• 한국사회복지학
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• 제61권2호
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• pp.325-348
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• 2009

암은 우리나라의 사망원인 1위로, 환자뿐 아니라 가족의 삶에도 큰 영향을 미친다. 특히, 돌봄책임을 맡고 있는 가족원의 삶의 질은 사회적 지지, 돌봄 부담에 대한 평가, 재평가에 의해 영향을 받는다. 암환자 가족의 삶의 질을 향상시키기 위해서는 이들 요인들 간의 유기적인 관계를 밝혀 사회복지 실천 방법을 발전시킬 필요가 있다. 본 연구에서는 국립암센터를 이용하는 암환자 가족 295명의 사회적 지지, 돌봄 부담감, 내적 성장, 삶의 질을 파악하고, 이들 변수간의 관계를 구조방정식모형을 통해 검증하였다. 연구결과 첫째, 연구모형의 적합성을 검증하였을 때 적합도 지수가 CFI(.951), TLI(.940), RMSEA(.062)으로 좋은 적합도를 보였다. 둘째, 직접효과에 대한 검증결과 사회적 지지의 돌봄 부담감, 내적 성장에 대한 직접효과, 돌봄 부담감의 내적 성장, 삶의 질에 대한 직접효과, 내적 성장의 정신적 삶의 질에 대한 직접효과가 통계적으로 유의하였다. 셋째, 돌봄 부담감, 내적 성장의 매개효과에 대한 검증 결과, 사회적 지지가 삶의 질에 미치는 영향에 대한 돌봄 부담감의 매개효과, 사회적 지지와 돌봄 부담감이 정신적 삶의 질에 미치는 영향에 대한 내적 성장의 매개효과가 통계적으로 유의하였다. 이러한 결과에 따라 암환자 가족의 삶의 질에 영향을 미치는 사회적 지지, 돌봄부담, 내적성장간의 관계에 대하여 논의하고 사회복지 실천 및 연구를 위한 함의를 제언하였다.

• 아동학회지
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• 제29권5호
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• pp.1-12
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• 2008

This study investigated the development of complex sentences in the early utterances of Korean-Chinese children. The subjects were 47(20 2-year-old, 15 3-year-old, and 12 4-year-old) Korean-Chinese children living in China. Each child's spontaneous natural speech during interaction with his/her caregiver was videotaped for about 30 minutes and analyzed for Korean complex sentences using Kim's(2000) categories and Korean Computerized Language Analysis 2.0(2000). Results showed that older children were higher in Mean Length of Utterance and in number and frequency of word types than younger children. The language development of bilingual children was delayed compared with monolingual children but the developmental sequence between bilingual and monolingual children was similar.

• 대한가정학회지
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• 제34권4호
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• pp.145-160
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• 1996

The purpose of this study was to identify caregiving situations and to examine resources for adjustment among family caregivers of the elderly with dementia. Thereby the study can provide the basic information for the development of education programs for family caregivers through in-depth interview. The main result of this study was as follows : 1) The major problems identified by family caregivers I caring for the elderly with dementia were related to care recipient's toileting and to care recipient's confusion and wandering. 2) The family caregiver expressed feelings of burden including chronic fatigue, depression, guilt and frustration. 3) The factors influencing the adjustment of family caregivers for demented elderly were quality of relationship, motivation for caregiving, circumstances of caregiving, social support and coping strategies.

• 반도체디스플레이기술학회지
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• 제12권2호
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• pp.73-78
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• 2013

This paper proposes a portable electrocardiograph and smart device-based heart health monitoring and risk notification system. The proposed system consists of a portable electrocardiograph and a smart device for a system user, and a web-based monitoring system for observers. This system can improve the convenience and efficiency of measurement by using a light-weight portable electrocardiograph and a smart device. In addition, any authorized person such as caregiver or family member who is not related to medical institution can monitor users'heart health in real-time using the web-based monitoring system. Therefore, a user and authorized remote observers can efficiently monitor and manage user's heart health in daily-life even without any medical institution's help, and can preemptively deal with any possible dangerous situations, such as degeneration of a cardiac disorder and sudden cardiac death.

• International Journal of Human Ecology
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• 제11권1호
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• pp.49-63
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• 2010

The current study examined the effects of socio-demographic characteristics and peer relations on the emotional, behavioral, and comorbid disorder symptoms among low-low-SES children, using the Young Lives Survey: an International Study of Childhood Poverty: Round 1, 2002. Participants were 1,000 8-year-old children (502 boys and 498 girls) from low-low-SES families. Data were analyzed using ANOVA, t-tests, post hoc test (Scheffe's method), correlations, and multiple logistic regression analyses according to the analysis strategy. There was a moderate correlation between selected socio-demographic variables and emotional/behavioral disorder symptoms, and the caregiver's marital status, child's health compared to others, child's work status corresponded to significant differences in their emotional/behavior levels. Regarding the logistic regression analysis, in addition to the effects of socio-demographic variables reflecting the characteristics of less-developed countries, marital status, child's working status, and conflicts with peers proved to be detrimental to emotional, behavioral, or comorbid disorder symptoms in low-SES children, who have been lack quality parenting, social resources, and child human rights. Results indicated the need to develop health care services that would address those problems and appropriate intervention and prevention programs targeting children in low-income families. Moreover, careful assessment and intervention for child's health status, child's working status and peer relationship problems are suggested as possible strategies for helping children at risk of exhibiting further problematic behaviors.

• 가정∙방문간호학회지
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• 제19권1호
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• pp.37-45
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• 2012

Purpose: This study was conducted in order to identify the brain injury patients's disability degree and educational needs of family caregivers. Methods: A convenience sample of 94 families with brain injury patients, who have been receiving treatment at the neurological intensive care unit and neurosurgery ward, were used. Data was collected with a self-report questionnaire from September 5 to November 28, 2011, and was analyzed using SAS program. Results: 'Defecation/urination' disability was the highest score of patient's physical disability and the next ranking was 'paralysis'. 'Memory impairment' disability was the highest score of patient's cognitive disability, and the next ranking was 'personality changes'. Overall, educational needs of family caregivers scored 4.15 out of the perfect score of 5. The factor, which scored highest, was 'information related with disease'. In addition, educational needs of family caregivers were positively related with patient's degree of. Conclusion: Educational needs of family caregivers are distinct, according to the disability degree of brain injury patient. Therefore, the study suggests the development of individualized educational program for family with brain injury patient.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.188-201
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• 2016

본 연구의 목적은 재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인을 파악하기 위하여 시도된 설명적 상관관계 연구이다. B시에 소재한 3개의 재활전문병원 주 돌봄 제공자 200명에 대한 자료를 2015년 9월 1일부터 9월 30일까지 수집하여 SPSS Win 18.0 프로그램을 이용하여 분석하였다. 연구도구는 Connor-Davidson Resilience Scale, Caregiving Mastery Subscale, MOS(Medical Outcomes Study), Burden Interview(BI)를 사용하여 측정하였다. 스트레스에 가장 큰 영향을 미치는 요인은 사회적지지로 전체의 9.3%의 설명력을 보였고, 다음으로 환자를 돌봄 기간, 종교 유무, 경제적 상태, 주 돌봄 제공자 연령, 회복 탄력성, 주 돌봄 제공자 건강상태, 환자 의식상태, 환자연령을 포함하여 주 돌봄 제공자의 스트레스는 총 30%의 설명력을 나타냈다. 따라서 이러한 결과를 바탕으로 재활전문병원에 입원중인 주 돌봄 제공자의 스트레스를 감소시킬 수 있는 사회적지지 프로그램의 개발이 필요하며, 스트레스에 영향을 준 제 특성요인들을 고려하여 스트레스 중재프로그램을 개발할 필요가 있을 것이다.

• Journal of Preventive Medicine and Public Health
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• 제42권3호
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• pp.190-198
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• 2009

Objectives : The objective of this study is to estimate the economic costs of cancer on society. Methods : We estimated the economic burden of people with cancer in South Korea. To perform the analysis, we reviewed the records of people who were cancer patients and those who were newly diagnosed with cancer. The data was compiled from the National Health Insurance Corporation, which included the insurance claims database, a list of cancer patients, a database that records the cancer rates, the Korea Central Cancer Registry Center s cancer patient registry database and the Korea National Statistical Office s causes of death database. We classified the costs as related to cancer into direct costs and indirect costs, and we estimated each cost. Direct costs included both medical and non-medical care expenses and the indirect costs consisted of morbidity, mortality and the caregiver's time costs. Results : The total economic costs of cancer in South Korea stood at 14.1 trillion won in 2005. The largest amount of the cost 7.4 trillion won, was the mortality costs. Following this were the morbidity costs (3.2 trillion won), the medical care costs (2.2 trillion won), the non-medical care costs (1.1 trillion won) and the costs related to the caregiver's time (100 billion won). As a result, the economic cost of cancer to South Korea is estimated to be between 11.6 trillion won to 14.1 trillion won for the year 2005. Conclusions : We need to reduce the cancer burden through encouraging people to undergo early screening for cancer and curing it in the early stage of cancer, as well as implementing policies to actively prevent cancer.

• Journal of Preventive Medicine and Public Health
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• 제39권3호
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• pp.243-248
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• 2006

Objectives: The Quality of Life-Alzheimer's Disease (QOL-AD) scale is a reliable and valid tool for assessing the quality of life (QOL) in the elderly with dementia. This study aimed to develop the Korean version of Quality of Life-Alzheimer's Disease (KQOL-AD) scale for the demented elderly living in the community. Methods: KQOL-AD was administered to two groups: 24 demented elderly and 72 cognitively impaired elderly with no dementia (CIND) who were living in the community Each elderly person and their caregiver rated the elderly QOL. The Korean version of mini-mental state examination (MMSE-K), the clinical dementia rating (CDR), the activities of daily living (ADL), and the neuropsychiatric inventory (NPI) were also assessed. The reliability and validity of the KQOL-AD were examined. Results: In the dementia group, the internal consistency (Cronbach's $\alpha$), the split half and the test-retest reliabilities of the KQOL-AD were excellent. Scores on the KQOL-AD were significantly correlated with the scores of the NPI, but they were not significantly correlated with scores of the MMSE-K, CDR and ADL. In addition, the CIND group showed similar results to the dementia group. Conclusions: KQOL-AD might be a reliable and valid instrument for assessing QOL in the elderly with dementia It could be used as an important outcome measure for research on the demented elderly.

• 한국생활과학회지
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• 제24권4호
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• pp.477-497
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• 2015

The purpose of this study was to examine the psychometric property of the Children's Behavior Questionnaire(CBQ), including reliability, content validity, construct validity, cross validity, and concurrent validity with EAS(Emotionality, Activity, Sociability) scale. The CBQ is a caregiver report measure designed to provide a detailed assessment of temperament in children 3 to 7 years of age. In this study, two groups of participants were included to check cross validity. The first group of participants were 108 preschoolers, 3 to 7 years of age attending kindergartens or child care centers, and their mothers. The second group of participants were 168 preschoolers and their mothers. The CBQ subscales demonstrate adequate internal consistencies. Also, exploratory and confirmatory factor analyses of the CBQ scale reliably recover a three-factor solution indicating three broad dimension of temperament: extraversion/surgency, negative affectivity, and effortful control. Evidence for concurrent validity derives from results of correlation analysis with EAS scale.