric outpatients who visited 'Hwabyung Clinic' in Oriental Hospital of Kyung Hee University from July 1 in 1996, in order to study clinical research and the aspect of 'Hwa'. 1. Onset of stress that causes of Hwabyung was 14.23 years ago and onset of symptoms were 6.39 years ago. Hwabyung patients were maintaining their marital state and were under the same stress that was thought to be the chief causes of the Hwabyung..3. Familiar troubles including their spouse were the main cause of the Hwabyung, which suggested that prolonged trobles were more important rather than sudden emotional shock, and it was obvious that the patients were recognizing the predisposing factors of Hwabyung.5. The emotional state which led to Hwabyung and the present state caused by Heabyung were complicated very much. Feeling being mortified, anger and resentment were gradually changed into anxiety, irritability, depression and loss of interest.6. The somatic symptoms of Hwabyung were flushing, insomnia, hradache, dizziness, and oppressed.7. The feeling of flushing were whole body, front of the body and upper of the body.

• 기본간호학회지
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• 제17권2호
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• pp.187-199
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• 2010

Purpose: The purpose of this study was to describe experiences of sexual life among Korean women with breast cancer. Methods: Data were collected by focus group and individual tape-recorded interviews. The data were analyzed using qualitative content analysis. Results: Participants were 13 women who had stage I, II, or III breast cancer. Four major categories were discovered. "Not interested in sexual life at all" in which participants described their struggle to live while avoiding sexual life during initial stages of disease. "Sexual life that could not go back to previous normal life" in which participants described how they began to recognize many problems related to their sexual life resulting from the loss of femininity and pain during intercourse. "Dangerous marriage due to no sexual life" in which participants illustrated how no or unsatisfactory sexual life threatened their entire marriage and family life. Finally, "rediscovery of sexual life as a vital element in life" in which participants described how, with support from their spouse, they came to realize that sexual life was an important and vital part of their life. Conclusions: The results of this study could help in developing-educational programs to improve sexual well-being of women with breast cancer and their spouses.

• 한국생활과학회지
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• 제13권4호
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• pp.507-519
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• 2004

The purpose of this study is to explore the general trends and the correlations of parent-child conflicts, copings, and psychological well-being of single mothers and their children, and to analyze the variables explaining relationships between single mothers and their children. The subjects were 196 dyads of single mothers and their children who reside in Gwangju city and Jeonnam area. The data were analyzed with frequency, t-Test, Pearsons' r, and multiple regression by SPSS. The major findings are as follows: 1. Scores of single mothers and their children had conflicts and emotion-focused copings lower than median. Another scores of single mothers and their children had significantly higher problem solving focused copings and emotion-focused copings than their children except life satisfaction; 2. Conflicts, copings, life satisfaction, and depression of a single mother were positively related to those of children; 3. Life satisfaction of single mothers depends on the reason for spouse-loss, their own education background, and problem solving-focused copings. Also, that of children depends on problem solving-focused copings, mother-child conflicts, and the mothers' education. Depression of single mothers is dependent upon mother-child conflicts, emotion-focused copings, and mothers' education. Also, that of children is upon mother-child conflicts, emotion-focused copings, mothers' education, and problem solving-focused copings.