• Title/Summary/Keyword: Social burden

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A Prediction Model for the Quality of Life in Mothers of Children with Nephrotic Syndrom (신증후군 환아 어머니의 삶의 질에 관한 예측모형)

  • Paik Seung-Nam
    • Child Health Nursing Research
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    • v.7 no.3
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    • pp.280-297
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    • 2001
  • The purpose of the study was to develop and test the model for the quality of life in mothers of children with nephrotic syndrome. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around ten constructs. Exogenous variables included in this model were mother's health, father's health, marital intimacy, mother's attitude on children, economic state, side effect of steroid, severity of illness and social support. Endogenous variables were mother's burden and quality of life. Empirical data for testing the hypothetical model were collected by using a self-report questionnaire from 152 mothers of children with nephrotic syndrom at the outpatient clinics and in the hospital. The data was collected from May, 1999 to August, 1999.Reliability of the seven instruments was tested with Cronbach's alpha which ranged from 0.71 - 0.92.For the data analysis, SPSS 8.0 WIN program and LISREL 8.20 WIN program were used for descriptive statistics and covariance structural analysis. The results of covariance structural analysis were as follow :1. The hypothetical model showed a good fit with the empirical data. [x2 = .56, df = 3, p = .90(p>.05 ), GFI = .99, AGFI = .99, RMSR = .005.] 2. For the parsimony of model, a modified model was constructed by deleting 1 variable and excluding 2 paths according to the criteria of statistical significance and meaning.3. The modified model also showed a good fit with the data[x2 = 2.83, df = 7, p = .90( p>.05 ), GFI = 1.00, AGFI = .97, RMSR = .011].The result of the testing of the hypothesis were as follows : 1. Mother's health(γ21 = .26, t = 4.16), father's health(γ22 = .19, t = 2.92), marital intimacy(γ23 = .26, t = 4.13) and social support(γ28 = .12, t = 2.03) had a significant direct effect on the quality of life.2. Mother's burden(β21 = -.20, t = -3.10) had a significant negative direct effect on the quality of life.3. Mother's attitude on children(γ14 = -.34, t = .-4.57), mother's health(γ11 = -.22, t = -2.96) and side effect of steroid (γ16 = -.23, t = .-2.69) had a significant direct negative effect on the burden. The result of this study showed that mother's health, marital intimacy, mother's burden, father's health, and social support had a significant direct effect on the quality of life. Mother's attitude on children, mother's health, and side effect of steroid had a significant direct effect on mother's burden. These six variables, mother's health, marital intimacy, father's health, social support, mother's attitude on children and side effect of steroid were identified as relatively important variables. The results of this study suggest, it needed to determine the nursing intervention will alleviate mother's burden and promote a greater quality of life in mothers of children with nephrotic syndrom.

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Cancer Care-giver Burden On The Parents-Children Negative Communication - The Moderating Effect Of Family TSL Attitude - (암환자 주부양자의 부양부담이 자녀와의 역기능적 의사소통에 미치는 영향에서 가족간 TSL 태도의 조절효과: 청장년층과 중장년층의 비교연구)

  • Kim, Jae Yop;Sung, Shin Myoung;Hwang, Ho Koung;Im, Ji-hye
    • Korean Journal of Family Social Work
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    • no.54
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    • pp.77-106
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    • 2016
  • The purpose of this study is to examine the effect of cancer care-giver burden on the parent-children negative communication. Plus the moderating effect of family TSL Attitude(positive thinking and behaviors between family member). Cancer family care burden and parent-children communication have a difference in the family life cycle. So It compared to the young adult group and middle-aged group. The research conducted from 2015 April to September and It was targeted to cancer care-giver who were at the great hospitals in Seoul. The total people were 199, but for the purpose of this study 145 people who had children were extracted. Frequency analysis, T-test and Multiple Regression Analysis were conducted. Consequently, the young adult group care burden have direct effect on the negative parent-children communication, and the Family TSL Attitude have moderating effect. however, In the middle-age group, the care burden haven't significant effect on the negative parent-children communication and family TSL Attitude haven't moderating effect. Base on the this result, this study suggested the need of cancer care-giver burden relieving program and family communication program. Also It proposed the different access to the cancer patient family in the life cycle.

The Relationship between Resilience, Social support and Caring burden of Middle-aged Caregivers caring for Chronic disease (만성질환자를 돌보는 중년기 주 돌봄 제공자의 회복탄력성, 사회적지지와 돌봄 부담감과의 관계)

  • Kim, Nam-Hee;Park, Sun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.300-310
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    • 2019
  • The purpose of this study was to investigate the relationship between resilience, social support and caring burden of middle-aged caregivers caring for chronic disease. The data were collected from 175 caregivers at one rehabilitation centers in B City from July 2 to 31, 2018 and analyzed SPSS Win 21.0. Factors influencing caring burden were time for caregiving(F=6.70, p<.001), activities of daily living(F=4.70, p<.001), patient disease(F=4.61, p<.001), relationship with patients(F=3.68, p<.013), Health Status(F=3.08, p=.018), Marital status(t=-2.12, p<.036), Period after diagnosis(F=2.92, p=.036). The caring burden had not an influence on resilience and social support. a positive correlation was found between resilience and socail support(r=.487, p<.001). Therefore, it is essential to develop burden intervention programs that can reduce the burden in middle-aged caregivers caring for chronic disease and taking all the factors affecting burden into consideration.

The Effect of Psychological Well-Being on Life Satisfaction for Employees

  • Jung, Myung-Hee
    • The Journal of Industrial Distribution & Business
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    • v.8 no.5
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    • pp.35-42
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    • 2017
  • Purpose - This study investigated small business members' cognition of happiness in accordance with changes of employment environment at the nation's industrialization. The study verified effects of labor workers' psychological wellbeing conditions upon life satisfaction as well as the effects of job burden and family burden of employment instability. Research design, data, and methodology - The subjects were small business workers in Seoul and Metropolitan areas. The author collected 150 copies of effective questionnaires. Regression analysis, hierarchical analysis and 3-stage mediation regression analysis were done. Results - The findings of this research was that psychological wellbeing factors alleviated job burden and family burden to increase satisfaction with life. Employment instability moderated between job burden and satisfaction with life, job burden between environmental control and satisfaction with life, and family burden between goal and satisfaction of life. Members needed sub factors of psychological wellbeing, especially reflection for self-acceptance. Conclusions - This study inspected effects of small business workers' psychological wellbeing upon life satisfaction at changes of management environment as well as labor environment to verify effects of job burden, family burden and employment instability and to find out conditions of human resources management from point of view of small business and workers.

Development and Evaluation of Community-based Respite Program for Family Caregivers of Elders with Dementia (치매노인 가족수발자를 위한 지역사회기반 휴식프로그램 개발 및 적용효과)

  • Cheon, Suk-Hee;Chang, Sung-Ok;Kong, Gye-Soon;Song, Mi-Ryeong
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.3
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    • pp.337-347
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    • 2011
  • Purpose: Purposes of this study were to develop a community-based respite program for family caregivers and to test the effects of the program. Methods: Focus group interviews were performed to extract meaning of respite care for family caregivers (13 participants) and a survey was done to identify respite needs of family caregivers (157 participants). The community-based respite program for family caregivers was developed based on results of the focus group interview and survey. The program was used with 41 participants (19 experimental and 22 control). Independent t-test and Mann-Whitney U-test were used to test differences between control and experimental groups for respite needs, burden of caregivers, subjective wellbeing, social support, fatigue and functional status of elders with dementia. Results: There were statistical differences in caregiver burden, subjective wellbeing, and social support after the program, but, none for respite needs, fatigue and functional status of elders with dementia. Conclusion: The results indicate that a respite program can be useful to decrease burden of caregivers and increase subjective wellbeing and perceived social support of family caregivers in community settings. Further intervention research is needed to increase the functional status of elders with dementia and decrease fatigue in caregivers.

A Study on Families' Coping with the Mentally III (정신장애인 가족의 대처에 관한 연구)

  • Seo, Mi-Kyoung
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.217-239
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    • 1999
  • The main premise of this study is that a successful treatment and rehabilitation of the mentally ill depends on an active. coping of their family members, who are the primary care-takers of the patients, even if families are confronting many difficulties because of caring their patients. Accordingly, this study aims to find out which factors are related to families active coping with the mentally ill. This study is conducted the survey with 191 family members of the mentally ills in order to discover: 1) what kinds of relations do exist between sociodemographic factors of the respondents, care-burden toward the mentally ill, and social supports, and the active coping, and 2) in what extent do these related factors affect on the active coping. The major findings of the study are: 1) gender and educational background of the respondents are positively related to the active coping; 2) regarding care-burden felt by the respondents, there is statistically significant positive relationship between - the respondents' burden due to a lack of social and institutional support and their active coping; 3) considering the relationship with social support, there is highly positive relationship between decision. emotional. material supports and the active coping; 4) using a multiple regression, respondents' sociodemographic background, care-burden, social support affect significantly on the active coping by 26.2% of explanatory power; and 5) using a step-wise multiple regression, the most powerful influenced factors on active coping are emotional support, burden due to a lack of social and institutional support, and educational background of the respondents. In conclusion, this study recommends clinicians to use an educational and support model for the families. All these efforts will contribute to enhance active coping of the families with the mentally ill.

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A Study of well-being in Caregivers Caring for Chronically Ill Family Members (만성 질환자 가족의 부담감에 관한 연구)

  • 서미혜;오가실
    • Journal of Korean Academy of Nursing
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    • v.23 no.3
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    • pp.467-486
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    • 1993
  • Today, more chronically ill and handicapped people are being cared for at home by a family member caregiver. The task of caring for a family momber may mean that the caregiver has less time and money and more work which may result in increased fatigue and symptoms of illness. This study was done to examine the well-being of family caregivers. Fifty three family caregivers were interviewed. Concepts were measured using existing tools and included : Burden(25 item 5 point scale), Social sup-port (21 item 7 point scale), Health status defined by a symptom checklist(48 item S point scale), and Well -being defined by a quality of life scale (14 item 7 point scale) and caregiving activities. Data collection was done by interview and Q-sort. Social support and well - being were positively correlated as were symptoms and burden. Symptoms and burden were negatively correlated with social support and well-being. Items on the quality of life scale had a mean score range from 3.09 to 4.96. Quality of life related to income was lowest (3.09) but the desire to use more money for the patient was rated 2.90 on the burden scale where the item means ranged from 0.73 to 3.55. The high mean of 3.55 was for obligation to give care and the low 0.73 was (or not feeling that this was helping the patient. Mean scores for symptoms ranged from 0.26 to 2.15 with the 2.15 being for “worry about all the things that have to be done.” Over half of the patients were dependent for help with some activities of daily living. The caregivers reported doing an average of 3.40 out of five patient care activities including bathing (77.4%), shampooing (67.9%), and washing face and hands (49.1%), and 3.74 out of seven home maintenance activities including laundry (98.1%), cooking (83.0%), and arranging bed-ding(75.5%). The caregivers reported their spouse as one of the main sources of social support, including in times of loneliness and anger The mean score for loneliness as burden was 2.15 and ranked fourth and 31 (58.5%) of the sample reported being lonely recently and not being satisfied with the support received. Similarly anger caused by the patient was given a mean score of 2.13, and anger was reported to have been present recently by 38 (71.7%) of the sample and satis-faction with the support given was low. Having someone to help deal with anger ranked twelfth out of 21 items on the social support scale and had a mean score of 3.98 (range 3.49 to 5.98). Spouses were reported as a major source of social support but the fact that 50% of the caregivers were caring for a spouse, may account for the quality of this source of social support having been affected. These caregivers faced the same problems as others at the same stage of life. but because of the situation, there was a strain on their resources, particularly financial and social. In conclusion it was found that burden is correlated negatively to quality of life and positively to symptoms, but in this sample, symptoms and bur-den were scored relatively low. Does this indicate that the caregivers accept caregiving as part of their destiny and accept the quality of their lives with burden and symptoms just being a part of caregiving\ulcorner Does the correlation between the bur-den and symptoms indicate they are a measure of the same phenomenon or that the sample was of a more mobile, less burdened group of caregivers\ulcorner Quality of life was the one variable that was significant in explaining the varience on burden. Further study is needed to validate the conclusions found in this study but they indicate a need for nurses to ap-proach these caregivers with a plan tailored to each individual situation and to give consideration to interventions directed at improving quality of life and expanding social support networks for those caring for spouses.

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A Convergence study on the effect of Caregiving Burden on Interpersonal problem of Dementia Caregivers : Focusing on moderating effect of Family Support (치매노인보호자의 부양부담이 대인관계문제에 미치는 영향에 관한 융합연구 : 가족지지의 조절효과를 중심으로)

  • Seo, Jeong Yeol;Choi, Jang Won;Park, Kyu Am;Jang, Dae Yeon
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.379-392
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    • 2018
  • The purpose of this study is to examine the effects of caregiving burden on the caregiver's interpersonal problem. In addition, mediating effect of family support was examined. In order to accomplish these purposes, a total of 341 sons and daughters in law who are caregivers of dementia elderly using self-report questionnaires. The analysis result of dementia elderly caregiver's symptoms showed that prevalence of caregiving burden were 50.9% and interpersonal problem were 43.6%. As a result, it was confirmed that the caregiving burden had a statistically significant effect on interpersonal problem. Also, Family support was found to moderate the relationship between caregiving burden and interpersonal problem(p< .05). Based on this result, I suggested the various policies and the necessity of social welfare intervention for caregivers of dementia elderly.

A Study on the Effect of Founder's Start-up Preparation and the Burden of Start-up Failure on Start-up Achievement-Focusing on the Social Support Moderating Effect (창업자의 창업준비와 창업실패 부담감이 창업성과에 미치는 영향연구-사회적지지 조절효과를 중심으로)

  • Han, Hyang Won;Ha, Kyu Soo
    • Journal of Korea Society of Industrial Information Systems
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    • v.25 no.6
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    • pp.171-192
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    • 2020
  • The purpose of this study is, first, to empirically verify the relationship between the influences of the start-up performance and the inherent fear factor of failure on the start-up performance through the preparation of the start-up. Second, this study aims to prove the influence of the moderating effect of social support on the relationship between start-up preparation and the burden of start-up failure. The research subjects were sampled and analyzed by 298 start-ups who are currently starting their own businesses. This study founds that preparation of start-up items, which is a subordinate theory of start-up preparation, had a significant effect on start-up performance, and that anxiety about failure had a significant effect on start-up performance. Using the SPSS statistical program, the hierarchical regression analysis proved the moderating effect of social support in the relationship between star-tup preparation, start-up failure burden and startup performance. Furthermore, the moderating effect of social support among start-up preparation, start-up failure burden and start-up achievement was analyzed, but no significant results were found for start-up failure burden. Besides, the effect of the opposite concept of independent variables on the dependent variables at the same time is to be analysed.