• Research in Community and Public Health Nursing
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• v.14 no.3
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• pp.385-396
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• 2003

Purpose: The purpose of this study is to examine the status of care-giving for the demented elderly and to find out the need of community in-house care services-day care services, short-term care services, home help services, and home care services. Method: It analyzed the data of 186 old people having dementia, and caregivers. Data were collected for five days, in September 2002. Results: The caregivers were mostly women and the burden for the care giving was high (87.5%). They used community care services, that is, day care services (26.5%), home care services (21.6%), home help services 00.8%), short-term care services (6.2%). Caregivers' age and education level were significant factors in the demand for day care services. Caregivers' education level was a statistically significant factor in the demand for short-term care services and home help services. Caregivers' age and education level were significant factors in the demand for home care services. Conclusions: It is necessary to expand the financial aid for the active implementation of daytime protection for dementia-patients under medical treatment at home and to promote patients' recovery. It is necessary to enhance home help services and home care services, and to establish many day care centers and short term care centers. Through this, it will prevent caregivers from becoming burnt out due to the burden of care giving.

• Journal of Korean Academy of Nursing
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• v.25 no.4
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• pp.696-705
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• 1995

The self-efficacy as the mediating variable to connect knowledge to behavior was Identified as the most powerful predictor that determines behavior. The purpose of this study was, first, to develop the slides /tape program based on the self-efficacy theory of Bandura(1977) second, to investigate that the Slides /Tape program would increase self-efficacy and self-care in patients with hypertension. The subjects for this study were 54 hypertensive outpatients and data collection was carried out from January 9, 1995 until March 18, 1995. The design of this study was one-group pretest and posttest design and the results are as follows 1) The slides /tape program was developed to based on performance accomplishment and vicarious experience which are induction modes of efficacy expectation. It composed of 80 slides and 20 minutes long tape. 2) The effectiveness of the slides /tape program “The self-efficacy score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported (t=3.67, p=0.001). “The self-care score after giving the slides /tape program will be higher than one before giving the slides /tape program.” was supported(t=5.23. 000), 3) A significant difference was found between the self-care and sex. Also, the significant difference was found between the self-care and job. From these results, the slides /tape program is effective to increase the hypertensive patients' self-care.

• Journal of the Korean Home Economics Association
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• v.49 no.5
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• pp.97-115
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• 2011

The focus of this study was on the self-differentiation level of families with an elderly member suffering from dementia. Based on 340 questionnaires collected in Seoul and Gyeonggi, the study intended to explain the adaptation issues of those families. The variables of interest, which might be related to the self-differentiation, were chronic anxiety(i.e. stress), the family function, psychosomatic symptoms and the family's adaptation to care-giving. As a result of analyzing the effects of the variables potentially related to the self-differentiation level of care-giving families, the findings from this study were as follow. With decreasing self-differentiation level of the family caring for an elderly member suffering from dementia, the levels of stress and psychosomatic symptoms were significantly increased, but the family function and the adaptation to care-giving tended to decrease. Conversely, with increasing self-differentiation, the levels of stress and psychosomatic symptoms were significantly decreased, while the family function and adaptation to care-giving were promoted.

• Korean Journal of Childcare and Education
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• v.6 no.3
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• pp.65-84
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• 2010

This study examined poor custodial grandparents' life story and care-giving experiences of their grandchildren. 8 grandparents were selected and in-depth interview and participant observation method were used. They showed a miserable life from the birth and discriminative experience of the deprivation of educational opportunities as childhood nadir experiences. They showed the regret for their inability as youth/midlife low point and financial difficulty as old life nadir experiences. In terms of care-giving experiences of their grandchildren, they showed non-voluntary care-giving, anxiety for the generational continuation of hardship, and lack of familial assistance. Poor custodial grandparents also used family-centered value, community-based social assistance, and self-assurance through their sacrifice as their adjustment strategy. Several research themes such as the importance of basic trust in childhood, the experience of financial difficulties, the importance of community-based social assistance, and self-assurance through their sacrifice were suggested for further research.

• Journal of Home Health Care Nursing
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• v.24 no.1
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• pp.23-33
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• 2017

Purpose: The purpose of this phenomenological study was to explore middle-aged child care providers' experience in caring for children in the community. Methods: The participants were 10 middle-aged child care providers. In-depth interviews were conducted between August and September, 2014 until data. Colaizzi's method of data analysis was applied to inductively determine themes and formulated meanings. Data saturation was achieved and methodological rigor was established Results: Four themes were extracted from 12 meanings. The four themes of the child care providers' experience in caring for children were: 1) weariness from care-giving, 2) the search for one's own solutions, 3) a cheerful attitude to life, 4) the opportunity to start a new life. Conclusion: The results of this study provide useful information for understanding child care providers' experiences in caring for children and establishing effective strategies to support these child care providers.

• Women's Health Nursing
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• v.24 no.1
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• pp.24-32
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• 2018

Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.

• 재활복지
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• v.21 no.3
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• pp.1-22
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• 2017

Although not many older Korean parents who take care of children with intellectual disabilities have been reported depression due to care-giving related stresses, little is known about how they could be protected from this. This study examines whether satisfaction with family relationships moderate the relationships between time demands, caregiving stress, and depression of older parents who take care of children with intellectual disabilities. The analyses were conducted based on data from the Korean National Survey on Individuals with Developmental Disabilities and their Families of 2011, and only a total of 276 parents, aged over 60 were examined. Multiple regression analysis shows that older parents with higher level of satisfaction with family relationships were less likely to be influenced by time demands of care-giving. This indicates that satisfaction with family relationships could buffer the relationships between time demands of care-giving, and depression. This finding suggests that satisfaction with family relationships is a protective factor, buffering the negative effects of time demands of care-giving and depression. This supports 'socio-emotional selectivity theory' which family relationships are important to older people. Therefore, it is highly recommended to develop practical intervention that can improve the level of satisfaction of family relationship of the older parents, and to make policy and institutional supplementation.

• Korean Journal of Adult Nursing
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• v.22 no.4
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• pp.384-394
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• 2010

Purpose: This study was to explore family member's caregiving stress and satisfaction of care for patients with dementia in long term care facilities and day care centers. Methods: The subjects were 129 family members of elders with dementia from ten long term care facilities and eight day care centers in Daegu and Kyungsangbukdo. Data were collected from August to October, 2007. The instruments were self administered questionnaires and included. The Family Perceptions of Caregiving Role (FPCR) and the Family Perceptions of Care Tool (FPCT) which were developed by Maas and Buckwalter (1990) and translated by Park (2002). Results: Family member's care giving stress in day care centers were higher than that of long term care facilities (t=-2.89, p=.005) especially in the categories of captivity (t=-3.27, p=.001), guilty (t=-2.93, p=.004), and loss (t=-2.44, p=.016). Family member's satisfaction of care in day care centers was higher than that of long term care facilities (t=-3.21, p=.002) in the (use - categories or measures since you are referring to the instrument and delete aspects) aspects of effective management (t=-3.69, p=.000) and activity (t=-2.00, p=.045). Conclusion: The results of this study showed that family members' perceptions toward their care giving roles and satisfaction of care differ whether the facilities are long term care or day care centers. This study provides baseline data that could be used for improving the quality of long term care services.

• Journal of the Korean Home Economics Association
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• v.32 no.4
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• pp.57-71
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• 1994

The purpose of this research was to study the variables related to the stress and to provide the way of establishing better relationship between aged parents and adult offsprings and the way of effective care-giving. In order to achieve this purpose a survey was conducted by interview using questionaire. The collected data were analyzed by using frequency percentage mean standard deviation factor analysis Pearson's correlation analysis, ANOVA, and stepwise regression analysis. The results of this research were as follows: First The total points of daughter-in-laws' caregicing stress was 38.5 and daughter's caregiving stress was 27.3. Second There were meaningful differences according to living arrangement daughters-in-law age, old mothers' health status. And there were significant. interaction effects among variables of living arrangement and daughters-in-law' age, living arrangement and birth order birth order and old mothers' health status. living arrangement and daughters-in-law' age and old mothers' health status. Third There were meaningful differences according to living arrangement daughter's age. And there were significant interaction effects among variables of living arrangement and daughter's age, daughter's age and birth order, living arrangement and daughter's age and old mothers' health status, living arrangement and birth order and old mothers' health status. Fourth Among daughters-in-law' variables living arrangement age, old mothers' health status have influence on the care-giving stress. Among daughter's variables living arrangement, age, birth order have influence on the care-giving stress.

• Journal of Korean Academy of Nursing
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• v.29 no.4
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• pp.766-779
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• 1999

The purpose of this study was to investigate the relationship between the burden on families who live with an elderly person suffering from senile dementia, and the degree of their depression. There were 400 participants in this study, staying in the Seoul and Kyonggi areas from August 1, 1997 to February 28, 1998. Among the group, 100 participants took care of their patient at home, and another 300 participants left 100 patient at a day-care center, 100 sanatorium for senile dementia(asylum for helpless elderly people), 100 an infirmary for elderly people. Eventually 242 subjects out of the 400 were selected for the data analysis. The Zarit (1980) tool was employed to measure the degree of burden and Zung's(1965) “Self-Rating Depression Scale” was employed for the data analysis. The data was analyzed, and the percentage, t-test, ANOVA and Person's Correlation Coefficient were calculated. The results are as follows : 1. The average degree of burden that care-giving families felt was 49.13, which is somewhat high. 2. The average degree of depression that care -giving families felt was 51.95, which is relatively high. 3. The degree of burden was directly affected by the relation with the patient(F＝2.48, P＜.05), and the socio-economic status of the family(F＝5.17, P＜.05). Its also affected by the patient's educational status(F＝2.17, P＜.05). 4. The degree of depression of the family was significantly dependent on sex(t＝-2.05, P＜.05), age (F＝2.99, P＜.05), the relationship with the patient(F＝3.65, P＜.01), socio-economic status (F＝7.74, P＜.001), occupation(t＝2.82, P＜.01), health status(F＝4.42, P＜.01), and the place of residence(F＝4.30, P＜.01), The patient characteristics was significantly dependent on his/her educational status(F＝3.85, P＜.01), the period of suffering from senile dementia(F＝2.47, P＜.05), and smoking habit(F＝6.17, P＜.001). 5. The relationship between the degree of burden and that of depression reads r＝0.43, which is statistically positive correlation in the high significant level. Upon analyzing the entire summation, most care-givers for elderly patients suffering from senile dementia lack time in caring for themselves. They also experience chronic fatigue and mental discomfort caused by the isolation from society, curtailment of certain activities, a sense of responsibility for their patients, and limits of their endurance in taking care of their patients over time. In conclusion, this study emphasizes the necessity for the following propositions : 1. In order to measure the degree of burden that Korean care-giving families undergo, a new tool must be developed on the basis of Korean culture. 2. An educational program based on the demands that care-giving families undergo must be developed, and its clinical effect also has to be examined.