• Title/Summary/Keyword: family-based intervention program

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The Development and Effects of a Salutogenic Program for Married Immigrant Women (결혼이주여성의 건강생성(salutogenic)프로그램 개발 및 효과)

  • Kim, Na-Young;Choi, Yeon-Hee
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.197-212
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    • 2016
  • Objectives : This study develops a salutogenic program and examines its effects on the sense of coherence, acculturative stress, and quality of life of married immigrant women. Methods : The salutogenic program was developed based on Antonovsky's Salutogenic Model, and the study design was a nonequivalent control group pre-post test design. The participants were married immigrant Chinese (n=30) and Vietnamese (n=31) women, who were assigned to either an experimental group (n=29) or a control group (n=32). The data were analyzed using the ${\chi}^2$-test, t-test, Fisher's exact test, and repeated measures ANOVA, and the IBM SPSS for Windows (version 20.0) program was used to perform the analysis. Results : Compared to the control group, the sense of coherence (F=52.05, p <.001) and quality of life (F=6.95, p=.002) were significantly improved in the experimental group, and the acculturative stress (F=24.64, p<.001) in this group significantly decreased after implementing salutogenic program. Conclusions : These findings indicate that a salutogenic program is an effective intervention for married immigrant women. The study suggests that such programs can be applied to married immigrant women at public health or multicultural family support centers to improve their sense of coherence and quality of life.

Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants (극소저출생체중아 어머니를 위한 병원중심의 추후관리프로그램의 효과)

  • Kim, Min Hee;Ji, Eun Sun
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.79-89
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    • 2016
  • Purpose: This paper reports the results of a hospital centered follow-up program on parenting stress, parenting efficacy and coping for mothers with very low birth weight (VLBW) infants. Methods: The follow-up program consisted of home visiting by an expert group and self-help program for 1 year. A non-equivalent control group pre-post quasi-experimental design was used. Participants were 70 mothers with low birth weight infants and were assigned to one of two groups, an experimental groups (n=28), which received the family support program; and a control group (n=27), which received the usual discharge education. Data were analyzed using ${\chi}^2$-test, t-test, and ANCOVA with IBM SPSS statistics 20.0. Results: Mothers' parenting stress (F=5.66, p=.004) was significantly decreased in the experimental group. There were also significant increases in parenting efficacy (F=13.05, p<.001) and coping (F=8.91, p=.002) in the experimental group. Conclusion: The study findings suggest that a follow-up program for mothers with VLBW infants is an effective intervention to decrease mothers' parenting stress and to enhance parenting efficacy and coping.

The effects of symptoms of dementia elderly on the primary caregiver's depression : moderating effects of family support (치매환자의 증상정도가 주부양자의 우울에 미치는 영향 : 가족지지의 보호효과를 중심으로)

  • Park, Sun Won;Kwak, Ju Yeon
    • Journal of Family Relations
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    • v.21 no.3
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    • pp.3-23
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    • 2016
  • Objectives: The purpose of this study is to examine the effects of symptoms of dementia elderly on the primary caregiver's depression. In addition, moderating effect of family support was examined. Based on the results, the necessity for intervention in the level of social welfare as a way to mitigate primary caregiver's depression was suggested. Method: In order to accomplish these purposes, a total of 197 who are spouse and adult-children of dementia elderly using day care facilities or services in Seoul, Gyeonggi, Busan province, South Korea were utilized. Data were analyzed by frequency analysis and descriptive statistics, regression model analysis with SPSS 18.0. Results: In case of analysis results, the mean value was reported 0.9 out of four point about primary caregiver's depression and the mean value of family support was reported 3.34 out of five point. And besides, the analysis result of dementia elderly's symptoms showed that prevalence of depression/dysphoria were 62.2%, prevalence of aberrant motor were 61.3%, prevalence of apathy/indifference were 56.6%. Crucial findings are as follows: the symptoms of dementia elderly was significantly associated with the primary caregiver's depression. At the same time, family support significantly influenced lower level of the primary caregiver's depression. While, in the relationship between the symptoms of dementia elderly and the primary caregiver's depression, family support has a moderation effect by important protection factor. Conclusions: From these findings, the necessities to provide the care service for dementia elderly to help improve symptoms of dementia as well as the policy and service to manage the mental health of the family as primary caregiver were suggested. Also, the necessities to provide the family therapy program to improve the relationship with family members were suggested.

Business Empowerment Program and Household Economic Welfare: Lesson from Indonesia

  • PURWANTI, Pudji;SUSILO, Edi;INDRAYANI, Erlinda
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.1
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    • pp.313-320
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    • 2020
  • This study aims to analyze the household economic behavior of salt farmers participants in Salt Business Empowerment Program (Pugar) including of salt production, work flow, household revenue, the behavior of consumption of food and non-food items and the welfare level. This research followed a survey method by engaging 32 household farmers as participants. The findings revealed that the empowerment program was carried out through the technical assistance of salting production and the assistance of equipment and technology from Thread of Screw Filter and geoisolators to improve the quality of salt. The problems come when the marketing of salt is still limited to the collectors of salt which led to the price of salt level, manufacturers have not remained stable. Household revenue sources for some salt farmers also come from non-salt pond business activities. Farmer household revenue can be used to meet staple food consumption and non-food staple consumption. Based on the indicators of family welfare, households participating in the empowerment program were group into the category of prosperous families. In order to stabilize the price of salt at the producer level, government intervention in the people's salt trading system is needed.

Psychological and Physical Effects of 10 Weeks Urban Forest Therapy Program on Dementia Prevention in Low-Income Elderly Living Alone

  • Lee, Hyun Jin;Son, Sung Ae
    • Journal of People, Plants, and Environment
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    • v.21 no.6
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    • pp.557-564
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    • 2018
  • Along with the aging society, the prevalence of dementia is also increasing. Dementia causes short-term memory loss as well as difficulties of performing daily activities and gradually causes suffering of the patients and their family. In spite of various programs for prevention of dementia of older people are being implemented, there is a lack of developing natural-based program for physical and mental health promotion. Therefore, it is necessary to develop programs for the elderly living alone who are more vulnerable to dementia because of their social and economic isolation. The purpose of this study was to develop a natural-based program and investigate the effects of 10 weeks forest therapy program for dementia prevention to improve the psychological and physical health of the elderly living alone. The experimental subjects were 30 elderly (aged 65 or older) and 31 elderly participated in control group. The Stress response, depressive symptoms, weight, body mass index (BMI), fat mass and muscle mass were measured for pre and post test. The results showed that the experimental group showed subjective stress relief (t=5.249, p=.000), improvement in symptoms of depression (t=4.152, p=.000), and decreases in weight (t=2.686, p=.012), BMI (t=2.629, p=.014) and fat mass (t=2.918, p=.007) after the forest therapy program. The experimental group showed lower stress reactions(t=-7.185, p=.000) and less depressive symptoms (t=-5.303, p=.000) than control group after participating the program. These results suggest that periodic forest exposure can help having less stressful and depressive status than non-forest exposure and the forest therapy program can reduce participants' psychological and physical risk factors of dementia.

A Study of Effectiveness of the Integrated Group Program for Battered Women's Depression (아내구타 피해여성의 우울증 개선을 위한 통합적 집단프로그램의 효과)

  • Kim, Jae-Yop;Yang, Hae-Won;Lee, Keun-Young
    • Korean Journal of Social Welfare
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    • v.38
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    • pp.68-99
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    • 1999
  • In this study, the effectiveness of integrated group program for battered women in the shelters carried out and the program's effectiveness concentrating on the depression is evaluated. The integrated group program was developed based on the National Family Violence Survey and other studies about battered women's characteristics. The major outcomes of the study are following. First, depression score of the test group(N=10) in comparison with the comparison group(N=18) decrease with statistical significance. Second, among the sub-symptoms of depression, the symptoms of affective, cognitive, and behavioral depression significantly decrease. These findings show that an integrated program is needed to improve battered women's mental health; it includes not only a mental health intervention but many other services such as family violence education, communication training, social support networking, economic independence improvement and child rearing.

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Validity and Reliability of the Korean Version of the Families' Importance in Nursing Care-Pediatric Nurses' Attitudes Instrument

  • Oh, Jina;Kim, Yae Young;Yoo, So Yeon;Cho, Haeryun
    • Child Health Nursing Research
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    • v.24 no.3
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    • pp.274-286
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    • 2018
  • Purpose: This study aimed to test the validity and reliability of the Korean version of the Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA) instrument developed by Saveman et al. Methods: The 222 pediatric nurses' data were collected from 13 hospitals in South Korea and were analyzed using descriptive statistics, exploratory factor analysis, the Pearson correlation coefficient, and the Cronbach's ${\alpha}$ in SPSS software. The AMOS program was used to conduct confirmatory factor analysis of construct validity. Results: Of the 26 initial items, 24 were ultimately selected after evaluating content validity, construct validity, and reliability. The following 6 factors were included in the Korean version of the Families' Importance in Nursing Care-Pediatric Nurses' Attitudes (KFINC-PNA): family as a 'conversational partner', 'participant in care', 'supporter for the nurse', 'burden', 'recipient of empowerment', and 'its own resource'. Conclusion: The KFINC-PNA was partially modified to explain differences in language and culture, but its validity and reliability were verified. Pediatric nurses' attitudes can be assessed using the KFINC-PNA, and adjustments to the care of hospitalized children and their families can be made based on these items. We recommend developing and verifying intervention methods that will improve family-centered care for hospitalized children and their families.

A Study on the Compliance of Kidney Transplantation Recipients (신장이식환자의 치료지시 이행정도)

  • Hwang, Young-Hui;Choe, Myoung-Ae
    • Journal of Korean Critical Care Nursing
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    • v.4 no.2
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    • pp.15-25
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    • 2011
  • Purpose: The purpose of this study was to identify compliance of kidney transplantation(=KT) recipients and the factors influencing on compliance of KT recipients. Methods: One hundred patients who visited out-patients department after KT at S hospital transplant center in Seoul were enrolled in this study. Structured questionnaires of compliance, self-efficacy and family support were used to collect data. The data was collected from April 21 to May 21 in 2011. The data were analyzed by descriptive statistics, independent t-test, ANOVA and Pearson correlation coefficient. Statistical significance was accepted to the level of p<.05. Results: The mean score of compliance was 4.37(range from 1 to 5), and that of medication compliance was the highest and that of self care compliance was the lowest. There were no differences of compliance according to characteristics of the subjects. Compliance of the subjects had positive correlation with self-efficacy(r=0.23, p<0.05) and family support(r=0.33, p<0.05). Conclusion: Based on these results, it can be concluded that the nursing intervention program to improve self care using self-efficacy and family support need to be developed.

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Comparative Research of the Medical Cost, The Quality of Life, The Family burden of the Mentally III before and after the Community Mental Health Service (지역사회 정신보건서비스 제공 전$\cdot$후 정신장애인의 의료비용, 삶의 질, 가족 부담감 비교연구)

  • Noh In Young
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.56-72
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    • 2001
  • Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

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Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology (중환자 가족의 신체억제대 사용에 대한 인식: Q방법론적 접근)

  • Yeun, Eun Ja;An, Jeong Hwa;Kim, Jung A;Jeon, Mi Soon
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.344-355
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    • 2013
  • Purpose: The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology. Methods: Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program. Results: Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is 'Rational accepted', which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs' restraints. Type II is 'Sardonic sensibility', which means that they have a negative and a cynical attitude to use of physical restraints. Type III is 'Ambivalent', which means that they have conflicts between rationality and emotion, and type IV is 'Practical claim of a right', which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints. Conclusion: The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients' safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers' subjectivity considering the Korean context.