• Title/Summary/Keyword: communication between family

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치매노인 가족부양자의 대처방법에 관한 연구 (A Study on a Coping Method of the Family Caregivers of Demented Patients)

  • 유광수
    • 지역사회간호학회지
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    • 제13권4호
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    • pp.648-667
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    • 2002
  • This was a descriptive study designed to identify the level of coping method and its influencing factors on the family caregivers of demented patients, and resolve the family caregivers' level of stress. The data were collected from September 10 to October 10, 2001. Subjects for this study were recruited from four clinics, which were chosen from 15 clinics located in Chunbuk-Do as the study sites because of their cooperation for the study. They were similar in terms of size, the characteristics of the local community. and the population and registration status of the demented patients. The instruments used for the study were as follows: 1. Problematic behaviors of demented patients are measured by the Memory and Behavior Problem Checklist (Zarit, 1980), and the Linguistic Communication Symptoms Questionnaire (Bayles and Tomoeda, 1991) 2. The ability to carry out daily activities was measured using the Barthel Index (1965) and Katz Index (1963), which as well-known ADL assessment methods. 3. Burden was measured using Cost of Care Index by the Kosberg and Cairl (1986). 4. Coping strategy was measured Bell's 18 methods (1977). The data were analyzed using SPSS/PC. The study results were as follows: 1. The total stress score was 2.90 out of a maximum score of 5. The highest score reported was 3.09 on the dimension of restriction of individual and social activities, and the lowest region reported was 2.58 on the dimension of mental and physical health. 2. The total score of the coping method was 2.65 out of a maximum score of 5. The highest score reported was 4.01 on the dimension of thinking that includes an ideation such that it is better than any possible worst case, and the lowest score reported was 1.45 on the dimension of the self-image as a scapegoat. 3. There were significant differences in coping method among the subjects by age (F=2.752 p=0.04), caregiver (F=4.33 p=0.003), care-giving period (F=2.68 p=0.049), and dementia stage (F=2.87 p=0.034). 4. There were highly negative correlations ($\gamma$=-0.301 p=0.000) between problematic behaviors of demented patients and the coping method of their family caregivers. The highest correlation coefficient ($\gamma$=-0.339 p=0.000) was found between aggressive behaviors of the demented patients and the coping method of their family caregivers. 5. There was a low negative correlation ($\gamma$=-0.201 p=0.019) between the ADL of the demented patients and the coping method of their family caregivers. 6. There were highly negative correlations ($\gamma$=-0.213 p=0.005) between stress and the coping method of the family caregivers. The highest correlation was found between financial burden ($\gamma$=-.327 P=.000) and the coping method of the family caregivers. There was no significant correlation among unpleasant aspects of the demented patients, willingness to the demented patients, and the coping method of the family caregivers.

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미국 오하이오주의 실천적 문제 중심 모형을 적용한“일과 가족생활 교육과정”에 대한 가정과 교사의 관심도 (Concerns of Home Economics Teachers on Ohio's Work and Family Life Curriculum)

  • 채정현
    • 대한가정학회지
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    • 제34권4호
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    • pp.327-343
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    • 1996
  • The objective of this study were 1) to determine the stages of concern of HE teachers about the practical problem-based curriculum approach, as illustrated by the Ohio's Work and Family Life Curriculum (W&FLC); 2) to determine the relationships between home economics (HE) teacher's stages of concern about W&FLC and personal and professional characteristics of HE teachers; and 3) to determine aspects of interest about the practical problem-based curriculum approach, such as the Ohio W&FLC. Respondents in this study were 225 HE teachers. The data were collected during the in-service teacher training sessions after presentation about W&FLC. Concerns Based Adoption Model (CBAM) was modified to provide a conceptual framework for this study. Frequencies, SD, mean, mode, range were used to determine the stages of concern of HE teachers. To determine the relationships between stages of concerns and personal and professional characteristics of HE teachers, coefficient of Chi-Square contingency tables was used. Content analysis was used to determine aspects of interest about the practical problem-bsed curriculum approach, such as W&FLC. The median of the stages of HE teachers' concerns about W&FLC was Stage 1, Information Stage. About 60% of HE teachers were interested in learning more details about W&FLC. Chi-square revealed no statistically significant relationships between stages of concerns about W&FLC and characteristics of HE teachers. Content analysis was used to determine aspects of interest about W&FLC of HE teachers. Nine categories were found: content, teaching strategies, implementation of the curriculum, philosophical framework, how to adopt W&FLC, resource materials, students' outcomes, in-service teacher training, and HE teacher organization. The majority of HE teachers were interested in relationships with family and others, resource management, family relationships, personal development, communication skill, family life, creating a self-identity, life planning, roles of family members, homemaking management, child care, and parenting.

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국내 네팔 결혼이주여성의 본국 가족에 대한 초국적 돌봄 연구 (Transnational Care for Left-Behind Family with Particular Reference to Nepalese Marriage Migrant Women in Korea)

  • 김경학;윤밀알
    • 한국지역지리학회지
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    • 제23권3호
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    • pp.514-528
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    • 2017
  • 이 연구는 광주광역시에 거주하는 네팔 결혼이주여성을 대상으로 하여 이들의 본국 가족원에 대한 초국적 돌봄의 양상을 규명하고 있다. 네팔 결혼이주여성은 물질적이고 정서적인 지지와 지원, 네팔방문과 직접적 돌봄, 가족의 한국 초청을 통한 노동기회 제공 등 다양한 형식으로 본국 가족에 대한 돌봄을 초국적으로 실천하고 있다. 이러한 초국적 돌봄 실천 양상에 대한 적절한 이해를 위해서 이주여성을 한국 사회와 네팔 사회 사이에 '끼여 있는 존재'(being in-between)로 인식하는 초국적 시각이 요구된다. 네팔 결혼이주여성의 초국적 돌봄은 이주여성의 형제자매 서열에 따른 역할기대, 자녀의 여부, 경제활동 여부, 친정가족원의 국내 체류 여부 등에 따라 그 강도와 내용에 차이가 있다. 또한 이주여성의 본국 가족에 대한 다양한 형식의 초국적 돌봄, 특히 정서적 지지와 출산 및 육아지원은 '일방적'인 것이 아닌 '돌봄의 호혜적 교환'(reciprocal exchange of care)으로 이해되어야 한다.

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응급실 근무 간호사의 업무분석 (A Study on the Job Activities of the Emergency Nurses)

  • 김광주;이향련;김귀분
    • 대한간호학회지
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    • 제25권4호
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    • pp.709-728
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    • 1995
  • The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

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남편의 권위주의적 의사소통에 대한 부부간의 인지분석 (An Analysis on the Recognition of Husband and Wife about the Husband's Authoritarian Communication)

  • 유경희
    • 가정과삶의질연구
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    • 제14권1호
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    • pp.21-34
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    • 1996
  • The purposes of this study are to investigate the degrees of husband's and wife's recognition and the difference between those degrees about the husbands' authoritarian communication to develop the typology of recongnition of husband and wife and also to find group differences caused by the personal variables spousal variables family-environmental variables. The subjects of this research were 328 married couples living in Seoul. The major findings of this study can be summarized as follows: 1) The degrees of husband's and wife's recognition about the husbands' authoritarian communication were not high and there was no significant difference between husband's and wife's recognition. 2) The recognition of husband and wife about the husband's authoritarian communication is classified into 5 types; type of high agreement of both husband and wife(34 married couples) type of middle agreement of both husband and wife(167 married couples) type of low agreement of both husband and wife 26 married couples) type of disagreement with husband's high recognition(51 married couples) type of disagreement with husband's high recognition(51 married couples) are type of disagreement with wife's high recognition(50 married couples) 3) The variables which have significance on the types of recognition of husband and wife about the husband's authoritarian communication were husband's educational level husband's birth order husband's self-esteem husband's alienation husband's sex-role attitudes wife's self-esteem wife's alienation the rights of decision-making between couples household income subjective social class authoritarian behavior of father of husband.

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기혼여성의 가사부담과 가정 내·외의 지지(support)가 주관적 불건강에 미치는 영향 (Effects of Housework Burdens and Social·family Supports on Poor Self-rated Health among the Married Women)

  • 이효영;박은옥
    • 보건의료산업학회지
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    • 제10권4호
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    • pp.179-196
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    • 2016
  • Objectives : This study investigated poor self-rated health and its associated factors in married Korean women, focusing on the burdens related to family affairs and social support. Methods : Cross-sectional data from 3,039 married women (between 25 and 64 years old) who completed Korean Longitudinal surveys of Women and Families were analyzed. Results : Among working women, only two factors-lack of husband's involvement in housework and insufficient communication with husband - influenced poor self-rated health. Among housewives, lack of husband's involvement in housework, insufficient communication with husband, low satisfaction of marriage, and avoidance of alcohol consumption were associated with poor self-rated health. Conclusions : Regardless of whether women are employed or housewives, husband's support is a very important factor affecting women's health. Social efforts for changing perceptions and values are needed so that men and women mutually support each other in family affairs.

RT를 적용한 부부관계향상 프로그램 개발 (The Development of Marital Enhancement Program Based on Reality Therapy)

  • 전영자
    • 한국생활과학회지
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    • 제14권2호
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    • pp.241-250
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    • 2005
  • The purpose of this study is to develop a marital enhancement program based on reality therapy. The program consists of 8 session contents: program orientation, need strength profile between husband and wife, quality world and marital life, perception about marital life, comparison between quality world and perceived world, total behavior in marital life, communication between husband and wife, integration and application. This study mainly focuses on applying counseling theory (choice theory and reality therapy) to family life education for enhancing a conjugal relationship. In this way, participants of Marital Enhancement Program can experience a therapeutic effect as well as an educational effect.

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삼, 사십대 기혼 남녀의 성적 의사소통과 결혼의 질 (Sexual Communication and Marital Quality of the Korean Married People in their 30s and 40s)

  • 남영주;옥선화;김지애
    • 대한가정학회지
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    • 제44권2호
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    • pp.113-126
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    • 2006
  • This study aimed to examine the relationship between sexual communication and marital quality. Study data were collected from structured questionnaires completed by 695 married men and women aged in their 30s and 40s. The major results were as follows. For the interaction coordination and postsexual interaction, there were significant differences between men and women, in that men had more interaction coordination and postsexual interaction than women. The results show the stereotype of sexuality in Korean society that men should be more active, and assertive while women should be passive and dependent. For both men and women, those who had more dyadic sexual communication, more interaction coordination, and more postsexual interaction had a higher level of marital quality. That is, sexual communication can function significantly in increasing marital quality. The study results suggest the necessity of training to improve sexual communication skills. For example, in educational programs for couple enrichment, it will be useful to include skills such as expressing ones' desire, affect, and feelings explicitly.

외식산업 종사자의 감정노동과 감정노동자의 정서, 커뮤니케이션 스킬간의 인과관계 (Causal Relationships between Emotional Labor and Emotions and Communication Skills in the Foodservice Industry)

  • 김민주;김두라
    • 한국조리학회지
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    • 제14권2호
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    • pp.73-85
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    • 2008
  • This study is based on an empirical study on consequences of emotions and emotional labor in the food-service industry. It analyzed the effect of emotional labor on emotions of emotional laborers and the effect of emotional labor on communication skills. Data used for analysis were collected through the questionnaire surveyed on the various samples including employees of family restaurants, Korean restaurants, Chinese restaurants, Japanese restaurants, etc. The result of data analysis indicated that only the efforts for emotional expressions among the factors influenced affirmative emotion(P-value=0.042). It also showed that the factor of the efforts for emotional expressions by researchers had a positive effect on both language communication skills and non-language communication skills(P-value=0.000). This study was valuable in the aspect that emotions and communication skills were first selected as dependent variables of emotional labor and it verified causality between emotional labor and these variables. However, it also has some limitations that its sample size was small and it depended on convenience sampling.

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기혼여성의 지속적 피임행위와 의사소통, 피임통제감 및 성적자율성 (A Comparative Study of Consistent and Inconsistent Contraceptive Users on Partner Communication, Perceived Contraceptive Control, and Sexual Autonomy)

  • 김미종;강희선
    • 대한간호학회지
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    • 제33권6호
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    • pp.784-791
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    • 2003
  • Purpose: This study is to investigate the influencing factors in the consistent use of contraception methods by comparing consistent and inconsistent users on partner communication, contraceptive control perception, and sexual autonomy among married Korean women. Method: This study consists of 243 married women living in Korea. A convenient sampling technique was used and data were collected by self report questionnaires from September 14, 2000 to October 20, 2000. Result: Only 41.6% of women were using contraception methods consistently and the rest of them were using contraception methods inconsistently. Between the two groups, statistical significances were noted in sexual communication(t=-2.5, p=.01), perceived contraceptive control(t=-7.5, p=.00) and sexual autonomy(t=-3.1, p=.00). As for general communication, it was not statistically significant(t=-1.0, p=.31). Conclusion: Family planning program advisors should recognize that intervention programs for the promotion of consistent contraceptive behavior should focus on the sexual communication, perceived contraceptive control, and sexual autonomy.