• 한국의료질향상학회지
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• 제3권1호
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• pp.104-124
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• 1996

Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.162-167
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• 2016

Purpose: To determine the socio-economic impact of gluten free diet (GFD) on Saudi children and their families Methods: A cross-sectional study was conducted in which an online questionnaire was sent to all families registered in the Saudi celiac patients support group. We included only children (age 18 years of age and younger) with biopsy-confirmed celiac disease (CD). Results: A total of 113 children were included in the final analysis, the median age was 9.9 years; 62.8% were females. One hundred (88.5%) of the participating families reported that GFD food was not easily available in their areas, 17% of them reported that it was not available at all in their area. One hundred and six (93.8%) reported that the price of GFD food was very expensive and 70 (61.9%) families that the diet was heavily affecting their family budget. Significant social difficulties were reported among the participating families and their children including interference with the child's interaction with other children (49.6%), the families' ability to attend social gatherings (60.2%), the families' ability to eat in restaurants (73.5%), and the families' ability to travel (58.4%). Conclusion: There is significant negative socio-economic impact of GFD on children with CD & their families. Health care providers should be aware of these psycho-social difficulties and be well trained to provide a proper education and psychological support for these patients and their families.

• 가정과삶의질연구
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• 제24권3호
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• pp.59-72
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• 2006

This article explores bilateralization phenomena in Korean families through intimacy and interaction with matrilineal kins. In-depth interviews were conducted with married men and women aged from their mid-30s to mid-40s. The findings indicate that the intimacy range of participants was restricted to blood-based kins. The power hypothesis was supported for male participants. Some wanted to actively contact their spouse's family members, while others did not want to be connected with the spouse's families. Interaction with wives' families was based on the exchange perspective. In contrast, a complicated mechanism existed in the intimacy and interaction of female participants. Most of them were connected with in-laws in a passive way but actively interacted with their family-of-origin. However, some female respondents did not have good relationships with their mothers. Undifferentiation between mothers and married daughters negatively influenced their relationships. Therefore, it could be concluded that bilateralization phenomena in Korean families is another kind of shackle of patrilineal norms.

• 가정과삶의질연구
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• 제17권1호
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• pp.103-120
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• 1999

The purpose of this study was to investigate the characteristics and caregiving behavior in families who awarded on filial piety. Using the qualitative method 137 families and social supports to them were analyzed,. The major findings can be summarized as follows (1) Most of caregivers were daughter-in -law over 40 years in 3-generation or 2-generation family. Elderly can be characterized as oldest-old dependent long-term care for more than 10 years. (2) These families showed very high family solidarity with strong collectivity. (3) Their economic emotional and service cares were family-centered with helps from their extended family. These families were supported emotional helps rather than instrumental helps from social network. It was concluded that to help family elder care social support program for the frail elder caregiving families should be complemented in their children support program family life enrichment program for the inter-generational relationship medical care program other social network program and religion program etc. And more concrete and qualified study for the adaptation of filial piety families should be followed.

• 가정과삶의질연구
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• 제25권1호
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• pp.183-207
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• 2007

The purpose of this study was to improve the understanding of the essential experience of Separated Families in South and North Korea in a socio-cultural context and to explore their post-separation adjustment process from the perspective of the families. Major findings in this study are summarized as follows. First, 'han' was the central phenomenon that the participants experienced following their separation. Second, the core issue in the process of post-separation adjustment was 'accepting the separation and rearrangement of reality for reunion', and over time the participants went through four stages in their adjustment process: the stage of being overwhelmed, the stage of conflict, the stage of awareness, and the stage of acceptance. Third, the main factors affecting the participants' adjustment were supportive systems, available resources(individual variables) and interaction with other separated families. fourth, four types were observed in the typology of adjustment and reunion of the participants.

• 한국생활과학회지
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• 제7권1호
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• pp.11-24
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• 1998

This study aims to compare the husband's stress, communication, family cohesion and adaptation which contribute to the internal structure of conjugal understanding between families living apart from one another and those living together. The data for analysis was derived from questionnaires. 172 husbands from families living apart and 185 husbands who live with their families. The data was treated by spss pc+ program and the methods of analysis were frequency, t-test and one-way ANOVA. The results of this study were as follows : 1. Husband's stress in conjugal understanding in families living apart was higher than those who live with their families. 2. Between the husbands whose families are living apart and those who are living together, there were no significant differences in effort levels to overcome stress, family cohesion, family adaptation and communication needs for conjugal understanding. 3. Husbands who live with their families communicate differently according to the degree of their stress levels. 4. Low stress levels led to high family cohesion and family adaptation in both cases. 5. High communication levels led to high family cohesion and family adaptation in both cases.

• 가정과삶의질연구
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• 제27권4호
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• pp.103-116
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• 2009

This study aims to investigate the process of family distress to family crisis in multi-cultural families based on Hill's ABCX model. For this study, the qualitative study with depth interview was conducted with 8 multi-cultural families(e.g. husband, wife, child and elderly parent). The depth interview contents were marriage process, family relation or family interactions, social adaptation process, and social services needs. Results showed the followings: First, multi-cultural families had multiple distressors so that these distressors made multi-cultural families vulnerable to family crisis. Second, Hill's ABCX model explained the process of family distress to family crisis in the multi-cultural families in that they had few resources(both individual resources and family resources) and even worse they had negative cognitions about their own multi-cultural family systems. This situation made them difficult to solve their problems and to cope with their distressors. Third, major distressors in multi-cultural families were founded in this study. These were different cultural gap, communication difficulties, social discrimination to multi-cultural families, and lack of social support networks. Discussion will address suggestions about effective family policies for multi-cultural families in order to make them resilient to family crisis and help to well-adjusted in the korean society.

• Child Studies in Asia-Pacific Contexts
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• 제4권2호
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• pp.127-136
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• 2014

The number of multicultural families with children are growing in South Korea. When it comes to childrearing, co-existence of two different cultures in these families pose unique challenges as husbands and wives navigate differences in norms and practices. The goal of this study was to examine what predicts involvement in child care among South Korean fathers in multicultural families. We hypothesized that the degree of wives' adaptation to South Korea and husbands' cultural characteristics, such as family ideology and cultural competence, would influence father involvement in child care. The sample consisted of 138 Korean fathers and their wives from China. Participants completed a questionnaire. Results showed that South Korean fathers engaged in a moderate level of child care activities. As hypothesized, their Chinese wives' level of adaptation to South Korea and their own cultural characteristics were significantly associated with their involvement in child care. South Korean fathers were more likely to get involved in child care when their wives were less acculturated. Also, culturally considerate and less traditional men in terms of family ideology were more likely to perform child care.

• Clinical and Experimental Pediatrics
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• 제65권5호
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• pp.222-229
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• 2022

Pediatric chronic kidney disease (CKD) is a chronic illness that affects the overall quality of life of patients during childhood. This article highlights the psychological and social burden of CKD in patients and their families. Patients with CKD and their families require comprehensive treatment for psychosocial problems. Therefore, it is crucial for pediatricians to screen for these issues and refer patients and their families for therapy. Tools that are short, easy to administer, and easy to score, such as the Pediatric Quality of Life Inventory or the Childhood Depression Inventory, can be utilized during routine clinical appointments. Reducing the negative impact of CKD on the family will improve the well-being and coping skills of patients and their families.

• Human Ecology Research
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• 제61권4호
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• pp.663-671
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• 2023

This study aimed to determine whether the achievement motivation of adolescents from multicultural families in their third year of middle school influenced their adaptation to school learning activities. It also explored the mediating effect of career attitude on achievement motivation and adaptation to school learning activities. An analysis was performed on data obtained from students in the third grade of middle school who participated in the sixth wave of the Multicultural Adolescents Panel Study (MAPS). The main findings were as follows. Firstly, achievement motivation exhibited a positive correlation with both career attitude and adaptation to school learning activities. Secondly, the achievement motivation of adolescents from multicultural families and their career attitude both exerted a positive effect on their adaptation to school learning activities. Thirdly, the mediating effect of career attitude on the relationship between adaptation to school learning activities and achievement motivation of adolescents from multicultural families was verified.