• 대한임상독성학회지
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• 제3권1호
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• pp.33-39
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• 2005

Purpose: Nowadays the Korean society is in the center of time of the social change. Because of dissociation of traditional family, IMF (International Monetary Fund) crisis and economic recession, the mortality rate of suicidal attempts are increasing annually. The majority of suicidal attempts were by poisoning considering the characteristics of korean society. Therefore we studied to find out the characteristics of suicidal poisoning before and after social economic stress, and to suggest the direction for the proper management. Methods: We reviewed medical records of 547 patients of suicide by poisoning who visited the emergency medical centers of St. Mary's hospitals from 1997 to 2004. For the annual trends analysis, we analyzed the demographic and toxicologic data of these patients compared with before and after IMF crisis (1998) and the economic recession ($2003\~2004$). Results: At the time of IMF and the economic recession, the number of suicidal poisoning increased, especially in fifth decade. The refusal rate of toxicological emergency treatment increased. Also the mortality rate and the admission rate to ICU (Intensive Care Unit) increased during the same period. In the result of the comparison analysis, clinical severity and mortality of social problem group were higher. However they couldn't be treated appropriately because of financial problem and the family indifference. Conclusion: At the economic recession period, the severity of suicidal poisoned patients was high. But the refusal rate of toxicologic treatment also increased, so the patients had lost the chance for proper toxicologic treatment. Therefore they would be supported by medical institution and public health.

• 영어영문학
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• 제55권2호
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• pp.259-292
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• 2009

When AIDS evolved into a narrative, there were lots of mythologies on AIDS. Among them, the one that AIDS is a gay plague was accepted without any special rejection. Now AIDS is no longer a gay-related disease. At the beginning of the epidemic, however, AIDS was said to be a gay plague and gays were blamed for their life styles. Although AIDS was new, it had been in the mind of people. That is, the truths about AIDS were distorted and misunderstood. The social aspects of AIDS were based not on real scientific facts but on the prejudice and the practices which heterosexual society had invented for homosexuals. Here the AIDS crisis is said to be politicized. The socio-political responses to AIDS were effected by the dominance of Reaganism. So this paper investigates the effects of AIDS on the gay community and the reactions of the Reagan administration through analyzing ten American AIDS plays. Four issues are discussed to develop the paper's main idea: the meaning of AIDS, the past to be remembered, the new family system, and the indifference of President Reagan and the silence of media. AIDS means death; the relation between homosexuality and AIDS cannot be separated. Under these social circumstances AIDS becomes a symbol for moral corruption and the person with AIDS is thought to be punished. But a gay person can overcome the fear of death through regaining promiscuous sex and confirming his identity as a gay. Also to survive in the heterosexual society a gay has to make a new family system. Finally the indifference of the Reagan administration and the virtual silence of the media make the crisis more serious. In the conclusion homosexuals are compared to the Jewish people and the responsibility of gay community is also discussed. The important thing is that facing the AIDS crisis, the gay community has spiritually grown up.

• 지역사회간호학회지
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• 제32권2호
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• pp.162-174
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• 2021

Purpose: The purpose of this qualitative study is to explore the changed parenting experiences of mothers of elementary school kids living in the aftermath of the COVID-19 outbreak in Korea. Methods: From July to August in 2020, 10 mothers parenting elementary school students under the COVID-19 were interviewed in depth. For data analysis, a phenomenological research methodology suggested by Colaizzi was used. Results: According to the analysis, the experiences of mothers consisted of four categories: the 'pain from the uncontrollable COVID-19', 'the problem of family relations due to the COVID-19 pandemic situation', 'standing firm against the drastic changes', and 'accepting the world changed by the COVID-19'. Conclusion: The findings in this study vividly represent the parenting experiences of mothers of elementary school students after the outbreak of COVID-19. As the pandemic persists, mothers parenting elementary school students feel complex emotions and experience exhaustion, but in the process, they found family members growing positively and trying to adjust to each other to overcome the crisis. To support positive adaptation to catastrophic situations, an institutional and political foundation is needed to develop a systematic crisis management program customized for mothers and families of elementary school students. The results of this study can be used as basic data when establishing national policies and support systems so that mothers parenting elementary school students can better adapt to and overcome crisis situations.

• 성인간호학회지
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• 제14권1호
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• pp.125-134
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• 2002

Purpose: The objectives for this study were to identify the factors that correlate with appraisal of illness and to explore what variables are predictive of cancer patients primary caregivers' cognitive appraisal for stress. Method: The subjects were selected by convenient sampling and 130 caregivers who completed a questionnaire. Measures used in this study included the Family Inventory of Resources for Management, Social Support Index, Family Crisis Oriented Personal Evaluation Scales and Family Coping Coherence Index. Pearson correlation was used to identify the relationship among factors and multiple regression was used to determine the individual and cumulative effect of potential predictors on the caregivers' appraisal. Results: Patient's level of activity, severity of the disease, quality of relation between patient and caregiver, caregiver's subjective health status, economic status, family resources and coping were significantly correlated. Among the variables, coping, family resources, economic status and quality of relation between caregiver and patient predicted 49.2 percent of the variance in appraisal of caregivers' stress condition. Conclusion: These findings suggest that coping mechanisms and family resources are important for positive appraisal. Nurses should provide adequate nursing care for the primary caregiver about professional care information and supportive counseling.

• 중환자간호학회지
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• 제15권1호
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• pp.13-23
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• 2022

Purpose : Life-threatening illnesses represent a crisis for individual patients and their families. Little has been made to understand the priorities or perspectives in developing a care plan. This results in poor outcomes, and patients and families return home without being satisfied with the care provided. This study aimed to address nurses' and families' care priorities on patient and family-centered care principles and compare those priorities. Methods : A quantitative comparative descriptive research was conducted. The data were part of a study that was carried out to elicit and compare nurses' and families' perceptions of complying with patient and family-centered care (PFCC) principles in intensive care units (ICU) in Ghana. The respondents were ICU nurses (n=123) and family members of hospitalized patients in the ICU (n=111). The tool for the study was a "modernized version of a hospital self-assessment inventory on PFCC," and data analyses were performed using SPSS version 20.0. Results : Nurses and families differed significantly in their priorities of care based on the principles of PFCC. The means and p-values were significantly different for the definition, pattern of care and access to information/education, and the overall total scores of the patient and family-centered care principles (PFCCP) Conclusion : To render care that aligns with the care priority of families and patients in the ICU, nurses must plan care in consultation with their families.

• Child Health Nursing Research
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• 제6권2호
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• pp.240-248
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• 2000

Nurses working with families who has a hospitalized child are aware of the complexity of the tasks and stresses they deal with new setting of environment. The challenge is to assess the family coping activity that require the most immediate intervention for the effective nursing care for child and family. This study describe the family coping inventory for the clinical guidance to identify a family coping with stressors. The purpose of this study was to look at the factors related to the family's coping activity when the child was hospitalized. The data were collected with a questionnaire between July and August, 1999, in a sample of 106 families who have hospitalized child. Family coping was assessed using Family Crisis Oriented Personal Evaluation Scale(F-COPES). Data was analyzed using correlation coefficient and analysis of variance. Positive correlation was found between social support, reframe with mobilizing the family to acquire and accept help in sub-domain of family coping. Strongest correlation existed between the family's spiritual support and total family coping. The type of diagnosis, the level of family income, religion, and child's age were significantly different in family coping. The result show that the family coping is affected by the characteristics of child and family, as well as the factors of coping activity. Therefore, early assessment of family coping skill and activity is important to the prevention of problem with function toward wholeness as a unit and child's well being. It can be used with a broad range of child's hospitalization process. It also serve as a nursing record and planning tool for documenting issues that may become priorities for future interventions.

• 가정과삶의질연구
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• 제21권3호
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• pp.171-180
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• 2003

In this study, the characteristics and patterns of family problems were explored. What constituted family problems, and how those evolved over the period of drastic changes in the Korean society were examined, by analyzing articles published from the 1940s to the 1980s in the four major national newspapers in Korea. A total of 6542 articles related to family problems in the four newspapers, Chosun, Dong-A, Kyunghyang, and Seoul, were used for the content analysis of this study. The main categories of family problems were classified as poverty, marital issues, issues related to children and adolescents, elderly issues, problems in the family as an institution, and the so-called family-lag problem. Each of these categories consisted of several subcategories: The poverty-related problems included the problems caused by difficulty in making a living and instability of living, for example. The marital issues category consisted of conflicts between the couple, unfaithful spouses, domestic violence, divorce, and so on. Issues related to children and adolescents included juvenile delinquency, difficulty in bringing up children, child abuse, single motherhood, and underage household heads, for example. The elderly issues included the anxiety over the aging society, support for the elderly, conflicts between mother-in-law and daughter-in-law, alienation of the elderly, etc. Problems in the family as an institution consisted of the legal issues in such areas as marriage, succession of the family head, and adoption. Lastly, the family-lag problem included confusion over family values, and conflict caused by the inconsistency between consciousness and actual behavior related to the family or family crisis. From the 1940s to the 1980s, family-lag was the most common problem (26.2% of the total articles), followed by issues related to children and adolescents (23.1%), poverty (16.2%), marital issues (15.9%), elderly issues (12.4%), and problems in the family as an institution (6.0%). During the 1940s and the 1950s, poverty was a prominent problem, and in the 1960s, issues related to children and adolescents were most commonly addressed in the articles. In the 1970s and the 1980s, the family-lag problem was the most frequently addressed.

• 가정∙방문간호학회지
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• 제27권1호
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• pp.42-52
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• 2020

Purpose: This study aimed to find grounds for the development of a health promotion program by examining the risk factors affecting children in low-income families. Methods: This was a cross-sectional study. The subjects were 288 children under 13 years of age in We-Start, W city. The tools used included a household information questionnaire and risk assessment tools. The data were analyzed using t-test, ANOVA, and multiple regressions. Results: Risk factors like disability problems (β=.38, p<.001), residential environment (β=.37, p<.001), parenting type (β=.27, p=.003), the foster's educational level (β=.22, p=.011), and the gender of the child (β=.19, p=.030) explained 51% (p<.001) of the preschoolers in crisis. For the schooler, academic achievement (β=.39, p<.001), disability problems (β=.24, p<.001), adaptation to school (β=.23, p<.001), noise from the environment (β=.20, p<.001), and the foster's job (β=-.15, p=.007) explained 50% (p<.001) of crisis of schooler. Conclusion: The study found that children (disability, gender), family (residential environment, type of parenting), and caregivers (educational level, economic competence) had a complex impact on crisis situations. In children of a school-going age, school life appeared to be an important influencing factor. Therefore, an integrated case management approach that considers children, carers, and the home environment is necessary.

• 가정과삶의질연구
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• 제17권1호
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• pp.121-138
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• 1999

The purpose of this study were to identify the factors related to the changes of family total income total expenditures housing maintenance costs food expenditures and clothing expenditure, The data used for these purposes was collected from housewives living in jeonbuk area by questionaire in May 1998. Sample size of this data was 341 households. Statistics performed for the analysis were frequencies percentage means and multiple regression analysis. The results of this study were as follows; First monthly income decreased by 370,000 won than last year. The variables contributing to decreasing income were job type of household head and educational attainment of housewives the amount of total family current income total household expenditure and the perception of economic status. Second monthly expenditure decreased by 24,000 won than last year. The variables related to decreasing expenditure were educational attainment of housewives and the perception of economic stats. Third the variables related to their total household change were job type of household head number of family current household expenditure and the perception of economic status. finally the variables associated with total satisfaciotn of family life were the amount of leisure time the perception of economic attainment the confirmity of family and the amount of current household expenditure.

• 한국학교ㆍ지역보건교육학회지
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• 제22권3호
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• pp.17-27
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• 2021

Objectives: As COVID-19 drags on, university students experience more stress and feel more anxious about their studies and career plans. Against the backdrop, this study aims to analyze the moderating effect of family health on the relationship between the spread of COVID-19 and the quality of life in university students. Methods: In order to achieve the purpose of this study, the results of an online survey performed with 216 university students in cities K and D were analyzed using frequency analysis, factor analysis, correlation analysis, regression analysis, and moderating effect analysis. Results: It was found that COVID-19 stress had a significant negative effect on the quality of life in university students, while family health showed a significant positive effect. In addition, the moderating effect of family health was statistically significant on the relationship between COVID-19 stress and the quality of life in university students. Conclusions: This study found that family health plays an essential role as a safety net in reducing stress and improve the quality of life in university students amid the social crisis of the COVID-19 pandemic. In this regard, it is required to develop various programs for communication with parents, including parent-child communication techniques.