• 제목/요약/키워드: living with the family

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노인의 우울 대처 전략에 관한 질적 연구: 서울시 거주 도시 노인의 우울 대처 경험을 중심으로 (A Qualitative Study on Coping strategies of Older adults with Depression: Focused on the Experience of Coping with Depression in Older Adults Living in Seoul)

  • 어유경;고정은;김순은
    • 한국노년학
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    • 제37권3호
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    • pp.583-600
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    • 2017
  • 이 연구의 목적은 한국의 도시 노인들이 우울을 겪을 때 어떤 대처 전략을 사용하는지, 그 이유와 맥락은 무엇인지에 대해 질적으로 탐색하는 것이다. 연구 참여자는 서울시 소재 한 노인복지관의 60세 이상 이용자와 미 이용자이며, 이 중 우울을 경험한 34명의 응답을 분석에 활용하였다. 수집한 자료는 내용분석을 통해 분석하였다. 분석 결과, 참여자들이 사용했던 우울 대처 전략은 크게 6가지 영역과 11가지 하위영역-건강 행동(의료적 접근/운동 및 섭식), 가족 및 사회적 접촉(사회적 교류/외출 및 여행/가족과 소통), 종교 활동(종교 활동), 평생 교육(취미 활동/교육 활동), 생산적 활동(노동), 건강 위험 행동(음주 및 도박/체념)으로 나타났다. 노인들의 우울 대처 전략과 그 맥락에서 나타난 특징은 다음과 같다. 먼저, 우울에 대처하기 위해 노인들은 문제 중심(problem-focused)의 대처 전략들을 사용하였다. 둘째, 다양한 대처 전략을 함께 고려하고 동시에 사용했다. 셋째, 노인을 위한 시설공간은 쉼터 혹은 피난처로서 기능하였다. 넷째, 의료적 접근을 사용한 사례도 있으나 재이용 의향은 매우 낮았다. 이 연구를 통해 노인들이 우울에 보다 성공적으로 대처할 수 있도록 다음과 같이 제안하였다. 첫째, 다양한 대처 전략의 접근성을 증진해야 한다. 둘째, 노인이 편안하게 시간을 보낼 수 있는 장소들을 제공해야 한다. 셋째, 정신건강 치료에 대해 느끼는 부담감을 해소시켜야 한다.

뇌전증 자녀를 둔 어머니의 돌봄 체험에 관한 해석학적 현상학 연구 (Hermeneutic Phenomenological Study on Caring Experience of the Mothers of Children with Epilepsy)

  • 정우정;이명선
    • 대한간호학회지
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    • 제47권1호
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    • pp.71-85
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    • 2017
  • Purpose: The purpose of this study was to develop a deeper understanding of the experience of mothers caring for children with epilepsy. Methods: Data were collected through individual in-depth interviews and observation from 12 mothers of children with epilepsy. Data were collected from December, 2014 to February, 2015 and analyzed using van Manen's hermeneutic phenomenological methodology to identify essential themes of their experience. Results: The essential themes that fit into the context of the 4-existential grounds of time, body, other people, and space were: Lived time-ongoing influence of the past, living in insecure present, fearful future with no answer; Lived body-bonded body, burned out state; Lived other-burden but also support, shrunken down; Lived space-narrowed range of activity, widened horizon. Conclusion: The findings in this study show in-depth understanding of the hardships of mothers who are caring for children with epilepsy. The beauty and greatness of these mothers are revealed through the analysis of various phenomenological materials such as literary and artistic work reflecting socio-cultural context, as well as vivid care experiences of mothers of children with epilepsy. This will be helpful in increasing understanding of the nature of caregivers' experience for medical professionals dealing with patients and caregivers. Also it helps to improve the understanding of the disease among the general public, followed by a more warming and caring attitude towards patients and family members. Finally, it will enhance psychological well-being and overall quality of life of the epileptic children and their families.

발달장애인의 평생교육 참여의사에 영향을 미치는 변인 탐색 (Exploring Variables Affecting the Willingness to Participate in Lifelong Education for the People with Developmental Disabilities)

  • 김기룡
    • 한국융합학회논문지
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    • 제11권4호
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    • pp.333-341
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    • 2020
  • 이 연구는 발달장애인의 평생교육 참여의사에 영향을 미치는 변인을 탐색함으로써 발달장애인 평생교육 활성화를 위한 기초 자료를 제시하기 위해 수행되었다. 2017년 장애인실태조사 원자료 중 발달장애인을 대상으로 한 자료를 활용하였고, 발달장애인의 평생교육 참여의사를 종속변수로 발달장애인의 평생교육 참여의사에 영향을 미칠 수 있는 16개 변인을 독립변수로 각각 설정하여 로지스틱 회귀분석을 실시하였다. 연구결과, 발달장애인의 성, 연령, 장애정도, 가족지지, 생활만족도, 수단적일상생활수행능력이 발달장애인의 평생교육 참여의사에 유의미한 영향을 미치는 변인으로 탐색되었다. 따라서 발달장애인 평생교육 활성화를 위해서는 기관, 관련 인력 및 프로그램 확대와 같은 인프라 구축뿐만 아니라 발달장애인이 평생교육에 참여하고자 하는 의지를 향상시킬 수 있는 방안도 함께 마련될 필요가 있다.

대학생과 물리치료사의 치매노인에 대한 태도 연구 (Study on Attitude of College Students and Physical Therapists towards Seniors with Dementia)

  • 이민수;김명철;김승균
    • 대한통합의학회지
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    • 제2권2호
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    • pp.21-29
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    • 2014
  • Purpose : This study is aimed at offering basic data for fostering the flexible attitude of physical therapy students towards seniors with dementia and the clinical ability to deal with such patients without fear after employment. Method : We investigated 181 physical therapists and 225 university students by using questionnaires from August 12 to September 19 2013. The questionnaire that used in this study was consisted by question about general characteristics, knowledge of dementia, attitude of dementia. The following result was obtained by using SPSS 19.0. Result : Attitude scores for dementia, Physical therapist was 41.66. Physical Therapy student was 40.34. Non-student Department of Health was 39.22. Non-Department of Health student was affected by acquisition of dementia information and living with the elderly. Physical Therapy student had significant influence depending on the household monthly income. Non-Department of Health student had significant influence depending on student age. Physical therapist had significant influence in accordance with dementia information. Conclusion : The study has revealed that the following factors of the therapists influence their attitudes towards dementia: their age; educational level; whether or not they have a family member with dementia; whether or not they have obtained information on dementia. Based on the finding, it is necessary to foster the flexible attitude of students towards seniors with dementia and provide education on effective clinical approaches upon physical therapy.

고종황제 만수성절 경축 문화 (The Celebration of the Mansuseongjeol of Emperor Gojong)

  • 이정희
    • 공연문화연구
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    • 제34호
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    • pp.133-172
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    • 2017
  • 만수성절은 본래 중국 황제의 생일을 일컫는 용어이다. 조선의 경우 만수성절의 칭호를 쓸 수 없었지만, 개항 이후 자주적인 대외관계를 펼치기 위해 미국공사관을 설치한 해인 1888년부터 고종의 생일을 만수성절이라 칭했던 용례가 나타난다. 이어 1895년 무렵에는 만수성절이란 호칭이 더욱 널리 사용되었고, 고종이 황제로 즉위하면서 이를 기념한 경축 행사가 활성화 되었다. 대한제국 시기 만수성절 축하 행사는 각계각층에서 일어났다. 국내 관원, 외국인, 학생, 종교인, 언론인, 상인, 민간단체, 전국의 개항장 등 다양한 지역과 계층에서 고종황제 탄신을 기념하여, 축하 계층이 두텁고 넓었다. 즉 계층 지역 인종에서 보편성 전국성 국제성을 띠었다는 점에서 차별화 되었다. 이러한 특성으로 인해 축하 문화 역시 다양하게 전개되었으며, 이들에게 황실후원금도 지급되었다. 당시 만수성절 경축은 황제에 대한 존경심과 애국심으로 확장되었기 때문에, 황제권 강화와 내국인의 민심 결속에 크게 기여하였고, 그런 모습이 국내에 상주하는 각국 외교관과 취재기자를 통해 세계에 보도되어, 국권 신장에도 영향을 끼쳤다. 그러나 러일전쟁 발발 이후 일제가 대한제국의 황실 재정을 장악하고 황권을 위축시키면서 만수성절 행사도 축소된다. 통감부 시기에는 황실지원금의 단절, 일제의 단속, 고종황제 강제 퇴위로 인해 만수성절 기념 행사가 거의 사라졌고, 궁중에서만 친일관료와 일본인을 중심으로 형식적인 경축연만 설행되었다. 고종황제의 권력 실축과 대한제국의 멸망은 한 몸이었고, 만수성절 경축도 동반 추락하였다. 그런 가운데 궁중 전통 연향 문화는 해체되고, 일제에 의한 공연 환경의 변화로 인해 대한제국 최고의 공연자들은 일개 유희물로 전락해 버렸다. 비록 황제를 향한 존경심과 애국심의 표출 창구였던 만수성절은 굴절되었지만 황실 자본력에 힘입어 구축된 행사 과정에서 창출된 문화적 성취들은 한국근현대문화사가 전개되는 내적 동력으로 작동하였다는 점에서 의미가 있다고 본다.

우리나라 청소년의 수면시간이 자살생각에 미치는 영향 (Effect of Sleep Duration on Suicidal Ideation in Korean Adolescents)

  • 박현주
    • 한국학교보건학회지
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    • 제28권1호
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    • pp.1-9
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    • 2015
  • Purpose: The purpose of this study is to examine the effect of sleep duration on suicidal ideation in Korean adolescents. Methods: This study used the data drawn from Korea Youth Risk Behavior Web-Based Survey in 2013. A total data of 63,301 adolescents were included in the analysis. Included variables were general characteristics, health status variables, hours of sleep, and suicidal ideation. For sample description weighted percentage and means were used. Rao-Scott ${\chi}^2$ test and simple and multiple logistic regression with dummy variables were conducted with use of SAS 9.2. Results: Among general characteristics and health status variables, gender, grade, school level, school achievement, family's economic status, living with parents, subjective health, happiness, stress, and feeling of despair were found to be significantly related to suicidal ideation. Rates of having suicidal ideation were 22.4% in the case of students with less than 5 hours of sleep and 12.9% in students with 8 or more hours of sleep. After controlling general characteristics and subjectively perceived variables, hours of sleep was still significantly related to suicidal ideation. That is, compared to adolescents with 8 hours or more of sleep, those with less than 5 hours of sleep showed significantly higher risk for having suicidal ideation (adjusted odds ratio: 1.20, p<.001). Conclusion: These findings suggest that short sleep has negative effects on psychological health in adolescents. Particularly, less than 5 hours of sleep has harmful effect on adolescents' increased risk for having suicidal ideation.

저소득층 고혈압노인의 자가간호행위 및 혈압조절에 관련된 요인 (Factors Related to Self-care Behavior and the Control of Hypertension in the Low-income Elderly)

  • 최영순;김현리
    • 지역사회간호학회지
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    • 제17권4호
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    • pp.441-450
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    • 2006
  • Purpose: The purposes of this study were to identify variables related to self-care behavior and to find factors related to the control of hypertension. A cross-sectional study was carried out to provide basic data for effective and continuous hypertension control in the low-income elderly. Methods: This study was performed with a total of 189 subjects who were hypertensive and were receiving pharmacological treatment of hypertension from a community health center in D Metropolitan City. Data were collected through a face to face survey, and systolic and diastolic blood pressure (the mean value of the two measures) were measured during May 2004. Obtained data were analyzed by $x^2$ test, t-test, multiple logistic regression and Pearson's correlation coefficient (using SPSS Version 10.1). Results: 1. According to demographical characteristics, the score of self-care behavior was significantly higher in elders living along ($47.63{\pm}7.276$) than in those living with the family ($45.19{\pm}5.501$) (p<.05), and in those with religion ($47.11{\pm}6.722$) than in those without religion ($45.01{\pm}6.110$) (p<.05) 2. As to blood pressure control, the percentage of blood pressure control within the normal range (systolic 140mmHg, diastolic below 90mmHg) was 37.03%. According to demographical characteristics, the percentage of blood pressure control was significantly lower in those without religion (p<.05). In practicing hypertension self-care behavior, those who do not control salk intake showed a significantly lower percentage of hypertension control (p<.05). The score of hypertension self-care was $48.28{\pm}4.443$ in the controlled group, and $45.42{\pm}7.399$ in the uncontrolled group, showing a significant difference (p<.01). 3. Hypertension self-care behavior was in a positive correlation with blood pressure control (r=.210, p<.05). Conclusion: Attention should be paid to self-care behavior to increase the control of hypertension in the low-income elderly. These results can be used guidances for improving self-care behavior and the control of hypertension in the low-income elderly.

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라이프스타일 유형별로 파악한 욕실디자인 선호도 조사 - 서울지역 중형아파트 거주자를 대상으로 - (The Research on the Preference in Bathroom Design According to Residents' Lifestyle Types - Focus on Residents in Medium Size Apartments in Seoul -)

  • 황윤정;신경주
    • 한국실내디자인학회논문집
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    • 제20권1호
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    • pp.154-164
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    • 2011
  • The purpose of this study is to identify more types of residents in medium-sized apartments in Seoul by lifestyle that has been used as a variable of space planning and to investigate and present bathroom design appropriate for characteristics of each resident type. The article examines the general characteristics, lifestyle types, and preference for the bathroom design. A total of 642 samples, acquired via internet survey, were analyzed with the statistical computer program SPSS PC+ window version 16.0. The conclusion of the article are as follows: 1) The lifestyle of users living in medium-sized apartments are categorized into 4 types: trend seeking, aesthetic seeking, family seeking, information seeking types. 2) The preference for the bathroom design of trend seeking type, the toilet is a bidet-builtin type and the washstand is a semi-counter type and the bathtub is a spa type and the shower booth is a bathtub-extending type. The storage closet is a upper-fixed type with two sides, the finishing materials are tiles and PVC monorium, and light built in a wall. 3) The preference for the bathroom design of aesthetic seeking type, the toilet is a bidet-builtin type and the washstand is a semi-counter type and the bathtub is a whirlpool type and the shower booth is a steam-sauna type. The storage closet is a upper-fixed with one side and opened closet, the finishing materials are tiles. 4) The preference for the bathroom design of family seeking type, the toilet is a bidet-builtin type and the washstand is a stand type and the bathtub is a reclamation type and the shower booth is a partition type. The storage closet is a upper-fixed with three sides. 5) The preference for the bathroom design of information seeking type, the toilet is a bidet-builtin type and the washstand is a semi-counter and the bathtub is a spa type and the shower booth is a partition type. The storage closet is a upper-fixed type with two sides. The results of this study may be used as basic data in planning bathroom design for housing supply for housing suppliers, and used as significant information for residents to identify their own types that can be referred when they select apartments to live in.

서울시내일부 고등학교 학생들의 흡연실태에 관한 조사연구 (A Survey on Cigarette Smoking Behavior of High School Students in Seoul)

  • 이영숙
    • 보건교육건강증진학회지
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    • 제1권1호
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    • pp.37-56
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    • 1983
  • It is well known that smoking habit is hazardous to health, especially for juvenile. The present study on smoking behavior of high school students in Seoul has two major objectives. The first objective is to find out the smoking behavior of high school students in Seoul. Toward this objective, individual's smoking experience has been examined as ever smoking and never smoking. The second objective is to determine the variables associated with their smoking behavior at the individual, family and school environment levels. For the data collection, the survey was carried out for the four high schools in Seoul from September 15 through October 15, 1982. The major findings are summarized as follows: 1. Smoking behavior of the students 1) Out of 1,278 respondents, 30.2% of them were found to be current smokers and 29.3% of them were former smokers. This implies that around 60% of school students in Seoul have experienced smoking. 2) A significant differences in the current smoking rates between two types of the school students were shown as 19.3% for day-time school and 42% for night-time school. 3) In terms of the current smoking behavior, the students who don't live with parents were higher in smoking rate than those of the living with parents. 2. Attitudes and knowledge about smoking 1) Attitudes of students toward smoking in high school days were shown that around 17% of them agreed with it and around 64% of them disagreed with it. 2) Around 99% of the respondents answered that their smoking is harmful for health. A source of the information about negative effects of smoking on health was 'Radio and TV' (23.9%) as the most influential, 'school teacher' (20.9%), 'Newspaper' (18.2%) and so on. 3. Behavioral analysis for the current smokers 1) The factors affected for motivation in the first smoking were 'curiosity' (59.7%), 'temptation of friend' (19.7%), 'resistance feeling, (7.1%), 'merely interest and pleasure' (6%) respectively. 2) The time of the first smoking was 'third grade of Junior-high school' (31.5%) as highest, 'first grade of Senior-high school' (23.7%) and 'second grade of Junior-high school' (14.7%). 3) An average daily number of cigarettes consuming of current smokers was seven cigarettes. 4. Family and school-mates influences on individual's smoking behavior 1) The data revealed a significant relationship between student's smoking and their parent's smoking behavior. Around 75% of the students whom both parents are smoking have experienced cigarette smoking. It was found that the individual's smoking behavior was influenced by his sibling. Around 65% of the students whom brothers are smoking have experienced cigarette smoking. 2) The 'Smoking-Index' of friendship network or a group explained individual's smoking behavior in the group. The result of dyad analysis of smoking behavior in the friendship network showed that a high score of 'Smoking-Index' tended to be explained an adoption of smoking behavior at the individual level in the group. on the other hand, a low score of 'Smoking-Index' explained non-smoking behavior in the group.

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치매 노인을 돌보는 노년기 배우자의 돌봄 부담감이 생활만족도에 미치는 영향: 사회적지지의 조절효과 (The Effect of Care Burden of Elderly Spouses Caring for Dementia Elderly on Life Satisfaction: The Moderating Effect of Social Support)

  • 박주희
    • 가족자원경영과 정책
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    • 제25권4호
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    • pp.43-54
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    • 2021
  • 본 연구는 치매 노인을 돌보는 노년기 배우자가 지각한 돌봄부담과 사회적지지가 생활만족도에 미치는 영향과 사회적지지의 조절효과를 탐색하는데 그 목적이 있다. 이를 위해 서울과 경기도 지역 재가방문요양센터의 치매 노인을 돌보는 만60세 이상 배우자 165명을 조사대상으로 분석하였다. 분석결과는 다음과 같다. 첫째, 치매 노인을 돌보는 배우자의 전체 돌봄부담은 3.76점(SD=.57)으로 중앙값보다 약간 높은 수준을 나타냈다. 사회적지지의 경우 비공식적지지는 2.65점(SD=.78), 공식적지지는 2.60점(SD=.77)으로 중앙값 보다는 낮게 나타났다. 생활만족도는 3.11점(SD=.78)으로 중앙값 보다 약간 높은 수준을 보였다. 둘째, 치매 노인 배우자의 주관적 건강상태, 소득수준, 사회활동 부담, 비공식적지지가 생활만족에 영향을 미치는 것으로 나타났다. 즉, 치매 노인 배우자의 주관적 건강상태가 좋을수록, 소득수준이 높을수록 그리고 사회활동 부담이 낮을수록, 비공식적지지가 높을수록 생활만족도가 높게 나타났다. 셋째, 사회활동 부담과 비공식적 지지 상호작용 항이 유의미하게 나타났다. 따라서 치매 노인에 대한 사회활동 부담과 생활만족도와의 관계에서 비공식적지지는 조절효과가 있는 것으로 나타났다. 즉, 치매 노인 배우자가 사회활동 부담을 경험하여도 비공식적지지를 많이 사용할수록 생활만족도가 감소하는 정도가 줄어드는 것으로 나타났다.