• Journal of Hospice and Palliative Care
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• v.14 no.1
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• pp.28-33
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• 2011

Purpose: Recognition of impending death is crucial not only for efficient communication with the caregiver of the patient, but also determination of the time to refer to a separate room. Current studies simply list the events 'that have already occurred' around 48 hours before the death. This study is to analyze the predictability of each event by comparing the time length from 'change' to death. Methods: Subjects included 160 patients who passed away in a palliative care unit in Incheon. The analysis was limited to 80 patients who had medical records for the last week of their lives. We determined 9 symptoms and 8 signs, and established the standard of 'significant change' of each event before death. Results: The most common symptom was increased sleeping (53.8%) and the most common sign was decreased blood pressure (BP) (87.5%). The mean time to death within 48 hours was 46.8% in the case of resting dyspnea, 13.6% in the ease of low oxygen saturation, and 36.9% in the case of decreased BP. The symptom(s) which had the highest positive predictive value (PV) for death within 48 hours was shown to be resting dyspnea (83%), whereas the combination of resting dyspnea and confusion/delirium (65%) had the highest negative PV. As for the most common signs before death within 48 hours, the positive PVs were more than 95%, and the negative PV was the highest when decreased BP and low oxygen saturation were combined. The difference in survival patterns between symptoms and signs was significant. Conclusion: The most reliable symptoms to predict the impending death are resting dyspnea and confusion/delirium, and decline of oxygen saturation and BP are the reliable signs to predict the event.

• Korean journal of communication and information
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• v.17
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• pp.145-178
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• 2001

Bourdieu is one of the few social science researchers who were interested in photography. Bourdieu's work on photography appears principally in two books: Un art moyen: Essai sur les usagrs sociaux de la photographie(1965) and La distinction(1979). In these books, Bourdieu analyzes the role of photography in the family life of peasants and small town and urban dwellers. He shows how different classes and groups express their esthetic worldview in response to different photographs and photographic styles. What Bourdieu analyzed is not just photography but ways of photographing and ways of looking at pictures. Through these analyses, Bourdieu explores the social definition of photography. Bourdieu's ideas on photographic practice in social life are as follows. First, the photography, especially family photography generally practiced, has the integrative function. It recreates the group by ritualizing and solemnizing the important moments of social life in which the group reaffirms its unity. Second, the photography as esthetic practice in search of legitimacy as a fine art becomes a means by which different classes are pitted against each other. Each of classes gives its own meaning to photographic practice. Despite its originality and persuasive power, Bourdieu's work on photography has its own limits. The data used by Bourdieu are 35 years old and relevant to European social life. Things has changed since. First, the technological improvement and innovation in photography was considerable. Cheap and good photographic materials, easy to operate, made photographic practice everybody's everyday activity. New media like camcorder and digital camera made photography one of the industrial discards like jukebox. It means that photography does not function as important means of distinction between classes any longer. The integrative function of the photography becomes more ambiguous too. Second, the esthetic status of the photography has changed. The family photography was already integraed into fine art. Photography is not a middle-brow art any more. Bourdieu's work on photography shows how photography was used by different social classes in European social life of the 1960's. His work is historically and geographically limited. Moreover, his work was ordered by the french affiliate of Eastman Kodak Company. And all along the analysis, Bourdieu didn't hide his intention of distinguishing his sociological method from the other methods, especially psychological one. These mean that Bourdieu's work was done in a specific context, for specific purposes. In this respect, Bourdieu's work on photography, like every sociological work, can not claim to be universal.

• Korean Journal of Health Education and Promotion
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• v.2 no.1
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• pp.93-106
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• 1984

Today, elderly people has desperately felt isolation and desolation due to the loss of activity at home and society by the change of social structure and the tendancy of nuclear family. The mutual-relationship between parants and their children is important to solve the problem of eldery people's isolation and desolation. The present study was conducted to investigate the status of mutual-communication by visiting, telephone and letter on 678 parents over 55 years of age and 1,316 their adult children from September 1st to 30th, 1982. It was investigated with questionaire by students. The frequency of communication from children to parents was highest in 25.4% by telephone and 21.6% by visiting, 4 times a month. Correspondence of letter showed only 18.1% in a year. The frequency of communication from parents to children was highest 16.1％ by telephone and 15.6％ by visiting, 4 times a month. Correspondence of letter showed only 11.3％ in a year. Urban parents showed higher frequency than rural parents by visiting and telephone, but lower by letter. The older age group of children showed higher frequency than the younger by visiting and telephone but 3rd decade was highest by letter. The younger age group of parents showed higher frequency than older age group. Mother was showed higher frequency than father by visiting and telephone, but father by letter. Higher education level group showed higher frequency than lower education level group. Merchants and factory workers showed the highest frequency by visiting and telephone, but officials by letter. Upper class group in socio-economic status showed higher frequency than lower class group generally, but lower class group dy letter from parents to children. The group within samedistrict between parents and children showed the highest frequency by visiting and telephone, but the group within long distance by letter.

• Journal of Hospice and Palliative Care
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• v.11 no.1
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• pp.12-29
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• 2008

Purpose: To develop the standardized record forms for home hospice team members, made up of nurse, doctor, social worker, minister and volunteer, to share information and communicate efficiently in their specialized field. Methods: A methodological study revising and complementing initially developed record forms by obtaining content validity from the experts in each field. Results: Reflecting total 27 experts' opinions, final 11 types of home hospice team documents (registration form, visiting record form for a nurse, initial assessment form for a doctor, progress note for a doctor, initial assessment form for spiritual care, visiting record form for a minister, care note for social worker, visiting record form for a volunteer, final summary note, initial assessment form for bereaved family, and follow-up record form for bereaved family) have been developed. Conclusion: It is believed that this study initiated of effective communication between home hospice team members and enhanced quality of home hospice service and its records.

• The Journal of the Korea Contents Association
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• v.15 no.1
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• pp.44-54
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• 2015

The purpose of this study is to analyze the images of children and adults that is reflected in TV commercial advertisements. For this purpose, 241 public TV advertisements were collected from the domestic ads information sites. The analysis criteria used for this study was the one modified from the ads analysis tool developed by Young-hee Ha(2011). The results showed that the number of ads employing the child model was varied according to the product item. The child model appeared the most in the ads for food/beverage and secondly, the ones for computer/electric home appliances. Furthermore, the child model behaved very similarly to the adults in the ads, especially in the aspect of positive communication. And both adult and a child models tended to have the main role in ads. Regarding the relationships among model characters, cooperative relationship between an adult and a child appeared the most and there were lots of family relationships. The results imply that a child in our society is becoming a considerable family member referred for making decision in purchasing commercial products. In addition, it is discussed that the child's image reflected in the ads would have influence on a child viewer's self image.

• Journal of the Korean Home Economics Association
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• v.49 no.5
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• pp.33-48
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• 2011

The purpose of this study was to explore factors related to marital satisfaction among immigrant wives compared to Korean wives of Korean men. Participants included 409 immigrant wives married to Korean men and 474 Korean wives married to Korean men, both currently living in Korea. Hierarchical regression analyses revealed that there were different sets of variables that predicted marital satisfaction for each group. Egalitarian decision-making was a significant predictor of marital satisfaction for immigrant wives only, whereas for Korean wives, it was the level of their depressive symptoms that was significantly but negatively associated with marital satisfaction. A wife's positive perception of her husband's communication style emerged as the strongest predictor of marital satisfaction for both Korean and immigrant wives. In addition, indicators of the cultural context of immigrant women (i.e., longer stay in Korea and greater frequency of experiencing discrimination in the past year due to their foreign appearance or status) emerged as significant predictors of immigrant wives' marital satisfaction even after taking demographic factors, depressive symptoms, and couple-level factors into account. The findings of this study contribute to existing research by (1) comparing the models of marital satisfaction for Korean wives and immigrant wives, identifying unique predictors for each group, and (2) examining the effect of cultural adaptation on the martial satisfaction of immigrant wives.

• Korean Journal of Family Social Work
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• no.57
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• pp.217-253
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• 2017

This study examines the process of developing and managing parent participation education programs, its performance, and its factor of deriving performance targeted on multi-cultural parents with children in early elementary school. Particularly, opinions of multi-cultural parents were considered and every process of developing and managing the program in this study was reflected. The analysed results were largely divided into three upper categories, which were 'growing as parents', 'forming new multi-culturalism', 'creating support system', and eight sub-categories. In addition, the factors that led to the positive achievement of program were appeared as 'development of active education program', 'organization and operation of parent inclusive program', 'utilization of flexible group structure', 'implementation of close interaction and communication between the members of the development team and the management team'. Based on the following results, we propose development and management process for effective multi-cultural parent education program.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.2 no.1
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• pp.160-175
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• 1991

The purpose of this study is to investigate the parental marital relationships and the parent-child relationships of child psychiatric parents and its control group. This study was carried out two questionnaire instruments ; The marital satisfaction inventory(MSI) and the dyadic adjustment scale(DAS). The subjects are parents of the child psychiatric patients. A matched control group and parents of child psychiatric parents in Seoul area which were collected from July 1987 to September 1987, and classified into five subgroups : 1 Psychiatric disorder 2) Neurotic disorder 3) Tic disorder 4) Autistic disorder 5) Mental retardation. The results are as following ; 1) M.S.I scale scores of parents of patients group are lower than that of control group. 2) D.A.S scale score of parents of patients group is significantly lower than that of the control group(P<0.01). 3) The global distress scale(GDS) of the M.S.I. was most positively correlated with affective communication(AFC) and problem-sloving communication(PSC). 4) Female shoed more modern concept of role identification than male but tend to have heavier role assignment especially in child rearing practices which could be characterized by maternal domination. 5) Affective communication and sexual relationship between married couple and child rearing practices are influenced by their own family history of distress. 6) The marital global distress scale(GDS) score was highest in the parents of psychosis, the next in the parents of neurosis, autism, mental retardation, and tic disorder in descending order of severity. 7) The dyadic maladjustment score was highest in the parents of psychosis, the next in the parents of neurosis, tic, autism and mental retardation in descending order of severity. 8) Conflict in child rearing and parenting problems were particularly prominent in parents of the tic patients, and their marital relationship was not significantly disturbed. The above finding suggested that couple adjustment and marital dissatisfaction were closely related with child rearing problems and the children's disorder. So marital dissatisfaction and marital maladjustment seem to play a significant role in the genesis of psychosis and neurosis not much in autism and mental retardation.

• Journal of the Ergonomics Society of Korea
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• v.31 no.1
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• pp.109-116
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• 2012

Objective: The aim of this study is to present a solution to problems in the services provided by the general hospitals by creating a user-centric environment through analyzing the User Journey Map and the User Context. Background: The rapid growth in aging population and the monopolization of superior medical staffs by the general hospitals increased demand for the general hospitals in Korea. But, often services provided by the general hospitals are provider-centric and low quality. Method: This study examines problems in the services provided by the general hospitals by analyzing the User Journey Map through stakeholder interviews(contextual interviews) and on-site observation. Based on the contextual analysis of the user(i.e. the patient), this study proposes new and improved user-centric services to be provided by the general hospitals. Results: Ten new user-centric services proposed by this study are: (1) "Booklet on Success Story", (2) "FAQs by Doctor", (3) "Designated Nurse", (4) "Patient Interview Record Card", (5) "Close relationship between doctor & patient", (6) "Thank You Notice Board", (7) "Step by Step", (8) "Green Cap", (9) "Patient Kit", (10) "RFID Direction Display System". Conclusion: The service design for the general hospitals proposed by this study is an important case-study on improving the environment of the general hospitals from provider(medical staffs)-centric to user(patents and its family)-centric. Application: This study is expected to be used in various areas to improve existing system(products and/or services) to be more user-centric.

• Journal of Korean Public Health Nursing
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• v.8 no.1
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• pp.84-102
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• 1994

This study was conducted to provide basic policy of home care service centered on early discharging patients from general hospitals. This subjects for this study were 291 discharging patients from university hospital in Chon-ju area. The data were collected during the period from July 1, 1993 through July 16, 1993. The measurement tools were developed based on 9 categorized human responses patterns suggested by NANDA and modified by the research team. The collected data were processed with SPSS/PC + frequency, percentage and mean were used for analysis. From the study, the following summerized conclusions have been drown. A. For home care needs, the mean was $19.0\%$ of possible to total 100 and in a range of $6.2\~39.5\%$ 1. Exchanging Pattern: $17.8\%$ 2. Communication Pattern: $8.6\%$ 3. Relating Pattern : $15.4\%$ 4. Valuing Pattern: $13.4\%$ 5. Choosing Pattern : $6.2\%$ 6. Moving Pattern : $22.9\%$ 7. Perceiving Pattern: $16.5\%$ 8. Knowing Pattern : $30.8\%$ 9. Feeling Pattern : $39.5\%$ B. Response to home care services, 1. $85.6\%$ of subjects didn't hear about home care service. 2. Over $90.0\%$ subjects approved home care service. 3. $83.5\%$of subjects were willing to use home care service. 4. $85.9\%$ of subjects will follow to early discharge order. On the basis of this findings, further studies are required to compare home care needs between patients, their family and community health people groups. And also required to develop to information strategies for home care nursing service.