• Title/Summary/Keyword: 지각한 가족지지

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A Study on Perceived Family Support and Anxiety in Hemiplegic Patients (편마비 환자가 지각한 가족지지와 불안과의 관계 연구)

  • 이명해;강현숙
    • Journal of Korean Academy of Nursing
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    • v.21 no.1
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    • pp.50-62
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    • 1991
  • The purposes of this study were to identify causal factors of Anxiety and to analyze correlation between perceived family support and anxiety in hemiplegic patients. The subjects of this study were 88 hospitalized hemiplegic patients at Kyung - Hee Oriental medicine Hospital. Data were collected by using interview with questionaire from Jan. 15 to Mar, 31, 1990. The measurement tools used by this researcher were Kang's family support scale, Spielberger's trait anxiety scale and the other anxiety scale which was developed by this researcher, approved it's reliability and validity. For the purposes of the study, the collected data were analyzed by frequency, t-test, ANOVA and the hypothesis was tested by pearson correlation, partial correlation. The results of the study were as follow. 1) The analysis of causal factor of anxiety higher anxiety these three cases ; \circled1 1st causal factor was the delayed recovery of paralyzed upper limbs(2.42$\pm$1.27). \circled2 End causal factor was the dysfunction of physical ability(2.30$\pm$1.29). \circled3 3rd causal factor was difficulty for walking(2.30$\pm$0.83) and the anxiety level(2.02$\pm$0.83) of physical factor was the highest level than any other factors. 2) The hypothesis that the more perceived family support level is the less anxiety level of patient was supported(r=-.29, p=.003). 3) The analysis of the general characteristics exerting influences on anxiety level patients ; (sex, age, marrital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalizatiot side of paralysis). In this analysis, any factor has not a statistical significance.(p>.05). 4) The analysis of the relationship about effective factors of family support level by the general characteristics of patient (sex, age, marrital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalization, side of paralysis). In this analysis, there was significant difference on perceived family support between married and bereaved patients(t=-2.68, p= .009) As a result of this study, anxiety level of physical factor was higher than any other factors (psychological factor, social factor) and the delayed recovery of paralyzed upper limbs is the largest causal factor of anxiety of physical factor. Meanwhile, the relationship between the degree of family support and the level of anxiety was negatively correlated but the degree of relationship was low. Therefore, one can infer from this study that sufficient information about recovery of physical problems and family support were effective in preventing and reducing anxiety in hemiplegic patient.

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Family Support and Hopelessness in Patients Admitted to Neuro-Surgical Intensive Care Unit (중환자가 지각한 가족지지와 절망감과의 관계연구)

  • 김현실;조미영
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.620-635
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    • 1992
  • 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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Correlation Between Perceived Family Support and Self-Esteem of Middle Age Women with Degenerative MusculoSkeletal Diseases (퇴행성 근골격계 질환을 가진 중년여성이 지각한 가족지지의 자아존중감의 관계)

  • Kang, Kyung-Ja;Lee, Eun-Jin
    • Journal of muscle and joint health
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    • v.7 no.1
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    • pp.5-24
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    • 2000
  • Middle age for women is one of the most important stages of the whole normal life span and has unique problems concerning the psychological and physical health, specifically degenerative musculoskeletal diseases. Therefore middle age women should prepare in order to lead a healthy and fruitful life as they enter/begin old age. As the population of middle age women increase, the demands of nurses who care for this age group also continue to glow. Nurses must be interested in this middle age group of women in Korea. This study was designed to identify the extent of family support and self-esteem of the middle age women with degenerative musculoskeletal diseases and the relationship between them and nurse's contribution to middle age women's health promotion that maintain and promote qualify of her life. The population of this study was 112 women aged 40-60, attending the out patient clinic one University Hospital and one Hospital, in Pusan. The data was collected from 1st August to the 30th of September, 1998 by using 36 items questionnaire. The instrument used for measuring family support was of Chai's(1983) FSS which was modified by Kang's(1984) Family Support Scale. And that for self-esteem was Rosenberg's(1965) Self-esteem Scale. The reliability of Chai's FSS and Rosenberg's instruments were tested by Cronbach's alpha and showed that they were 0.93 and 0.89 each respectively. Data was analyzed by descriptive statistics, t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS computer program. The results of the study were summarized as follows : 1. The mean score of the perceived family support was $39.31{\pm}9.42$. 2. The mean score of the perceived self-esteem was $33.16{\pm}6.75$. 3. Statistically significant factors influencing the family support among sociodemographic variables was satisfaction of marriage(F=-3.069, p<0.003). 4. Statistically significant factors influencing the self-esteem among sociodemographic variables were age(F=3.992, p=0.000), education(F=2.260, P=0.026), housing (F=-1.987, P=0.049) and satisfaction of marriage(F=-2.305, P=0.023). 5. There was a significant correlation between family support and self-esteem (r=.621, p<.000). In conclusion, perceived the family support was important for middle age women to increase their self-esteem. Nurses should be aware of the necessity of family support in the supportive nursing of middle age women and should be able to make a plan to educate the family about supporting the wife/mother. The continuing study of the health promotion of middle age women to find out variables influencing middle age women' health must continue.

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The Relationship between Pain Level and Perceived Family Support and Quality of Life in Musculoskeletal Patients with Chronic Pain (근골격계 만성통증 환자가 지각한 통증, 가족지지 및 삶의 질과의 관계)

  • Oh, Hyun-Ja
    • The Korean Journal of Rehabilitation Nursing
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    • v.1 no.1
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    • pp.93-109
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    • 1998
  • The purpose of study is to identify the relation between pain level and perceived family support and quality of life in musculoskeletal patient with chronic pain. The subjects for the study consist of 155 patients with musculoskeletal pain that received medical treatment in hospital or by attending hospital in Chonju. The data were collected during the period from August 5 to August 14, 1998 by means of interviews with structured questionnaire. Data analysis was done by descriptive statistics. t-test, ANOVA, Pearson's correlation, Regression. Cronbach alpha using the SAS program. The result of this study were as follows : 1. The mean score of pain was 8.02, family support was 3.88 and quality of life was 3.07. 2. Hypothesis : The first hypothesis that 'The lower pain level is, the higher quality of life is' was accepted (r=-.2178, p= .0065). In addition, pain level of musculoskeletal patient with chronic pain provided predicted 4.7%(F=7.619, P= .0065) of quality of life. The second hypothesis that 'The higher perceived family support is, the lower pain level is' was rejected (r=-.0376, p= .6425). The third hypothesis that 'The higher perceived family support is, is higher quality of life is' was accepted (r= .3212, p= .0001). In addition, perceived family support of musculoskeletal patient with chronic pain provided predicted 10.31% (F=17.597, p= .0001) of quality of life. 3. General characteristics related pain were age(F=6.85, p= .0001),educational-level(F=9.29, p= .0001), occupation(F=5.81, p= .0037), marriage status(F=8.09, p= .0005), family numbers(F=5.73, p= .001), benefits of medical care(F=4.09, p= .0019), pain period(F=9.52, p= .0001), part of pain(F=2.33, p= .0352), pain period(F=3.08, p= .0181). 4. General characteristics related pain were sex(t=3.20, p= .0017), support sources(t=3.26, p= .0014), pain period(F-4.52, p= .0018). 5. General characteristics related pain were religion(t=3.11. p= .0022), benefits of medical care(F=3.61, p= .0293), pain duration(F=3.03, p= .0195). In conclusion, perceived family support in musculoskeletal patient with chronic pain is an important factor that can improve their quality of life. Therefore, nurses must establish nursing plan included patient's family when nurses carry out nursing intervention and education for patient so that a patient promote quality of life by maintaining optimal wellbeing.

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Study on the Relationship between Family Support and Functional Recovery in Cerebrovascular Accident Patients with Rehabilitation Treatment of Oriental Medicine (한방재활치료를 받은 뇌졸중 환자가 지각한 가족지지와 기능회복에 관한 연구)

  • Kim, Kwang-Joo;Lee, Hyang-Yeon
    • Journal of East-West Nursing Research
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    • v.2 no.1
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    • pp.22-36
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    • 1997
  • Functional recovery of cerebrovascular accident (CVA) patients were studied by examining functional independence measure (FIM) to evaluate the functional state of the patients at admission to and at discharge from the hospital and its relationship with the family support. Study subjects consisted of 129 CVA patients, who were admitted and received rehabilitation treatment at K Medical Center of Oriental Medicine from August 3 to December 18, 1997. The results were as follows: 1) Total FIM score was $72.37{\pm}25.16$ at admission and $101.67{\pm}22.13$ at discharge. The difference of average score was 29.30, which was statistically significant by paired t-test. 2) The largest difference between FIM scores at admission and at clischarge was observed in items of walking and wheel-chair riding, and the smallest clifference in items of social interaction. 3) The recovery was faster with motor function than with cognitive function, because the difference of FIM scores at admission and at discharge was much larger with motor function. 4) Recovery was better in groups under age 49 than in groups above age 70. Functional recorvery was prominent especially in groups with normal sensory state and speech functions, and groups without urinary incontinence. Recovery was less significantly in patients with paraplegic patients hospitalized longer than 2 months, patients with family all the time, and patients with CVA over 11 days. 5) We could not find any relationship between functional recovery and family support. FIM scores were lower in groups of old age(r=-0.325), long stayed in hospital (r=-0.426), and long period of time after the onset of disease(r= -0.339) with a reciprocal correlation between FIM scores and these parameters. 6) Stepwise multiple regression analysis was done to evaluate factors to affect the recovery from CVA. FIM score at admission could explain 51.2 % of the functional recovery. Important factors were periods of hospitalization, state of sensory function, age, and education (listed in decreasing order of importance). In total, they could explain 64.89% of the functional recovery. These results indicate that functional recovery of CVA patients, who were admitted to oriental medicine hospital for rehabilitation treatment, could be estimated by measuring FIM scores. Recovery was significantly better at discharge from the hospital than at admission and motor function recovery rate was much faster than that of cognitive function. 2. Recommendation Based on these results, we recommend following further studies. 1) Comparative study of recovery of motor function and of sensory function would be necessary by measuring FIM scores once a week to evaluate the recovery of CVA patients. 2) It would be interesting to see whether there is any difference of functional recovery between patients treated with either western medicine or oriental medicine. 3) Psychological factors affecting the recovery of CVA patients need to be studied.

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Study on Resources That Influence Drop - Out Teenage Children's Choices on School Reentry: Central Focus on Family Resources (학업중단 청소년 자녀의 학교복귀 선택에 영향을 미치는 자원에 관한 연구: 가족자원 등을 중심으로)

  • Yun, Nana;Park, Jeongyun;Park, Yeonsuk
    • Journal of Family Resource Management and Policy Review
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    • v.26 no.1
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    • pp.27-42
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    • 2022
  • This study was conducted to examine the resources that influence the choice of drop-out students' reentry to school. A total of five years of panel analysis of 2,553 drop-out teenagers from 2013 to 2017 were utilized. In order to verify the resources that affect the choice of school reentry of teenagers with experiences of suspension of studies to formal middle and high school after July 2012, this study analyzed drop-out teenagers' family resources as well as their psychological, mental, and social-relationship resources. A crossover analysis, t-test, and hierarchical logistic regression analysis were conducted. The major outcomes of this study are as follows: First, the socio-demographic variables among the resources that affected the choice of reentry for school of teenager children were the type of family and number of moves to a new house. Second, the psychological and sentimental variable that affected the choice of school reentry was a decreasing level of positive recognition of the situation of suspension of studies combined with depression, impulsiveness, and perceiving society as one that discriminates based on the level of education. Third, significant family resource variables were the type of family form and parents providing economic support, which is a subfactor of parental attachment. Fourth, the presence of a mentor as a helpful social-relationship resource had a significant effect on relational resources. This study is significant in the sense that the positive family resources that affect the choice of school reentry of drop-out teenage students were determined, and the positive directivity of supportive family resources is presented for parents with teenage children experiencing a suspension of studies.

The correlation among stress, coping behaviors and perceived social support in school age children (학령기 아동의 스트레스와 대처행위 및 사회적지지 지각과의 관계)

  • Kim, Kyeong Uoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.373-381
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    • 2016
  • This research is a descriptive correlation research to examine the relationship among stress, coping behaviors, and perceived social support in school-age children. Students in third, fourth, and fifth grades at one elementary school in A metropolitan city were included for this research. A researcher of the study visited the elementary school and obtained appropriate approval to conduct this survey. Then, a total of 481 students answered the questionnaire; finally, the questionnaires of 409 students were analyzed after excluding 72 questionnaires due to unreliable responses. Descriptive statistics, T-test, ANOVA, and Pearson's correlation were used to analyze the collected data with SPSS 13.0. In the stress scores, academic stress was associated with the highest score ($9.30{\pm}4.41$). With respect to stress coping behaviors, lower-grade students showed to have significantly higher scores in coping behavior of pursuing social support than higher-grade students (F=3.181, p=.043); male students had higher scores in aggressive coping behavior than female students (t=-3.399, p=.001). Perceived social support scores were higher in the following order: family members ($33.01{\pm}7.61$), friends ($28.43{\pm}7.89$), and teachers ($25.71{\pm}6.30$). Female students had higher scores in perceived social support from friends (t=3.842, p=.000) and teachers (t=3.037, p=.003) than the male students. As the stress scores increased, passive coping behaviors (r=.410, p=.000) and aggressive coping behaviors (r=.445, p=.000) have been significantly increased. As perceived social support is higher, active coping behaviors (r=.455, p=.000) and coping behaviors to pursue social support (r=.429, p=.000) were significantly increased. Therefore, we can conclude that stress management is very significant for children. It would be necessary to develop nursing intervention programs in order to reduce the aggressive and passive coping behaviors of children and encourage perceived social support.

The Psychosocial Well-Being of Grandparents Raising their Grandchildren: The Role of Resources, Type of Care and Perception of Caregiving (손자녀 돌봄과 조부모의 심리적 복지: 돌봄 상황, 양육지각, 자원의 상호관련성을 중심으로)

  • Kang, Yoo-Jean
    • Korea journal of population studies
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    • v.34 no.1
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    • pp.73-97
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    • 2011
  • This study examined what factors were associated with psychological well-being of grandparents providing daily care to their grandchildren. More focus on the role of various mediators such as caregiving perception and resources were given to investigate the complicated relationships between providing care and psychological function. I used the nationally representative data from the '2008 Korean National Survey of Welfare Need in the Elderly'. Results showed that there were diverse circumstances of caregiving. Grandparents who cared their grandchildren on behalf of dual career parents emerged predominantly from them. Findings also suggested that type of caregiving was related to external factors. Grandparents shouldering greater responsibility for their grandchildren showed lower levels of resources such as financial conditions and social support, and more negative perception of caregiving, which in turn was associated with lower psychological well-being. Finally, more financial resource and neighborhood support directly influenced more positive perception of caregiving. To enhance resources and empower grandparents raising their grandchildren, community-based intervening mechanism incorporating various environments and effective services to meet the needs of grandparents should be discussed in future studies.

Factors Influencing Life Satisfaction Among the Senior Welfare Center Elderly (복지관 이용 노인의 생활만족도에 영향을 미치는 요인)

  • Kim, Chun Gill;Park, Hyea Ja
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.535-546
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    • 2007
  • Purpose: This study was conducted to evaluate life satisfaction(LS) and to assess the factors that influence LS in senior center elderly people. Methods: The subjects were 253 elders who visited the Y city Senior Welfare Center between July 2006 and August 2006. Data were collected using structured questionnaires. The instruments were composed of Kang's Family Support Scale, Depression Scale by Sheikh & Yesavage, Laffery's Health Concept Scale, and LS scale by Choi. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program. Results: The LS level showed a maximum score of 38 with a mean score of 23.23. The mean scores for depression, health perception and family support were 5.52(maximum score, 15), 77.46(maximum score, 112), 43.45(maximum score, 55) respectively. The LS were significantly correlated with health perception, depression and family support. Depression was the most powerful predictor of and it accounted for 42.0% of the total variance in LS. A combination of significance of eudaimonistic health perception and satisfaction with pocket money accounted for 47.2% in LS. Conclusion: Depression and health perception were identified as affecting variables for the LS. Based upon these results, nurses should help the aged to enhance their LS.

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Health Perception and Family Support as Influencing Factors on Depression in Hospitalized Elderly Patients (건강지각과 가족지지가 입원 노인환자의 우울에 미치는 영향)

  • Lee, Sun-Ok;Kim, Moon-Jeong
    • The Korean Journal of Health Service Management
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    • v.9 no.4
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    • pp.145-155
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    • 2015
  • Objectives : The purpose of this study was to test the influencing effects of health perception and family support on depression in elderly patients. Methods : Two-hundred forty-nine hospitalized geriatric patients were recruited in B city, South Korea. They were asked to complete a questionnaire, and 214 data sets were included in multiple regression analysis. Results : Subjects perceived a higher level of depression. Influencing factors of depression were hospitalization experience (t=3.476, p=.001), health perception (t=-3.310, p=.001), education (t=2.684, p=.008), economic satisfaction (t=2.579, p=.011), satisfaction with allowance (t=2.262, p=.025), and family support (t=-2.200, p=.029). The model was statistically significant explaining 36.3% of the variance (F=21.257, p<.001). Conclusions : In dealing with depression, nurses in elderly care facilities should be more concerned about patients with hospitalization experiences. Interventions to improve health perception should be provided to elderly patients, and educational programs on how to support patients are needed for the families of patients.