• Title/Summary/Keyword: Perceived Family Support

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The Experience of Patients with Liver Cirrhosis (간경변증 환자의 경험)

  • Kim, Boon-Han;Kim, Yoon-Sook;Kim, Hye-Ran;Cho, Mi-Sun;Kwon, Mi-Hyoung
    • Korean Journal of Adult Nursing
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    • v.16 no.4
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    • pp.608-616
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    • 2004
  • Purpose: The aim of this study was to identify the experience of patients with liver cirrhosis. Method: This study was performed from march 2003 to June 2003. The participators were five men. Data collected through in-depth personal interviews, which were recorded and analysed according to the Colazzi's method. Result: Liver cirrhosis was classified into 20 themes, 70 formulated meaning, and 10 categories. The Result confirmed that the experience of liver cirrhosis patients were classified into 10 categories; unexpected change, limited daily living and role, difficult compliance with therapeutic regimen, unbelief so untreated with apathy, negative emotional change, lack of cause perception, self control, perceived family support, expectations for recovery and healing. Conclusion: We, cooperative researchers, realized that to reduce not only the days of hospital treatment and the economic loss, as well as the expenditure of insurance the importance of managing liver cirrhosis from early diagnosis and the physical, spiritual, social role in studying the patients who experience liver cirrhosis.

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The Influence of Death Education on Medical Students' Attitudes towards End-of-Life Care: A Preliminary Study (의과대학생을 위한 죽음교육이 말기환자 돌봄 태도에 미치는 영향에 대한 예비연구)

  • Kim, Hae Won;Park, Joong Chul
    • Korean Medical Education Review
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    • v.20 no.3
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    • pp.150-155
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    • 2018
  • End-of-life care competencies have been perceived as important and essential, so it has been suggested that end-of-life care be studied in undergraduate medical education. However, end-of-life care curriculum has mostly focused on acquisition of knowledge and skills rather than attitudes. Therefore, we aimed to explore whether education about death affects medical students' attitudes towards care for dying patients and perception of death anxiety, meaning in life, and self-esteem. A total of 15 first- or second-year medical students were surveyed with questionnaires before and after completing a 6-week death education course. Paired data analysis showed that participants' attitudes towards caring for terminally ill patients and their caregivers improved significantly (t=-2.84, p=0.013) with an effect size of 0.73. In contrast, no significant changes were found in death anxiety, meaning in life, or self-esteem. All participants agreed that formal teaching about death and dying must be encouraged in medical schools. Our results suggest that death education may positively influence attitudes towards end-of-life care. Although replication with larger samples is necessary, this preliminary finding may support the importance of developmentally appropriate end-of-life care education in medical schools.

A Study on Factor Related to Fatigue in Cancer Patients Receiving Radiotherapy (방사선 치료를 받는 암환자의 피로 관련 요인간의 상관관계 연구)

  • Ko, Eun;So, Hyang-Sook
    • Korean Journal of Adult Nursing
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    • v.15 no.4
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    • pp.617-627
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    • 2003
  • Purpose: The purpose of this study is to investigate fatigue and its related factors in cancer patients receiving radiotherapy. Method: The subjects of this study consisted of 98 patients receiving radiotherapy. Subjects were recruited from C University Hospital radiation oncology unit located in Gwangju from March to May, 2001. Questionnaire and medical records were used for data collection. The obtained data was analyzed using SAS program that included descriptive statistics, t-test, ANOVA, Post-hoc test(Fisher's LSD) and Pearson's correlation coefficients. Result: The fatigue perceived by the subjects was middle level ($5.59{\pm}1.59$) and 72.4% of them reported greater than 5 points. The subjects in no religion, low income, and spouse caregiver groups experienced the higher fatigue than another groups, respectively. The subjects in nasopharyngeal cancer, head & neck radiation site, and analgesics medication groups did, experience fatigue as well. The fatigue not only positively correlated with symptom distress, disruption of usual activity, sleep dissatisfaction, and mood state, but also negatively with less family support. Conclusion: Cancer patients receiving radiotherapy experience the middle level of fatigue and it correlates with the multi-dimensional factors. However, further research is needed to identify the changes in fatigue over the radiotherapy period through longitudinal design and to develop nursing intervention for fatigue decrease.

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Factors Influencing Health Promoting Lifestyle in High School Students (일 지역 고등학생의 건강증진생활양식 수행의 예측요인에 관한 연구)

  • Kim, Hee-Sun
    • Journal of Korean Public Health Nursing
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    • v.20 no.2
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    • pp.151-162
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    • 2006
  • Purpose: The purpose of this study was to investigate the factors influencing health promoting lifestyle in high school students. Method: The study subjects were 477 high school students. The data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson correlation and Stepwise Multiple Regression with SPSS statistical program. Results: The average item score for health promoting lifestyle was 2.44. The highest subscale score was self actualization (2.85), while the lowest subscale scores were interpersonal relationship (2.82), nutrition (2.57), exercise (2.56) and health responsibility (1.77). There was a significant difference between gender, sleeping hours, perceived health state, economic state, school performance, father's education, mother's education, living together and health promoting lifestyle. The most powerful predictor of health promoting lifestyle was self-efficacy (29.9%). The combination of self-efficacy, family function, activity-related effect, commitment to a plan of action, situational influences and social support accounted for 55% of the variance in the health promoting lifestyle. Conclusion: Self-efficacy was the most powerful variance of health promoting lifestyle. Therefore, health promoting programs that increase self-efficacy should be developed to promote a healthier lifestyle among high school students.

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Needs for the Planning of Group Homes for the Elderly with Dementia of Lower Income Classes (저소득층의 치매노인 그룹홈 계획에 대한 요구)

  • 김대년;최정신;권오정
    • Journal of the Korean Home Economics Association
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    • v.40 no.4
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    • pp.1-12
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    • 2002
  • This study aimed to examine the needs for the planning of group homes for the elderly with dementia in lower income class, who have more economic burden on the caring the demented aged. The survey was conducted by questionnaires collected from 300 respondents from December 2000 to March 2001. Methods of analysis were frequency distribution, mean and chi-square test. The results of this study were as follows: 1) The respondents perceived that the responsibility to take care of the elderly with dementia belonged to their family, not to society or the government, and the sons and daughters had to share the burden placed on care-givers. 2) The awareness of group homes for dementia was relatively low. 3) The respondents' needs for the group homes with dementia could be summarized as follows; small scale plan with homelike atmosphere, a total of 6-8 residents, structural type of detached house or three-storied town house, 2-3 persons per individual room, and management system by non-profit organization or the government. There were no big differences between the respondents of this study and upper and middle class studies conducted by other research, except for some details. Referring to results of this study, it is asserted that group homes for the elderly with dementia would be embraced throughout the country if poetical assistance combined with economic support were provided.

A Study on Role Stress Experienced by Married Working-Mother Salesclerks (판매직 취업주부의 역할스트레스에 관한 연구)

  • 이정우;정진희
    • Journal of Families and Better Life
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    • v.20 no.6
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    • pp.109-120
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    • 2002
  • The purpose of this study is to investigate the level of role stress perceived by employed housewives working in sales departments, and further, to devise coping strategies that can help reduce stress resulting from their multiple roles The sample of this study consisted of married women who were working in sales departments, who have at least one child, and who live in the greater Seoul metropolitan area. A total of 343 out of 450 originally distributed questionnaires were used for the analysis in this study. The findings of the study are: 1 The housewives in sales departments felt stress most severely in their role as a mother. Next were the roles as a wife, housewife, daughter, daughter-in-law, and working woman, in that order. 2. It appeared that age and the motive for employment affected the overall level of role stress among housewives. The two variables (age and the motive for employment) explained about 23% of the variance. The younger they were the higher was the level of role stress. Also, if they were working for an economic reason (to support the family), they tended to be more stressed out. The results of this study could be utilized as baseline data for policy-making, consultation, and development of educational programs for housewives working in sales departments, an area that has hardly been explored.

Effects of Family Conflict & Self Control on School Maladjustments of Early Adolescents (가족갈등과 자기통제가 초기 청소년의 학교부적응에 미치는 영향)

  • Son, Mi-Yeong;Kim, Yeong-Hee
    • Journal of Families and Better Life
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    • v.27 no.5
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    • pp.123-135
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    • 2009
  • The purpose of this study was to investigate the effects of family conflict and self-control on school maladjustments of early adolescents. Subjects of this study consisted 662 middle school students drawn from 4 middle schools in Cheong-ju city. The results of this study were as follows: First, younger students' maladjustment to teachers was influenced by variables such as school year, economic levels, conflict strength between parents, conflict settlement between parents, reliability between parents and children, communication between parents and children and self-control, etc. In other words, students' maladjustment to teachers was high at the students in the 2nd year rather than in the 1st year, low economic level, high conflict strength between parents that younger students perceived, low conflict settlement between parents, low reliability between parents and children, high hostility between parents and children and low self-control. Second, younger students' maladjustment to the class was influenced by variables such as gender, school year, economic levels, conflict strength between parents, reliability between parents and children, communication between parents and children, and self-control, etc. In other words, young students' maladjustment to the class was high at the 2nd year students rather than at the 1st year students, low economic level, high conflict strength between parents, low reliability between parents and children, poor communication between parents and children, and low self-control. Third, younger students' maladjustment to rules was influenced by variables such as school year, economic level, conflict level between parents, hostility between parents and children, and self-control, etc. In other words, younger students' maladjustment to rules was high at the 1st year students rather than the 2nd year students of middle school, low economic level, high conflict strength between parents, high hospitality between parents and children and low self-control, etc. Fourth, younger students' maladjustment to friends was influenced by variables such as conflict strength between parents, conflict settlement between parents, hospitality between parents and children, and self-control, etc. In other words, younger students' maladjustment to friends was high at high conflict strength between parents, low conflict settlement between parents, high hospitality between parents and children and low self-control, etc. In the study, self-control was found to be the most important variable at younger students' maladjustment to teachers, class and rules, etc, and conflict settlement between parents was found to be the most significant variable at younger students' maladjustment to friends.

A Research of Recognition for Deinstitutionalization and Independent Living of the Disabled Living in Residential Facilities for the People of Family In accordance with the Enactment Deinstitutionalization of Disabled (장애인 탈시설 지원법 제정에 따른 장애인거주시설 이용인 가족대상 탈시설과 자립생활 인식에 대한 연구)

  • Kim, Jung-Hyun
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.660-666
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    • 2019
  • This study is about the research of recognition for deinstitutionalization and independent living of the disabled living in residential facilities for the people of family. The survey was conducted in October to September 2018 and 810 cases were used in the final analysis. In this study, we confirmed that about half of the families of groups and those who perceived In accordance with the enactment deinstitutionalization were divided into half. and consent to cegislation, local government efforts, independence, consent to deinstitutionalization family perceptions of disagreement of independence were identified as having no low information provided. These results indicate that there was a lack of provision of services or information related to independent living of the disabled living in residential facilities, and it was confirmed that proper information transfer education on policies and services is needed to have accurate understanding and awareness. In addition, the agreement on legislation, local government efforts, Independence, consent to deinstitutionalization were found to have a significant effect on preparation for independent living. Therefore, it was confirmed that systematic information education support are needed to ensure proper recognition of user's family in residential facilities and to ensure healthy independence of users.

Convergence Study on Diabetes Self-Management Knowledge, Social Support, Educational Needs of the diabetes in rural elderly (농촌 지역 노인 당뇨병 환자의 자기관리 지식, 사회적 지지, 교육요구도에 관한 융합연구)

  • Kim, Nam Hee;Lim, Sun Young
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.79-89
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    • 2017
  • The purpose of this study was to identify convergence factors related to DSMK, social support, and educational needs on the diabetes in rural elderly. The subjects were 115 elderly patients who were registered in diabetes control center, taking medication more than 6 months in U city. The survey period was from August 24 to October 31, 2016. The results showed that DSMK showed significant differences in gender, education level, duration of diabetes, experience of diabetes education, experience of family participation in diabetes education, and perceived health status(p<.05). The degree of social support was found to be significant differences in marital status, diabetes education experience, diabetes education needs, gender, duration of diabetes, and perception of diabetes self-management difficulty(p<.05). There were significant positive correlations between DSMK and social support, social support and educational needs(p<.05). Based on these results, we hope to develop a convergent self - management program based on the needs of the elderly patients.

Factors Related to Breast Cancer Screening using Mammography and Clinical Breast Examination of Korean Women Over 40 Years of Age (한국 도시여성의 유방촬영술과 유방임상검사 관련요인)

  • Eun, Young;Gu, Mee-Ok;Lee, Eunice L.;Choi, Kyung-Sook;Jun, Myung-Hee
    • Korean Journal of Adult Nursing
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    • v.21 no.6
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    • pp.580-592
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    • 2009
  • Purpose: The purpose of this study was to investigate the factors related to Breast cancer Screening using Mammography and CBE of Korean women over 40 years of age. Methods: The participants for this study were 183 Korean women living in 3 urban cities and aged from 40 to 75. The data were collected using structured questionnaires which included sociodemographic factors (11 items), frequency and regularity of mammography and clinical breast examination (7 items), knowledge (16 items), health belief model scale (28 items), and family support (4 items) about breast cancer and breast cancer screening. Frequencies, Chronbach's alpha for reliability, Chi-square, t-test and logistic regression with the SPSS/WIN 12 program were used to analyze the data. Results: The percentages of Korean women who had a mammography and CBE for breast cancer screening were 60.1 and 31.1, respectively. Logistic regression analyses demonstrated that regular check ups and perceived barriers were significant predictors of mammography and CBE use for breast cancer screening. Conclusion: In order to increase the frequency of breast cancer screening practices, educational support and a health care delivery system is needed to improve the chance of regular health check ups.

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