• 성인간호학회지
• /
• 제19권3호
• /
• pp.470-482
• /
• 2007

Purpose: This study aimed to describe the experience of family breakdown of Hwabyung patients in a socio-cultural context. Methods: Data for this study came from 5 participants, 2 family members and 1 friend of participant by interviews and participant observations from January 2006 to April 2007. Sociology of everyday lives analyzing method were adopted. Results: There were two processes of family breakdown ; sudden on set and progressive processes. The sudden breakdown was unpredictable death of a husband, the significant family member. On the other hand, their family structure and function were broken down through the husband, who repeatedly destructive and malicious behaviors. The experience of family breakdown of middle-aged women with Hwabyung in a socio-cultural context was weakened or severed family-relationships, exhaustion of economic sources, and the breakdown of participant's body. Participant's experience of family breakdown were influenced by Korean culture, the patriarchal social system and the clan-centered family system. Conclusion: Hwabyung is the result of a clan-centered family system and patriarchal system. The approach to Hwabyung should involve not only the person with the illness but also their family.

• Journal of Korean Biological Nursing Science
• /
• 제20권3호
• /
• pp.150-158
• /
• 2018

Purpose: The purpose of this study was to investigate the expected family involvement of family members of elderly residents in nursing homes. Methods: This study utilized a descriptive design with a survey research method. Data were collected using the Expect Family Involvement Questionnaire Scale, which was completed by 112 family caregivers of older adults in nursing homes in Seoul and Gyeong-gi Province. The collected data were analyzed using descriptive statistics. Results: Responses to the questionnaire indicated the highest value was recorded for the item, 'use of a room for family privacy' with $2.41{\pm}0.43$ points, followed by the item, 'staff calling family for advice with resident problems' with $2.38{\pm}0.38$ points and 'education about nursing home programs' with $2.32{\pm}0.42$ points. Conclusion: In order to promote family involvement in long-term care facilities, various approaches, interventions, and government supports with the respective of the family are required. The nursing home placement process should include understanding discuss on the importance of the role of family, and should help promote positive relationships between the elderly residents and their families. Staffs and administrators of nursing home are to consider the family as a partner rather than visitor.

• 한국생활과학회지
• /
• 제12권5호
• /
• pp.605-618
• /
• 2003

The purpose of this study was to develop the household analysis and diagnosis program for the enhancement of family welfare focusing on the household of middle-aged full-time housewives. From the review of related literatures, the following areas of total family life were selected ; household management, time use, housing, household materials, finance, communication and decision making. Considering that the program subjects were middle-aged full-time housewives, the preparation for elderly life and the identity as housewife, one of the healthy family members, are appended. The progresses for the development of household analysis and diagnosis program were as follows: 1. to select the useful area of family life, 2. to make the indicators which explain the status of family life, and 3. to decide the scales for the diagnosis. This program has various uses such as the development of self-evaluation program, program for various family life course. Through this program the strength and weakness of family life can be found and the planning for the enforcement of family life can be practiced.

• 성인간호학회지
• /
• 제22권3호
• /
• pp.239-249
• /
• 2010

Purpose: The objective of this study was to identify the relationships between family function and successful aging of vulnerable elderly using the circumplex model. Methods: The participants were the elderly (N=401) who were over 65 years old living in H city under the National Livelihood Security Act. Family Adaptability and Cohesion Evaluation Scale III and Successful Aging Instrument were used. Results: The family function perceived by the study subjects was average $43.20{\pm}16.62$ out of maximum 100 points. According to the analysis on family types suggested by circumplex model, there were 183 people for balance family (45.6%) and 218 people (54.4%) for extreme family. The total points on successful aging were $1.67{\pm}0.37$ out of 3 points. When the difference in points on the Successful Aging instrument were analyzed according to the scores on the Family Adaptability and Cohesion Scale those points of the balanced family were statistically significant (t=2.087, p=.038). Conclusion: In case of the balanced family type, the level of perceiving successful aging was relatively higher. For the improvement of family function, it is advised that the successful aging perception among vulnerable elderly can be uplifted through a program that enables effective communication with other family members.

• 한국콘텐츠학회논문지
• /
• 제21권5호
• /
• pp.638-653
• /
• 2021

본 연구의 목적은 소설 「고령화 가족」에 나타난 가족의 의미를 이해하는 것이다. 이에, 소설 속 주인공 인모가 가족의 의미를 어떻게 인식하고 있는지, 질적 연구 방법에 따라 접근하여 분석하였다. 그 결과, 그의 가족은 혈연과 비혈연 관계가 복잡하게 얽힌, 이른바 '정상가족'과는 거리가 먼 형태로 구성되어 있었고, 이에 대해 인모가 인식한 가족의 의미는 "자부심도 애정도 가질 수 없는 존재"에서 "인간적인 정리"와 "피보다 진한 의리"가 존재하는 가족으로 변화되고 있었다. 이에, 이러한 연구결과에 기초하여 가족사회복지실천에 시사하는 함의를 논의하였다.

• 기본간호학회지
• /
• 제22권2호
• /
• pp.149-157
• /
• 2015

Purpose: The objectives of this study were to assess the influence of family presence in the PACU (Post Anesthesia Care Unit) on anxiety, emergency delirium, pain and length of stay in the recovery room for elderly patients undergoing surgery for which general anesthesia has been used. Methods: The study was a nonequivalent control group pre-post test design. Eighty elderly patients over 65 years who underwent surgery under general anesthesia were recruited. Forty were assigned to the experiment group, patients together with a family member and 40 to the control group, with no family member present. Patients' anxiety, emergency delirium, pain and length of time in the recovery room were evaluated at 10 minute and 30 minute after arrival in the PACU. Results: Patients with family members in the PACU showed significantly decreased levels of anxiety at 10 and 30 minutes and significantly lower levels of emergency delirium and pain at 30 minutes. However there was no difference between the 2 groups for length of time in the recovery room. Conclusion: The results of this study indicate that being with family members in the PACU after surgery under general anesthesia is effective for reducing elderly patients' anxiety, delirium and pain during time in the recovery room.

• 대한가정학회지
• /
• 제29권2호
• /
• pp.155-167
• /
• 1991

There have been many cooperative meetings from the past in our country. "Kye" is the most popular and current exisiting meeting of them in our society. Therefore, study of "Kye" at this point will be useful for life, attitude, value in urban area. The concret purposes of this study are to investigate: (1) Participationg rate of the city housewives' "Key" meeting. (2) Purpose of the city housewives' "Kye" meeting. (3) The order of the most influential variable among the socio-economic variables, the family life cycle variables, and the residence variables on the city housewives' "Kye" meeting. For the purpose of this main study, 600 questionnaires were distributed to housewives living in Seoul and collected during the six months, from November, 1989 to April, 1990. And method of data analysis for this survey was Multiple Regression. The major results are as follows: (1) Participating rate of city housewives' "Kye" meeting is 52.2%. (2) Purpose of city housewives' "Kye" meeting is in the order of "for saving", "for friendly gatherings", "for commodity purchase". The order of the most influential factor (3) among the socio-economic variables is the age of respondents (β:.187), the average income of all house members(β:.177), and the schooling years (β:-.147), (4) among the family life cycle variables is the family life cycle(β:.261), number of children(β:-.212), (5) among the residence variables is the duration of current residence(β:.221), kind of house(β:.118). Comparing the past studies, the purpose of "Key" meetings has changed from the family centered events method such as worship or marriage of family members to out of the family and friends centered events such as social gatherings among the people in urban community.

• 디지털융복합연구
• /
• 제13권4호
• /
• pp.283-293
• /
• 2015

본 연구는 가족을 대상으로 방문요양서비스를 제공하는 남성가족요양보호사의 독특한 돌봄 경험을 이해하는 것을 목적으로 한다. 질적연구방법을 적용하였으며 반구조화된 심층 인터뷰를 활용하여 자료를 수집하였다. 자료수집은 2012년 6월에서 8월에 이루어졌으며, 최종적으로 7명의 남성가족요양보호사가 연구에 참여하였다. 연구결과 돌봄 경험의 핵심주제는 역할전환에의 적응, 새로운 관계를 발전시킴, 함께 살아가기 위한 전략을 세움으로 분석되었다. 분석된 연구결과를 통해 남성가족요양보호사의 돌봄 경험을 조명해 봄으로써 만성장기요양 보호가 필요한 피부양자는 물론 지지가 필요한 남성가족요양보호사의 욕구를 충족할 수 있는 정책적 실천적 대안을 모색하였다.

• Journal of Korean Neurosurgical Society
• /
• 제29권12호
• /
• pp.1620-1627
• /
• 2000

Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

• 대한간호학회지
• /
• 제29권6호
• /
• pp.1208-1220
• /
• 1999

The purpose of this study was to describe the differences in three phenomenological research methods used to understand the experience of families of patients with cancer and so provide as guideline to novices first attempting qualitative research. The subjects were 3 family members - spouse, daughter, daughter-in-law -of cancer patients at S-hospital. Unstructured deep interviews were carried out and taped for further analyzed. Interviews were analyzed using three phenomenological methods ; Giorgi's, Colazzi's, and Van Kaam's. The results are as follows. : The experience of family the analyzed using Giorgi's method showed different characteristics according to the family members' role. According to Colaizzi's method, they experienced burden, a willingness to care, role conflict, thanks to family and significant others, and ambivalence about treatment. Using Van Kaam's methodology, two categories were identified ; change of family function and burden. Themes in change of family function were positive attitude(9), role conflict(6), negative attitude(5), active attitude(2), and passive attitude(2) ; Themes in burden were emotional burden, physical burden, and economic burden. The result from using Giorgi's method were centered or individual characteristics and these results constituteds situational structured description and a general structured description. From Colaizzi's method the focus was on the common experience of all fo the subjects. In Van Kaam's method, subthemes (13), themes(8), and categories(2) were identified. So researchers should choose the qualitative method according to their research goals and methodological characteristics.