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.
The purpose of this study is to clarify the general concept and preparation process for successful aging. At the same time another object is to find out factors which were affecting influences on the preparations for the old age and analyze the relationships between the factors and preparation for old age. 280 questionnaires were distributed to over 40 years-old workers working in Banwol and Siwha industrial complex in Kyeonggi-do. Using 261 questionnaires, frequency analysis, factor analysis and multiple regression analysis, etc were executed with SPSS 18.0 to fulfill the purposes. Findings of the study are as follows. First, health condition had a positive effect on the general preparation for old age, but age, educational career, monthly income, religion and the number of children had partially positive effects. Second, job satisfaction had a positive effect on physical and economical preparation for old age, but job commitment had a positive effect on economical preparation only. Third, Age, educational career, spouse, religion, health condition and the number of children showed different effects on those preparations.
We examine how women entrepreneurs in contents business experience work/family role conflict and then reveal what kind of conflict management strategies they adopt in varying external and internal conditions. A critical problem faced by female entrepreneur is the tension that exists between their personal lives and business role. This tension is viewed as a form of inter-role conflict in which the role pressure from work and family competes for women's limited time and energy. First, we probe the content and nature of work- family role conflict on the part of female entrepreneurs. Second, we closely look at the three strategies of work/family role manipulation. Family role reduction strategy, work role reduction strategy, and work/family role sharing strategy are identified. Third, we discuss how the choice of the three strategies is affected by internal family salience and the external resources including spouse, family, and financial resources.
In becoming parents, the marital partners enter into a new developmental phase. The conception of the child is an act of mutual creativity during which the boundaries between the self and another were temporarily obliterated more completely than at any time since infancy. The infant is a physical fusion of the parents, and their personalities unite within the child. for many women, creativity as a mother becomes a central matter that provides meaning and balance to their lives. The husband usually has strong desires for an offspring and can be transformed by it. The child can profoundly affect one or both parents, and the influences are reciprocal-a child's needs or specific difficulties uncover a parent's inadequacy. following the child's development, each transition into a new developmental phase requires an adaptation by the parents, and one or another of these required adaptations may disturb a parent's equilibirium. And the personality changes, emotional difficulties, and regressions of a spouse that occur in response to some phase of parenthood can upset the marriage. Not only do children identify with parents, but parents also identify with their children. The parents take pleasure in child's joy and suffer with the child's pain more than in almost any other relationship. certain respects e parents lives again in the child. Through the process of identification the child can also provide one of the two parents with the opportunity to experience intimately the way in which a person of the opposite gender grows up. Parenthood also provides the opportunity to be loved, admired, and needed simply because one is a parent and, as such, a central and necessary object in the young child's life. The many potentialities for emotional satisfactions from parenthood manage to outweigh the tribulations and sacrifices that are required. The child also exerts an indirect effect through changing the parent's position in the society, for new sets of relationships are established as the parents are drawn to other couples with children of the same age, and for a new impetus toward economic and social mobility often possesses the parents. frequently the couple's relatedness to their own parents improves and grows firmer once again. Parenthood, the satisfactions it provides and the demands it makes, varies as life progresses : and changes with the parent's interests, needs, and age as well as with the children's maturation. There are phases in the child's life that the parents are reluctant to have pass, whereas they tolerate others largely through knowing that they will soon be over. The changing lives of the children provide many satisfactions that offset the tribulations, uncertainties, and regrets. The parents change. The young father, who was just starting on his carrier whom the first child was born, settles into a life pattern. He becomes secure with increasing achievement and interacts differently with the youngest child and provides a different model for him than for the oldest. The mother may have less time for a second or third child than for her first, but she may also be more assured in her handling of them. The birth of a baby when the parents art in their late thirties will find them Less capable of physical exertion with the child and less tolerant of annoyances, but they are less apt to be annoyed. Eventually the children min and leave home, but the couple do not cease to be parents.
This study analyzes the impact of the experiences of elderly using social welfare organizations in socio-economic deprivation on their relational aggression damage experiences, and verifies the mediating effects of rejection sensitivity. For data collection, 275 of 290 questionnaires, excluding 15 questionnaires with inadequate responses, were used for the final analysis. The SPSS and AMOS programs were used for data analysis through the following procedures. The analysis showed that socio-economic deprivation experiences, relational aggression damage experiences, and rejection sensitivity were higher for the groups of male elderly, higher age, education above college, absence of spouse, and longer institutionalization. The size of indirect effect (${\beta}=.32$) was larger than that of direct effect (${\beta}=.14$), signifying that the indirect impact through rejection sensitivity was larger than the impact of socio-economic deprivation on the experiences of damage by relational aggression. With the above findings, this study makes practical suggestions for institutional measures to reduce the elderly's relational aggression damage experiences and rejection sensitivity and programs on socio-economic deprivation, etc.
The purpose of this study is to analyze the effect of early health status on income status as young old adults grow older. Using Korean Retirement & Income Study(KReiS), this study finally included 923 older adults who were fully present from the first wave (2005) to the sixth wave (2015) for 10 years. The results of descriptive analysis show that the difference of income occurs due to the difference of health status at the early old age. In other words, older adults with good health status at the early old age(56 ~ 60 years old) have a relatively higher income level for 10 years compared with older adults with poor healthy status. In multiple regression analysis, the results represent that the better the health condition in early age, the higher the gross individual income, controlling for gender, spouse, and education level. In addition, older adults with good health at early old age stage have higher income level than those with poor health at early old age stage. The difference by health status continues as they are getting old. Therefore, this study suggests several policies and practical alternatives to improve the early health condition and to reduce the negative impact of early health condition on old age income.
The purpose of this research is to examine the influence to physical health status, economic status, family support, social support and self-esteem which affects to solve depression, and give basic information for developing a program to prevent the aged people gloominess and a way to solve that gloominess. This surveying study was undertaken through personal interview way for 357 aged people who were in the elder's meeting hall, living in elderly welfare institude, or home near Gumi, Gimcheon, and Chilgok regions. For data analysis, SPSS/PC 18.0 and AMOS 18.0 program for frequency analysis, First, In the reason of depression by general distinctive quality, there was a significant difference in sex'educational background'existance of a spouse of the condition of living-together, and personal health condition. Second, affecting factors to religious life were economic condition, family support, and self-esteem. Third, the most serious factor that enhanced depression was physical health. Fourth, It appeared as higher attendence of indivisuals about religion means decrease of the depression. When these result reviewed, to control the depression of aged people, it is necessary to develop and conduct a total program that can detect and manage depression early through measuring the physical health, family support, social support and self-esteem. Especially, participation of religious life is considered to ameliorate the depression of aged people and help them live a good senescence.
The purpose of this study was to explore and compare health-promoting behaviors and its relationships with associated variables between Korean elderly and Korean-American elderly. Study instruments were questionnaire that consisted of socioeconomic characteristics, health-promoting lifestyle patterns. self-esteem and self-efficacy. Data were collected from convenient sample of 150 Korean elderly and 110 Korean-American elderly recruited from senior centers. Collected data were analyzed by t-test. ANOVA, and Pearson correlation coefficients. The results are followings : 1. In religion, $32.7\%$ of Korean elderly were protestant. while $32.7\%$ of Korean-American. elderly were protestant. $61.3\%$ of Korean elderly were living with their children, and only $17.3\%$ of Korean-American elderly were living with their children. 2. There was no significant difference in the mean HPLP score in two groups. but Korean elderly showed higher practices in health responsibility. exercise. and stress management than that of Korean-American elderly. The subjects showed the highest practices in nutrition(3.14. 3.01), and the lowest practices in exercise (2.14, 1.92). 3. The mean HPLP score of Korean elderly was 2.63, showing significant relationships with age. education and economic status. the score of Korean-American elderly was 2.54, showing significant relationships with education. 4. Self-esteem score of Korean elderly was 2.72 and Korean-American elderly was 2.73. there was no significant difference in two groups. The score of self-esteem of Korean-American elderly was showing significant relationships with presence of spouse. 5. Self-efficacy score of Korean elderly was 3.27 and Korean-American elderly was 3.21. there was no significant difference in two groups. The score of self-efficacy of both groups were showed significant relationships with education. 6. The HPLP of Korean and Korean-American elderly showed(r=.24. r= .49) positive correlations with self-esteem had positive correlations with self-efficacy(r=.42. r=.28). To draw concrete resolution for health promotion of Korean and Korean-American elderly. this study suggests followings for future research : 1. Nursing interventions enhancing exercise and stress management of the elderly must be provided. Especially developing and adopting feasible exercise programs for Korean-American elderly is highly needed. 2. Identifying the influences of culture on their practices of health-promoting lifestyle patterns among Korean. Korean-American and other racial elderly groups.
Park Ho Ran;Park Sun Nam;Jung Kyang Hee;Kim Hae Ja
Child Health Nursing Research
/
v.7
no.1
/
pp.51-61
/
2001
The purpose of the descriptive correlation study was to examine relations among the hope, the burden and the family function in mothers caring for children with cancer. 145 mothers completed the three questionaires of the study divided into tree sections: a) The Hope Scale, b) The Burden Scale, c) FACES-Ⅲ. The collected data was analysed with t-test, ANOVA, Scheffe test and Pearson correlation coefficients. The results were as follows: 1) The average age of mothers of children with cancer was 35.6 years old and the ages between 30 to 39 were the most abundant. 57.3% of the mothers had an education level of below high school education and 66.0% had religion. The average age of the children was 8.6 years old. Ages between 1 to 7 were the most and 60.8% were diagnosed as leukemia. 2) Regarding the section of degree of burden, mothers of children with cancer marked 2.6 out of 5, and the degree of hope 3.2 out of 4. The result for family function came out to be 3.5 out of 5, an average of family cohesion of 3.9 and family adaptation of 3.1. 3) There were significantly less burden to the mothers who were living together with a spouse compared to the mothers who were not. Also mothers who replied that they preserved good health came out to be exposed to less burden compared to the mothers who did not. In analysing hope according to the general characteristics of mothers of children with cancer, mothers who were employed marked high in the degree of hope compared to unemployed mothers. Furthermore, the degree of family cohesion marked higher with mothers who had higher education of college graduate, mothers with religion and mothers with a monthly family income of over ₩3,000,000, compared to the group of mothers with lower education of high school graduate, non-religious or with a monthly family income of less than ₩1,000,000. 4) Excluding the fact that the group sorted with children diagnosed as leukemia marked a perceivably high score regarding family cohesion, compared to groups with other cancers, the degree of burden, hope and family cohesion did not show any noticeable difference according to characteristics of children with different cancers. 5) In the correlation of the hope, the burden and the family function regarding the mothers of children with cancer, the burden did not have any manifest relationship with hope or family function. However, the degree of hope and family function cohesion had a direct proportional relationship, as family cohesion marked higher when the degree of hope were high.
This study was done to investigate of instrumental activities of daily living(IADL) and quality of life and their relationships between the elderly. Data were collected from 150 elderly home residents. The data were collected from December 1st to December 20th, 2000. Structured questionnaires developed by Lawton & Brody and by Ro were adopted to measure IADL and Quality of life. Data were analyzed for percentage, means, t-test, ANOVA and Parson correlation coefficients using the SPSS program. The results were as follows: 1. The average score of the level of IADL was $20.68{\pm}2.98$ ($M{\pm}SD$) with a range of 7-26. 2. The average score of the level of Quality of life was 2. $96{\pm}0.25$ ($M{\pm}SD$). In the average score of each lower area, highest score was 3.22 for neighbor relationship and family relationship and then 3.00 for self-esteem, 2.95 for economic status, 2.86 for emotional status, and 2.85, lowest score, for physical condition and function. 3. Comparing IADL and Quality of life with general characteristics, IADL showed that there were significant difference in age(t=2.927, p=0.036) and separated children contact frequency(t=2.482, p=0.046), while Quality of life showed that there were significant difference in spouse existence(t=2.334, p=0.021), religion(t=4.089, p=0.008), family style(t=3.285, p=0.040), children number living together(t=5.332, p=0.006), communication with separated children frequency(t=4.129, p=0.003), and separated children contact frequency(t=3.908, p=0.005). 4. There was also significant positive correlation between IADL and Quality of life. The above results show that neighbor relationship and family relationship which have greatly an influence on IADL and Quality of life are very important. The elderly should be helped to satisfy their basic desire and show their potential living together with the younger generation interdependently without being isolated from family and society. Therefore, the nursing strategy that enhance IADL and Quality of life are needed and the nursing strategy that can improve IADL and Quality of life of Elderly Home Residents should be developed.
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