• 가족자원경영과 정책
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• 제16권3호
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• pp.83-107
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• 2012

This study analyzed the outcomes of the Healthy Family Support Center's 2011 Pilot Project to support grandparent-grandchild families. This paper applied Frank Fisher's multidimensional evaluation methodology, which includes 4 steps: program verification, situational validation, system vindication and social choice. The major findings and their implications are as follows: the strong points of the pilot project are the characteristics of its services, i.e. sending services, customized services, family-unit services and integrated services. Therefore, it is necessary to train human resources to deliver these services more professionally and to provide comprehensive life-planning. The weak point of the pilot project is its lack of services relating to the self-reliance of the clients. Thus it is necessary to revise the service subsystems to include programs that promote self-support measures.

• 가족자원경영과 정책
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• 제19권4호
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• pp.71-94
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• 2015

The purpose of this study is to propose measures for social work practice to enhance the happiness of middle-aged married men and women by identifying the effects of family stress and social support resources (formal and informal support resources) on marital satisfaction among mid-life married couples. Subjects were selected through purposive sampling among married men and women aged between 40 and 59 and living in Seoul City and Gyeonggi province. The study results are follows. First, the average score of family stress was 3.06 points (SD=.56), slightly higher than the median value of 3 points. Of all subscales of family stress, the subjects experienced the most stress from family relationships, followed by financial problems, health and loss of families, and work-family compatibility. In regard to social support resources, the mean value of all social support resources categories was greater than the median. Among the subscales, informal support (family support and support from other people) was found to be higher than formal support. The level of marital satisfaction was higher than the median, and the score was 3.21 points (SD=.78). Second, in order to explore differences in marital satisfaction according to family stress and social support, differences in marital satisfaction were analyzed by grouping subjects who scored high, middle, and low levels of marital satisfaction. According to the results, marital satisfaction was statistically significantly higher in the group that experienced less family stress (F=6.25, p<.01). With respect to social support, marital satisfaction was statistically significantly higher in the group that received high social support (F=29.68, p<.001). Third, according to the analysis of factors affecting marital satisfaction in middle-aged married men and women, subjective economic status, family relationship stress, economic stress, and family support showed statistical significance. The higher the subjective economic status and the lower the family relationship stress and economic stress levels, the higher the marital satisfaction among middle-aged married men and women. In addition, the greater the family support, the higher the marital satisfaction. The results of this study underscore the need to improve family relationships in middle-aged married couples and to distribute family life education programs that can strengthen family support resources. For example, family relationship enhancement programs are currently performed, including "Family School for Middle-Aged Baby Boomers" and others as part of the Healthy Family Support Work regarding the promotion of marital satisfaction of middle-aged couples. In addition, continuing effort is warranted to include content on strengthening family support resources, maximizing the effectiveness of programs, and promoting service accessibility.

• 한국사회복지학
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• 제56권3호
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• pp.183-205
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• 2004

본 연구는 간병과 일상생활에서 수발을 요하는 만성질환 및 기능손상노인의 가족 수발자들을 대상으로 재가복지서비스의 이용자와 비이용자 간의 차이를 비교하고 서비스 이용여부와 이용수준에 영향을 미치는 요인들을 파악하고자 하였다. 재가복지서비스 이용여부는 164명의 가족 수발자를 대상으로 그리고 이용수준은 그 중 114명의 이용자에 대해서 소인요인, 가능성요인, 욕구요인, 욕구요인과 사회적 지지의 상호작용 변수들을 단계적으로 투입하여 회귀분석 하였다. 주요 분석결과는 다음과 같다. 첫째, 재가복지서비스 이용자가 비이용자보다 교육수준, 정서적 지지, 노인의 인지적 기능손상 수준이 더 높고 월 가족수입은 더 낮았다. 둘째, 재가복지서비스 이용여부에 대해서는 수발자의 교육수준이 높을수록, 가족수입이 적을수록, 도구적 지지의 수준이 낮을수록 재가복지서비스를 이용하는 경향이 있고 수발자의 건강상태가 나쁘더라도 도구적 지지의 수준이 높으면 재가복지를 이용하지 않는 것으로 나타났다. 셋째, 재가복지서비스 이용수준에 대해서는 정서적 지지의 수준과 수발자의 우울 정도가 낮을수록 서비스 이용수준이 높고 노인의 신체적 기능손상이 심하더라도 도구적 지지와 정서적 지지의 수준이 높으면 서비스 이용수준이 낮았다. 이러한 연구결과에 따라 재가복지서비스 이용에 대한 실천적 함의가 제시되었다.

• 보건의료산업학회지
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• 제9권4호
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• pp.145-155
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• 2015

Objectives : The purpose of this study was to test the influencing effects of health perception and family support on depression in elderly patients. Methods : Two-hundred forty-nine hospitalized geriatric patients were recruited in B city, South Korea. They were asked to complete a questionnaire, and 214 data sets were included in multiple regression analysis. Results : Subjects perceived a higher level of depression. Influencing factors of depression were hospitalization experience (t=3.476, p=.001), health perception (t=-3.310, p=.001), education (t=2.684, p=.008), economic satisfaction (t=2.579, p=.011), satisfaction with allowance (t=2.262, p=.025), and family support (t=-2.200, p=.029). The model was statistically significant explaining 36.3% of the variance (F=21.257, p<.001). Conclusions : In dealing with depression, nurses in elderly care facilities should be more concerned about patients with hospitalization experiences. Interventions to improve health perception should be provided to elderly patients, and educational programs on how to support patients are needed for the families of patients.

• 가족자원경영과 정책
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• 제19권1호
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• pp.139-161
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• 2015

The number of Healthy Family Support Centers has increased and the services for enhancement of family strength have extended during the past ten years since the Framework Act on Healthy Families was enacted. It is time to pay attention to the empowerment for Healthy Family Specialist because their capability is directly linked to improve the quality of services, which means the satisfaction of family services and the quality of family policy. In this context, this study investigate organizational experience of Healthy Family Specialists and suggest the empowerment plan to enhance their capability. We conducted in-depth interviews for 9 Healthy Family Specialists who is currently working at Healthy Family Support Centers as a manager status during June 2014. We analyzed organizational experiences through job commitment and job satisfaction and empowerment plans through their strength and weakness. Our findings revealed that job commitment and job satisfaction of Healthy Family Specialist are relatively low due to a poor working condition and a low brand awareness. Also, the capability of Healthy Family Specialists is an important factor to determine their job commitment and job satisfaction, and it can impact on the long service. These results suggest that the payroll system, increment of salary, career recognition, employee benefit, systematic operation, and motivation are needed to improve their job satisfaction. There are various ways to improve professional capability of Healthy Family Specialists besides education program. This study contributes to make the plan of empowerment for Healthy Family Specialists and it also contributes to improve the service quality of family policy.

• 한국융합학회논문지
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• 제11권6호
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• pp.367-374
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• 2020

이 연구는 특수교육 대상 아동 부모의 가족지원에 대한 중요도와 실행도를 살펴봄으로써 가족지원 서비스의 우선순위 설정에 필요한 기초 자료를 제시하기 위하여 수행되었다. 연구 목적 달성을 위하여 전국의 특수교육 대상 아동 부모 220명을 대상으로 설문조사를 실시하였다. 연구 결과, 29개의 가족지원 서비스 항목 모두 중요도는 높게 평정되었으나 실행도는 낮게 평정되었고, 통계적으로 유의미한 차이가 발견되었다. 또한 중요도 및 실행도 분석 결과 신체적·물질적 안녕 지원 및 장애 관련 지원 관련 가족지원 서비스는 중요도는 높지만 실행도는 낮은 서비스로 평가되었고, 가족 지원 서비스에 있어 우선순위로 제시되어야 할 과제인 것으로 나타났다. 반면 가족 상호작용 지원 또는 정서적 안녕 지원 영역에 해당되는 가족지원 서비스는 중요도는 낮지만 실행도는 높은 서비스로 평가되어 과잉 노력을 지양해야 하는 서비스인 것으로 나타났다. 이러한 연구 결과를 바탕으로 향후 특수교육 대상 아동의 가족지원 서비스 운영을 위한 방향을 제언하였다.

• 가족자원경영과 정책
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• 제21권3호
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• pp.121-139
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• 2017

This study aimed to explore the moderating effect of social support resources on the life satisfaction and caregiving burden of family caregivers taking care of the elderly in long-term care services. The study participants were selected from among the family caregivers utilizing 30 home care centers in Seoul, Korea. Of the candidates who agreed to participate in the study, 250 caregivers who had supported the elderly at home for at least 6 months were selected. The data collected were analyzed using SPSS ver. 21.0. The study findings were as follows. First, the whole family caregivers' caregiving burden of family caregivers was found to be slightly higher than the median value. More specifically, the physical burden was the heaviest, followed by the family relationship burden, the social activity burden, the emotional burden, and the financial burden. Social support resources and life satisfaction were found to be a little bit higher than the median value. Second, the variables that statistically significantly increased life satisfaction, starting with the strongest effect, were a lower psycho emotional burden, greater informational support resources, a lower economical burden, greater emotional support, a younger caregiver age, a higher monthly income, and a shorter care period. Third, informational support resources were found to have a moderating effect on the relationship between the support burden and life satisfaction. The more the participants used the informational support resource subcategory of the social support resources, the narrower the life satisfaction decrease, even though the caregivers felt a support burden. Informational support resources appear to have a statistically significant buffering effect.

• 지역사회간호학회지
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• 제15권1호
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• pp.56-66
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• 2004

Objectives: The purpose of this study was to verify a change for family nursing phenomena and satisfaction of clients of vulnerable families in an urban community. Methods: The study subjects were 711 families, randomly selected, who had chronic diseases(arthritis diabetes, stroke, hypertension, mental disease, cancer, dementia) with basic social welfare services from the nation and had disabled persons in an urban community, South Korea. The instruments used were the family nursing phenomena in Korea by ICNP and client satisfaction. Client satisfaction consisted of client satisfaction on home visiting nurses(4 Likert scales) and home visiting services(3 Likert scales). Results: The average visiting number is 3.82. The service number of education and counseling is 3.16, patient and symptom management 3.08, assessment and diagnosis 3.08, test 2.02, medication service 1.71회, dressing 1.01, referral to social welfare institute 1.00회, referral to medical service institute 0.21. In both, pre home visiting and post home visiting, the highest rated phenomenon was the 'lack of social support system' and following that 'deficit of financial management skill and support'. 'lack of family interaction in community', and 'social isolation' 'unhealthy life style' and 'inadequate care management of sick member', in that order. The percentages of phenomena besides 'deficit of financial management skill and support' decreased. The satisfaction level of clients towards the nurses was 3.27 points on a scale of 4, and the nursing services was 2.70 points on a scale of 3. Conclusion: Home visiting nursing services should continue to provide comprehensive healthcare services and support for vulnerable families, in urban communities.

• Human Ecology Research
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• 제51권3호
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• pp.275-284
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• 2013

The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.

• 가족자원경영과 정책
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• 제13권1호
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• pp.147-168
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• 2009

The purpose of this study is to research support systems of the community child care services for optimum work-family balance. For this purpose, the questionnaire to be completed combined four areas: the workplace, school, community and home. Then questions concerning demographic factors and community-related aspects were analysed for this article. After analyzing 197 questionnaires, supplementary questions were asked, by interview to 10 samples. Full-time working wives (eg. working from 9am to 6pm) who have 1 or more children under 10 years old, living in Seoul and Gyeonggi province were collected as samples. The results were as follows: First, child care from family and relatives, and community services was properly used during the week, but dual working parents took complete charge of child care on Saturdays. Second, emergency child care was usually provided by the family, while relatives and community child care services were used less. Third, parents spent 17% of their monthly income on total child care expenditure. Fourth, community child care services were not used often, but the level of satisfaction with them was very high. Finally, they used relatives' services for safety reasons and community services for location, and only based on informed decisions. Therefore, Saturday child care programmes need to be initiated to help physically and mentally tired parents, with more general provision of positive and diverse public support systems.