• 대한간호학회지
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• 제35권6호
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• pp.1081-1090
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• 2005

Purpose: The purpose of this study was to evaluate a Self-efficacy-based Basic Life Support (SEBLS) program for high-risk patients' family caregivers on cardiac arrest. The SEBLS program was constructed on the basis of Bandura's self-efficacy resources as well as the International Liaison Committee on Resuscitation's '2000 Guidelines for CPR and ECC'. Method: The effect of the SEBLS program on emergency response self-efficacy and emergency response behavior such as BLS(Basic Life Support) knowledge and BLS skill performance was measured by a simulated control group pretest-posttest design. Study subjects were38 high-risk patients' family caregivers(20 experimental subjects and 18 control subjects) whose family patients were admitted to a general hospital in Incheon, Korea. Result: 1. Emergency response self-efficacy was significantly higher in the experimental subjects who participated in the SEBLS program than in the control subjects. (t=8.3102, p=0.0001). 2. For emergency response behavior, BLS knowledge (t=5.6941, p=0.0001) and BLS skill performance (t=27.8281, p=0.0001) was significantly higher in experimental subjects than in control subjects. Conclusion: A SEBLS program can increase emergency response self-efficacy and emergency response behavior, and could be an effective intervention for high-risk patient's family caregivers. Long-term additional studies are needed to determine the lasting effects of the program.

• 지역사회간호학회지
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• 제24권4호
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• pp.388-397
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• 2013

Purpose: The purpose of this study is to examine effects of a self-help management program at public health centers on self-efficacy, self-esteem, knowledge of stroke and family supports in stroke patients. Methods: Based on a quasi-experimental design, 44 persons with stroke were assigned to the experimental group (n=21) or the control group (n=23). Data were analyzed through the descriptive statistics, t-test, $x^2$-test and Mann-Whitney test with the SPSS/WIN 18.0 program. Results: The experimental group showed significant improvement in its members' self-efficacy, self-esteem, knowledge of stroke and family supports. Conclusion: The self-help management program can be an effective nursing intervention to help stroke patients improve their self-efficacy, self-esteem, knowledge of stroke and family supports. That program is also meaningful in that it can contribute to more effective implementation of established programs for stroke patients in public health centers.

• 한국사회복지학
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• 제56권2호
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• pp.285-310
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• 2004

본 연구는 치매노인과 뇌졸중노인 가족부양자를 대상으로 집단차원의 교육/훈련프로그램을 실시한 후 개입의 효과성을 검토한 것이다. 연구내용은 프로그램 참여를 통한 개입의 효과성을 살펴보는 것으로, 사전사후검증의 타당성을 높이기 위해 유사 전-후 실험 통제집단 연구설계를 이용하였다. 사전사후검증을 모두 마친 가족들은 42명인데, 그 중 실험집단 17명, 통제집단 25명이었다. 개입의 효과성을 파악하기 위해 부양부담 척도와 주관적 삶의 질 척도를 사용하였다. 분석결과 프로그램에 참여했던 가족들은 개입 이후로 부양부담은 유의미한 수준에서 차이가 나타나지 않았지만, 주관적 삶의 질은 차이가 나타났다. 대상노인의 특성별로 분석한 결과를 보면, 치매노인, 노인의 상병기간이 짧을수록, 장애정도가 낮을수록 가족부양자의 삶의 질이 더 높아지는 경향을 나타냈다. 또한 가족의 특성별로는 남성, 고학력, 젊은 부양자일수록 삶의 질이 더 높아지는 경향이었다. 추가적으로 본 연구에서 효과성을 전제로 할 때 우선적인 개입이 필요한 취약한 가족부양자 집단을 확인하였고, 프로그램은 가족의 특성별로 특화하여 실시하는 것이 바람직하다는 점도 알 수 있었다.

• 한국사회복지학
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• 제53권
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• pp.231-255
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• 2003

본 연구는 뇌졸중 노인의 가족 수발자들을 대상으로 집단 프로그램과 개별상담을 제공하고 이러한 사회복지실천에 입각한 개입이 간병 부담을 완화하는 효과가 있는 지 검증하였다. 12명의 가족 수발자들로 실험집단과 통제집단을 설정하고 사전 검사 후 실험집단에 대해서만 8회에 걸쳐 개입을 실시하고 다시 두 집단에 대하여 사후검사를 실시하여 개입 효과를 확인하였다. 실험집단에 대해서는 3개월 후에 추후검사를 실시하여 개입 효과의 지속 여부를 검증하였다. 통계분석은 비모수통계방법인 Mann Whitney test, Wilcoxon test를 사용하였다. 연구결과는 다음과 같다. 첫째, 본 연구에서 실시한 개입은 수발자의 간병 부담, 소외감을 완화시켜 주는 효과가 있었다. 간병자의 자존감과 간병에 대안 자진감, 노인과의 관계, 정서적 지지도 향상되었다. 그러나 간병자의 우울, 전반적인 삶의 만족, 공적 서비스의 사용은 변화가 없었다. 둘째, 추후검사를 통해 개입 효과의 추이를 확인한 결과 간병부담, 자존감, 간병에 대한 자신감, 정서적 지지에 대한 개입효과는 유지된 것으로 나타났다. 그러나 노인과의 관계는 악화되었으며 소외감도 증가한 것으로 조사되었다. 셋째, 본 연구에서 실시한 사회복지실천 개입에 대한 참여자들의 만족도, 유용하다고 느끼는 정도는 매우 높았다. 참여자들은 특히 지지적 세션에 의해 많은 도움을 받은 것으로 보인다. 이러한 연구 결과를 바탕으로 사회복지실천 개입의 확대, 자조집단의 조성, 지지적 세션을 잘 이끌어갈 것, 간병 받는 노인의 프로그램 참여에 대한 배려, 수발자들의 내재된 분노나 죄의식을 다루어 줄 것 등의 실천적 함의가 제시되었다.

• Child Health Nursing Research
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• 제18권4호
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• pp.222-230
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• 2012

Purpose: The purpose of this study was to identify the effect of family stressors, family strains, general family values, family values for hospitalized children and family hardiness on family adaptation based upon McCubbin's family resilience model for families of hospitalized children in China. Methods: A survey using a self-report questionnaire was conducted with 330 hospitalized children's parents. Six instruments were used in this model. The data were analyzed using SPSS WIN 19.0 and AMOS 19.0 program. Results: Family strain had a significant negative direct effect, general family values and family hardiness had a significant positive direct effect, and family values for hospitalized children had a significant positive direct effect and indirect effect on family adaptation of hospitalized children. Conclusion: In this study McCubbin's resilience model and resiliency factors were identified. According to the finding of this study nursing interventions to reduce family stress, enhance family hardiness and consolidate general family values and family values for hospitalized children can help to increase family adaptation in families of hospitalized children. Therefore, the significance of this study is that the results can be used to develop family nursing intervention programs based on family resilience to strengthen family adaptation in families of hospitalized children.

• Child Health Nursing Research
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• 제10권4호
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• pp.383-394
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• 2004

Purpose: This study was conducted to identify resiliency factor, to test causal relationship and effect of resiliency factors on adaptation in families of children with cancer. A conceptual framework was constructed based on McCubbin's resiliency model. Hypotheses were tested with empirical data. Method: Data were collected using self-report questionnaire from 232 families of children with cancer. The collected data were analyzed using the SAS program and LISREL program for covariance structural analysis. Result: Family hardiness and problem-solving coping had significant direct effects on adaptation in families of children with cancer. Social support had significant indirect and total effect on adaptation. Family Schema had significant direct effect on family hardiness and problem-solving coping. Problem-solving communication had a significant direct effect on family hardiness and an indirect effect on family functioning and problem-solving coping. Among the resiliency factors, family hardiness had the greatest effect on adaptation in family of children with cancer. Conclusion: The findings suggest that nursing interventions to enhance family hardiness, problem-solving coping and social support would result in an increase in adaptation in families of children with cancer. An integrated intervention that emphasizes and promotes resiliency factors should be developed and established for families of children with cancer.

• 여성건강간호학회지
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• 제23권1호
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• pp.1-10
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• 2017

Purpose: Aims of the researchers were to develop an birth control empowerment program (BCEP) designed to help married immigrant women in Korea to plan their pregnancies. Methods: This study was as a randomized controlled trial to verify the effects of the BCEP. The BCEP was developed based on Falk-Rafael (2001)'s Empowerment caring model. The program was offered once a week, for 90 minutes per session, for a total of 10 weeks. The BCEP incorporated group instruction, group discussion, and counseling. The eligible participants were randomly assigned to either experimental group (n=23) or control group (n=23). Results: Participants in the intervention group had significantly better outcomes in contraceptive knowledge (p<.001), contraceptive self-efficacy (p=.014), perceived contraceptive control (p<.001), sex-related spousal communication (p<.001), and sexual autonomy (p=.009). Conclusion: The BCEP was effective intervention method, which can promote family planning practices among married immigrant women.

• Child Health Nursing Research
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• 제27권3호
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• pp.225-242
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• 2021

Purpose: This study aimed to systematically develop an obesity prevention program for adolescents to promote healthy eating and physical activity in schools. Methods: The development of the Let's Eat Healthy and Move at School program for adolescents followed the six steps of intervention mapping (IM). IM is a widely used protocol for developing systematic and effective interventions based on theories and evidence. Results: To better understand the problem and identify the needs of adolescents, interviews were conducted with teachers, school nurses, and students (step 1). In step 2, the desired behaviors and their determinants were established and combined into a matrix comprising 16 change objectives. In step 3, theoretical methods such as persuasive communication and consciousness-raising were chosen. The program was segmented into three educational activity sessions in step 4. In step 5, an implementation manual was developed for program instructors to ensure effective and accurate implementation. Finally, practices for evaluating the program's effectiveness and procedures were designed in step 6. Conclusion: The Let's Eat Healthy and Move at School program will provide adolescents with guidelines to promote healthy living and prevent obesity in everyday life using strategies for sustainable adolescent obesity prevention and management.

• 대한가정학회지
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• 제44권7호
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• pp.53-62
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• 2006

The purpose of this research was to evaluate the effectiveness of the Counseling-Utilized Parent Education for Mothers (CUPEM). CUPEM was developed based on Developmentally Appropriate Practices, Solution-Focused Therapy, Satir's Experiential Family Therapy, and Cognitive-Behavioral Therapy. The subjects were 51 mothers of 4 and 5 year old children and randomly assigned either to the intervention group (n=26) or the comparison group (n=25). Mothers in the intervention group had 10-2 hour intervention sessions while those in the comparison group received the intervention after this study was completed. Both groups received pre-and post-test evaluation, and a follow-up test. The data were analyzed by t-test and paired t-test. The results showed that participanting mothers' parenting stress was lessened while sense of parenting competence and positive maternal behaviors during mother-child interaction were increased significantly. Second, these mothers' self-confidence and maternal attitude toward childrearing were improved. Third, this effect lasted for at least one month after the termination of this program.

• 한국간호교육학회지
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• 제27권3호
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• pp.306-320
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• 2021

Purpose: This study was a systematic review to assess the contents and effects of an intervention program for family caregivers of the elderly with dementia in Korea. Methods: A literature search was done using Medline, CINAHL, RISS, KISS, and DBpia to identify studies reported in English or Korean from 2000 to 2021. Results: A total of 1,162 articles were searched; finally, 23 articles were used in the analysis based on the inclusion and exclusion criteria. The most applied intervention contents were knowledge provision and emotional support. Fourteen articles (60.9%) reported on complex interventions, including emotional, social support, relaxation, and various activities. The most frequently measured outcome variable in the reviewed literature was "burden," followed by "depression" and "coping strategy." Conclusion: The review results can provide basic data for establishing evidence and suggesting directions of interventions for family caregivers of the elderly with dementia.