Journal of Korean Academy of Fundamentals of Nursing
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v.3
no.1
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pp.19-36
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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.
This study examined burdens of primary family caregivers, and family functioning of patients with cancer. In addition, the relationship between two concepts was assessed to develop nursing intervention to reduce the burdens of caregiving, and to improve family functioning. Ninety-two primary family caregivers of patients with cancer at a general hospital in Seoul participated in this study. The patients with cancer aged from 19 to 84 years with a mean age of 51 years, and sixty-one percent were male. About 30 percent of the patients suffered liver and billiary tract cancer. Fifty-six percent of the primary family caregivers were spouses of the patients and 70.7 percent were women. Primary family caregivers' burdens were assessed by the Burden Scale originally developed by Zarit (1980) and Novak & Guest(1989) and modified by Jang (1995) for use in Korea. The instrument consists of six subscales: time-dependent burden, developmental burden, physical burden, emotional burden, social burden, and financial burden. Family functioning was assessed by the Family APGAR developed by Smilkstein(1978). The results were as follows: 1. The average burden score was 86.1, indicating a moderate level of burden. The time-dependent burden scored highest followed by developmental, physical, social, financial, and emotional burdens. The mean score of family APGAR was 9.71; among subjects 82.6% were included in dysfunctional families. 2. Of the characteristics of patients, age, gender, number of admissions, and job were found to be associated with the level of burden. There was no significant difference between patient characteristics and family functioning. Of the characteristics of primary family caregivers, caregiver's perception of patient prognosis was significantly related to the level of burden, and family functioning. Caregiver's sex and age were also related to family functioning. The quality of relationship between a patient and a caregiver was significant situational factors affecting the level of burden, and family functioning. In addition, the income of family, and help from other family members were related to the level of burden. Given the results, it is essential to develop nursing intervention to reduce burden and to improve family functioning, such as support groups.
The purpose of this study was to identify the factors affecting family functioning of stroke patients. A descriptive survey research was conducted in which 65 stroke patients and their primary caregivers were conveniently sampled. Data were collected from July to September, 1998 through interviewing using a structured questionnare. The measuring instruments used were Barthel Index by Mahoney and Barthel(15 items), Quality of Relationship Scale by Archbold and Stewart(15 Items), Role Stress of Caregiver Scale by Yang(14 items), Situational Definition Scale by Lee(9 items), Family Hardiness Index by McCubbin, McCubbin. and Thompson(20 items), and Family Adaptability Cohesion Evaluation Scale(FACES-III) by Olson, Portner, and Lavee(20 items). The obtained data were analyzed using percentage, t-test, ANOVA, Duncan test, and Pearson coefficients correlation by SAS/PC program. The results were as follows; 1. Role Stress of Caregiver was not severe and Quality of Relationship was moderate. The level of Situational Definition of primary caregivers was not high but Family Hardiness and Family Functioning were rather high. 2. The following relationships between research variables and demographic characteristics of the primary caregivers of stroke patients were significantly different; occupation of caregiver between Quality of Relationship, occupation of caregiver between Situational Definition, family type between Role Stress, caregiving duration between Family Hardiness, caregiving duration between Family Functioning, and hospitalization days between Family Functioning. 3. The correlations between research variables were as follows; There was positively correlated between patient's ADL and Quality of Relationship. The relationship of the patient's ADL between Role Stress was negatively correlated. Quality of Relationship between Situational Definition, Family Hardiness, and Family Functioning were significantly correlated. The correlation of Situational Definition between Family Hardiness, and Situational Definition between Family Functioning were very high. As a result of these findings, Quality of Relationship, Role Stress, Situational Definition. and Family Hardiness were useful variables for identifying Family Functioning of stroke patients. It is important for the rehabilitation nurse to be knowledgeable about family functioning of stroke patients to promote rehabilitation process.
The relations between family functioning (cohesion, conflicts, family sociability, and democratic family style) and self-esteem and loneliness in adolescents were examined in a sample of 485 2nd-grade high school students (256 boys and 229 girls). Data were collected using three questionnaires on the loneliness, family functioning, and self-esteem of adolescents. Family functioning and self-esteem were significantly related to loneliness both in adolescent boys and girls. Adolescents experienced less loneliness when family cohesion and sociability were higher, conflicts were lower, the family style was more democratic, and self-esteem was higher. Family functioning was also related to self-esteem. The more functional the family, the higher the self-esteem of adolescents. Self-esteem played a partly mediating role in the relation between family functioning and loneliness only for boys. This emphasizes the influential role of self-esteem on loneliness.
Purpose: This study was to investigate the family life events stress and family functioning and social support of wives, and to find out the correlation among these variables. Method: The subjects were 263 wives who participated voluntarily in the questionnaire. The instrument used in this study comprised family life events stress, family functioning and social support instruments, and the data were collected from Sep.10 to Sep. 29 with self-administered questionnaires. We analyzed the data using descriptive statistics, Pearson correlation, t-test and ANOVA with SPSS win. Results: 1) The mean score of family life events stress was 25.8, family functioning was 47.2, and social support was 43.4(4 point scale), 2) The rate of correlation between family life events stress and family functioning was (r=-.18), that between family life events stress and social support was (r=-.26), and that between family functioning and social support was (r=0.46). 3) The mean score of family life events stress by general characteristics was significant in age, religion and family type. The mean score of family functioning by general characteristics was significant in education. The mean score of social support by general characteristics was not significant. Conclusion: Considering the results above, we can recognize that there are close relations among family life events stress, family functioning and social support. Although the correlation coefficient is somewhat different, these three variables are very significant for wives.
Purpose: This study attempted to identify family functioning recognized by caregiver who support the elderly. Methods: Data was collected from 264 caregivers who live with elderly using questionnaires. The performance, satisfaction and importance of family functioning was assessed using the modified FFFS by Kang (1987) consisted of three dimension-'Relationship between Individual Family Members', 'Relationship between family and subsystem' and 'Relationship between family and broader social units'. The data was analyzed using SPSS/WIN by descriptive statistics, ANOVA and pearson's correlation. Results: The subjected Families showed a median level of performance (mean $4.06{\pm}0.65$) and a high level of satisfaction (mean $1.04{\pm}0.71$) in family functioning. Families recognized importance of family functioning above median level (mean $4.65{\pm}0.99$). There was statistically significant difference in family functioning according to and duration of illness, illness and ADL of the elderly. In dimension of the relationship between individual family members and relationship between family and subsystem, there are significantly positive correlation among all aspect of family functioning. In relationship between family and social units, there are negative correlations between performance and importance (r=-.215) and between satisfaction and importance (r=-.194) while there are positive relationship between performance and satisfaction. Conclusion: Considering the results of this study, family-focused nursing interventions for families with the elderly need to be developed.
The purpose of this study was to examine the relations between family functioning and the interpersonal relation disposition of high school students in southern Gyeonggi province. The subjects of this study were 360 high school students. The scale of family functioning was measured using the Family Adaptability Cohesion Evaluation Scale(FACES Ⅲ) developed by Olson, et al.(1985). To measure the interpersonal relation disposition, Ahn's Interpersonal Relation Disposition Scale(IRDS) was used. The data was analyzed by using t-test, ANOVA, and multiple comparison(Duncan test). The major findings were as follows: There were significant differences in student's family functioning and interpersonal relation disposition according to school department and family economy level. There were significant differences in the interpersonal relation disposition according to gender. Where family functioning was higher, the students' interpersonal relation dispositions were more sympathetic, accepting and socially friendly, while being less rebellious and distrustful. As a result of this study, it is found that family functioning has effects on high school students' interpersonal relation disposition.
Objectives: The study examined the mediated role of family functioning in the relation between fathers' and mothers' depression and drinking behaviors, and children's internalizing/externalizing problems and peer-play behavior. Methods: The study utilized data from the Panel Study on Korean Children(PSKC), namely Wave 5 data(N=1,703) for parental depression and drinking behavior, Wave 6 data(N=1,662) for family functioning, and Wave 7 data(N=1,620) for children's internalizing/externalizing problems and peer-play behavior. Results: Mothers' perceived family functioning mediated the relation between parental depression and boys' internalizing/externalizing problems. Second, fathers' perceived family functioning mediated the relation between parental depression and children's peer-play behavior. Third, only when both parents engaged in an above-average level of drinking behavior, did father perceive that their family functioning was low. Conclusions: This study showed the mediated effect of family functioning in the influence of parental depression and drinking behavior on children's developmental outcomes. The study ditermined that fathers and mothers played different roles in children's development, and found different mechanisms related to parental depression and their drinking behavior.
Purpose: This study was to test a theoretical model examining the relationships among social support, illness demands, marital adjustment, family coping and family functioning in couples more than three years after breast cancer diagnosis. Methods: A causal modeling methodology was used to test the specified relationships in the recursive theoretical model. A total of 60 couples with breast cancer were recruited from January to April 2005. Five standardized questionnaires were used to measure the theoretical concepts: social support (ISSB), illness demands (DOII), marital adjustment (DAS), family coping (F-COPES), and family functioning (FACESII). Results: Path analysis results from the wives and the husbands revealed different patterns. Three hypotheses were supported in the wife model as predicted: social support and family coping, family coping and family functioning, and social support and marital adjustment (trend). Five hypotheses were supported in the husband model as predicted: social support and illness demands, also social support and marital adjustment, illness demands and marital adjustment, marital adjustment and family coping, and family coping and family functioning. Conclusion: This study provides valuable information for developing various interventions with social support for improving family functioning of breast cancer couples in the middle adaption stage (more than three years after diagnosis).
Journal of Korean Academy of Fundamentals of Nursing
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v.15
no.3
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pp.301-311
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2008
Purpose: The purpose of this study was to identify the factors related to the functioning of family caregivers of patients with cancer. Method: Data were collected by questionnaires from 124 patient-family caregiver dyads at a hospital in Seoul. Data collection was done between August, 2004 and January, 2005. Data were analyzed using Pearson correlation coefficients and stepwise multiple regression. Results: The mean score for family functioning was 68.73. Family functioning showed a significant negative correlation with burden of family caregiver and performance status of patients with cancer, and a significant positive correlation with previous relationship between the patient with cancer and caregiver. The most powerful predictor of family functioning was the relationship between the patient and caregiver. The relationship between the patient with cancer and caregiver, and performance status of the patient accounted for 25.4% of the variance of family functioning. Conclusion: The results showed that the relationship between patients with cancer and caregivers and performance status of patients with cancer were significant factors influencing family functioning in family caregiver of patients with cancer.
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