• 한국보건간호학회지
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• 제21권1호
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• pp.15-24
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• 2007

Purpose: The study aim was to provide basic data needed for formulating systematic visiting nursing strategies by comprehending the characteristics and self-care ability of the object families of public health centers in Korea. Method: The research examined 252 families and 339 family members of the vulnerable class that were registered in a visiting nursing program of an urban public health center. The data of 220 families were analyzed using descriptive analysis, t-test, and ANOVA, after excluding any incomplete data. Result: 1. The most frequent characteristics of families were solitary families (52.8%) and financially vulnerable families (87.3%). The most frequent way of family detection was request of the community office. 2. The most frequent type of family problems were vulnerable families (93.2%), followed by patient families (91.0%). 3. The mean score was 11.67 for family self-care ability. 4. The variables of the number of family members, disease type of the patient family members, and the type of vulnerable family showed a significant difference of family self-care ability. Conclusion: This study suggests that vulnerable families demand specific nursing interventions focused on their own problems and that visiting nurses need to obtain and use supportive resources.

• 지역사회간호학회지
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• 제7권2호
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• pp.333-348
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• 1996

본 연구의 목적은 응급실 시설 자원을 포함한 지지적 정보제공이 응급실 환자 가족의 요구충족 및 불안 감소에 미치는 영향을 규명함으로써 응급실에서 사용가능한 간호 중재를 개발하고자 함이다. 본 연구는 1996년 1월 31일부터 4월 16일까지 2개월 15일 동안 대구시에 위치한 K 대학교 병원 응급실을 내원한 환자의 가족 중 정보제공을 받은 실험군 25명과 정보제공을 받지 않은 대조군 30명을 대상으로 하였다. 수집된 자료는 SAS Program을 사용하여 백분율, 평균, chi-square test t-test, ANOVA Pearson Correlation Coefficient의 방법을 사용하여 분석한 결과는 다음과 같다. o 응급실 시설 자원을 포함한 지지적 정보제공을 받은 응급실 환자 가족은 정보를 받지 않은 가족에 비하여 요구 충족도가 높게 나타났다. 응급실 시설 자원을 포함한 지지적 정보제공을 받은 응급실 환자 가족은 정보를 받지 않은 가족에 비하여 불안정도는 낮아지지 않았다. o 응급실 환자 가족의 요구가 충족될수록 불안정도는 낮아지지 않았다. o 일반적 특성에 따른 상태 불안 정도를 검정한 결과 응급실 내원 횟수만이 유의하게 나타났고 그 외 상태 불안 정도와 관련 있는 일반적 특성은 없었다. 본 연구결과 응급실 시설 자원을 포함한 지지적 정보제공은 응급실 환자 가족의 요구 충족도는 높였으나 상태불안을 감소시키지는 못하는 것으로 나타났고 요구 충족도와 상태불안은 유의한 관련성이 없는 것으로 나타났다. 따라서 다음과 같은 제언을 하고자 한다. 1. 응급실에서 본 연구에 사용된 정보제공용 소책자를 응급실 환자 가족의 요구충족을 위한 간호 중재로 사용할 것을 제언한다. 2. 정보제공 분 아니라 불안 감소를 위한 다양한 간호중재에 대한 연구가 계속 이루어져야 하겠다.

• 대한간호학회지
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• 제25권2호
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• pp.351-361
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• 1995

The main purpose of the study is to identify critical risk factors for development of a family assessment tool to screen high risk family. This study used a conceptual framework of family diagnosis developed by Eui-sook Kim's (1993) and analyzed risk factors to identify the high risk family. As employing a explorative and methodological study design, this study has four stages. 1. In the first stage, 34 family risk factors were identified by doing intensive literature review on conceptual framework of family diagnoses. 2. In the second stage, above risk factors were tested for content validity by consultation with 29 persons in community health nursing, nursing education, family theory, and social work. 3. In the third stage, existing survey data was used for actual application of the identified risk factors. The survey data used for this purpose was previously collected for the community diagnosis in a region of Seoul. At the final stage, through the comparison between high risk and low risk families, initially identified 34 risk factors decreased to 25 risk factors. Among 34 risk factors, six factors did not agree with content of questionnaries sand two factors were not significant in differentiating the high risk family Also, two risk factors showed high correlation between themselves, so only one of those two factors was chosen. As a result, twenty-five risk factors chosen to identify the high risk family are following ; 1. A single parent family due to divorce or death of a partner, or unweded single mother 2. A family with an unrelated household members 3. A family with a working mother with a young child 4. A family with no regular income 5. A family with no rule in family or too strict rules 6. A family with little or no support from other lam-ily members 7. A family with little or no support from friends or relatives 8. A family with little or no time to share with each other 9. A family with family history of hypertension, diabetus, cancer 10. A family with a sick person 11. A family with a mentally ill person 12. A family with a disabled person 13. A family with an alcoholic person 14. A family with a excessive smoker who smokes more than 1 pack / day 15. A family with too much salt intake in their diet. 16. A family with inappropriate management skills for family health 17. A family with high utilization of drug store than hospital to solve the health problems of the family 18. A family with disharmony between husband and wife 19. A family with conflicts among the family members 20. A family with unequal division of labor among family members 21. An authoritative family structure 22. A socially isolated family 23. The location of house is not residential area 24. A family with high risk of accidents 25. The drinking water and sewage systems are not hygienic. The main implication of the results of this study is clinical use. The high risk factors can be used to identify the high risk family effectively and efficiently. The use of high risk factors woule contribute to develop a conceptual framework of family diagnosis in Korea and the list of risk factors need to be revised continuously. Further researches are needed to develop an index of weight of each risk factor and to validate the risk factors.

• 대한가정학회지
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• 제30권2호
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• pp.97-111
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• 1992

In this survey, we tried to find out number of participating and main purpose of that "Kye" meeting of all family members in rural community. Main purpose is follows; First, Differences by rural area, number of participating and main purpose of that "Kye" meeting of all family members in rural community. Second, Relationship between residence years by the head of a family and numbers in rural community. Third, Relationship between size of owned land(paddy field and uplaned) by the head of a family and number of participating and main purpose of that "Kye" meeting of all family members in rural community. Fourth, Relationship between size of cultivated land(paddy field and uplaned) by the head of a family and number of participating and main purpose of that "Kye" meeting of all family memebers in rural community. The main results are as follows; First, there are different points by the kind of rural area in number of participating and "Kye for friendly gathering", "Kye for saving", "Kye for sightseeing". Second, variable of residence years of the head of a family is only negative influential factor in "Kye for saving". Third, variable of size of owned land is positive influential factor in total number of participating "Kye", "Kye for friendly gathering", "Kye for saving" and "Kye for sightseeing". Fourth, variable of size fo cultivated land is positive influential factor in total number of participating "Kye", "Kye for mournig and marriage", "Kye for friendly gatiering", "Kye for saving" and "Kye for sightseeing". It seems that "Kye" meetings are still a preferred means by the jrural community to gather the cooperation among rural population. But the purpose of "Kye" meetings has changed from the family centered such as worship or marriage and mouring of family members to out of the family centered events such as friendly gathering, sightseeing.

• 대한불안의학회지
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• 제6권1호
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• pp.17-23
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• 2010

Objective : This study compared the psychological stresses of depressed patients' families with those of schizophrenic patients' families. We investigated the influence of depressive patients' clinical features and their families' demographic characteristics on the families' depressive symptoms and stresses. Methods : Participants were 23 family members of depressed patients and 20 family members of schizophrenic patients. We measured the patients' clinical features (duration of illness, number of previous hospitalizations, and satisfaction with medication), and each family member's socioeconomic status and psychological characteristics (depressive mood, anxiety, family stress, and stress response), analyzing the data via independent t-test, chi-square test, and correlation and hierarchical multiple regression analyses. Results : The depressed patients' average clinical global impression (CGI) was significantly higher than that of the schizophrenic patients. The depressed patients' family members showed stress responses significantly higher than those of schizophrenic patients' family members. Furthermore, in depressed patients, frequency of hospitalization was positively correlated with family members' stat anxiety. For both patient types, family stress was positively correlated with the patient's severity of illness and the family's state anxiety, trait anxiety, and stress response ; socioeconomic status was positively correlated with the family's depressive symptoms ; the family's state anxiety positively correlated with the family's trait anxiety and stress response ; and the family's trait anxiety positively correlated with the family's stress response. Socioeconomic status predicted the family's depressive symptoms, and socioeconomic, illness severity and stress response predicted family stress. Conclusion : These findings suggest that both depressed patients' families and schizophrenic patients' families suffer from psychological stress. The study data also have important clinical implications, in that families of depressed patients need psychiatric intervention, as well as the patients themselves. In particular, family intervention should focus on psycho-education and stress coping strategies.

• 가정과삶의질연구
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• 제17권3호
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• pp.93-102
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• 1999

This paper is to clarify the concepts of "sound home" and "healthy family" Even though "sound home" and "healthy family have different meanings and definitions. many researchers are using them in a mixed ways. Therefore through this paper I tried to make distinction of the meanings of the above concepts as below: 1. Sound Home : Basic and fundamental social units and environment which have strong and healthy family members and performs well not only family function but also have attitudes and willingness to perform family function and maintain their family value and ethics. 2. Healthy Family : Social units which have strong and healthy family members and develop individual personal development -their physical emotional social moral development and self-esteem self-achievemet -and have good interaction enhancement skills- communication decision making stress managing strategies- and also maintain family systems. Whereas "sound home" is more broad concept related to Home Econom cs "healthy family" is more related family relations and interaction.quot; is more related family relations and interaction.

• 대한가정학회지
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• 제43권4호
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• pp.79-95
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• 2005

The Purpose of this study was to develop a comprehensive and integrated child-care services model for children both with and without disabilities. The comprehensive perspective included several dimensions such as education, child welfare, family welfare, and community welfare. Survey research based on theories and models regarding the integrated child-care services was carried out to determine the overall needs of child-care institutions, parents, and community members. The results revealed the need for development in the following three areas: (1) edu-care curriculums for integrated programs, (2) programs for supporting family members who have disabilities children, and (3) improved community members' perception about integrated child-care services. A model was developed for fulfil these identified needs.

• Journal of Hospice and Palliative Care
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• 제15권3호
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• pp.147-154
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• 2012

목적: 본 연구의 목적은 의식 없는 말기환자 가족의 연명치료 중단 결정 경험을 이해하기 위함이다. 방법: 자료는 의 없는 말기환자의 연명치료 중단 결정을 한 8명의 가족으로부터 심층면담을 통해 수집하였다. Colaizzi의 현상학적 분석 방법이 자료 분석을 위해 사용되었다. 결과: 주제는 12개의 주제모음으로 분류되었고, 12개의 주제모음은 마침내 5개의 범주로 통합되었다. 5개의 범주는 환자상태로 인한 절망감, 의료진의 권고에 마음을 비움, 환자의 바램, 돌봄으로 인한 가족의 소진, 연명치료와 관련된 과거의 경험이었다. 결론: 다섯 개의 범주를 통하여 의식 없는 말기환자 가족의 연명치료 중단 결정 과정에서 발생할 수 있는 현상들을 이해함으로써 적절한 상담과 간호를 제공하여 보다 바람직한 호스피스 완화의료 중재가 필요하다고 본다.

• 가족자원경영과 정책
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• 제10권1호
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• pp.67-81
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• 2006

This study focused on the system regarding leave of absence in relation to family welfare, which has become a routine in some western countries, in three different perspectives. Those were the relations between reduced working hours and quality of life, maternal recreation, and finally, relations between infrastructure of vacation and culture. Systematic settlement of reduced working hours and maternal recreation in Germany allowed more time among family members and made large contribution to the improvement of family welfare in general. Since the stability of society is strongly based on the stability of family, Germany deserved to be case-studied as a good model. The recent tendency shows that Korean workers are starting to spend more time with their own family members than with their colleagues, and, as seen in the case of Germany, the stability of family welfare will improve if various infrastructures for family leisure are properly established in Korea.

• 가정과삶의질연구
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• 제27권4호
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• pp.189-201
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• 2009

This study is to solve following problems by a family leisure as the problem of a single person in seclusion type, teenager-children being addicted to game, the disconnection of culture inheritance among inter-generation, the elder being isolated from leisure, the increase of the children using a key to go into home alone, the problem of a gender discrimination. This study defines the policy for a family leisure as "policy that ultimately creates the happiness of family, prevents the family problem and deals with it, through the leisure activities that are suitable to family life cycle". It also considers some other important properties(equality, gender and family life cycle, space) besides the constitution and function of family leisure. To create the happiness of family, the direction of the policy for a family leisure heads toward the positive function such as unification, creativity, and psychological stability of family members. At this point, the object of the policy for a family leisure is a unit of the family and it focuses on the level of interaction and positive function development between family members, being beyond the concept of family activity. Therefore, the policy that is to vitalize a family leisure must contain the interaction and positive function between the family members. Hereupon, to vitalize a family leisure, this study leads above-mentioned subjects based on programming, running leisure facility, information system, experts, social awareness, and supporting to the various family. Specialty, the process of leading these subjects is connected to the suggestion of the concrete program and then, is to result in supporting the program development for the essential leisure policy.