• 한국아동복지학
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• 제27호
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• pp.95-120
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• 2008

본 연구는 가족탄력성 이론에 근거하여 만성질환아 가족의 스트레스와 가족적응의 관계에서 가족탄력성은 어떤 경로를 통해 어떻게 가족적응에 영향을 미치는지를 살펴보고 이를 통해 만성질환아 가족의 적응력 향상을 위한 사회사업개입시 도움이 될 수 있는 실증적인 지식을 얻고자 하는 목적으로 이루어졌다. 본 연구의 조사대상자들은 부산광역시, 울산광역시, 그리고 경상북도지역에 소재하고 있는 대학병원 및 종합병원에서 만성질환으로 진단 받고 3개월 이상 치료중인 0세~15세의 만성질환아 가족들이다. 연구의 분석방법은 구조방정식 모형을 사용하였다. 연구결과를 요약하면 다음과 같다. 만성질환아 가족의 스트레스는 가족적응에 직접적인 영향을 미치지 않고 가족탄력요인을 통하여 간접적으로 영향을 미치는 것으로 나타났다. 따라서 만성질환아 가족의 적응력을 향상시키기 위해서는 가족스트레스를 감소시키는데 초점을 맞추기 보다는 강점 관점에 근거하여 가족의 탄력성을 향상시키기 위한 프로그램을 제공하는 것이 필요할 것이다. 이러한 연구 결과에 근거하여 만성질환아 가족의 탄력성 강화를 위한 개입전략을 제시하였다.

• 여성건강간호학회지
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• 제3권2호
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• pp.157-179
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• 1997

The purpose of this study is to provide a basis for nursing intervention strategies to enhance health promoting practice that are constructive to a healthy lifestyle. Data were collected through self-reported questionnaires from 281 middle-aged women living in Seoul, Kyeung ki, Taegu, Kyeung pook, and Kyeung nam from July to September 1997. The following instruments were used in the study after some adaption : scale of perceived health status, self-esteem, perceived benefits, family hardiness index, purpose in life, Walker and other health promoting lifestyle profiles. The data were analyzed, by t-test, ANOVA Scheffe's Pearson's correlation & stepwise multiple regression, by using the SAS program. The results are as follows : 1) The average score for the health promoting lifestyle was 2.65. In the sub-categories, the highest degree of practice was self-actualization (2.91), and in the lower degree was health responsibility (2.13). 2) In the relation ship between social demographic and health promoting lifestyle there were significant differences ineducation, occupation, economic status, and type of family. 3) There is a significant correlation between perceived health status, self-esteem, perceived benefits, family hardiness index, existential vacuum and total & subcategory health promoting lifestyles. 4) Existential vacuum was the highest factor predicting a health promoting lifestyle for middle-aged women (38.0%). 5) Existential vacuum, commitment and self-esteem accounted for 45.9% of the total variance.

• 아동학회지
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• 제30권4호
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• pp.15-31
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• 2009

This study examined relationships between the stress of families with autistic children, the social adaptation of autistic children and whether this relationship is moderated by family resilience and social support. The subjects were mothers of autistic children attending a special school for children with autistic disorder. Survey tools measured family stress, social support, and social adaptation. Family Resilience was measured by family hardiness, family coherence, family communication, problem-solving, and management strategy. Results showed that higher degree of family stress resulted in lower degree of adaptation in families of autistic children. The effectiveness of family resilience and social support as moderators between family stress and adaptation of families with autistic children was confirmed.

• 아동학회지
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• 제29권6호
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• pp.105-119
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• 2008

Investigating cross-cultural differences of family stress and adaptation in Korea and Australia, 49 families in open adoption were administered the Family Index of Regenerativity and Adaptation-General (McCubbin, 1987), Family Problem Solving Communications (McCubbin et al., 1988), and Social Support Index (McCubbin et al., 1982). Data were analyzed by T-test and correlation analysis. Results indicated that adoption itself was the primary stressor in both countries. Korean adoptive families were under stress by family-oriented factors; Australian adoptive families experienced external family stress. Regarding family hardiness, coping efforts and family communication, Australian adoptive families reported significantly higher family functioning than Korean adoptive families. Findings suggested that a broad range of social support is needed to improve family adaptability in both countries.

• 대한간호학회지
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• 제40권3호
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• pp.367-377
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• 2010

Purpose: This study was done to compare factors influencing children's self-esteem between two parent families and single parent families. Methods: The participants were 692 children aged 11 to 13 yr (388 in two parent families and 304 in single parent families) recruited from 20 community agencies and 5 elementary schools in Gyeonggi Province and Seoul City, South Korea. Data were collected from May to July, 2007 using a survey questionnaire containing items on self-esteem, internal control, problematic behavior, school record, family hardiness, parent-child communication and social support. The data were analyzed using SPSS 15.0 program and factors affecting children's self-esteem were analyzed by stepwise multiple regression. Results: Scores for the study variables were significantly different between the two groups. The factors influencing children's self-esteem were also different according to family type. For two parent families, internal control, problematic behavior, school record, and parent-child communication significantly predicted the level of self-esteem (adjusted $R^2$=.505, p<.001). For single parent families, social support, family hardiness, internal control, problematic behavior, school record, and parent-child communication significantly predicted the level of self-esteem (adjusted $R^2$=.444, p<.001). Conclusion: Nurse working with children should consider family type-specific factors influencing their self-esteem.

• 동서간호학연구지
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• 제3권1호
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• pp.96-103
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• 1998

This study was conducted to identify the adaptation process of the families with chronically ill patients. A descriptive comparative research design was used to the subjects of forty families that have stroke patients at an oriental medical hospital. Research tools were Demands of Illness Inventory(Woods, Haberman & Packard, 1987), Relative and Friend Support Index(McCubbin, Patterson & Glynn, 1982), Family Coping-Coherence Index (McCubbin, Larsen & Olson, 1982), Family Hardiness Index(McCubbin, McCubbin & Thompson, 1986), and Family Member Wellbeing Scale(McCubbin, McCubbin & Thompson, 1986). Data were collected from October 7, 1998 to November 7, 1998 at an oriental medical hospital located in IkSan city. The number of cases was forty and the data were analyzed by SPSS $PC^+$. Descriptive statistics of frequency, number, mean and standard deviation were used to report the results. The results were as follows ; 1. There was no significant differences between the two groups on the family stress. 2. There was significant differences between the two groups on the family strength (t value = - 3.09, p value=$.004^{**}$). 3. There was significant differences between the two groups on the family adaptation(t value= -2.08, pvalue=$.05^*$).

• 한국노년학
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• 제25권2호
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• pp.195-209
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• 2005

본 연구는 치매노인 발생이라는 가족 위기에 대하여 이를 돌보는 치매가족의 누적스트레스 정도를 확인하고 누적스트레스에 영향을 미치는 변수를 규명하기 위한 서술적 조사 연구이다. 대상자는 가정 내에서 동거를 하며 치매노인을 돌보는 가족 중 편의표출법에 의해 선택된 102명이었다. 연구도구로는 McCubbin(1987)의 누적스트레스 측정 도구, McCubbin, Patterson과 Thompson(1991)의 가족 강인성 측정 도구, McCubbin, Patterson과 Glynn(1982)의 사회적지지 측정 도구, McCubbin, Larsen과 Olson(1982)의 친척 및 친구지지 측정 도구, 그리고 McCubbin, Larsen 과 Olson(1981)에 의해 개발된 가족의 문제해결 및 대응전략 측정 도구를 이용하였다. 본 연구결과 치매노인을 돌보는 가족의 누적스트레스 정도는 평균 1.74점(범위 1.3-2점)로 나타나 비교적 높은 누적스트레스를 나타내었다. 가족의 강인성, 사회적지지, 친척 및 친구지지, 가족의 문제해결 및 대응전략의 점수가 높을수록 가족의 누적 스트레스 정도가 낮아지는 것으로 나타났다. 가족의 누적스트레스에 영향을 미치는 주요변수들은 8%의 설명력을 보여주었고 여기에 치매노인을 돌보는 가족의 일반적 특성 중 주간호제공자가 인지한 본인의 건강상태, 치매노인의 건강상태, 하루 중 치매노인을 돌보는 시간, 치매노인을 돌본 기간, 치매가족의 총수입, 치매노인을 돌보는데 드는 비용 등 모든 변수를 중심으로 다중 회귀분석을 한 결과 이 모형에서는 21.7%의 설명력을 보여주었다. 이 변수들 중 치매가족의 총수입과 치매노인을 돌보는데 드는 비용이 통계적으로 유의하게 나타났는데, 이는 가족의 누적스트레스를 감소하기 위해서는 그 어떤 변수보다도 가족의 안정을 위한 기본 요소인 경제부분이 많은 영향력을 미치고 있음을 알 수 있었고, 차후 치매노인을 돌보는 비용을 감소할 수 있는 정책적이고 구조적인 장치가 필요함을 시사하고 있다.

• Child Health Nursing Research
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• 제19권3호
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• pp.177-186
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• 2013

목적 본 연구는 소아암 청소년 복원력과 가족 복원력의 관계를 파악하고, 청소년 연령에 따른 복원력 영향 요인을 확인하여 이를 증진하기 위한 간호중재 개발의 기초자료를 제공하고자 수행된 서술적 조사 연구이다. 방법 상급종합병원 2곳에서 소아암으로 진단받은 지 최소 6개월 이상 경과된 외래 치료 중이거나 치료 종료 후 추후 관리 중인 만 10-18세 청소년 107명과 그 부모 107명을 대상으로 설문 조사를 하였다. 결과 가족 강인성, 사회적 지지는 가족의 월평균 수입에 따라 유의한 차이가 있었고, 종교 유무에 따라 소아암 청소년의 복원력은 유의한 차이가 있었다. 병행 치료 수가 3가지 이상인 경우 가족 문제해결 의사소통과 소아암 청소년의 복원력이 높았다. 사회적 지지가 높을수록 가족 강인성, 가족 문제해결 의사소통이 높게 나타났고, 가족 강인성은 가족 문제해결 의사소통, 소아암 청소년의 복원력과 양의 상관관계가 있으며, 가족 문제해결 의사소통은 소아암 청소년의 복원력과 양의 상관관계가 있었다. 소아암 청소년의 복원력에 영향을 미치는 요인은 만 10-12세 소아암 청소년의 경우 종교 유무, 가족 문제해결 의사소통이었고, 만 13-15세 소아암 청소년의 경우 가족 강인성, 가족 문제해결 의사소통으로 나타났다. 결론 본 연구의 결과는 소아암 청소년의 복원력과 가족 복원력을 증진하기 위하여 소아암 청소년의 연령에 따른 복원력 중심의 간호 중재 프로그램 개발의 필요성을 시사한다.

• 아동학회지
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• 제23권1호
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• pp.1-16
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• 2002

This study explored resilience and protective factors in children at-risk. Teachers of 755 children in child care centers replied to questionnaires regarding resiliency and behavior problems; children's mothers replied to questionnaires about risk factors, own parenting, and family hardiness. The data of 216 vulnerable children and 355 children in a comparative group who had not been exposed to any risk factors were analyzed. Findings showed that resilience was differentiated by gender and age; that is, resilience in the vulnerable group covaried as a function of gender and age. The resilience level of the vulnerable group was lower than the comparative group. Children with fewer behavior problems had a higher level of resilience, and resilience was higher for vulnerable children with higher levels of protective factors.

• 여성건강간호학회지
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• 제5권2호
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• pp.247-261
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• 1999

The purpose of this study was to figure out related factors to the self-reported climacteric symptoms and the relationship among the health promoting behaviors, climacteric symptoms and degree of Sanhujori, the Korean traditional postpartal care. A cross-sectional survey design was employed in this study. The subjects were 108 middle-aged women who were non-hystrectomized and ranged in age from 40 to 60 years. They were selected in seoul and Kyoung-ki province, Korea, Data were collected from Oct.25 Nov. 10, 1997 by a structured questionnaire. The instruments used for this study were the revised health Promotion Lifestyle(HPLP) developed by Walker, Sechrist & Pender, and revised Climacteric Symptoms Scale developed by Chi, Sung Ai. the data were analyzed by the SPSS/$PC^+$ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows ; 1. The mean score of health promoting behaviors was low($2.42{\pm}0.35$). There were statistically significant differences in the score of health promoting behaviors according to the educational background, family income, marital satisfaction, whether or not taking a restorative food and degree of Sanhujori, especially the period (t=-2.07, F=2.60~7.57, p<0.05). 2. The mean score of score self-reported climacteric symptoms was 1.69%;99% of middle-aged women had symptoms. There were statically significant differences in the score of middle -aged women's self-reported climacteric symptoms according to the age, number of children, educational background, occupation, family income, marital satisfaction, whether or not receiving hormon replacement therapy (HRT) or consultation by a professional, perceived health status and self evaluation of Sanhujori(t=-2.04~3.69, F=2.87~11.63, p<0.05). 3. women's degree of Sanhujori was a positive correlation with health promoting behaviors(r=0.34, p=0.00) and negative correlation with the degree of self-reported climacteric symptoms(r=-0.19,p=0.03). 4. The influencing factors to the climacteric symptoms were self actualization, interpersonal support, and perceived health status among the health promoting behaviors with 57% of variance($R^2$=0.57). 5. The middle-aged women's type of coping pattern for the climacteric symptoms was classified as active behavioral coping, spiritual & psychological coping, and negative coping. In conclusion, to intervene the middle aged women's climacteric symptoms and develop nursing strategies for their health, health promoting behavior, especially ; self actualization, interpersonal support, and perceived health status should be considered. And, as the primary prevention strategy for women's health during the period of childbearing and also middle age, especially for the climacteric symptoms, Sanhujori should be reconsidered.