• Title/Summary/Keyword: Family Hardiness

Search Result 33, Processing Time 0.026 seconds

Family Functioning and Quality of Life of the Family Care-giver in Cancer Patients (암환자 가족 간호자가 인지하는 가족기능수행과 삶의 질)

  • Han, Kuem-Sun;Khim, Soon-Yong;Lee, Sook-Ja;Park, Eun-Sook;Park, Young-Joo;Kim, Jeong-Hwa;Lee, Kwang-Mi;Kang, Hyun-Chul;Yoon, Ji-Won
    • Journal of Korean Academy of Nursing
    • /
    • v.36 no.6
    • /
    • pp.983-991
    • /
    • 2006
  • Purpose: The purpose of this study was to identify the relationship among quality of life, family coherence, family hardiness, and family resources of the family care-giver caring for a cancer patient. Method: Data was collected by questionnaires from 137 families with a cancer patient at a General Hospital and Government Cancer Hospital. Data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. Results: The score of quality of life showed a significant positive correlation with the score of the level of family sense of coherence, family hardiness, and family resources. The most powerful predictor of quality of life was sense of coherence and the variance was 30%. A combination of sense of coherence and family resources account for 34 % of the variance in quality of life of the family care-giver caring for a cancer patient. Conclusion: The results showed that family sense of coherence, hardiness, and family resources were significant influencing factors on the quality of life of the family care-giver caring for a cancer patient.

A Study of Factors Predicting Self-care Behavior in Diabetics (당뇨환자의 자기간호행위 영향요인 분석)

  • 김영옥
    • Journal of Korean Academy of Nursing
    • /
    • v.28 no.3
    • /
    • pp.625-637
    • /
    • 1998
  • To determine factors affecting self-care behavior of diabetics, the relationships of hardiness, family support, demographic and medical variables to self-care behavior were investigated in 180 samples with non-insulin dependent diabetes mellitus. In stepwise multiple regression analysis, 26.76% of the variance in self-care behavior was accounted for by family support(15.52%), age(7.76%), and clinical history (2.07%). To compare the magnitude of predictor's significance by gender, stepwise multiple regression was conducted seperatively by gender group. In the male sample 25.22% of the variance in self-care behavior was accounted for by family support, age, and challenge. In the female sample family support, age, and committment were significant predictors in self-care behavior with 28.82% of the variance. The results highlight the value of family support in self-care behavior in diabetics regardless of gender difference. According to the finding of this study, family support is the most significant predictor of self-care behavior in NIDDM. This implicates that in future diabetic care, a family member should be encouraged to participate in the patient education process. Also as hardiness is not supported by a unidimensional construct, more empirical studies are recommended to differentiate the conceptual traits for the three subconcepts of hardiness.

  • PDF

Effects of the Family Resilience Enhancement Program for Families of Patients with Chronic Schizophrenia (만성조현병 환자 가족의 극복력 증진 프로그램의 개발 및 효과)

  • Lim, HeeSu;Han, KuemSun
    • Journal of Korean Academy of Nursing
    • /
    • v.43 no.1
    • /
    • pp.133-142
    • /
    • 2013
  • Purpose: The purpose of this study was to evaluate the effects of the Family Resilience Enhancement Program (FREP) on family hardiness, family sense of coherence, family problem solving communication, family crisis oriented personal evaluation, and adaptation in families of patients with chronic schizophrenia. Methods: The study design was a nonequivalent control group prepost test design. Study participants were 17 families in the experimental group and 17 in the control group. Ten sessions of FREP were provided over 5 weeks. The data were analyzed using SPSS 15.0. Results: There were statistically significant differences in family hardiness, family sense of coherence, family problem-solving communication, family crisis-oriented personal evaluation, social resources, and family adaptation between the experimental group and the control group. Conclusion: FREP based on the family resilience model developed in this study, shows the effect of leading the families to positive family adaptation.

Relationships of Family Value and Family Adaptation in Family who has a Child with Hospitalization (입원환아 가족의 가족 가치관과 가족적응과의 관계)

  • Park, In-Sook;Lee, Joung-Ae
    • Korean Parent-Child Health Journal
    • /
    • v.8 no.2
    • /
    • pp.97-111
    • /
    • 2005
  • Purpose: The purpose of the study was to analyze the families values of the family with hospitalized children in order to offer descriptive data, which will facilitate family adjustment in those families. Method: It's intended in this study, as of descriptive approach, to verify the theoretical framework based on McCubbin's Resiliency Model and to examine the influence of family values on family adaptation. The survey was conducted from June 20, 2003 to November 30, 2003 and the analysis included 202 parents of the hospitalized children. The data analysis utilized SPSS 11.0 program. Result: The correlation coefficients among major variables showed that family stressor was positively related with family strains(r=.249, P<.01), and negatively related with family hardiness(r=-.183, P<.05). Family strains was negative related with general family value(r=-.243, p<.01), and family adaptation(r=-.505, P<.05). Correlations of general family value was positive with family hardness (r=.153, p<.05), and family adaptation (r=.200, p<.01). Conclusions: There was correlating relationship between family strains and family adaptation, and general family value showed correlation with family strains, family hardiness, and family adaptation. Theresfore the continuing future research on the relationship between family value and family adaption is necessary.

  • PDF

Adaptation in Families of Children with Down Syndrome: A Mixed-methods Design (다운증후군 자녀를 둔 가족의 적응력: 혼합적 연구 방법 적용)

  • Choi, Hyunkyung
    • Journal of Korean Academy of Nursing
    • /
    • v.45 no.4
    • /
    • pp.501-512
    • /
    • 2015
  • Purpose: The purpose of this study, which was guided by the Resiliency Model of Family Stress, Adjustment, and Adaptation, was twofold: (a) to explore family and parental adaptation and factors influencing family adaptation in Korean families of children with Down syndrome (DS) through a quantitative methodology and (b) to understand the life with a Korean child with DS through a qualitative method. Methods: A mixed-methods design was adopted. A total of 147 parents of children with DS completed a package of questionnaires, and 19 parents participated in the in-depth interviews. Quantitative and qualitative data were analyzed using stepwise multiple regression and content analysis respectively. Results: According to the quantitative data, the overall family adaptation scores indicated average family functioning. Financial status was an important variable in understanding both family and parental adaptation. Family adaptation was best explained by family problem solving and coping communication, condition management ability, and family hardiness. Family strains and family hardiness were the family factors with the most influence on parental adaption. Qualitative data analysis showed that family life with a child with DS encompassed both positive and negative aspects and was expressed with 5 themes, 10 categories, and 16 sub-categories. Conclusion: Results of this study expand our limited knowledge and understanding concerning families of children with DS in Korea and can be used to develop effective interventions to improve the adaptation of family as a unit as well as parental adaptation.

Middle Aged Women's Relatde Factors to Climacteric Symptoms and Coping Pattern : The Relationship with Sanhujori (중년여성이 경험하는 갱년기 증상 관련 요인 및 대응양상 - 산후조리와의 관계-)

  • Yoo, Eun-Kwang;Kim, Myoung-Hee
    • Women's Health Nursing
    • /
    • v.5 no.2
    • /
    • pp.230-246
    • /
    • 1999
  • The purpose of this study was to identify the degree of hardiness, knowledge of menopause, menopausal management of the middle aged women to identify the variables that show differences in the hardiness, knowledge of menopause and menopausal management of middle aged women and to investigate the relation ship among hardiness, menopausal knowledge and menopausal management of the middle aged women. The subjects were 132 middle-aged women and belonged to the age between 40 and 60. They were selected in Pusan, Korea. Data were collected from Oct. to Nov., 1998 by means of a structured questionnaire. The instruments used for this were the hardiness scale developed by Song In Sook and Song Ae Ri and the menopausal management scale developed by Song Ae Ri. The results were as follows 1. The mean score of hardiness was 2.83, in minimum score 1.24 tomaximun score 5.04. The mean score of knowledge of menopausal was 0.68, in minimum score 0.21 to maximum score 0.71. the mean score of menopausal management was 2.26, in minimum score 1.35 to maximum score 3.18. 2. In the relation between social demographic and hardiness there were significant differences in the health condition, income, supportive person. In relation between social demographic and menopausal knowledge there were significant differences in the health condition, family members. In the menopausal management there was significant differences in the marital state. 3. There was significant correlation between the hardiness and menopausal management of middle aged women (r=-0.208, p=0.017). 4. There was not significant correlation between the knowledge of menopause and menopausal management (r=0.001, p=0.992). These findings suggest the need to develop nursing strategy to improve the power of hardiness in middle aged women. hardiness is important to improve the menopausal management of middle aged women.

  • PDF

Comparison of the Factors Influencing Young Adolescents' Aggression according to Family Structure (가족구조에 따른 초기 청소년의 공격성에 영향을 미치는 요인 비교)

  • Yun, Eun Kyoung;Shin, Sung Hee
    • Journal of Korean Academy of Nursing
    • /
    • v.43 no.3
    • /
    • pp.321-330
    • /
    • 2013
  • Purpose: This cross-sectional study was done to compare factors influencing young adolescents' aggression according to family structure. Methods: Participants were 680 young adolescents aged 11 to 15 years (113 in single father families, 136 in single mother families, 49 in grandparent families, and 382 in both-parent families). All measures were self-administered. Data were analyzed using SPSS 18.0 program and factors affecting young adolescents' aggression were analyzed by stepwise multiple regression. Results: Levels of young adolescents' aggression and all variables were significantly different among the four family structure groups. Factors influencing young adolescents' aggression were also different according to these 4 groups. For single father families, depression-anxiety and family hardiness significantly predicted the level of young adolescents' aggression (adjusted R square=.37, p<.001). For single mother families, depression-anxiety, gender, and friends' support significantly predicted the level of young adolescents' aggression (adjusted R square=.58, p<.001). For grandparent families, depression-anxiety and family support significantly predicted the level of young adolescents' aggression (adjusted R square=.58, p<.001). For both-parent families, depression-anxiety, family hardiness, and friends' support significantly predicted the level of young adolescents' aggression (adjusted R square=.48, p<.001). Conclusion: Nurses working with young adolescents should consider family structure-specific factors influencing aggression in this population.

Effects of Family Value on Family Adaptation in Family Who has a Child with Cancer (가족 가치관이 암환아 가족의 적응에 미치는 영향)

  • Park In-Sook;Tak Young-Ran;Lee Jung-Aee
    • Child Health Nursing Research
    • /
    • v.7 no.4
    • /
    • pp.494-510
    • /
    • 2001
  • As a family respond to any stressful situation as a whole system, cancer diagnosis of a child, as a serious life event, could be emotional shock to destroy homeostasis of the family system. A family has a resilient capacity to adjust and adapt to stressful events. Previous studies have been focused on family stress and adaptation, but little attention has been given to family value as one of resilient factors. The data for model testing were collected from July 18, 2000 to August 30, 2000 and the analysis included 309 parents of children who are diagnosed as cancer, 18 or less years of age, and treated either hospitalized or at the outpatient clinics. The data analysis utilized SAS 6.12 and LISREL 8 for descriptive statistics, correlation, cluster analysis, factor analysis, and LISREL. The study findings are as follows. 1) Monthly income (γ=-0.28, t=-5.81) was the most important factor to explain family strain along with family support (γ=-0.11, t=-2.43), severity of children's illness (γ=0.26, t=5.22), and family stressor (γ=0.22, t=4.62). All of these factors together explained 40% of variance in family strain. 2) Among general family value, the relationship with the parents (γ=0.28, t=4.89) and relationship with the children (γ=0.20, t=3.60) showed positive effects to family value for cancer children, while relationship with the spouse (γ=-0.19, t=-3.22) and the age of the cancer children (γ=-0.11, t=-2.21) showed negative effects. These predictors together explained 22% of variance in family value for cancer children. 3) Family hardiness was explained mostly by family strain (γ=-0.53, t=-8.65) along with direct negative effects of family persistency and indirect negative effects of severity of children's illness, family stressor, relationship with the spouse, and the children's age. Family value for cancer children was the most important predictor with positive effect (γ=0.44, t=6.76) along with indirect effects of monthly income, relationship with the parents, relationship with the children, support from family and significant others, and confidence with the health professionals. 51% of variance in family hardiness was explained by all of these predictors. 4) The most important predictor for family adaptation was family stressor (γ=-0.50, t=-6.85) with direct and indirect negative effects along with the severity of children's illness (γ=-0.27, t=-5.21). However, family value for cancer children showed compromised total effect (γ=-0.13, t=-1.99) with negative direct effects (γ=-0.28, t=-3.43) and positive indirect effects (γ=0.14, t=3.01). Similarly, confidence with the health professionals also showed compromised total effect (γ=0.09, t=1.99) with positive direct effects and negative indirect effects. Family hardiness showed the biggest positive direct effects while other factors such as monthly income, family stressor, family persistence, support of family and significant others, relationship with the parents, relationship with the children, and relationship with the spouse, and children's age showed indirect effects only. 39% of variance in family adaptation was explained by all of these predictors.

  • PDF

Predictors of Depression and Quality of Life among Older Adults with Osteoarthritis (퇴행성관절염 노인환자의 우울과 삶의 질 예측요인)

  • Chun, Jung-Ho;Lee, Hae-Jung;Kim, Myung-Hee;Shin, Jae-Shin
    • Korean Journal of Adult Nursing
    • /
    • v.15 no.4
    • /
    • pp.650-659
    • /
    • 2003
  • Purpose: The purpose of this study was to identify predictors of depression and quality of life among older adults with osteoarthritis. The predictors included in the model were the client's characteristics(age, pain, disease duration, ADLs), personal resources(hardiness, self-care agency and family support), and depression. Method: 150 subjects who were older than 65 years and had diagnosis of osteoarthritis participated in the study. To answer the research questions, descriptive analysis, Pearson correlation, and hierarchical multiple regression were utilized using SPSS WIN program. Result: Older adults who were younger and had lower levels of pain and dependency on ADLs, and higher levels of self care agency and hardiness reported lower levels of depression($R^2=0.517$). Older adults who had lower levels of depression, pain, and dependency on ADLs, higher levels of family support and hardiness, and who are younger reported higher levels of quality of life($R^2=0.084$). Conclusion: Based on the findings of this study, development of nursing intervention program including pain reduction, enhancing ADL abilities and personal resources (hardiness, family support) can be suggested. Further study is needed to increase the ability of generalization of the study findings to the broader population.

  • PDF

Do spouse burden of care, family resilience, and coping affect family function in gynecologic cancer in Korea?: a cross-sectional study

  • Kim, Minkyung;Ahn, Sukhee
    • Women's Health Nursing
    • /
    • v.28 no.3
    • /
    • pp.197-209
    • /
    • 2022
  • Purpose: This study aimed to investigate family functioning among spouses of gynecologic cancer patients in Korea. McCubbin and McCubbin's Family Resilience Model (1993) guided the study focus on burden of care, family resilience, coping, and family functioning. Methods: An online survey collected data from 123 spouses of gynecologic cancer patients through convenience sampling from online communities for gynecologic cancer patients in Korea. Burden of care, family resilience (social support, family hardiness, and family problem-solving communication), coping, and family functioning were measured by self-report. Results: The patients (44.7%) and their spouses (47.2%) were mostly in the 41 to 50-year age group. Stage 1 cancer was 44.7%, and cervical cancer was the most common (37.4%) followed by ovarian cancer (30.9%) and uterine cancer (27.6%) regarding the cancer characteristics of the wife. Family function, burden of care, family resilience, and coping were all at greater than midpoint levels. Family functioning was positively related with social support (r=.44, p<.001), family hardiness (r=.49, p<.001), problem-solving communication (r=.73, p<.001), and coping (r=.56, p<.001). Multiple regression identified significant factors for family functioning (F=25.58, p<.001), with an overall explanatory power of 61.7%. Problem-solving communication (β=.56, p<.001) had the greatest influence on family function of gynecologic cancer families, followed by coping (β=.24, p<. 001) and total treatment period of the wife (β=.17, p=.006). Conclusion: Nurses need to assess levels of family communication and spousal coping to help improve gynecologic cancer patients' family function, especially for patients in longer treatment.