• 한국노년학
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• 제29권2호
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• pp.701-716
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• 2009

본 연구의 목적은 치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감 정도를 파악하고, 부담감과 간호만족감에 영향을 미치는 문화적, 비문화적 요인을 규명하는 것이다. 본 연구의 대상자는 서울 및 경기도 소재 13개 치매주간보호센터를 이용하는 치매노인을 가정에서 돌보고 있는 주가족 간호자 112명 이었으며, 설문지 조사를 통하여 자료를 수집하였다. 주가족 간호자의 81%가 여성이었고, 관계별로는 며느리(46%)가 가장 많았다. 주가족 간호자가 느끼는 부담감 평균점수는 49.4 이었으며, 간호만족감 평균점수는 42.3 이었다. 주가족 간호자의 부담감에 통계적으로 유의한 영향을 미치는 요인으로는 비문화적 요인들인 간호자의 건강상태(β= .421, p= .049)와 치매노인의 기억 및 행동문제(β= .183, p= .041)로 나타났다. 간호만족감에 통계적으로 유의한 영향을 미치는 요인은 문화적 요인인 가족주의(β= .466, p= .005)로 나타났다. 치매노인 가족 간호자들의 부담감을 감소시키고 간호만족감을 증진시키기 위한 서비스 프로그램들의 개발과 활용 방안이 마련될 필요가 있다.

• 대한가정학회지
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• 제34권4호
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• pp.119-131
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• 1996

The relationship of maternal separation anxiety, availability of support system and child gender to initial preschool adjustment was examined. Data were collected on 72 middle-class Korean children(35 boys, 37 girls) between the ages of 31 months and 60 months who were entering preschool. Subjects were from intact families, all with non-working mothers. Mothers completed the Maternal Separation Anxiety Scale(MSAS) and indicated the number of extended family members in the home as an index of social support. Classroom teachers completed the Preschool Behavior Questionnaire (PBQ) for each child after the first 2 weeks and again after 6 weeks of school. Each child was observed by the research team during the first 2 weeks of school and again after the 6th-week using the Child Observation System (COS). Applying the COS observed behavior was classified as being in the dependent, neutral, or active mode. All instruments were culturally relevant as validated by Korean experts. Maternal Separation Anxiety was a significant predictor for girls only, accounting for 11% of initial COS variance (p=＜.05). In contrast, social support was a significant predictor for boys only, accounting for 28% of initial PBQ variance when entered after MSAS(p=.005). A significant difference between initial and 6th-week adjustment was obtained in the expected direction on the COS with behavior improving with time (t=-4.06, p=.001). Although a significant difference between initial and 6th-week PBQ adjustment was also obtained (t=-3.63, p=.001), it was not in the direction expected, problematic behavior were found to increase with time. Cultural and developmental factors help explain the findings. Given the patrilineal social system in Korea, boys are highly preferred over girls. Thus the at-home support system, comprised primarily of grandparents, may have a significant influence on school adjustment particularly of first-born sons. In contrast, since girls are viewed as fragile and vulnerable, mothers may express greater separation anxiety about girls. Finally, as would be expected, older children may be able to develop coping skills more readily than younger ones, as child adjustment on the COS significanlty improved over the 6-week period.