• Korean Journal of Adult Nursing
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• v.18 no.3
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• pp.457-467
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• 2006

Purpose: The purpose of this study was to identify the main factors influencing family functioning of caregivers in families with stroke. Method: A Convenient sample of 173 primary family caregivers who take care of a stroke patient at an Oriental medicine hospital in Jeonbuk. Interviews were done with a standardized questionnaire including family functioning by nurses. Results: In Pearson's correlation analysis, the influencing factors related to family functioning were ADL(p=.017), level of paralysis(p=.019) as stressors, Quality of relation(p=.000) as situational variables, and family caregivers' burden(p=.000). Stepwise multiple regression analysis showed 29.9% of the variance family functioning was significantly accounted for by the quality of relationship between stroke patient and caregiver(26.8%), and caregiver burden(3.1%). Conclusions: Findings indicate that families of stroke patients need family-focused nursing intervention as supported care to improve the relationship between patient and primary caregiver and relieve caregiver burden by culturally tailoring to Korean.

• Journal of Family Relations
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• v.22 no.2
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• pp.99-117
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• 2017

Objectives: The purpose of this study was to explore differences of fathers' and mothers' parenting behaviors, sharing, and stresses by levels of family system functioning in families with young children. Methods: The sample of this study included 1,611 first married couples having at least one child aged under 5 years in the 6th wave of the Panel Study on Korean Children(PSKC). Results: It was found that fathers' cohesion and flexibility were higher than mothers'. It was also found that there were significant differences in fathers' and mothers' parenting behaviors, sharing, and stresses by the level of family system functioning. Conclusions: This study suggested that the family system functioning are related to parenting in families with young children. Further implication were discussed for enhancing family system functioning and parenting behaviors of young children.

• Human Ecology Research
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• v.52 no.4
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• pp.337-345
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• 2014

The purpose of this study was to examine the mediating effect of the adult attachment in the relationship between the family of origin functioning and fear of intimacy. Data were collected through a questionnaire from 557 university students in the Jeollabuk-do of South Korea. The collected data were analyzed by basic descriptive statistics, Pearson's correlations and multiple regression analysis. Baron and Kenny's method was used and examined, and the Sobel test was performed to determine the mediating model's significance. It was adapted to SPSS ver. 18.0 for Windows. The major findings were as follows: first, the functioning of family-of-origin was negatively related to the fear of intimacy. In addition, younger students and students with less past dating experience were more likely to fear of intimacy. Second, fear of intimacy was influenced by the family-of-origin through the intermediate effect of attachment avoidance and attachment anxiety. Attachment avoidance and attachment anxiety had partial mediating effects on the relationship between family-of-origin functioning and the fear of intimacy. That is, family-of-origin functioning was shown to have not only a direct effect, but also an indirect effect through attachment avoidance and attachment anxiety, on the fear of intimacy. The results of this study suggest that the importance of family-of-origin functioning in order to improve Korean college students' intimacy abilities.

• Child Health Nursing Research
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• v.6 no.2
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• pp.199-211
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• 2000

Today, more chronically ill and handicapped children are being cared for at home by a family member caregiver. The task of caring for a family member may feel burden that the caregiver has less time and money and more work. Family functioning and their burden have influence on coping and adaptation of families with chronically-ill children. This study attempted to identify the levels of burden and family functioning in families of children with cerebral palsy and to examine their relationships. The instruments were burden scale developed by Suh and Oh(1993), and a modified Feetham Family Functioning Survey based on Roberts and Feetham.(1982). The subjects were 98 parents of children, under 15 years, who have cerebral palsy and being treated and living in Pusan. Data were collected through a self-administered question- aire from April 26 to May 29. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows ; 1. The mean rating scores of burden and family functioning were 2.79±.51 and 4.12±.69, respectively. 2. The relationships between general character- istics and burden were statistically significant difference : degree of children's handicap(F=6.333, P<.01). The relationships between general characteristics and family functioning were statistically significant differences : familial relation with the children(F=3.628, P<.05), caregiver's health status(F=4.359, P<.05), age of children (F=4.185, P<.05), and duration of treatment (F=6.802, P<.01). 3. In families of children with cerebral palsy, there was significantly negative correlation between the burden of parents and the performance of family functioning(r=-.230, P<.05). There were significantly negative correlations between the burden of parents and the satisfaction of family functioning (r=-.211, P<.05), and between the perceived importance and the satisfaction of family functioning(r=-.481, P<.01); however, there was a positive correlation between the performance and the perceived importance of family functioning(r=.425, P<.01). In conclusion, this study suggests that families of children with cerebral palsy need family-focused nursing interventions as supportive care for relieving their burden and for improving family functioning.

• Journal of the Korean Home Economics Association
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• v.33 no.6
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• pp.99-113
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• 1995

The purposes of this study were to investigate the interrelationships between family functioning, marital conflicts, conflict coping strategies and couple's psychological adjustment, and to identify the influence of each variables on couple's psychological adjustment. The subjects of this study were 532 couples with teen-aged children in seoul. the major findings were as follows ; 1) The couples' perception of their family funstioning(family cohesion and family adaptability) had linear relations with psychological adjustment(marital satisfaction, self-esteem, and depression). 2) For both spouses, marital conflicts, avoidance strategy, action-expression strategy, emotional strategy and outside-aid seeking strategy were negatively related to family functioning, marital satisfaction and self-esteem, and were positively related to depression, Rational coping strategy was positively related to marital satisfaction and self-esteem, and were negatively related to depression. 3) Couples' marital satisfaction were significantly affected by marital conflicts, avoidance strategy, family functioning and family income. Couples' self-esteem were significantly affected by rational coping strategy, family functioning, family income and avoidance strategy. Couples depression were significantly affected by marital conflicts, emotional strategy, and avoidance & action expression strategy. In addition, wives' self-esteem were affected by family functioning. And there were differences between wives and husbands in the findings.

• Research in Community and Public Health Nursing
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• v.15 no.4
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• pp.608-617
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• 2004

Purpose: This study was to investigate family functioning, self-concept and health promotion behavior of elementary school students and to find out the correlation among these variables. Method: The subjects were 277 students who participated voluntarily in the questionnaire. The instrument used in this study was family APGAR, self-concept and health promotion behavior tool. The data were collected from May 18th to 21st, 2004 with a self-administered questionnaire, using frequency, percentage, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with SPSS 10.0 win. Results: 1) The mean score of health promotion behavior by general characteristics was significant in educational status of mother (F=5.352, p=0.005), living standard (F=9.646, p=0.000) and perceived health status (F=8.349, p=0.000). 2) The mean score of family functioning was 3.57 (5 point scale), self-concept was 3.47 (5 point scale) and health promotion behavior was 3.67 (5 point scale). 3) In the relationship between family functioning and self-concept was correlated (r=.547), family functioning and health promotion behavior was correlated (r=.518) and self-concept and health promotion behavior was correlated (r=.670). 4) The most influencing variable was self-concept, accounting for 43% in stepwise multiple regression. A combination of self-concept, family functioning and perceived health status explained 47% of the variance for health promoting behavior. Conclusion: Considering the results above, we can recognize that there are close relations among the family functioning, self-concept and health promotion behavior. Therefore, it is necessary to elevate the level of self-concept and family functioning in order to get health promotion behavior of the elementary school students.

• Journal of East-West Nursing Research
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• v.10 no.1
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• pp.86-94
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• 2004

This study has verified Family Functioning, Communication and Spiritual Wellbeing, to increase the family functioning in Adult Women. 236 adult women were chosen as the samples for the study, they are now currently registered in the church adult women in Seoul. The instruments used for this study were the Family functioning scale by Olson, the communication scale by David H. Olson and Howard L. Barnes and spiritual wellbing Scale by Palautzian and Ellison Folkman. Data collection were form March to April, 2003. To get the descriptive statistics, SPSS Program, Pearson Correlation Coefficients and stepwise multiple regression were used for analyzing data. The results were as following: 1. Represents the degree of family functioning, communication and spiritual wellbeing, on subjects. Means scores of this study are following: spiritual wellbeing 67.92, lower level of cohesive(5.19) and adaptive(3.93), communication 58.14, lower level of open(5.15) and closed(4.71) and family functioning 95.58, lower level of religious(7.70) and existential(7.63). All each lower level of family functioning, communication and spiritual wellbeing, on subjects were derived significantly different(p.05). There were significant correlation among the variables of subjects. The cohesive family functioning score was significant related to the adapted(r=.588). Especially, the closed communication score showed inverse correlations open family functioning(r=-.424) and open communication score(r=-.680). The existential spiritual wellbeing score also was significant related to the cohesive(p<.001) and adaptive(p<.05) family functioning, open communication(p<.05). Especially, the closed communication score showed inverse correlations existential spiritual wellbeing (r=-.202). The existential spiritual wellbeing score also was significant related to the religious(r=.815, p<.001). These results will not only emphasis the need of family functioning to elevate and decrease the Closed family communication but suggest the important points of gathering various data and analysis about economic, education and marital status. Finally, related to mental health nursing, a community can get the utmost out of these results to keep offering education and practice of family mental health for adult women.

• Journal of Families and Better Life
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• v.21 no.3
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• pp.15-28
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• 2003

The purpose of this study was to develop a family functioning scale that is suitable for Korean families. The data for this study were obtained from a survey on a sample of 350 mothers of school-age children, who were living in Seoul, Kyunggi-do, and other cities of Korea. The major findings ate as follows; 1) Through the item discrimination test, 63 of the 77 items were found to be significant, thus deemed acceptable. The level of discrimination indices of the 63 items ranged from .38 to .84. 2) A factor analysis was conducted on the 63 items. Six different factors (Emotional Support, Family Intimacy, Respect for Autonomy, Communication, Family Rules, Time Spent Together) emerged for 37 items. The six factors accounted for 56.51% of total variance. 3) A multiple regression analysis was conducted to reduce the number of items, and the final 36 items were selected for the Family Functioning Scale. 4) The reliability measured by the internal consistency of the 36 items was high (Cronbach's a =.93). 5) The Family Functioning Scale was found to have a significant correlation with FACESIII(r=.80) as well as with FAD(r=.78).

• Women's Health Nursing
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• v.28 no.3
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• pp.197-209
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• 2022

Purpose: This study aimed to investigate family functioning among spouses of gynecologic cancer patients in Korea. McCubbin and McCubbin's Family Resilience Model (1993) guided the study focus on burden of care, family resilience, coping, and family functioning. Methods: An online survey collected data from 123 spouses of gynecologic cancer patients through convenience sampling from online communities for gynecologic cancer patients in Korea. Burden of care, family resilience (social support, family hardiness, and family problem-solving communication), coping, and family functioning were measured by self-report. Results: The patients (44.7%) and their spouses (47.2%) were mostly in the 41 to 50-year age group. Stage 1 cancer was 44.7%, and cervical cancer was the most common (37.4%) followed by ovarian cancer (30.9%) and uterine cancer (27.6%) regarding the cancer characteristics of the wife. Family function, burden of care, family resilience, and coping were all at greater than midpoint levels. Family functioning was positively related with social support (r=.44, p<.001), family hardiness (r=.49, p<.001), problem-solving communication (r=.73, p<.001), and coping (r=.56, p<.001). Multiple regression identified significant factors for family functioning (F=25.58, p<.001), with an overall explanatory power of 61.7%. Problem-solving communication (β=.56, p<.001) had the greatest influence on family function of gynecologic cancer families, followed by coping (β=.24, p<. 001) and total treatment period of the wife (β=.17, p=.006). Conclusion: Nurses need to assess levels of family communication and spousal coping to help improve gynecologic cancer patients' family function, especially for patients in longer treatment.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.9
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• pp.4275-4279
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• 2016

Background: Cancer is a major health problem due to the aging population with increasing deaths. Family functioning is affected by cancer diagnosis and treatment. The aim of this study was to comparative analysis of the perception of family functioning by heads of families with and without cancer members during illness, focusing on changes or probable changes. Materials and Methods: This comparative study was conducted on two groups (families with a member of the cancer and controls without a family member with cancer). The families were of patients referred to the clinics and hospitals of Imam Khomeini, Taleghani and Omid of Urmia city, the number of samples being 148 for cases and 176for the control group. To collect the data, valid and reliable family functioning (FAD) was applied, a 60-item questionnaire with seven dimensions, with heads of families. To analyze the data SPSS- 23 Software was used for descriptive and analytical statistics. Significance level was defined p <0.05. Results: Among the seven items : problem solving, communication, roles, emotional response, emotional involvement, behavior control and overall functioning, only differences for average scores of problem-solving were statistically significant. Discussion: Contrary to common perception of severe damage for family functioning in families with cancer members, results of this study indicate that functioning in terms of family caregivers is more or less similar to that of the families with other diseases. Only in problem-solving item do these families experience more difficulty. Conclusion: According to the research findings, in nursing from families with cancer patient, it is recommended to focus more on the problem-solving item of the families.