• 제목/요약/키워드: middle aged family.

검색결과 434건 처리시간 0.029초

류마티스 관절염 환자 배우자의 부담감 (A Study on Burden of Middle Aged Spouses of Rheumatoid Arthritic Patients)

  • 최경숙;은영;함미영
    • 근관절건강학회지
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    • 제7권2호
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    • pp.241-257
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    • 2000
  • Rheumatoid arthritis as one of the chronic illness requiring management in long period of time puts great burden to patients, their family and society. For patients with chronic illnesses, providing a social support is important and the most important source comes from spouses. Therefore we assessed burden of husbands of female rheumatoid arthritic patients and also found out the factors affecting burden. The sample of study was 107 female rheumatoid arthritic patients and their spouses. The tool of assessing spouses' burden was the revised version of subjective and objective parameters developed by Montgomery et al.(1985). The results are as follows: 1. General characteristics of patients and spouses: The mean age of the patients was 48 years. Educational level of patients was high school 41.1%. The mean age of the spouses was 51years. Educational level of spouses was mostly high school(40.2%) and college(29.9%) graduate. The mean marital period was 23.4years. Average income per month was 1,609,000 won. The average duration since diagnosis was 9.4years. As a therapy, 67.3% chose standard drug therapy. Average rating of discomfort by patient was 3.05(range 1-5) and that of severity was 3.48 and that of dependency was 2.58. The husband's rating of their spouses disease severity was 3.68. 2. Husbands' burden: The average burden in subjective items was 21.61(range 6-36) and objective items was 35.24(range 10-60). The average of total burden was 56.59(range 16-96). 3. Husband's total burden correlated with patient's age, educational level of patients, therapy method, patient's level of discomfort, patient's severity, patient's level of dependence, husband's recognition of level of severity in statistical level. Husband's objective burden correlated with patient's age, educational level of patient, patient's level of discomfort, husband's recognition of level of severity. Husband's subjective burden correlated with patient's age, educational level of patients, therapy method, patient's severity, patient's level of dependence, husband's recognition of level of severity. 4. Linear correlation analysis on burden: The husbands' total burden is explained in 37 7% by husband's recognition of level of severity and husband's age. The husbands' objective burden is explained in 31.2% by patient's level of dependence, husband's age, husband's recognition of level of severity. The husbands' subjective burden is explained in 26.7% by husband's recognition of level of severity and patient's age. In conclusion, husbands' level of burden is affected by many factors and therefore nursing strategy for relieving burden of middle aged husbands should be individualized taking these factors into consideration.

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노인되기와 빈곤 -빈곤 궤적의 연령집단 차이를 중심으로 (Aging and Poverty -Focusing on Age Group Differences in Poverty Trajectories-)

  • 이지인;주은선
    • 한국융합학회논문지
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    • 제11권5호
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    • pp.261-273
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    • 2020
  • 본 연구는 동태적 관점에서 중·고령자의 노인기로의 이행과정에서 다차원 빈곤의 변화 궤적을 살펴보고 이에 대한 영향요인을 확인하는 것이다. 한국복지패널(2006년~2018년) 자료를 활용하여, 2006년 만 55세 이상 중·고령자 중 예비노인과 전기노인 집단별로 13년간의 다차원 빈곤 변화 궤적을 잠재성장모형을 통해 살펴보았다. 다차원 빈곤은 경제(소득, 고용), 환경(주거), 건강, 사회문화(여가, 가족관계, 사회적 관계) 등 4영역에서 7가지 차원으로 구분하였다. 분석결과, 다차원 빈곤 궤적은 시간의 흐름에 따라 그 수준이 감소하는 것으로 나타났으며, 전체적인 빈곤 수준은 전기노인이 예비노인과 전체 평균보다 높은 것으로 확인되었다. 독립변수를 투입한 조건모형 분석결과 예비노인은 배우자유무와 교육수준, 전기노인은 성별과 교육수준 순으로 빈곤 변화에 영향을 미치는 변수가 상이한 것으로 나타났다. 즉, 다차원 빈곤은 점차 개선되고 있으나, 연령집단별로 변화율 및 영향을 미치는 변수가 다르므로, 노후빈곤 대책 마련 시 연령 집단별 특성이 고려되어야 할 것이다.

웰다잉의 구성요소와 삶의 질 간의 상관관계 (Correlation between the components of dying with dignity and quality of life)

  • 임효남;이서희;김광환
    • 한국산학기술학회논문지
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    • 제20권5호
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    • pp.137-144
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    • 2019
  • 본 연구는 한국인이 생각하는 웰다잉 인식의 구성요소와 삶의 질 간의 상관관계를 알아보고자 한다. 연구대상은 층화 비례배분 방식으로 추출하였고, 전국 17개 시와 도의 만 19세 이상 만 75세 미만의 성인 1,000명으로 선정하였다. 설문구성은 일반적 특성 2문항, 삶의 질 척도 26문항, 웰다잉 인식 척도 57문항이었다. 통계 검정법으로는 빈도 분석, 독립표본 t-검정, 상관분석을 실시하였다. 연구결과는 삶의 질은 사회적인 삶의 질이 가장 높았으며, 가족 죽음의 경험 유무에 따라 가족의 죽음 경험이 있는 대상자가 가족의 죽음 경험이 없는 대상자에 비해, 신체적, 심리적, 환경적, 사회적 영역의 삶의 질이 모두 통계적으로 낮은 것으로 나타났다. 연구대상자의 웰다잉 인식 중에서는 죽음 준비의 점수가 가장 높았으며, 그 중에서도 심리 경제적 부담 경감의 점수가 가장 높았다. 연구대상자의 삶의 질은 웰다잉 인식의 모든 영역인 신체적 증상과 통제, 죽음준비, 죽음환경, 가족 및 사회관계, 병원치료, 심리 존엄 영성 부분에서 양의 상관관계를 보였다. 중년층을 대상으로 한 다른 연구에서는 노후를 위해 죽음을 받아들이는 자세가 우선적으로 중요하다고 인식한 경우와, 죽음준비교육에 참여할 의향이 있다고 응답한 경우가 삶의 질이 높은 것으로 나타났다. 따라서 대상자의 삶의 질을 향상시키기 위해서는 죽음준비 및 웰다잉 교육에 웰다잉 인식의 각 영역을 프로그램으로 계획하여 교육한다면 삶의 질을 높이는 데에 긍정적인 영향을 미칠 것으로 사료된다.

부조리극의 풍자적 콘텐츠 플롯 연구 - 이근삼 희곡 <원고지>를 중심으로 - (A Study on the Satirical Content Plot of an Absurd Play - Focused on Lee Keun-sam's Play -)

  • 손대환
    • 한국엔터테인먼트산업학회논문지
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    • 제13권5호
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    • pp.73-82
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    • 2019
  • 부조리극의 풍자적 콘텐츠에 나타난 이근삼 희곡 <원고지>의 등장인물들은 가족애를 상실한 채 단지 의무만이 강조되는 현대 자본주의 사회의 가족상을 표상한다. 이들은 경제의 급속한 발전으로 인해 전통적인 인간관계나 가족 관계가 물질 관계로 변하면서 경제 논리에 종속되어 가고 있는 인간들의 모습을 보여준다. 해설자는 연기자와 해설자의 배역의 역할을 함께 표현한다. 그리고 서사극, 부조리극의 특징적 요소로써 줄거리를 제시하며, 연기자들에게 연출자의 콘 닥터의 역할을 하기도 한다. 또한 앞으로 일어날 사건을 예언하고 극중 인물의 내면 의식을 제시하고 사건과 시간을 축소·확장시키기도 한다. 갈등양상에서는 자식들에게 경제적인 책임을 다하기 위해서 교수는 기계처럼 번역을 하고 처는 그렇게 번 돈을 자식들이 요구하는 대로 나누어준다. 중년 교수와 처는 현실의 상황에 변화를 주려는 의지가 없기 때문에 구체적인 갈등이 드러나지 않는다. 그러므로 이 작품에는 플롯의 세부적 갈등이 형성되지 않는다. <원고지>의 플롯은 22개의 서사소들로 이루어져 저녁부터 그 다음 날 아침까지의 시간 구성으로 이루어졌다. 그리고 특별한 사건도 일어나지 않고 한 가족의 일상만을 보여준다. 또한 신문·밥·생일 등과 같은 일상의 단순한 반복을 보여주는 소재들이 반복적 구조를 통해 부조리극의 풍자적 특징을 효과적으로 드러내고 있다. 또한 부조리극의 언어적 특징은 불안, 절망, 환상과 대상의 목적이 사라진 상실감을 표현하는 데에 주목한다. 무대는 사실주의적인 구체적인 상징을 벗어나고 희곡의 주제에 부합되는 단순한 극적 분위기를 표출한다. 따라서 이를 통해 무대 장치역시 반사실주의 부조리극의 풍자성의 특징을 나타내는 중요한 요소라는 점이다.

한국 청소년의 성별에 따른 주관적 건강 인식과 건강행위의 관계: 국민건강영양조사 제8기 조사를 이용하여 (The Relationship Between Subjective Health Perception and Health Behavior of Korean Adolescents According to Gender: Using the 8th National Health and Nutrition Examination Survey)

  • 이숙영
    • 한국학교ㆍ지역보건교육학회지
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    • 제25권1호
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    • pp.17-28
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    • 2024
  • 배경 및 목적: 본 연구는 제 8차 (2019~2021년)국민건강영양조사의 원시자료를 이용하여 성별을 구분하여 청소년의 주관적 건강인식과 건강행위의 관계를 확인하고자 하였다. 방법: 본 연구는 제8기 국민건강영양조사(2019-2020년) 자료를 활용하여 전국의 중학교 1학년부터 고등학교 3학년까지의 재학생을 모집단으로 하여 모집단 층화, 표본배분, 표본 추출의 단계를 거쳐 12~18세인 청소년 최종 1,065명을 대상자로 선정하였다. 수집된 자료는 SPSS 28.0 (IBM Corp., Armonk, NY, USA) 프로그램을 사용하여, 유의수준 .05에서 분석하였다. 결과: 대상자의 일반적 특성에 따른 주관적 건강인식은 남학생은 학교, 가족구성, 수입은 통계적으로 유의한 차이가 없었고, 여학생은 학교에 따라서 중학생보다 고등학생이 주관적 건강 인식이 높은 것으로 유의한 차이가 나타났다(p=.001). 남아 청소년 가족구조에서 양 부모와 사는 청소년이 한 부모 청소년보다 건강 행위가 유의한 차이가 있음을 확인하였으며(p=.011), 여아 청소년에서는 유의한 차이가 없었다. 성별에 따른 건강 행위와 관련 남아 청소년은 규칙적 운동이(p=.013), 여아 청소년은 아침식사가 주관적 건강인지에 영향을 주는 것으로 유의한 차이가 있음을 확인하였다(p<.001). 결론: 본 연구에서 남·녀 청소년의 주관적 건강인식과 건강행위의 차이를 확인하였으며, 이를 토대로 남녀 청소년의 차이를 고려한 건강증진을 위한 프로그램 개발이 필요할 것으로 생각된다.

성인기와 노년기별 암 경험자의 유병기간이 우울감 변화에 미치는 영향 (Effects of disease duration on depression change in cancer survivors between the middle and old age groups)

  • 고경민;문성제;손민성;이솔;고든솔;윤석준
    • 한국병원경영학회지
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    • 제25권2호
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    • pp.1-13
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    • 2020
  • Purpose: The purpose of this study is to identify the effect of the disease duration on depression change in cancer survivors between the middle and old age groups. Methodology: To that end, we analyzed 275 patients using the Korea welfare panel survey from 2011 to 2016 jointly developed by the Korea Institute for Health and Social Affairs and Seoul National University. The duration of the elapsed and the experienced was measured as a independent variable. CES-D was used as a dependent variable. Frequency, paired t-test, ANOVA, and logistic regression analysis were conducted using Stata 14.0 for statistical analysis. Findings: Studies have shown that as the duration of the elapsed and the experienced increases, people under 65 are 1.17 times and 1.84 times each more likely to be included in depression-increase group than in depression-reduction group. The group that has been maintaining economic activities continuously since 2011 was significantly less likely to belong to the depression-increase group than the group that did not have economic activities in 2016. For those aged 65 and older, there was no significant difference in the duration of the elapsed and the experienced. The higher the likelihood of low-income households being included in the family of depression was 2.58 times higher than for ordinary households. Practical Implications: It is suggested that close policy management of the employment and working environment of cancer survivors is necessary, as both cancer survivors of productive age as well as older cancer survivors are analyzed to be beneficial to depression management. In addition, a systematic management program related to the mental health of cancer survivors is believed to be necessary for normal social recovery in the future.

사고로 남편을 잃은 여성의 경험 (A Study on Woman's Experience of Being Bereaved of Her Husband by an Accident)

  • 박성학;최미혜;정연강
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.294-312
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    • 1996
  • Relatively young widows, who are left with young children by a sudden death of their husbands, will be faced with not only psychological troubles such as individual anxiety and frustration but also the dual burden of playing both father and mother roles in a family, Also, family members have difficulty in adapting themselves to new circumstances of the family system, the training and raising of family members, and management of the family economy. In this study, the realistic resources on the experience of middle-aged women who are bereaved of their husbands by accidents were explored. The purpose of this study is to help widows adapt to life in society and live a more positive life by setting a new goals and recovering from a lost and twisted life. 11 women, who have experienced the loss their husbands and live in the Seoul metropolitan area were studied. The research took 116 days from December 15, 1995 to April 8, 1996. The method of research was direct interviews. While having interviews with them, the contents were recorded with their consent. The ground theory was that used by Strauss & Corbin(1990) in the analysis of the data. 81 concepts were analyzed and they were subdirided into 22 subordinate categories through the course of the analysis. These were then classified into 9 general categories. In the course of being categorized, 'absurdity' was showed as a core category. The subordinate categories 'surprise', 'gloom', 'grudge', 'helplessness', 'emptiness', and 'loss' were united in the core category 'absurdity'. Ominous presentiment, belated notice, death, surprise, gloom, grudge, helplessness, emptiness, loss, the situation of the children, lack of support from neighbors, support from neighbors, mulling over ways to live, choosing a job, strengthening, reinforcement, burden, sadness, smoldering, yearning, overcoming these 22 subordinate categories were re-composed into 9 general ones the husband's death, absurdity, presence of children, existence of support, self-support ability, preparation of countermeasures, self-reinforcement, toilsomeness, and overcoming. 'Absurdity' widows experience was shown in the results of 'toilsomeness' and 'overcoming' through reaction, confrontation, and adaptation. According to the analysis the central phenomenon was absurdity, the causal condition of the death of a husband, the presence of children and the existence of support, and the meditated situation of self-support. To solve absurdity, the preparation of countermeasures and self-reinforcements were shown resulting in toilsomeness and overcoming. Through the contrast in the data, the following statements were deduced: (1) If the death of the husband is expected, the more a widow will feel absurdity. (2) The more children she has and the younger she is, the more a widow will feel absurdity. (3) The lower support she is given, the more a widow will feel absurdity. (4) The larger self-ability she has, the more actively she will prepare countermeasures. (5) The smaller self-ability she has, the more passively she will prepare countermeasures. (6) The larger self-ability she has, the weaker self-reinforcement she will preform. (7) The smaller self-ability she has, the stronger self-reinforcement she will perform. (8) The more actively she prepares countermeasures for absurdity, the better she will overcome. (9) The more passively she prepares counter measure for absurdity, the worse she will overcome. (10) The stronger self-reinforcement for absurdity she performs, the better she will overcome. (11) The weaker self-reinforcement for absurdity she performs, the worse she will overcome. Through the results in this study, the following suggested: 1) A study whose object is all family members, and a comparative study on the case of a husband who has lost his wife should be done. These studies can be expected to develop a more refined theory. 2) Because of the collapse of the extended family system and the changes of family culture in Korea, a widow's status and position are apt to be ambiguous between her husband's home and her parent's. Therefore a new study on family culture should be made. 3) A continuous study on growing social Self Help Groups should be requested for the widows of this study to re-establish and recover from their twisted and scattered lives.

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年齡別 人口構成에서 본 淸州市의 居住패턴 變化 (Changes in residential patterns by the age composition in Cheongju city, Korea)

  • 한주성
    • 대한지리학회지
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    • 제30권1호
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    • pp.57-67
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    • 1995
  • 1970-1990년 사이 연령별 인구구성비에 의한 청주시의 동 유형의 변화를 분석한 결과 다음과 같은 점이 밝혀졌다. \circled1 연령별 인구구성비에 의한 유형의 공간적 분포는, 1970 년에는 도심과 그 인접지역이 동심원패턴을, 주변지역은 선형패턴을 나타내었으나, 1980년에 는 도심의 인접지역과 주변지역이 선형패턴을 나타내었다. 1990년에는 도심과 그 인접지역 이 원형으로, 주변지역은 세분된 선형패턴으로 나타났다. \circled2 연령별 인구구성비에 의한 유형 의 변화는 1970년대에는 미학령 연령층과 35-49세의 장년충 인구구성비가, 1980년대에는 유.소년층과 40-49세, 55-64세의 장년층, 70-79세, 85세 이상 노년층의 연령구성비가 유형 의 공간적 변화를 가져왔다고 할 수 있다. 이와 같은 변화가 주로 나타난 지역은 도심과 주 변지역이다. \circled3 연령별 인구구성비에 의한 유형의 변화가 나타난 원인은 제조업의 발달로 인구가 증가함에 따라 도심의 인접지역이나 주변지역에 신흥 단독주택과 아파트가 많이 건 설되어 이들 지역에 청년층의 인구가 전입하여 본래 거주하고 있던 노년층과 혼재되었기 때 문이다.

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치매노인과 주부양자의 성별 관계에 따른 주부양자의 부양부담감, 피로 및 생활만족도 비교 (Comparison in Care Burden, Fatigue, and Life Contentment of Caregivers by Gender Relationship with Demented Elders)

  • 이영휘;조인숙;김화순
    • 여성건강간호학회지
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    • 제15권3호
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    • pp.196-204
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    • 2009
  • Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.

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사회복지분야의 간호활동실태 및 간호수요에 관한 연구 (A Study of Activities and Demand on Welfare Nursing in Korea)

  • 김영임
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.203-215
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    • 1996
  • Social security is concerned with ensuring all citizens maintain basic needs, community health nursing maintains and promotes health for all community members. Lately, This new area of community health nursing, concern social welfare has increased. The objectives of this study are, first, to analysis the activities of nurses at community social welfare institutes, second, to estimate nursing demand for social welfare areas. The study methods used were as literature review, an analysis of statistical data and case study etc. The analytical framework also included a demand analysis of nursing manpower in community social welfare areas. The major results are as follows; 1. Employees which work at social welfare institutes number 55,464, nursing manpower (including nurse aids) number 1,458 and this is 3% of the total employees. Within nursing manpower, nurses number 780, nurse aids number 670. 2. The rates of nurses among total employees were high in institutes for mental disorders and institutes for the age. 3. The salary level of nurses was lower than average and the rates of retirement showed a roughly middle level in welfare institutes. 4. The satisfaction level of nursing services was high, and it is the trend that nurses substitute for nurse aids which retire at social welfare institutes. 5. Nurse demand that follows legal criteria is 2,221, but only 35% are working. It is therefore insufficient from the minimum of 733 to a maximum 1433. 6. The sufficiency rates by institution were high at institutes for vagrants, aged and the handicapped. In conclusion, the conditions are of nurses which are working in with the social welfare institutes are poor. Also the number of nurses compared rates of demand were in surplus. But, the basic direction of welfare policy is universal-preventive and provision of the family and of community centered service, and nursing service demand in the social welfare institute will increase continuously, we predict. Therefore, we will need a positive plan such as the development of an inservice education program and the construction of an information collection system etc.

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