• 기본간호학회지
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• 제20권1호
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• pp.27-36
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• 2013

Purpose: Self-care behavior is a key dimension of healthcare quality among elderlys with diabetes mellitus. The purpose of this study was to identify factors associated with self-care behaviors related to insulin therapy among elders with diabetes mellitus. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 147 older adult patients with diabetes mellitus receiving insulin therapy. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS statistics 19.0 program. Results: Participants' self-care behaviors related to insulin therapy were not adequate. Stepwise multiple regression analysis for self-care behaviors related to insulin therapy revealed that the most powerful predictor was self-efficacy. Self-efficacy, family support and frequency of blood sugar test explained 54.4% of the variance in self-care behaviors related to insulin therapy. Conclusion: The results indicate a need to promote self-efficacy, family support and frequency of blood sugar testing with these participants. In addition, strategies to improve self-care behaviors among elderly patients should be considered by health professionals, family members and the elderly patients themselves.

• 가정과삶의질연구
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• 제31권5호
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• pp.47-63
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• 2013

This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.

• 가정과삶의질연구
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• 제25권5호
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• pp.47-63
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• 2007

The purpose of this study was to verify the effectiveness of an internal family systems therapy program aimed at increasing ego-identity of middle-aged women. The objectives of this program were for middle-aged women to differentiate the self of internal systems, to identify constraints impinging on an individual part, to release constraints impinging on an individual part, to harmonize the internal family, and to enhance ego-identity. 31 middle-aged women ranged in age from 40 to 60. Two groups were identified as equivalents for the study in the pre-test. The program of this experimental group was implemented twice a week for 120 minutes per each session over a 6-week period. The pre-test(Aug. 29. 2006), the post-test(Oct. 20. 2006) and the follow-up test(Nov. 20. 2006) were implemented in order to verify the effectiveness of the programs. The participants who were absent more than three times in the program were excluded from the post-test and follow-up test. Eventually, the data in 31 persons(15 for the internal family systems therapy, 16 for the control group) were analyze to verify the effectiveness of the program. The instruments used in the study were the ego-identity scale. The data were analyzed using repeated measures ANOVA, simple main effect, post-hoc t-test, means and standard deviations. And the program was from Sep. 5. to Oct. 20. 2006. The findings of the study were as follows: The internal family systems therapy program had significant effects on enhancing the ego-identity. There was a large increase of the ego-identity in the intervention group, compared with control group at post treatment and follow-up after 1 month which indicated the continuity of intervention effect. However, in the control group, there were no changes according to the time.

• 가정과삶의질연구
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• 제9권2호
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• pp.345-366
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• 1991

The concrete purpose of this study is to examine the possibility of applying S.Minuchin's structural family therapy theory to each clinical families so that it can solve efficiently the clinical problems Korean family. The test results are as follows: 1)The Results of Question I : Types of Korean family problems can be divide into six. Then the most frequent type of problem was marital problem. 2) The Results of Question II: Korean normal family showed rater difussed boundary and higher rate of wife dominant type than that of husband dominant type in aspect of boundary and power, and had low tendency toward alignment and neutral adjustment. 3)The Results of Quesion III; Amidst the clinical families, family structural traits of the families which have marital problems showed a clear boundary, the tendency toward alignment, and higher tate of husband dominant type than that of wife dominant type. And family structural traits of children problem family had the tendency of alignment and showed little wife-dominanted families in power. Finally, mother-in -law and daughter-in-law problemed family had several characters such as diffused boundary, the tendency of alignment and high adjustment. 4)The Results of Question IV : As a result of camparing problemed families with normal families in family structure, there was high adaptability of S.Minuchin's structural theory to the two family groups; the groups of marital problems and those of children problem.

• 한국사회복지학
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• 제60권4호
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• pp.253-276
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• 2008

본 연구는 가족치료 상담자의 의사소통 능력향상을 위해 훈츠누어셔의 대화문법론을 기반으로 가족치료 전체 회기에 나타나는 상담자와 내담자 간 의사소통의 전형적인 구조인 '대화연속체 원형'을 기술하고 설명하는 것을 목적으로 한다. 먼저 선행연구를 통하여 가족상담의 과정단계를 초기, 중기와 종결단계로 분류하고, 각 과정단계의 부분적 기능단계를 분위기 조성단계, 가족사정단계, 인식변화 유도단계, 변화체험 확인단계, 종결단계로 나누어 대화연속체 원형을 구축하였다. 그리고 2명의 상담자와 30명의 내담자가 참여한 실제 가족치료 대화를 분석하여 각 기능단계에서 나타나는 대화연속체 원형을 설명하였다. 본 연구를 통해 구축된 대화원형은 일반적인 가족치료의 대화구조를 분석하는 틀로써 상담의 목적에 맞게 가족치료를 구조화시키고 상담자들의 효과적인 의사소통 능력을 평가하는데 사용될 수 있다.

• 대한지역사회작업치료학회지
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• 제3권2호
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• pp.1-12
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• 2013

목적 : 본 연구는 대전광역시에 거주하는 독거노인과 가족동거 노인들을 대상으로 시간관리능력과 일상생활 활동을 비교하고, 집단 간의 관계를 파악함으로써 노인의 건강관리 방안을 찾는 기초자료를 제공하고자한다. 연구방법 : 연구대상은 65세 이상의 독거노인과 가족동거 노인을 MMSE-K로 선별한 후 각 40명씩 총 80명을 선정하였다. 시간관리능력은 설문지를 사용하였고, 일상생활활동은 FIM을 사용해 평가하였다. 연구기간은 2013년 5월부터 6월까지 진행되었다. 본 연구의 자료분석은 SPSS 20.0 프로그램을 사용하였다. 결과 : 독거노인과 가족동거 노인의 시간관리능력 및 FIM에 대한 총점의 점수비교는 두 집단 간에 통계적으로 유의한 차이를 보이지 않았다. 집단 간 세부항목 점수의 비교에서는 FIM의 세부항목 중 사회적 인지항목에서 사회적 상호작용, 문제해결능력, 기억력 모두 두 집단 간에 통계학적으로 유의한 차이를 나타냈다. 결론 : 본 연구를 통해 가족동거 노인에 비해 상호작용의 기회가 부족한 독거노인이 사회적 인지기능에 저하가 있음을 알 수 있었다. 이를 바탕으로 향후 지역사회 작업치료 안에서 노인의 인구 사회학적인 특성을 고려한 다양한 프로그램 개발과 연구가 이루어져야 할 것이다.

• Human Ecology Research
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• 제55권3호
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• pp.303-319
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• 2017

This study explored the sandplay therapy case of a middle-aged woman having difficulty with interpersonal relationships and wanting to increase her self-identity. The goal of the therapy was to change her relationships with others by self-examination and becoming conscious of her negative animus and femininity in a free and protected space provided by sandplay therapy. Forty-five therapy sessions were held. The client exhibited her lonesomeness and fantasies by making sandtrays of a house she would like to live in, a park she would like to relax at and dreams she would like to fulfill in the initial phase of therapy (1~8, Who am I?). In the intermediate phase of therapy (9~33, Meeting myself), she displayed scenes of her negative self and breaking away from her negative self by making sandtrays of shadows, deaths, creations, a soaring scene and a disappearing alligator. In the final phase of therapy (34~45, Discovery of the real Self), she showed scenes of her meeting a positive self by making sandtrays of hope, coexistence, start, harmony and community. This study showed the effectiveness of sandplay therapy since the client' relationships with others were improved through her self-awareness by sandplay therapy in the free and protected space.

• 한국전문물리치료학회지
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• 제19권1호
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• pp.76-85
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• 2012

The purpose of this study was to identify the factors determining the participation restriction of chronic stroke patients based on international classification of functioning, disability, and health (ICF) model. Sixty-eight stroke patients participated. The participants were assessed participation restriction using the Korean version of London handicap scale (K-LHS), modified Barthel index (K-MBI) to measure activities of daily living, Berg balance scale (K-BBS) to assess balance, and the center for epidemiologic studies depression (K-CES-D) to gauge depression. Also, 3 minutes walking test (3MWT), gait velocity, asymmetric posture, and family support were assessed. A stepwise multiple regression analysis was used to explore the factors determining participation restriction. There were no significant different in the K-LHS and K-MBI results by gender (p>.05). Correlations between the K-LHS and K-MBI (r=-.656), K-BBS (r=-.543), K-CES-D (r=.266), 3MWT (r=-.363), gait velocity (r=.348), and family support (r=-.389) were significant (p<.05). Also, the K-MBI and family support were the factors that determined participation restriction (p<.05) and that 40.2% of the variation in the K-LHS can be explained. Therefore, it is suggested that evaluation and intervention of patient's activity level and extent of family support is necessary to reduce participation restriction of chronic stroke patients.

• 가정과삶의질연구
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• 제32권3호
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• pp.115-135
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• 2014

The purpose of this study was to develop a "Family Play Therapy Program" using puppets to decrease attachment problems for families with children having attachment problems and to examine its effectiveness. The participants were an experimental group of 16 individuals(8 children with attachment problems whose ages ranged from 4 to 5 and 8 mothers) and a control group of 16 individuals (8 children with attachment problems whose ages ranged from 4 to 5 and 8 mothers). The experimental group was treated through the Family Play Therapy Program, which involved the use of puppets and was held for twelve sessions twice a week. The changes in the participants were measured in order to examine the effects of the program. The researcher measured children's emotional and behavioral expression(TBP), the mothers' sense of self(Self-Differentiation Scale), personal relationships(ECR-R), and the perception of family functions(ICPS-FFS) both before and after the FPT program and compared their differences. The MIM Rating Scale and Marschak Behavior Rating Scale were administered to examine the interactions between mothers and children, and 1:1 interviews were also conducted. The data thus gathered were used for non-parametric analysis(Mann-Whitney U test and Wilcoxon rank sum test)using SPSS WIN 17.0. The results of this study were as follows: First, the program had a positive effect on children's emotional expression. After the problem were over, negative emotional and behavioral expression in the experimental group decreased. Second, the program had a positive effect on mothers' self-differentiation and personal relationships. Third, the program had a positive effect on changes in the interaction behaviors between the mother and child. Fourth, the program had a partially positive effect on the responses from their group developmental stages, especially on the subscale of both a program for the reinforcement of mothers' emotions and family play program utilizing puppets.

• Journal of Acupuncture Research
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• 제35권1호
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• pp.1-3
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• 2018

This case report demonstrates the beneficial effects of cupping therapy (CT) in a 35-year-old man who is diagnosed with a fracture of the radial shaft due to a motorcycle accident. One year after the treatment started, pseudoarthrosis developed in the radius and an autogenous iliac bone graft was performed. However, extension dysfunction in the wrist became evident. After another 6 months of physical therapy and rehabilitation, no improvements were observed. Therefore, CT and adjunctive electrostimulation were performed, after 30 days of treatment, marked recovery of muscle function and full wrist extension were observed, as determined by electromyography and a grade 5/5 on the Medical Research Council power of wrist extension scale. The results in this case study suggest that CT in conjunction with adjunctive electrostimulation, may accelerate functional recovery from postoperative radial palsy, and provide a useful alternative treatment in this situation.