• 한국노년학
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• v.29 no.1
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• pp.37-50
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• 2009

The purpose of the present study was to develop a community-based intensive health care program for the community dwelling elderly to strength their functional status and to verify the effect on their geriatric syndrome. A one-group pretest-posttest design was used for the study. A total of 69 frail elderly, who lived in the area within 20 minutes by car, were committed themselves to the day care center(Sangikjae), and had the ability of verbal communication were selected from G city in Kyunggi province. The participants completed a set of questionnaires to measure the sub-score of frailty, fall, urinary incontinence, malnutrition, and mild cognitive disorder domain, using the Otasha-Kensin through the physical examinations and interviews. After 4 weeks of intervention, the outcome was measured to evaluate the effects of the program, and the data obtained were analyzed using descriptive statistics, paired t-test and McNemar test. The results showed that the sub-score of frailty, fall, urinary incontinence, and malnutrition domain were statistically significantly decreased after intervention except those of urinary incontinence and mild cognitive disorder domain, implying that the risk of frailty, fall, and malnutrition was decreased. These findings indicated that community-based the intensive health care program is effective for relieving geriatric syndrome of the community dwelling elderly.

• 한국노년학
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• v.30 no.4
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• pp.1239-1261
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• 2010

The main purposes of the study were to identify factors affecting health-related quality of life of elderly stroke survivors, and to suggest social work interventions for improving their quality of life. The participants were 328 elderly stroke survivors over 55 years old recruited from 18 long-term care hospitals and 13 nursing care facilities in Chung-Nam Province, Korea. The data was collected through a direct survey method from Dec. 16, 2008 to Jan. 17, 2009. Statistical analysis revealed that the overall health-related quality of life among participants was relatively low, especially in the social relationships domain. As a result of hierarchical multiple regression analysis, depression emerged as the most significant predictor of elderly stroke survivors' health-related quality of life, followed by financial burden in future, activities of daily living, acceptance of disability, comorbidity, and major financial supporter(spouse). Health-related quality of life of elderly stroke survivors in long-term care facilities was affected by a variety of variables from disease-related factors to environmental ones. Particularly psychosocial variables were the most powerful factors to predict HRQOL of elderly stroke survivors. Based on the results, social work implications were discussed in the context of developing clinical strategies to alleviate elderly stroke survivors' health-related quality of life in long-term care facilities. Living with chronic illness and disability is a great challenge to the elderly. Most of all long-term residence in care facilities can cause deterioration of quality of life in old age. From now on, studies on health-related quality of life of elderly with chronic illness and disability should be activated in social work field.

• 한국노년학
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• v.31 no.2
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• pp.277-290
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• 2011

The present study examined the impact of work stress and job satisfaction on intention to leave among staff including social workers, nurses, and care workers. The study subject included 235 staff in a welfare organization that provides long-term care services. Data was analyzed using multiple linear regression. The findings of the study show that work stress and job satisfaction affect intention to leave in the context of welfare organizations. Demographic variables were not the main focus of this study and thus these results are incidental. Staff with higher levels of work stress were more likely to think about leaving, while those with grater job satisfaction were less likely. There were several limitations in this study. Generalizability of the findings are limited to staff working in the province of Jeonnam. The results have important implications for the development of strategies to minimize turnover intention in long-term care. Reducing the intent to leave is desirable for issues of both cost reduction and quality of care. Managers could perhaps start to consider decreasing work overload assigned to staff. This study also provides some insight into the work status of new staff. Clearly this finding needs to be explored in further research studies. A more comprehensive model is likely required to adequately explain intention to leave the job.

• 한국노년학
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• v.29 no.1
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• pp.89-99
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• 2009

This study aims to identify the influence of the satisfaction of the elderly with their participation in fitness on the expectation of support and family function. First, overall satisfaction and satisfaction with service quality out of satisfaction factors with the participation in fitness significantly affected family cohesion and family adaptability, and they significantly affected family adaptability in psychological satisfaction factors. Second, all of the sub-factors of the satisfaction with the participation in fitness significantly affected the expectation of support. Third, the satisfaction with fitness of the elderly directly affected family cohesion and family adaptability, which posted .162 and .239 respectively. Plus, the satisfaction with the participation in fitness indirectly affected the expectation of support, which posted .032 and directly affected the expectation of support, which posted .722. Also, family cohesion directly affected the expectation of support, which posted -.101, and family adaptability directly affected the expectation of support, which posted .201.

• 한국노년학
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• v.31 no.1
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• pp.97-109
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• 2011

The purpose of this work is to examine how work stressors are related to the burnout among staff in long-term care facilities for the elderly. This study offers some responses to a growing stress and burnout for the long-term care workers. The demand for long-term care workers is set to rise in light of an increasing share of older people and dependent elderly. Long-term care workers provide long-term care services to persons with a reduced degree of functional, physical or cognitive capacity. Cross-sectional survey data were collected from 216 staff in long-term care facilities. The standardised Maslach Burnout Inventory(MBI) was used to assess levels of burnout in long-term care workers. The MBI consists of 22 items using a 5-point Likert scale, measuring three sub-scales of burnout; Emotional exhaustion, Depersonalization, and Personal accomplishment. Data were analyzed using regression. This study is empirically tested the degree of association between burnout and its antecedents. The majority of differences in burnout could be explained by work stressors such as client relationship, job overload, job role conflict, and conflicts with clients' family. The study also identified workers' perceptions of their image in society and emotional support as predictors of burnout. Therefore long-term care facilities are encouraged to review their practices so that workers well-being is supported. The study findings suggest attention for organizational oriented initiatives to cope with burnout.

• 한국노년학
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• v.30 no.4
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• pp.1345-1357
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• 2010

This research, with the participants of the female elderly using a home-visit bath among long-term care services, made an in-depth analysis of what they experience while getting a home-visit bath. We conducted in-depth interviews with 8 elderly people. According to the result, the female elderly experienced the absence of a caregiver, difficulty in carrying out daily life due to physical diseases, getting what they need by themselves, getting comfortable in body and mind, accepting their given situation though feeling shame at getting a bath, and expressing their desires. In addition, they had a close relationship with a care helper. On the basis of the results, a systematic training system which could intensify the professionalism of care helpers was suggested. For the enhancement of the elderly's emotional stability in a long-term care, an integrated case management system was also suggested, which supports the family by organizing an integrated network by region between a long-term care service, home-visit care service, welfare center, and the National Health Insurance Corporation.

• Korean Journal of School Psychology
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• v.9 no.2
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• pp.289-309
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• 2012

This is a longitudinal study which analyzed suppression effects of active/passive coping strategies on academic burnout, using a structural equation modeling. A total of 357 middle school students participated in this study for two waves. In order to measure the levels of students' coping strategies and academic burnout, the Ways of Coping Checklist and the Korean version of Maslach Burnout InventoryStudent Survey(MBI-SS) were used. Latent variables were constructed with standardized residuals computed from a simple linear regression in order to capture the intra-individual changes between two time points. The results of this study are like below. First, the relationship between the change of active coping strategy and the change of passive coping strategy is positively and significantly related with each other. This result indicates that students under stress use various coping strategies simultaneously. Second, significant suppression effects were revealed between the change of active coping strategy and the change of passive coping strategy. That is, when controlling passive coping strategy, the negative relationship between the change of active coping strategy and the change of academic burnout increased. On the other hand, when controlling active coping strategy, the positive relationship between the change of passive coping strategy and the change of academic burnout increased. Based on these results, the value of this study and implications for counseling were discussed.

• Korean Journal of Social Welfare Studies
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• v.41 no.1
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• pp.175-201
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• 2010

The purpose of this study was to examine the mechanism through which youth school-based mentoring program impacts mentees' psychological and school-related outcomes such as self-esteem, self-efficacy, and attitudes toward school. The hypothetical model was assumed that mentors could improve their mentees' developmental outcomes through positive relationships with mentors as good role models and enhancement of help-seeking orientation. To investigate the mediating effect of process-related outcomes, structural equation modeling was used. The 97 adolescents were recruited through referral and random selection from middle schools in Seoul. The result showed that the effects of program participation were mediated by proximal changes in connectedness to role models and development of help-seeking orientation that, in turn, led to facilitate more positive attitudes toward school and academic activity, and improve psychological outcomes. Practice and policy implications as well as further research topics were discussed to aid the search for highly effective mentoring programs.

• Korean Journal of Culture and Social Issue
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• v.25 no.4
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• pp.279-303
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• 2019

This study investigated effects of Korean students' contacts with International students on Korean college students' multicultural competencies. This study also examined mediating effects of life satisfaction and realistic conflict perception between contacts with international students and multicultural competencies. For the purpose, 384 Korean college students completed the questionnaires including contacts, life satisfaction, realistic conflicts perception toward international students, everyday multicultural competencies, and demographic information. The results indicate that number of contacts predicts cultural self-efficacy and cultural knowledge, whereas contact diversity predicts cultural openness. Life Satisfaction predicts cultural openness, cultural self-efficacy, and cultural knowledge, and realistic conflicts perception predicts all subscales of everyday multicultural competencies scale other than cultural knowledge. Results also discovered that life satisfaction mediates the relationship between contact diversity and multicultural competencies, but realistic conflict perception did not mediate between contact diversity and multicultural competencies. Based on the results, the suggestions to enhance college students' multicultural competencies were discussed.

• Korean Journal of Culture and Social Issue
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• v.18 no.2
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• pp.279-300
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• 2012

Many studies have demonstrated that family plays a crucial role in health and wellbeing in life. There has been little research, however, examining the relative importance of activities together with family members in middle-aged adults. The goal of this study was to examine the effect of family meal, phone conversation with family, and family leisure activities on happiness, health, and family relationship. Total 286 middle-aged adults (M=50.13) participated in this study. Dependent variables were happiness (SWB), physical and psychological illness symptoms, family satisfaction, sex satisfaction, and parenting sense of competence. This research showed that (1) frequency of meal with family was positively correlated with happiness, family relationship, and negatively physical/psychological illness symptoms; (2) high frequency of talking on the phone with family resulted in that high level of happiness, family satisfaction, sex satisfaction, and parenting sense of competence, and lower illness symptoms; (3) the more participants spent leisure time with family, the happier and the more family satisfaction they feel. Findings suggest that activities together with family members in middle-aged adults may enhance their happiness, health, and quality of family relationship. The implication for current study were discussed.