• 지역사회간호학회지
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• 제16권3호
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• pp.249-259
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• 2005

Purpose: The purpose of this study was to understand the coping process that family caregivers experience during the process of care, to grasp coping behaviors used to solve problems and, finally, to develop a substantive theory by analyzing the coping process. Method: The methodology of collecting and analyzing data used in this study followed the ground theory of Strauss and Corbin(1998). Data were collected through in-depth interviews with open-ended and descriptive questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between February 2000 and February 2001. The subjects of this study were 17 women. Result: The result of the study is as follows. The coping process of family caregivers while taking care of the demented elderly was found to have six stages: problem recognition: undertaking care: struggling: mental control: burden mediation; and acceptance. These stages proceed with reciprocal action and in cycle. Conclusion: The result of this study is helpful for developing effective and individual nursing strategies suitable for each coping stage. It is necessary to develop an assessment tool that can judge caregivers' coping stage based on the result of this study. Moreover, we need continuous study to practice nursing mediation and to analyze the change about nursing effect and family members' adaptation.

• 성인간호학회지
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• 제26권6호
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• pp.603-613
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• 2014

Purpose: The purpose of this study was to explore and identify the role adaptation processes of family caregivers with patients transferred from intensive care unit to general ward. Methods: Using a grounded theory methodology, in-depth individual interviews were conducted. Data were collected from 11 participants. The participants were asked about their experiences of role adaptation considering situational contexts and interactional strategies. Transcribed data and field notes were analyzed using constant comparative analysis. Results: The core category was 'becoming almost a nurse with hope and fear'. The identified phenomena by the participants were the joy of being alive, having hope for a full recovery, anxiety and fear of uncertain future, feeling burdensome on a given role. The results included both role adaptation and mal-adaptation of caregivers. Conclusion: The role adaptation processes of family caregiver with patients transferred from intensive care unit to general ward can be explained as becoming almost a nurse with hope and fear. The findings of the study provided fundamental information for developing programs to support the given family caregivers for successful role adaptation.

• 성인간호학회지
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• 제18권3호
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• pp.395-404
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• 2006

Purpose: This study investigated the effect of a structured group intervention on knowledge about lung cancer, self efficacy and quality of life for family caregivers of patients with lung cancer using a nonequivalent control groupquasi-experimental design. Methods: Subjects were 11 family caregivers for both the control and the experimental group. The experimental group participated in once a week for 2-hour session for 4 weeks. Four topics of educational program were lung cancer and treatment, side effects of treatments, symptoms management, and health management. Every session consisted of lecture, sharing experiences, and meditating time. Quality of life was measured using Jang(1996)'s tool. The tools for knowledge and self-efficacy were developed by the authors. Results: After the intervention, the experimental group showed higher self-efficacy in caring for the patients than did the controls. However, there were no significant differences in knowledge about lung cancer and quality of life between the two groups. Conclusion: Findings indicate that the group intervention would be effective for family caregivers of lung cancer patients.

• 한국직업건강간호학회지
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• 제16권2호
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• pp.119-129
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• 2007

Purpose: The purposes of this study were to understand the coping experience that family caregivers undergo during the process of care, to grasp coping behaviors used to solve problems and, finally, to develop a substantive theory by analyzing the coping process. Method: The methodology of collecting and analyzing data used in this study followed the ground theory. Data were collected through in-depth interviews with open-ended and descriptive questions about the subjects' coping experiences. The survey was conducted between May 2006 and August. The subjects of this study were 10 women. Result: The result of the study is as follows. Core category of This Study was "Self-Sacrifice". And The coping process of family caregivers while taking care of the industrial disaster victim was found to have five stages: shocked stage; undertaking stage of new role; skilled stage; exhausted stage; and desiderating stage. Seven coping behaviors were found to reduce the stress of role and anguish resulting from care. Conclusion: The result of this study is helpful for developing effective industrial nursing strategies suitable for each coping stage. It is necessary to practice nursing mediation and to analyze the change about nursing effect and family caregivers' adaptation.

• 한국사회복지학
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• 제61권2호
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• pp.325-348
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• 2009

암은 우리나라의 사망원인 1위로, 환자뿐 아니라 가족의 삶에도 큰 영향을 미친다. 특히, 돌봄책임을 맡고 있는 가족원의 삶의 질은 사회적 지지, 돌봄 부담에 대한 평가, 재평가에 의해 영향을 받는다. 암환자 가족의 삶의 질을 향상시키기 위해서는 이들 요인들 간의 유기적인 관계를 밝혀 사회복지 실천 방법을 발전시킬 필요가 있다. 본 연구에서는 국립암센터를 이용하는 암환자 가족 295명의 사회적 지지, 돌봄 부담감, 내적 성장, 삶의 질을 파악하고, 이들 변수간의 관계를 구조방정식모형을 통해 검증하였다. 연구결과 첫째, 연구모형의 적합성을 검증하였을 때 적합도 지수가 CFI(.951), TLI(.940), RMSEA(.062)으로 좋은 적합도를 보였다. 둘째, 직접효과에 대한 검증결과 사회적 지지의 돌봄 부담감, 내적 성장에 대한 직접효과, 돌봄 부담감의 내적 성장, 삶의 질에 대한 직접효과, 내적 성장의 정신적 삶의 질에 대한 직접효과가 통계적으로 유의하였다. 셋째, 돌봄 부담감, 내적 성장의 매개효과에 대한 검증 결과, 사회적 지지가 삶의 질에 미치는 영향에 대한 돌봄 부담감의 매개효과, 사회적 지지와 돌봄 부담감이 정신적 삶의 질에 미치는 영향에 대한 내적 성장의 매개효과가 통계적으로 유의하였다. 이러한 결과에 따라 암환자 가족의 삶의 질에 영향을 미치는 사회적 지지, 돌봄부담, 내적성장간의 관계에 대하여 논의하고 사회복지 실천 및 연구를 위한 함의를 제언하였다.

• Human Ecology Research
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• 제53권5호
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• pp.519-530
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• 2015

This study examines the effects of coping resources on life satisfaction of middle and older caregivers looking after family members with activities of daily living disabilities. Personal resources and socio-relational resources were included as predictors after controlling for demographic characteristics. We studied 154 middle and 132 older adults drawn from the Korean Longitudinal Study of Ageing (KLoSA). The multiple regression results of this study were as follows. First, subjective health and family satisfaction had significant effects on middle-aged caregivers' life satisfaction. Specifically higher levels of subjective health and better relationships with their family predicted higher levels of life satisfaction. Second, cognitive function, household income, and family satisfaction had significant effects on middle-aged caregivers' life satisfaction. Higher household incomes, higher levels of cognitive function, and better relationships with family predicted higher levels of life satisfaction. For both middle and older adults, the effect size of family satisfaction was the largest out of all coping resources. The results revealed discrepancies regarding the importance of coping resources between middle and older caregivers, implying that developing interventions for middle and older caregivers (in accordance with their need for coping resources) is necessary. The results also indicated that having good relationships with one's family was the most important factor for both middle aged and older caregivers' life satisfaction. The results suggest that policies or services focused on endorsing healthy family relationships should be developed to improve the life satisfaction of caregivers.

• 가족자원경영과 정책
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• 제25권2호
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• pp.1-12
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• 2021

본 연구의 목적은 정확한 시간량에 기초하여 가족돌봄의 실태를 파악하고, 그것의 영향요인 및 결과를 검증하는 것이다. 이를 위해 2019년도 생활시간조사를 활용하여 장기돌봄을 필요로 하는 성인돌봄을 중심으로 가족돌봄을 검토하였다. 분석결과는 다음과 같다. 첫째, 성인가족 돌봄에 투입하는 평균시간은 하루에 115분으로 나타났고, 가족돌봄자는 여성의 비중이 높고 평균연령이 상대적으로 높으면서 비취업자가 많고, 가구소득은 상대적으로 낮았다. 둘째, 영향요인 분석결과, 여성이면서 고연령인 경우, 기혼상태이면서 가구소득이 낮을수록 가족돌봄자가 될 가능성뿐만 아니라 돌봄시간도 증가하였다. 셋째, 가족돌봄과 다른활동시간간 관계를 분석한 결과, 가족돌봄 시간은 유급노동이나 여가시간과 대체관계에 있는 반면, 가사노동시간과는 보완관계에 있었는데 이것은 고강도 가족돌봄일 때 더욱 명확하였다. 이러한 결과를 바탕으로 본 연구는 정기적인 가족돌봄실태조사의 실시, 가족돌봄지원정책의 확대, 그리고 돌봄대상과 속성뿐만 아니라 돌봄자의 속성에 따른 돌봄시간의 차등적 지원을 제안하였다.

• 한국사회복지학
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• 제56권3호
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• pp.183-205
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• 2004

본 연구는 간병과 일상생활에서 수발을 요하는 만성질환 및 기능손상노인의 가족 수발자들을 대상으로 재가복지서비스의 이용자와 비이용자 간의 차이를 비교하고 서비스 이용여부와 이용수준에 영향을 미치는 요인들을 파악하고자 하였다. 재가복지서비스 이용여부는 164명의 가족 수발자를 대상으로 그리고 이용수준은 그 중 114명의 이용자에 대해서 소인요인, 가능성요인, 욕구요인, 욕구요인과 사회적 지지의 상호작용 변수들을 단계적으로 투입하여 회귀분석 하였다. 주요 분석결과는 다음과 같다. 첫째, 재가복지서비스 이용자가 비이용자보다 교육수준, 정서적 지지, 노인의 인지적 기능손상 수준이 더 높고 월 가족수입은 더 낮았다. 둘째, 재가복지서비스 이용여부에 대해서는 수발자의 교육수준이 높을수록, 가족수입이 적을수록, 도구적 지지의 수준이 낮을수록 재가복지서비스를 이용하는 경향이 있고 수발자의 건강상태가 나쁘더라도 도구적 지지의 수준이 높으면 재가복지를 이용하지 않는 것으로 나타났다. 셋째, 재가복지서비스 이용수준에 대해서는 정서적 지지의 수준과 수발자의 우울 정도가 낮을수록 서비스 이용수준이 높고 노인의 신체적 기능손상이 심하더라도 도구적 지지와 정서적 지지의 수준이 높으면 서비스 이용수준이 낮았다. 이러한 연구결과에 따라 재가복지서비스 이용에 대한 실천적 함의가 제시되었다.

• 한국치위생학회지
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• 제18권3호
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• pp.295-310
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• 2018

Objectives: The purpose of this study is to identify the factors affecting job satisfaction, job stress, turnover intention, work-family and family-work relationship of married dental hygienists with young children. Methods: 242 copies of self-reported questionnaires were analyzed. Statistical analysis of collected data was conducted using the statistical program of Stata 13.0 (StataCorp., College Station, TX, USA). Results: Turnover intention was higher when the child age was lower and the child support and parenting stress were higher. But when working hours were adjustable, the turnover intention was low. Job stress was higher as the position, monthly income and night working hours were higher. Job satisfaction was higher as night work was fewer, work time was adjustable and family life satisfaction was higher. When parenting stress was high, job satisfaction was low and job stress and turnover intention were high. Work-family relationships were more affected by lower monthly income and parents-first child caregivers. Workplace factors affecting the family life were monthly income, caregiver and number of night work. The higher the parenting stress, the greater the mutual influence between family and work life. Age, family life, parenting stress and turnover intention were identified to affect family-work relationship. Parenting stress and job stress were identified to be influential on work-family relationship. Conclusions: Married dental hygienists are leaving the clinical setting due to their marriage and childbirth, or showing the effects on family-work and work-family relationships due to parenting. Efforts should be made to efficiently utilize professional manpower and to improve the psychological and physical working environment surrounding the married dental hygienists.

• Human Ecology Research
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• 제51권3호
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• pp.275-284
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• 2013

The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.