• 성인간호학회지
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• 제25권6호
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• pp.725-735
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• 2013

Purpose: The purpose of this study was to investigate the levels of burden, family resilience and adaptation of caregivers of elderly patients with dementia, and further to identify factors influencing their adaptation. Methods: A cross-sectional descriptive study was designed. Data were collected from questionnaires distributed to 131 family caregivers of elderly patients who visited at the Centers for Dementia in Seoul during 2012~2013. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The average age of the care giving subjects was 63.58, and 31.3% were male, and 41.2% were the spouses. Statistically significant relationships were found between burden and adaptation (r=-.38, p<.001), and between family resilience and adaptation (r=.52, p<.001), and between burden and family resilience (r=-.35, p=.001). Thirty percent of adaptation was explained by burden and family resilience. The most influencing factor to adaptation was family resilience which explained about 27% of the variance. Conclusion: The results of the study clearly indicate that family resilience explains better than burden on adaptation of family caregivers. Thus, to develop more effective nursing intervention for family caregivers of elderly patients with dementia, it would be necessary to integrate family resilience in the programs. 27% is not that much and I wonder if we have to do more work to identify the factors that influence care giving.

• 한국콘텐츠학회논문지
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• 제17권5호
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• pp.461-469
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• 2017

이 연구의 목적은 간호학 전공 성인학습자들의 대학생활 적응과 외로움을 알아보는 것이다. 횡단적 조사연구가 실시되었다. G시에 소재한 4개 4년제 대학에서 110명의 대상자가 선정되었다. 일반적 특성, 대학생활 적응 척도, UCLA 외로움 척도를 포함한 구조적 설문지가 연구도구로 사용되었다. 자료 분석을 위해 기술통계, independent t-test, one-way ANOVA, Pearson correlation coefficients가 사용되었다. 대학생활 적응 평균은 44.8점이었고, 외로움 정도는 40.3점이었다. 대학생활 적응은 대상자가 인식하는 건강상태에 따라 유의한 차이가 있었다. 외로움은 학년에 따라 유의한 차이를 보였다. 대학생활 적응과 외로움 간에는 유의한 정적 상관관계가 있었다. 즉, 외로움이 클수록 대학생활 적응은 낮았다. 따라서 이 결과들은 국내 대학들이 다양한 배경을 가진 성인학습자들의 대학생활 적응을 증진시키기 위해서는 외로움과 같은 심리적 상태에 관심을 가져야 함을 보여준다.

• 대한가정학회지
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• 제27권4호
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• pp.167-191
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• 1989

The present study was conducted to devlop and appropriate retirement home model for the elderly in terms of clothing and textiles; nutrition, health, and foodservice; housing and environment; and psychological adaptation. Specifically, the purposes of the study were: 1) to provide basic guidelines for clothing by comparing the clothing behavior of the elderly living in the retirement home and those living in their own homes with family, 2) to provide basic guidelines for balanced diet and effective foodservice, 3) to develop an ideal life space and facilities, and 4) to assess the psychological characteristics of the elderly. Questionnaires, observation, experimental method, and survey of literature were used for the study. Clothing behavior showed that the elderly were much concerned about clothing, and they preferred comfortable as well as fashionable designs. The elderly in the retirement homes complained of a lack of quantity and variety in clothing. They preferred natural fiber rather than blended fabrics. Flame resistance, thermal insulation, and flexibility of textile fabrics were found to be prime considerations in manufacturing and selecting clothing materials for the elderly. The health status of the surveyed elderly was generally good, but some poor eating habits were observed. Dietary nutrients intakes were generally sufficient, but several nutrients intakes were insufficient. The level of equipment in the kitchens of the institutions was low. Furthermore, the employment rate of dietitians in institutional settings was extremely low. This resulted in a lack of systematic foodservice management. Residents in the institution were generally satisfied with present life space and facilities but this was mainly because of abandonment, adaptation, and past experience. Optimal allocation of residents per bedroom and an adequate design for storage, bathroom, utility room, and dining room were recommended. The comparison of psychological status of the elderly living at home was more stable than those living in an institution. The emotional state of the elderly living in the institution was characterized by loneliness; they did not have close interpersonal relationships or future plans. An appropriate model for the elderly was developed on the basis of these findings.

• 대한가정학회지
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• 제39권11호
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• pp.175-192
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• 2001

This study investigated the relationships between inter-cultural experience and socio-psychological adjustment to the current life among children who have refilmed from living abroad. The subject of research consisted of 102 boys and 110 girls from fourth grade through sixth grade who returned to their home country after living in a foreign correlation Data were collected from 5 elementary schools in Seoul. Descriptive statistics, t-tests, correlation analysis and regression were used for data analysis. The results of children's social-psychological adjustment were represented by 3 categories: school/friend relationship, stress/strain and language/learning. The following are the summarized results; First, girl students were more likely to adapt to school/friend relationships in Korea and had lower stress/strain than boys. Second, the children having shorter period of residence in foreign county, lower adaptation ability to different culture and extrovert personality showed higher socio-psychological adjustments after returning to Korea. Third, the adjustment to school/friends was influenced by period of residency in the foreign county, the experience of different culture, and extrovert personality. The experience of different culture and extrovert personality effected stress/strain, and the adjustments to language/learning were influenced only by the ewperiecne of different culture. Lastly, the experience of different culture was the most important variable influencing all 3 categories of socio-psychological adjustments.

• 여성건강간호학회지
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• 제23권4호
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• pp.233-242
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• 2017

Purpose: This study investigated the relationships among parenting stress, husband's support, and breastfeeding adaptation in mothers. Methods: A correlational survey design was utilized in this study. Data were collected from 181 breastfeeding mothers with infants under 12 months of age. Participants were recruited from the outpatient clinic, a child photo studio, or from the kid's cafe from July 22 to September 13, 2016. Instruments for collecting data included Childcare Stress Inventory (CSI), Husband's Support scale, and the Breastfeeding Adaptation scale. Data were analyzed using SPSS 21.0 by frequency, descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression. Results: Of the 181 subjects, 54.7% responded they only breastfed with 75.7% who received breastfeeding education. Seventy-two percent of mothers made a decision to breastfeed by themselves. The mean score was $2.39{\pm}0.53$ for parenting stress, $3.07{\pm}0.43$ for husband's support, and $3.85{\pm}0.49$ for breastfeeding adaptation. Factors influencing breastfeeding adaptation were identified as lower parenting stress (${\beta}=-.54$), greater husband's support (${\beta}=.31$), breastfeeding (${\beta}=.31$), and older age of baby (${\beta}=.14$), with 56.0% that explained variance. Conclusion: This study reports that parenting stress has negative effect on breastfeeding adaptation, while husband's support has positive effect. Results may be useful in developing new strategies for enhancing breastfeeding adaptation.

• 대한간호학회지
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• 제19권1호
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• pp.92-98
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• 1989

Concept analysis is a formal linguistic exercise to determine certain defining attributes. The basic purpose of concept analysis is to clarify ambiguous concepts in a theory, and to propose a precise operational definition which reflects its theoretical base (Walker, 1983, 27~28). In later life, elderly people are faced with various psychological problems such as depression, and lowered self-esteem for these psychological problems of the elderly. Reminiscence has been studied as an effective therapeutic measure by gerontologists and psychologists. It is considered to have potential as an effective nursing intervention with geriatric clients. The purpose of this paper was to explore the feasibility of adopting reminiscence as a nursing intervention through analysis of the concept. The concept can be defined as follows : Reminiscence is thinking and talking about one's past with or without a specific purpose. It is a composite mental process which involves psychological, emotional, and social interactional aspects. The defining attributes of reminiscence are : 1. Thinking about past experiences which are meaningful to oneself. 2. It includes the emotional aspect of past experiences. 3. It occurs with or without specific purposes. 4. It is communicated to others by means of language and the subject has the feeling of being heard. In regard to the consequences of reminiscence, it is expected to contribute to psychological adaptation by providing a sense of self-fulfillment and self-achievement, promoting the discovery of the meaning of life, decreasing depression, and overcoming guilt feelings and conflict about one's past. However, if the past is regarded as a total failure, it may be harmful to the psychological well-being of the subject.

• 한국사회복지학
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• 제46권
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• pp.118-144
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• 2001

To examine association between psychological characteristics of Adult-Children of Alcoholics and psychosocial Problems was a purpose of this study. The data were collected on a written questionaire completed 765 adolescents who were consisted of children of alcoholic and nonalcoholic parents. Parental alcoholism was established using CAST and psychosocial problems were assessed by Youth Self Report. Psychological characteristics of ACOA were identified by Adult Children of Alcoholics Screening Test. This study showed that children of alcoholics possess distinct psychological characteristics and they have experienced a variety of psychosocial problems. Hierarchical regression analysis was conducted in order to determine the extent to which characteristics of ACOA affected on psychosocial problems. As a results, psychological characteristics of ACOA were significantly associated with them after controlling for the correlates of family structure, level of family functioning, and parental alcoholism. In addition, two group of ACOA were created on the basis of scores of ACAST. High-risk group had significantly higher YSR scores than low-risk group and it revealed that clinical intervention was needed for many adolescents in high-risk group. The results underscored the importance of ACOA syndrome in adaptation of children with alcoholic parents and suggested the need of future research focusing on development process of subtypes of ACOA.

• 가정과삶의질연구
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• 제21권2호
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• pp.145-154
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• 2003

As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

• 가정과삶의질연구
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• 제24권1호
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• pp.141-158
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• 2006

The purpose of this study was to investigate the changes of lives and problems of 'Kirogi'(or Wild Goose) fathers, who were called fathers in the 'Kirogi' families, South Korean families separated by an ocean. They almost sent too much money that were $50-100\%$ of their family income to the families abroad, and got economic pressures so severely. More or less, they sold their own real estates, moved to much smaller sized house. and often expended the saving money. Also, they had difficulties of taking care of their children and felt lonely very much. By the hand, they might experience the adaptation process through 3 stages-troubles, acception(or wandering or enjoy), adjust (or violation). They had three types of problems, that is, family relationship problem(the isolation), psychological problem(loneliness and self-control), economic problem (financial pressure and drop of economic status). They found the strategies to overcome these problems for themselves. Firstly, they took lots of methods like email, internet chatting, phone, etc. to communicate with their family everyday and made many events to strengthen the ties among families. Secondly, they got rid of stresses mainly by joining with their colleagues at work. Finally, they decided to lower the standard of living of their family in foreign country or tried to find their wives' jobs to prevent the financial hardship.

• 성인간호학회지
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• 제25권4호
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• pp.389-399
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• 2013

Purpose: The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model. Methods: For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction. Conclusion: The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.