• Title/Summary/Keyword: 가족중심 사례관리

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A Study on Health Care Practices of Korean Immigrants in Transition (재미 한인들의 건강관리 실천에 관한 연구)

  • Im Eun-Ok
    • Journal of Korean Public Health Nursing
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    • v.10 no.1
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    • pp.39-57
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    • 1996
  • 미국은 이제까지 서구 백인문화 중심적으로 간호학을 발전시켜왔다. 그러나 국제적인 세계화 흐름과 함께 이제까지 경시되어 왔던 소수 민족들에게 차츰 관심을 모으고 있다. 이러한 간호학의 추세와 함께 재미 한인들의 증가는 간호학 내의 한인들에 대한 문화적 지식의 확대를 필요로 하게 하였다. 이민이라는 과정을 통해서 이민자들은 새로운 가치관. 태도. 사회적 규범을 획득하게 되는데. 이러한 변화는 신체적. 정신적 건강에 부정적으로 영향을 미치는 것으로 보고되고 있다. 또한 이러한 이민 적응과정에서 오는 어려움 들은 이민자 들이 건강관리를 효과적으로 하지 못하게 하는 주원인으로 보고되고 있다. 이 연구에서는 재미 한인들의 건강관리실천을 그들의 초기 이민 과정에서 겪게 되는 여러 경험에 초점을 맞추면서 면담조사와 사례 연구를 통하여 살펴보았다. 임의 표본 추출된 미국 캘리포니아주 오클랜드에 있는 한 한인 교회의 20명의 교민들을 대상으로 그들의 초기 이민경험과 건강관리 실천에 관한 면담 조사가 이루어졌으며 대상자 중 3인을 대상으로 하여 사례 연구가 이루어졌다. 연구 결과, 재미 한인들은 타이민자들에 비해 소규모 사업에 종사하는 경우가 많고 높은 취업 율에 비해 낮은 수인을 가지는 것으로 나타났다. 한인들은 타이민자들에 비해 좀 더 보수적이며 그들의 문화와 관습을 가능한 한 고수하는 것으로 나타났다. 또한 한인들은 사회 참여와 대인 관계에 있어서 한인 사회에만 한정되게 활동하는 것으로 나타났다. 재미 한인들은 한인 사회 내에서 강력한 사회적 유대관계를 유지하는 것으로 나타났으며, 가족의 영향력이 타민족들에 비하여 강한 것으로 나타났다 언어 장벽이 가장 큰 문제로 보고되고 있으며 비록 성공적으로 미국 사회에 적응을 하더라도 계속적인 경제적인 생존 노력과 사회적으로 소외된 그들의 위치는 그들의 삶을 계속해서 어렵게 하는 것으로 나타났다. 이러한 초기 이민 적응과정에서 오는 어려움 들은 그들의 건강을 비효과적으로 관리하게 만드는 것으로 나타났다. 첫째, 적절한 통역자를 사전에 선정, 이용함으로써 적절한 간호를 제공할 수 있도록 하여야겠다. 둘째. 한인을 대하는 간호 제공자들은 한인에 대한 문화적 지식을 겸비하고 그 지식에 근거를 둔 문화적으로 적절한 간호를 제공하여야 할 것이다. 셋째, 간호 제공자들은 한인들의 치료법 혼용을 이해하고 동시에 여러 치료법을 사용하는 경우. 잘 살펴서 적절한 조치를 취해야 할 것이다. 넷째, 가족관계를 사정하고 적절히 가족 구성원을 간소 목적을 위하여 사용할 수 있어야 하겠다 마지막으로 이들 내의 위험 집단을 우선적으로 파악. 접근하여야 할 것이다. 위험 집단으로는 경제적 문제로 적절한 의료 이용을 할 수 없는 저소득층, 문화적으로 열등한 위치에 있는 여성층과 초기 이민 적응에 가장 문제를 일으킬 소지가 있는 노년층을 들 수 있겠다. 이 연구는 몇 가지 제한점을 가진다. 첫째. 연구 대상자 선정이 어려워서 자원자를 대상으로 연구가 행해졌다. 둘째. 적은 수의 연구 대상자를 대상으로 연구가 행해졌다. 셋째. 연구기간이 짧았던 까닭에 좀더 상세한 사례 연구가 이루어질 수 없었다 좀 더 신뢰할 수 있는 표본 추출 방법을 통하여 선정된, 많은 연구 대상자를 가지고, 심도 있는 연구가 추후 반복적으로 이루어져야 할 것이다.

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Qualitative Case Study on Life of non-disabled Adolescent of Parents with Intellectual Disability (지적장애 부모를 둔 비장애 청소년의 삶에 관한 질적 사례연구)

  • Kang, Seung Won
    • Korean Journal of Social Welfare
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    • v.68 no.3
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    • pp.73-103
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    • 2016
  • In this study, it investigates the life of normal adolescents who have parents with intellectual disability and their difficulties which suggested social welfare meanings of this study. In order to conduct wide and in-depth analysis on cases by utilizing the characteristics of qualitative case studies, it describes and analyzes the intellectual disability parents' normal children in detail from the viewpoint of an insider through in-depth interviews, various sources and diverse data collecting methods. As for the subject of this study, both parents should be persons with intellectual disability and their child shall be non-disabled and at least a high school student or older. Through the intentional sampling, five late adolescents who were in high school, all males participated in the study. The data collection process had been conducted from January 2014 to May, which is commonly utilized for qualitative case studies, and comparative analysis between cases were practiced for analysis. For credibility of the research results, it obtained severity at each stage by meeting the standard. The analysis results were largely divided into "growth story of non-disabled adolescents" and "life of non-disabled adolescents". Nine upper categories analyzed the common features in each case. The nine categories were "no one tells me to study", "advance while learning the sense of academic achievement", "hide into my own space", "having to grown up early", "different parents but same love", "relatives raised me", "have a friend who accepts me as I am", "being pressed by poverty", and "standing on a knife edge of being hurt and taking heart". Based on the in-depth research on normal teens that have intellectually disabled parents, theoretically speaking, this study expanded the prospect of study on intellectually disabled to their normal, intellectual teenage children. As for practical significance, understanding their parents' intellectual disability, parenting technique training, case management from the community level is suggested. Rregular real condition research of the families, allowance system for economic support et al. is suggested in policy aspect.

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의과대학생 학습 및 생활지도의 새로운 모색 - 2005년도 학생 상담 사례를 중심으로 -

  • Jeon, U-Taek
    • Korean Medical Education Review
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    • v.8 no.1
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    • pp.23-33
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    • 2006
  • 의학교육은 학생들에 대한 교육과 평가만으로 구성되지 않는다. 학생들이 그러한 교육을 모두 잘 이수하고 졸업할 수 있도록 잘 지도해 주는 것까지를 포함한다. 의학교육에 있어 이러한 지도가 필요한 이유는 의대생들의 학습과 생활에 문제가 자주 발생하기 때문이다. 이에 본 연구에서는 2005년도에 본 의과대학에서 이루어진 총104건의 상담사례를 분석하여 그 문제와 대안을 제시하였다. 나타난 문제로는 불완전한 교육과 극단적 내부경쟁, 학생들의 집단 학습적 행동, 시간 관리 및 학습방법의 문제, 불안과 우울의 문제, 열등감의 문제, 자기개발과 자기실현에서의 불안, 삶의 다양한 문제들과 가치관 형성의 어려움(이성교제, 가족관계, 학교 내 대인관계 등) 등이었다. 이에 대한 해결방안으로 다음과 같은 다섯 가지가 제안 되었다. 즉 학생들에 대한 "의대에서 공부하는 방법" 교육, 새로운 의대 학습 문화의 창출지원, 전공의 선발에 있어 다면적 평가 시스템의 도입, 상담을 담당해 주시는 교수들과 멘토(mentor)의 필요, 가치관 지향적인 의학교육의 필요이다.

A Study on Global Aid of Development for Drinking Water & 'Self Supply': in case study of Ethiopia (국제식수개발원조 동향과 'Self Supply'에 관한 연구: 에티오피아의 사례를 중심으로)

  • Kim, Bo-Ram;Ryu, Si-Saeng;Park, Sung-Je
    • Proceedings of the Korea Water Resources Association Conference
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    • 2012.05a
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    • pp.835-840
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    • 2012
  • 아프리카는 현재 극심한 식수난에 시달리며 국민들의 건강과 경제활동에 위협을 받고 있다. 에티오피아 역시 이러한 어려움에 처한 국가 중 하나이다. 우리나라는 2006년 이후 현재 아프리카의 식수개발을 확대하고 있는데, 본 연구에서는 이를 뒷받침하고자 에티오피아 내 식수개발원조 동향이 분석하고 이에 따른 우리나라 식수개발사업의 지원 방안을 모색하였다. 에티오피아 농촌지역에서는 현재 대규모 관정 사업보다 저비용 소규모 단위 수준에서의 기술을 사용한 물의 자급(Self Supply)에 대한 지원이 필요하고, 구체적인 사례는 가족우물(Family wells)이다. 또한 이러한 물 자급 방안 지원 시에는 수질에 대한 고려가 함께 필요하다.

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A Study on the Use of Health Family Support Centers and Its Activation Plan - Focused to Gyeonggi-do - (건강가정지원센터 이용실태 및 활성화 방안 연구 - 경기도를 중심으로 -)

  • Yang, Jung-Sun;Kim, Sung-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.14 no.4
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    • pp.213-237
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    • 2010
  • This study aimed at figuring out the current state of 26 family-health support centers in Gyeonggi-do, in order to prepare an activation plan for the centers. These centers are the main mediators of the family health operation. This study also aimed to understand the center users' satisfaction and demands. The results were as follows. First, a total of 65,794 participants from 9,960 businesses were processed. The majority had attended various integrated family services, followed by family counseling and/or family-friendly culture-establishing businesses. Second, the main users' profiles were as follows: average age, 41; average number of persons in the family, 3.78; education above foundation-level degree; diverse jobs that included special occupations; average monthly incomes of 3,390,000 won; and a middle-class living standard (as self-described by participants). Third, the users' main concern for their families was "financial difficulties," and they had an interest in education and counseling. Although they thought education and counseling were suitable solutions, they hesitated because they did not think their problems were serious enough to merit them. Fourth, the satisfaction level of their participation in their center's program was generally high, at 3.9-4.2 points. The majority of them said they would attend again in the future.

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Effects of Community based case Management Program on Functional Status and Caregiver Burden of Stroke Patients (뇌졸중 환자에 대학 지역사회 중심 사례관리 효과)

  • Kim, E.Y.;Kim, C.Y.;So, A.Y.;Shin, J.Y.;Lee, G.M.;June, K.J.;Choi, J.H.
    • Research in Community and Public Health Nursing
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    • v.15 no.1
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    • pp.18-28
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    • 2004
  • Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community based case management program for stroke patients. Method: This study was designed as a one group pre and post test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre test one week before intervention, and a post test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t test. Results: First, significant differences in functional status, and specifically mobility and cognition, were found between pre test and post test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks. Conclusion: The community based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.

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A Study on the Actual Situation of Domestic Violence and the Problems of Victims of Domestic Violence and Preventive Measures (가정폭력의 실태 및 피해 가정 문제와 예방대책에 관한 연구)

  • Bae, Na Rae
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.187-193
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    • 2022
  • Domestic violence in our society is where the abuser and the abuser live in the same space. Problems are left unresolved in families where abuse is reproducing. Domestic violence can be viewed as a crime that violates and tramples human rights. They rely solely on family support networks for solutions to domestic violence. The physical, emotional, and psychological pain and wounds that victims of domestic violence must endure are too deep. In order to help victims of domestic violence, case management services that can provide long-term and attentive help in the neighborhood or community are needed. For this, prevention and treatment of domestic violence should be considered together. And the interest and professional role of the community must follow.

Analysis on the Tourist's Behaviors and Satisfaction of the Gwangneung Area (문화.생태지역에 대한 관광행태와 만족도 분석: 광릉지역을 사례로)

  • Kim, Sun-Hee
    • Journal of the Korean association of regional geographers
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    • v.11 no.3
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    • pp.336-350
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    • 2005
  • The prime objective of this study is to analyze tourist's behaviors and satisfaction of the Gwangneung area and get a reading on the tourist's socio-economic traits and the propensity of activities. In addition, it highlights surveys of the tourist's consciousness of cultural, ecological and environmental tourism resources available in the Gwangneung area and the possibility for sustainable development and ways to make the most of these resources. This study found that even though Gwangneung is mostly a place for one day family outings. the tourist's demand for actually unreachable ecological resources is high while existing cultural tourism resources have less than the expected drawing power. It was also found that tourists recognize the need for preservation of the tourism resources of Gwangneung and its potential for further sustainable development. In particular, most tourists to Gwangneung are relatively satisfied with the status of preservation of its cultural and ecological resources and environment On the other hand, accessibility, tourism facilities, and management are estimated at less than desired. Gwangneung would benefit by making efforts for the positive use of its tourism resources and improvement of convenience facilities, management and operation.

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The Effect of Baby-boomer Retirees' Consumption Patterns on Depression in Later Life (은퇴 베이비부머의 소비패턴과 우울에 관한 연구)

  • Park, Seo-Young;Hong, Song-Iee
    • 한국노년학
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    • v.37 no.2
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    • pp.349-368
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    • 2017
  • The purpose of this study is to empirically structure the patterns of baby boomer retirees'consumption and their effects on depression in later life. Using the 5th wave of Korea Retirement and Income Study(KReIS) in 2013, of baby boomers born in 1955 to 1963, we analyzed those who were completely retired(n=420). The Latent Profile Analysis(LPA) classified the empirical patterns of consumption and then a multiple regression analyzed the effect of consumption patterns on depression among these baby boomer retirees. The LPA results showed that the consumption patterns consist of five groups: (1) Basic life-oriented class(26.9%), (2) Balanced consumption class(29.3%), (3) Social life-oriented class(18.3%), (4) Leisure-oriented class(18.5%), and (5) Education-oriented class(7.0%). Baby boomer retirees' depression was associated with their consumption patterns. Specifically, the basic life-oriented class showed significantly lower depression than the education-oriented class. Other correlates such as higher education, having no spouse, lower subjective health, greater limitations in physical functions, having a diagnosed disability, having fewer children, higher dissatisfaction with leisure activities, and lower self-perceived economic status were associated with higher levels of depression in this study. These findings suggest meaningful implications for gerontological policy and practice for baby boomer retirees in Korea. In light of vulnerable retirement preparation, social services specialized for baby boomers should consider financial education for revamping consumption scale beyond asset management and long-term case management of pre and post retirement cases.

Work and Life Balance of Working Single-person Households : Focused on Unmarried 20-30 Generation (취업 1인가구의 일-생활 균형: 20-30대 미혼을 중심으로)

  • Song, Hyerim;Kang, Eunjoo
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.4
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    • pp.55-70
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    • 2021
  • The aim of this study was to analyze the work and life balance of unmarried working cases in single-person households. Eleven cases were interviewed with a semi-structured questionnaire. The results were as follows: When they were starting as a single-person household on their own initiative and with enough preparation and planning, they expressed higher satisfaction as a single person household. For their adaptation to being a single-person household, practice education and information about household work and self-care were useful. Their thought about 'life' are focusing on self improvement and leisure activities either alone or with their friends. Their family interactions were performed with financial, emotional, and housework support from each other. Resources such as money and time were the major factors that impacted work and life balance. For work and life balance of single person househods, the cases needed political support for financial aid and flexible work arrangements.