• 가정∙방문간호학회지
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• 제15권2호
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• pp.115-121
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• 2008

Purpose: The purpose of this study was to identify the needs of family caregivers of home care patients. Methods: A total of 40 caregivers had been selected from a hospital-based home care agency in Gyunggi province. The instrument developed by Hileman, Lackey, & Hassanein(1992) was modified to 55 items and used in this study. The instrument consists of 6 categories: informational, household, patient care, personal, spiritual, and psychological needs. Out of 29 analysed with descriptive statistics, Mann-Whitney U test, and Spearman correlation test using SPSS 14.0. Results: Most caregivers were females, with a mean age of $60.0{\pm}15.5$, 32.1% were spouses, and 92.9% were living with patients. Patient's activities of daily living score was very low, and 44% of patients had cerebrovascular disease. Caregiver's needs were moderate, and the greatest being personal need. There was a significant difference between caregiver's monthly income and needs. Conclusion: Home care nurses need to teach and support family caregivers with specific programs and services to meet the identified and unmet needs of caregivers of home care patients. In-home respite and institutional respite are recommended for family caregivers taking care of patients with chronic disease.

• 가정∙방문간호학회지
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• 제12권2호
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• pp.87-101
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• 2005

Purpose: The purpose this study was to investigate the relationship between self-care performance and influential factors in hemodialysis patients. Method: The subjects of this study were 102 hemodialysis outpatients who had been visiting C University Hospital in Seoul. The data were collected through the scale of self care, self efficacy family support, daily living activity and hope from the 1st to 31st of December 2004. The collected data were analysed using SPSS PC Win 10.0. Result: The average score of self-care performance of subjects was $3.2\pm0.4$ points(4points scale) and significantly different among groups according to age and duration of dialysis. Self care performance of subjects was in a significant positive correlation with family support and hope. Factors affecting self care performance of subjects were family support, duration of hemodialysis, age and daily living function, and the explanatory power of these factors was 31.4%. Conclusion: These findings indicate that is necessary to enhance family support, to develope and apply self-care education programs in consideration of duration of dialysis and age, to have hope-giving communication with patients and their families, and to provide nursing interventions for maintaining patients' daily living function in order to improve the self care performance of hemodialysis patients

• 가족자원경영과 정책
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• 제19권1호
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• pp.111-138
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• 2015

The purpose of this study was to understand the lived experiences of grandmothers and family in transition. Grandmothers in transition means grandmothers who had married children at least one even if there are no grandchildren yet. The data for this study came from 20 grandmothers in transition of 5 focus group(each 4 persons) interview. 9 of them was pre-grandmother without grandchildren yet, 11 was grandmother who had grandchildren. The result of this study revealed that the meaning of grandmotherhood. Dynamics of family in transition around supporting child care represent change of family relations. It didn't means 'empty-nest' model of foreign theory. The Absolute quantity of intergeneral exchange and conflict extended as three generational families.

• 근관절건강학회지
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• 제7권2호
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• pp.281-293
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• 2000

This study was conducted to identify the relationships among self-care agency, family support, qualify of life in patients with rheumatoid arthritis. The subjects were 120 rheumatoid arthritis patients who attended RA O.P.D. at a university hospital, located in Daegu city, from 10th of May in 1998 to 30th of July in 1998. Three structure questionnaires were administered for explore three main research variables; 소향숙's self-care agency scale, 강현숙's family support scale, and 김종임's quality of life scale of RA patien. Data analysis was conducted with SPSS program including percentage, mean, standard deviation, mean score, Pearson Correlation Coefficient, multiple regression, and Cronbach's Alpha. Results are summarized as follows; 1. The mean of RA patient's self-care agency was 136.62, the mean of family support 37.38, and the mean of qualify of life 134.41. 2. Subject's self-care agency was positively correlated with family support(r=.2446) and with quality of life(r=.4341). Subject's family support was positively correlated with quality of life(r=.2630). 3. Stepwise multiple regression was used to determine the predictors of subject's quality of life. Significant predictors for subject's quality of life were self-care agency(t=4.873 p=0.0000), family support(t=4.480 p=0.0000) and the severity of arthralgia(t=-3.838, p=0.0002). The number of joints involved and the periods of illness did not show significant contribution to subject's quality of life. Self-care agency, family support, and family support explained 40. 39% of the variance in RA patient's quality of life. Given this results, it is suggested that a repeated study to measure RA patient's self-care practice in their own life may be needed to develope and validate an optimum level of nursing intervention for RA patient with which family support will be encouraged and patient's self-care agency will be facilitated.

• 대한가정학회지
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• 제44권5호
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• pp.89-98
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• 2006

The purpose of this study is to seek for a direction of child-care development through the basic concepts of home economics which have taken charge of much parts of the studies in child-care in the early years. When the problem of child-care is studied in view of the developmental process or the basic concepts of home economics, it is summed up as follows; First, on the basis of human ecological approach, when we study child-care, it needs to emphasize the mutual relationship between the macro-environment in connection with home and child-care. The study of child-care have to find out the relationship between the micro-environment in connection with children and the macro-environment in connection with home. And on the basis of this study, we must endeavor to build up the desirable environment of child-care. Second, on the basis of the concept of Institutional household, we mud be concerned about the developmental stages of young children, and emphasize 'the principle of love and care'. This means that the institution of child-care must be considered as a place which enlarges the merits of home and complements the defects of home through the strengthener of the function of home. Third, on the basis of healthy family, child-care service must support and complement the function of bringing of home in view of 'total healthiness of home'. Child-care service must be offered to be able to be chosen according to the total conditions of family such as the employment of mother, the family life cycle, the life style, the socioeconomic status of family.

• 대한가정학회지
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• 제32권4호
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• pp.135-147
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• 1994

The purpose of this study is to get the data on the day-care type of the employed mothers in urban area and to make it improve the day care service program. I classified day care type into four classes accoding to existing one. And we surveyed 401 employed mothers with the child under age of six who lived at Seoul. the major results were as follows; 1) Most of employed mothers felt the burden of day care expenses and payed it of their own earning 2) The common type of day care is 'by family' and the users of this type more satisfied with the condition than any other types. 3) the difficulty of day care is that can't apply the tool and materials sufficiently, except day care center, 4) The reason that they use day care center or not is thier family. 5) Accoding to child age, family composition, educational level, job, income level, employed mothers choose day care type differently. So I suggest the social support for the employed mothers.

• 아동학회지
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• 제17권2호
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• pp.181-193
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• 1996

The purpose of this study was: (1) to examine relationships between social development and day care quality, child-care experience and family characteristics, and (2) to investigate the explainability of those related variables for social development. Subjects for this study were 252 4-year-old children and their mothers from 32 day care centers in Seoul. Harms & Clifford's Early Childhood Environment Rating Scale was used to measure the quality of day care. The main results were as follows: (1) Day care quality, child-care experience and family characteristics were significantly related to social development. (2) Child's gender, months of age, mother's child rearing attitude, the length of child-care experience, overall quality of day care, and group size significantly predicted social development. 33％ of the variance of social development was explained by these variables. The relative influence of these variables to the prediction of social development was about the same.

• 한국가족복지학
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• 제54호
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• pp.77-106
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• 2016

본 연구는 암환자 주부양자의 부양부담이 자녀와의 역기능적 의사소통에 미치는 영향을 파악하고, 가족간 TSL(가족간의 긍정적 사고 및 행동)태도의 조절효과를 검증하는데 목적이 있다. 암환자 주부양자의 부양부담 및 자녀와의 역기능적 의사소통의 경우 가족생활주기에 따른 차이가 존재하므로 청장년층과 중장년층을 구분하여 비교 연구를 실시하였다. 연구를 위한 조사는 2015년 4월부터 9월까지 실시되었으며, 서울에 위치한 대형병원에서 암환자를 부양하고 있는 주부양자 199명이 대상이 되었다. 본 연구 목적에 맞게 자녀가 있는 163명을 최종적으로 분석대상으로 하였으며, 다중회귀분석을 통해 검증하였다. 연구 결과, 청장년층의 경우 암환자 주부양자의 부양부담이 자녀와의 역기능적 의사소통에 유의미하게 영향을 미쳤으며, 두 변수 사이에서 가족간 TSL 태도는 조절효과를 지니는 것으로 나타났다. 반면 중장년층에서는 부양부담이 자녀와의 역기능적 의사소통에 영향을 미치지 않는 것으로 나타났다. 이와 같은 결과를 바탕으로 암환자 주부양자 및 가족을 위한 사회복지서비스 시스템의 구축과 가족생활주기에 맞는 차별적인 개입 방안, 가족간의 긍정적 태도 형성을 위한 가족관계 증진 프로그램 실시를 제안하였다.

• 사회복지연구
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• 제44권3호
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• pp.31-56
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• 2013

한국에서 2008년부터 시행된 노인장기요양보험제도는 요양욕구가 인정된 모든 노인에게 장기요양서비스 공급이라는 사회적 지원을 제도화하였다. 이를 계기로 한국 노인돌봄의 사회적, 제도적 환경은 새롭게 형성되었다. 이러한 새로운 조건에서 가족돌봄의 위치와 의미를 재조명하고자 하는 것이 본 연구의 문제의식이다. 이를 위해 공식적인 돌봄서비스를 이용하는 노인들에 대한 가족돌봄의 변화를 분석하였다. 분석의 초점은 공식과 비공식, 제도적 서비스와 가족돌봄의 통합으로서 노인돌봄의 양상을 파악하고 이 안에서 공식적 돌봄의 역할과 가족돌봄에서 일어난 변화를 파악하는 데 있다. 이를 위해 노인장기요양보험제도를 이용하는 가족돌봄자(노인의 배우자 및 자녀) 중 재가서비스 이용자 18명을 대상으로 심층면접조사를 실시하였고, 질적내용분석을 통해 연구결과를 도출하였다. 연구 결과, 표준화된 방문요양 및 방문목욕 등 노인장기요양서비스는 개별 사례별로 상이한 비중과 의미로 이용되고 있었다. 공식돌봄과 비공식 가족돌봄의 결합양상은 다양하게 나타났는데 본 연구에서는 네 가지 서로 다른 양상을 발견할 수 있었다. 요양보호사에 의한 노인장기요양서비스를 중심으로 노인돌봄을 구성하는 양상, 가족돌봄자가 다양한 돌봄자원을 동원하며 조정하는 역할을 하는 돌봄혼합의 양상, 중증노인이 재가서비스를 이용하면서 형성되는 노인돌봄의 양상, 그리고 무엇보다 노인장기요양보험제도의 현실화과정에서 공식돌봄과 비공식돌봄을 일치시키는 변종(hybrid)방식으로 가족요양보호사 방식의 노인돌봄 양상이 그것이다. 본 연구는 표준화되고 공식화된 노인장기요양보험제도의 재가서비스 이용이 실제 다양한 노인의 욕구와 가족돌봄자원이라는 현실을 만나면서 다양한 노인돌봄의 양상으로 현실화되고 있는 것을 드러냈다는 데 의미를 가진다. 이는 노인돌봄이 공식, 비공식 돌봄의 결합으로 작동하고 있음을 증명하는 것이며 공식적 돌봄서비스의 공급이 실제 가족돌봄의 조건과 현실 위에서 이루어져야 한다는 것을 보여준다. 따라서 노인장기요양서비스 공급에서 노인이용자의 삶의 조건이자 공간으로서 가족과 지역사회의 다양한 특성이 포함되어야 한다는 시사점을 준다고 하겠다.

• 재활간호학회지
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• 제2권2호
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• pp.215-224
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• 1999

This study was designed to compare care needs of patients with cancer and family members in inpatient and outpatient settings. The questionnaire was a Likert type 5 point scale with 57 items on four need categories; informational, physical care emotional care and socioeconomic care. There were significant differences between inpatient and outpatient settings. Also, there were significant differences in degree of care need according to gender, religion, marital status, economic status, public insurance status, and the past regimen. In conclusion, emotional needs perceived by patients with cancer and family members were higher than the others. Based upon the result, it is recommended that the research to compare needs between cancer patients who have a same illness and family member are necessary.