Arthritis patients living in a rural town are thought to have more problems in terms of life stress, social support, and depression than those living in an urban city. But there were few studies which investigated the status of arthritis patients living in a rural town. This study investigated how much life stress they got, which life events were perceived as stress, what kind of social support were most perceived, and how much they were depressed. Fifty six arthritis patients were surveyed using structured questionnaire. Life stress, social support, and depression were assessed using the following scales: Life changes scale, Duke's short scale to measure social support, and CES-D(Center for Epidemiologic Study- Depression), respectively. They were found to perceive life stress in home-work, health and work, in order. And they were found to perceive relatively good social support. But they sot most of social support from their family members especially their spouses and children. Lastly, it was found that they were moderately depressed. Based upon these results, it is suggested that integrative rehabilitation programs which provide professional support and reduce depression are necessary for arthritis patients living in rural towns.
Purpose: This study aimed to translate the Perinatal Infant Care Social Support (PICSS) instrument into Chinese and to verify the reliability and validity of the translated version. Methods: This study used a cross-sectional design to examine the reliability and validity of the Chinese version of the PICSS (C-PICSS). A cohort of 150 first-time mothers in China participated, attending hospital follow-up care at 6 weeks postpartum. Data were collected after obtaining informed consent from the mothers. Results: The majority of mothers were aged between 20 and 29 years, with a mean age of 26.25 (±3.90) years. An item analysis of the 19 items in the C-PICSS showed that all items had an item-total score correlation above 0.2. This resulted in a Kaiser-Meyer-Olkin value of 0.92 and a significant Bartlett's test of sphericity (χ2=1,778.65, p<.001), confirming the suitability of the data for factor analysis. Correlation analyses revealed a strong positive relationship between infant care social support and general social support (r=.62, p<.001), and a negative relationship between infant care social support and postpartum depression (r=-. 38, p<.001). Higher scores for infant care social support were associated with reporting positive relationships with their husbands (t=3.72, p<.001) and high levels of spousal involvement (t=4.09, p<.001). In terms of structural support, spouses were identified as the primary source. Conclusion: The research results indicate that C-PICSS is reliable and valid as an indicator of social support for infant care among Chinese mothers.
The purpose of this study is to examine the effects of negative life events on mental health and to explore possible main and moderating effects of spousal support on mental health with a focus on gender differences. The data for this study were taken from a nationwide random sample of 1,504 married men and women ranging in age from 30 to 59 through structured questionnaires. The data were analyzed using the SPSS WIN program which was used to calculate frequency, mean, 1-test, multiple regressions. The main results were as follows: First, by examining mental health of Korean men and women, women were more likely than men to experience higher levels of depression. Second, there was no gender difference in the sum of experience of negative life events, therefore the date of this study did not support the differential exposure hypothesis. In addition, men perceived more support from their spouses than women. Third, results show that especially the event concerning with job/financial problems has negative impacts on mental health of both men and women, and vulnerability to undesirable life events was not found. Fourth, spousal support is associated with better mental health regardless of gender, and it reduces the harmful effects of life events concerning with job/financial area for both men and women. Also, spousal support reduces the magnitude of the harmful effects of life events concerning with health of men. This study focused on the impact of negative life events and the couple process. It was possible to explore the strength of social support provided from spouse of most importance to the individuals. These results affirm the importance of supportive relationships between couples as a buffer, mitigating harmful effects of negative life events on mental health.
The purpose of this study was to contribute to family nursing in the areas of reducing stress and improving coping for parents of mentally retarded children. Data were collected through self-report questionnaires during a period of 2 months between November 1994 and January 1995 in the Kyoung-in area. The subjects consist of 176 parents (88 mothers and 88 fathers) of mentally retarded children attending schools for the handicapped. The levels of general stress and of parental role stress were measured with the General stress scale and the Parental role stress scale, respectively. The coping scale developed by Folkman & LaZarus was adopted to measure the level of coping, and the patterns of adaptation scale developed by Damrosch & Perry was adopted to measure the patterns of adaptation. The data were analyzed by a SAS program using Fisher's exact test, paired t-test, and oneway ANOVA. The results are as follows ; 1. The level of general stress was significantly higher in mothers than in fathers. Mothers experienced a significantly greater level of parental role stress than fathers did. No significant difference in the level of coping was observed between mothers and fathers. There were differences in maternal and paternal patterns of adaptation. 2. The adaptation pattern of fathers was different according to their level of general stress, parental role stress and coping. The adaptation pattern of mothers was not different according to their level of general stress and parental role stress, but was according to their level of coping. 3. General stress experienced by fathers was different according to education, health status and support from their spouses. Satisfaction with family life, satisfaction with spouse and the support from spouse influenced coping used by fathers. Their level of parental role stress was not associated with any of their general characteristics. 4. In mothers, the level of general stress was different according to their health status, the level of parental role stress was related to satisfaction with family life and satisfaction with spouse. Their level of coping was associated with the sup port from spouse. The above findings indicate that mothers did not have more coping strategies than fathers did, despite the results which showed that mothers experienced greater stress than fathers did. Especially, the adaptation pattern of mothers was different according to their level of coping. Hence, nursing interventions directed at managing stress and improving coping should be used with mothers who use adaptation pattern 1. In particular, fathers should actively participate in parenting, and support their spouses.
This study investigated the family network of elderly and its effects on the subjective life satisfaction in Rural Area. In order to classify the family network, the authors used the analysis technique of social network including to a spouse, children and grandchildren. In addition, the authors described basic characteristics of family network on the family type, interaction frequency, and interaction content. And then family network typified four types by K-means cluster analysis method according to characteristics of family network and examined difference on life satisfaction of the elderly persons according to the type of family network. The major results were as following. First, the elderly did contact his/her children often, emotional support revealed that highest support expectation of elderly. Second, The family network of elderly could be typified four types ; 'relation estranged type', 'children-grandchildren centered type', 'family dependent type', 'couples centered type' and statistically significant difference showed in life satisfaction according to each type. The result, in the 'couples centered type', the life satisfaction was highest; on the contrary, 'relation estranged type', it was lowest. Third, Influencing factors on life satisfaction of the old person were economic conditions, physical conditions, education level, sex, more frequent contacts with grandchild, emotional support expectation of spouses. The results of this study suggest that social welfare political and institutional efforts are needed to improve the relationship between older persons and their children, grandchildren and spouses and life satisfaction of the elderly.
This research aims to integrate study results through a meta-analysis of previous studies on the variables related with social support for female marriage immigrants. Based on the results, this study established the foundation of an integrated social support system for female marriage immigrants which considers both the functional perspective and structural perspective of social support, and suggested plans for an efficient support system. All social support was positively associated with female marriage immigrants marriage life, child-rearing behavior and attitude, reduction of stress and depression and psychological stability. In relation to the effect size of each variable related with all social support, the marriage variable had the biggest relationship with it, followed by the parenting variable, the psychological variable and the stress variable in that order. With reference to the relationship with related variables according to the sub-domain of social support, from the structural perspective, spousale support showed a high relationship with the marriage variable and the stress variable. It was also especially, very highly related with the marriage variable. In addition, a married woman's family support and expert support had an intermediate relationship with the marriage variable, and the husband's family support and friend support had a low relationship with it. From the functional perspective, material support had a very high relationship with the marriage variable, whereas it had a low relationship with the stress variable and the psychological variable. Emotional support was also highly related with marriage variable, but showed an intermediate or low relationship with the psychological variable and the stress variable. On the other hand, informational support displayed an intermediate relationship with the stress variable and the psychological variable, and a high relationship with the marriage variable. Lastly, evaluative support had a high relationship with the marriage variable and the psychological variable. Based on these results, this study proposed plans for an integrated social support system as follows. First, education ought to be provided for the spouses, and support for marital adjustment should be offered. Second, there plans should be made for continuous bonding with the family of origin, and support should be given to address changes in awareness of the relationship with the husband's parents. Third, it is required to revitalize the local community and self-help groups, and provide the female marriage immigrants with opportunities to participate in social activities.
Journal of Korean Academy of Fundamentals of Nursing
/
v.3
no.1
/
pp.19-36
/
1996
The purpose of this study was to provide basic information for developing family-focused nursing interventions for families with chronic illness. The subjects were 68 families of chronically ill patients in hospitalization and 68 families, as a comparison group, who didn't have chronically ill family members. The results of this study were as follows. 1. families with chronic illness showed higher anxiety scores (t=2.28, P=.024) and lower family functioning scores than normal families(the performance of family functioning : t=2.83, P=.005, the satisfaction of family functioning : t=5.76, P=.000) 2. In family caregiver systems, spouses of chronically ill patients showed higher anxiety scores (t=2.72, P=.008) and lower family functioning scores than those of normal families(the performance of family functioning : t=2.28, P=.026, the satisfaction of family functioning : t=4.41, P=.000) : however, the anxiety scores between children of chronically ill patients and those of normal families were no statistically significant differences. with regard to satisfaction of family functioning, children of chronically ill patients showed lower scores than those of normal family(t=3.85, P=.000). 3. In families with chronic illness, there were significantly positive correlations between the perceived importance of family functioning and anxiety(r=.415, P=.001) and between the performance and satisfaction of family functioning(r=.727, P=.001) ; however, there was a negative correlation between satisfaction of family functioning and anxiety(r=-.334, P=.01). In normal families, there was no significant correlation between family functioning and anxiety. Findings of this study suggest that families with chronic illness need family-focused nursing interventions for relieving their anxiety and for improving family functioning. in conclusion, the investigation of family functioning and anxiety provides useful information in family-focused nursing care, especially for spouses of chronically ill patients. This information will contribute to developing the support systems for family caregivers and education programs for managing chronically ill patients.
Journal of Family Resource Management and Policy Review
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v.21
no.1
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pp.1-18
/
2017
This study examined the predictors of life satisfaction of marriage migrant wives with school-aged children in South Korea. For this purpose, we draw data from the 2015 National Survey on Multi-cultural Families (NSMF). The target group was marriage migrant wives who were in a first marriage and had school-aged children (N=3,004). We used OLS regression to examine the predictors of the target group's life satisfaction with the SPSS 18.0 program. The results are as follows. First, marriage migrant wives with school-aged children had maintained their marriage for at least 14 years. They were satisfied with their relationships with both their spouses and their children. Also, they were satisfied with their spouse's child care roles. They did not support the multi-cultural policy of assimilation. Their Korean proficiency was slightly higher than the middle level. More than half had jobs and had not attended a parent meeting. Second, although they were satisfied with their everyday lives, their levels of life satisfaction were less than that of migrant wives with children below 5 years of age. Third, all variables explained 38.8% of the life satisfaction experienced by marriage migrant wives with school-aged children. Satisfaction with their spouses, subjective health, satisfaction of spouse's child care role, monthly family income, satisfaction with their children, experience attending a parents meeting, and Korean proficiency were positively associated with the life satisfaction of this target group. The findings of this study are significant because they can provide certain implications for family life education and policy within a multi-cultural society.
Objective: This qualitative study retrospectively examined the experience and psychological impact of contralateral prophylactic mastectomy (CPM) among Southern Chinese females with unilateral breast cancer history who underwent BRCA1/2 genetic testing. Limited knowledge is available on this topic especially among Asians; therefore, the aim of this study was to acquire insight from Chinese females' subjective perspectives. Methods: A total of 12 semi-structured in-depth interviews, with 11 female BRCA1/BRCA 2 mutated gene carriers and 1 non-carrier with a history of one-sided breast cancer and genetic testing performed by the Hong Kong Hereditary Breast Cancer Family Registry, who subsequently underwent CPM, were assessed using thematic analysis and a Stage Conceptual Model. Breast cancer history, procedures conducted, cosmetic satisfaction, pain, body image and sexuality issues, and cancer risk perception were discussed. Retrieval of medical records using a prospective database was also performed. Results: All participants opted for prophylaxis due to their reservations concerning the efficacy of surveillance and worries of recurrent breast cancer risk. Most participants were satisfied with the overall results and their decision. One-fourth expressed different extents of regrets. Psychological relief and decreased breast cancer risk were stated as major benefits. Spouses' reactions and support were crucial for post-surgery sexual satisfaction and long-term adjustment. Conclusions: Our findings indicate that thorough education on cancer risk and realistic expectations of surgery outcomes are crucial for positive adjustment after CPM. Appropriate genetic counseling and pre-and post-surgery psychological counseling were necessary. This study adds valuable contextual insights into the experiences of living with breast cancer fear and the importance of involving spouses when counseling these patients.
This study was done to analyze the trends of research on stroke in Korea, to suggest future direction, for research on stroke. This article reviewed 75 nursing research papers on stroke done since 1990 to 2000 by examining them according to the period of publication or presentation, research design, type of subjects, measurement variables, the intervention outcome of experimental research, and theme of qualitative research. The research were as follows : 1. 26 of 75 studies were composed of master thesis and dissertation of graduate school. There were 53 nonexperimental research, 15 experimental research, and 7 qualitative studies design. 2. Stroke patients subject' Characteristic were 44 and Family and Spouses of caregiver support were 28 of total studies. 3. Most measurement instruments used for research were translated and redesigned it into Korean that developed by foreigners, and development measurement instruments used Kang's ADL. 4. Family support and Social support was shown the frequently among correlational research. 5. Methodological research were development of an evaluation tool for the quality of nursing care in stroke patients, caregiver support of development of nursing intervention list, and Home care Nursing Intervention protocol, and development of client selection criteria based on the needs of services to be offered. 6. The experimental research of intervention were mostly education nursing intervention, rehabilitation program on functional recovery, support nursing intervention, and applying a home care protocol on the nursing care intervention. 7. Theme of qualitative research were family experience, home care in family experience, soobal experience, illness experience, hope of Stroke patients and so on. Phenomenologic methodology and Granded Theory was designed of Qualitative research. On the basis of the above finding the following recommendations are made: 1. It's necessary to develop a reliable and variable measurement tool for stroke patients and family care of stroke patients. 2. It's necessary to study the comparison of Nursing Studies of stroke research abroad, the replication to establish the effect of nursing intervention stroke patients and family care of stroke patients.
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