• 농촌의학ㆍ지역보건
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• 제34권2호
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• pp.244-255
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• 2009

본 연구는 농촌지역 조손가정 조부모의 건강상태와 건강생활습관 및 영양상태를 분석한 탐색적 연구로 2009년 1월말 현재 지역사회서비스투자사업의 일환으로 실시되는 조손가구 57가구의 70명의 노인을 대상으로 하였다. 연구도구는 '전국노인장기요양보호서비스 욕구조사'도구와 간이영양 사정표를 사용하여 빈도, 백분율, 평균 점수를 분석하고, 이들 변수간의 관련성은 $x^2$-test, F-test 및 상관관계를 보았다. 조부모의 평균 연령은 70.1${\pm}$6.65세이었고, 생활수준은 67.2%에서 어려움을 보였으며 교육수준이 낮은 편이었다. 만성질 환율은 58.6%, 급성질환이환율은 5.7%, 우울노인이 20.0%, ADL과 IADL에서 수발이 필요한 조부모는 각각 14.5%, 35.7%에 해당되었다. 인지기능에서 장애는 22.7%, 낙상지수는 2.93점(표준편차${\pm}$1.09점)으로 나타나 낙상가능성을 시사해주었다. 건강생활습관에서는 흡연율 11.4%, 음주율 35.7%, 건강검진율 67.1%이었다. 영양점수는 평균 21.0점(표준편차 ${\pm}$3.5점)이었으며, '영양양호' 37.8%, '영양불량경계역'56.8%, '영양불량' 5.4%, '비만' 44.6%로 나타났다. 일반적 특성에 따른 건강상태에서는 IADL, 우울상태와 낙상지수가 유의한 지표로 p<.01수준에서 성별, 연령, 생활수준, 배우자유무와 관련이 있었고, 건강특성과 영양상태에서는 급성질환(p<.05), ADL(p<.001), IADL(p<.01) 인지기능(p<.01)의 장애유무와 관련이 검정되었다. 조손가정 조부모의 일반적 특성, 건강상태, 건강생활습관과 영양상태와의 상관관계에서는 이들 지표간의 유의한 상관을 보였다. 따라서 앞으로 조손가정의 조부모의 건강상태에 관여되는 일반적 특성을 고려하여 건강생활습관의 개선이 가능한 건강증진사업을 도모함과 더불어 조손가정의 건강과 영양관리가 이루어질 수 있는 중재서비스의 개입이 이루어져야 할것을 제언한다.

• 지역사회간호학회지
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• 제13권4호
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• pp.743-756
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• 2002

Purpose: This study is a descriptive and comparative study that compares health state and school adaptation between children in divorced family and in normal family. Study results will provide a basic data for the development of an intervention program designed to help children in divorced family adjust to their crisis. Method: The study subjects consisted of 700 children in 4th. 5th or 6th elementary school grade, residing Seoul and Kyunggi regions. Among these subjects, 123 were children with divorced family and 577 were children with normal family. The health status of the subjects was measured by Health Symptom Questionnaire developed by Shin and revised by the investigators. The instrument consisted of 30 items measuring physical and emotional health symptoms. The level of school adaptation of the subjects was measured by School Adaptation Scale developed by Lee, which consisted of 4 dimensions with 20 items what measures relationship with peer students, learning activity, observance of regulation, and participation of school activity. The investigators visited the schools and collected data in the classes using the questionnaire after explaining the purpose and procedures of the study to the children. The data were analyzed by descriptive statistics, $\yen\"{o}2$-test, t-test, ANOVA using the SPSS PC + statistical program. Result: First, the mean health state score in children with normal family (M=11.99) was higher than that in children with divorced family (M=19.15), showing a significant difference (t=-6.51, p=.000) between the two groups, which suggests that children with normal family have better health state than children with divorced family. Second, the mean school adaptation score in children with normal family (M=38.99) was higher than that in children with divorced family (M=26.97), showing a significant difference between the two groups (t=104.07, p=.000), which suggests that the school adaptation of children with normal family is better than that of children with divorced family. Third, in comparison of health state between the two groups by general characteristics. there were significant differences between the two groups in sex. the most contributing factor to health status of the children, school year. birth order, religion, school achievement, amount of monthly pocket money, parents level of formal education, occupation of parents, economic status (p<.05). Forth, in comparison of the level of school adaptation between the two groups by general characteristics, there were significant differences between the two groups in most variables (p<.05), suggesting that children with normal family had better capacity of school adaptation than children with divorced family. Conclusion: As a result. this study showed that the parent's divorce had great influence on children's health status and school adaptation capacity. The implication for nursing is that there is a need to develop supportive interventions for the high-risk children who have decreased health states and school adaptation capacity due to the divorce of their parents. In addition, it is recommended that further studies should be conducted to explore protective factors for the prevention of health and adaptation problems in children.

• 지역사회간호학회지
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• 제12권2호
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• pp.459-467
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• 2001

Although much has been written about the health status of adolescents, little is known about adolescents perception of their own health. family support and risk behaviors. The purpose of this study is to describe the perceived health status. family support and risk behaviors in urban high school students in Korea. and to examine the relationships between those variables. Design for the study is descriptive-correlational. The sample consisted of 600 10th-grade students who were randomly selected from 12 urban high schools located in Seoul. Data were collected on demographic characteristics, perceived health status, family support, and health risk behaviors such as tobacco use, alcohol use. eating habits, exercise, stress and coping skills. Preliminary findings of the study were as follows. In terms of perceived health status. 54.2% of the students reported that they are healthy. Students with higher socioeconomic status perceived themselves healthier than the students with lower socioeconomic status (p<.05). Overall. frequently reported health concerns were eating habits (17.2%), depression (4.8%), tobacco use(0.8%), and alcohol use (0.7%). The mean score of family support of the students was 7.67 (SD=2.43) within the range of 1-12. Gender was significantly associated with a higher level of family support among girls than boys. Data will be further analyzed in detail. The results will suggest that health promotion program should consider involving adolescents in planning. both (1) to ensure congruence of the plan of care with adolescentsconcerns and (2) to clarify the interpretation and meaning of their health risk behaviors.

• 한국융합학회논문지
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• 제10권7호
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• pp.251-260
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• 2019

본 연구는 가족의 경제적 상황과 청소년의 사회적 관계 및 진로정체감 간의 상관관계를 규명하는 것을 목적으로 한다. 본 연구는 한국아동 청소년 패널데이터를 활용하여 가정의 경제적 상황과 청소년의 진로정체감 간의 관계를 확인하고, 사회관계의 매개 효과를 검증하고자 하였다. 연구 결과, 가족의 경제 상황이 사회관계의 질적인 측면과 상관관계를 가지며, 이러한 청소년의 긍정적인 사회관계는 진로정체감에 유의미한 영향을 미치는 것으로 나타났다. 이러한 연구 결과는 가정의 소득 수준에 따른 청소년의 진로발달 격차를 긍정적인 사회관계의 증진을 통해 완화할 수 있다는 가능성을 보여준다. 저소득 가정 청소년들의 진로 성과를 향상시키기 위해서 긍정적인 사회관계의 형성을 돕는 융합된 진로 지도 개입이 요구된다.

• 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.

• 가정과삶의질연구
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• 제17권2호
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• pp.93-104
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• 1999

Using survey data from 323 families headed by the unemployed this study investigated the characteristics of the current living status and their coping strategies according to their job status(blue or white color) Descriptive statistics t-test and chi-square test were used to analyze the data. The results revealed that families headed by the unemployed have been experiencing economic hardship hardship in housing and problems of family functoning as well as decreased level of living. The effects of unemployment were various depending upon the job type of head of the family. The family utilized several positive coping strategies to reduce financial hardships of the family Discussions and recommendations for the future research and practical welfare policy implication s for the families are identified.

• 지역사회간호학회지
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• 제13권2호
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• pp.399-409
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• 2002

Objectives: The purpose of this study was to provide basic data to develop a future health promotion program through the comparison of health promoting behavior and perceived health status between Koreans and Korean-Americans. Methods: The subjects of this study were 411 adults recruited from religious organizations located in the Yongnam area, Korea, and Chicago, U.S.A. The instruments used in the study were Health Promoting Lifestyle Profile II (HPLP) developed by Walker, Sechrist & Pender (1995), and the Health Self Rating Scale designed by North Illinois University. The data were analyzed using descriptive statistics, Pearson correlation coefficient, ANCOVA, ANOVA and Duncan test with the SPSS program. Results: 1) The mean HPLP score was 2.26 in Koreans and 2.43 in Korean-Americans, showing a significant difference between the two groups. 2) In subscales of HPLP, both groups showed the highest practices in 'interpersonal relationship' and the lowest practices in 'physical activity'. 3) The mean score of perceived health status was 2.26 in Koreans and 2.43 in Korean-Americans, showing a significant difference between the two groups. 4) Health promoting behavior was significantly different by family income in Koreans, but significantly different by age and family income in Korean-Americans. 5) Perceived health status was significantly different by family income and marital status, but significantly different by age, education, and family income. 6) The HPLP was not correlated with perceived health status in Koreans, but positively correlated with perceived health status in Korean-Americans. Conclusion: The study findings suggest a need to develop a health promotion program, in which physical activity and stress management for Koreans and Korean-Americans are emphasized, and cultural and environmental elements are considered, for better understanding of their health related issues.

• 대한간호학회지
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• 제42권5호
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• pp.680-688
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• 2012

Purpose: The purposes of this study were to explore the effects of family cohesion and subjective happiness on death anxiety of Korean elders and to identify other factors contributing to death anxiety. Methods: The participants were 280 elders who lived in P metropolitan city. Data were collected between November 5, 2011 and January 12, 2012 using the Short Portable Mental Status Questionnaire (SPMSQ), Family Cohesion Evaluation Scale, Subjective Happiness Scale, and Fear of Death Scale (FODS). Data were analyzed using the SPSS/WIN 19.0 program. Results: Family cohesion, marital status, religious activity, perceived health status, and subjective happiness were included in the factors affecting death anxiety of Korean elders. These variables explained 50.1% of death anxiety. Conclusion: The results of the study indicate that these variables should be considered in developing nursing intervention programs to decrease death anxiety and increase family cohesion and subjective happiness for life integration in Korean elders.

• 기본간호학회지
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• 제18권3호
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• pp.337-347
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• 2011

Purpose: Purposes of this study were to develop a community-based respite program for family caregivers and to test the effects of the program. Methods: Focus group interviews were performed to extract meaning of respite care for family caregivers (13 participants) and a survey was done to identify respite needs of family caregivers (157 participants). The community-based respite program for family caregivers was developed based on results of the focus group interview and survey. The program was used with 41 participants (19 experimental and 22 control). Independent t-test and Mann-Whitney U-test were used to test differences between control and experimental groups for respite needs, burden of caregivers, subjective wellbeing, social support, fatigue and functional status of elders with dementia. Results: There were statistical differences in caregiver burden, subjective wellbeing, and social support after the program, but, none for respite needs, fatigue and functional status of elders with dementia. Conclusion: The results indicate that a respite program can be useful to decrease burden of caregivers and increase subjective wellbeing and perceived social support of family caregivers in community settings. Further intervention research is needed to increase the functional status of elders with dementia and decrease fatigue in caregivers.

• 대한간호학회지
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• 제30권1호
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• pp.202-212
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• 2000

The purpose of this study was to identify the relationship between the burden of family with the mentally ill and professional needs. Data collection period was from June 29, 1998 to July 30, 1998. The subjects for the study was 134 family members of psychiatric in-patients and out-patients in Taejon and Chungnam. The questionnaire developed by OK-KYUNG YANG to measure the family burden and professional needs was used for this study. The tools used for this study were composed of General characteristics(30 items), family burden(43 items), professional needs(26 items). The data was analyzed by using on SPSSWIN program and included percentage, mean, S.D., t-test, ANOVA and Pearson correlation coefficient. The results of the analysis were as follows; The mean score of family burden was 134.26, which is higer than the mean score of the instrument. The mean score of professional need, the family caregiver who supporting of mentally ill patients, was .48 which is lower than the mean score of the instrument. Family burden was statistically correlated with professional needs(${\gamma}$=.6139, P<.001). There were statistically differences in family burden for respondent's relation, location of living, most care money giver, substant care money giver. There were statistically significant difference in professional need for family age, marriage status, substant care money giver, information status. The conclusion that can be drawn from this study is that addressing professional needs would contribute to reduce burden of the family caregivers with mentally ill. Therefore, Nursing interventions are needed to reduce family burden.