When parents as primary care takers to the mentally disabled adult are no longer taking care of their care-needed offsprings because of their own death or illness, instead themselves. who take care of their offsprings with the mental disability? Therefore, 'permanency planning' is very important for reduction of parents' care burden and social integration of mentally disabled adults. Accordingly, this study aims to find out factors which are related to permanency planning for adults with the mentally disability For the purpose of the study, 192 parents of the adult with the mental illness and mental retardation were conducted a survey regarding type of permanency planning, and its related factors including social functioning level of the mentally disabled, care burden, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability. Furthermore, this study examined correlation between these factors and residential planning. Results obtained by the study were as follows: 1) 51% of the parents are having a plan for institution and most parents want other family member to take care for financial planning for their mentally disabled offsprings. 2) As a result of multiple regression for finding out factors which affect parents' permanency planning, social functioning level of the mentally disabled, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability were statistically significant influenced factors, which has 23.3% of explanatory power. 3) As a result of step-wise multiple regression, financial ability, parents' self-perception of being aged, and help from offspring without mental disability were the most powerful influenced factors for permanency planning. 4) In case of having a plan for residential types-which are institution and community living-, parents who have a plan for the mentally disabled offsprings' future residence as community living than institution have the offsprings with more social functioning and also have more help from offspring without mental disability. Therefore, this study concluded that welfare policy for mental health and the handicapped which secure various types of community living facilities and income security is strongly needed. At the same time, mental health profession is needed to have more active interest and intervention for permanency planning for their adult clients and parents.
The Journal of Korean Academic Society of Nursing Education
/
v.7
no.1
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pp.143-156
/
2001
This is a survey in order to provide basic information for smoking cessation teaching as investigate adolescent smoking, stress, family function and vital power. Data collection was done at the high school(12 class) and middle school(12 class) with quota sampling during 2 weeks from October 27, 2000. in the metropolitan area of Taegu. Total subjects of this study were 1710 students. The instruments for this study were the Life Event Checklist, Family APGAR, and vital power item among in the SF-36. Frequency, percentage, t-test, ANOVA, and multiple logistic regression by SPSS/PC Win Ver7.5 program were used to analyze the data. The results of this study were as fellows; 1) The subjects of this study was consisted with middle school student (876, 51.2%) and high school students. The students that they have used smoking at past or current smoker was reported 18.9%. Most of the smoking adolescents reported that they started smoking during middle school age, and there were more smoking rate among vocational high school students than academic high school students. 2) There were more stress among high school, men, and vocational high school. In aspect of family function, there were reported high score among women and middle school. At the vital power, there were reported more score among men students than women students. 3) Current smokers were more likely than nonsmokers to report more stress, low family functioning. 4) In order to identify predicting factor for adolescent smoking, family function and stress were tested significant variables statistically.
The purpose of this study family functioning and self-identity as a mediating effect on the impact of school life adaptation were investigated. This aspect of the study, panel survey was used to researchers from the Korea Youth Policy and their parents of about the consciousness and family awareness, the youth of 6, 979 people. Youth Policy Institute of Korea analyzed the panel. frequency using SPSS program, AMOS using factor analysis, path analysis was performed. The following results were obtained. First, the family of functions of the sub-factors and school life adaptation sub-factors had a significant correlation with each other. Second, the youth's family function in school life adaptation had a significant impact which parameters, excluding self-identity. Third, the family functions as a self-identity parameter had a significant impact on school life adaptation.
Since 1998 when economic assistance from IMF started, the empirical research on the effects of unemployment and drastic income loss on psychological functioning among the unemployed as well as their family members has increased. These studies have found that unemployment and drastic income loss following unemployment have significant negative influence on the psychological outcomes such as anxiety and depression of the unemployed and their family members. Studies have also focused on the role of social support in this process, and reported that depending on the levels of received social support, unemployment and income loss have differential effects on the psychological aspects of the unemployed. However, these studies have several weaknesses. First, most of the related studies employed the data which were collected from limited regions of the country, which imposes limitations on the scope of the generalizability of research findings. Second, the main independent variables used in these studies were mainly unemployment or income loss, which ignore the psychological evaluation by the employed of their family financial situations. Third, in analyzing the moderating effects of social support, most studies have focused mainly on showing the existence of moderating effects by social support. Consequently, the nature and role of social support remained unanalyzed and left to speculations. The purpose, of this study is to examine the effects of economic pressure experienced by family heads who were unemployed and to analyze the moderating role of social support based on a nationally representative sample. The findings showed that economic pressure has negative influence on anxiety and depressive feelings among the unemployed, and that the effect of economic pressure on depressive feelings were substantially higher among those who have received lower levels of social support from family members than that among those with higher levels of family support.
Purpose: Pediatric palliative care is a rapidly developing multidisciplinary approach that supports children with life-limiting conditions and their families. However, there is limited evidence on how to effectively support bereaved parents and siblings. The purpose of this study is to explore the therapeutic impact of art therapy for bereaved families, in accordance with John Bowlby's four-stage theory of mourning. Methods: This single-case study employed the consensual qualitative research method. Art therapy records of bereaved families were reviewed individually, and records from one case were selected. Verbal statements made during the art therapy sessions and photocopies of the artworks were analyzed to understand the mourning process of the family. Results: A total of 113 statements and 12 artworks from 19 art therapy sessions were analyzed. As the art therapy progressed, each family member exhibited a pattern of engaging in more positive and healthy conversations in daily life, demonstrating the final stage of mourning: reorganization and recovery. The family dynamics also revealed that they reconstructed their inner world and redefined the meaning of loss, which is the final stage of mourning. The art therapy provided a safe environment for the family, allowing them to fulfill their wishes and regain the strength needed for recovery. Conclusion: This study suggests that art therapy supports bereaved families in alleviating their psychological difficulties, engaging in a healthy mourning process, and functioning as members of society. Further research is needed to better understand the effect of art therapy as a bereavement support tool in pediatric palliative care.
Purpose: This research was conducted to examine the successful aging and identify factors influencing successful aging in the Korean elderly. Methods: The subjects were 4,507 elders and data were collected from the 4th Korean Longitudinal Study of Ageing in 2012. The data were analyzed using frequencies, weighted percentage, ${\chi}^2$ test, and logistic regression. Results: The results of this study showed that 19.6% of the participants were categorized to successful aging. The domains of the absence of disease and disability and maintaining physical and mental functioning showed a high rate of achievement, while the domain of active engagement with life showed a low rate of achievement compared to others. Successful aging was influenced by gender, age, subjective economic status, subjective health status, and family support, particularly spouse's support. Conclusion: Intervention programs to increase the prevalence of successful aging are required. Especially programs for strengthening spouse's support and enhancing subjective health status are required.
Purpose: This study defines a vulnerable group in a community that has become the main target of a national health project also, it is descriptive research to suggest an evidence-based direction to meet their deficit health-related needs, Method: This research examined 833 families and 1,835 family members of the financially vulnerable class that was registered in a home visiting program of a public health center. Among them, 892 persons who had health problems, and their family members were examined in detail to find out their characteristics of vulnerability and health needs by assessment during a nurses home visit. Frequency distribution, stepwise-regression and factor analysis were used to analyze the data. Result: The vulnerable group that was defined with social indexes set as standards, involved substantial characteristics of vulnerability. The characteristics of demand showed tendencies of being clustered in 5 factors needs of intensive nursing care, chronic nursing care problems and helplessness, maintenance of family functioning with a disability, deficient problem solving ability, and simple financial fragility. Conclusion: Categorization of needs is an evidence-based estimator of workload in nurse home visiting services, and can be used as a basic resource for direction to meet the deficit needs of a vulnerable group.
The purpose of this study was to explore the relationships among mothers' reflective function, preschoolers' empathy, executive function, caring behaviors. Subjects for this study were 498 preschoolers and their mothers. Mothers' reflective function was assessed by the Parental Reflective Functioning Questionnaire(PRFQ). Preschoolers' empathy was assessed by the Questionnaire of Cognitive and Affective Empathy(QCAE). Preschoolers' executive function was assessed by the Behavioral Rating Inventory of Executive Functions-Preschool Version(BRIEF-P), and caring behaviors were assessed by the caring behaviors scale(Kim, 2015). Data were analyzed using descriptive statistics, confirmatory factor analysis(CFA), and structural equation model(SEM) with the SPSS 25.0 and AMOS 23.0 program. The major results of this study were as follows. First, mothers' reflective function showed direct effects on preschoolers' empathy, executive function, and caring behaviors. Second, the preschoolers' empathy and executive function showed direct effects on preschoolers' caring behaviors. Third, preschoolers' empathy mediated the effects of mothers' reflective function on preschoolers' caring behaviors. The findings of this study will contribute to designing intervention programs to improve preschoolers' empathy, executive function, and caring behaviors.
Purpose: Purpose of this study was to investigate factors influencing wellness, and provide basic data for development of intervention programs to improve wellness in mothers of children with disabilities. Methods: Participants were 147 mothers of children with disabilities from an elementary school and kindergarten for children with disabilities located in J and C cities in G province. Data were collected from February 24 to April 24, 2015 using questionnaires. Results: Mean scores were $3.24{\pm}0.38$ of 5 for wellness, $2.40{\pm}0.41$ of 4 for self-esteem, and $2.87{\pm}0.36$ of 4 for family function. There were significant differences in wellness according to religion, education, and type of education program for the children. There were positive correlations between self-esteem, family function, social support, and wellness. Factors influencing wellness were selfesteem (${\beta}$ =.450), family function (${\beta}$ =.313), type of education program for the children (${\beta}$ =.140), and religion (${\beta}$ =.127). These factors explained 42.7% of the variance in wellness. Conclusion: Findings show that levels of wellness in these mothers are not sufficient to allow them to care for their children and to maintain their own overall health. Therefore to increase wellness of mothers of children with disabilities, intervention strategies that focus on improving self-esteem and family functioning need to be developed.
Uichol Kim ;Chun-soo Hong ;Jeung-Gweon Lee ;Young-Shin Park
Korean Journal of Culture and Social Issue
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v.11
no.2
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pp.143-181
/
2005
This article examines factors that influence health and quality of life. In addition to the symptomatology and physiological functioning, the influence of the psychological functioning and interpersonal relationship on the overall health and quality of life are also investigated. Using a case-study approach, a total of 70 patients suffering from allergy or asthma were interviewed using a semi-structured questionnaire developed by the present authors. It assessed the following six areas: Cause and onset of illness, psychological functioning, health management, trust, social support received and overall health and quality of life. Based on the transactional model (Bandura, 1997; Kim & Park, 2005), the results of the case studies have been integrated and divided into three aspects: (1) Cause and onset of illness that includes physiological and environment factors; (2) mediating influences that includes psychological functioning, health management, interpersonal relationship and social support received; and (3) outcome factor that includes symptomatology, health and quality of life. The psychological functioning includes self-efficacy (self-regulated efficacy, efficacy for enlisting social support, efficacy for managing the environment, and efficacy for overcoming difficulties), positive outlook, life goals, experience of stress, and proxy control. Interpersonal relationship includes trust of family members and the physician. Health management includes receiving proper health assessment, following the advice and prescription given by the physicians, control of the environment and maintaining a healthy lifestyle. The results indicate that physiological, psychological, relational and environment factors interact with each other and affect individual's overall health and quality of life. Self-efficacy, social support received from family members, trust of physicians, and the health care system are key factors promoting healthy lifestyle and quality of life. The results indicate the need for further interdisciplinary, indigenous and cultural psychological research.
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