• Title/Summary/Keyword: family life difficulties

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Quality of Life among Breast Cancer Patients Undergoing Treatment in National Cancer Centers in Nepal

  • Manandhar, Sajani;Shrestha, Deepak Sundar;Taechaboonsermsk, Pimsurang;Siri, Sukhontha;Suparp, Jarueyporn
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.22
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    • pp.9753-9757
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    • 2014
  • Purpose: To study the quality of life and to identify associated factors among breast cancer patients undergoing treatment in national cancer centers in Nepal. Materials and Methods: One hundred breast cancer patients were selected and interviewed using a structured questionnaire. European Organization of Research and Treatment of Cancer EORTC-QLQ-C30 and EORTC-QLQ-BR23 were used to assess quality of life and modified Medical Outcome Study -Social Support survey(mMOS-SS) was used to assess social support. Only multi-item scales of EORTC C30 and BR23 were analyzed for relationships. Independent sample T-tests and ANOVA were applied to analyze differences in mean scores. Results: The score of global health status/quality of life (GHS/GQoL) was marginally above average (mean=52.8). The worst performed scales in C-30 were emotional and social function while best performed scales were physical and role function. In BR-23, most of the patients fell into the problematic group regarding sexual function and enjoyment. Almost 90% had financial difficulties. Symptom scales did not demonstrate many problems. Older individuals, patients with stage I breast cancer and thosewith good social support were found to have good GHS/GQoL. Of all the influencing factors, social support was established to have strong statistical associations with most of the functional scales: GHS/GQoL (0.003), emotional function (<0.001), cognitive function (0.020), social function (<0.001) and body image function (0.011). Body image was significantly associated with most of the influencing factors: monthly family income (0.003), type of treatment (<0.001), type of surgery (<0.001), stage of cancer (0.017) and social support (0.011). Conclusions: Strategies to improve social support of the patients undergoing treatment should be given priority and financial difficulties faced by breast cancer patients should be well addressed from a policy making level by initiating health financing system.

Everyday life difficulties of persons with disabilities on quality (CQR) research (장애인의 일상생활 어려움에 관한 합의적 질적(CQR) 연구)

  • Lee, Hyun-Sim
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.561-570
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    • 2014
  • In this study, people with disabilities experience difficulties in their daily lives evaluate. To this end, eight people with disabilities in Seoul material by conducting consensual qualitative in-depth interviews (CQR) method of analysis. The findings in the three categories and therefore the region 14 to 48 depending on the frequency analysis. Psychology in everyday life of people with disabilities, lack of self-confidence and emotional experience difficulties, health problems, concerns, marriage (remarriage), and the opposite sex, family relationship difficulties, loneliness, worry about aging issues, respectively. Social and economic difficulties experienced difficulties in the relationship, livelihood issues, childbirth and parenting issues, work-life difficulties, trouble appeared when going out. Process to deal with these experiences of meeting the religious institutions, community system used, was used with the help of the people around. By the results of this study, people with disabilities in everyday life so that you can overcome difficulties that practical help and social services to the community through the ongoing support system was required to suggestions.

A Qualitative Study on Men's Experiences of Work-Life Balance: Focusing on Men in Dual-Income Families with Children under the Age of Six (육아기 맞벌이 남성의 일·가정 양립 경험)

  • Chae, Hwa Young;Lee, Ki Young
    • Human Ecology Research
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    • v.51 no.5
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    • pp.497-511
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    • 2013
  • This study aimed to examine Korean men's experiences of work-family balance in dual income families with children under six years of age. We focused on identifying the difficulty of balancing work and family considering their individual, social, and cultural conditions. The method was a qualitative study involving two in-depth interviews with each of 12 men, and analyzing the data through the grounded theory approach. From the results, a model of men's work-family experience was constructed. It demonstrates the central phenomena (difficulties of balancing), the causal conditions (lacking time for family, seeking support from the employer, and learning husband's roles insufficiently), the contextual conditions (remaining paternalism and changing husband's roles), the intervening conditions (workplace, childcare support, and wife characteristics), and strategies (help from relatives, utilizing daycare centers, controlling birth, managing work conditions, and using family polices). We clarify the overall picture of working and family life experiences, and also show how men deal with their problems in their circumstances by balancing working and family life. In conclusion, males have difficulty participating in family life autonomously because of having less decision-making power than the wife. Moreover, the great responsibilities of the breadwinner disturb the work-family balance. Men devote themselves to working to hold a job instead of spending time with their family. However, they ultimately value work-family balance with respect to 'keeping a peaceful family life'.

Life History of the Socially Isolated Male Elderly Living Alone (남성 독거노인의 생애사를 통해 본 사회적고립)

  • Lim, Seung Ja
    • 한국노년학
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    • v.39 no.2
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    • pp.325-345
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    • 2019
  • The purpose of this study is a exploratory study for understanding the process of the social isolation of the socially isolated elderly through the approach to their life history. The research was analyzed by one of the methods of qualitative research on life history, the conceptual framework of 'Dimensions, turning, and adaptation' of Mandelbaum(1973). According to the results of this study, the socially isolated elderly people were found to be socially isolated by experiencing complex difficulties such as family disconnection, poverty, poor job and health deterioration. Specifically, in the area of life, there was experience of poor relationship with parent, absence of family, poverty of family and unfavorable relationship with surrounding people in life with original family before isolation. They had bad jobs in the labor market, such as hard labor, delivery, business, and chores. In the area of turning point, we experienced family break due to the separation of the original family and the spouse due to various reasons such as financial crisis, parental divorce and death, spouse affair, economic difficulty. In a transitional stage in the life, many reasons such as the financial crisis, the death of parents, the extramarital affair and economic difficulties led to the disconnection from their original family and their spouses. In an adaptive phase, participants accepted the changed life at each turning point in their lives, carrying out their roles, compromising and trying to adapt properly. He said that their current life, which has entered the social safety net system of the people's basic recipients, has led him to live a more stable life and is adapting to personal hobbies and vicarious satisfaction through networks. This result is somewhat different from previous studies in which isolated elderly people were severely exposed to the risk of depression and loneliness. However, we should also consider the characteristics of this study that interviewed elderly people with relatively low isolation. Based on the results of this research, he presented various practical policy implications.

A Study on Operational Strategies and Programs of Healthy Family Support Centers (건강가정지원센터의 운영과 사업에 관한 연구)

  • Chang, Jin-Kyung;Oh, Jea-Eun;Ryu, Jin-A;Won, So-Yean;Han, Eun-Joo
    • Journal of Families and Better Life
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    • v.24 no.6 s.84
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    • pp.1-16
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    • 2006
  • This study aims to investigate the Healthy Family Support Centers'(HFSCs) operational patterns and their programs by surveying 46 HFSC employees in order to prepare for the massive increase of the number of HFSCs nationwide. This study might contribute to not only rebuilding the HFSCs' operational strategies but suggesting visible ideas for the HFSCs' programs. Results were as followed: First, most HFSCs consisted of several teams, i.e., educational team, counseling team and cultural team. However, the number of employees in each team was different from one regional community to another. The most difficult task in the HFSCs' operation was publicity work. Citing the issue of system delivery difficulties, HFSC employees insisted that budgetary deficit was the most difficult obstacle in running the HFSCs. Second was in regards to the programs that each team was planning, performing, and evaluating for each program. The HFSCs' programs were mostly structured around family difficulties or problems that arise according to the family life cycle. Based on these study results, more unified and specialized programs for HFSCs should be developed. In order to achieve this related studies should continue to conducted.

A Life History Study of Married Women in Their 30s to 40s with Experience in Parental Divorce (부모의 이혼을 경험한 30-40대 기혼여성의 생애사 연구)

  • Jeon, Bo-Young;Cho, Hee-Sun
    • Journal of Families and Better Life
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    • v.34 no.4
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    • pp.51-75
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    • 2016
  • This study focuses on the life experience of married women in their 30s to 40s who have experienced parental divorce. For a comprehensive understanding towards the women, this study takes a life history research approach. The participants of this research are 8 women who have experienced parental divorce and are now married with children. The data were gathered through in-depth interviews and were analyzed through the spiral of analysis, following the process of Wolcott's "description, analysis, and interpretation." The results of this study are as follows. First, participants experienced emotions such as fear, anger, and lack of affection. Second, parenting attitude and parental divorce had negative effects on the participants' formation and development of self concept and in turn, participants experienced anxiety and withdrawal from interpersonal relationships. Some had difficulties in concentrating on their schoolwork, which was caused by psychological effects from their instable home environments and some were negligent at school due to their parents' indifference or as an act of rebellion towards them. Third, although participants displayed interest towards the opposite sex, fear towards the opposite sex or unrealistic expectations led to difficulties in forming relationships. Participants also confessed that although they married so that they could escape their original family and form a new happy one, they experienced a rocky start at the beginning of their marriage. Fourth, parental divorce had a lifelong impact on children. Even after the children became adults, parental divorce affected each key stage of transition in life such as dating, choosing one's spouse, marriage, and child rearing. Fifth, participants displayed a strong attachment to life under the assumption that only they themselves can be depended on. This led to their strong commitments to a successful marriage without the possibility of divorce. In conclusion, parental divorce is not a transitory or incidental event. Rather, it becomes a part of the children's lives with lifelong implications.

A Study on the Parenting Experiences of Adoptive Mothers with their Biological Children (유자녀 입양가족 어머니의 양육경험에 관한 연구)

  • Lim, Gyoung-Mi;Yang, Sung-Eun
    • Journal of Families and Better Life
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    • v.29 no.5
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    • pp.33-50
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    • 2011
  • This study aims to examine experiences of adoptive families, mainly focusing on mothers with their biological children and adopted a child, through a phenomenological approach. The subjects of this study are adoptive family's mothers with their biological children according to a criterion-based selection. 15 mothers who adopted children under 12 months, who are currently aged over 6, are selected and given personal and in-depth interviews, questions ranging from the process before adoption, foster care and changes in family relationships to the issues caused by adoption and coping methods. 6 steps of a phenomenological method that Colaizzi(1978) proposed are applied to analyze the data. The results of this study are as follows. The central theme of this study is 'A family which has harmonized with love beyond blood ties'. First, the participants have shown difficulties in different aspects over adoption than those of sterile families. The motive of their adoption is to let adopted children experience a happy childhood in a loving family. Secondly, the participants have adjusted themselves to new adoptive families, have committed to the care of their new children, and have experienced a change in family relationships. Finally, adoptive families have successfully been settled while overcoming difficulties together.

Longitudinal Effects of Media Usage by Early School-age Children and Maternal Parenting Stress on School Adjustment: Mediating Effect of Executive Function Difficulty (학령 초기 아동의 미디어 이용시간과 어머니의 양육스트레스가 학교적응에 미치는 종단적 영향: 집행기능 곤란의 매개효과)

  • Park, Eunyoung;Sim, Bo Min;Kim, Yoon Seo;Kang, Min Ju
    • Human Ecology Research
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    • v.59 no.2
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    • pp.233-243
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    • 2021
  • This study examined the longitudinal effects of media usage by early school-age children and of maternal parenting stress on children's school adjustment. The study focused on the mediating effect of executive function difficulty. Longitudinal data to examine the hypothetical model were drawn from the eighth (2015) through tenth (2017) waves of the Panel Study of Korean Children (PSKC) collected by the Korea Institute of Child Care and Education (KICCE). A total of 581 children (293 boys and 288 girls) and their mothers were included. Confirmatory factor analysis, structural equation model, and bootstrapping analysis were applied using SPSS 25.0 and Amos 26.0. The results are as follows. First, no significant correlation was found between early school-age children's media usage and maternal parenting stress. Second, neither media usage by early school-age children nor maternal parenting stress were found to directly affect children's school adjustment. Third, media usage by early school-age children and maternal parenting stress were shown to indirectly affect children's school adjustment via executive function difficulties. In other words, higher levels of media usage by early school-age children and maternal parenting stress during the first grade lead to greater executive function difficulties after a year, which, in turn, lead to a lower level of school adjustment in the third grade. This study indicates the need to develop practical support for the psychological wellbeing of mothers while they are performing their role as a parent and for children in maintaining suitable levels of media usage during early childhood.

A development of family life education program focused on single-fathers (한부모가정의 부(父)를 위한 가족생활교육프로그램 개발)

  • Song, Hyun-Ae
    • Korean Journal of Human Ecology
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    • v.16 no.1
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    • pp.1-15
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    • 2007
  • Single-parent families are on the rise because of the death of one parent for various disasters and rapid rise of divorce, single-parents suffer various stress such as economical difficulties and emotional confusion like domestic duties, nurturing, remarriage originated from the lost of one spouse. Especially the purpose of this study was to develop family life education program focused on single-fathers. This program was developed in the viewpoint of the family consolidation. The program was composed of 3 dimensions; the stress management from domestic duties, the guideline of child nurturing, and the good remarriage. And the trial method and assessment method were suggested. The advantages of this program were the objects and contents : This program put the focus in the single-fathers which were ignored in other researches, and in the source of anxiety of single-fathers originated daily family life. This program will provide useful data for an intervention of proper welfare policy of single-father families.

A Study on the Motive of Escape from the North Korea and the Life Situation of Female Fugitives in China - based on the Interview with North Korean Female Refugees in Yenben Province - (북한 여성들의 탈북동기와 생활실태 - 중국 연변지역의 탈북 여성들을 중심으로 -)

  • 문숙재;김지희;이명근
    • Journal of the Korean Home Economics Association
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    • v.38 no.5
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    • pp.137-152
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    • 2000
  • North Korean fugitives is one of various nominations referring to the North Koreans who have secretly crossed the territorial border of their country. It is a new terminology that huts gained wider usage in our society as we entered the 1990s. North Koreans list various motives for escaping their county, such as food shortage and disillusionment of belief in the system. Most of the forced repatriation of North Korean escapees takes place in China. The purpose of this study examines the family knife of female fugitives from North Korea in order to provide pertinent alterntives which are needed to secure basic human right of the female fugitives and enable them to keep stability of their family lives and to adapt themselves into new socio-cultural circumstances in China. For this, the preliminary survey performed to examine the demographic characteristics on the female fugitives; to find out the incentives and channels of their escape out of North Korea; to investigate what types of family life and family relationship they manage in China; to grasp their problems and need of family life in adaptation into Chinese society. The specific questions for grasping the general characteristics of the female fugitives are composed of age, education level residential district in North Korea. In order to find out main causes and influential factors of their escape from North Korea, the following questions are included: what the most important incentives and motives are; the frequency of escape; and whether they discuss their escape with their family or not. The questions to find out their present actual life situations in China are about difficult things to adjust in China, family life, relationship with husband, and their conversational diction, the degree of their mastering the chinese language, the degree of their adaptation to chinese way of living, and so forth, which reveal to what extent they are adapted themselves to new cultural situation in China. This study collected the data through face-to-face personal interview from July to October, 1999 Yenben province along the China-North Korea border. Data from 202 female fugitives were used in final analysis. This study uses the SAS PC program for windows, Ver, 6.12 to analyze the data such as the distribution of frequency, percentage, mean and so on. The results from this analysis are follows; the most principal motive of North Korean women's escape to china is to eat to live because of famine. Concerning the year when the fugitives escape from North Korea, all of the interviewees haute escaped since 1990. After escape their continual contact with their family in North Korea, 81.7% of the respondent have not been in touch with their family. The main reasons for their not contacting with their family in North Korea are that it is not helpful although they contacts with their family. Female fugitives from North Korea have difficulties in life. They have rather stable relationship to their husband, but they have experienced difficulties in other aspects of family life. Their main difficulties are largely from their relationships to husbands'family members, and from the problems relate to their family in North Korea, and their children. Based on this study, further research has to present supportive policies that help North Korean female escapees live without being deprived and protect their human rights. And the development of practical program to help their efficient social adaptation has to be continued without stop together.

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