• 한국노년학
• /
• v.31 no.4
• /
• pp.999-1014
• /
• 2011

The purpose of this study is to examine the effects of long-term care insurance(macro-system) on family relationship(micro-system)s' change based on ecosystems theory. Data come from the second(2007) and the fourth(2009) Korean Welfare Panel Study(KWPS). Experimental group is the beneficiary using long-term care insurance and the member of household in their households, and control group is the non-beneficiary not using long-term care insurance and the member of household in their households. The main findings of difference-in-difference model analysis are as follows. First, the ecosystems theory is a theory examining the correlation between long-term care insurance and family relationship. Second, the effects of long-term care insurance is not income effect but independent effect. This result shows that the meaning of family has faded away and family relationship has been weaken and that long-term care insurance has not complete characteristics as a social insurance. Thus, system reforms of long-term care insurance is highly needed for system comprehensiveness, coverage, adequacy, and service accessibility and is changed into family-friendly social policy.

• Korean Journal of Human Ecology
• /
• v.10 no.1
• /
• pp.127-139
• /
• 2001

The purpose of this study was to find out the relationships among the elderly's self-esteem and life-adjustment according to decision-making power in their family. Interview survey was conducted and were selected. 296 over age 60 who lived in Jeonju. Frequencies, Percentiles, Pearson's correlation, t-test, ANOVA and Duncan's method were utilized for data analysis. The findings of this study were as follows ; 1) Decision-making power of the elderly in family had significant differences according to sex, coresiding with married children, and the sum of monthly personal expenses. 2) Elderly's self-esteem had significant differences according to sex, the present job, the situation of a spouse, and the sum of the monthly personal expenses. 3) Elderly's life-adjustment had significant difference according to residence type, the present job, the situation of a spouse, religion, education, and the sum of the monthly personal expenses. 4) Clothing and food in family had significant differences according to sex. 5) The elderly men's self-esteem had positive relationship with housing, sons and daughters guidance, grandchildren care, and family event and etc. But the elderly women's self-esteem had positive relationship with food, grandchildren care, and family event and etc. 6) The elderly men's life-adjustment had positive relationship with clothing, food, housing, family economy, sons and daughters guidance, grandchildren care, and family event and etc. But the elderly women's life-adjustment had positive relationship with food, housing, sons and daughters guidance, grandchildren care, and family event and etc.

• Journal of Hospice and Palliative Care
• /
• v.23 no.2
• /
• pp.55-70
• /
• 2020

Purpose: This study was conducted to examine differences in Spiritual Interests Related to Illness Tool (SpIRIT) scores and the degree of spiritual needs (SNs) between patients with terminal cancer and their primary family caregivers and to compare spiritual needs between them. Methods: The study participants were inpatients with terminal cancer and their primary family caregivers at 40 national hospice centers. The final analysis included 120 SpIRIT surveys from patients and 115 from family members, and 99 SNs questionnaires from patients and 111 from family members. Data analysis was conducted using descriptive statistics, the t-test, one-way analysis of variance, and Pearson correlation coefficients. Results: There were no significant between-group differences in SpIRIT scores or SNs. The SpIRIT sub-dimensions that ranked high for both patients and primary family caregivers were "maintaining positive perspective", "loving others", and "finding meaning". The SNs sub-dimensions were ranked identically in both groups, in the order of "love and connection", "hope and peace", "meaning and purpose", respectively. In both groups, the recognition of the importance of spiritual matters and religion were major factors influencing SpIRIT scores and SNs. Conclusion: The SpIRIT scores and degree of SNs of patients with terminal cancer and their primary family caregivers were found to be very closely related, and the needs for coherence and meaning were greater than religious needs. When providing spiritual care for patients with terminal illness, family members should also be considered, and their prioritization of spiritual needs and the importance of spiritual matters and religion shall be taken into account.

• Korean Journal of Adult Nursing
• /
• v.18 no.3
• /
• pp.457-467
• /
• 2006

Purpose: The purpose of this study was to identify the main factors influencing family functioning of caregivers in families with stroke. Method: A Convenient sample of 173 primary family caregivers who take care of a stroke patient at an Oriental medicine hospital in Jeonbuk. Interviews were done with a standardized questionnaire including family functioning by nurses. Results: In Pearson's correlation analysis, the influencing factors related to family functioning were ADL(p=.017), level of paralysis(p=.019) as stressors, Quality of relation(p=.000) as situational variables, and family caregivers' burden(p=.000). Stepwise multiple regression analysis showed 29.9% of the variance family functioning was significantly accounted for by the quality of relationship between stroke patient and caregiver(26.8%), and caregiver burden(3.1%). Conclusions: Findings indicate that families of stroke patients need family-focused nursing intervention as supported care to improve the relationship between patient and primary caregiver and relieve caregiver burden by culturally tailoring to Korean.

• Journal of Family Resource Management and Policy Review
• /
• v.3 no.1
• /
• pp.95-104
• /
• 1999

This study aims to review the family life and its changing process in the early twenty’s century. It is explored through the editorial of the Maeil-Shinho during 1910∼1945. It is valuable work to explore of family life in the Maeil-Shinbo newspapers because it was continuously published from 1910 to 1945. The author attempted to study family life in five major such as food and nutrition, clothing, resource management, family, and child care. And of the articles food and nutrition parts ranks the highest order and clothing care was the second highest. In the early nineteenth century, many of articles were about to family life but decreased its amount by 1940. Of the editorials, most articles had dealt with the educational context in order to improve the quality of family life.

• Journal of Korean Critical Care Nursing
• /
• v.5 no.1
• /
• pp.1-11
• /
• 2012

Purpose:The purpose of this study was to examine the effects of video-centered information among family members intensive care unit (ICU). Methods: A quasi-experimental, nonequivalent control group, pretest-posttest design was used. Participants (n=86) were family members who were the main caregivers for the patient in ICU. An experimental group (n=43) watched a video while the control group (n=43) was provided a leaflet. Levels of environmental stress, anxiety and nursing need satisfaction were measured by questionnaires before and after the interventions. Data were analyzed with ${\chi}^2$ test, paired t-test, independent t-test, Fisher's exact test and ANCOVA. Results: There were no differences in environmental stress (F=1.88, $p$=.065), and anxiety (t=0.37, $p$=.711) between 2 groups, but there was a significant difference in nursing need satisfaction (t=3.01, $p$=.004). Conclusion: Providing video-centered information would be an effective nursing intervention by improving nursing need satisfaction among family, the main caregivers members of patients in ICU.

• Korean Journal of Adult Nursing
• /
• v.26 no.6
• /
• pp.603-613
• /
• 2014

Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

• Journal of Korean Academy of Nursing
• /
• v.30 no.2
• /
• pp.402-412
• /
• 2000

The purpose of this study is to identify health promotion behavior, self-efficacy and role stress of family caregivers who care for hospitalized cancer patient, The results would be used to provide the necessary basic data for promoting healthy behavior of the family caregivers to the cancer patient. The results were as follow : 1) The level of health promotion behavior was significantly different depending on the existence of care givers religion and type of help from family members. There was a positive relationship between the performance level of health promotion behavior and perceived health status or age. There was a negative correlation between the performance level of health promotion behavior and time cared for. 2) The level of self-efficacy was significantly different depending on gender and if the subject was employed. There was a positive relationship between perceived health status and intimacy with patient. 3) The level of role stress was significantly different in genders and relationships with patients. 4) There was a positive relationship between health promotion behavior and self-efficacy.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.8
• /
• pp.3950-3957
• /
• 2013

The study was done to identify factors influencing self-care in tuberculosis (here in after TB) patients. Data were collected by questionnaires from 216 TB chemotherapy as outpatients by visiting a "M" TB hospital located in the C city. Measures were self-care, health-belief(susceptibility and severity, benefit, barrier), and family support. Data were analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with the SPSS/WIN 19.0 version. The subjects' self-care score 3.76 out of 5. There were significant differences in self-care among the subjects due to gender, marital status, family structure with the subjects, average monthly income, smoking status, drinking status and period of taking TB drugs. There were significant correlations among benefit, barrier, family support, and self-care. According to the research, influencing factors on self-care in TB patients included family support, barrier, average monthly income, smoking status, and benefit. Findings from this study can be used as basic data to develop self-care programs for TB patients.

• Journal of Korean Critical Care Nursing
• /
• v.8 no.2
• /
• pp.43-54
• /
• 2015

Purpose: This study aimed to identify the effects of education, using a relocation information guidebook, on the family caregivers of patients who were scheduled to be transferred from a neurosurgical intensive care unit to a general ward. Methods: They were divided into two groups: an experimental group (n = 21) and a control group (n = 20). A relocation information guidebook was created based on a literature review and an interview with five family caregivers about how to satisfy their needs. The collected data were analyzed with a ${\chi}^2$ test, Fisher's exact test, paired t-test, and t-test. Results: The effect of education, using the relocation information guidebook, on the family caregivers of patients who were relocated to a general ward from the neurosurgical intensive care unit was not significant for relocation stress (t = 0.94p, = .352) or anxiety (t = 1.25, p = .217), but was significant for education satisfaction (t = -2.50, p = .017). Conclusion: There were no differences in relocation stress and anxiety scores between the control and experimental groups. However, several methodological issues were highlighted that must be considered in future research, including the timing and measurement of transfer anxiety, and the intervention itself.