The purposes of this study were to investigate the interrelationships between family functioning, marital conflicts, conflict coping strategies and couple's psychological adjustment, and to identify the influence of each variables on couple's psychological adjustment. The subjects of this study were 532 couples with teen-aged children in seoul. the major findings were as follows ; 1) The couples' perception of their family funstioning(family cohesion and family adaptability) had linear relations with psychological adjustment(marital satisfaction, self-esteem, and depression). 2) For both spouses, marital conflicts, avoidance strategy, action-expression strategy, emotional strategy and outside-aid seeking strategy were negatively related to family functioning, marital satisfaction and self-esteem, and were positively related to depression, Rational coping strategy was positively related to marital satisfaction and self-esteem, and were negatively related to depression. 3) Couples' marital satisfaction were significantly affected by marital conflicts, avoidance strategy, family functioning and family income. Couples' self-esteem were significantly affected by rational coping strategy, family functioning, family income and avoidance strategy. Couples depression were significantly affected by marital conflicts, emotional strategy, and avoidance & action expression strategy. In addition, wives' self-esteem were affected by family functioning. And there were differences between wives and husbands in the findings.
The purpose of this study is to develop the scale to measure family health and to analyze the data collected by the survey in order to develop the educational program for healthy family. The sample of this study is taken by 522 housewives who are living in Seoul and are over the age of 40. The data are analyzed according to frequency, percentages, t-test, Pearson's correlation analysis, and Multinomial logistic Regression analysis. The results of this study are as follows. First, the scale measuring family health is developed through interviews with the respondents, preliminary survey, and comments reviewed from specialists. The responses to the scale are significantly different depending on whether they answered their family is healthy or not. Second, minimum family performances for family health are related to the category of social involvement of the family. Third, the types of healthy family are grouped by the responses related to the current state and the status of family health. The number of the type of the worst state-the worst status of family health is the largest, followed by the number of the type of the best state-the best status of family health. Fourth, the important and significant variables that affected the types of family health are psychological variables rather than personal and household-related variables of the respondents.
Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.
Jung, Mi Hyun;Park, Myung-Hee;Kim, Su-Jeong;Ra, Jeong Ran
Journal of Hospice and Palliative Care
/
제24권2호
/
pp.116-129
/
2021
Purpose: The purpose of this study was to examine the knowledge, caregiving performance, stress levels, and mental health of family caregivers of terminal cancer patients with delirium, insofar as these characteristics are relevant for delirium. Methods: Between May 1, 2019, and June 1, 2020, 96 family caregivers of terminal cancer patients with delirium completed a structured survey, the results of which were analyzed. Results: The average correct answer rate for delirium-related knowledge was 53.2% across all subcategories, which included knowledge of causes (41.5%), symptoms (65.4%), and caregiving (51.7%). The average score for family caregivers' performance of caregiving for delirium was 2.60±0.5, with subcategories including caregiving for patients without delirium (2.16±0.95), caregiving for patients with delirium (2.84±1.01), and stress related to caregiving for delirium (39.88±16.55), as well as categories such as patient-related caregiving (44.32±28.98), duty-related caregiving (44.21±30.15), and interpersonal relationship-related caregiving (22.35±25.03). For mental health, the average score among family caregivers was 1.96±0.70, with the highest score being for the category of additional items (2.28±0.84). Family caregivers of patients with hyperactive delirium as the delirium subtype had higher scores for caregiving performance than caregivers of patients with mixed delirium. Conclusion: Scores for the delirium-related knowledge and caregiving performance of family caregivers were low, while their caregiving stress levels were high due to their lack of knowledge and experience. This indicates the importance of delirium-related education for family members of patients with delirium and the necessity of developing nursing intervention programs to help manage stress and promote mental health among family caregivers.
This study analyzes child and family department curricula at domestic universities and research topics in articles found in related representative domestic journals. Curricula were collected from the web pages of 26 out of 90 departments of 77 universities. Research topics were collected from the Family Environment Research, Journal of Child Studies, and Journal of Korean Association of Family Relations published from 2000 to February 2015. From those journals, the number of articles related to child studies were 1,843 and family studies 1,239. Among those articles, 6,593 keywords related to child studies and 4,748 keywords related with family studies were collected and analyzed. The results of this study were: first, we found four types of curricula provided by Child and Family Departments such as Child Studies, Child and Family Studies, Home Economics Education, and Family Welfare. Second, the identified research topics in child studies were child development, education & childcare, parent education, counseling & therapy, cross cultural study, instrument development, and policy. Family research topics were also categorized by individual family members, child rearing & education, family dynamics & problems, families & culture, work & family, family formation, dissolution & diversity, family practice, family theories & methods, and midlife & later years. We suggest several future careers in child and family studies based on these findings.
The purpose of this study was to investigate factors affecting the decisions regarding second births. Especially, analysis focused on the connections between desire for a second birth and the family factors such as family values and marital relations because they have been rarely known until now. Data was from 1,156 married women that had only one child and had been part of the national data collected by KIHASA in 2003. Major findings can be summarized as follows. First, it was found that value-related factors affect the likelihood of a second birth. The degree of parental responsibility is negatively related with the desire for a second birth. However, the perceived ideal number of children is positively related to it. Second, it was found that the quality of family relations influences the decision for the second birth. Particularly, marital satisfaction is likely to be the most important factor tending to mediate the effects of socio-demographic factors and value-related factors on the plan for a second birth. These results suggest that the effects of social norms on the number of children and timing of childbearing which exist in the family are becoming weaker. Nevertheless, the traditional value of children such as a preference for a son can still be found.
The purpose of this study was to investigate relationships between the family strengths, mothers' self-efficacy, and their young children's teaming-related social skills and behavior problems. The subjects were the 217 children aged 4 to 6 years and their mothers at private child care centers in Seoul. The Family Strengths Scale and the Mothers' Self-Efficacy questionnaire were administered to the mothers. The teachers rated the learning-related social skills and problem behaviors of each child whose mother returned a set of Questionnaires. Analysis of variance revealed statistically significant differences in the family strengths according to the education level of the mothers. The mean the family strength score was higher for working mothers than for non-working mothers. The results of the test were statistically significant differences in the scores on the learning-related social skills and problem behaviors between boys and girls. The family strengths were positively correlated with the mothers' self-efficacy, and the learning-related social skills of the young children, while they were negatively correlated with problem behaviors.
Purpose: This study was conducted to investigate the effect of tuberculosis-related knowledge and family support on medication adherence in tuberculosis patients. Methods: The data were collected from 175 patients diagnosed with tuberculosis at three general hospitals located in two provincial cities in South Korea from September 1 to November 31, 2020. The 160 questionnaires were analyzed using IBM SPSS WIN 25.0. Results: The patients' average score for tuberculosis-related knowledge was 15.85±5.87 (out of 25), for family support it was 22.03±9.20 (out of 35), and for medication adherence it was 5.11±2.68 (out of 8). There were significant differences in tuberculosis-related knowledge, family support, and medication adherence according to patients' general characteristics and significant positive relationships among tuberculosis-related knowledge, family support, and medication adherence. Factors affecting patients' tuberculosis medication adherence were history of stopping the medication, the importance of treatment among tuberculosis-related knowledge and family support, and these factors could explain 78% of patients' taking tuberculosis drugs. Conclusion: It could be concluded that the importance of tuberculosis treatment and family support are very important for improving patients' rates of medication adherence. Therefore, medical staffs caring for tuberculosis patients need to manage patients' medication of tuberculosis drugs with continuous consultation.
The purpose of this study was to investigate the strengths of single-parent families and the related variables based on the family strength approach. The major findings were as follows. First, good communication, family bond, children's adjustment and coping ability were characteristics of single-parent family strengths. Secondly, strengths of single-parent family were related to income and period of becoming a single-parent family. Thirdly, single parents who had a higher level of personal resources such as high self-esteem and economic stability perceived a higher level of family strengths. Fourth, single parents who had a higher level of social support perceived a higher level of family strength. Fifth, there was no interaction effect between personal resource and social resource on single-parent family strengths. Last, both personal and social resources had effects on the strength of single- parent family. Especially personal resource and self-esteem were the most important variables and had a strong influence on single-parent family strengths. The results of this study have important implications for theory, research and practice. Research on the strengths of the Korean single-parent family is new and more extensive investigation is required.
This study identified correlations between perceived family support and hopelessness in patients admitted to Neuro - surgical Intensive Care Units. The purpose was to enhance theoretical understanding of the relationships of these two variables. The subjects of this study were 51 patients admitted to N-lCU, at three general hospitals in Seoul. Data were collected by researcher in structured interviews from Aug. 12 to Oct. 13, 1992. The research tools were parts of the Moos Family Environment Scale and the Beck Hopelessness Scale. The general characteristic data were analyzed for frequency and percentage ; the hypothesis was tested by the pearson product Moment Correlation Coefficient. After normality tests by using Kolmogorov - Sminorvtest, and T- test, ANOVA and Mann-Whitney U test, Kruskal -Wallis test were used on the Family Support and the Hopelessness about general charcteristics. The results of the above analysis were as follows 1) The average family support score for the group was 63.61 (tool average 51) and item average was 3.74 (tool item average 3) : the family support score of this sample was higher than average. The average family cohesion score of family support was 35.25 (tool average 27) and item average was 3.91 (tool item average 3). The average family expression score of family support was 28.35 (tool average 24) and item average was 3.57 (tool average 3). In this sample, perceived family expression was lower than family cohesion. 2) The average hopelessness score was 45.88 (tool average 60) and item average was 2.29 (tool item average 3) : the hopelessness score of this sample was low in comparison to the average. 3) The hypothesis in this study was supported. The main hypothesis that the higher the perceived family support level, the lower the level Of the hopelessness, was Supported (r=-.3869 p=.003). The sub-hypothesis that the higher the perceived family cohesion level, the lower the level of hopelessness, was supported(r=-.3688 p=.004). The sub-hypothesis that the higher the perceived family expression level, the lower the level of hopelessness, was supported (r=-.3068 p=.014). 4) General characteristics of the objects related to family support were ‘economic status’(p=.025) and ‘helping person’(P=.044) : the higher the economic status, the greater the family support. When the patient identified the helping person as a spouse, family support was rated more highly. The only general characteristic related to family cohesion was ‘helping person’(p=.041). No general characteristics were related to family expression. 5) The one general characteristic related to hopelessness was ‘education’(p=.002) : the higher their education, the lower their hopelessness. For these ICU patients, were related perceived family support and hopelessness, and family expression level was low in comparison to family cohesion level. The perceived family support of these seriously ill patients in situational crisis may have influenced the patient's emotional reaction of hopelessness. This study concluded that nurses in the ICU confirm the family support of the patient, and involve the family as the most intimate support systems in the care of the patient to help reduce the patient's hopelessness.
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