A Survey on the Characteristics of Vulnerable Families in a City

일개 도시 취약 가족의 특성에 관한 조사연구

  • Published : 2009.09.30

Abstract

Purpose: This study aimed at describing the characteristics and nursing needs of vulnerable families in a City. Methods: A total of 427 vulnerable families enrolled in the Visiting Health Care Center in K-gu of S city were investigated in this study. Data were collected using questionnaires for one year from Jan to Dec, 2003, and analysed using mean, standard deviation and $x^2$. Results: Most of the vulnerable families investigated here showed many deficits, especially incomplete family structure (62.8%), financial problem (84.0%), lack of support (55.8%) were prevalent. The score of level of economic status in Family Capability for Self management ($1.95{\pm}0.65$) was lowest, and the score of perception of family problem and health of family members ($2.62{\pm}0.78$) was highest. The four family groups divided according to the total score of family management capability showed significant differences in family interaction, support, and coping domain. The total score of family management capability increased as family functioning-related problems decreased in the vulnerable families. Conclusion: In order to find vulnerable families, and improve their family function, it is required to develop the systematic assesment tools, community supportive systems and nursing interventions for family strength.

Keywords

References

  1. Ahn, D. H., & Hong, K. E. (1987). A survey of child abuse in Korea. Mental Health Research, 6, 53-65.
  2. Ahn, H. Y., Kim, S. J., & Ko, J. A. (2002). Child abuse in high risk group. Journal of Korean Academy of Nursing, 32(6), 775-783.
  3. Chafetz, L., & Barnes, I. (1989). Issues in psychiatric caregiving. Archives of Psychiatric Nursing, 3(2), 61-68.
  4. Chang, S. O. (1998). A subject for family health assessment tool. Unpublished master's thesis, Ewha Womans University, Seoul.
  5. Choi, K. W. (2003). A comparative subject on the family strengths between families with a healthy child and families with a chronically ill child. Unpublished master's thesis, Seoul National University, Seoul.
  6. Demi, A. S., & Warren, N. A. (1995). Issues in conducting research with vulnerable families. Western Journal of Nursing Research, 17(2), 188-202. https://doi.org/10.1177/019394599501700206
  7. Dunst, C. J., Trivette, C. M., & Deal, A. G. (1994). Supporting and strengthening families: Vol 1. methods, strategies and practices. Cambridge, MA: Brookline.
  8. Dunst, C. J., Trivette, C. M., & Thompson, R. (1990). Supporting and strengthening family functioning: toward a congruence between principles and practice. Prevention in Human Services, 9(1), 19-43.
  9. Fisher, L., & Feldman, S. S. (1998). Familial antecedents of young adult health risk behavior: A longitudinal subject. Journal of Family Psychology, 12(1), 66-80. https://doi.org/10.1037/0893-3200.12.1.66
  10. Griesbach, D., Amos, A., & Currie, C. (2003). Adolescent smoking and family structure in Europe. Social Science & Medicine, 56, 41-52. https://doi.org/10.1016/S0277-9536(02)00014-X
  11. Hall, D. (1996). Health for all children. Oxford: Oxford University Press.
  12. Kim, H. G. (1997). An analysis of relations between perceived family characteristics, experienced abuse and mental health in childhood. Journal of Korean Community Nursing, 8(2), 289-303.
  13. Kim, K. H. (1998). A subject on the adolescent's experiences in domestic violence. Journal of Korean Academy of Nursing, 8(1), 70-80.
  14. Kim, S. Y. (1989). A subject on relationship between marital satisfaction and marital instability among low-income wives. Unpublished master's thesis, Seoul National University, Seoul.
  15. Kim, Y. H. (1998). Development of family health concept. Unpublished master's thesis, Chungnam University, Daejeon.
  16. Kim, Y. J. (1992). A subject on family health conditions and health problems of urban low income families requiring visiting health care. Unpublished master's thesis, Yonsei University, Seoul.
  17. Ok, S. W. (1992). Marital problem in low-income families. In Korean Family Studies Society (Eds.), Family Problems in Low-income families in a city (pp. 15-25). Seoul: Hau.
  18. Olson, D., & DeFrain, J. (2000). Marriage and the family: Diversity and strengths. Mountain View, CA: Mayfield Publishing Company.
  19. Pender, N. J. (1997). Health promotion in nursing practice. Seoul. Hyunmoonsa.
  20. Powell, D. S., Batsche, C. J., Ferro, J., Fox, L., & Dunlap, G. (1997). A strength-based approach in support of multi-risk families: Principles and issues. Topics in Early Childhood Special Education, 17(1), 1-26. https://doi.org/10.1177/027112149701700105
  21. Sheperd, M. P., & Mahon, M. M. (2002). Vulnerable families: research findings and methodological challenges. Journal of Family Nursing, 8(4), 309-314. https://doi.org/10.1177/107484002237509
  22. Van Eys, J. (1981). The truly cured child. In. J. Spinetta & P. Deasy-Spinetta (Eds.), Living with childhood cancer. St. Louis: Mosby Co.
  23. Weissman, A. M., Jogerst, G. J., & Dawson, J. D. (2003). Community characteristics associated with child abuse in Iowa. Child Abuse & Neglect, 27, 1145-1159. https://doi.org/10.1016/j.chiabu.2003.09.002