• Title/Summary/Keyword: family life difficulties

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Mothers' Perceived Difficulties in the Management of Chronic Conditions of Children with Spina Bifida: A Qualitative Descriptive Approach (이분척추 환아의 어머니가 인식한 질병관리의 어려움: 질적 서술적 접근)

  • Lim, Seoung-Wha;Yi, Myungsun
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.247-256
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    • 2016
  • Purpose: The purpose of the study was to identify and describe the caregiving difficulties that mothers of children with spina bifida experience from their own perspectives. Methods: A qualitative descriptive study was designed. Data were collected from five mini-focus group interviews and four individual interviews using open-ended questions. Nineteen mothers of children with mild spina bifida participated in the study during 2014-2015. Data were analyzed using qualitative content analysis to identify major difficulties perceived by the mothers. Results: Five domains were identified with 12 subdomains. "Daily routine continence management" describes difficulties arising in bladder and bowel management for the child with spina bifida. "Management of school life of child" deals with difficulties in relation to the school facilities, such as the toilets, as well as teachers and friends. "Relationship with family and neighbors" illustrates problems in relations with their spouse, normal children, relatives and neighbors. "Maintaining physical and psychological health" includes physical and psychological problems of the mothers. "Finance" describes economic burden that the mothers face in the management of child's illness. Conclusion: The findings from this study provide insight into the practical issues related to the management of chronic conditions of children with spina bifida from the mothers' perspectives.

A Theoretical Study of the Marital Relationship Based on the Concepts of Family Therapeutic Psychology (부부관계의 가족심리학적 이해)

  • 정애랑
    • Journal of Families and Better Life
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    • v.5 no.2
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    • pp.1-10
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    • 1987
  • The society, nowadays, is in a state of transition, and the family, which must always accomodate to society, is change with it. And because of transitional difficulties , the family's major psycosocial task has become more important than ever. That is , the family sill change. but it will aso reamin because it is the best human unit for rapidly changing societies. Under the circumstances, a healthy marital interaction is still the key to optimal family process, and the marital relationship is also the basis of the parental one. This paper aims to study an conceptual schema of family functioning chiefly concerned with marital relationship base d ton the family therapeutic psychology the systematic approaches of which have been recently developed. Subsequent to the importance of spouse functions and the characteristic of a functioning family the marital tension as a cause of marital problems and the theoretical approaches that will allow to deal with these problem , are also explained in this paper. On the otherhand, the sexual dysfunction, one aspect of a wider set of marital problems, and problems of dysfunctional children are not discussed in detail , because these problems shall become specialized fields. By this paper , it is expected to find a clue to the emotional and psycosocial aspects of marital problems, which will help us have a broader viewpoint in the study of family relationship.

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Deaf Marriage Experience (청각장애인 부부의 결혼생활 경험)

  • Lee, Miseon
    • Korean Journal of Social Welfare
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    • v.67 no.3
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    • pp.125-150
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    • 2015
  • The purpose of this study is to explore all the deaf marriage experiences. To achieve this purpose, the qualitative case research approach was used to analyze the couple. This researcher following same issues from 5 couples case study analysis. This researcher set 5 titles and analyze from the 5 main issues about the deaf couple's experience as time goes by. The titles are 'finally the marriage spouses both deaf', 'to overcome communications difficulties', 'worried about raising children and get some help from other people and try something', 'try to get over the difficulties and hardships', 'recovering family relationship and challenge.' Through this study, understanding the deaf couples desire in having a family and live a normal life after becoming parents is "in a family deaf culture" wherein they aspire to become more mature and experienced deaf persons. But the meaning of maintaining constancy was not just keeping their situation by taking familiar things hence there were no challenges. Keeping the constancy, maintaining a family since marriage, delivering and raising their children, make them realize some laws of life. They correspond well and break the narrow limited cultural way of thinking and recognized a broader sense of understanding while keeping constancy. Their life that is keeping their culture and experiencing matured life will be a good theoretical basis for understanding the deaf culture.

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Home management performance and problem of commuter marriage (Commuter Marriage 가정경영 실태와 문제)

  • 채옥희
    • Journal of the Korean Home Economics Association
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    • v.36 no.9
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    • pp.153-166
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    • 1998
  • In this study commuter marriage was defined as a family in which working husband and wife, who have professional job having family orientation and job orientation, come and go lived separately for more than days a week for working in different region. This study examined the determinants of living separately the merits and demerits of commuter marriage, relation with family, family finance and household work for twelve case wives fitted for above definition, and the findings are as the following. The main cause of commuter marriage was wife's work place. The merits of commuter marriage were that wives can devote to their own increased time and that they had fresh feeling to their husbands. The demerit were mental burden to mother-in-laws and their mothers who take charge of home management and the high cost of living for double housekeeping. In the area of relation with family, they and their husbands call above one time per day for communication although they live separately for three or four days, do not insist on norms of living together, and overcome difficulties of commuter marriage well. In the area of family six couples used allowances method. They have high living cost like traffic expenses, telephone charges, and housing expenses because of double living. In the area of household work, they mainly manage family life with the help of household helpers like mother-in-laws or their own mothers.

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Lived Experience of Kidney Transplant Recipients with Kidney Graft Failure (이식신장의 기능부전을 경험한 환자의 질병체험)

  • Hwang, Younghui;Min, Kyoungok;Son, Haeng-Mi
    • Journal of Korean Academy of Nursing
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    • v.54 no.1
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    • pp.93-105
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    • 2024
  • Purpose: The study aimed to understand the semantic structure and nature of the disease experience of kidney transplant recipients with kidney graft failure by applying phenomenological research methods. Methods: Data were collected between February and September 2021 through individual in-depth interviews with 12 kidney transplant recipients with kidney graft failure. Colaizzi's phenomenological analysis was used to analyze the meaning of the participants' illness experiences. Results: 5 theme clusters and 15 themes were derived. The five theme clusters are as follows: (1) First transplant giving me a second life; (2) Body and mind becoming sick again; (3) Waiting for a re-transplant with hope and worry; (4) Life supported by gratefulness; (5) Having control over my own life. Conclusion: This study shows that kidney transplant recipients with kidney graft failure experience physical and psychological difficulties during the long disease period and require help from many people, including family members, friends, colleagues, and health care providers, to overcome their difficulties.

An Exploratory Study of Energy Consumption and Management in the Home (가정에서의 열에너지 관리 현황조사 연구 -서울 지역을 중심으로-)

  • 윤복자
    • Journal of the Korean Home Economics Association
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    • v.18 no.1
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    • pp.67-82
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    • 1980
  • The objectives of the study were to determine 1) energy uses for residential requirements, 2) if energy consumption and adoption of energy conservation attitudes and practices vary with independent variables family size, stage of family life cycle, homemaker's level of education, income, heating system, and number of electrical household items, and 3) if there is a correlation between energy conservation attitudes and practices. Questionnaires were given to the randomly selected homemakers I Seoul in the summer (September, 1979) and the winter (February, 1980). Analysis of variance and correlation were used to analyzed the data which consisted of 537 usable responses of 895 returned in the summer and 554 responses of 794 returned in the winter. The results are as follows: 1) The order of consumption rate of the direct energy uses for residential requirements was found to be heating and air conditioning, cooking, refrigeration, T.V., lighting, and miscellaneous. 2) Energy consumption and adoption of energy conservation attitudes and practices were significantly related to family size, homemaker's level of education, and the stage of family life cycle. (1) Families of five members revealed higher scores in attitudes and practices than families less than five or more than six. (2) The higher the homemaker's level of education, the more energy consumption and the higher scores I attitudes and practices were found. (3) Families in the middle stage of family life cycle tend to use more energy than younger or older families, but their scores in attitudes and practices were high. 3) There was a significant correlation between energy conservation attitudes and practices. However, the scores of the conservation practices were not as good as the attitudes. It may be attributed to either a lack of knowledge and/or financial difficulties, or a dissonance between the concept and implementation of energy conservation. 4) Recommendations for the energy-saving and energy-related public policies are: (1) to use such human resources as attitudes, values, feelings of agreement, and cooperation, as well as nonhuman resources for the energy conservation, (2) to develop a educational program and a creative system I order to implement energy conservation programs, and (3) to consider direct as well as indirect energy uses I selecting goods and services.

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Practical Considerations in Providing End-of-Life Care for Dying Patients and Their Family in the Era of COVID-19

  • Kim, Yejin;Yoo, Shin Hye;Shin, Jeong Mi;Han, Hyoung Suk;Hong, Jinui;Kim, Hyun Jee;Choi, Wonho;Kim, Min Sun;Park, Hye Yoon;Keam, Bhumsuk
    • Journal of Hospice and Palliative Care
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    • v.24 no.2
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    • pp.130-134
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    • 2021
  • In the era of coronavirus disease 2019 (COVID-19), social distancing and strict visitation policies at hospitals have made it difficult for medical staff to provide high-quality end-of-life (EOL) care to dying patients and their families. There are various issues related to EOL care, including psychological problems of patients and their families, difficulties in EOL decision-making, the complicated grief of the bereaved family, moral distress, and exhaustion of medical staff. In relation to these issues, we aimed to discuss practical considerations in providing high-quality EOL care in the COVID-19 pandemic. First, medical staff should discuss advance care planning as early as possible and use the parallel planning strategy. Second, medical staff should play a role in facilitating patient-family communication. Third, medical staff should actively and proactively evaluate and alleviate dying patients' symptoms using non-verbal communication. Lastly, medical staff should provide care for family members of the dying patient, who may be particularly vulnerable to post-bereavement problems in the COVID-19 era. Establishing a system of screening high-risk individuals for complicated grief and connecting them to bereavement support services might be considered. Despite the challenging and limited environment, providing EOL care is essential for patients to die with dignity in peace and for the remaining family to return to life after the loved one's death. Efforts considering the practical issues faced by all medical staff and healthcare institutions caring for dying patients should be made.

A Phenomenological Study on Formation and Adjustment in Multicultural Families : With a Focus on the Cohabitation of a Mother-in-Law and Daughter-in-Law (다문화 가족의 형성과 적응 과정에 관한 현상학적 연구 : 동거하는 고부를 중심으로)

  • Cho, Yoon-Joo
    • Journal of Families and Better Life
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    • v.30 no.5
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    • pp.59-74
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    • 2012
  • The purpose of this study was to explore the structures of consciousness on the experiences of formation and adjustment in multicultural families. A qualitative study was designed in this article. The research participants were 10 dyads of immigrant married women and their mothers-in-law. Before the marriage, the mother-in-law's expectation about her daughter-in-law was not high, and the daughter-in-law held the same opinion of her mother-in-law. During the marriage process, the mother-in-law had difficulties in terms of physical, emotional, and material aspects. The daughter-in-law endured the wedding procedure by holding onto hope and anticipation for the future. After the marriage, the mother-in-law eventually became satisfied with her daughter-in-law, and the daughter-in-law grew to feel thankful for her new family members and expressed that she was living a happy life. Consequently, the essence of formation and adjustment in multicultural families was "obtaining precious family members through the undergoing of trial and error."

Case Study for Vietnamese Marriage Immigrants' Adjustment to Korea (베트남 결혼이민자의 한국 생활적응 사례연구)

  • Cahe, Ock-Hi;Hong, Dal-Ah-Gi
    • Korean Journal of Human Ecology
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    • v.16 no.1
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    • pp.61-73
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    • 2007
  • This study looks into their process to wedding for Vietnamese brides and the motives of their marriage of whom are living in rural areas near an urban city, and the difficulties of their living in Korea. The mist significant motive of their marriage for the Vietnamese brides if financial reasons. They also think that Korean men are well-off and reliable and that the men's occupations or the age are any matter to be considered. As for the Korean men married to Vietnamese brides, the mist significant motive of their marriage is that Vietnamese brides are considered to be good-natured hardworking, sincere and respectful of the elderly. The wedding process usually takes place in 5-6 days through matchmaking, and the background of their Korean man gets inflated by their matchmaking agency. Some of the most significant difficulties for their life in Korea are due to the language barrier, their husbands' incompetence for a living, conceptions before the young brides get adjusted to Korean living. Most significant support networks are their husbands/families, and their neighbors, relatives and friends that can share Korean cultures and Vietnamese cultures with them. At last, the local communities should continuously offer them educational opportunities for Korean language and social/ cultural understanding.

An Analysis of John Bowlby's Mourning Stages in Family Art Therapy as a Way to Help the Family Mourning Process

  • Seon Ah Yang;Sung Hee An;Cho Hee Kim;Min-Sun Kim
    • Journal of Hospice and Palliative Care
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    • v.26 no.2
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    • pp.27-41
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    • 2023
  • 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.